Monday, January 16, 2023

How Montana Became a Testing Ground for Christian Nationalism

Montana Gov. Greg Gianforte poses a question while taking part in a panel discussion during a Republican Governors Association conference, Wednesday, Nov. 16, 2022, in Orlando, Fla. (AP Photo/Phelan M. Ebenhack)

Abe Streep
Sun, January 15, 2023

LONG READ

The fifth season of the hit show “Yellowstone” premiered on the Sunday after the midterm elections, with Kevin Costner’s character, the rancher John Dutton, assuming Montana’s governorship. “This was never my plan,” he says, wearing a cowboy hat outside the State Capitol building in Helena. Dutton has reluctantly entered politics in part to stop an influx of rich outsiders he believes are transforming his home. In the last three years, Montana has become the second-fastest-growing state in the nation, largely because of the arrival of wealthy transplants. Unlike Dutton, many influential figures in the state’s real Republican Party have welcomed them, sometimes calling them “political refugees” fleeing blue states. Montana’s actual governor, the Republican Greg Gianforte, is himself a multimillionaire who was raised in Pennsylvania. Since assuming office in 2021, Gianforte has presided over this period of demographic change and economic growth, which has coincided with a hard shift to the right in state politics.

Montana has a tradition of ticket-splitting and has long been one of the most politically independent states in the union, resisting the kind of single-party rule that has flourished in the neighboring states of Idaho and Wyoming. But in recent years, Republicans have managed to secure an ironclad grasp over state government, and the religious right is ascendant. “We’re a country founded on Christian ideals,” Austin Knudsen, the attorney general, told me. “That’s what’s made us the country that we are.” In 2021, the Montana Legislature passed a bill banning transgender athletes on sports teams at public schools and universities, an increased tax credit benefiting private Christian schools and numerous anti-abortion laws. “They’re trying to convert the state,” said Whitney Williams, who ran for governor as a Democrat in 2020. When the state G.O.P. gathered in Billings last July to formalize its platform, Ronna McDaniel, the chairwoman of the Republican National Committee, told those assembled that Montana was “a symbol for the nation.”

The Montana Republican Party has a few factions, among them free-market advocates and moderates willing to cross party lines. But the dominant voice is that of the far right. At the convention in Billings, that group was well represented. In attendance was the party treasurer, Derek Skees, who has called Montana’s Constitution a “socialist rag”; a state representative named John Fuller, who published an opinion column in The Flathead Beacon earlier that year declaring that democracy had “failed as miserably as socialism”; and a public-service commissioner, Randy Pinocci, who told me that he “hunt[s] RINOs” (Republicans in name only). During the convention, a group of delegates led an ultimately unsuccessful push to declare the 2020 presidential election fraudulent. (In Montana, such efforts occupy a curious logical space: Citizen groups sympathetic to Donald Trump have repeatedly demanded recounts of districts he won handily.)

As waiters served steak in a windowless ballroom, the party chairman, Don Kaltschmidt, a car dealer, stood at a lectern framed by checkered racing flags. “When Republicans come together, we always win,” Kaltschmidt said. “Every time, when we come together, we win. So let’s keep Montana Montana!”

Gianforte, a bald, resolute man of 61, made only a brief appearance in Billings. He is an evangelical Christian and former entrepreneur who sold his cloud-based customer-service company, RightNow Technologies, to Oracle for $1.5 billion in 2012, before entering politics. For more than 25 years, Gianforte has belonged to a church in Bozeman adhering to a literal interpretation of the Bible that rejects evolution and considers homosexuality a sin. He doesn’t often discuss his faith, but his donations reflect a clear set of religious values. Through their foundation, Gianforte and his wife, Susan, have contributed to an organization that funds scholarships at private schools, many of which are Christian; a Montana fossil museum that challenges evolution; and Focus on the Family, a Christian organization that vehemently opposes gay rights. From 2013 to 2019, the Gianforte Family Charitable Trust gave $300,000 to the Alliance Defending Freedom, a global nonprofit dedicated to protecting religious liberty; its lawyers have represented several Christian business owners who refused to serve same-sex couples. (Through a spokesperson, Gianforte declined interview requests.)

Gianforte spent much of his remarks in Billings congratulating the convention delegates on their party’s takeover of Montana politics. “We have reversed a 100-year trend,” he told the crowd, noting that it was the first time since the 1920s that Republicans controlled all state constitutional offices and a majority of the Legislature. And Gianforte said he believed the best days for Montana Republicans were still ahead. “I think we can paint our state an even brighter shade of red,” he said.

The recent midterms may have proved him right. In November, Montana defied the national trend of Republican disappointment. Because of its increased population, the state earned a second congressional seat, which went to Ryan Zinke, who previously served as a U.S. representative before becoming Trump’s secretary of the interior, a post from which he resigned while being investigated for using his office for personal gain. (He has rejected the allegations as “politically motivated.”) Republicans won a supermajority of seats in the State Legislature, which means the party has enough votes to put proposed amendments to the State Constitution on the ballot. Duane Ankney, a 76-year-old outgoing Republican state senator, told me last summer that he worried legislators might advance what he called “hate bills” targeting the individual liberties of Montanans. “I don’t know why it’s become so extreme.” he said. “What the hell happened?”

FOR MUCH OF the 20th century, Montana reliably sent both Democrats and Republicans to Washington. Candidates across the political spectrum respected Montanans’ libertarian streak, which was born out of a deep suspicion of corporate power. Montana politics were defined by the period in the early 20th century when mining barons ruled the state, controlling legislators and the local newspapers. In response to the corruption of these “copper kings,” Montana passed a strict campaign-finance law in 1912; it also nurtured a powerful organized labor movement. Brian Schweitzer, a Democrat who served as governor from 2005 to 2013, has said that the state’s motto should be: “None of your damn business.”

In 1972, Montanans approved a new State Constitution, updating the one that was ratified at statehood in 1889. Concerns about industrial pollution were peaking in the 1970s, and the new Constitution guaranteed citizens the right to “a clean and healthful environment,” as well as an individual right to privacy that the state Supreme Court later decided, in a 1999 ruling, protected access to abortion.

Though the new Constitution created mechanisms to dissuade partisanship, including an independent commission tasked with redrawing electoral maps every decade, Montana continued to foster strains of right-wing extremism, providing refuge to white nationalists and militias. Montana has the smallest percentage of Black residents in the country, and the largest minority group in the state, Native Americans, have faced entrenched disenfranchisement since securing the right to vote in 1924. The settlement of a 2012 lawsuit under the Voting Rights Act mandated the establishment of polling places on particular reservations, but it remains common for tribal citizens to have to drive vast distances to vote in statewide and national races.

In recent years, the rise of Montana’s Christian right has been enabled by the weakening of the state Democratic Party. It has become harder for Montana Democrats to separate themselves from the national party and, as a result, ticket-splitting has dropped. As the strength of timber and railroad unions has faded across much of the state, the state Democratic Party has refocused its organizing efforts on expanding cities and the growing Indigenous vote. But Ta’jin Perez, who is Totonac Indigenous and the deputy executive director of the organizing group Western Native Voice, told me that those efforts have been sporadic. “Both parties have a really lackluster track record in sustained connection and relationship-building in Indian Country,” he said.

