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Showing posts with label "big beautiful bill". Show all posts
Showing posts with label "big beautiful bill". Show all posts

05 July 2025

SOJO MAIL WEEKLY 3JUL25

 

03 July 2025

I got an ambulance ride, CT scan and ER care in Brazil. My bill: $0. 29JUN25



 WHILE we wait for the final House vote that will pass NOT MY pres drumpf's / trump's "big, beautiful bill", the bill that will deny Medicaid to millions, that will deny SNAP food assistance to millions while giving billionaires tax cuts we have this from the Washington Post...

I got an ambulance ride, CT scan and ER care in Brazil. My bill: $0.


As Washington battles over access to health care, a Post journalist’s experience at a public hospital in Brazil shone light on a fundamentally different system.




June 29, 2025


PARATY, Brazil — My son had a high fever, so my wife and I decided to cut short our beach vacation and head home, worried about the quality of health care so far from Rio de Janeiro. I packed our bags, took one last look at the calm shoreline and headed out to load up the car.


I popped open the trunk door of our hatchback and commenced with that intricate game of Tetris practiced by all vacation dads.


I’d noticed weeks before that rust was eating away at one of the hatch door’s support beams but hadn’t given it much thought — not, at least, until it suddenly snapped and the full weight of the door came slamming down on me.


I stumbled away and grabbed my head, only realizing how badly I’d been hurt when I pulled my hand away and saw it was covered in blood. There was more on my clothes and in the dirt below. I fell to the ground, yelled for my wife and, suddenly woozy, heard muffled voices beginning to holler for someone to call an ambulance.


Even after six years in Brazil as The Washington Post’s Rio de Janeiro bureau chief, I confess one of my first thoughts was stubbornly American. Out of the murkiness, it came with sudden clarity: How much is this going to cost me?


Six hours later — after an ambulance ride, CT scan, X-ray cranial imaging and six stitches in my head — I had my answer: $0.


At a time when health care remains one of the most divisive issues in Washington — and the Congressional Budget Office estimates President Donald Trump’s signature domestic legislation could leave millions more Americans uninsured — my unexpected admission to a Brazilian public hospital served as an education of sorts on a fundamentally different system.


Health care is a basic right in Brazil, enshrined in the constitution. Every one of its 215 million citizens — in addition to 2 million foreign residents — is entitled to free care in what has become the world’s largest public health system.


The government says the Sistema Único de Saúde — known to everyone here as SUS — tallies an astounding 2.8 billion admissions per year. More than 7 in 10 Brazilians rely on it entirely, receiving everything from mundane care to complex surgeries on the public dime.


SUS is far from perfect. Patients wait in long lines for specialized care. Lawmakers leave it underfunded. Workers routinely go on strike. It buckled during the worst days of the coronavirus pandemic and hospitals began turning patients away, leading to scenes of desperation across the country and inflaming political divisions.



Former President Jair Bolsonaro, a hard-line conservative, sought to privatize the system but quickly backed down after public backlash, organized under the banner “Brazil Needs SUS.” Current President Luiz Inácio Lula da Silva, a leftist who’s long championed a robust social safety net, has since vowed to relieve the strain on SUS with a fresh funding package.


“We’re not going to let this program fail,” he said. “Because the poor need to be treated like people.”



Perhaps because I was more comfortable with a system more similar to the United States’, my family and I had always opted for Brazil’s private health care network, where the best hospitals rival anything in the developed world. Our son was delivered and receives his pediatric care in Rio de Janeiro’s private system.


So on that fateful Friday morning, when my son’s fever spiked in this seaside village where the only hospital is a public one, we called his pediatrician and decided to drive the four hours home. But the hatch door had a different plan. The first responders took my vital signs, wrapped my head in a thick bandage and helped me into an ambulance that had been dispatched by Hospital Hugo Miranda. Off we went.


The contrast with the American system was immediately apparent — not from what hospital staff asked, but what they didn’t. No one inquired about our insurance coverage. No one even jotted down my tax identification number, which is solicited here even when paying parking meters or buying a bottle of toothpaste.


I was pushed by wheelchair from room to room. First a nook where I received a shot of pain medication. Then a cramped room where a doctor injected a local anesthetic and closed my six-centimeter wound with six stitches. Then onward to an imaging suite where X-rays were taken to ensure the injury had been superficial. And finally to an adjoining center where a CT exam was performed to verify there was no bleeding in the brain.


As the hours went by, I saw Brazil’s diversity on display in the halls of the hospital. The population of Paraty is only 47,000, but the historic port town serves as the regional anchor for a vast dispersion of shoreline communities. Many people travel by boat across enormous distances to reach the hospital. On Friday, they crowded into waiting areas and exam rooms alongside the urban working class and affluent out-of-towners — all guaranteed the same level of care. For 40 minutes while waiting to be stitched up, I sat wordlessly next to a barefoot man with one eye.


In the early afternoon, I was called back to the see the doctor who’d performed my intake. She counseled rest, prescribed pain medication and antibiotics, and sent me on my way.


But while I was getting better, my son’s fever had reached 104 degrees. We sought treatment for him, too. Hugo Miranda immediately admitted him; after an hour of waiting, his name was called.


