Tuesday, October 05, 2021

Biomass is promoted as a carbon neutral fuel. But is burning wood a step in the wrong direction?


Rebecca Speare-Cole
Mon, October 4, 2021

Thick dust has been filling the air and settling on homes in Debra David’s neighborhood of Hamlet, North Carolina, ever since a wood pellet plant started operating nearby in 2019.

The 64-year-old said the pollution is badly affecting the health of the population, which has already been hit hard by Covid.

“More people are having breathing problems and asthma problems than ever before,” David said. She started suffering from asthma for the first time two years ago and other people in Hamlet have been getting nosebleeds, which she also puts down to the dust.


“The older people have it the worst,” she added. “They stay inside most of the time and when they do come out they struggle to breathe. They can’t sit out in their yards like they used to.”

The plant, owned by Maryland-headquartered Enviva, the world’s largest biomass producer, is one of four the company operates in North Carolina, turning trees into wood pellets, most of which are exported to the UK, Europe and Japan to burn for energy.

Biomass has been promoted as a carbon-neutral energy source by industry, some countries and lawmakers on the basis that the emissions released by burning wood can be offset by the carbon dioxide taken up by trees grown to replace those burned.

Yet there remain serious doubts among many scientists about its carbon-neutral credentials, especially when wood pellets are made by cutting down whole trees, rather than using waste wood products. It can take as much as a century for trees to grow enough to offset the carbon released.

Burning wood for energy is also inefficient – biomass has been found to release more carbon dioxide per unit of energy than coal or gas, according to a 2018 study and an open letter to the EU signed by nearly 800 scientists.

This CO2 is theoretically reabsorbed by new trees, but some scientists suggest relying on biomass could actually end up increasing emissions just at the time when the world needs to sharply reduce emissions and reach goals of becoming net zero by 2050. “During these decades, warming increases and permafrost and glaciers continue to melt, among other permanent forms of climate damage,” said Tim Searchinger, a senior energy and environment research scholar at Princeton.

Over the last decade a wave of biomass plants have opened their doors or ramped up production across the US south, where they have access to the region’s vast hardwood and other wetland forests, many of which are on unprotected private lands.

Campaigners say there is an environmental justice aspect to the industry, too. The plants are 50% more likely to be located in counties where at least 25% of the population is Black and other people of color and where poverty levels are above the state median, according to an analysis by the environmental non-profit Dogwood Alliance. Hamlet, David’s neighborhood, has a poverty rate of nearly 29%, significantly above the state poverty rate of 13.6%.

Still, the biomass industry continues to grow, supported by subsidies especially from the UK as well as the EU, which declared biomass a carbon-neutral energy source in 2009 and is relying on it to help the bloc replace fossil fuel energy and meet climate goals.

At least 22 plants in the south-east are now exporting pellets to Europe, according to the Southern Environmental Law Center (SELC). This number is increasing, with permits filed or issued for 12 more plants, according to the SELC.
‘We feel trapped’

Nearly 200 miles from Hamlet, Belinda Joyner, a retired resident of Garysburg, North Carolina, has been campaigning against the nearby Northampton county Enviva plant since it began operations in 2013. The 68-year-old said she was angry at what she feels is happening to her community.

She is concerned about forest loss as well as air pollution from the biomass facilities which, according a report from the Environmental Integrity Project, have been found to emit hazardous pollutants such as airborne particles called PM2.5 and volatile organic compounds, linked to health and environmental problems. “The trees are gone and there’s a lot of particulates in the air,” Joyner said. “We need oxygen and we need trees to breathe.”

Joyner said residents’ sleep was disturbed by the “unbearable” noise produced by the pellet plant’s 24/7 operations. Many people have lived here all their lives, she said, and they “shouldn’t have to put up with the noise, dust and the pollution”.

Enviva said any suggestion of unbearable noise, traffic or pollution caused by its facilities was a “gross misrepresentation” of its operations. The company said its emissions did not present a public health risk and the health conditions alleged by residents “are not related to our operations and any claims that they are, are false”.

All sites operate in strict compliance with laws and regulation and emissions levels are regularly tested, Enviva said. The company uses industry-proven air emissions control technology​​, a spokesperson said, adding: “Our plants are the most environmentally controlled plants in the industry, if not the world.”

Enviva said it had not received any complaints about dust from its North Carolina plants and pointed to the presence of other industrial facilities in Northampton and Hamlet, saying: “Noise and traffic impact of a combined industry presence in the area is sometimes used against us by groups who oppose the biomass industry.”

The company said it chose the location of its plants based on factors including proximity to low-grade wood, transport and an accessible workforce, adding that the industry “propels economic development in rural areas”. Enviva also referred to its community work, telling the Guardian “we work hard to be both a good neighbor and a good employer”. It pointed to an award it received from the Northampton county chamber of commerce in June for community outreach.

Toby Chappell, county manager for Greenwood county, South Carolina, where Enviva has another plant, said the company had had “a positive economic impact”, employing more than 100 people and creating a secondary market for timber owners who can sell “some of their less desirable wood products”.

At an August 2020 virtual public hearing on the company’s plan to install pollution control equipment and increase production at its Greenwood county plant several people, especially those involved in the forestry industry, spoke in favor of the plant. James Sanders Jr, of the Greenwood County Forest Landowners Association, told the hearing: “Markets for forest products such as those provided by Enviva will help slow the conversion of South Carolina’s forest to more intensive land use.”

But several residents living near the plant said the factory had harmed their health and quality of life. One resident, Annemarie Humm, speaking on behalf of a group of residents opposing the plant’s expansion, said: “We feel trapped. We urge you to keep our air clean, our nights quiet, so we and our children can sleep.”
The future of biomass

For the biomass industry, burning wood for energy will play a vital role in transforming the energy system. Sustainably sourced biomass is “one of the important tools available to mitigate the climate crisis”, said Jennifer Jenkins, Enviva’s chief sustainability officer, adding it provided “low-carbon” power “with the potential to generate negative emissions”.

Some scientists have also pointed to carbon and forestry benefits of burning wood for energy, where forests are managed sustainably and harvested using good forestry practices.

