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Should you get an apple watch just got an apple watch now what how to start an apple watch how to get apple watch working apple watch get started apple watch couldn t connect to iphone how the apple watch is made how to apple watch how the market works how the universe works how the prime minister stole freedom how the stock market works
How the Apple Watch Could Become an Even Better Fitness Tracker
How the Apple Watch Could Become an Even Better Fitness Tracker
The Apple Watch, like many modern health trackers, can measure an almost dizzying number of statistics. It added blood oxygen saturation measurements to that growing list in 2020, and reports from The Wall Street Journal and Bloomberg suggest a temperature sensor could be next. But what I really want is more ways to make sense of that data... and more context to go along with it.
Who knows whether any of these capabilities will ever arrive on the Apple Watch. Apple is doing a lot of things right, but there's room for improvement.
More customization for daily goals
A day doesn't feel complete if I don't have at least one Activity Ring. But not every day is the same, and the Apple Watch shouldn't act like it should be: I want different move and exercise goals depending on the day of the week. On days when I'm commuting to the office and know I'll have time for a long workout, I'd like to set higher goals for my exercise minutes and burned calories.
I also imagine setting a schedule like this could be helpful for building a regular exercise routine. While you can change your activity goals anytime on the Apple Watch, there's no way to customize goals according to specific days. – Lisa Eadicicco, Senior Editor
Apple Watch's Workout app.
Lexy Savvides/CNET
Scores for readiness and sleep
After living off and on with the Oura Ring and several Fitbit trackers for the last few years, I've gotten really used to having both sleep tracking and a holistic type of daily "readiness score" as part of my daily watch feedback. A readiness score indicates whether your body is rested enough for a heavy workout or if you should skip the gym. The score takes a variety of factors into account, such as sleep, recent activity and heart rate variability among other metrics.
Similarly, a sleep score indicates the quality of your slumber through statistics like time spent asleep and whether you were tossing and turning, along with other elements. Both Oura and Fitbit offer their own versions of sleep and readiness scores.
To be sure, readiness scores and sleep scores aren't necessarily perfect predictors of anything, but neither are daily activity rings. I find the calculation of activity, sleep, heart rate and other factors boiled into an overall score interesting as a correlative snapshot of how I might be feeling.
Both Fitbit and Oura also fold temperature into the mix: Changes in body temperature, resting heart rate and breathing rate could possibly flag a change in how well I'm feeling. Again, it's not perfect, but Apple seems well overdue to add these features to the Apple Watch. – Scott Stein, Editor atLarge
The Apple Watch could improve how it tracks rest.
Lexy Savvides/CNET
More focus on recovery
I'd love to see the Apple Watch lean more into recovery and rest. If the past couple of years have taught me anything, it's the importance of listening to my body. The activity rings are a great way to motivate me to move, but some days it's just not practical to close them -- especially if you feel unwell. Let's have a flag or toggle on the watch to signal when you need a rest day. And perhaps adjust the Move circle to instead reward that recovery or mindful rest.
With all the health data the Apple Watch already gathers, like heart rate variability, sleep and overall activity, it makes sense to consolidate this all into an easy-to-understand metric. Maybe it's a score like Scott mentioned. Or it could be another ring that is automatically filled with how "ready" you are and changes daily based on your body's responses.
With the mindfulness app in WatchOS 8 and meditation activities within Fitness Plus, Apple already has the tools to support rest and recovery. Let's see it come full circle. – Lexy Savvides, Principal VideoProducer
The Apple Watch could perhaps do more with AirPods.
Sarah Tew/CNET
AirPods health tracking with Apple Watch
There's huge potential for AirPods to pair even more closely with the Apple Watch -- beyond just music. Perhaps it's measuring heart rate or blood pressure from the ear to complement the existing heart-health features on the Apple Watch. Maybe it's even more robust with your ear acting as an additional lead for the electrocardiogram app. Ming-Chi Kuo, an analyst at TF International Securities known for his Apple product predictions, sees promise here, too. He pointed to the addition of health management functions as a potential way for Apple to grow AirPods shipments in the future, according to an investors note MacRumors viewed. – LexySavvides
The Apple Watch could also try out weekly goals as seen on Amazon's Halo app.
Lexy Savvides/CNET
Weekly fitness goals
The Apple Watch's Activity Rings are an excellent reminder to get up and move every day. Unfortunately, I haven't found an equivalent that's as motivating for quantifying progress on a weekly basis.
Amazon's Halo app and fitness tracker made me realize the value of setting activity goals by the week instead of by the day. Instead of a daily goal, Amazon sets a weekly objective of 150 points that you earn by being active. (Points are subtracted if you're sedentary for too long, too.) Measuring weekly activity gives me a better snapshot of how active I generally am throughout the whole week. I could have an extremely busy day and exceed my Apple Watch's move goal, but that might be a fluke. A weekly target may make it easier to establish consistency.
Plus, measuring weekly activity makes every bit of movement feel like it counts. A brisk walk to the subway won't be enough to close my Apple Watch's daily Activity Rings, so it almost feels pointless. But it's comforting to know it's contributing toward my weekly Halo activity goal. I'm not saying Apple should replace daily goals with weekly ones, but it would be nice to at least have the option.
There are other ways to track weekly and monthly progress on the Apple Watch, but none of them have felt as rewarding as closing an Activity Ring. For example, you can view your weekly and monthly activity in Apple's Fitness app. There's also a section in the app that shows how your last 90 days of activity are trending compared to the previous 365 days. Apple also rewards you with special app badges for meeting certain milestones, like working out all seven days in the same week or reaching your move goal 500 times. – Lisa Eadicicco
The Amazon Halo View.
Lisa Eadicicco/CNET
Apple never discusses product plans before publicly announcing them, so there's no telling whether any of these wish list features will become a reality. We're expecting to learn about the Apple Watch's next major software update at the company's Worldwide Developers Conference in June, and the company typically announces new Apple Watch models in the fall. If Apple's history is any indication, we can expect health and wellness to be a large part of both announcements.