Changes to campaign-finance laws have also contributed to tipping the balance of power in the state. Following the 2010 Supreme Court decision in the Citizens United case, a dark-money group that became known as American Tradition Partnership challenged Montana’s 1912 law that prohibited corporate spending on campaigns. In 2011, the Montana Supreme Court upheld the law, but the U.S. Supreme Court overturned the ruling the following year, and corporate money poured into Montana. State law still restricts direct corporate spending on local elections, but political-action committees and dark-money groups have injected money into divisive contests and, as in much of the country, there’s no limit on candidates’ donations to their own campaigns.

Gianforte first ran for governor in 2016 against the incumbent Democrat, Steve Bullock, spending more than $6 million of his own money on the race. Gianforte, who was taken with Montana’s land and iconography, is a big-game hunter and the author of a 2005 book, “Bootstrapping Your Business,” that features cowboy boots on its cover. But he couldn’t shake the perception of himself as a wealthy outsider. During his 2016 race for governor, Democratic attacks focused on the fact that, seven years earlier, Gianforte filed a complaint to remove an easement accessing a river running through his property — a serious political misstep in a state in which all navigable streams are public and equal access to wilderness is sacrosanct. Gianforte claimed there had been a misunderstanding with his title company and didn’t pursue his complaint, but Bullock won re-election handily.

Gianforte’s was a rare loss for Montana Republicans that cycle, as Trump blasted apart politics in rural America. Not only did Trump win the state by 20 points, but he also seemed to obliterate Montanans’ resistance to single-party rule. Four months after the election, when Zinke was confirmed as interior secretary, Gianforte ran for his newly vacant seat in the House of Representatives. His campaign benefited from millions of dollars spent on attack ads targeting his opponent, and he began to align himself more with Trump. At an event hosted by a Christian political organization, he promised to “drain the swamp.” Less than a month later, on the eve of his election victory, Gianforte assaulted Ben Jacobs, a reporter for The Guardian, who was asking him a question about the congressional Republican health care plan. A Gianforte spokesman claimed that Jacobs had initiated the physical contact by grabbing Gianforte’s wrist, but Fox News journalists who were present refuted that account. Gianforte pleaded guilty to misdemeanor assault and was sentenced to 40 hours of community service and 20 hours of anger-management classes. He also donated to the Committee to Protect Journalists, but not before winning his race by six points. At a 2018 rally, Trump said he thought the attack had helped Gianforte at the polls, adding, “He’s my guy.”

Gianforte kept a relatively low profile in the House, but his local influence continued to grow. Since arriving in Montana, his family foundation has donated tens of millions of dollars to Montana State University, and from 2016 to 2020, he and his wife gave more than $50,000 to Republican candidates for state offices, according to campaign-finance records. In 2020, Gianforte ran again for governor, this time against Bullock’s former lieutenant, Mike Cooney. Bullock himself ran for Senate, losing to Steve Daines — a former employee of Gianforte’s at RightNow Technologies — in a race that drew more than $100 million in outside spending. In the Legislature, Republicans gained another 10 seats, and Gianforte, after spending more than $7 million on his own campaign, finally emerged victorious in his quest to be governor.

Gianforte’s first months in office were occupied by Covid-related battles. News agencies circulated a photo of the governor receiving a vaccine, but he resisted closing any public institutions, leaving decisions about whether schools would remain open to individual districts. The state Department of Health and Human Services also issued an emergency order instructing schools to consider parents’ wishes about mask mandates, claiming that “the scientific literature is not conclusive” on their efficacy. In response, the Montana Nurses Association accused the state of pushing “junk science.” Infighting at school-board meetings became commonplace. In Montana, as in much of the country, the arguments centered on masks and the teaching of what critics called “critical race theory.” Knudsen, the attorney general, issued an opinion that described certain antiracist programming as “racial harassment,” and Gianforte would later oppose the addition of the word “equity” to a teachers’ code of ethics.

During the 2021 legislative session, Republicans introduced a conservative wish list of bills. Along with the ban on transgender athletes, which has been blocked by the courts, they passed a bill that abolished an independent judicial-nomination commission, allowing the governor to directly appoint judges to vacant positions. Another bill increased the tax-credit limit for a private scholarship fund for K-12 schools from $150 to $2 million by 2023 — a boon to faith-based institutions. A majority of private schools in the state are Christian, and in 2020 the U.S. Supreme Court overturned a restriction on Montana religious schools’ receiving funding from such tax-credit programs. (The Alliance Defending Freedom, the religious-liberty nonprofit that the Gianfortes have supported, filed an amicus brief in support of the victorious plaintiffs.)

There were also bills banning same-day voter registration and paid ballot collection — measures that are considered essential for tribal communities because of the great distances between many reservations and polling places. After Gianforte signed the voting restrictions into law, Keaton Sunchild, a member of the Rocky Boy’s Chippewa-Cree Tribe and at the time the political director for Western Native Voice, called the laws “a coordinated, pretty overt way of trying to tamp down the enthusiasm and power of the Native vote.” Western Native Voice, along with other advocacy groups, filed suit, and a judge has since blocked the laws as unconstitutional.

Judges may have slowed the Legislature’s momentum, but Henry Kriegel, an influential lobbyist with Americans for Prosperity, a Koch brothers group, told me that 2021 was the group’s most successful session in Montana in a decade, citing several bills that restricted government regulation. Gianforte often frames his agenda in similar terms. “Government doesn’t create opportunity,” he told the delegates in Billings. “Let’s just get out of the way.”

In the months before the Supreme Court overturned Roe v. Wade, Gianforte signed several laws restricting reproductive rights, including a bill requiring health care providers to offer women the opportunity to view an ultrasound before deciding to terminate a pregnancy. Groups including Planned Parenthood brought suit, and a Montana district court judge issued a preliminary injunction blocking the laws as unconstitutional. But Knudsen, the attorney general, began a counteroffensive, asking the state Supreme Court to overrule the judge — and to reconsider the 1999 case that linked abortion to the State Constitution’s right to privacy. (The court declined to lift the injunction and has not signaled that it would reconsider its 1999 decision.) “We’ve got a real judge problem in this state,” Knudsen, who frequently complains about “judicial activism,” said at a firearm-advocacy event last May. Marc Racicot, the former Montana governor and attorney general who was chairman of the Republican National Committee in 2002 and 2003, has criticized Knudsen’s attacks on the judiciary as dangerous for the rule of law.

Montana’s new right-wing stridency, together with the Covid-era surge in remote work and the popularity of “Yellowstone,” has encouraged the influx of new residents. Data about their political leanings is difficult to come by, but in May, Knudsen pointed to the strong Republican showing in the 2020 elections as evidence that conservatives were seeking shelter in Montana. In 2021, Flathead County, which is deeply conservative, surpassed the majority Democratic Gallatin County, home to the tech hub of Bozeman, in its rate of population growth.

AS THE MONTANA Republican Party has strengthened its hold on power, the coalition’s existing fissures have widened. Over the course of the three-day platform convention in Billings this summer, numerous speakers appeared to be trying to outdo one another in their performative anger, and it was apparent that the enemies were not limited to the left. Even Skees, the provocative party treasurer, seemed to be watching his right flank. At the time of the convention, he was awaiting the results of a recount of a tight primary race for a seat on the public-service commission, which regulates utilities. “Derek Skees was always a hard-right guy,” said one state Republican official, who asked not to be named for fear of reprisal. “But now he’s being called a RINO!”