Puneet Dwivedi, associate professor at the University of Georgia, has argued that looking at biomass on a landscape-level – a whole forest rather than an individual tree or clump of trees – means the carbon emitted by burning one tree will be recaptured within a year as the forest grows.

The UN’s Intergovernmental Panel on Climate Change said biomass can mitigate emissions, provided resources are developed sustainably and especially when wood residues and waste are used.

However, environmental groups have suggested that forests are not necessarily being managed sustainably. Many people assume that wood pellets for biomass are made from waste wood, offcuts and residues, said the SELC attorney Heather Hillaker, but that is not always the case. “Anything that is not profitable to go to a sawmill, [biomass producers] consider waste,” she said, adding that this includes whole trees deemed to have no economic value to the forestry industry.

A 2018 investigation by the current affairs program Dispatches on Britain’s Channel 4 claimed that mature trees were being felled in Virginia to feed Enviva wood pellet plants. Enviva said the program’s claims were “illegitimate” and that the trees were not high value or whole trees.

Jenkins said all of Enviva’s wood was “low-value”, meaning limbs, tops or trees that would otherwise go unused. The company only sourced “fiber from the bottom of the harvest value scale”, she said, and had “strict sourcing guidelines that hold us to the highest standards of sustainability”. A spokesperson for Enviva said: “We categorically do not support biomass production in the US or abroad that threatens endangered species, harms biodiversity, or diminishes water quality.”

Wood pellets at Drax power station in North Yorkshire, the UK. Drax is one of Enviva’s clients. 
Photograph: Anna Gowthorpe/PA

As the international community hammers out how to decarbonize energy and stave off catastrophic climate change, debates about biomass’s role are growing louder.

In February 2021, an open letter from more than 500 scientists called on Joe Biden, along with other world leaders, to end the subsidies for biomass so as not to “undermine both climate goals and the world’s biodiversity” by replacing burning fossil fuels with burning trees.

In July the EU amended its Renewable Energy Directive, saying it would continue to use biomass but “tighten the sustainability criteria”, including prohibiting the use of biomass from primary and highly biodiverse forests. But biomass is still considered an important part of the renewable energy mix in the UK and the EU – bioenergy made up 60% of the bloc’s renewables in 2020.

These countries are moving in “the wrong direction”, said Sasha Stashwick, a senior advocate at the Natural Resources Defense Council. “This is not good for climate change. This is not good for the environment. This is not good for forests and this is not good for the local communities,” she said.

In Garysburg, Joyner is calling on global policymakers and industry bosses to acknowledge the problems with biomass. She said the voices of those who live near wood pellet plants are “still going unheard” as the biomass industry continues to grow.

“Profit over people – that’s how I see it,” Joyner said. “As long as they’re making that money, they don’t care how people feel and they don’t care what’s going on in your community.”
Maasai Mara safari overcrowding stresses Kenyan wildlife

Vivienne Nunis - BBC News, Kenya
Mon, October 4, 2021

Safari vehicles with tourists taking photos of lions in the Maasai Mara game reserve


An early morning in Kenya's Maasai Mara game reserve - with a wildebeest quietly grazing, birds crowding on the branches of a lone acacia tree and some zebras meandering nearby - is suddenly interrupted by an incoming radio call.

Our tour guide driving a four-wheel drive speeds off across the plains after being told the famous "four brothers" are on the prowl.

These male cheetahs are known to work together with deadly efficiency - although, with so many wildebeest in the vicinity, it is hard to imagine breakfast will present much of a challenge.


Ours isn't the only four-wheel drive racing across the dry grass to witness the imminent kill. No fewer than 27 other vehicles are encircling the herd of zebra and wildebeest waiting for the show.

When the four cats finally spring on their hapless prey and bring one young wildebeest to the ground, about half the cars pull up around them to watch. Each car carries a group of tourists, cameras in hand, filming the cheetahs' jaws on the wildebeest's neck and recording the animal's last mournful cries.

The kill is what many tourists come to see. The harsh brutality of the animal kingdom played out on the African savannah.


Tourists pay good money to see a kill

Few would say they came to see swarms of other tourists, charging off to the next sighting, or that they enjoyed the backdrop of parked Land Rovers in their best shots; but for many that is what a trip to the Mara has become.

Last month, the Narok County government re-issued a set of rules to guides that must be adhered to when taking tourists on game drives.

It comes after a group of visitors and their camp were banned from visiting the Mara indefinitely in July, after a video shared widely on social media showed a man filming a leopard cub at the open door of his car.

The rules state vehicles must be at least 25m (82ft) away from cat species and drivers must not form a circle of cars around the animals, who need to be able to assess the environment for potential danger.


"When they pay the money, most clients, if they didn't see a lion or an elephant - the 'Big Five' - they assume they didn't see anything"", Source: John Ole Tira, Source description: Mara Guides Association chairman, Image: John Ole TiraMore

There is also supposed to be a maximum of five vehicles at a sighting at any one time - but this is commonly ignored.

Being caught breaking the rules can incur an on the spot fine, immediate removal from the Mara or a ban from future visits.

But enforcing the rules in a 1,500-sq-km (579-sq-mile) park is not easy and John Ole Tira, chairman of the Mara Guides Association - a voluntary group with 175 members - says there is also the problem of managing tourists' expectations.

"When they pay the money, most clients, if they didn't see a lion or an elephant - the 'Big Five' - they assume they didn't see anything."

The "Big Five" - lion, elephant, buffalo, rhinoceros and leopard - is a term originally coined by game hunters of the most difficult animals to kill.
'Ferrari safari'

Phoebe Mottram, a South Africa-based British conservationist who used to work as a safari guide, says although it now refers to spotting and not shooting animals, the notion of the Big Five remains problematic.

"Guests want to see what they're told they should see, and most guides survive off tips, because their salaries aren't good enough"", Source: Phoebe Mottram (front), who founded Thatch & Earth with Lawrence Steyn (back), Source description: , Image: Phoebe Mottram (front) and Lawrence SteynMore

"It comes down to marketing," she says.

"Guests want to see what they're told they should see, and most guides survive off tips, because their salaries aren't good enough.

