Tag Archives: women’s health

FACT SHEET: President Biden Issues Executive Order and Announces New Actions to Advance Women’s Health Research and Innovation

President Biden signed a new Executive Order that will direct the most comprehensive set of executive actions ever taken to expand and improve research on women’s health. These directives will ensure women’s health is integrated and prioritized across the federal research portfolio and budget, and will galvanize new research on a wide range of topics, including maternal health © Karen Rubin/news-photos-features.com

In his State of the Union address, President Biden laid out his vision for transforming women’s health research and improving women’s lives all across America. The President called on Congress to make a bold, transformative investment of $12 billion in new funding for women’s health research. This investment would be used to create a Fund for Women’s Health Research at the National Institutes of Health (NIH) to advance a cutting-edge, interdisciplinary research agenda and to establish a new nationwide network of research centers of excellence and innovation in women’s health—which would serve as a national gold standard for women’s health research across the lifespan.

It is long past time to ensure women get the answers they need when it comes to their health—from cardiovascular disease to autoimmune diseases to menopause-related conditions. To pioneer the next generation of discoveries, the President and the First Lady launched the first-ever White House Initiative on Women’s Health Research, which aims to fundamentally change how we approach and fund women’s health research in the United States.

President Biden signed a new Executive Order that will direct the most comprehensive set of executive actions ever taken to expand and improve research on women’s health. These directives will ensure women’s health is integrated and prioritized across the federal research portfolio and budget, and will galvanize new research on a wide range of topics, including women’s midlife health.

The President and First Lady are also announcing more than twenty new actions and commitments by federal agencies, including through the U.S. Department of Health and Human Services (HHS), the Department of Defense (DoD), the Department of Veterans Affairs (VA), and the National Science Foundation (NSF). This includes the launch of a new NIH-wide effort that will direct key investments of $200 million in Fiscal Year 2025 to fund new, interdisciplinary women’s health research—a first step towards the transformative central Fund on Women’s Health that the President has called on Congress to invest in. These actions also build on the First Lady’s announcement last month of the Advanced Research Projects Agency for Health (ARPA-H) Sprint for Women’s Health, which committed $100 million towards transformative research and development in women’s health.

The President is issuing an Executive Order that will:

  • Integrate Women’s Health Across the Federal Research Portfolio. The Executive Order directs the Initiative’s constituent agencies to develop and strengthen research and data standards on women’s health across all relevant research and funding opportunities, with the goal of helping ensure that the Administration is better leveraging every dollar of federal funding for health research to improve women’s health. These actions will build on the NIH’s current policy to ensure that research it funds considers women’s health in the development of study design and in data collection and analysis. Agencies will take action to ensure women’s health is being considered at every step in the research process—from the applications that prospective grantees submit to the way that they report on grant implementation.
     
  • Prioritize Investments in Women’s Health Research. The Executive Order directs the Initiative’s constituent agencies to prioritize funding for women’s health research and encourage innovation in women’s health, including through ARPA-H and multi-agency initiatives such as the Small Business Innovation Research Program and the Small Business Technology Transfer Program. These entities are dedicated to high-impact research and innovation, including through the support of early-stage small businesses and entrepreneurs engaged in research and innovation. The Executive Order further directs HHS and NSF to study ways to leverage artificial intelligence to advance women’s health research. These additional investments—across a wide range of agencies—will support innovation and open new doors to breakthroughs in women’s health.
     
  • Galvanize New Research on Women’s Midlife Health.  To narrow research gaps on diseases and conditions associated with women’s midlife health or that are more likely to occur after menopause, such as rheumatoid arthritis, heart attack, and osteoporosis, the President is directing HHS to: expand data collection efforts related to women’s midlife health; launch a comprehensive research agenda that will guide future investments in menopause-related research; identify ways to improve management of menopause-related issues and the clinical care that women receive; and develop new resources to help women better understand their options for menopause-related symptoms prevention and treatment. The Executive Order also directs the DoD and VA to study and take steps to improve the treatment of, and research related to, menopause for Service women and women veterans.
     
  • Assess Unmet Needs to Support Women’s Health Research. The Executive Order directs the Office of Management and Budget and the Gender Policy Council to lead a robust effort to assess gaps in federal funding for women’s health research and identify changes—whether statutory, regulatory, or budgetary—that are needed to maximally support the broad scope of women’s health research across the federal government. Agencies will also be required to report annually on their investments in women’s health research, as well as progress towards their efforts to improve women’s health.