The Republicans unveiled their official party platform on the last day of the convention. The fieriest debate surrounded the abortion plank, which contained no exceptions for incest or rape. “We support the preservation of innocent human life at every stage of life, in all circumstances, beginning at conception through natural death,” it read. A young proxy delegate suggested removing the phrase “beginning at conception.” She was met with boos; Skees shouted the idea down. (Shortly after the convention, Skees conceded his primary to his even more conservative opponent.)

In conversations during the convention, several Republicans were open about their embrace of Christian nationalist ideology. Steven Galloway, a state representative from Great Falls, told me that he and his wife, who is also a legislator, had taken what are called “biblical citizenship classes,” developed by a former Texas legislator, who argues that the founding fathers drew heavily from the Bible when writing the Constitution and that the strict separation of church and state is a revisionist idea. “If you want to live here,” Karla Johnson, a chapter president of the Montana Federation of Republican Women, said, “be a Christian.” Keith Regier, an influential state senator, said all laws should be based on Judeo-Christian principles. “The Ten Commandments were a good foundation for any country to live by,” he told me. He was upset by what he perceived to be a censorious cultural moment — especially when it came to people speaking out against gay and transgender rights. “There is an open war on Christianity in this country.”

I told him that I’d heard other Montanans voice feelings of persecution because of the imposition of Christian doctrine. Was there a middle ground to be found? “There probably isn’t a middle,” he said. “You can’t have both.”

Gianforte avoids such extreme language, sticking to economic messaging; while he might enable religious policy, a number of Democratic and Republican legislators said that he does not openly push it. But Alan Rassaby, the former general counsel of Gianforte’s company, RightNow Technologies, told me that he thought Gianforte would gladly take down the wall between church and state if he had the opportunity. “He’d see that as part of his reshaped destiny,” Rassaby said. “But at the same time, he’s pragmatic. So what can he get away with? Whatever he can get away with, he’ll get away with in shaping a Christian society. Because he believes that’s a true society.”

Bryan Hughes, the senior pastor at Grace Bible Church in Bozeman, where Gianforte and his wife are members, told me that he and the governor have never discussed policy. Hughes claims the church is apolitical, but in 2021, a weekly men’s group read a polemic against Black Lives Matter, antiracism and the media titled “Fault Lines: The Social Justice Movement and Evangelicalism’s Looming Catastrophe,” by Voddie Baucham Jr., a Black former pastor. During a sermon on Mother’s Day, less than a week after news leaked that the U.S. Supreme Court was poised to overturn Roe v. Wade, a Grace Bible pastor prayed that “those little babies, the ones that have not been born yet, might be protected by law.”

On the day after the Billings convention in July, couples filed into Grace Bible Church for the morning service, and security officers assumed their places toward the back of the congregation. Gianforte greeted Hughes and a handful of the other parishioners before sitting down next to his wife and near two notable visitors: the Nebraska governor Pete Ricketts and Trump’s former press secretary Sarah Huckabee Sanders, who were in Montana for a gathering of the Republican Governors Association. (Huckabee Sanders would be elected governor of Arkansas in November.)

Hughes yielded the stage to a visiting pastor named Brad Bigney, who dedicated much of the sermon to reassuring parishioners that, though they might feel uncertain, they had to believe that God was in control of their destinies. “We seem like a remnant,” Bigney said. “We seem weak. We seem like we don’t have enough resources. We seem — Hello, read your Bible! It always looks that way! I hear people saying now, ‘My America, I don’t even feel comfortable in my America.’ I get it. But this isn’t our final home,” he continued. “He’s testing us, you guys, and I’m sad to say we’ve got some believers that are failing the test. It looks like they never truly trusted in God and that’s being exposed now. They trusted in their country.”

ON ELECTION DAY, Republicans won 86 out of 127 legislative races, achieving their supermajority. Montana Democrats did not field candidates in 35 of those contests, and turnout was low in majority-Indigenous counties. In Cascade County, a onetime Democratic stronghold, Republicans swept all 15 state legislative races, two of which were uncontested. In the weeks after the election, Republicans announced plans to draft nearly 50 constitutional amendments. They seek to limit state Supreme Court justices’ terms and to change the manner in which the court is elected; to create a new method for drawing legislative districts; and to “revise Montana constitutional language regarding clean and healthful environment.” They also said they would introduce bills to prohibit minors from attending drag shows and to “define the right to privacy” — one of numerous efforts to remove protections for abortion.

Despite the poor results, some Democrats saw reasons to celebrate. The liberal city Missoula elected its first transgender and nonbinary legislators. Gianforte’s handpicked state Supreme Court candidate was defeated. “There was no red wave,” the state party’s executive director, Sheila Hogan, told me. “They do have the supermajority, but we really feel we’re able to work with moderates, and I think we’ll be OK.”

I spoke with several veterans of Montana politics who found this optimistic framing baffling. Bill Lombardi, a longtime Democratic operative, said the party was “institutionalizing losing.” Jon Tester, the Democratic U.S. senator, said that candidates need to campaign harder: “It’s a matter of getting out and meeting people where they’re at.”

For some, a larger, existential question loomed: whether Montana itself had undergone a spiritual transformation. Schweitzer, the former governor, was one of those longtime party stalwarts who thought the pendulum would swing back toward moderation. “Montanans are still the same,” he said. “The Montana Democratic Party took the year off.” But Jason Small, a member of the Northern Cheyenne Tribe and a moderate Republican state senator, told me he sensed a more fundamental shift. “One of the Montana values is, if you’re neighbor’s not hurting you, you leave them alone,” he said. “Well, what I see is less of that and more of, ‘You’re just going to do it my way.’”

© 2023 The New York Times Company
Medicare Begins to Rein In Drug Costs for Older Americans


Paula Span
The New York Times
Sun, January 15, 2023

Steve Lubin, a retired intensive-care nurse who paid $1,582 for insulin out of pocket last year, in Philadelphia, Dec. 28, 2022.
 (Michelle Gustafson/The New York Times)

Steve Lubin spent a lot last year on insulin to control his Type 2 diabetes.

A retired nurse in Philadelphia, Lubin relies on Medicare for health coverage, including a Part D plan to cover drug expenses. Yet, his out-of-pocket costs kept mounting, including a deductible of $480, monthly supplies of two forms of insulin, and higher prices once he entered the “coverage gap.” His total insulin tab in 2022: $1,582.

So, Lubin, 68, was cheering for the sprawling federal Inflation Reduction Act, which among other provisions called for capping insulin prices for Part D beneficiaries at $35 a month, with no deductible. He signed petitions circulated by the American Diabetes Association and the Pennsylvania Health Access Network asking Congress to vote “yes.”

“My income is definitely down from when I was working, and the expenses go up,” he said. “It’s difficult.”

But Lubin also supported the bill because, after working in an intensive care unit for years, he had seen patients suffer the serious consequences of diabetes when they could not afford their prescriptions.

“You’d take their history and find out that they were rationing their insulin or couldn’t take it at all,” he recalled.

In August, Congress passed the bill, and President Joe Biden signed it. Lubin’s out-of-pocket insulin costs for 2023 will fall to $630. The legislation establishes other requirements to lower drug prices for Medicare beneficiaries, about three-fourths of whom have Part D plans.