"So the guide chases the Big Five, gets better tips and this creates a perpetuating cycle."

She and her partner Lawrence Steyn, another former guide, recently launched an online platform that aims to connect tourists with ethical safari camps and guides, called Thatch and Earth.

"You have a responsibility where you put your money," says Mr Steyn.

While answering radio calls of animal sightings is part of the job, guides should be educating clients about appreciating the ecosystem as a whole, instead of racing to tick off a list of five animals, he says.

"We call that a Ferrari safari," he says. "It's South African slang for people who just go really quickly from the buffalo to the elephant to the rhino and then they go home and call that a great day."
'Serengeti is more relaxed'

Romina Facci, who runs the website Exploring Africa, warns that if guides continue to put pressure on animals by overcrowding them, the animals may become harder to find.

"If the animals feel stressed, they could decide to move away from the cars," she says.


Research shows cheetahs living in parts of the Maasai Mara crowded with vehicles raise fewer cubs

Some may even choose to avoid the annual migration from the Serengeti to the Mara - one of the biggest wildlife attractions in Africa, when more than a million animals migrate in search of fresh pastures.

"In some seasons, when the rains are copious, some hartebeest [antelope] herds decide to stay in Tanzania and don't cross the Mara River to go to Kenya because they don't need to: they prefer to stay in a more relaxed environment."

A 2018 study showed that cheetahs living in parts of the Maasai Mara with a high density of tourist vehicles raised fewer cubs than those in low tourist areas - a worrying trend for a species with only around 7,000 mature animals left in the wild.

The first ever Kenyan wildlife census, carried out earlier this year, found that while populations of some endangered animals are gradually increasing, such as the black rhino and elephant, others, such as the roan and sable antelope, risk becoming extinct, with just 15 and 51 respectively left in Kenya.

Jerome Gaugris, an ecologist who runs an environmental consultancy in South Africa, says it comes down to educating guides and tourists.

He says vehicle limits that have become standard practice in private South African game reserves for years should be enforced in Kenya, though he admits it is harder to do so on public land where different guides, operators and agencies work.

"We limit it to four vehicles at a sighting at any one time," says André Burger who runs the Welgevonden Game Reserve in South Africa.

"It's not all about the Big Five."

Alexandria Ocasio-Cortez slams Facebook during outage, saying company's 'monopolistic behavior' saying it's destructive to 'free society and democracy'

Rep. Alexandria Ocasio-Cortez(D-NY) listens as Facebook Chairman and CEO Mark Zuckerberg testifies before the House Financial Services Committee on "An Examination of Facebook and Its Impact on the Financial Services and Housing Sectors" in the Rayburn House Office Building in Washington, DC on October 23, 2019.
  • A Monday outage took Facebook-owned companies offline- including WhatsApp and Instagram.

  • Rep. Ocasio-Cortez slammed the company saying it is a threat to "free society and democracy."

  • See more stories on Insider's business page.

Rep. Alexandria Ocasio-Cortez blamed what she called Facebook's "monopolistic behavior" for the impacts of Monday's Facebook outage that affected WhatsApp, Instagram, Facebook, and Messenger.

She specifically responded to a claim that Latin American communities were disproportionately affected by the Facebook outage on Monday, due to the high use of WhatsApp.

"It's almost as if Facebook's monopolistic mission to either own, copy, or destroy any competing platform has incredibly destructive effects on free society and democracy," the congresswoman said on Twitter, in response to Forbes editor José Caparroso.

"Remember: WhatsApp wasn't created by Facebook. It was an independent success. FB got scared & bought it," Ocasio-Cortez continued.

During the outage, Caparroso tweeted: "Latin America lives on WhatsApp. I am surprised by so many people underestimating how catastrophic this downfall has been."

Other social media users agreed. "The repercussions of WhatsApp being down in The Rest Of The World are vast and devastating. It's like the equivalent of your phone and the phones of all of your loved ones being turned off without warning. The app essentially functions as an unregulated utility," said Aura Bogado, a reporter and producer at Reveal.

"If Facebook's monopolistic behavior was checked back when it should've been (perhaps around the time it started acquiring competitors like Instagram), the continents of people who depend on WhatsApp & IG for either communication or commerce would be fine right now," Ocasio-Cortez added. "Break them up."

Rep. Ocasio-Cortez has been a staunch supporter of breaking up big tech and supported Sen. Elizabeth Warren's plan during her 2020 presidential campaign, according to Politico.

"Facebook as a basic communications platform while also selling ads and also being a surveillance platform," Ocasio-Cortez said to Politico in 2019. "Those functions should be broken up, but how that gets levied and how that gets approached is what we need to take a fine-tooth comb at."

The Facebook outage lasted 6 hours and was restored before 6 p.m. ET.

"*Sincere* apologies to everyone impacted by outages of Facebook-powered services right now. We are experiencing networking issues and teams are working as fast as possible to debug and restore as fast as possible," said Mike Schroepfer, the chief technology officer for Facebook, via Twitter this afternoon.

Facebook moves to kill amended FTC complaint, says no basis for branding company 'an unlawful monopolist'


Alexis Keenan and Daniel Howley
Mon, October 4, 2021


Facebook Chairman and CEO Mark Zuckerberg testifies at a House Financial Services Committee hearing in Washington, U.S., October 23, 2019. REUTERS/Erin Scott TPX IMAGES OF THE DAY

Facebook (FB) is once again defending itself against the Federal Trade Commission's (FTC) claims that the company is flouting antitrust laws. On Monday, the social media giant fired back at the agency's amended lawsuit by asking that a federal district judge toss allegations that it's an illegal monopoly.

"The Federal Trade Commission alleged no plausible factual basis for branding Facebook an unlawful monopolist," Facebook said in its motion to dismiss the FTC's amended complaint, filed on Monday.

At the heart of Facebook's arguments for dismissing the case is its assertion that the company lacks dominant market share in the markets alleged by the FTC: "personal social networking" or "personal social networking services."

In June, a federal judge dismissed the FTC's antitrust lawsuit against Facebook and a separate antitrust lawsuit brought by dozens of attorneys general. Both suits alleged the social media giant is violating antitrust law by buying up competitors and depriving consumers of alternatives that would better protect their privacy.