Triple h leaving wwe wwe triple h retirement did triple h retire is triple h retired did triple h retire wwe triple h wiki wwe wrestling triple h wwe triple h youtube wwe triple h youtube wwe triple h bio wwe star triple h wwe star dead
WWE Star Triple H Has Retired From Wrestling
WWE Star Triple H Has Retired From Wrestling
One of the WWE's most popular and successful in-ring performers, Triple H, has just announced he's retiring from professional wrestling. Triple H, real name Paul Levesque, made the announcement during an interview with ESPN's Stephen A. Smith.
"For me, as far as in-ring... I'm done," Levesque said. "I won't, no, I would never wrestle again."
Levesque, 52, has been struggling with health issues. In September last year he suffered from viral pneumonia, which led to heart failure. He subsequently underwent a successful medical procedure, which installed a defibrillator in his chest.
"I was nose-diving and sort of at the 1-yard line of where you don't want to be really, for your family and your future," Levesque said. "There's moments in there when they're putting you out for stuff and you think, 'Is this it? Do you wake up from this?' That's tough to swallow and makes you think differently."
Levesque, who's married to Stephanie McMahon, the longtime owner of WWE, was successful in almost every possible way. He held 14 WWE world titles and was one of the company's biggest stars during the "Attitude Era," the time during which the WWE produced stars like Stone Cold Steve Austin and The Rock. He's also competed in the main event of the WWE's marquee show, Wrestlemania, an incredible seven times. Only Hulk Hogan has wrestled in more.
Levesque's last televised match was against Randy Orton in June 7, 2019. He's now the head of the WWE's wildly successful development brand, NXT, which has been the breeding ground for many of the WWE's current biggest stars.
YouTube, Snapchat, Gmail connection issues in eastern US now fixed
YouTube, Snapchat, Gmail connection issues in eastern US now fixed
If you had troubles with YouTube or Gmail on Sunday, those issues should now be fixed.
Google Cloud had been experiencing widespread problems Sunday, which wreaked havoc on YouTube, Snapchat, Gmail, Discord and a host of other popular apps and services across the eastern United States.
YouTube wasn't completely down for CNET's John Falcone in Brooklyn Sunday, but some videos were inaccessible, at least temporarily.
Screenshot by CNET
Google pointed to "high levels of network congestion in the eastern USA, affecting multiple services in Google Cloud, G Suite and YouTube."
"Users may see slow performance or intermittent errors," the company said in a statement around 2 p.m. PT. "We believe we have identified the root cause of the congestion and expect to return to normal service shortly."
Google's status page for Cloud confirmed the company was having issues with the service as of 1 p.m. PT. The search giant marked Google's Cloud Compute Engine and Cloud Networking services as suffering outages on its status dashboard.
At about 4 p.m. PT, the status page said the network congestion issue "is resolved for the vast majority of users, and we expect a full resolution in the near future."
As of 5 p.m. PT, the Google Cloud Status Dashboard shows all services available.
"The network congestion issue in eastern USA affecting Google Cloud, G Suite and YouTube has been resolved for all affected users as of 4:00pm US/Pacific," a Google spokesperson said late Sunday.
"We will conduct a post mortem and make appropriate improvements to our systems to prevent this from happening again."
YouTube seemed to be working on the West Coast, with CNET reporters able to access the video streaming site just fine. A CNET editor on the East Coast, however, noted that he was encountering issues. One video, for example, was inaccessible for about 15 minutes.
Google Cloud is the company's hosting platform, similar to Amazon's Amazon Web Services and Microsoft's Azure. In addition to powering its own services, other companies such as Snapchat and Uber, rely on Google's infrastructure to provide the backend for their apps and platforms.
News of the outage quickly spread across social media, with #YouTubeDOWN and #snapchatdown rising to the top of Twitter's Trending Topics section as users voiced their frustrations.
Other services that rely on Google Cloud for hosting also seemed to have experienced issues.
Downdetector.com, which monitors network issues, showed widespread issues for the East Coast of the US as well as in parts of Europe for YouTube and Gmail.
Originally published at 1:20 p.m. PT. Updates, 2:25 p.m.: Adds comment from Google and background on Google Cloud; 4:30 p.m.: Adds that the congestion issue is resolved for most users; 5:50 p.m.: Adds comment from Google spokesperson.
TikTok Parents Are Taking Advantage of Their Kids. It Needs to Stop
TikTok Parents Are Taking Advantage of Their Kids. It Needs to Stop
Rachel Barkman's son started accurately identifying different species of mushroom at the age of 2. Together they'd go out into the mossy woods near her home in Vancouver and forage. When it came to occasionally sharing in her TikTok videos her son's enthusiasm and skill for picking mushrooms, she didn't think twice about it -- they captured a few cute moments, and many of her 350,000-plus followers seemed to like it.
That was until last winter, when a female stranger approached them in the forest, bent down and addressed her son, then 3, by name and asked if he could show her some mushrooms.
"I immediately went cold at the realization that I had equipped complete strangers with knowledge of my son that puts him at risk," Barkman said in an interview this past June.
This incident, combined with research into the dangers of sharing too much, made her reevaluate her son's presence online. Starting at the beginning of this year, she vowed not to feature his face in future content.
"My decision was fueled by a desire to protect my son, but also to protect and respect his identity and privacy, because he has a right to choose the way he is shown to the world," she said.
These kinds of dangers have cropped up alongside the rise in child influencers, such as 10-year-old Ryan Kaji of Ryan's World, who has almost 33 million subscribers, with various estimates putting his net worth in the multiple tens of millions of dollars. Increasingly, brands are looking to use smaller, more niche, micro- and nano-influencers, developing popular accounts on Instagram, TikTok and YouTube to reach their audiences. And amid this influencer gold rush there's a strong incentive for parents, many of whom are sharing photos and videos of their kids online anyway, to get in on the action.
The increase in the number of parents who manage accounts for their kids -- child influencers' parents are often referred to as "sharents" -- opens the door to exploitation or other dangers. With almost no industry guardrails in place, these parents find themselves in an unregulated wild west. They're the only arbiters of how much exposure their children get, how much work their kids do, and what happens to money earned through any content they feature in.