“It’s one of the biggest changes to the way Medicare deals with prescription drugs,” said David Lipschutz, associate director of the Center for Medicare Advocacy. “It signals lawmakers’ willingness to take on a very powerful lobby.”

Some provisions took effect Jan. 1; others will phase in over several years. “Collectively, these represent substantial out-of-pocket cost savings, especially for those who use expensive drugs,” said Juliette Cubanski, deputy director of the Kaiser Family Foundation’s Medicare policy program. They could also bolster Medicare by reducing its spending.

Beneficiaries will see three significant changes in 2023.

The first is the $35 monthly cap on insulin, which will affect more than 1 million insulin users who have Part D through Medicare Advantage plans or free-standing plans purchased along with traditional Medicare.

From 2007-20, beneficiaries’ aggregate out-of-pocket insulin costs quadrupled, even though the number of users only doubled. They spent an average $54 a month on insulin in 2020, according to a Kaiser Family Foundation analysis.

The cap will save average users at least 35% and applies immediately, without requiring them to first pay the Part D deductible, which amounts to $505 in 2023. About 10% of Part D insulin users, such as Lubin, paid more than $1,300 out of pocket in 2020 and will save much more.

Although all Part D plans must cap the cost, they aren’t required to offer every form or brand of insulin.

“People should make extra sure their plan isn’t dropping their insulin from the formulary,” Cubanski said.

But Medicare’s open-enrollment period ended Dec. 7, and its online cost-comparison tool doesn’t reflect changes mandated by the new law, which was passed after Part D plans had already set prices.

“People might have made different choices if they’d had more information,” Cubanski said.


So, Medicare has begun a one-time special enrollment period through the end of 2023, allowing insulin users to drop, add or change Part D plans. Beneficiaries have to call the 1-800-MEDICARE number to make a switch. Counselors at State Health Insurance
 Assistance Programs can also help with the decision.

In the second major change, adult vaccines covered by Part D, typically offered at pharmacies, are now free, without deductibles or copays, just as the flu and pneumonia vaccines (covered by Part B) have been.

That will, in particular, improve access to the shingles vaccine, the most expensive adult vaccine. In 2018, the Kaiser Family Foundation reported, Part D enrollees paid $57 per dose out of pocket — and each recipient needs two doses.

Although shingles risk rises with age, only 46% of adults older than 65 had been vaccinated by 2020, the Centers for Disease Control and Prevention reported. Rates were much lower among Black and Hispanic older adults.

“It’s disappointing because this is a spectacularly effective vaccine,” said Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center. Shingrix, the current vaccine, is about 90% effective, and a new study has found that its protection persists a decade after vaccination.

A serious disease in itself, shingles can also cause the lingering nerve pain called post-herpetic neuralgia. “It varies from being annoying to being absolutely life-changing,” Schaffner said.

With Shingrix available at pharmacies without charge, “the receptivity to vaccination for older adults will increase substantially, especially among underserved populations,” he predicted.

Also free: hepatitis A and hepatitis B vaccinations, and Tdap, which protects against tetanus, diphtheria and pertussis (whooping cough).

The third major change: When prices for drugs covered under Part D, and some under Part B, increase faster than the inflation rate, the law now requires drug manufacturers to pay rebates or face stiff penalties.

Although those rebates will go to Medicare, not to individuals, “if you’re responsible for a portion of a drug’s cost and there are limits on how much that can increase, in theory, your costs should decrease,” Lipschutz said.

It will take months for Medicare to determine which price increases will prompt rebates and how much the rebates will amount to. But the Congressional Budget Office has estimated that this provision will save Medicare more than $56 billion over 10 years.

Medicaid has employed a similar strategy since 1990. “It definitely has an effect on keeping spending in check,” Cubanski said. “The hope is that it will have the same effect for Medicare.”

The changes in subsequent years will be more dramatic.

In 2025, Medicare will set a $2,000 annual limit on out-of-pocket spending for Part D beneficiaries. “Nowadays, a lot of drugs can cost $500 or $1,000 a month,” Cubanski said. “Or maybe you take 10 medications, and that adds up to high out-of-pocket costs.”

A kind of cap will take effect even sooner, in 2024. That’s when Medicare will eliminate the 5% copay that beneficiaries are responsible for once they pass the catastrophic expenditure threshold, effectively limiting out-of-pocket costs to about $3,250. The $2,000 cap takes hold the next year. Access to low-income subsidies will broaden, as well.

Probably the most significant policy change is that the new law requires Medicare to begin bargaining with drug manufacturers, “the first time the federal government is not just allowed but required to negotiate prices on behalf of Medicare beneficiaries,” Cubanski said.

Starting in 2026, the prices of 10 brand-name drugs covered by Part D, selected from those with the highest Medicare spending, will reflect those negotiations. The drugs must have been on the market for several years with no generic or biosimilar competitors.

Medicare will provide negotiated prices for 15 additional drugs the next year, another 15 in 2028 and 20 each year thereafter. Negotiated prices for selected Part B drugs will be available in 2028.

Given the thousands of covered drugs, “it’s a pretty modest proposal when it comes to restraining the cost,” Lipschutz said. Nevertheless, he added, “the pharmaceutical industry is likely to try to undermine this law — it will be looking for loopholes and escape hatches.”

Republicans in Congress, nearly all of whom voted against the Inflation Reduction Act, have already introduced legislation to repeal the measures intended to lower drug prices, and supporters are braced for court challenges, too.

But for now, the law is in effect. “It can give people peace of mind,” Cubanski said. “They won’t go bankrupt or go into medical debt to afford the prescriptions they need.”

© 2023 The New York Times Company




Lawsuit against NC school is another tall tale about white victimhood | Opinion



Issac Bailey
Sat, January 14, 2023 

The claims in a lawsuit by a former English instructor against North Carolina’s Governor’s School don’t sound credible. It seems like yet another attempt to ensure today’s students won’t be prepared for the ever-diversifying United States of America. What’s more, David Phillips wrapped himself in the cloak of victimhood he and others of like mind have been busy accusing others of clinging to.

The stereotypical words and descriptions more frequently being used by opponents of diversity efforts are all there. The lawsuit says the school has a “radical ideology.” It laments “anti-conservative bias,” mischaracterizes “critical race theory,” claims those who don’t think like he does are indoctrinating students. Phillips cites findings from a task force formed by Republican Lt. Gov. Mark Robinson – the very same Robinson who referred to gay people as “filth” and said parents had “mentally raped” their transgender children – which would call into question the lawsuit’s credibility even if it didn’t also paint those associated with the governor’s school as caricatures rather than living-breathing human beings with souls.

The topper, though, is Phillips’s claim that the true victims of race discrimination are white conservative Christians because some teachers at the school talk about “privilege.” It’s a well-worn story whose roots reach back to this nation’s founding. White enslavers claimed they were the real victims because they didn’t have a real say over the laws they were governed by. White Southerners claimed they were the real victims because a war they began to preserve slavery ended with the near destruction of this region and most of their wealth. White business owners were upset they could no longer freely discriminate against black customers, and white parents howled when the Supreme Court put the final nail in the coffin of officially-sanctioned Jim Crow.