However, the judge dismissed the FTC case without prejudice, meaning the agency could file an amended complaint.


'Better to buy than compete'

In its revived complaint, the FTC argues that Facebook holds a monopoly in the market due to its control of the world’s two largest social networks, Facebook and Instagram. The FTC contends that the company has leveraged the power of those companies in an illegal "buy-or-bury" scheme, which includes purchasing companies that pose competitive threats and retooling its programming policies to stifle third-party developers that could aid rivals.

“Facebook has maintained its monopoly position in significant part by pursuing CEO Mark Zuckerberg’s strategy, expressed in 2008: 'it is better to buy than compete,'" the agency wrote in its refiled suit. "True to that maxim, Facebook has systematically tracked potential rivals and acquired companies that it viewed as serious competitive threats."

The allegations go on to criticize Facebook’s executives for lacking enough talent to compete fairly in a changing social media environment, and turning to non-compete agreements to cut off competitive companies from valuable Facebook platform interconnection programming.

“Unable to maintain its monopoly by fairly competing, the company’s executives addressed the existential threat by buying up new innovators that were succeeding where Facebook failed,” the FTC states.

As an example, the FTC cites Facebook’s acquisitions of WhatsApp and Instagram, which the FTC’s own regulators approved. The company purchased Instagram in 2012 for $1 billion and WhatsApp in 2014 for $19 billion.

The FTC is tasked with reviving its claims against Facebook under new leadership from Biden Administration FTC chair, Lina Khan, a fierce critic of the tech industry. In July, Facebook requested that Khan be blocked from handling the agency's antitrust investigations into the company based on her public criticism of its market power. Amazon (AMZN) made a similar request with respect to probes into its market dominance.


FTC Commissioner nominee Lina M. Khan testifies during a Senate Commerce, Science, and Transportation Committee hearing on the nomination of Former Senator Bill Nelson to be NASA administrator, on Capitol Hill in Washington, U.S., April 21, 2021.
 Graeme Jennings/Pool via REUTERS

Judge James Boasberg of the U.S. District Court for the District of Washington D.C. will decide for a second time whether the FTC’s renewed claims survive Facebook’s motion to dismiss the claims. In June, when dismissing the suit, the judge ruled that Facebook didn't properly identify how Facebook held an illegal monopoly in the “personal social networking” space, despite the agency's claims that its acquisitions of Instagram and What's App were leveraged to quash competition.

In its revised lawsuit, the FTC alleges that Facebook’s monopoly in the U.S. market has existed since at least 2011. In an effort to address Judge Boasberg’s dismissal of its previous complaint, the FTC references Facebook’s share of users it says exist among apps providing social networking services, including daily average users and monthly active users.

Facebook’s share of daily active users in the U.S., the FTC says, has exceeded 70% since 2016, and reached at least that high in 2011. The company’s monthly active users share, it adds, exceeded 65% since 2012, and reached at least that high in 2011.

Facebook, however, says the allegations in the suit are unfair because the FTC used user data from a third party that doesn't claim responsibility for their accuracy. The company further states that the FTC "cherry picked" user numbers from Instagram, Facebook, and Snap, while leaving out those of other platforms.


Black ex-Tesla worker who claimed racial abuse awarded $137M

SAN FRANCISCO (AP) — Tesla Inc. must pay nearly $137 million to a Black former worker who said he suffered racial abuse at the electric carmaker’s San Francisco Bay Area factory.

The jury in San Francisco agreed that Owen Diaz was subjected to racial harassment and a hostile work environment.

Diaz alleged in a lawsuit that he was harassed and faced “daily racist epithets,” including the “N-word,” while working at Tesla’s Fremont plant in 2015 and 2016 before quitting. Diaz was a contracted elevator operator.

Diaz alleged that employees drew swastikas and left racist graffiti and drawings around the plant. He contended that supervisors failed to stop the abuse.

“Tesla’s progressive image was a façade papering over its regressive, demeaning treatment of African-American employees,” the lawsuit said.

Diaz was awarded $6.9 in damages for emotional distress and $130 million in punitive damages, his attorney, Lawrence A. Organ, told the Washington Post.

“It took four long years to get to this point,” Diaz told the New York Times. “It’s like a big weight has been pulled off my shoulders.”

“It’s a great thing when one of the richest corporations in America has to have a reckoning of the abhorrent conditions at its factory for Black people,” Organ, of the California Civil Rights Law Group, told the Times.

It wasn’t immediately clear whether Tesla would appeal the decision. An email from The Associated Press seeking comment from Tesla wasn’t immediately returned Monday night.

However, Tesla previously denied any knowledge of the alleged racist conduct at the plant, which has about 10,000 workers.

If upheld, the award would be a blow to a company that has been subject to various allegations of workplace problems but requires employees to resolve disputes through mandatory arbitration, which the firm has rarely lost.

In May, an arbitrator ordered Tesla to pay more than $1 million over similar allegations by another former Fremont factory worker. That employee alleged that co-workers called him a racial slur and supervisors ignored his complaints.

Diaz, who was contracted through a staffing agency, didn’t have to sign an arbitration agreement.
Nicaragua’s President Ortega calls bishops ‘terrorists’

In this Sept. 5, 2018 file photo, Nicaragua's President Daniel Ortega and his wife, Vice President Rosario Murillo, lead a rally in Managua, Nicaragua. As international health organizations warn of increasing infections in Nicaragua and independent Nicaraguan doctors call for a voluntary quarantine to slow the spread of the delta variant, the government has made clear that comments out of step with its line are unacceptable as Ortega seeks a fourth consecutive term. Murillo has accused doctors of “health terrorism.” (AP Photo/Alfredo Zuniga, File)


MANAGUA, Nicaragua (AP) — Nicaragua’s increasingly isolated President Daniel Ortega called Roman Catholic bishops “terrorists” Monday and said many countries would have arrested them.

Ortega claims widespread protests that erupted in April 2018 were an attempted coup with foreign backing. And he has feuded with bishops who participated as mediators then in the short-lived first round of dialogue between the government and opposition, after which the government brutally put down the protests.

