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Utah becomes first US state to ban fluoride in public drinking water

Utah becomes first US state to ban fluoride in public drinking water

The Guardian28-03-2025

Utah has become the first US state to ban fluoride in public drinking water, despite widespread opposition from dentists and national health organizations.
Republican governor Spencer Cox signed legislation late Thursday that bars cities and communities from deciding whether to add the mineral to their water systems.
Fluoride strengthens teeth and reduces cavities by replacing minerals lost during normal wear and tear, according to the US Centers for Disease Control and Prevention.
Utah lawmakers who pushed for a ban said putting fluoride in water was too expensive. Cox, who grew up and raised his own children in a community without fluoridated water, compared it recently to being 'medicated' by the government.
The ban comes weeks after US health secretary Robert F Kennedy Jr, who has expressed skepticism about water fluoridation, was sworn into office.
More than 200 million people in the US, or almost two-thirds of the population, receive fluoridated water through community water. The addition of low levels of fluoride to drinking water has long been considered one of the greatest public health achievements of the last century.
But some cities across the country have gotten rid of fluoride from their water, and other municipalities are considering doing the same. A few months ago, a federal judge ordered the US Environmental Protection Agency to regulate fluoride in drinking water, arguing that high levels could pose a risk to the intellectual development of children.
The president of the American Dental Association, Brett Kessler, has said the amounts of fluoride added to drinking water are below levels considered problematic.
Opponents of Utah's move warn the ban will disproportionately affect low-income residents who may rely on public drinking water having fluoride as their only source of preventative dental care. Low-income families may not be able to afford regular dentist visits or the fluoride tablets some people buy as a supplement in cities without fluoridation.
The sponsor of the Utah legislation, Republican representative Stephanie Gricius, acknowledged fluoride has benefits, but said it was an issue of 'individual choice' to not have it in the water.

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A timeline of the twists and turns in the Trump-Musk relationship
A timeline of the twists and turns in the Trump-Musk relationship