 
Today, agencies are also announcing new actions they are taking to promote women’s health research, as part of their ongoing efforts through the White House Initiative on Women’s Health Research. Agencies are announcing actions to:

Prioritize and Increase Investments in Women’s Health Research

  • Launch an NIH-Cross Cutting Effort to Transform Women’s Health Throughout the Lifespan. NIH is launching an NIH-wide effort to close gaps in women’s health research across the lifespan. This effort—which will initially be supported by $200 million from NIH beginning in FY 2025—will allow NIH to catalyze interdisciplinary research, particularly on issues that cut across the traditional mandates of the institutes and centers at NIH. It will also allow NIH to launch ambitious, multi-faceted research projects such as research on the impact of perimenopause and menopause on heart health, brain health and bone health. In addition, the President’s FY25 Budget Request would double current funding for the NIH Office of Research on Women’s Health to support new and existing initiatives that emphasize women’s health research.

 
This coordinated, NIH-wide effort will be co-chaired by the NIH Office of the Director, the Office of Research on Women’s Health, and the institute directors from the National Institute on Aging; the National Heart, Lung, and Blood Institute; the National Institute on Drug Abuse; the Eunice Kennedy Shriver National Institute of Child Health and Human Development; the National Institute on Arthritis, Musculoskeletal and Skin Diseases.
 

  • Invest in Research on a Wide Range of Women’s Health Issues. The bipartisan Congressionally Directed Medical Research Program (CDMRP), led out of DoD, funds research on women’s health encompassing a range of diseases and conditions that affect women uniquely, disproportionately, or differently from men. While the programs and topic areas directed by Congress differ each year, CDMRP has consistently funded research to advance women’s health since its creation in 1993. In Fiscal Year 2022, DoD implemented nearly $490 million in CDMRP investments towards women’s health research projects ranging from breast and ovarian cancer to lupus to orthotics and prosthetics in women.  In Fiscal Year 2023, DoD anticipates implementing approximately $500 million in CDMRP funding for women’s health research, including in endometriosis, rheumatoid arthritis, and chronic fatigue.
     
  • Call for New Proposals on Emerging Women’s Health Issues. Today, NSF is calling for new research and education proposals to advance discoveries and innovations related to women’s health. To promote multidisciplinary solutions to women’s health disparities, NSF invites applications that would improve women’s health through a wide range of disciplines—from computational research to engineering biomechanics. This is the first time that NSF has broadly called for novel and transformative research that is focused entirely on women’s health topics, and proposals will be considered on an ongoing basis.
     
  • Increase Research on How Environmental Factors Affect Women’s Health. The Environmental Protection Agency (EPA) is updating its grant solicitations and contracts to ensure that applicants prioritize, as appropriate, the consideration of women’s exposures and health outcomes. These changes will help ensure that women’s health is better accounted for across EPA’s research portfolio and increase our knowledge of women’s environmental health—from endocrine disruption to toxic exposure.
     
  • Create a Dedicated, One-Stop Shop for NIH Funding Opportunities on Women’s Health. Researchers are often unaware of existing opportunities to apply for federal funding. To help close this gap, NIH is issuing a new Notice of Special Interest that identifies current, open funding opportunities related to women’s health research across a wide range of health conditions and all Institutes, Centers, and Offices. The NIH Office of Research on Women’s Health will build on this new Notice by creating a dedicated one-stop shop on open funding opportunities related to women’s health research. This will make it easier for researchers and institutions to find and apply for funding—instead of having to search across each of NIH’s 27 institutes for funding opportunities.

Foster Innovation and Discovery in Women’s Health

  • Accelerate Transformative Research and Development in Women’s Health. ARPA-H’s Sprint for Women’s Health launched in February 2024 commits $100 million to transformative research and development in women’s health. ARPA-H is soliciting ideas for novel groundbreaking research and development to address women’s health, as well as opportunities to accelerate and scale tools, products, and platforms with the potential for commercialization to improve women’s health outcomes.
     
  • Support Private Sector Innovation Through Additional Federal Investments in Women’s Health Research. The NIH’s competitive Small Business Innovation Research Program and the Small Business Technology Transfer Program is committing to further increasing—by 50 percent—its investments in supporting innovators and early-stage small businesses engaged in research and development on women’s health. These programs will solicit new proposals on promising women’s health innovation and make evidence-based investments that bridge the gap between performance of basic science and commercialization of resulting innovations. This commitment for additional funds builds on the investments the Administration has already made to increase innovation in women’s health through small businesses, including by increasing investments by sevenfold between Fiscal Year 2021 and Fiscal Year 2023.
     