Ortega appeared to be referring to a pro-democracy plan submitted by Nicaragua’s council of bishops during those talks.

“The bishops signed that in the name of the terrorists, at the service of the Yankees ... these bishops are also terrorists,” he said in a broadcast. “In any other country in the world they would be on trial.”


Jailing bishops is far from idle talk for Ortega. At least seven opposition contenders have been jailed this year on vague treason charges, discrediting the Nov. 7 elections in which Ortega is seeking a fourth consecutive term. Ortega’s regime has also accused civic groups, opposition leaders and media outlets of everything from treason to money laundering.

At least 325 people died during clashes in 2018 between civilians and government forces in Nicaragua, while more than 52,000 people have fled the country, according to the Inter-American Commission on Human Rights.

Ortega had testy relations with bishops when he first governed in the 1980s, but then appeared to try to cozy up to the church after regaining power in 2006, by enforcing harsh anti-abortion laws.
Doctors grow frustrated over COVID-19 denial, misinformation

By HEATHER HOLLINGSWORTH
October 4, 2021 GMT


















Dr. Vincent Shaw poses for a portrait in Baton Rouge, La., Wednesday, Sept. 29, 2021. He commonly hears patients tell him they haven't done enough research on the COVID-19 vaccines. Rest assured, he tells them, the vaccine developers have done their homework.
(AP Photo/Dorthy Ray)

The COVID-19 patient’s health was deteriorating quickly at a Michigan hospital, but he was having none of the doctor’s diagnosis. Despite dangerously low oxygen levels, the unvaccinated man didn’t think he was that sick and got so irate over a hospital policy forbidding his wife from being at his bedside that he threatened to walk out of the building.

Dr. Matthew Trunsky didn’t hold back in his response: “You are welcome to leave, but you will be dead before you get to your car,’” he said.

Such exchanges have become all-too-common for medical workers who are growing weary of COVID-19 denial and misinformation that have made it exasperating to treat unvaccinated patients during the delta-driven surge.

The Associated Press asked six doctors from across the country to describe the types of misinformation and denial they see on a daily basis and how they respond to it.

They describe being aggravated at the constant requests to be prescribed the veterinary parasite drug Ivermectin, with patients lashing out at doctors when they are told that it’s not a safe coronavirus treatment. People routinely cite falsehoods spread on social media, like an Illinois doctor who has people tell him that microchips are embedded in vaccines as part of a ploy to take over people’s DNA. A Louisiana doctor has resorted to showing patients a list of ingredients in Twinkies, reminding those who are skeptical about the makeup of vaccines that everyday products have lots of safe additives that no one really understands.

Here are their stories:

LOUISIANA DOCTOR: ‘Just stop looking at Facebook’

When patients tell Dr. Vincent Shaw that they don’t want the COVID-19 vaccine because they don’t know what’s going into their bodies, he pulls up the ingredient list for a Twinkie.

“Look at the back of the package,” Shaw, a family physician in Baton Rouge, Louisiana. “Tell me you can pronounce everything on the back of that package. Because I have a chemistry degree, I still don’t know what that is.”

He also commonly hears patients tell him they haven’t done enough research about the vaccines. Rest assured, he tells them, the vaccine developers have done their homework.

Then there are the fringe explanations: “They’re putting a tracker in and it makes me magnetic.”

Another explanation left him speechless: “The patient couldn’t understand why they were given this for free, because humanity in and of itself is not nice and people aren’t nice and nobody would give anything away. So there’s no such thing as inherent good nature of man. And I had no comeback from that.”

People who get sick with mild cases insist that they have natural immunity. “No, you’re not a Superman or Superwoman,” he tells them.

He said one of the biggest issues is social media, as evidenced by the many patients who describe what they saw on Facebook in deciding against getting vaccinated. That mindset has spawned memes about the many Americans who got their degrees at the University of Facebook School of Medicine.

“I am like, ‘No, no, no, no, no.’ I shake my head, ‘No, no. That is not right, no, no. Stop, stop, just stop looking at Facebook.’”

DALLAS ER DOCTOR: Baffled at how he’s ‘lost all credibility’ with anti-vaccine patients

Dr. Stu Coffman has patients tell him they are scared about vaccine side effects. They don’t trust the regulatory approval process and raise disproven concerns that the vaccine will harm their fertility. He said the most unexpected thing someone told him was that there was “actually poison in the mRNA vaccine” — a baseless rumor that originated online.

He is confounded by the pushback.

“If you’ve got a gunshot wound or stab wound or you’re having a heart attack, you want to see me in the emergency department,” he said. “But as soon as we start talking about a vaccine, all of a sudden I’ve lost all credibility.”

He said the key to overcoming hesitancy is to figure out where it originates. He said when people come to him with concerns about fertility, he can point to specific research showing that the vaccine is safe and their issues are unfounded.

But he says there’s no hope in changing the minds of people who think the vaccines are laced with poison. “I’m probably not going to be able to show you anything that convinces you otherwise.”

And he thinks he could change people’s minds about the vaccine if they could follow him around for a shift as he walks past the beds of the sick and dying, almost all of whom are unvaccinated.

KENTUCKY: Political views come into clear focus after diagnosis


Dr. Ryan Stanton recently had a patient who began their conversation by saying, “I’m not afraid of any China virus.” From that point on, he knew what he was up against in dealing with the patient’s politics and misguided beliefs about the virus.

Stanton blamed people like far-right conspiracy theorist Alex Jones for spreading some of the misinformation that has taken root among his patients. Among them is that the vaccine contains fetal cells. Another said it “is a simple fact that the vaccine has killed millions.”

“In fact,” he said, “that couldn’t be more wrong.”

It’s tough to watch, especially after living through the early surges. On his worst shift last fall, an elderly nursing home patient arrived, close to death. She hadn’t seen her family in months, so staff wheeled her outside in the ambulance bay so her relatives could say their goodbyes from 20 feet away. He snapped a picture of the scene so he could remember the horror.

There was hope after the vaccines arrived, but then came the delta variant and a slowdown in immunizations.

