Last week, the Trump administration announced a landmark civilian nuclear cooperation agreement with Saudi Arabia. The deal would allow the kingdom to develop nuclear power using American technology and could eventually pave the way for uranium enrichment on Saudi soil. But the agreement must first undergo congressional review — and survive President Donald Trump’s social media feed.

When the Trump administration announced its agreement, it made no mention of the possibility of normalizing diplomatic relations between Saudi Arabia and Israel. But that omission and the possibility that Saudi Arabia could eventually enrich uranium alarmed Israelis — and Trump quickly threw in both conditions in a Truth Social post.

The chaos around the agreement comes as Israeli Prime Minister Benjamin Netanyahu heads to Washington, DC, this week to meet with Trump. The Saudi deal — as well as growing friction over differences on the goals and trajectory of the renewed US war with Iran and frustration in Washington over Israeli military operations in southern Lebanon — will undoubtedly be topics.

Today, Explained co-host Sean Rameswame spoke with Michael Koplow, chief policy officer at the Israel Policy Forum, about the relationship between the two countries and its leaders ahead of Netanyahu’s visit. 

Below is an excerpt of the conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify.

What are we expecting from the meeting between Prime Minister Netanyahu and President Trump?

I suspect this will be among the most tense meetings that they have had because there are a number of issues on the table where President Trump and Prime Minister Netanyahu are on different pages. The issue that they used to be on the same page about was Iran, and I don’t think that is the case anymore. 

As we’ve seen the Iran war unfold, the Israeli view is still the view that they had at the outset of the war, which is that this is necessary to deal with Iran’s nuclear program, with its ballistic missiles, with its proxies. And ultimately what the Israelis wanted to see, and what they still want to see, is a different regime in Iran. President Trump may still share those goals, but it’s pretty clear that, as the war has not gone the way he anticipated, he’s looking for an exit strategy and his main focus is the Strait of Hormuz, which is not something that the Israelis care about at all. 

I think at this point, when Prime Minister Netanyahu arrives at the White House, he’s probably going to try to convince the president that the original goal should be on the table, that the US and Israel should keep going, and President Trump seems to have a different view of things.

And now we have this new deal with Saudi Arabia. Was Israel taken by surprise by the deal? 

It absolutely took Israel by surprise. When the deal was announced on Wednesday, it was a deal to provide Saudi Arabia with nuclear power and nuclear infrastructure. There was no mention of Israel. There was no mention of normalization. There was no mention of anything outside of the bounds of a nuclear agreement. 

President Trump on Thursday put out his Truth Social where he said that the deal is absolutely contingent on Saudi Arabia joining the Abraham Accords. And what’s curious about that is that when the deal was announced, there was no mention of it, and the deal was actually signed. So either the president is intending to change the terms of the deal after it’s been signed, or he’s willing to back out of it if this new condition is not met. 

Or, and I suspect that this is the actual answer, he will secure some sort of commitment from the Saudis to examine joining the Abraham Accords at some point down the road when Israel has met a number of conditions and there’s been progress toward a Palestinian state. And if that is how it unfolds, it will leave the Israelis behind. And I think this comes as a pretty big shock to [Israel] given that President Trump’s previous policy was that a deal between the US and Saudi Arabia would involve normalization.

Was Netanyahu himself surprised by this deal? 

I think he must have been surprised by this deal. It is true that Trump and Netanyahu have seemed to have had a very cushy relationship, not only during this term, but during President Trump’s first term as well. But it’s not a relationship of equals.

We’ve seen President Trump — particularly over the past few months, I think in response to criticism here in the United States over the role that Israel and the role that the prime minister may have had in convincing President Trump to go to war — repeatedly talk about the fact that he is in charge, that Prime Minister Netanyahu is going to do what he says, that he is the decider and Prime Minister Netanyahu is not. 

I do think they have a good relationship, but President Trump, at least publicly, seems to be signaling that he is in charge and he wants everybody to know that. I think that Prime Minister Netanyahu undoubtedly is feeling some stress in this relationship. And when he shows up here tomorrow, he’s going to do whatever he can to try and repair any rifts that there are.