Now, a growing number of white conservatives and others have been making the case that being called racist or the removal or rethinking of traditional standards that had long favored them is the real discrimination.

A lawsuit like this would deserve to be ignored if it wasn’t part of a larger trend. It’s happening in Florida where Gov. Ron DeSantis, who might be the GOP’s next presidential nominee if Donald Trump stumbles before the finish line, has begun decimating higher education in that state with censorship laws that threaten professors who dare teach the truth about this country’s racial history and present. It’s happening in South Carolina where similar laws have been passed and bandied about. This has been happening even as courts have had to push back against racist voting laws in both Carolinas in recent years while racial disparities remain a reality.

This is happening as our nation grows more diverse by the year. The youngest generation is already where the U.S. as a whole is projected to be in a few decades, with no clearly-defined racial majority. This isn’t your grandfather’s country and won’t ever be again. It’s a mix of individuals and cultures maybe no other democracy has ever experienced. It means we must grapple with problems caused by institutional and systemic biases, the kind of honest grappling lawsuits like that against the governor’s school and a growing number of censorship laws and book bans make less likely.

If we aren’t careful, though, we can allow runaway fear of such a profound change to undermine this two and a half century long experiment. That fear will also leave today’s student ill-equipped to deal with the complex realities of tomorrow.

Conservatives shouldn’t be singled out as bad people any more than liberals should. And stress and fear are natural reactions to transformations as large as the one the U.S. is undergoing. We should be humble enough to admit that none of us has perfect clarity about what’s best for a country that has yet to fully reveal itself. That doesn’t mean we should stand by silently while that fear is weaponized in laws and lawsuits designed to turn back the clock.

Issac Bailey is McClatchy Opinion writer based in Myrtle Beach.
Greta Thunberg and a 'mud wizard' faced off against German cops to protest a coal deal with the country's largest energy company

Katherine Tangalakis-Lippert
Sun, January 15, 2023 

An activist stands on a pole high above the ground as another hangs on a rope fastened between poles as police close in at the settlement of Luetzerath on January 13, 2023 near Erkelenz, Germany.Sean Gallup/Getty Images

Climate activists in Germany are protesting a coal deal between energy company RWE and the Green party.


On Saturday, police evicted thousands of protesters who had gathered in the settlement of Lützerath.


Protesters used delayed officers in deep mud but were met with "pure violence," organizers said.


Climate change activists in Germany braved deep mud and "pure violence," organizers say, as they faced off against police on Saturday to protest an energy deal that will raze the abandoned village of Lützerath to expand a coal pit.

Thousands of protesters — among them, Swedish activist Greta Thunberg and a person dressed as some kind of wizard— attempted to protect the coal beneath Lützerath from being mined by setting up barricades and treehouses, using rope systems to evade capture, and ensnaring officers in deep mud.

Portions of the confrontation circulated on Reddit, with the mud wizard appearing to taunt officers who had fallen or became stuck in the mud, though the demonstration was not as peaceful as it was portrayed in some social media posts.



France24 reported that Indigo Drau, a spokeswoman for the organizers of the protest, said during a Sunday press conference that police approached demonstrators with "pure violence" and "unrestrainedly" beat them, often on the head.

Police estimate 15,000 protesters were present at the demonstration on Saturday, though organizers estimate that number closer to 35,000 according to reports. At least 20 activists were taken to hospital for treatment of injuries received during the clash, France24 reported Birte Schramm, a medic with the group said.

Though some stragglers remain in the area, most of the activists were ultimately removed and the demolition of Lützerath is underway, Politico reported.

The deal, made between the left-leaning political Green party and the largest German coal company, RWE, has been toted as a climate-saving agreement by the politicians who brokered it. While the deal lays the groundwork to phase out coal in Germany by 2030, it allows RWE to demolish Lützerath as part of the company's plan to expand the Garzweiler mine located nearby.


Police in riot gear carry away an activist out of the settlement of Luetzerath on January 13, 2023 near Erkelenz, Germany.
Sean Gallup/Getty Images

"It's a gut punch that Green ministers now try to sell this backroom coal deal as a success," Politico reported Olaf Bandt, the chair of the non-governmental German Federation for the Environment and Nature Conservation, said. "We won't accept that."

Robert Habeck, Germany's economy and climate minister — and a member of the Green party that helped complete the deal — said in a video posted to Twitter that the agreement is a "painful" but necessary compromise caused by the Russian invasion of Ukraine that has forced Germany to reboot its coal plants.

Critics argue that Germany has enough coal reserves without accessing the brown coal located beneath Lützerath and allowing RWE access to the coal will prevent Germany from meeting the CO2 budget that was agreed to with the Paris Agreement.


Climate activist Greta Thunberg (r) stands between Keyenberg and Lützerath under police guard on the edge of the open pit mine and dances.
Federico Gambarini/picture alliance via Getty Images

"Not all things around the climate crisis are black and white, but this is," climate activist Luisa Neubauer posted on Twitter about the protests. "If we want to see a world with less crisis, we need the fossil fuel destruction to be stopped. And we need governments to hold fossil fuel companies accountable, to put people over fossil fuel profits."














Household wealth optimism collapses, global survey shows


Sun, January 15, 2023 
By Mark John

(Reuters) - Barely two in five people believe their families will be better off in the future, according to a regular global survey that also identified growing levels of distrust in institutions among low-income households.

The Edelman Trust Barometer, which for over two decades has polled the attitudes of thousands of people, found that economic pessimism was at its highest in some of the world's top economies such as the United States, Britain, Germany and Japan.

It further confirmed how societies have been divided by the impacts of the pandemic and inflation. Higher-income households still broadly trust institutions such as government, business, media and NGOs. But alienation is rife among low-income groups.

"This has really shown the mass class divide again," said Richard Edelman, whose Edelman communications group published the survey of over 32,000 respondents in 28 countries interviewed from Nov. 1 to Nov. 28 of last year.

"We saw it in the pandemic because of differential outcomes in terms of health, now we see it in terms of the impact of inflation," he added. The World Health Organisation and others have noted the higher toll of the pandemic on the poor, while those on low incomes suffer most from costlier basic items.

Globally, only 40% agreed with the statement "my family and I will be better off in five years" compared to 50% a year before, with advanced economies most downbeat: the United States (36%), Britain (23%), Germany (15%) and Japan (9%).

Fast-growing economies saw much higher scores - albeit lower than last year - with only China bucking the trend with a one percentage point rise to 65% despite the economic disruption caused by its now-relaxed "zero COVID" policies.

Such anxieties reflect deep uncertainty about the state of the global economy as the Ukraine war continues and central banks hike their lending rates to tame inflation. The World Bank on Tuesday warned it could tip into recession this year.

While Edelman's longstanding Trust Index registered an average 63% trust level in key institutions among high-income U.S. respondents, that figure fell to just 40% among low-income groups. Similar income-based divergences were present in Saudi Arabia, China, Japan and the United Arab Emirates.

In some, that hinted at outright polarisation, with high levels of respondents agreeing with the statement "I see deep divisions, and I don’t think we’ll ever get past them" in countries as different as Argentina, the United States, South Africa, Spain, Sweden and Colombia.

While such attitudes inevitably reflect current events, the ebbing of trust in government in particular has been a key theme of the survey for several years, with its trust levels this year sharply lower than relatively healthy ones scored by business.