NBC News

time41 minutes ago

  • NBC News

A timeline of the twists and turns in the Trump-Musk relationship

The escalating war of words this week between President Donald Trump and tech mogul Elon Musk marked the most contentious chapter in a yearslong and at-times rocky relationship between two of the most influential figures in business and politics. Musk, a former Democrat, has criticized Trump in the past, but over the past year forged a strong relationship with the president that positioned him to wield significant power and influence in the early months of Trump's second administration. Those close ties, though, came after years of ups and downs stretching back to 2016 when Musk accepted a spot on several of Trump's business advisory councils. Here are some of the highlights of Trump and Musk's volatile relationship from the past few years. July 2022: Musk suggests Trump should forgo White House bid Musk, who would ultimately emerge as one of the most loyal contributors to Trump's 2024 campaign, was initially a vocal opponent. Despite a solid working relationship with Trump during his first term, the enigmatic tech leader called on Trump to skip the 2024 race. "I don't hate the man, but it's time for Trump to hang up his hat & sail into the sunset," Musk wrote on X."Trump would be 82 at end of term, which is too old to be chief executive of anything, let alone the United States of America." The post was not without provocation — Trump days earlier at a campaign rally in Alaska bashed Musk for his effort to purchase X, then known as Twitter, and for saying in an interview that he never voted for a Republican. "He told me he voted for me," Trump said at the rally. "He's another bulls--- artist." Musk in response threw his support behind Florida Gov. Ron DeSantis. "If DeSantis runs against Biden in 2024, then DeSantis will easily win — he doesn't even need to campaign," he wrote on X. November 2022: Musk reinstates Trump's Twitter account Weeks after officially taking control of X, Musk extended an olive branch to Trump by reinstating his account on the social media platform — once his favorite online megaphone — after it was banned following the Jan. 6 attack on the Capitol. Musk reinstated the account on Nov. 19, four days after Trump formally launched his 2024 campaign. August 2023: Musk defends Trump as prosecutions pile up By the summer of 2023, Trump had been indicted in three separate criminal cases. Musk, who months earlier predicted Trump would win the 2024 election if arrested, condemned the prosecutions. "I did not vote for him last election, but such aggressive legal action against a former president is not right," Musk wrote. The post served as a shift for Musk, who soon after began posting more sympathetic messages about Trump. March 2024: Trump, desperate for cash, meets Musk in Palm Beach In the first few months of 2024, Trump's campaign found itself in a cash crunch after allocating upwards of $50 million toward his legal defense. So when Trump met with Musk alongside several other wealthy Republican donors in Palm Beach, Florida, most political observers were quick to connect the dots. Musk, the world's richest man, has insisted that the meeting was unplanned and maintains that Trump never explicitly requested funding. 'I'm not paying his legal bills in any way, shape or form … and he did not ask me for money,' Musk said in an interview after the meeting, though he did say afterward that he was at least " leaning away" from President Joe Biden. When asked about their meeting, Trump said he'd "helped" Musk in the past, without providing details. May 2024: Musk establishes a pro-Trump super PAC According to campaign finance documents, Musk created America PAC, a pro-Trump Super PAC, on May 22. Soon after, reports emerged that Trump and Musk had discussed a possible advisory role for the Tesla CEO in a second Trump administration, an effort to ensure Musk would hold a key position in the White House. July 2024: Musk endorses Trump Less than an hour after an assassination attempt on Trump at a rally in Pennsylvania, Musk officially threw his support behind Trump's candidacy. "I fully endorse President Trump and hope for his rapid recovery," Musk wrote on X. Trump responded by touting reports that Musk planned to contribute $45 million a month to his re-election effort and promising to make life "good" for him. "We have to make life good for our smart people. You know, we have some smart people. We have to make life good for our smart people, and he's as smart as you get," Trump said at his first campaign event after the assassination attempt. August 2024: Trump and Musk hold campaign event on X In an event billed by Trump's campaign as "the interview of the century," Trump joined Musk for an online rally on X. The event was repeatedly delayed due to tech issues, but saw the pair bond over their shared disdain for Biden's immigration policies. It also saw Musk unsuccessfully try to prod Trump into prioritizing renewable energy over fossil fuels. October 2024: Musk joins Trump at Pennsylvania rally after spending millions When Trump returned to the site of the first assassination attempt against him, he shared the rally stage with Musk, who accused Democrats of seeking to take away voters' freedom of speech and right to bear arms. Musk emphatically encouraged Trump supporters to "vote, vote, vote." By October, Musk had already given nearly $75 million to the super PAC he created to support Trump, according to campaign finance filings. That money was used in part to