Sudden Abortion Focus Shakes Midterm Election Landscape

Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)
Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)
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Sudden Abortion Focus Shakes Midterm Election Landscape

Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)
Demonstrators march through downtown following a rally in support of abortion rights on May 3, 2022 in Seattle, Washington. (Getty Images)

The leaked draft of a Supreme Court abortion opinion that would overturn the landmark Roe vs. Wade decision is shaking the US political landscape in what has been expected to be a difficult election year for Democrats.

While the Democrats decried the draft, they suddenly have a clear, unifying message. The real possibility that abortion could be outlawed in dozens of states in the coming months could animate their dejected base — especially young voters, people of color and suburban women, who are unhappy with the pace of progress under Democratic leadership in Washington.

Republicans, meanwhile, are struggling to contain their excitement at the prospect of winning a decades-long fight, even as they suggest Democrats are exaggerating the likely real-world impact of a Roe reversal.

The draft opinion surfaced just as the most competitive phase of the primary season was beginning, with races unfolding Tuesday in Ohio and Indiana. While the political fallout will take months to settle, this much is clear: Rarely in the modern era has a Supreme Court case had the potential to so dramatically reshape American life and politics.

“I hope that women across this country are going to rise up and realize this isn’t theoretical anymore,” warned Michigan Sen. Debbie Stabenow.

Republicans have been fighting to ban abortion since before the Supreme Court’s 1973 Roe ruling, but on Tuesday many offered only modest estimates of the political impact of a decision eliminating the legal guarantee of the right.

The draft ruling, which the court emphasized was not final, would become the law of the land only after a formal announcement, which is expected in late June or early July. And privately, GOP strategists have worried that overturning Roe ahead of the election could trigger an anti-Republican backlash.

South Carolina Sen. Lindsey Graham acknowledged that a sweeping change in the nation’s abortion laws might help Democrats in November, but he suggested the election would depend more on the state of the economy than the explosive social issue.

“They will have an issue to talk about. We will have an issue to talk about,” Graham said of Roe being overturned. “I think it will be a new issue, particularly at the state level, but I think most people, quite honestly are not single-issue voters.”

Voters in some states would be affected more than others.

Twenty-two states in all, largely across the South, West and Midwest, already have total or near-total bans on their books — almost all now blocked in court because of Roe. They include deep-red states with elections this fall including Idaho, Missouri, North Dakota and Utah. But they also include high-profile swing states including Pennsylvania, Arizona, Michigan, Ohio and Wisconsin.

A White House adviser said a Roe reversal would serve as a galvanizing force for key segments of President Joe Biden’s coalition, giving Democrats a clear message to link to the midterm elections. At the same time, the adviser, who requested anonymity to discuss internal strategies, acknowledged that an abortion change might not be enough on its own to overcome political headwinds come November.

Biden’s popularity remains weak amid increasing concerns about inflation and the direction of the country. History also suggests that the party that controls the White House almost always suffers losses in the first congressional elections of a new presidency.

In one ominous sign, grassroots Democratic fundraising, usually a mark of enthusiasm, was noticeably sluggish in the hours after the draft decision was leaked.

The Democratic fundraising platform, ActBlue, drew less than $3 million in donations between 6:30 a.m. and 1 p.m. on Tuesday. By contrast, the platform took in $71 million in the 24 hours after former Supreme Court Justice Ruth Bader Ginsburg’s death.

As Democratic officials across the nation tried to sound the alarm, Republicans were quietly confident.

“There are now three things in life you can count on: death, taxes and Dems overplaying any hand,” said Republican strategist Chris Wilson, who is involved in several top elections this year. He noted that Democrats in states like New York and California wouldn’t be affected by abortion bans in Republican-led states.

For most Democrats, Wilson said, “life goes on exactly as usual.”

But there are several swing states with Republican-controlled legislatures where November elections for governor may ultimately decide a woman’s right to abortion, Georgia, North Carolina, Arizona, Wisconsin, Pennsylvania and Michigan, among them.

Even in states unlikely to outlaw abortions in the short term, Democrats are hopeful that a renewed focus on the issue will help their candidates overcome the party’s other political challenges.

New Jersey Democratic Rep. Tom Malinowski, a top target of Republicans, cast this year’s election as centering on abortion rights, arguing that a GOP majority in Congress could pursue a nationwide ban that would overrule New Jersey’s law on the right.

“That’s the stake in this election in November that all of us have to remember,” Malinowski said in an interview. “Are we going to preserve a majority in the House of Representatives, in the Senate that will protect 50 years of settled law in this country, that will protect a woman’s right to choose?”

Nevada Sen. Catherine Cortez Masto and New Hampshire Sen. Maggie Hassan, among the nation’s most vulnerable Democrats this fall, also seized on the issue as critical in their upcoming elections.

“Do not underestimate what this decision would mean for women in Nevada and across the country,” Cortez Masto said in an interview. “If this court issues a ruling to overturn Roe vs. Wade, it will enrage women across the country who have lived for the last almost 50 years the right to choose.”

From New Hampshire, Hassan said the leaked opinion clarifies the stakes this fall for voters in her state and beyond. She called a potential Roe reversal “devastating to women all across New Hampshire, all across the country and for all people who really believe in our individual freedoms.”

An abortion focus would also offer a sharp contrast with her Republican opponents, whom she described as “extremists” on abortion.

“This is really a difficult day for Granite State women, American women,” Hassan said.

Some Republicans welcomed the fight.

Marjorie Dannenfelser, who leads the anti-abortion Susan B. Anthony List, said her group’s fundraising has surged all year in line with excitement over a potential Roe reversal. Social conservatives have been waiting for this moment for decades, she said.

“It’s a potential cultural, political sea change,” she said.

Sen. Rick Scott, chairman of the Republican Senate campaign arm, was more cautious.

“I think this is an important issue to many people, but so is inflation, so is crime, so is the border,” Scott said.



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”