  • Advance Initiatives to Protect and Promote the Health of Women. The Food and Drug Administration (FDA) seeks to advance efforts to help address gaps in research and availability of products for diseases and conditions that primarily impact women, or for which scientific considerations may be different for women, and is committed to research and regulatory initiatives that facilitate the development of safe and effective medical products for women. FDA also plans to issue guidance for industry that relates to the inclusion of women in clinical trials and conduct outreach to stakeholders to discuss opportunities to advance women’s health across the lifespan. And FDA’s Office of Women’s Health will update FDA’s framework for women’s health research and seek to fund research with an emphasis on bridging gaps in knowledge on important women’s health topics, including sex differences and conditions that uniquely or disproportionately impact women.
     
  • Use Biomarkers to Improve the Health of Women Through Early Detection and Treatment of Conditions, such as Endometriosis. NIH will launch a new initiative dedicated to research on biomarker discovery and validation to help improve our ability to prevent, diagnose, and treat conditions that affect women uniquely, including endometriosis. This NIH initiative will accelerate our ability to identify new pathways for diagnosis and treatment by encouraging multi-sector collaboration and synergistic research that will speed the transfer of knowledge from bench to bedside.
     
  • Leverage Engineering Research to Improve Women’s Health. The NSF Engineering Research Visioning Alliance (ERVA) is convening national experts to identify high-impact research opportunities in engineering that can improve women’s health. ERVA’s Transforming Women’s Health Outcomes Through Engineering visioning event will be held in June 2024, and will bring together experts from across engineering—including those in microfluidics, computational modeling, artificial intelligence/imaging, and diagnostic technologies and devices—to evaluate the landscape for new applications in women’s health. Following this event, ERVA will issue a report and roadmap on critical areas where engineering research can impact women’s health across the lifespan.
     
  • Drive Engineering Innovations in Women’s Health Discovery. NSF awardees at Texas A&M University will hold a conference in summer 2024 to collectively identify challenges and opportunities in improving women’s health through engineering. Biomedical engineers and scientists will explore and identify how various types of engineering tools, including biomechanics and immuno-engineering, can be applied to women’s health and spark promising new research directions.

Expand and Leverage Data Collection and Analysis Related to Women’s Health

  • Help Standardize Data to Support Research on Women’s Health. NIH is launching an effort to identify and develop new common data elements related to women’s health that will help researchers share and combine datasets, promote interoperability, and improve the accuracy of datasets when it comes to women’s health. NIH will initiate this process by convening data and scientific experts across the federal government to solicit feedback on the need to develop new NIH-endorsed common data elements—which are widely used in both research and clinical settings. By advancing new tools to capture more data about women’s health, NIH will give researchers and clinicians the tools they need to enable more meaningful data collection, analysis, and reporting and comprehensively improve our knowledge of women’s health.
     
  • Reflect Women’s Health Needs in National Coverage Determinations. The Centers for Medicare & Medicaid Services (CMS) will strengthen its review process, including through Coverage with Evidence Development guidance, to ensure that new medical services and technologies work well in women, as applicable, before being covered nationally through the Medicare program. This will help ensure that Medicare funds are used for treatments with a sufficient evidence base to show that they actually work in women, who make up more than half of the Medicare population.
     
  • Leverage Data and Quality Measures to Advance Women’s Health Research. The Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA) are building on existing datasets to improve the collection, analysis, and reporting of information on women’s health. The CDC is expanding the collection of key quality measures across a woman’s lifespan, including to understand the link between pregnancy and post-partum hypertension and heart disease, and plans to release the Million Hearts Hypertension in Pregnancy Change Package. This resource will feature a menu of evidence-informed strategies by which clinicians can change care processes. Each strategy includes tested tools and resources to support related clinical quality improvement. HRSA is modernizing its Uniform Data System in ways that will improve the ability to assess how women are being served through HRSA-funded health centers. By improving the ability to analyze data on key clinical quality measures, CDC and HRSA can help close gaps in women’s health care access and identify new opportunities for high-impact research.  