fund sprawling get-out-the-vote drives in battleground states, including door-knocking programs in deep-red, traditionally low-turnout areas. November 2024: Trump wins the election, after Musk spends $250 million on the race Trump's striking victory, in which he won all seven battleground states and the popular vote for the first time, came as Musk's spending for the effort surpassed a quarter billion dollars, according to campaign finance reports. Of that total, $120 million came in the final weeks of the race. In his election night speech, Trump praised Musk, saying, "A star is born." One week after the election, Trump appointed Musk and Vivek Ramaswamy to head up a newly formed Department of Government Efficiency, fulfilling a campaign promise to allow Musk to oversee cuts to government spending. Ramaswamy later left to pursue a gubernatorial bid in Ohio. Toward the end of the month, Trump traveled to Texas to watch the launch of Musk's SpaceX Starship rocket, despite previously ridiculing the company. January 2025: Musk speaks at Trump's inauguration rally Musk spoke at Trump's inauguration rally at Capital One Arena, emphatically lauding Trump's victory, jubilantly raising the prospect of taking DOGE to Mars and thanking the crowd for voting to guarantee "the future of civilization is assured." "My heart goes out to you," Musk said before forcefully touching his heart and raising his hand in a gesture some critics likened to a Nazi salute. Musk has denied that assertion. Among the first executive orders Trump signed on Jan. 20 was one that formalized the creation of the Musk-led Department of Government Efficiency. The White House officially announced Musk's role in early February, clearing way for him to oversee a wide-ranging effort to reduce to the size of the federal government through mass job cuts, the cancellation of research programs and grants and the dismantling a federal agencies. March 2025: Trump publicly limits Musk's authority amid clashes with Cabinet In an early sign of tensions between Musk and several Cabinet members, Trump placed limits on his adviser, making clear in a Truth Social post that staffing decisions across the federal government will be determined by agency heads, not Musk. The Tesla CEO had been exercising authority over rank-and-file federal workers, including a threat to fire them if they didn't respond to inquiries regarding their work output. The new publicly established guardrails appeared to do little to hurt the pair's relationship, with Trump a week later turning the South Lawn of the White House into a Tesla show room to demonstrate support for Musk amid slumping sales for his electric vehicle company. May 2025: Musk exits the White House amid simmering tensions On the first day of May, Musk told reporters at the White House that he would soon step back from DOGE to focus on his companies, comparing the shift to going from full-time to part-time work. The announcement came after Tesla reported a drop in its first-quarter profit and revenue. By the end of the month, Musk's exit was formalized. The White House on May 28 confirmed that Musk's tenure as a special government employee, a temporary role that he soon would legally have to exit anyway, had come to an end. Musk thanked Trump "for the opportunity to reduce wasteful spending," and the president at a news conference with Musk days later said, "Elon's service to America has been without comparison in modern history." Trump presented Musk with a gold-colored key at the event. But underneath the polite exchanges hid simmering tension: Musk days earlier appeared on CBS' "Sunday Morning" and bashed a massive Republican bill, designed to fund much of Trump's domestic agenda, by condemning the expected impact of the legislation on the national debt. Trump soon after pulled the nomination of billionaire Jared Isaacman, an associate of Musk, to be NASA administrator. June 2025: Tensions boil over and spill into public Days after formally departing the White House, Musk launched a scathing attack on the Trump-backed bill making its way through Congress. 'I'm sorry, but I just can't stand it anymore,' Musk wrote in a post on X. 'This massive, outrageous, pork-filled Congressional spending bill is a disgusting abomination. Shame on those who voted for it: you know you did wrong. You know it.' Asked about those criticisms, Trump expressed disappointment. "Elon knew the inner workings of this bill,' Trump told reporters, before suggesting Musk's opposition to the bill was personal. 'Elon is upset because we took the EV mandate which was a lot of money for electric vehicles. They're having a hard time the electric vehicles, and they want us to pay billions of dollars in subsidy," Trump said. The attacks quickly grew more personal. Musk called out Trump's "ingratitude," arguing that Republicans would have lost the 2024 election without his support. Trump in response said Musk "went crazy" after being asked to leave his White House role, and he toyed with the idea of severing government ties with Musk's companies. Musk replied by claiming Trump was in what are known as "the Epstein Files," and said Trump's tariff policy would cause a recession. He also amplified a post calling for Trump to be impeached and replaced by Vice President JD Vance. A day after the barrage of attacks, Trump told reporters he's no longer thinking of Musk. "Honestly, I've been so busy working on China, working on Russia, working on Iran, working on so many — I'm not thinking about Elon. You know, I just wish him well," he said.