Edelman attributed that to positive perceptions of company furlough schemes during the pandemic, applause for company moves to exit Russia over the Ukraine war, and a sense that firms have started to up their games on diversity and inclusion.

He said respondents by a six-to-one margin wanted business to engage more on issues from reskilling to climate change and suggested this should encourage them to brush off accusations such as the "woke capitalism" charge voiced by U.S. Republicans.

"I think our data give a lot of ammunition to the CEOs who have recognised that business has to be an important force in societal issues," he said.

(Writing by Mark John; Editing by Hugh Lawson)
'They ain't seen nothing yet': President Biden’s feud with oil companies heats up again as the industry fires back. But could it end up just burning you?

Sigrid Forberg
MONEYWISE.COM
Mon, January 16, 2023 at 5:00 AM MST·5 min read

'They ain't seen nothing yet': President Biden’s feud with oil companies heats up again as the industry fires back. But could it end up just burning you?

It may be a new year, but President Joe Biden’s feud with the country’s major gas companies is raging on.

Biden has taken issue with oil juggernauts like Chevron and Exxon Mobil that have been raking in profits this last year — especially in the wake of scorching inflation and Russia’s war in Ukraine.

Now, the oil and gas industry is turning up the heat on the situation.

In his annual address in Washington on Jan. 11, American Petroleum Institute President Mike Sommers blamed the “barrage of negative rhetoric” from the White House for slowing domestic oil and gas production.

With gas prices still elevated, and many households muddling through an expensive winter, the strained relationship between Biden and the country’s oil companies could mean the situation will only get worse over the next few months.

Biden hasn’t minced his words


Biden has been waging a battle with oil companies since before he even took office, but he escalated it last November when he called their record profits "a windfall of war," not the result of anything "new or innovative."

He went on, exhorting them to “act beyond their narrow self-interest,” and “invest in America by increasing production and refining capacity” on behalf of “their consumers, their community and their country.”

And if they don’t? Biden warns they’re going to face “a higher tax on their excess profits and … higher restrictions.”

Shortly after that, Amos Hochstein, a special presidential coordinator for Biden, told the Financial Times it was “un-American” and “unfair to the … public” that companies didn’t use those record profits to invest in increased production.

What Biden appears to be proposing is a “windfall” tax, which would redistribute profits to American consumers still paying out the nose at the pump.

“It’s time for these companies to stop war profiteering, meet their responsibilities in this country and give the American people a break,” Biden added.

Oil companies fire back

While gas has dropped from a record high of over $5/gallon in June, it’s still currently hovering around $3.28. And that, along with a dangerously low oil supply and a dwindling diesel stockpile is clearly weighing on Biden.

But oil companies argue they’re already contributing to the cause. Exxon Mobil’s CEO Darren Woods took a moment during the company’s third-quarter earnings call on Oct. 28 to address Biden.

“There has been discussion in the U.S. about our industry returning some of our profits directly to the American people,” Woods said. “That’s exactly what we’re doing in the form of our quarterly dividend."

The president didn’t take kindly to that, tweeting his response a few hours later: “Can’t believe I have to say this but giving profits to shareholders is not the same as bringing prices down for American families.”

Read more: [Over 65% of Americans don't shop around for a better car insurance deal — and that could be costing you $500 a month

The issue has become political


But all this back-and-forth could only be aggravating the situation. A blog post from the Institute for Energy Research accused the Energy Department of asking them to “undersell their product” and accused Biden of using the country’s Strategic Petroleum Reserve “as a political tool to lower gasoline prices.”

And in an interview with Bloomberg, Sommers from the American Petroleum Institute said the signals Biden is sending discourage investment in the oil and gas industry “does harm to capital.”

“If the government signals support for American energy, it would boost investor confidence in future projects to unleash needed supplies and strengthen infrastructure,” Sommers says.

Biden does seem prepared to compromise, though. According to another report in Bloomberg, Energy Secretary Jennifer Granholm addressed oil and gas executives in Washington in mid-December at a meeting of the National Petroleum Council, an outside federal advisory group with members from Exxon Mobil Corp. and Royal Dutch Shell Plc.

“We are eager to work with you,” Granholm said, adding that fossil fuels are likely to be around for a while.

She also acknowledged the administration has "butted heads" with the industry, referring to it as the “elephant in the room." And with growing demand and a shortage of diesel in the northeast, she says the administration is aware fossil fuel production will need to increase soon.

Don’t expect Biden to capitulate


Still, the president isn’t likely to cave entirely.

Just a few short months ago in November, Exxon and Chevron, two of the country’s biggest oil companies, reported hefty profits for the fourth consecutive quarter. That same day, in a briefing from the White House, Biden pointed out that six of the largest companies “made $70 billion in profit” in just 90 days.

Appalled that all that money was going back to their shareholders and executives, Biden issued a promise: “I’m going to keep harping on it. [These companies] talk about me picking on them, they ain’t seen nothing yet. I mean it. It outrages me.”
Runaway W. Antarctic ice sheet collapse not 'inevitable': study


Kelly MACNAMARA
Mon, January 16, 2023 


The runaway collapse of the West Antarctic Ice Sheet -- which would trigger catastrophic sea level rise -- is not "inevitable", scientists said Monday following research that tracked the region's recent response to climate change.

As global temperatures rise, there is mounting concern that warming could trigger so-called tipping points that set off irreversible melting of the world's massive ice sheets and ultimately lift oceans enough to drastically redraw the world map.

New research published Monday suggests a complex interaction of factors affecting the melting of the West Antarctic Ice Sheet, which is home to the enormous and unstable Pine Island and Thwaites glaciers -- nicknamed the "Doomsday glacier" -- that together could raise global sea levels by more than three metres (10 feet).

Using satellite imagery as well as ocean and climate records between 2003 and 2015, an international team of researchers found that while the West Antarctic Ice Sheet continued to retreat, the pace of ice loss slowed across a vulnerable region of the coastline.

Their study, published in the journal Nature Communications, concluded that this slowdown was caused by changes in ocean temperatures that were caused by offshore winds, with pronounced differences in the impact depending on the region.

Researchers said that this raises questions about how rising temperatures will affect the Antarctic, with ocean and atmospheric conditions playing a key role.

"That means that ice-sheet collapse is not inevitable," said co-author Professor Eric Steig from the University of Washington in Seattle.

"It depends on how climate changes over the next few decades, which we could influence in a positive way by reducing greenhouse gas emissions."

The researchers observed that while in one region, in the Bellingshausen Sea, the pace of ice retreat accelerated after 2003, it slowed in the Amundsen Sea.

- 'Blink of an eye' -

They concluded that this was down to changes in the strength and direction of offshore surface winds, which can change the ocean currents and disturb the layer of cold water around Antarctica and flush relatively warmer water towards the ice.

Both the North and South pole regions have warmed by roughly three degrees Celsius compared to late 19th-century levels, nearly three times the global average.

Scientists are increasingly concerned that the Pine Island and Thwaites glaciers have reached a "tipping point" that could see irreversible melting irrespective of cuts to greenhouse gas emissions.

Anders Levermann, a climate scientist at the Potsdam Institute for Climate Impact Research who was not connected to the latest study, welcomed the approach of bringing together multiple observations and records, although the study period was "the blink of an eye in ice terms".