Strengthen Coordination, Infrastructure, and Training to Support Women’s Health Research

  • Launch New Joint Collaborative to Improve Women’s Health Research for Service Members and Veterans. DoD and VA are launching a new Women’s Health Research collaborative to explore opportunities that further promote joint efforts to advance women’s health research and improve evidence-based care for Service members and veterans. The collaborative will increase coordination with the goal of helping improve care across the lifespan for women in the military and women veterans. The Departments will further advance research on key women’s health issues and develop a roadmap to close pressing research gaps, including those specifically affecting Service women and women veterans.
     
  • Coordinate Research to Advance the Health of Women in the Military. DoD will invest $10 million, contingent on available funds, in the Military Women’s Health Research Partnership. This Partnership is led by the Uniformed Services University and advances and coordinates women’s health research across the Department. The Partnership is supporting research in a wide range of health issues affecting women in the military, including cancers, mental and behavioral health, and the unique health care needs of Active Duty Service Women. In addition, the Uniformed Services University established a dedicated Director of Military Women’s Health Research Program, a role that is responsible for identifying research gaps, fostering collaboration, and coordinating and aligning a unified approach to address the evolving needs of Active Duty Service Women.
     
  • Support EPA-Wide Research and Dissemination of Data on Women’s Health. EPA is establishing a Women’s Health Community of Practice to coordinate research and data dissemination. EPA also plans to direct the Board of Scientific Counselors to identify ways to advance EPA’s research with specific consideration of the intersection of environmental factors and women’s health, including maternal health.
     
  • Expand Fellowship Training in Women’s Health Research. CDC, in collaboration with the CDC Foundation and American Board of Obstetrics and Gynecology, is expanding training in women’s health research and public health surveillance to OBGYNs, nurses and advanced practice nurses. Through fellowships and public health experiences with CDC, these clinicians will gain public health research skills to improve the health of women and children exposed to or affected by infectious diseases, mental health and substance use disorders. CDC will invite early career clinicians to train in public health and policy to become future leaders in women’s health research.

Improve Women’s Health Across the Lifespan

  • Create a Comprehensive Research Agenda on Menopause. To help women get the answers they need about menopause, NIH will launch its first-ever Pathways to Prevention series on menopause and the treatment of menopausal symptoms. Pathways to Prevention is an independent, evidence-based process to synthesize the current state of the evidence, identify gaps in existing research, and develop a roadmap that can be used to help guide the field forward. The report, once completed, will help guide innovation and investments in menopause-related research and care across the federal government and research community.
     
  • Improve Primary Care and Preventive Services for Women. The Agency for Healthcare Research and Quality (AHRQ) will issue a Notice of Intent to publish a funding opportunity announcement for research to advance the science of primary care, which will include a focus on women’s health. Through this funding opportunity, AHRQ will build evidence about key elements of primary care that influence patient outcomes and advance health equity—focusing on women of color—such as care coordination, continuity of care, comprehensiveness of care, person-centered care, and trust. The results from the funding opportunity will shed light on vital targets for improvements in the delivery of primary healthcare across a woman’s lifespan, including women’s health preventive services, prevention and management of multiple chronic diseases, perinatal care, transition from pediatric to adult care, sexual and reproductive health, and care of older adults.
     
  • Promote the Health of American Indian and Alaska Native Women. The Indian Health Service is launching a series of engagements, including focus groups, to better understand tribal beliefs related to menopause in American Indian and Alaska Native Women. This series will inform new opportunities to expand culturally informed patient care and research as well as the development of new resources and educational materials.
     
  • Connect Research to Real-World Outcomes to Improve Women’s Mental and Behavioral Health. The Substance Abuse and Mental Health Services Administration (SAMHSA) is supporting a range of health care providers to address the unique needs of women with or at risk for mental health and substance use disorders. Building on its current efforts to provide technical assistance through various initiatives, SAMHSA intends, contingent on available funds, to launch a new comprehensive Women’s Behavioral Health Technical Assistance Center. This center will identify and improve the implementation of best practices in women’s behavioral health across the life span; identify and fill critical gaps in knowledge of and resources for women’s behavioral health; and provide learning opportunities, training, and technical assistance for healthcare providers.
     
  • Support Research on Maternal Health Outcomes. USDA will fund research to help recognize early warning signs of maternal morbidity and mortality in recipients of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and anticipates awarding up to $5 million in Fiscal Year 2023 to support maternal health research through WIC. In addition, research being conducted through the Agricultural Research Service’s Human Nutrition Research Centers is focusing on women’s health across the lifespan, including the nutritional needs of pregnant and breastfeeding women and older adults.

