A2 The Boston Globe WEDNESDAY, SEPTEMBER 11, 2019
The Nation
CHARLOTTE, N.C. — Dan
Bishop, a Republican state
senator, scored a narrow victo-
ry Tuesday in a special House
election in North Carolina that
demonstrated President
Trump’s appeal with his politi-
cal base but also highlighted
his party’s deepening unpopu-
larity with suburban voters.
Bishop defeated Dan Mc-
Cready, a moderate Democrat,
one day after Trump made a
full-throated plea for support
for the Republican at a rally
on the conservative, eastern
end of a Charlotte-to-Fayette-
ville district, which the presi-
dent carried by nearly 12
points in 2016.
With most votes counted
Tuesday night, Bishop was
ahead by about 2 percentage
points, according to the Asso-
ciated Press.
As Trump heads into a re-
election year, the closeness of
the outcome in a district that
hasn’t been held by a Demo-
crat since the 1960s con-
firmed once more that he en-
ergizes Democrats and some
independents to fight against
him just as much as he in-
spires Republicans to fight for
him.
For Democrats looking
ahead to 2020, those midterm
results and Bishop’s slim mar-
gin in a conservative seat offer
more evidence that Trump
could face trouble in states
such as North Carolina, which
is Republican-leaning but
filled with the sort of college-
educated voters who have
grown uneasy with the presi-
dent.
The House district extends
from Charlotte through a
number of exurban and rural
counties to the east. In 2016,
Representative Robert Pit-
tenger carried the district by
16 percentage points. But in
the midterms of 2018, Mc-
Cready, surfing the national
anti-Trump mood, ran a close
race, losing by 905 votes to the
Republican candidate at the
time, Mark Harris.
Then came one of the more
bizarre plot twists in recent
American politics: The state
elections board threw out the
entire election and ordered a
new one after evidence sur-
faced that Harris’s campaign
had funded an illegal vote-har-
vesting scheme in rural Blad-
en County.
McCready, 36, focused on
the issue of health care afford-
ability and criticized Bishop
for opposing the expansion of
Medicaid under the Affordable
Care Act.
Bishop, 55, a Charlotte law-
yer, is perhaps best known
statewide for sponsoring the
so-called bathroom bill that
required transgender people
to use restrooms that corre-
sponded with the sex on their
birth certificate. He boasted of
his endorsement from the Na-
tional Rifle Association.
NEW YORK TIMES
GOP’s Bishop ekes out win in N.C.
WASHINGTON — A federal
judge on Tuesday set sentenc-
ing for Dec. 18 for President
Trump’s former national secu-
rity adviser Michael Flynn as
prosecutors warned they re-
served the option to recom-
mend prison time instead of
probation for Flynn.
Assistant US .Attorney
Brandon Van Grack issued the
notice as the government and
Flynn’s new defense team es-
calated their fight in Washing-
ton over Flynn’s request that a
court throw out his prosecu-
tion because of alleged mis-
conduct by prosecutors in for-
mer special counsel Robert
Mueller’s Russia investigation.
US District Judge Emmet
Sullivan set an Oct. 31 hearing
to weigh those allegations.
But Sullivan pressed
Flynn’s team about the rele-
vance of its claims, and said
both sides would have to pon-
der how to proceed if the gov-
ernment stands by its position
that no such evidence exists.
Flynn pleaded guilty on
Dec. 1, 2017, to lying to the
FBI about contacts with then-
Russian Ambassador Sergey
Kislyak, becoming the highest-
ranking official charged in
Mueller’s investigation of Rus-
sian interference in the 2016
presidential election.
WASHINGTON POST
Flynn sentencing set for Dec. 18
NEW YORK — Federal
prosecutors in Manhattan
have opened an investigation
into possible lending fraud in
the New York City taxi indus-
try, the most significant action
taken in response to practices
that trapped thousands of cab-
drivers under crushing debt,
according to people with
knowledge of the inquiry.
In the past month, agents
have interviewed cabdrivers
who said they were encour-
aged to take on huge debt un-
der exploitative terms in order
to buy a taxi medallion, the
city permit that allowed them
to own their own cab.
The investigation, which is
in its beginning stages, ap-
pears to be looking at possible
crimes including bank, wire,
or mail fraud.