What comes next in the Trump-Musk feud: From the Politics Desk
What comes next in the Trump-Musk feud: From the Politics Desk

NBC News

time7 hours ago

  • NBC News

What comes next in the Trump-Musk feud: From the Politics Desk

Welcome to the online version of From the Politics Desk, an evening newsletter that brings you the NBC News Politics team's latest reporting and analysis from the White House, Capitol Hill and the campaign trail. In today's edition, Kristen Welker dives into what comes next in the breakup between President Donald Trump and Elon Musk. Plus, our Capitol Hill team examines the senators who could make or break Trump's 'big, beautiful bill.' And Shannon Pettypiece answers this week's reader question on the U.S.-China trade war. Before we dive into all that, two bits of breaking news this Friday afternoon: Kilmar Abrego Garcia, the Maryland man whose erroneous deportation to El Salvador gave way to a protracted battle over due process, has been returned to the U.S. to face human smuggling charges in Tennessee. The Supreme Court allowed members of the Department of Government Efficiency to access Social Security Administration data. — Adam Wollner What's next in the feud between Trump and Musk? By Kristen Welker The feud between Elon Musk and President Donald Trump erupted yesterday in an epic clash between the world's richest man and the world's most powerful man — and it's not clear yet where the confrontation will go next. White House chief of staff Susie Wiles told me this morning that there are 'no plans' for a phone call between Trump and Musk today, despite at least one report that it was a possibility. But just because there's nothing on the books doesn't mean the two men won't have an impromptu call. After all, Trump has a personal cellphone where he often talks to everyone from world leaders to reporters. And one administration official told me anything can happen, and they'd like to 'de-escalate a very unfortunate situation.' While the White House may be looking to turn down the temperature, some of the president's allies were quick to go after Musk. Steve Bannon, a former Trump White House adviser, told me the president should 'pull every contract associated with Elon Musk' and start major investigations 'immediately.' Bannon also said, 'Thus spake the ketamine,' in a sign that some of Trump's allies are zeroing in on Musk's alleged drug use. (Musk has said he took ketamine to treat depression.) At stake in all of this is the future of Trump's signature legislation, which includes tax cut extensions, an elimination of tax on tips and overtime, and cuts and changes to federal programs including Medicaid and food stamps. Musk has trashed the 'big, beautiful bill,' arguing that it would balloon the country's debt. Sources from the White House and on Capitol Hill have told me that while Musk's opposition might embolden Republican senators who are already opposed to the measure, Musk is not flipping any more votes to the 'no' column at this point. I'm also told that if these senators had to choose between Trump and Musk, they'd choose Trump every time. We'll talk more about the next steps for Trump's domestic policy bill on 'Meet the Press' this Sunday, with exclusive interviews with Sens. James Lankford, R-Okla. and Cory Booker, D-N.J. Behind the scenes: Trump's team is taking the feud seriously: White House aides scrambled into at least two closed-door meetings Thursday to strategize about whether and how to respond to Musk's social media barrage. Vice President JD Vance was with Trump on Thursday when the tweets began and they spoke multiple times in the afternoon, according to a person familiar with the day's events. Trump encouraged Vance to be diplomatic about Musk if asked about him, the person said. Meanwhile, Trump is considering selling or giving away the red Tesla that he purchased in March, according to a senior White House official. By Sahil Kapur, Julie Tsirkin and Frank Thorp V Amid the back-and-forth between Donald Trump and Elon Musk this week, Senate Republican leaders have been juggling a host of competing demands as they prepare to take up — and make changes to — the House-passed 'big, beautiful bill.' They can ultimately afford to lose