Ten minutes with a pediatrician was all we needed for a diagnosis: tonsillitis.


The pediatrician prescribed antibiotics and Tylenol to reduce the fever, then called in the next patient on her list.


My son’s hospital bill was the same as mine: $0.


02 July 2025

POLITIFACT THIS WEEK, War narratives move fast. Facts take time: Fact-checking fallout from US strikes on Iranian nuclear facilities, to the extent possible, False war imagery flooded social media after the US attack. Here’s how to tell real footage from fake., What is the economic importance of the Strait of Hormuz?, Fact-checks of the week, Fact-checking falsehoods about Trump's ‘Big Beautiful Bill’ and taxes, deficit, Medicaid, Did the VA approve new hospital rules that allow discrimination against Democrats and unmarried veterans?, At fact-checking conference, Brazilian leaders defend social media regulation, Quick links to more fact-checks & reports , Do you smell smoke? Here's your Pants on Fire fact-check of the week: We go back to Iran. This viral video of an Iranian woman in a rainbow hijab was AI-generated! See what else we've rated Pants on Fire this week.

 


 This week:  Our work on ‘Big Beautiful Bill’ rhetoric … Easy tips for not falling for fake imagery after US’ Iran attacks … Unpacking the Strait of Hormuz’s economic value … Do new VA hospital rules allow discrimination? … Fact-checkers gather in Rio 
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Fact-checking fallout from US strikes on Iranian nuclear facilities, to the extent possible

President Donald Trump took a victory lap Saturday after U.S. armed forces conducted targeted strikes on key Iranian nuclear facilities, saying in clear terms that the undercover bombing raid succeeded.

“Tonight, I can report to the world that the strikes were a spectacular military success,” Trump said June 21. “Iran's key nuclear enrichment facilities have been completely and totally obliterated.”

Yet the smoke at Fordo, Natanz and Isfahan had not cleared, so to speak. So how was Trump certain about total destruction?

Top officials fanned out the next morning, with softer language. Asked about the assessment on ABC “This Week,” Vice President JD Vance said, "Severely damaged versus obliterated — I'm not exactly sure what the difference is. What we know is we set their nuclear program back substantially."

Gen. Dan Caine, the Joint Chiefs of Staff chairman, said at a Sunday morning news conference, “Final battle damage will take some time, but initial battle damage assessments indicate that all three sites sustained extremely severe damage and destruction.”

As the week went on, Trump lashed out at people questioning his early use of “obliterated.” Speaking from the NATO summit Wednesday morning, Trump said the U.S. strikes were “very, very successful. It was called obliteration.”

With an abundance of unknowns, we examined Trump’s messaging that the U.S. “totally obliterated” the sites. 

The answer is too murky for a Truth-O-Meter rating at this time. But even before media outlets reported Tuesday about an initial U.S. intelligence assessment saying the strike has set back Iran's program by months, a wide array of military experts said Trump’s "completely and totally obliterated" characterization was premature.

"It would have been difficult to confidently make such a statement right after the raid," said Mark F. Cancian, a senior adviser with the Center for Strategic and International Studies, a Washington-based think tank.

It’s difficult to have definitive information within a couple of days about damage to the facilities at Fordo, which are located hundreds of feet under the surface and would not be visible on satellite imagery. 

Experts said Caine’s more measured take on the bunker-busting bombs was more plausible. As of this writing, the Trump administration has not released evidence for Trump’s conclusion.

Secretary of State Marco Rubio told Politico on Wednesday that Iran is “much further away” from a nuclear weapon after the undercover raids. “That’s the most important thing to understand — significant, very significant, substantial damage was done to a variety of different components, and we’re just learning more about it.”

Our takeaway? Answers take time. 

Read our story by Chief Correspondent Louis Jacobson.

RELATED: Ask PolitiFact: Was Iran ‘weeks away’ from having a nuclear weapon, as Trump said?

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Did Trump violate the War Powers Act when he approved the US military strikes in Iran?

False war imagery flooded social media after the US attack. Here’s how to tell real footage from fake.

Images and videos of explosions, fires, protests and weapons went viral after the U.S. attack — but many of them didn’t show what was actually happening. 

Instead, they were generated by artificial intelligence, taken out of context or recorded from video games or flight simulators. 

It can be difficult to know at first glance on social media platforms whether fearmongering captions actually fit the photo or video you see; sometimes community notes programs add context, but sometimes they don’t. 

Here’s a guide of what to avoid and tips about how to verify conflict imagery.

— Loreben Tuquero

What is the economic importance of the Strait of Hormuz?

In response to strikes, the Iranian parliament approved a potential closure of the Strait of Hormuz, a crucial oil shipping route that connects the Persian Gulf and the Gulf of Oman. 

Iran has previously threatened to close the strait during other conflicts, but has never followed through. Iran’s Supreme National Security Council and Supreme Leader Ali Khamenei have the final power to close the strait. 

It’s unclear exactly what a closure of the Strait of Hormuz might look like. But closing the strait would come at a steep price for Iran — and countries that rely heavily on Iran’s oil exports, such as China. Keep reading.