Instagram didn't respond to multiple requests for comment about whether it takes any steps to safeguard child influencers. A representative for TikTok said the company has a zero-tolerance approach to sexual exploitation and pointed to policies to protect accounts of users under the age of 16. But these policies don't apply to parents posting with or on behalf of their children. YouTube didn't immediately respond to a request for comment.
"When parents share about their children online, they act as both the gatekeeper -- the one tasked with protecting a child's personal information -- and as the gate opener," said Stacey Steinberg, a professor of law at the University of Florida and author of the book Growing Up Shared. As the gate opener, "they benefit, gaining both social and possibly financial capital by their online disclosures."
The reality is that some parents neglect the gatekeeping and leave the gate wide open for any internet stranger to walk through unchecked. And walk through they do.
Meet the sharents
Mollie is an aspiring dancer and model with an Instagram following of 122,000 people. Her age is ambiguous but she could be anywhere from 11-13, meaning it's unlikely she's old enough to meet the social media platform's minimum age requirement. Her account is managed by her father, Chris, whose own account is linked in her bio, bringing things in line with Instagram's policy. (Chris didn't respond to a request for comment.)
You don't have to travel far on Instagram to discover accounts such as Mollie's, where grown men openly leer at preteen girls. Public-facing, parent-run accounts dedicated to dancers and gymnasts -- who are under the age of 13 and too young to have accounts of their own -- number in the thousands. (To protect privacy, we've chosen not to identify Mollie, which isn't her real name, or any other minors who haven't already appeared in the media.)
Parents use these accounts, which can have tens of thousands or hundreds of thousands of followers, to raise their daughters' profiles by posting photos of them posing and demonstrating their flexibility in bikinis and leotards. The comment sections are often flooded with sexualized remarks. A single, ugly word appeared under one group shot of several young girls in bikinis: "orgy."
Some parents try to contain the damage by limiting comments on posts that attract too much attention. The parent running one dancer account took a break from regular scheduling to post a pastel-hued graphic reminding other parents to review their followers regularly. "After seeing multiple stories and posts from dance photographers we admire about cleaning up followers, I decided to spend time cleaning," read the caption. "I was shocked at how many creeps got through as followers."
But "cleaning up" means engaging in a never-ending game of whack-a-mole to keep unwanted followers at bay, and it ignores the fact that you don't need to be following a public account to view the posts. Photos of children are regularly reposted on fan or aggregator accounts, over which parents have no control, and they can also be served up through hashtags or through Instagram's discovery algorithms.
The simple truth is that publicly posted content is anyone's for the taking. "Once public engagement happens, it is very hard, if not impossible, to really put meaningful boundaries around it," said Leah Plunkett, author of the book Sharenthood and a member of the faculty at Harvard Law School.
This concern is at the heart of the current drama concerning the TikTok account @wren.eleanor. Wren is an adorable blonde 3-year-old girl, and the account, which has 17.3 million followers, is managed by her mother, Jacquelyn, who posts videos almost exclusively of her child.
Concerned onlookers have pointed Jacquelyn toward comments that appear to be predatory, and have warned her that videos in which Wren is in a bathing suit, pretending to insert a tampon, or eating various foodstuffs have more watches, likes and saves than other content. They claim her reluctance to stop posting in spite of their warnings demonstrates she's prioritizing the income from her account over Wren's safety. Jacquelyn didn't respond to several requests for comment.
Last year, the FBI ran a campaign in which it estimated that there were 500,000 predators online every day -- and that's just in the US. Right now, across social platforms, we're seeing the growth of digital marketplaces that hinge on child exploitation, said Plunkett. She doesn't want to tell other parents what to do, she added, but she wants them to be aware that there's "a very real, very pressing threat that even innocent content that they put up about their children is very likely to be repurposed and find its way into those marketplaces."
Naivete vs. exploitation
When parent influencers started out in the world of blogging over a decade ago, the industry wasn't exploitative in the same way it is today, said Crystal Abidin, an academic from Curtin University who specializes in internet cultures. When you trace the child influencer industry back to its roots, what you find is parents, usually mothers, reaching out to one another to connect. "It first came from a place of care among these parent influencers," she said.
Over time, the industry shifted, centering on children more and more as advertising dollars flowed in and new marketplaces formed.
Education about the risks hasn't caught up, which is why people like Sarah Adams, a Vancouver mom who runs the TikTok account @mom.uncharted, have taken it upon themselves to raise the flag on those risks. "My ultimate goal is just have parents pause and reflect on the state of sharenting right now," she said.
But as Mom Uncharted, Adams is also part of a wider unofficial and informal watchdog group of internet moms and child safety experts shedding light on the often disturbing way in which some parents are, sometimes knowingly, exploiting their children online.
The troubling behavior uncovered by Adams and others suggests there's more than naivete at play -- specifically when parents sign up for and advertise services that let people buy "exclusive" or "VIP" access to content featuring their children.
Some parent-run social media accounts that Adams has found linked out to a site called SelectSets, which lets the parents sell photo sets of their children. One account offered sets with titles such as "2 little princesses." SelectSets has described the service as "a classy and professional" option for influencers to monetize content, allowing them to "avoid the stigma often associated with other platforms."
Over the last few weeks, SelectSets has gone offline and no owner could be traced for comment.
In addition to selling photos, many parent-run dancer accounts, Mollie's included, allow strangers to send the dancers swimwear and underwear from the dancers' Amazon wish lists, or money to "sponsor" them to "realize their dream" or support them on their "journeys."
While there's nothing technically illegal about anything these parents are doing, they're placing their children in a gray area that's not explicitly sexual but that many people would consider to be sexualized. The business model of using an Amazon wish list is one commonly embraced by online sugar babies who accept money and gifts from older men.
"Our Conditions of Use and Sale make clear that users of Amazon Services must be 18 or older or accompanied by a parent or guardian," said an Amazon spokesperson in a statement. "In rare cases where we are made aware that an account has been opened by a minor without permission, we close the account."