Israel wanted this war, but hates this deal that the president may very likely complete with Saudi Arabia. Did they miscalculate somewhere in here? 

I think the Israelis have miscalculated in a number of ways. And the biggest is that consistently since 2017 or 2018, you hear Israeli officials, political officials, security officials, even ordinary Israelis, talk routinely about President Trump being the best friend that Israel has ever had and exhibiting a faith in President Trump that he will never do anything that will hang Israel out to dry. 

And a lot of what they’ve done has proceeded on that assumption. And even though everybody is aware of President Trump’s transactional nature, even though everybody is aware that he is relatively volatile, that he slips on policy issues all the time, the Israelis had this faith that they would always be an exception to that rule. And I think what we’re seeing is that they’re not necessarily an exception to that rule. 

And it’s important to stress that when it comes to this Saudi nuclear deal, the problem for the Israelis is not just that it was signed without any hint of normalization between Israel and Saudi Arabia being part of the deal itself. It may open the door for countries that have signed more restrictive agreements in the region, like the UAE, to do the same. And ultimately, all of this is a bet that the trajectory of Saudi Arabia is going to continue, that it’s going to continue modernizing, continue becoming more moderate and pragmatic, and continue improving relations with Israel. 

If that’s not the case, once you’ve handed the Saudis a nuclear program, that’s irreversible. People shouldn’t forget that Iran’s nuclear program started off as a civilian nuclear program that the United States provided for it under the days of the Shah. So for Israelis, the normalization part of this is absolutely worrisome, but the deal itself is problematic too. And I think that’s where the Israelis are feeling panicked.

Today, Vox is launching The Midterms, Actually, a new weekly newsletter from Astead W. Herndon examining the big ideas and key people behind the political shifts shaping the 2026 elections — and what they reveal about where American politics is headed next.

Each week, Astead will break down one big idea he’s identified and one revealing thing he is hearing from voters, candidates, organizers, and other figures on the ground. The goal is to understand what the midterm elections are telling us about how the parties are changing, which new coalitions are emerging, whose voices are being overlooked, and what it all could mean beyond November.

The launch marks Vox’s first expansion onto Substack. Readers can sign up for The Midterms, Actually directly on Vox or follow on Substack. Astead will also regularly host Substack Lives, creating additional opportunities for conversations with readers and guests throughout the election cycle.

Astead is the host and editorial director of Vox’s America, Actually, a podcast focused on understanding how political change is unfolding across the country. He joined Vox in 2025, after working as a national political reporter at the New York Times and hosting The Run-Up, the Times’s flagship politics podcast. His reporting has focused on covering American politics from a voter perspective, tracking the changes in the country and the political parties from the bottom up.

Beginning today, Vox’s flagship daily newsletter, Today, Explained, written by Caitlin Dewey, will also be available on Substack in addition to its existing home on Vox.com. Every weekday afternoon, Today, Explained helps readers understand the big ideas behind the most important news stories.

Welcome to the first edition of The Midterms, Actually. Every week I’ll be writing about two things: one thing I’m thinking about — a big idea or trend I see forming across the 2026 primaries — and one thing I’m hearing, from a voice on the ground. You can sign up here to get it in your inbox every week. Let’s get into it.

One big idea

There are two ways of looking at the current divides within the Democratic Party. The first — and more dominant — narrative is that the party’s left wing is on an upward march, one that began with New York City Mayor Zohran Mamdani’s election in 2025 and has continued through this year’s Democratic primary season.

The second, and I believe more accurate, explanation is that the party is rudderless — an ideological fight to be settled in the next presidential election — and that the left’s success in New York City, Colorado, and even Maine (before Graham Platner’s campaign collapsed) grows out of a void left by a bigger, less-talked-about story: an establishment in free fall, on the wrong side of fundamental shifts across its own rank-and-file base.