just three GOP votes on the Senate floor, assuming all Democrats oppose the package as expected. Here are the senators who could make or break the bill: Rand Paul: He's the only Republican senator who has voted against this legislation every step of the way. He has blasted the spike in military spending, the huge increase in deficits and, in particular, the $5 trillion debt limit hike. Paul does support a key part of the package — an extension of Trump's 2017 tax cuts — but he wants to offset it with trillions of dollars in additional spending cuts, on which the GOP has no hope of finding consensus. Susan Collins: The Maine senator is the sole Republican to represent a state that Democrats consistently win at the presidential level. And she faces re-election this year. Her trajectory has been revealing, from supporting the initial budget resolution to voting against the revised version. A key reason for her opposition? Concerns that the Medicaid cuts would harm low-income and older constituents. Lisa Murkowski: When she voted for the budget blueprint in April that kick-started the process of writing the legislation, the Alaska Republican quickly followed it up with a broad set of grievances that will need to be addressed, or she'll be 'unable to support' the final product. That includes the changes to Medicaid, the cost of the tax cuts and the phaseout of clean energy tax credits that benefit her state. Ron Johnson: The Wisconsin Republican has railed against the bill and its estimated $2.4 trillion contribution to the deficit, insisting he can't vote for it as written. He has slammed the idea of a megabill, calling for breaking it up and limiting the debt ceiling hike. Trump asked him to be 'less negative' during a meeting at the White House this week, Johnson said. ✉️ Mailbag: Who loses in a U.S.-China trade war? Thanks to everyone who emailed us! This week's reader question is on the ongoing trade war between the U.S. and China. 'Who is in worse shape if the two countries don't trade any longer?' To answer this, we turned to senior policy reporter Shannon Pettypiece, who has been covering the ins and outs of Trump's tariff agenda. Here's her response: Both the U.S. and China have a lot to lose by cutting off trade ties with each other, but in some ways, not as much as they did before the first wave of China tariffs Trump imposed in 2018. Chinese companies have been shifting production offshore, to neighboring countries like Vietnam and even Mexico, while Chinese officials have worked to boost trade with other trading partners, like the European Union. The share of total Chinese exports to the U.S. has dropped to an estimated 14% in 2024 from 19% in 2018. Across China's entire economy, U.S. exports account for 3% of China's gross domestic product, and a sustained U.S. tariff rate of 60% could reduce China's GDP by 2 percentage points, according to Goldman Sachs. In short, that would be bad for China's economy, but not entirely crippling. China's economy isn't on the strongest footing at the moment. Its growth has slowed since the Covid pandemic and the country is grappling with a collapse in its real estate market, which has wiped out the savings for many Chinese. The U.S. has also been working to lessen its dependence on China in recent years, and U.S. companies have increasingly been shifting their manufacturing out of China. China accounts for about 15% of total U.S. imports, down from about 22% in 2018. But the U.S. is still heavily dependent on China in a number of key areas, like rare earth metals crucial for U.S. manufacturing of cars and defense equipment. About a third of U.S. imports from China are in product categories where the vast majority of those items come from China, according to Goldman Sachs. That means, even a temporary halt to shipments from China could lead to supply chain shortages, like those seen during the Covid pandemic. But who blinks first or offers more concessions in a trade standoff could have just as much to do with politics as economics. China removed term limits on President Xi Jinping in 2018, essentially allowing him to remain in power for life. Meanwhile, the U.S. will have midterm elections next year and another presidential contest in 2028.