First Lady to Lead First-Ever White House Initiative on Women’s Health Research

 The White House Initiative on Women’s Health Research will galvanize the Federal government as well as the private and philanthropic sectors to spur innovation, unleash transformative investment to close research gaps, and improve women’s health. © Karen Rubin/news-photos-features.com

While MAGA Republicans are doing their best to undermine women’s rights, health, ability to succeed, President Biden has announced the first-ever White House initiative on Women’s Health Research, to be led by First Lady Jill Biden and the White House Gender Policy Council. The new initiative will fundamentally change how we approach and fund women’s health research. Presently, most medical research is conducted on men, with serious consequences for health of women across the country. Here is a fact sheet from the White House explaining the new initiative:

Despite making up more than half of the population, women have been understudied and underrepresented in health research for far too long. Research on women’s health is drastically underfunded, leading to significant research gaps, with serious consequences for the health of women across the country. This lack of investment limits our understanding of conditions that are specific to women, predominantly affect women, or affect women differently. In order to give women and their health care providers the tools and information that they need to more effectively prevent, diagnose, and treat these conditions – from rheumatoid arthritis to menopause to Alzheimer’s disease to cardiovascular disease to endometriosis – our nation must fundamentally change how we approach and fund women’s health research.
 
If we act swiftly, we can pioneer the next generation of discoveries in women’s health – improving the lives of millions of women. That’s why, today, President Biden is establishing a new White House Initiative on Women’s Health Research. This new effort will be led by First Lady Jill Biden, who has long championed women’s health, and the White House Gender Policy Council. The Initiative will be chaired by Dr. Carolyn Mazure, an esteemed leader in the field of women’s health research, who will coordinate the Initiative on behalf of the Office of the First Lady and the Gender Policy Council.
 
“I have always believed in the power of research to save lives and to ensure that Americans get the high-quality health care they need,” President Biden stated. “To achieve scientific breakthroughs and strengthen our ability to prevent, detect, and treat diseases, we have to be bold. That’s why today, we’re establishing a new White House Initiative on Women’s Health Research so that my Administration—from the National Institutes of Health to the Department of Defense—does everything we can to drive innovation in women’s health and close research gaps.”
 
“Every woman I know has a story about leaving her doctor’s office with more questions than answers,” commented First Lady Jill Biden. “Not because our doctors are withholding information, but because there’s just not enough research yet on how to best manage and treat even common women’s health conditions. In 2023, that is unacceptable. Our new White House Initiative on Women’s Health Research will help change that by identifying bold solutions to uncover the answers that every woman and her family deserves. We also are calling on congressional leaders, the private sector, research institutions, and philanthropy to join us in taking urgent action to improve the health and lives of women throughout the nation.”
 
PRESIDENTIAL MEMORANDUM ESTABLISHING WHITE HOUSE INITIATIVE ON WOMEN’S HEALTH RESEARCH
 
The White House Initiative on Women’s Health Research will galvanize the Federal government as well as the private and philanthropic sectors to spur innovation, unleash transformative investment to close research gaps, and improve women’s health. As a first step, through today’s Presidential Memorandum, the President is directing his Administration to: 

  • Establish an Initiative consisting of executive departments and agencies across the Federal government. Initiative members include Federal agencies, such as the U.S. Departments of Health and Human Services, Defense, and Veterans Affairs, and White House offices, such as the Office of Management and Budget and the Office of Science and Technology Policy.  
     
  • Deliver concrete recommendations to advance women’s health research. Within 45 days, Initiative members will recommend concrete actions that the Biden-Harris Administration can take to improve how research on women’s health is conducted and maximize the Administration’s investments in women’s health research, including to address health disparities and inequities.
     
  • Take a targeted, high-impact approach. To deliver results quickly, Initiative members will set priority areas of focus where additional investments could be transformative—in areas of research ranging from heart attacks in women to menopause.
     
  • Engage the scientific, private sector, and philanthropic communities. The Initiative will explore new public-private partnerships and engage private and philanthropic leaders to drive innovation and ensure the combined power of public, private, and philanthropic sectors advances research on women’s health.