Adams says it's unlikely to be other 11-year-olds sending their pocket money to these girls so they attend their next bikini modeling shoot. "Who the fuck do you think is tipping these kids?" she said. "It's predators who are liking the way you exploit your child and giving them all the content they need."
Turning points
Plunkett distinguishes between parents who are casually sharing content that features their kids and parents who are sharing for profit, an activity she describes as "commercial sharenting."
"You are taking your child, or in some cases, your broader family's private or intimate moments, and sharing them digitally, in the hope of having some kind of current or future financial benefit," she said.
No matter the parent's hopes or intentions, any time children appear in public-facing social media content, that content has the potential to go viral, and when it does, parents have a choice to either lean in and monetize it or try to rein it in.
During Abidin's research -- in which she follows the changing activities of the same influencers over time -- she's found that many influencer parents reach a turning point. It can be triggered by something as simple as other children at school being aware of their child's celebrity or their child not enjoying it anymore, or as serious as being involved in a car chase while trying to escape fans (an occurrence recounted to Abidin by one of her research subjects).
One influencer, Katy Rose Pritchard, who has almost 92,000 Instagram followers, decided to stop showing her children's faces on social media this year after she discovered they were being used to create role-playing accounts. People had taken photos of her children that she'd posted and used them to create fictional profiles of children for personal gratification, which she said in a post made her feel "violated."
All these examples highlight the different kinds of threats sharents are exposing their children to. Plunkett describes three "buckets" of risk tied to publicly sharing content online. The first and perhaps most obvious are risks involving criminal and/or dangerous behavior, posing a direct threat to the child.
The second are indirect risks, where content posted featuring children can be taken, reused, analyzed or repurposed by people with nefarious motives. Consequences include anything from bullying to harming future job prospects to millions of people having access to children's medical information -- a common trope on YouTube is a video with a melodramatic title and thumbnail involving a child's trip to the hospital, in which influencer parents with sick kids will document their health journeys in blow-by-blow detail.
The third set of risks are probably the least talked about, but they involve potential harm to a child's sense of self. If you're a child influencer, how you see yourself as a person and your ability to develop into an adult is "going to be shaped and in some instances impeded by the fact that your parents are creating this public performance persona for you," said Plunkett.
Often children won't be aware of what this public persona looks like to the audience and how it's being interpreted. They may not even be aware it exists. But at some point, as happened with Barkman, the private world in which content is created and the public world in which it's consumed will inevitably collide. At that point, the child will be thrust into the position of confronting the persona that's been created for them.
"As kids get older, they naturally want to define themselves on their own terms, and if parents have overshared about them in public spaces, that can be difficult, as many will already have notions about who that child is or what that child may like," said Steinberg. "These notions, of course, may be incorrect. And some children may value privacy and wish their life stories were theirs -- not their parents -- to tell."
Savannah and Cole LaBrant have documented nearly everything about their children's lives.
Jim Spellman/WireImage
This aspect of having their real-life stories made public is a key factor distinguishing children working in social media from children working in the professional entertainment industry, who usually play fictional roles. Many children who will become teens and adults in the next couple of decades will have to reckon with the fact that their parents put their most vulnerable moments on the internet for the world to see -- their meltdowns, their humiliation, their most personal moments.
One influencer family, the LaBrants, were forced to issue a public apology in 2019 after they played an April Fools' Day Joke on their 6-year-old daughter Everleigh. The family pretended they were giving her dog away, eliciting tears throughout the video. As a result, many viewers felt that her parents, Sav and Cole, had inflicted unnecessary distress on her.
In the past few months, parents who film their children during meltdowns to demonstrate how to calm them down have found themselves the subject of ire on parenting Subreddits. Their critics argue that it's unfair to post content of children when they're at their most vulnerable, as it shows a lack of respect for a child's right to privacy.
Privacy-centric parenting
Even the staunchest advocates of child privacy know and understand the parental instinct of wanting to share their children's cuteness and talent with the world. "Our kids are the things usually we're the most proud of, the most excited about," said Adams. "It is normal to want to show them off and be proud of them."
When Adams started her account two years ago, she said her views were seen as more polarizing. But increasingly people seem to relate and share her concerns. Most of these are "average parents," naive to the risks they're exposing their kids to, but some are "commercial sharents" too.
Even though they don't always see eye to eye, the private conversations she's had with parents of children (she doesn't publicly call out anyone) with massive social media presences have been civil and productive. "I hope it opens more parents' eyes to the reality of the situation, because frankly this is all just a large social experiment," she said. "And it's being done on our kids. And that just doesn't seem like a good idea."
For Barkman, it's been "surprisingly easy, and hugely beneficial" to stop sharing content about her son. She's more present, and focuses only on capturing memories she wants to keep for herself.
"When motherhood is all consuming, it sometimes feels like that's all you have to offer, so I completely understand how we have slid into oversharing our children," she said. "It's a huge chunk of our identity and our hearts."
But Barkman recognizes the reality of the situation, which is that she doesn't know who's viewing her content and that she can't rely on tech platforms to protect her son. "We are raising a generation of children who have their entire lives broadcast online, and the newness of social media means we don't have much data on the impacts of that reality on children," she said. "I feel better acting with caution and letting my son have his privacy so that he can decide how he wants to be perceived by the world when he's ready and able."
What States Can and Can't Do When Banning Abortion
What States Can and Can't Do When Banning Abortion
For more information about your reproductive health rights and related federal resources, you can visit the US government's
Reproductive Rights
site.
Whether someone can get an abortion or related medical procedure mostly hinges on which state they live in after the Supreme Court overturned Roe v. Wade last month and ended the constitutional right to abortion. But the switch from federal protection to state law isn't straightforward and has led to confusion and misinformation on what pregnant patients and physicians can do.
In this still developing landscape, how confident can people be that their treatment is still legal?
"The answer to all your questions is 'Who the heck knows,'" said Dr. Louise Perkins King, a surgeon and bioethicist at Harvard Medical School. "And that's the problem."