The inquiry is being con-
ducted by the US Attorney’s
Office for the Southern District
of New York. It could reverber-
ate throughout the city’s taxi
industry, which has been en-
gulfed in a financial crisis and
rocked by a string of suicides
among cabdrivers. More than
950 drivers have filed for
bankruptcy, and many more
are still buried in overwhelm-
ing debt.
NEW YORK TIMES
US targets loans crushing N.Y. cabbies
FARGO, N.D. — A federal
judge in North Dakota on
Tuesday blocked a state law
enacted earlier this year that
required physicians to tell
women they may reverse a so-
called medication abortion if
they have second thoughts.
North Dakota is among
eight states to pass or amend
laws requiring doctors to tell
women undergoing medica-
tion abortions they can still
have a live birth after the pro-
cedure.
The other states with simi-
lar laws are Arkansas, Idaho,
Kentucky, South Dakota, Okla-
homa, Nebraska, and Utah.
Five of those laws were passed
this year.
The North Dakota law also
would require doctors to tell
the patient ‘‘time is of the es-
sence’’ if she changes her
mind.
Tammi Kromenaker, direc-
tor of North Dakota’s sole
abortion clinic in Fargo, which
filed a lawsuit in June, said in
a statement that the law would
force doctors to give false in-
formation that is not backed
up by science.
US District Judge Daniel
Hovland said in his order that
state lawmakers should not be
mandating unproven medical
treatments and the provisions
of the bill ‘‘go far beyond’’ any
informed consent laws ad-
dressed by the US Supreme
Court, the US Court of Appeals
for the Eighth Circuit, ‘‘or oth-
er courts to date.’’
ASSOCIATED PRESS
Judge blocks N.D. abortion reversal law
She was a 27-year-old med-
ical student in 2007, suffering
from depression and going
through hard times, when a
self-proclaimed spiritual coun-
selor approached her at a mall
in Houston with the promise
of supernatural help.
The purported psychic said
her name was Jacklyn Miller
and told the student that her
mental problems stemmed
from a curse that had killed
her mother.
The student met with the
psychic, whose real name is
Sherry Tina Uwanawich, sev-
eral times a week and, for
years, paid large sums of mon-
ey for meditation materials in
order to lift the curse.
Over a decade later, the
psychic was charged with
three counts of wire fraud, one
of which she pleaded guilty to
in June as part of an agree-
ment with prosecutors.
On Friday, Uwanawich, 28,
appeared in federal court in
West Palm Beach, Fla., and
was sentenced to pay $1.6 mil-
lion in restitution and serve 40
months in prison.
NEW YORK TIMES
‘Psychic’ who vowed to lift curse jailed
Arnold Schwarzenegger has
resumed his ongoing feud with
President Trump, claiming
that the root of their animosity
is that the president is ‘‘in
love’’ with the actor.
Since Schwarzenegger, an
immigrant bodybuilder turned
actor turned California gover-
nor, took over for Trump as the
host of NBC’s ‘‘Celebrity Ap-
prentice,’’ the president has
ridiculed him for the show’s
poor ratings.
In turn, Schwarzenegger
has not held back his scathing
assessments of the president,
telling Men’s Health magazine
in an interview published
Tuesday that Trump is basical-
ly obsessed with him.
‘‘He’s in love with me.
That’s the reality of it,’’
Schwarzenegger said.
In July, Trump said at an
event at the White House that
Schwarzenegger had ‘‘died,’’
meaning it figuratively as it re-
lated to his ratings.
Schwarzenegger responded:
‘‘I’m still here. Want to com-
pare tax returns, @realDon-
aldTrump?’’
WASHINGTON POST
Schwarzenegger resumes Trump feud
Reporting corrections
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left in a message at 617-929-8230.
Daily Briefing
By Amy Goldstein
and Heather Long
WASHINGTON POST
WASHINGTON — The pro-
portion of Americans without
health insurance grew signifi-
cantly last year for the first time
this decade, according to new
federal figures that show the
number of people lacking cov-
erage rose to 27.5 million.