Dr. Carolyn M. Mazure serves as the Chair of the White House Initiative on Women’s Health Research and has recently joined the Office of the First Lady. Dr. Mazure comes to the White House from the Yale School of Medicine, where she has served as the Norma Weinberg Spungen and Joan Lebson Bildner Professor in Women’s Health Research, and Professor of Psychiatry and Psychology. After three years at the National Institutes of Health and fellowship training at Yale, Dr. Mazure joined the Yale faculty as an active clinician and NIH-funded researcher. She created Women’s Health Research at Yale, the university’s interdisciplinary research center on the health of women, which studies a wide breadth of topics from cardiovascular disease to cancers. She holds a Ph.D. from Pennsylvania State University and did her fellowship and post-doctoral work at Yale School of Medicine.

May Days: Trump’s Many Ironic Proclamations, From Law Day to Memorial Day, with Mothers Day in the Middle

May finishes with Memorial Day. Trump will no doubt issue a proclamation honoring those who have made the ultimate sacrifice to preserve American freedoms and values, while doing everything to undermine them © Karen Rubin/news-photos-features.com

 

By Karen Rubin, News & Photo Features

Normally rote proclamations take on a sardonic, sarcastic, ironic tone when signed by Donald J. Trump.

It may surprise people that May 1 (in many places called May Day) is proclaimed Law Day – particularly ironic as Trump, insisting he doesn’t have to answer to the investigation into possible Russian collusion with his campaign and obstruction of justice while in office, is nothing but undermining the Rule of Law and the concept that “No Man is Above the Law.” He has said as much, in such statements echoing Nixon’s “When the President does it, well, that means it’s not illegal”. Or in his echo of Louis XIV’s “L’etat s’est moi” – when he decried the “raid” on his lawyer Michael Cohen as an attack on the nation (what does he make of sending his goons to raid his Dr. Bornstein’s office without any kind of warrant and steal his medical records over his pique at being outed for using a hair-growth prescription? That press shill Sarah Huckabee Sanders said was “routine” when someone becomes president? Does anyone recall any other president raiding their doctor’s office to seize records? ).

Here’s what Trump signed (and clearly did not write and likely never read):

     On Law Day, we celebrate our Nation’s heritage of liberty, justice, and equality under the law.  This heritage is embodied most powerfully in our Constitution, the longest surviving document of its kind.  The Constitution established a unique structure of government that has ensured to our country the blessings of liberty through law for nearly 229 years.

     The Framers of our Constitution created a government with distinct and independent branches — the Legislative, the Executive, and the Judicial — because they recognized the risks of concentrating power in one authority.  As James Madison wrote, “the accumulation of all powers, legislative, executive, and judiciary, in the same hands . . . may justly be pronounced the very definition of tyranny.”  By separating the powers of government into three co-equal branches and giving each branch certain powers to check the others, the Constitution provides a framework in which the rule of law has flourished.

     The importance of the rule of law can be seen throughout our Nation’s history.

It is not really a coincidence that May 1 (May Day, a celebration of Workers rights around the world, including in the US of A where May Day began), is also designated as Loyalty Day – a McCarthy-era direct assault on Communism (but apparently, not on Russia, which is no longer communist but fascist and Trump’s best bud).

Loyalty Day, just like National Prayer Day, is actually a violation of what this nation holds dear. In America, we are not supposed to be required to pledge allegiance, certainly not to swear “under God”. No doubt, Trump signed the proclamation, thinking that Loyalty Day meant to swear loyalty to himself, the Dear Leader. I have no doubt he actually read the proclamation:

     On Loyalty Day, we reflect with humility and gratitude upon the freedoms we hold dear, and we reaffirm our allegiance to our Nation and its founding principles.  We cherish our system of self-government, whereby each American citizen is free to exercise their God-given and inalienable rights to life, liberty, and the pursuit of happiness.  We honor and defend our Constitution, which constrains the power of government and allows us freely to exercise these rights.  We also recognize the great responsibility that accompanies a free people and vow to preserve our hard-won liberty.  For we know, as President Ronald Reagan once said, that “freedom is never more than one generation away from extinction.”

     This Loyalty Day, we remember and honor the thousands of Americans who have laid down their lives to protect and defend our Nation’s beautiful flag.

May is also when this government has decided to hold the National Prayer Breakfast – another action (along with “In God We Trust” as a motto on money) to institutionalize the violation of the Constitution’s separation of church and state.

Instead, Trump went a step beyond what even George W. Bush did in setting up the Office of Faith Based Initiatives, to sign his own Faith-Based Initiative.