The US Department of Health and Human Services issued guidance on July 11 reminding physicians of their responsibilities under the existing Emergency Medical Treatment and Labor Act, or EMTLA, which supports the need to treat and stabilize patients in an emergency, including pregnant patients who may require an abortion. Days later, Texas sued the Biden administration over the law, which allows for medical assistance to save the life of the mother, because, Texas Attorney General Ken Paxton said, it "seeks to transform every emergency room in the country into a walk-in abortion clinic."
On Tuesday, a judge in Texas blocked the EMTLA guidance, so physicians in that state may no longer be protected by federal law if they perform an abortion when they deem it medically necessary but it falls outside of Texas' interpretation of a life-endangering pregnancy. Physicians nationwide who are members of the American Association of Pro-Life Gynecologists and Obstetricians or the Christian Medical and Dental Association are also exempt -- a total of about 18,000 health care providers, according to the court document.
Texas' new trigger law -- which will be in effect on Aug. 25 -- bans all abortions except when the pregnancy puts the mother "at risk of death or poses a serious risk of substantial impairment of a major bodily function." Physicians who perform an illegal abortion will be committing a felony. It doesn't make exceptions for rape, incest or fetal abnormalities, and it also doesn't make an exception for when the pregnant person's risk of death would come from a "claim or diagnosis" that they'll be hurt or might die in the future. (This could be interpreted to mean a doctor can't provide an abortion if a woman threatens to die by suicide because she has depression.) All abortions are currently banned in Texas after the state's Supreme Court ruled that a law from the 1920s could stand.
Legal battles within some states will continue to shape post-Roe America, with the landscape changing by the day. And lawsuits like the one in Texas clarify the country's stance on whether state law preempts federal rule on abortion or reproductive health care. Basically, can federal regulations trump state law?
"There's going to be cases that are going to have to determine this question," I. Glenn Cohen, a professor and bioethicist at Harvard Law School, said.
The argument over medication abortion access -- which is banned or restricted in many states but still available to people if they order it (not without risk) online -- will likely also be one of the first big court cases post-Roe, Cohen said. Questions of whether federal regulations on medication abortion conflict directly enough with state restrictions will continue to be center stage.
Medication abortion, for use in early pregnancy, accounts for more than half of abortions in the US. Restricting the pills is the new frontier of abortion bans.
Robyn Beck/Getty Images
Other federal guidance issued by the Biden administration includes a reminder to pharmacists that they are required to fill medication and birth control prescriptions for patients. Failing to do so is discrimination based on pregnancy status. This was in response to the many reports of women having treatment delayed or prescriptions denied while health care workers try to navigate around new state laws.
Here's what we know today.
Can states ban abortion pills? Not completely, but some are trying.
Any state with a current total ban on abortion -- including Texas, Oklahoma, South Dakota, Alabama, Arkansas, Mississippi, Missouri and Wisconsin -- also bans medication abortion. Heavy restrictions in other states, including Tennessee and South Carolina, which ban abortion after about six weeks, also extend to medication abortion. This means providers can't prescribe the medication in those states and patients can't fill prescriptions at pharmacies.
"If a state law bans abortion broadly, that includes medication abortions," Elisabeth Smith, director of state policy and advocacy at the Center for Reproductive Rights, told MedPage Today.
But abortion bans and state laws seek to punish abortion providers or people who assist them, not the person seeking the abortion (there's reason to believe this might change in the future). For now, people living in the most restrictive states can still order pills from an overseas pharmacy, including Aid Access. However, the pills could take awhile to arrive and potentially put the person past the point of pregnancy for which the medication is safe and effective (about 10 weeks).
Peter Dazeley/Getty Images
The fate of medication abortion pills in Republican-leaning states centers on mifepristone, the first pill given in the two-dose regimen of medication abortion. Because the US Food and Drug Administration approved mifepristone as a safe and effective way to end a pregnancy over 20 years ago, states shouldn't be able to restrict it, the US attorney general's office argued the same day Roe was overturned. (Misoprostol, the second pill, is used off-label for abortion and miscarriage treatment. It's also used to treat health conditions such as stomach ulcers.)
Whether this federal regulation (and the FDA's stamp of approval) supersedes state laws will need to be decided. Cohen said this is likely to be determined by the Supreme Court as "one of the first post-Dobbs cases."
"It's unclear whether that's going to be a winner of an argument, to be perfectly honest," Cohen said.
Last year, the FDA extended a pandemic-era rule that allowed patients to get medication abortion pills through the mail, instead of requiring them to be prescribed in person. This was seen as a victory for the American College of Obstetricians and Gynecologists and other medical groups, which viewed the in-person requirement as unnecessary for a medication that's safe and effective in early pregnancy.
But states have their own requirements for medication abortion, and providers licensed in Montana can't prescribe pills to patients who travel over from a restrictive state like South Dakota, NPR reported.
Read more: Worries About Post-Roe Data Privacy Put Spotlight on Period Apps
Ectopic pregnancies can't result in a delivery and require medical treatment. Symptoms can start with typical pregnancy signs, including a missed period, but can progress to abdominal or pelvic pain, vaginal bleeding, weakness and more.
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Can states ban treatment for high risk pregnancies? The HHS says no, but doctors say state laws are restricting care.
Even though the most restrictive states banning abortions leave room for some degree of medical emergency, practicing physicians need to decide where the medical emergency line is – and risk prosecution if a state sees it differently.
This month, the story of a 10-year-old girl who was raped and pregnant and who traveled to Indiana from Ohio, where abortion is banned around six weeks without exception for rape or incest, made headlines. Not only was the physician publicly questioned by Indiana's attorney general on whether she followed state law, but Ohio Attorney General Dave Yost said in the aftermath that the girl should've been able to legally get an abortion under the state law's medical emergency exemption. Ohio's OB-GYNs disagreed.
"It states specifically 'medically diagnosed condition,' and as far as I can tell, adolescent pregnancy is not a medically diagnosed condition that's listed," Dr. Jason Sayat, a Columbus OB-GYN, told the Ohio Capital Journal.