"I think we still have to live and plan and do our sea level projections and coastal planning with a hypothesis that the West Antarctic Ice Sheet is destabilised and we will get three and a half meters of sea level rise just from this area of the planet alone," he said, adding however that this would happen "over centuries to millennia".

The United Nation's science advisory panel for climate change, the IPCC, has forecast that oceans will rise up to a metre by the end of the century, and even more after that.

Hundreds of millions of people live within a few metres of sea level.

While cutting planet-warming emissions is seen as the first and most important way to halt the melting of the West Antarctic ice sheet, scientists have also come up with an array of hi-tech suggestions for saving the gargantuan ice shelf and staving off.

Levermann has researched ideas including using snow cannons to pump trillions of tons of ice back on top of the frozen region.

Other suggestions have included constructing Eiffel Tower-sized columns on the seabed to prop it up from below, and a 100m-tall, 100-kilometre-long berm to block warm water flowing underneath.

klm/mh/ea
Top Democrat opposes Biden administration plan to sell warplanes to Turkey


Senator Bob Menendez, a Democrat from New Jersey, has long opposed the F-16 fighter jet sale to Turkey.

Brie Stimson
Sat, January 14, 2023

Sen. Bob Menendez, D-N.J., chairman of the Senate Foreign Relations Committee, said Friday he plans to continue blocking the Biden administration's plan to sell military aircraft to Turkey.

"As I have repeatedly made clear, I strongly oppose the Biden administration’s proposed sale of new F-16 aircraft to Turkey," Menendez said in a statement.

"President Erdogan continues to undermine international law, disregard human rights and democratic norms, and engage in alarming and destabilizing behavior in Turkey and against neighboring NATO allies."

The Democrat added that he would continue to oppose the deal – still in review – "until Erdogan ceases his threats, improves his human rights record at home — including by releasing journalists and political opposition — and begins to act like a trusted ally should."

The $20 billion deal would require congressional approval, which would also be contingent on Turkey approving of Sweden and Finland’s applications to join NATO in the wake of Russia’s invasion of Ukraine last year.

The State Department advised Congress on Thursday of its intent to go through with deal, according to the Wall Street Journal.


A spokesperson for Turkish President Recep Tayyip Erdogan claimed that Washington demands over the warplane deal are "endless."

Turkey made the request for the warplanes a little more than a year ago.

Menendez said he does approve of a proposed sale of 40 F-55s to Greece.

On Saturday, an Erdogan spokesperson called U.S. demands related to the potential sale "endless."

"If they keep pushing Turkey in other directions with F-16 (and) F-35 sanctions, and then Turkey reacts, they blame Turkey again, then that's not a fair game," he said. "It looks like their list of demands is endless. There's always something."

Reuters contributed to this report.
POLITCAL APPROPRIATION OF PAGAN SYMBOLISM

Amazon removes Nazi and neo-Nazi items after human-rights group protests

Jordan Hart
Sat, January 14, 2023

SLAVONIC PAGAN SYMBOLS


Though several of the items the SWC pointed out have been removed from Amazon, many similar items remain available for purchase.Simon Wiesenthal Center

Amazon is once again under fire for allowing offensive items to be sold on its site.


The SWC says it isn't the first — or second — time it's called out the retailer for Nazi propaganda.


Amazon has since removed the items, but more related products remain, Gizmodo reported.

An international Jewish human-rights organization is once again calling out Amazon for purported Nazi-related content.


The Simon Wiesenthal Center blasted Amazon for "monetizing Nazi and Neo-Nazi paraphernalia" on its website in a Thursday blog post. According to the post, the SWC reached out to the e-commerce giant via email on Wednesday requesting the company "immediately put in place systems that will end the monetization of hateful products."

The human-rights organization said Amazon allowed various businesses to market and sell items associated with neo-Nazis, including swastika necklaces and face masks. They included screenshots of some of these items in a letter to Amazon.

Though Amazon has since removed several of the items, there are still similar items listed for sale on the retailer's site, the tech-news outlet Gizmodo reported.



The Simon Wiesenthal Center

"Amazon is the nation's go-to online store for every imaginable product," Rabbi Abraham Cooper, the associate dean and director of global social action at the SWC, said in a statement.

"In an era when 63% of all religious-based hate crimes in America target America's Jews—2.4% of the US population, at a time when Blacks are again the number one target of race-based hate crimes, Amazon should not be using its business model to market hateful symbols and neo-Nazi paraphernalia," Cooper continued.


The Simon Wiesenthal Center

Cooper went on to note a letter the SWC sent to Amazon in 2022 for featuring 30 films the organization deemed as Nazi propaganda on Amazon Prime.

It wasn't the first time consumers have slammed the tech giant for reportedly carrying antisemitic items. In 2019, Amazon removed Christmas ornaments featuring the Nazi concentration camp Auschwitz, according to a report from Insider.

In 2020, the company came under fire for profiting from the sale of "vicious antisemitic Nazi propaganda" by the Auschwitz Memorial Museum in a tweet, Insider's Charlie Wood reported.

"It's simply not acceptable for the biggest economic giant on the block to play games of Whac-A-Mole rather than fix things," Cooper said, according to Gizmodo.

Amazon didn't immediately respond to Insider's request for comment, but a representative directed the New York Post to the company's policy on "potentially offensive products."

"Our technology continuously scans all products listed for sale looking for text and images that we have determined violate our policies, and immediately removes them," the policy reads.

"The realm of potentially offensive products is nuanced and diverse, and we review thousands of products every day against our policies to ensure compliance."

Read the original article on Business Insider
AUTHORITY IS ABUSE
How the 'Romeo and Juliet' lawsuit could force Hollywood to reckon with its history of child abuse

Alexis Hampton
Sun, January 15, 2023 

Leonard Whiting and Olivia Hussey as the teen lovers in the 1968 production of Shakespeare's "Romeo and Juliet" directed by Franco Zeffirelli.Bettmann/Getty Images

"Romeo and Juliet" actors Olivia Hussey and Leonard Whiting are suing Paramount for child abuse.

The suit could spark a deeper look into the inhumane treatment of children in Hollywood.

From Judy Garland to Raven-Symoné, stars have been sharing their stories of mistreatment and abuse for decades.

The 1968 movie "Romeo and Juliet" has come back into public consciousness as stars Olivia Hussey and Leonard Whiting filed a lawsuit against Paramount Pictures.


Leonard Whiting, as Romeo, and Olivia Hussey as Juliet, in 'Romeo And Juliet', directed by Franco Zeffirelli, 1968.
Silver Screen Collection/Getty Images

In the 1960s, 15-year-old Olivia Hussey and 16-year-old Leonard Whiting secured career-making roles in a film that retells the iconic love story of "Romeo and Juliet," the first film to use actors that were similar in age to the characters in the play.

These young actors went on to beautifully depict the Shakespearean classic, but their performance became overshadowed by controversy. They were legally children when they were filmed in the nude together; the performance can now be found on sites meant for pornography.

Fifty-five years later, Hussey, now 71, and Whiting, now 72, are suing Paramount Pictures for child abuse. They claim that "Romeo and Juliet" director Franco Zefirelli assured the actors that they would be wearing flesh colored garments and would not be physically nude in the scene.