The nexus of Capitalism and Christian Zealotry came during the McCarthy era, when the notion of Christian charity was replaced by the Puritan concept that you got what you deserved, so rich people were rich because they deserved it; poor people were impoverished because they deserved it. Such zealotry was used to justify slavery as well as prohibiting abortion to rape victims.

Much of today’s malevolent political climate can be traced to the McCarthy era, including Trump’s own mentor, Roy Cohn, who was McCarthy’s own counsel, and taught Donnie everything he knows about attacking in order to evade legal or moral accountability.

And of course, May features Mothers Day… Trump’s proclamation for May 13, 2018 begins this way:

     Mother’s Day is a very special occasion and opportunity to express our endless gratitude to the women who give their unyielding love and devotion to their families, and their unending sacrifices to guide, protect, and nurture the success of their children.  Our country has long appreciated and benefited from the contributions women have made to empowering and inspiring not only those under their roofs, but those in our schools, communities, governments, and businesses…

     Today, and every day, let us express our utmost respect, admiration, and appreciation for our mothers who have given us the sacred gifts of life and unconditional love.  In all that they do, mothers influence their families, their communities, our Nation, and our world.  Whether we became their children through birth, adoption, or foster care, we know the unmatched power of the love, dedication, devotion, and wisdom of our mothers.

Certainly, Trump cherishes motherhood so much, he had an affair with Stormy Daniels, among others, while Melania was still nursing 4-month old Barron.

This is the man who directs his administration to terrorize undocumented mothers, that they will be forced to abandon their American-citizen children, who pulls away parents who are the major breadwinners for their families, who have lived in the United States for decades and are contributing to their communities.

The precious sentiment of his Mothers Day proclamation is belied by the cruelty the Trump Administration has shown to refugees claiming asylum, purposefully separating children, even infants, from their parents in order to discourage people fleeing violence from attempting to find refuge in the United States.

“There is no law enforcement or other legitimate basis for separating children from their parents at the border,” Congressman Adam Schiff tweeted. “It is simply cruel. Imagine the terror of a young child in a strange land, pried away from his or her parents. Whatever happened to compassion or family values?”

“Arresting and ripping apart parents and children is a new low in demagoguery. It’s another reminder of President Trump’s failure to craft a genuine set of border laws and his inhumane outlook,” the San Francisco Chronicle wrote.

“It’s a chilling but predictable new low for an administration that reacts blindly and harshly to any mention of immigrants. Families may be fleeing persecution, seeking a better life or trying to find relatives already in the U.S.”

It doesn’t stop there.  The Republicans, which just passed a tax scam that shifts $1.5 trillion in wealth from working people to the richest and adds that much to the national debt,so Trump is clawing back $7 billion in spending from the Children’s Health Insurance Program (CHIP), and  $252 million from a fund that earmarked to combat the Ebola outbreak.

Trump also is advocating for a Republican-pushed Farm Bill which cuts SNAP – the food stamp program that helps 40 million people, the majority who are children, seniors and disabled – by $20 billion,  literally taking food from babes’ mouths. Attaching new work requirements to qualify for the very benefits that are necessary because wages have not kept pace, despite record corporate profits and now $1.5 trillion in tax windfall for the richest.

He also sheds crocodile tears for how devastating the opioid crisis has been. But what has Trump actually done to address the opioid crisis? And for that matter, what has he or the Republican majority done to solve the life/death problem of access to affordable health care, instead, making impossible demands for the very people most desperate for health care to access Medicaid.

Indeed, he chose Mother’s Day to proclaim the start of National Women’s Health Week the guy who is doing everything possible to shut down Planned Parenthood, to sabotage access to affordable health care, who would make being a woman a “pre-existing condition”, who appears to care less that the US is facing a maternal mortality crisis, that up to 900 women die from pregnancy or childbirth complications each year with Black women are 3 to 4 times more likely to die than white women from those complications, not to mention that a woman who suffers a miscarriage may well be jailed for infanticide. (See: Virginia Woman Given a Jail Sentence for “Concealing a Dead Body” After Her Stillbirth)

Trump proclaims:

This is an opportunity to honor the importance of women across America and renew our pledge to support their health and well being.

One of the most LOL ironic among the May proclamations was the one Trump issued as a nod to his wife, Melania, who after  a year and a half as First Lady, finally declared her “agenda” branded as “Be Best” (which turns out to be copied from an Obama handbook on social media and bullying), declaring May 7,  “Be Best  Day”.