“Really it amazes me the number of people who have this huge fear, conspiracy theory about vaccines and will honest to God try anything, including a veterinary medicine, to get better,” said Stanton.

MICHIGAN PULMONOLOGIST: Facebook post unleashes his frustration

For Trunsky, the vaccine pushback grew so intense that he turned to Facebook to describe the ire he confronts on a daily basis at Beaumont Hospital in Troy, Michigan. The post listed eight encounters he had in the two previous days alone in which COVID-19 patients explained misinformation-fueled reasons for not getting vaccines or made demands for unproven treatments.

Example No. 5 was a patient who said he’d rather die than take the vaccine. Trunsky’s response: “You may get your wish.”

He has heard a litany of misinformation about the vaccine: They say it’s not proven and only experimental when in fact it is not. Others tell him the vaccine is a “personal choice and that the government shouldn’t tell me what to do.” He also has heard patients tell them they are too sick and didn’t want to risk the side effects of the vaccine. One young mother told him she wasn’t vaccinated because she was breastfeeding, although her pediatrician and obstetrician urged her it was safe. She had to be hospitalized but eventually got a shot.

Others, though, take out their anger on health care providers. Some threaten to call attorneys if they don’t get a prescription for Ivermectin, commonly used by veterinarians to kill worms and parasites. The drug can cause harmful side effects and there’s little evidence it helps with the coronavirus.

He estimates that he has cared for 100 patients who have died since the pandemic began, including the man who threatened to walk out of the hospital.

ILLINOIS FAMILY PHYSICIAN: Traces misinformation back to Scripture, Nicki Minaj

Dr. Carl Lambert hears lots of wild misinformation from his patients. Some comes from the Bible interpretations; some originates from the rapper Nicki Minaj.

Some of it is the stuff of internet conspiracy theories, like there’s a chip in the vaccine that will take over their DNA.

“Impossible scientifically,” says the family physician in Chicago. He also hears patients tell him that the vaccine will weaken their immune systems. He responds: “Immunology 101. Vaccines help your immune system.”

Recently he received a flurry of messages from patients who were worried about damage to their testicles — a rumor he ultimately traced back to an erroneous tweet from Minaj alleging that the vaccine causes impotence.

“And I was like, ‘That’s outlandish. That’s a bit outrageous.’ So a lot of just kind of counseling that I did not expect to have to do.”

Some of the misinformation is delivered from the pulpit, he said. People have sent him sermons of preachers saying the vaccine is “ungodly or there’s something in it that will mark you,” a reference to a verse in Revelation about the “mark of the beast” that some Christians cite in not getting vaccinated.

“There’s a mixture of like almost fear ... and saying, “Hey, if you do this, maybe you’re not as faithful as you should be as, say, a Christian.’”

Most common, though, is patients just wanting to wait, uneasy with how quickly the vaccine was developed. But he warns them, “Please do not try to wait out a pandemic. A pandemic will win.”

He said his job is “a lot of just dismantling what people have heard,” answering their questions and reassuring them that “vaccines work like this just like when we were kids.”

He has had some luck lately in changing minds. “I’ve had patients that maybe four months ago said ‘You are wasting your time. Dr. Lambert, I don’t want to hear you talking about it.’ And they’ll come back and say, ‘Hey, you know what? I’ve been watching the news. I’ve seen some stuff. I think I’m ready now.’

UTAH DOCTOR: Fear of vaccine side effects, then fear of dying

When Dr. Elizabeth Middleton talks to COVID-19 patients about why they aren’t vaccinated, they often cite fear of side effects. But as they get sicker and sicker, a different sort of fear sets in.

“They sort of have this sinking look about them, like ‘Oh, my God. This is happening to me. I should have been vaccinated,’” said the pulmonary critical care doctor at the University of Utah hospital in Salt Lake City.

She hears often that the vaccine was developed too quickly. “Who are you to judge the speed of science?” she wonders.

Also frustrating is the idea among some patients that there is a “secret agenda” behind getting vaccinated.

“‘There must be something wrong if everyone is forcing us to do this or everyone wants us to do this,’” patients tell her. “And my response to that is, ‘They are urging you to do it because we are in an emergency. This is a pandemic. It is a national and international crisis. That is why we are pushing it.’”

Getting through to patients and their families is a “delicate line,” she says. She tries not to disrupt the patient-doctor relationship by pushing vaccines too hard. But often the people who have been on ventilators need no convincing.

“They are like, ’Tell everyone that they have to be vaccinated. I want to call my family. They need to be vaccinated.’”


Biden lifts abortion referral ban on family planning clinics



Thousands of demonstrators march outside the U.S. Supreme Court during the Women's March in Washington, Saturday, Oct. 2, 2021.
(AP Photo/Jose Luis Magana)


WASHINGTON (AP) — The Biden administration reversed a ban on abortion referrals by family planning clinics, lifting a Trump-era restriction as political and legal battles over abortion grow sharper from Texas to the U.S. Supreme Court.

The Department of Health and Human Services said Monday its new regulation will restore the federal family planning program to the way it ran under the Obama administration, when clinics were able to refer women seeking abortions to a provider. The goal is to “strengthen and restore” services, said HHS Secretary Xavier Becerra.

Groups representing the clinics said they hope the Biden administration action will lead some 1,300 local facilities that left in protest over Trump’s policies to return, helping to stabilize a longstanding program shaken by the coronavirus pandemic on top of ideological battles.

“I have heard that almost everywhere in the country people have made the decision that conditions will be good for them to return to the program,” Clare Coleman, president of the umbrella group National Family Planning & Reproductive Health Association, said in an interview. “My sense is that people have been waiting for the rule.”

Planned Parenthood, the biggest service provider, said on Twitter its health centers look forward to returning. But the group criticized part of the Biden administration rule that allows individual clinicians who object to abortion not to provide referrals. The administration said that’s “in accordance with applicable federal law.”

Known as Title X, the taxpayer-funded program makes available more than $250 million a year to clinics to provide birth control and basic health care services mainly to low-income women, many of them from minority communities. Under former President Donald Trump, clinics were barred from referring patients for abortions, prompting a mass exit by service providers affiliated with Planned Parenthood, as well as several states and other independent organizations.