Findings released Tuesday,
based on a Census Bureau sur-
vey, reverse a trend that began
when the Affordable Care Act
expanded opportunities for
poor and some middle-income
people to get affordable cover-
age. With health care a central
issue in the 2020 presidential
campaign, the fresh evidence
that insurance is slipping fur-
ther out of Americans’ reach
can be expected to escalate par-
tisan warring about coverage.
The uninsured rate rose as
well in 2018, marking the first
time since 2009 that both the
number without coverage and
the rate of uninsurance rose
from the year before.
The change was driven pri-
marily by a decrease in public
insuranceforthepoor,withen-
rollment in Medicaid dropping
0.7 percent. The uninsured rate
spiked especially among adults
who are Hispanic and foreign-
born, with the increase in unin-
sured among both groups three
times the national average. In-
surance also dwindled among
children who are Hispanic and
naturalized citizens.
Health policy experts inter-
preted those patterns as evi-
dence of a chilling effect from
Trump administration efforts to
restrict several forms of public
assistance, including Medicaid
for immigrants seeking to re-
main in the United States. In
addition, the number of low-in-
come Americans on Medicaid
tends to decline when the econ-
omy expands, as it did last year,
while some states have been
clamping down on eligibility
and following the administra-
tion’s urging to impose work re-
quirements in the program.
The report was part of a se-
ries the Census Bureau releases
annually on the economy. It al-
so reported that the US poverty
rate fell last year to its lowest
level since 2001. The median
US income topped $63,000 for
the first time, though that is
roughly the same in inflation-
adjusted terms as middle-class
income was in 1999.
The Census Bureau painted
a picture of an economy pulled
in different directions, with a
falling poverty rate but high in-
equality, on top of the growing
cadre of people at financial risk
because they do not have health
coverage.
The availability of insurance
is influenced by a variety of fac-
tors, including economic condi-
tions, because most insured US
residents get their health plans
through an employer. In recent
years, however, both supporters
and opponents of the ACA have
looked at the census’s yearly in-
surance data as a portrait of
how well the law is working.
Expanding access to insur-
ance was a main goal of the
ACA; forged by Democrats
nearly a decade ago, it has re-
shaped much of the health care
system. President Trump and
other Republicans contend the
law is flawed, while Democrats
maintain it has been under-
minedbyrecentGOPpolicies.
As Trump works to disman-
tle the law, both sides can find
ammunition for their interpre-
tation of why the nation’s unin-
sured rate is rising again.
Republicans point to how, as
premiums escalate, fewer peo-
ple buy health plans through
the ACA’s marketplaces unless
they qualify for federal subsi-
dies. Democrats point to how
major tax changes, adopted by
a Republican Congress in 2017,
eliminated the financial penalty
for those who violate the ACA’s
requirement to carry insurance.
A decline in the number of
uninsured Americans that be-
gan in 2011 stopped in 2017,
census data show, with about
400,000 more people than in
2016 reporting they lacked cov-
erage. But that did not amount
to a statistically significant
change in the uninsured rate.
The 2018 figures show the
uninsured rate increased to 8.
percent of the population from
7.9 percent the year before.
Some 9 million Americans
gained coverage from 2013 to
2014, the year Medicaid ex-
panded in many states and ACA
insurance marketplaces
opened.
Tuesday’s data make clear
that the contraction of insur-
ance has been broad. Around
the country, insurance coverage
worsened in eight states and
improved in three states.
More Americans lacked health coverage in 2018
Wasfirstrisethis
decade,despite
strongeconomy
DERIK HOLTMANN/BELLEVILLE NEWS-DEMOCRAT VIA ASSOCIATED PRESS
RAIL CARS BURN —Onlookers stopped in a parking lot in the Dupo, Ill., train yard Tuesday after a freight train
carrying a flammable liquid used in solvents derailed in the St. Louis suburb, causing a fire that sent thick, black
smoke into the air and prompted the evacuation of nearby schools and residences.
DAVE KOLPACK/ASSOCIATED PRESS/FILE 2013
Tammi Kromenaker, director of the Red River Valley
Women’s Clinic in Fargo, N.D.
MANUEL BALCE CENETA/AP
Michael Flynn pleaded
guilty to lying to the FBI
about Russian contacts.
Somehealthpolicyexpertsseeevidence
ofachillingeffectfromTrump
administrationeffortstorestrictseveral
formsofpublicassistance.