The Department of Health and Human Services reminded physicians and hospitals that if they want to keep their Medicare agreement and avoid "civil penalties," they must treat pregnant patients and provide abortions if necessary as required under the 1986 Emergency Medical Treatment and Labor Act. The EMTLA, now blocked in Texas, outlines certain life-endangering pregnancies that doctors must treat regardless of state law, including ectopic pregnancies, preeclampsia and complications of pregnancy loss.
But that narrow line of abortion exceptions for medical emergencies given by states like Wisconsin is what's troubling Dr. Jennifer McIntosh, a maternal-fetal medicine physician practicing in the state. While Wisconsin's attorney general said he wouldn't enforce a ban, physicians there stopped performing abortions because the state has a pre-Roe criminal statute that prohibits most abortions. The "save the life of the mother" abortion exception language in that law can leave out health conditions which may not be an immediate emergency but can become one down the line.
"Some of what we do is to prevent emergencies from happening," McIntosh said. "To have to wait for an emergency to actually appear puts your patient's life at risk."
The treatment for an ectopic pregnancy is termination, because terminating the pregnancy is the only safe outcome when an embryo grows outside of the uterus, typically in a fallopian tube. Without treatment, the fallopian tube is likely to rupture, which can lead to internal bleeding and death. But some laws, like one in Texas, specifically restrict medications including methotrexate, which has led to access problems for people who are pregnant as well as people who are taking methotrexate for another health reason.
Complicating confusion and risk over how abortion bans will affect treatments for ectopic pregnancies is the fact that more rare types of ectopic pregnancies exist, including ones where the pregnancy is growing inside a C-section scar or other area outside the safety of the main cavity of the uterus -- but still technically in the uterus. These rarer kinds of ectopic pregnancies are also life-threatening, and may be more difficult to diagnose and treat as such in a state that bans abortions with an emphasis on the pregnancy being in the uterus.
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States are not prosecuting people who have abortions (yet)
Current state laws -- both those in effect and those in limbo in court -- prosecute other people involved in an abortion, not the person who's pregnant.
But the health impact may be already felt when a doctor is hesitant to treat patients, or pharmacists are reluctant to fill a prescription for mifepristone before interviewing a woman to ascertain whether her pregnancy is already ended and her situation is in line with state law.
"Even in these straightforward cases of basic OB/GYN practice, the laws leave providers questioning and afraid," Dr. Carley Zeal, an OB-GYN in Wisconsin, told The New York Times. "These laws are already hurting my patients."
Aside from hesitancy among health care providers, physicians also fear that worries people have about being prosecuted for having an abortion or miscarriage will stop patients experiencing complications from any kind of pregnancy loss from seeking care.
That's because it was already happening, before Roe was overturned. According to the National Advocates for Pregnant Women, there were over 1,700 arrests or prosecutions of women from 1973 (when Roe became law) to 2020 where their pregnancies were the focus of the case against them.
So will doctors report you if they suspect you had an abortion?
"The vast majority of health care professionals will not do that, because that's not caring for their patients," King said. But, she added, "I'm sure there's a very small, but unfortunately detrimental, minority who might."
Your current access to birth control shouldn't be impacted by the overturn of Roe v. Wade. However, there's reason to believe that could change in the future.
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Birth control is still protected under the Affordable Care Act
Right now, IUDs, birth control pills and other birth control methods are legal in all 50 states. And they should also be covered at no out-of-pocket cost for those covered under the Affordable Care Act. The right to birth control is protected under two Supreme Court rulings: Griswold v. Connecticut (1965) and Eisenstadt v. Baird. (Another Supreme Court Case, Burwell v. Hobby Lobby Stores, chipped away a little of that protection, however, finding that some corporations are exempt for religious reasons.)
Plan B or "morning after pill" brands are also not included in abortion bans, because they will not end an existing pregnancy. Most health plans should also cover them.
Legislators in Missouri last year voted to block taxpayer funding for IUDs and emergency contraception, casting doubt that all birth control devices will be protected indefinitely, at least in some states. The claims of legislators like Paul Wieland, a Republican state senator in Missouri, are that anything that has the potential to disrupt a fertilized egg's implantation into the uterus is an abortifacient.
The medical community has been clear that IUDs and emergency contraception do not cause abortions and will not end an existing pregnancy. Copper IUDs work mostly by causing a chemical change in the sperm and egg before they meet, according to the World Health Organization. Hormonal IUDs like Mirena work mostly by thickening cervical mucus so sperm can't reach the egg, and can also prevent ovulation. Plan B and similar pills likely won't work if a person has already ovulated, meaning the chances of it stopping implantation are currently understood to be slim.
Nevertheless, unlikely occurrences or instances where a fertilized egg may be prevented from implanting into a uterus could be called into question in future court cases.
Read more: Could a Post Roe v. Wade World Impact Your Access to Birth Control?
The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.
When Local Newspapers Fold, Polarization Rises. Here's What You Can Do
When Local Newspapers Fold, Polarization Rises. Here's What You Can Do
Russia's invasion of Ukraine, rising energy costs and our ongoing struggles with the coronavirus pandemic take up a lot of our attention these days. But there's more going on a lot closer to home -- you just might not know it, because your local newspaper is gone.
More than a quarter of hometown newspapers have disappeared in the last century, leaving about 70 million Americans with little or no way to stay informed about their city and county governments, schools or businesses. As the country heads toward the 2022 midterm elections, Americans are increasingly turning to friends and social media to stay informed -- which isn't always trustworthy, as we learned during the 2016 election when around 44% of Americans were exposed to disinformation and misinformation through untrustworthy websites.
"The state of local news in America is dire," said Tim Franklin, senior associate dean of Northwestern's Medill School of Journalism and head of the Medill Local News Initiative.
Local journalism isn't just a nice idea. Community newspapers report some of the most important stories in our country. That includes the Boston Globe's 2002 series exposing the Catholic Archdiocese of Boston's sex abuse of minors, Sara Ganim and The Patriot-News' coverage revealing Penn State sex abuse scandal involving Jerry Sandusky and the Charleston Gazette-Mail's 2017 expose on opioids flooding into West Virginia.