Women’s groups labeled the Trump policy a “gag rule,” and medical organizations called it a violation of the clinician-patient relationship.

But religious and social conservatives praised the policy for imposing a strict separation between family planning services and abortion. Under federal law, clinics cannot use federal family planning money to pay for abortions. However, abortion opponents argue that birth control funding for organizations like Planned Parenthood, the leading provider of abortions, amounts to an indirect subsidy.

On Monday, the National Right to Life Committee criticized the Biden administration for “supplementing the abortion industry through taxpayer funds.”

Title X family planning clinics served about 3.9 million clients in 2018, but HHS estimates that number fell by nearly 40% after the Trump policy. The upheaval may have led to more than 180,000 unintended pregnancies, the agency said. In all, more than one-quarter of the clinics left the program. Although several states stepped up with their own no-strings-attached funding, women in some parts of the country still lost access.



Combined with service disruptions due to COVID-19 shutdowns, “this has just been a massive one-two punch to the system,” said Coleman.

Biden campaigned on a promise to overturn the restrictions on family planning clinics, but abortion was not a central issue in the 2020 presidential race. It may become one in the 2022 midterm elections to determine who controls Congress.

Restrictive state laws in Texas, Mississippi and elsewhere have prompted a mobilization by abortion rights supporters, who fear a conservative-leaning Supreme Court will overturn the 1973 Roe v. Wade decision that legalized abortion nationally. Hundreds of abortion-themed protests were held around the country Saturday, including one that brought thousands of abortion rights supporters to the steps of the court.

The Supreme Court has allowed the Texas law to take effect, but has not ruled on the substantive legal questions behind that statute, which bans most abortions in the state. The justices will hear arguments Dec. 1 on the Mississippi law, which bans most abortions after 15 weeks of pregnancy.

The court now tilts decidedly to the right after Trump appointed three conservative justices. Twelve states have passed laws that would ban abortion entirely if Roe is overturned.

“Given the attacks on abortion in Texas and across the country, it’s more important than ever that patients can access their choice of birth control and other health care through Title X,” Planned Parenthood President Alexis McGill Johnson said in a statement.

The new abortion referral policy for family planning clinics will take effect Nov. 8.

___

Associated Press writer David Crary contributed to this report.
Refugee admissions hit record low, despite Biden’s reversal

In this Sept. 18, 2021, file photo Haitian migrants use a dam to cross into the United States from Mexico in Del Rio, Texas. President Joe Biden embraced major progressive policy goals on immigration after he won the Democratic nomination, and he has begun enacting some. But his administration has been forced to confront unusually high numbers of migrants trying to enter the country along the U.S.-Mexico border and the federal response has inflamed both critics and allies.
 (AP Photo/Eric Gay, File)


SAN DIEGO (AP) — Refugee admissions to the United States fell to a record low during the 2021 budget year, despite President Joe Biden’s pledge to reverse the sharp cuts made by the Trump administration, according to figures obtained by The Associated Press.

A total of 11,445 refugees were allowed into the United States during the budget year that ended on Thursday, according to a person with access to the information who spoke on condition of anonymity because they were not authorized to release the figure.

That number does not include the tens of thousands of Afghans brought to the United States as American troops withdrew from Afghanistan, ending the 20-year war there. Many of those Afghans were allowed into the country under a different legal status known as humanitarian parole, which is why they are not included in the refugee tally.

Still the number highlights Biden’s challenges in reversing the restrictive refugee policies set by former President Donald Trump’s administration, which targeted the program as part of a broader campaign to slash both legal and illegal immigration to the United States.

The U.S. president determines the cap on refugee admissions each budget year, which runs from Oct. 1 to Sept. 30. Biden didn’t take office until almost four months after the last fiscal year began.

The State Department did not immediately respond to a request for comment about the number.

The 11,445 refugee admissions total falls far below the nation’s cap of 62,500 for the 2021 budget year that Biden set in May. It’s also below the record-low ceiling of 15,000 that Trump had initially set for the year.

Biden initially indicated he would not override the 15,000-person cap, saying in an emergency determination that it “remains justified by humanitarian concerns and is otherwise in the national interest.”

But that brought sharp rebuke from Democratic allies who criticized him for not taking the symbolic step of authorizing more refugees this year. The White House quickly reversed course and raised the cap, though Biden said at the time that he did not expect the U.S. would meet the new 62,500 ceiling with only four months left in the 2021 budget year, given the ongoing restrictions put in place due to the coronavirus pandemic and work the administration says is needed to rebuild the program.

Refugee advocates said the record-low number reflects the damage done by the Trump administration to the program. Before the 2021 budget year, the lowest number of refugees allowed in was during the 2020 budget year when the number hit 11,814.

The historical yearly average was 95,000 under previous Republican and Democratic administrations.

The Biden administration has expanded the narrow eligibility criteria put in place by his predecessor that had kept out most refugees, among other steps. But critics say it’s not enough and that the Biden administration has moved too slowly.

It remains to be seen whether refugee admissions will reach anywhere near the 125,000 cap that Biden has set for the current budget year, which started Friday.

Krish O’Mara Vignarajah, president of the Lutheran Immigration and Refugee Service, one of nine U.S. agencies working to resettle refugees, said efforts need to be accelerated to add personnel overseas, do more remote interviews and relieve the enormous backlog of refugee applications.

She said that while the program was gutted by the Trump administration, it is now Biden’s responsibility to revive it.

“If we are to reach President Biden’s goal of welcoming 125,000 refugees, the administration must be aggressive and innovative in ramping up processing,” she said in a statement.

Mark Hetfield of HIAS, another resettlement agency, agreed that Biden “should have done better.”

“What this record low number really shows ... is that the administration needs to remove the red tape and other obstacles that hinder the resettlement program from effectively responding to emergencies like Afghanistan,” he said.

Biden, who co-sponsored legislation creating the refugee program in 1980, has said reopening the door to refugees is “how we will restore the soul of our nation.”