How RFK Jr. is quickly changing U.S. health agencies
How RFK Jr. is quickly changing U.S. health agencies

NBC News

time7 hours ago

  • NBC News

How RFK Jr. is quickly changing U.S. health agencies

WASHINGTON — In just a few short months, Health and Human Services Secretary Robert F. Kennedy Jr. has begun to transform U.S. health policy: shrinking staff at health agencies, restructuring the focus of some regulators and researchers, changing Covid vaccine regulations and reshaping the mission of his department to focus more on alternative medicine. The directives are all part of the same issue set that drove a slice of health-conscious, left-leaning Americans to eventually vote for a Republican president whose favorite meal is from McDonald's, Trump and Kennedy catered to a type of voter who has grown distrustful of America's health care establishment — but possibly fomented a new type of distrust in federal health policy along the way. Bernadine Francis, a lifelong Democrat who backed Joe Biden for president in 2020 before supporting Donald Trump in 2024, told NBC News in an interview that she approves of Kennedy's efforts so far, despite his 'hands being tied' by entrenched forces in the administration and in Congress. 'From what I have seen so far with what RFK has been trying to do,' she said, 'I am really, really proud of what he's doing.' Francis is among the voters who left the Democratic Party and voted for Trump because 'nothing else mattered' apart from public health, which they — like Kennedy — felt was going in the wrong direction. Concerns about chemicals in food and toxins in the environment, long championed by Democrats, has become a galvanizing issue to a key portion of Trump's Republican Party, complete with an oversaturation of information that in some cases hasn't been proven. It's wrapped up, as well, in concerns about the Covid vaccine, which was accelerated under Trump, administered under Biden and weaponized by anti-vaccine activists like Kennedy amid lockdowns and firings in the wake of the devastating pandemic. 'We knew in order to get RFK in there so he can help with the situation that we have in the health industry, we knew we had to do this,' said Francis, a retired Washington, D.C., public school administrator, who said she left her 'beloved' career because she had refused the vaccine. 'It seemed to me, as soon as [Biden] became president, the vaccine was mandated, and that was when I lost all hope in the Democrats,' Francis told NBC News, referring to vaccination mandates put in place by the Biden administration for a large portion of the federal workforce during the height of the pandemic. There are not currently any federal Covid vaccine mandates. There have been 1,228,393 confirmed Covid deaths in the United States since the start of the pandemic, according to data from the Centers for Disease Control and Prevention. How RFK Jr.'s picks are changing public health agencies Dr. Marty Makary, Kennedy's hand-picked commissioner of the Food and Drug Administration and a John Hopkins scientist and researcher, told NBC News in an interview that he wants to transform the agency, which he said faced 'corruption' over influence from the pharmaceutical and food industries. 'I mean, you look at the food pyramid, it was not based on what's best for you, it was based on what companies wanted you to buy,' he said, referring to the 1992 and later iterations of official government nutritional guidance. He said there would be 'entirely new nutrition guidance' released later this year, as soon as this summer. He praised the FDA's mission of research and regulation, saying the agency is 'incredibly well-oiled, and we've got the trains running on time.' He also highlighted the 75-page 'Make America Healthy Again' commission report — which focused on ultraprocessed foods and toxins in the environment — as having set 'the agenda for research' at the FDA, HHS and agencies overseeing social safety net programs such as Medicare and food stamps moving forward. (The MAHA report initially cited some studies that didn't exist, a mistake that Kennedy adviser Calley Means said was a 'great disservice' to their mission.) 'I think there's a lot we're going to learn. For example, the microbiome, which gets attention in the MAHA report, needs to be on the map. We don't even talk about it in our medical circles,' Makary said. 'The microbiome, food is medicine, the immune response that happens when chemicals that don't appear in nature go down our GI tract.' Pressed on other areas of the administration, like the Environmental Protection Agency, making decisions that run counter to the pro-regulatory ideas presented in the MAHA report, Makary said he can 'only comment on the FDA' where they are 'committed to Secretary Kennedy's vision.' But Kennedy's public health agenda goes beyond looking at the food supply and chemicals. Recently, Kennedy said in a video posted on X last month that the Covid vaccine is no longer recommended for healthy children and pregnant women, a change in CDC guidance that skipped the normal public review period. Days later, after critics questioned the decision and raised concerns over a lack of public data behind the move, the administration updated its guidance again, urging parents to consult with their doctors instead. Pressed about the confusion and whether Americans are now trading one side of public distrust in the health system for another, Makary defended Kennedy, who has been criticized for spreading misinformation. 'My experience with Secretary Robert F. Kennedy is that he listens. He listens to myself, he listens to Jay Bhattacharya, listens to Dr. Mehmet Oz, he listens to a host of scientists that are giving him guidance,' Makary argued, referring to the director of the National Institutes of Health and the administrator for the Centers for Medicare & Medicaid Services, respectively. 'So he may have big questions, but the questions he's asking are the questions most Americans are asking.' The intersection of medicine and healthy lifestyle choices Dr. Dawn Mussallem, a breast cancer oncologist and integrative medicine doctor — a physician who combines conventional treatments with research-based alternative therapies — has tried to help her patients wade through medical misinformation they encounter online and in their social circles. Mussallem has an incredible story of personal survival: While in medical school, she was diagnosed with Stage IV cancer and, after conventional therapies like chemo saved her life, was diagnosed with heart failure. After undergoing a heart transplant, Mussallem ran a 26-mile marathon just one year later. 'I learned a lot in medical school, but nothing compared to what I learned being a patient,' said Mussallem, who dedicates, on average, 90 minutes each in one-on-one sessions with her patients. 'This is not about any one political choice. But we know lifestyle matters.' For example, a new study from the American Society of Clinical Oncology that finds eating food that lowers inflammation in the body may help people with advanced colon cancer survive longer. Mussallem's mission, along with her colleagues, is to elevate the modern medicine that saved her life, as well as encouraging her patients to live healthy lifestyles, including regular exercise, minimally processed foods, less screen time, more social connection and better sleep. But politics do get in the way for millions of Americans who are inundated daily with social media influencers and 'nonmedical experts,' as Mussallem puts it, who stoke fear in her patients. 'Patients come in with all these questions, fears,' she said. 'I've heard this many times from patients, that their nervous system is affected by what they're seeing happening in government.' Mussallem acknowledges that 'a lot of individuals out there' have questioned traditional medicine. For her, it isn't one or the other — it's both. 'We have to trust the conventional medicine,' she said. 'With the conventional care that marches right alongside more of an integrative modality to look at the root causes of disease, as well as to help to optimize with lifestyle, is where we need to be.'

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