This is part of Citizen Now, a package that aims to empower readers with information about our changing world.
CNET
But for every Pulitzer Prize-winning local journalism story, there are countless more that have served as chroniclers of their communities and watchdogs of the people in power. And when they aren't there, research from the Brookings Institute found there's generally more government waste and fraud.
"When you have less local news, there's various effects, some of which you'd find predictable: lower voting turnout, more corruption, more waste," said Steven Walden, president and co-founder of Report For America, a nonprofit that funds young reporters to work in understaffed newsrooms throughout the US. "There's also evidence that you have more polarization and misinformation."
The journalism industry has been struggling to adapt. Advertising, once a vital part of the newspaper world, has shifted to online. Meanwhile, profit-hungry newspaper owners have chosen to lay off staff and reduce the quality of their products.
Nonprofit organizations have stepped up to support newsrooms in several ways, but ultimately, they live or die by their communities. Many local papers and radio stations depend on individual donations to fund reporting that would never be done by larger publications, covering civic meetings and investigating local issues that lead to exposés which fix injustices. Even simply signing up for and reading local news draws people closer to issues that affect them -- and reinforces what publications do.
"Most of these stories weren't big but they mattered immensely to the residents in a community larger outlets didn't regularly cover," said Greg Yee, now a reporter at the Los Angeles Times, speaking about his year writing for the Farmington Daily Times in Farmington, New Mexico. (Full disclosure: Yee is a former colleague of this article's author.) Stories that stick out from that time include a mobile home park cut off from natural gas in winter and a new gas station opening in a Navajo Nation community, the only fuel access in 30 miles, that significantly improved locals' quality of life.
"A good local news organization is a problem solver: it identifies problems and helps a community come together to solve it," said Penelope Abernathy, visiting professor at Northwestern's Medill School of Journalism, who heads a site dedicated to mapping news deserts, areas with one or zero local papers. "And a good news organization shows you how you are related to people you may not know you're related to in another part of the county, region or state."
The Washington Post / Getty Images
Long, withering decline
Journalism jobs have been shrinking for decades, driven by declining newspaper circulation and the rise in digital advertising. The news industry's advertising and subscription businesses have roughly halved over the past decade. Much of that money's shifted to Google, Facebook and Amazon, which together now hold 64% of the US online advertising market.
For newspapers, that shift in spending is catastrophic. In the decade after the great recession in 2009, the Pew Research Center found newspaper newsroom employment in the US had dropped by more than half, to about 35,000 workers.
Ironically, the news industry has more readers than ever before – upwards of 10 times as many, according to Danielle Coffey, vice president and general council of the News Media Alliance.
"We don't have a broken product. It's being consumed at exponential rates," she said. "The source of the problem is the revenue problem."
It wasn't always this way.
The founding fathers believed so strongly in newspapers as a public good that they set up government subsidies for postal rates, reducing the cost of distributing the news – which at the time, was delivered on horseback.
In the 1960s and '70s, though, publicly traded paper owners began fixating on profits. To impress shareholders, news organizations conglomerated into big chains that gobbled up local papers into regional networks, said Amanda Lotz, professor of the Digital Media Research Centre at Queensland University.
"The financialization pressure really moves [newspapers] away from the balance between a commercial and public service enterprise of providing news to a community," Lotz said.
Rounds of acquisitions resulted in the gutting of editorial budgets and staff. With fewer reporters, newspapers started relying on national stories published by wire services, a trend that created "ghost papers" that had little or no local content. Meanwhile, the internet became an easy substitution for things online that had until then been exclusive to the paper, like weather, sports scores, classifieds and even news.
Venture capitalists and other financial firms began buying up newspapers in the 1980s but rapidly accelerated in the last two decades, growing to own over 23% of US newsrooms today while wringing out profits with more layoffs.
"Those losses put more strain on already stretched newsrooms and the publications ended up churning through staff," said Yee, who worked for four years at a pair of newspapers owned by hedge fund Alden Global Capital. "All of that translates into worse, inconsistent coverage of the communities they're trying to serve."
As a result, from 2004 until the start of the pandemic in 2020, the US lost a quarter (around 2100) of its newspapers, according to a report from the University of North Carolina's Hussman School of Journalism and Media. By the end of last year, another hundred were gone, Poynter reported, expanding news deserts that are mostly located in financially-impacted rural areas in the country's interior.
Some papers have tried to rely more heavily on subscriptions, while transitioning to mainly digital publishing. Some success stories include the Chattanooga Times Free Press, which has been operating since 1869. Last September, it switched to a daily digital edition and a single print edition on Sunday from a daily print edition. The publication spent $6.1 million to give all its monthly subscribers iPads and train them one-on-one how to use them to access their daily paper, and it's retained subscribers through the transition.
"There are some real success stories in this transition. If you can lower your paper costs and your distribution costs and if you can attract enough digital subscribers, you can support a local newsroom on that. But many local news organizations are still getting a significant chunk of their revenue from print advertising," Medill's Franklin said.
Bloomberg / Getty News
Legislative fix, maybe
One way the news industry could regain revenue and profit is to seek compensation from big tech platforms. After all, advocates say, Facebook, Google, Twitter make money selling ads next to links, videos and photos published and shared freely to their networks.
Legislators in Australia were the first to pass a law in February 2021 requiring Google and Facebook to negotiate with publishers for compensation to use their work, while France followed with its own legislation shortly thereafter. The latter locked horns with Google before finally securing legal assurance that the search giant would pay local media outlets when they appear in search results. Critics like the Electronic Frontier Foundation lament that the Australian and French laws ensured deals for big media publishers at the expense of smaller ones, but that hasn't stopped Canada and the UK from gearing up to pass their own versions.