This allegedly changed in the last days of filming when Zefirelli asked the actors to do the scene fully nude with makeup, according to the lawsuit. Even then, they were told that the positioning of the camera would not capture the full extent of their nudity, which was later revealed to be false.

Hussey and Whiting's experience is not the only time that the industry took advantage of young stars in the last half century. From the age of New Hollywood to modern day child stars, here are six former child stars who lost their youth while working in the entertainment industry.

Before Hussey and Whiting, there was Judy Garland.


Judy Garland as Dorothy in “The Wizard of Oz”Herbert Dorfman/Getty Images

Garland scored a contract with MGM in 1935, simultaneously securing her status as a household name and beginning the end of her career. According to Express UK, Garland was forced to take barbiturates and other drugs and live on a death-defying diet while working with the studio.

In Paul Donnelley's 2007 biography on Garland, he quotes actress Lauren Bacall as saying, "From childhood Judy was placed on drugs — to lose weight or to go to sleep or to wake up." By the time she booked the role of Dorothy in "The Wizard of Oz" at the age of 16, Garland was addicted.

While maintaining a "girl-next-door" image, Garland wrote in an unpublished autobiography that she was constantly molested behind the scenes by older men, including Louis B. Mayer, the producer and cofounder of MGM.

Mayer allegedly had people spy on Garland to ensure that she stuck to her diet of cigarettes, coffee, and chicken soup. In addition to this regimen, her breasts were bound by tape and she wore a special corset to flatten out her curves while filming to keep her looking "innocent."

Garland died at the age of 47 of an accidental barbiturate overdose. According to the Daily Mail, Garland intended to write a memoir detailing her experience as a child star with MGM, but she was never able to dedicate the time she needed to finish it.

Mickey Rooney suffered under the same MGM umbrella as Judy Garland.


Mickey Rooney and Judy Garland promoting “Love Finds Andy Hardy.”
Hulton Archive/Stringer/Getty Images

Mickey Rooney was a good friend of Garland's. He made his big break as Andy Hardy at 16 years old in the MGM film "A Family Affair." After the success of the film, the studio went on to make 15 more — 14 of which were made within the span of a decade.

This meant a new and heavier workload for Rooney. MGM would often film new movies back-to-back, only separating them by as little as a few days and sometimes hours.

Some of the younger talent, including Rooney, were reportedly given pills and even adrenaline shots to keep them awake and working, according to Express UK. According to Garland, they'd also be given sleeping pills to knock them out when they couldn't sleep.

"They'd take us to the studio hospital and knock us out with sleeping pills — Mickey sprawled out on one bed and me on another," Garland was quoted as saying in Paul Donnelley' biography of her. "Then after four hours they'd wake us up and give us the pep pills again so we could work 72 hours in a row."

But the industry practice of drugging children didn't stop there. Hayden Panettiere said she was given "happy pills" to keep her energy up before interviews and red carpets.


Hayden Panettiere at the Los Angeles premiere of “Raising Helen.”
Jon Kopaloff/Getty Images

Panettiere started doing commercials at just 11 months old. She was cast on the soap opera, "One Life to Live," at 4 years old and got her big break seven years later in "Remember the Titans." She has since opened up about the toll growing up in the industry has taken on her.

"Being a child actor is — it's horrible. I would never wish it on my worst enemy," Panettiere told People last July.

Panettiere recounts that at the age of 13, she was served alcohol without having to ask for it. She also said she was given "happy pills" by someone in her inner circle when she was 15 years old. Though she admits that she was not very knowledgeable about drugs, she now believes that the pills were "a form of Adderall."

"I know that when I was given one and I was sent down a red carpet, I was lively and totally down to answer the questions and a chatterbox," Panettiere said in an interview with ABC News.

She said she didn't realize it at the time, but this would open her up to a cycle of "self-destruction" that led her to an addiction to drugs and alcohol.

Alyson Stoner was made to act out a rape scene when she was only 6 years old.


Alyson Stoner at the premiere of “Step Up.”Michael Buckner/Getty Images

Stoner got her start as a co-host for Disney Channel's "Mike's Super Short Show." From there, she went on to star in music videos for Missy Elliot and blockbusters like "Cheaper by the Dozen" and "Step Up."

In a People op-ed, the actress detailed an audition experience where she had to act out a rape scene.

"At 6 years old, I enter a sterile white room where a stranger stands apathetically behind a camcorder on a tripod. On cue, I perform the scene. This morning, I'm being kidnapped and raped," Stoner wrote.

In the op-ed, she continued breaking down her thought process after the audition.

"To clarify, I'll be paid to recreate kidnapping and rape repeatedly on set with a crew of more strangers. If I'm especially believable, I may even get an Oscar and the praise of America," Stoner wrote.

The actress also talked about how she developed eating disorders — among other health problems — due to stress and a busy work schedule that caused her to skip meals.

"Adding to this, zero productions acknowledge that after their shoot, I will go to another, record an interview during my lunch break, train for multiple hours, skip dinner, and meet for a late-night rehearsal," Stoner wrote.

Raven-Symoné said she was body-shamed on the set of "The Cosby Show."


Raven Symoné at the Starlight Children’s Foundation Gala.Ron Galella/Getty Images

Symoné started acting at the age of 4 on "The Cosby Show." It was during her time on the show that she would first be introduced to the cruel nature of the industry.

In a 2015 episode of "The View," the actress recalled a time where she was body-shamed on set as a child.

"I remember not being able to have the bagel or anything at — we would call it crafty, where it's just a table of food, ready for you to eat whatever you want. And I remember people would be like, 'You can't eat that. You're getting fat!' I'm like, 'I'm 7! I'm hungry!'" Symoné said during the episode.

Symoné has also spoken out about how being body shamed so young caused a lot of mental issues for her. She even went as far as to say that she wishes she grew up in a more body-positive time, like today.

Alexa Nikolas said she was emotionally abused by "Zoey 101" creator Dan Schneider.


Alexa Nikolas on "Zoey 101."Nickelodeon

Nikolas started acting when she was just 7 years old, but her breakout role was on Nickelodeon's "Zoey 101" as Nicole Bristow. Since then, Nikolas has been vocal about her traumatic experience working on the show.

The actress has spoken openly in interviews about mistreatment by creator Dan Schneider, alleging that he used to be present for all of her wardrobe fittings and would ask for Polaroids taken of the outfits. She also alleges that while she worked for Nickelodeon, Schneider used to "go around with money and ask to take photos of kids' feet."

On a podcast with Christy Carlson Romano in November, Nikolas recalled some instances where she was bullied by other cast members and emotionally abused by executives.

"I started crying and I said, 'I really don't want to be a problem for anybody and I don't want anyone to not like me,' and Dan was like 'No one likes you.' You know. He just screamed it," said Nikolas.

She also claimed no one in production cared about her mental health while she was working with "Zoey 101."

"I know people are going to focus on Dan Schneider, but really the accountability lies with Nickelodeon," Nikolas said.

While Schneider has not made a public statement about Nikolas' allegations, he left Nickelodeon in 2018 following an internal investigation that found that he was "verbally abusive" with coworkers. The investigation found no evidence of sexual misconduct.

Since her time with Nickelodeon, Nikolas has started an organization called Eat Predators that focuses on making the music industry safe for women.

Insider