___

Associated Press writer Ellen Knickmeyer in Washington contributed to this report.
CRIMINAL CAPITALI$M BIG PHARMA
Landmark trial on pharmacies' role in opioid crisis begins in Cleveland


Pharmacy chains CVS, Walgreens, Walmart and Giant Eagle have claimed their actions in dispensing opioids were legal as trial gets underway in a lawsuit in Cleveland.
 File photo by LizM/Pixabay

Oct. 4 (UPI) -- A landmark federal trial began Monday in Cleveland in which major U.S. pharmacy chains such as CVS, Walgreens, Walmart and Giant Eagle are accused of helping fuel the opioid crisis.

U.S. District Court Judge Dan Polster opened the proceedings by instructing jurors to disregard accounts of the crisis they may have seen on television or in other forms of popular culture, NPR reported.

The judge's admonishments kicked off what is expected to be a "bellwether" trial. Attorneys representing victims of prescription opioids claim the pharmacies played a key role in fueling the crisis, disregarding their legal duties to block suspicious orders of controlled substances such as prescription opioids.

Lake and Trumbull counties in Ohio are suing the four pharmacy chains, saying their failures led to a wave of prescribed opioids inundating the communities. The result, they claim, was a massive crisis of addiction and needless death.

If the pharmacy chains are found liable they could be ordered to pay billions of dollars to help address fallout from the epidemic in a precedent-setting decision on corporate responsibility, analysts say.

"Defendants have contributed substantially to the opioid crisis by selling and distributing far greater quantities of prescription opioids than they know could be necessary for legitimate medical uses, while failing to report and to take steps to halt suspicious orders and sales, thereby exacerbating the oversupply of such drugs and fueling an illegal secondary market," they claimed in the suit filed last year.

The over-prescription of opioids resulted in more than 183,000 U.S. overdose deaths between 1999 and 2015 as Lake and Turnbull counties were "swept up in what the Centers for Disease Control has called a 'public health epidemic,'" the attorneys claimed.

RELATED Cherokee Nation reaches $75M settlement with three major opioid distributors


In the complaint, the counties allege that CVS worked with OxyContin maker Purdue Pharma to offer its pharmacists seminars on pain management so they would be able to reassure patients and doctors about the safety of opioids.

CVS, Walgreens, Walmart and Giant Eagle, however, reject the arguments that they bear responsibility for the opioid crisis.

"When it comes to controlled substances, pharmacists take the appropriate steps under the circumstances of each prescription to guard against filling illegitimate prescriptions, while still working to make sure that patients suffering in real pain are able to obtain the medications their doctors have prescribed," Walgreens attorneys wrote in a court brief.
NOMINALLY ANTI-WAR ANTI-IMPERIALIST
Sen. Rand Paul stalls passing of bill to fund Israel's Iron Dome


Lawmakers are seeking to pass a bill to replenish Israel's Iron Dome missile system after it intercepted thousands of rockets fired at its population by Gaza militants in May amid renewed fighting between the two sides. 
File Photo by Debbie Hill/UPI | License Photo

Oct. 5 (UPI) -- Republican Sen. Rand Paul blocked the Senate from voting on a bill to fund Israel's Iron Dome missile defense system that was overwhelmingly passed by the House late last month.

The bill allocates $1 billion to replenish Israel's missile defense system after it intercepted thousands of rockets fired toward its population from Gaza amid renewed fighting with Hamas and other Palestinian militants in May.


The House passed the bill 420 to nine with two lawmakers voting present on Sept. 23.

The bill was originally included in legislation concerning raising the debt ceiling and funding the government but was removed over concerns the whole initiative would fail amid pushback over the Israeli funding by progressive democrats. The bill to fund the Iron Dome was then introduced on its own.


Sen. Bob Menendez, D-N.J., who is also chairman of the Senate foreign relations committee, had sought to pass the bill under an expedited manner, but Paul objected on Monday, entering an amendment to rescind $6 billion allocated for Afghanistan reconstruction, with $1 billion paying to replenish Israel's system and the rest returning to the Treasury.

The Kentucky Republican argued from the floor that if the United States doesn't rescind that money, it could end up in the hands of the Taliban, who took control of the Middle Eastern country in August amid a U.S. military withdrawal.

He also argued that only an economically strong country can defend its allies.

"I am glad the United States has a strong bond with Israel," he said from the floor. "But the United States cannot give money it does not have, no matter how strong our relationship is."

Menendez rejected the amendment to the House bill but in doing so Paul stopped his objective to have the bill passed with only two hours of arguments instead through lengthy proceedings.

The Democrat from New Jersey called Paul's amendment "problematic," one that would "unleash an array of adverse consequences" for U.S. foreign policy and national security objectives.

The amendment, he explained, would rescind money from both Departments of State and Defense and that none of it was to go to Taliban-controlled governments.

"Sen. Paul's amendment would actually raid the funding that delivers lifesaving humanitarian aid to the Afghan people and they need it more than ever," Menendez said. "In short, Sen. Paul's amendment would undermine national security, it would abandon the Afghan people in their darkest hour and it would betray the American people's commitment to supporting our Afghan allies."

The bill is largely expected to pass the Senate but now must go through a lengthier bureaucratic process.

The American Israel Public Affairs Committee, a bipartisan U.S. organization that advocates for U.S.-Israel relations, accused Paul of joining Democratic Reps. Alexandria Ocasio-Cortez of New York, Ilhan Omar of Minnesota and Rashida Tlaib of Michigan as well as Kentucky Republican Rep. Thomas Massie of Kentucky who had voiced strong opposition to the House bill and were among the nine lawmakers to vote against it while Ocasio-Cortez voted present.

"Their objectives to funding Iron Dome undermine Israel's security, cost innocent lives, make war more likely and embolden Iran-backed terrorists," AIPCA said via Twitter.

Menendez said the only reason the bill has not been passed is because of Paul's amendment.

"I'm disappointed we are in this situation," he said.

The bill was proposed in the wake of renewed and ferocious fighting between Israel and Gaza militants in response to Israel attempting to forcibly displace Palestinian families from their East Jerusalem homes.

The Israeli Defense Forces said militants fired nearly 4,400 rockets at its population, with about 90% being intercepted by the Iron Dome system.

The fighting resulted in the deaths of 256 Palestinians, including 66 children, and 12 Israelis.