A version of that idea in the US, called the Journalism Competition and Preservation Act, was proposed in March, 2021 by Senators Amy Klobuchar, Rand Paul, Cory Booker, and Lindsey Graham -- a rare bipartisan effort. The bill would allow news organizations to collectively bargain with tech companies for compensation, but hasn't moved out of committee yet.
Another idea to fund journalism Is the Local Journalism Sustainability Act introduced a year ago in the House by Representatives Ann Kirkpatrick and Dan Newhouse. That bill, if it were to become law, would give newsrooms around $50,000 annually in tax breaks to hire reporters. Small businesses, meanwhile, would receive $5,000 for the first year to advertise in local papers, and Americans would get a $250 stipend to pay for news subscriptions. It's unlikely to pass, though, in part because of partisan bickering over other spending plans on Capitol Hill.
"We need to make sure these publications can sustain themselves through this crisis and beyond, and I believe the credits in this bill make significant progress in providing a pathway to that sustainability," Rep. Kirkpatrick said when announcing the bill.
Nonprofit newsrooms
Some news organizations are finding funding beyond ads and subscriptions. Nonprofit foundations and philanthropic organizations are funneling grants and other aid money to newsrooms, including a new wave of nonprofit publications, like ProPublica, which run mostly on foundation and individual donations.
The American Journalism Project is a self-described venture philanthropy firm that to date has raised $90 million to back 32 local nonprofit newsrooms. Founded in 2019, it's also helped launch four more, taking the startup incubation model and applying it to digital newsrooms.
The organization focuses on both funding newsrooms and guiding them toward self-sustainability by diversifying their revenue streams, said Sarabeth Berman, CEO of the American Journalism Project. Newsrooms they've helped grow by around 67% in their first year and are projected to double their revenue in three years.
"Will local news only be nonprofit? No. Is nonprofit news vital for the future of an informed citizenry? We think so," Berman said.
Report For America, founded in 2017, describes itself as a service organization, which helps pair young reporters fresh out of college with legacy newsrooms. The organization financially supports the reporter by paying half their salary (up to $25,000) the first year, then a third (up to $20,000) the following year. After that, it's up to the publication to decide whether to hire them permanently.
"If you're not in New York or Boston or Washington, some of these news organizations have trouble getting people to go out to smaller towns," said Report For America's Waldman. "We have a very significant recruiting operation and are able to create a sort of self-selected group of people who are really passionate about local."
Report For America has grown its graduating class to 130 reporters this year, up from its first class of 13 in 2018 -- to date, over 560 reporters have gone through the program and partnered with local newsrooms. They include Laura Roche of the Charlotte News & Observer writing about the fraught debate over museums returning the unethically sourced remains of Black people, Sierra Clark of the Traverse City Record-Eagle writing about Melissa Isaac and many others in her Anishinaabek Neighbors series, and Brandon Drenon of the Indianapolis Star writing about the NAACP and others criticizing Indiana schools for failing Black students.
Report for America also connects newsrooms with donors in their area in an effort to get the community more involved in funding its local news again.
"Our goal is to actually help change the local business models in a way that they can sustain that," Waldman said.
The nonprofit Knight Foundation pledged to give $300 million to news organizations in 2019, some of which will go to both the American Journalism Project and Report For America, among other nonprofits that in turn support local newsrooms -- efforts that can be seen city by city on this interactive map. The flow of financial support is important for local newsrooms that operate on nonprofit and for-profit models, which are both valuable to their communities, said Jim Brady, vice president of the Knight Foundation's journalism program.
"Nonprofits tend to be more investigative or enterprise in nature, and the for-profits tend to provide more information on how consumers can live their daily lives. So we think both must be part of the answer to how local news can thrive," Brady said.
An infographic from the UNC Hussman School of Journalism and Media's project website, The Expanding News Desert, headed by Penelope Abernathy.
UNC Hussman
What to do if you don't have local journalism
News experts have advice for what to do if you live in a news desert, with little or no coverage. First on the list: Stop thinking that social media posts are an informative replacement for reporting. Social media can help people know what's going on, but it's rife with bias and misinformation.
"There's a proliferation of misinformation and disinformation that goes unchecked because there's no local journalist checking on the facts. [Social media is] a place where unvetted gossip can get spread," Franklin said.
People need to learn to spot misinformation that's spread on social media by publications that look like they're trustworthy but aren't. Both the World Health Organization and the Poynter Institute have their own free online courses to learn how to fact-check posts yourself -- not just to spot fake news, but also to understand the agenda behind why they're spreading in the first place.
In the voids left by local papers, citizen journalists and bloggers have stepped up to provide their communities with informative coverage, but they lack the oversight and vetting a newsroom provides. For lack of better options, a citizen reporter could start a site on Substack and write about local events, Franklin suggested.
The best thing to do is to reach out to regional papers the next town over and request coverage. You can find your nearest local or regional paper on Newspapers.com or NewspaperMap.com. The Corporation for Public Broadcasting has a station finder site too, and if you're a fan of National Public Radio, you can sign up to become a member of your local station in order to help support it. It isn't a perfect solution for an existing newsroom to stretch to cover another area, but is far better than starting a new local publication from scratch.
But if your community decides to launch a new publication, organizing it as a nonprofit newsroom is a successful way to go. They rely on donations -- foundation support and individual giving account for a combined 83% of nonprofit revenue, according to the Institute of Nonprofit Newsrooms' 2021 Index. And that model is working: 83 of the over 400 nonprofit newsrooms affiliated with INN are less than five years old.
Then there's nonprofit newsroom Berkeleyside, which hosted the so-called first 'direct public offering' where it solicited a combined $1 million in funding from 355 of its readers (an average of $2,816 per person) in 2018 to get started. These are technically securities, but sold directly to its readers, and the publication continues to publish today. It's one of many ways newsrooms are innovating new ownership structures to stay solvent.
"We need to get more support from communities, from local community foundations, from national media foundations and from high net-worth individuals to help make local news sustainable in all areas of the country," Brady said.
Correction, June 28: The original version of this story incorrectly stated how many reporters were in Report For America's first graduating class. Its first graduating class of reporters was in 2018 and had 13 members.