— Madison Czopek and Ella Moore

Fact-checks of the week

  • Social Security break? Not exactly. The conservative American Action Network attacked Democrats who voted against the Trump-backed “big, beautiful” bill, saying in an ad that the bill delivers "a tax cut for Social Security recipients.” It’s not that direct, and it’s not the Social Security break Trump promised during his campaign. We rated the ad’s statement Half True.

  • Medicaid markup for red states? U.S. Sen. Rick Scott of Florida criticized New York’s Medicaid program, saying it gets far more from the federal government than his home state. "Take Florida. I have four million more people who live in my state," Scott said on “Fox News Sunday.” "New York gets $20 billion more for Medicaid than we get in Florida. Why? … Because blue state governors are gaming the system to take care of illegal immigrants and adults without chronic illness.” We rated Scott’s statement Mostly False. New York extends Medicaid benefits to some undocumented immigrants: children and pregnant people and people over age 65. But Medicaid coverage for these groups is supported by state funds not by any federal funds. He was correct that New York, unlike Florida, expanded Medicaid under a provision in the Affordable Care Act to cover some adults without chronic illness; but it is partially paid for with federal funds.

Fact-checking falsehoods about Trump's ‘Big Beautiful Bill’ and taxes, deficit, Medicaid

Republican leaders tout Trump’s "One Big Beautiful Bill" as a way to prevent a 68% tax increase, rein in the deficit and maintain current levels of food assistance for low-income people.

The trouble: All of those supposed selling points lack factual basis. 

The tax and spending legislation — which passed the House on May 22 — could receive a Senate vote this week and can be passed by a simple majority. Trump has said he wants it on his desk by July 4, directing senators in a June 24 Truth Social post to "lock yourself in a room if you must.”

With so many Trump priorities packed into the bill, politicians and social media users have commented at length about elements of the bill. 

Here are some of their false and misleading statements.

— Amy Sherman, Louis Jacobson and Loreben Tuquero

Did the VA approve new hospital rules that allow discrimination against Democrats and unmarried veterans?

As veterans navigate changes to the Department of Veterans Affairs under the Trump administration, a story from British newspaper The Guardian said the Department of Veterans Affairs had adopted changes that could allow hospitals to refuse treatment to some veterans. 

"‘Extremely disturbing and unethical’: New rules allow VA doctors to refuse to treat Democrats, unmarried veterans," the story’s original headline read.  

The VA had changed its bylaws and eliminated previous discrimination protections for patients and employees based on marital status and political affiliation.

The story spread rapidly on social media and prompted condemnation from Democratic elected officials. But members of the Trump administration called the story "false" and "ridiculous." 

The Guardian has since updated its story to include comments from the VA and rewrote the headline to read, "VA hospitals remove politics and marital status from guidelines protecting patients from discrimination." The story also notes the VA’s statements that federal law and a 2013 policy directive "will continue to protect patients from discrimination despite the redactions in its bylaws." 

Here’s what happened.

— Grace Abels 

At fact-checking conference, Brazilian leaders defend social media regulation

I’m writing this email from GlobalFact, an annual summit of world fact-checking representatives that kicked off Wednesday in Rio de Janeiro, Brazil. 

Angie Drobnic Holan, director of Poynter’s International Fact-Checking Network and former PolitiFact editor, opened the 12th summit by acknowledging the challenging year for fact-checking journalists and calling on organizations to meet the moment.

“The future of informed democracy rests on our ability to evolve methods while holding firm to values,” she said. “We must develop engaging approaches to fact-checking that draw people in. We must seize opportunities to make truth compelling and accessible. And we must move beyond defensive rhetoric to emphasize our true purpose: supporting the public and promoting human knowledge.”

Holan welcomed three Brazilian officials — Supreme Court Justice Alexandre de Moraes; Cármen Lúcia, Superior Electoral Court president; and Attorney General Jorge Messias — who are considered the country’s top leaders against online disinformation. They called for regulating social media platforms. (De Moraes and Lúcia appeared virtually.)

“We must always repeat that what is not allowed in the real world is not allowed in the digital world,” said De Moraes. He led an investigation into former Brazil President Jair Bolsonaro and temporarily banned X from operating in the country for refusing to comply with court orders.

Lúcia compared regulating disinformation on social media platforms with creating laws around driving. “Your freedom does not mean to be free to go the wrong way and crash into another car and kill another driver,” Lúcia said.

PolitiFact Staff Writer Maria Ramirez Uribe covered the discussion for Poynter.org. We’ll have more news out of GlobalFact for you to read next week.

Quick links to more fact-checks & reports 

Do you smell smoke? 

Here's your Pants on Fire fact-check of the week: 
We go back to Iran. This viral video of an Iranian woman in a rainbow hijab was AI-generated!

See what else we've rated Pants on Fire this week. 

Coming soon to PolitiFact.com: stories about the “Alligator Alcatraz” detention facility planned in the Florida Everglades and a fact-check about New York City mayoral candidate Zohran Mamdani’s political views.   

Thanks for reading!

Katie Sanders
PolitiFact Editor-in-Chief
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