Trump’s remarks at this heralded event in which he followed up by signing a proclamation of “Be Best Day” did not speak at all to the essence of anti-bullying. No, not at all. It was all praise for Melania.

     America is truly blessed to have a First Lady who is so devoted to our country and to our children.

     On Be Best Day, we encourage and promote the well-being of children everywhere.  In an increasingly complex and inter‑connected world, nothing is more important than raising the next generation of Americans to be healthy, happy, productive, and morally responsible adults.  This begins with educating our children about the many critical issues they must confront in our modern world that affect their ability to lead balanced and fulfilled lives.

Our Nation’s children deserve certain knowledge that they are safe to grow, learn, and make mistakes.  Adults must provide them with the tools they need to make positive contributions in their schools, with their friends, and in their communities.

It will surprise people that May is also Jewish American Heritage Month, and here we can recall Trump’s varied and many dogwhistles to bigotry and hate and his tacit encouragement of White Supremacists.

      Jewish Americans have helped guide the moral character of our Nation… The contributions of the Jewish people to American society are innumerable, strengthening our Nation and making it more prosperous.

Lumping other minorities together in the same month’s celebrations, May is also Asian Americans and Pacific Islander Heritage Month, as a gratuitous nod to an appreciation of “diversity”:

       Americans of Asian and Pacific Islander descent have contributed immeasurably to our Nation’s development and diversity as a people.

It’s also Older Americans Month, as Trump declared:

      Our country and our communities are strong today because of the care and dedication of our elders.  Their unique perspectives and experiences have endowed us with valuable wisdom and guidance, and we commit to learning from them and ensuring their safety and comfort.

       My Administration is focused on the priorities of our Nation’s seniors. The Department of Justice, for example, is focused on protecting seniors from fraud and abuse.  My Administration is also committed to protecting the Social Security system so that seniors who have contributed to the system can receive benefits from it.  We are also dedicated to improving healthcare, including by increasing the quality of care our veterans receive through the Department of Veterans Affairs and by lowering prescription drug prices for millions of Americans.

Except that everything Trump’s administration has done goes against seniors, including rolling back the Consumer Financial Protection Board which helps seniors (and everyone else) address predatory tactics by financial industry, including Obama-era rules reining in PayDay lenders; has exploded the budget deficit in order to justify pulling billions out of Medicare and Social Security, is determined to narrow Medicaid, has sabotaged the Affordable Care Act resulting in higher premiums, and is risking the Veterans Administration’s ability to provide the specialized health care veterans require by its intent to privatize and put in charge Dr. Ronny with absolutely no experience whatsoever. And let’s examine again what this administration has not done to address opioid addiction or skyrocketing cost of prescription medication. What exactly has this administration done for seniors?

And now Republicans are taking $800 million out of Medicare and standing by as drug costs continue to skyrocket.

Of course, May finishes with Memorial Day, and Trump will no doubt pull out one of the proclamations that express such appreciation for those who have made the ultimate sacrifice to preserve America’s liberty and freedoms – 660,000 have died in all America’s wars since the Revolution (when 4,435 died), including 1,000 in the Indian Wars (1817-1898), 225,000 in the Civil War (140,414 for the Union, 74,524 Confederates); 53,402 in World War I, 291,557 in World War II, 33,739 in the Korean War, 47,434 in Vietnam and 6915 in the Global War on Terror (2001 to present).

Millions more have returned home, some with lifelong injuries both physical and mental. Trump’s answer to these Veterans isn’t the same as during Michelle Obama and Jill Biden’s Joining Forces campaign, or the efforts taken to improve access to health care and other services including a new GI Bill. Trump is moving forward with plans to privatize the Veterans Administration which is opposed by most veterans.

On the same day as Trump proclaimed “Military Spouse Day,” he adds to the list of military spouses deported, as well as veterans who had been promised citizenship in exchange for their military service.

      We ask so much of our military spouses:  frequent moves; heartbreaking separations; parenting alone; incomplete celebrations; and weeks, months, and sometimes years of waiting for a loved one’s safe return from harm’s way.  Time and time again, however, military spouses respond with resilience that defies explanation.  Our service members are often praised as national heroes, but their spouses are equally worthy of that distinction.

     My Administration is committed to taking care of our Armed Forces and ensuring that our military is equipped to defend our country and protect our way of life.  This mission also includes caring for the unique needs of military spouses, whose service to our Nation cannot be overstated.

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