The difference between those interpretations is fine, but important. I don’t think the Democratic base agrees with every position articulated by successful left-wing candidates — like “all deportations are wrong” (as NYC’s Darializa Avila Chevalier told me) — or have suddenly become committed democratic socialists. But I do think the left is on the right side of the gateway issues the base is currently prioritizing: a working-class-led affordability agenda, a skepticism of artificial intelligence, and a moral opposition to President Donald Trump’s war against Iran and to Israel’s campaigns of violence in Lebanon and Gaza. Those issues, more than any others, have defined the Democratic Party’s internal battles since 2024.

Progressives have also benefited from a moderate wing that, in many cases, has yet to lay out an affirmative vision. After the signature policies of the Biden administration flopped as political motivators, the center has seemed frozen in time, unable to offer its own blueprint for the electorate’s concerns (“abundance” aside). When I sat down with Third Way president Jon Cowan, he had no trouble assailing Hasan Piker, Abdul El-Sayed, or any number of the party’s most prominent progressive figures. But when I asked whether Third Way was actually responding to the clear shifts among the electorate — on Medicare-for-all, on abolishing ICE, on foreign aid to Israel — his answer was far less sure.

Cowan on America, Actually:

We’ve never said that there’s a problem with Hasan Piker because he advocates for Medicare-for-all. … I think Medicare-for-all is still very problematic as a political issue, and if someone were nominated for president on the Democratic ticket and they were for Medicare-for-all, I think it would be a major barrier to getting elected. But that’s not our beef with Hasan Piker at all.

It was the same evasion whenever the conversation turned from the messengers to the message. In a recent interview with US Rep. Jim Clyburn — the powerful South Carolina Democrat who has endorsed US Rep. Haley Stevens’s Senate run in Michigan — he bluntly defended insider politics, insisting party leadership was not at fault for the 2024 result. The blame, he told me, belonged to the Black voters who hadn’t turned out for Kamala Harris.

Clyburn on America, Actually:

When the white vote turned out 71 percent two years ago, and the Black vote turned out 59 percent, you tell me whose fault that is. … If that 59 percent had been 69 percent, she would’ve won.

When I asked him directly whether the argument was that Black voters had let Harris down, he didn’t hesitate: “In many instances, absolutely.” It is a remarkable thing to hear from a member of leadership — the base failed us, not the other way around — and it is exactly the instinct that has the establishment on its back foot.

This is why I think it matters to read the Democratic Party’s post-2024 convulsion as a story of establishment collapse rather than left-wing ascension. Stevens, Clyburn, and the party’s leadership would prefer to make this a referendum on the left — on the acceptability of its candidates and its media figures. But the base is communicating something else: a lack of confidence in the center, and in a version of establishment politics that prizes seniority and loyalty over voters’ values. Establishment collapse also explains the Democratic results that don’t fit neatly on the moderate vs. progressive binary: like Attorney General Phil Weiser’s victory in Colorado or whatever is happening in the Wisconsin governor’s race.

The center’s other problem is that its core general-election pitch — we may not thrill you, but we’re not Trump — is losing relevance the weaker that Trump looks politically. I spent a night at Trump’s UFC event on the White House lawn in June, an evening engineered to speak to the young men who broke his way in 2024, and found plenty of them cooling. “He was promising lower prices on everything,” one told me. “We didn’t know wars were gonna start.” Even the MAGA operative Jack Posobiec conceded that “the numbers are softer today, there’s no question about that.”

When the opposition’s own coalition is cracking, branding yourself as an inoffensive vessel who can gather up the most anti-Trump voters looks less compelling. The establishment needs an affirmative reason to be chosen — and it hasn’t found one.

So here’s my amendment to the narrative of the moment: The story isn’t a left-wing party discovering its confidence. It’s an establishment losing its own — and a base voting, in New York, in Colorado, and soon in Michigan and Wisconsin, on how much faith it still has that the center will name what it actually wants and fight for it. 

What I’m hearing: A Michigan reporter’s take on the Democratic Senate race

I reached out to Samuel Robinson, a reporter for the state’s oldest Black newspaper, the Michigan Chronicle; he also has a Substack, Detroit One Million. Robinson is based on Detroit’s east side, and he’s someone I’ve known for a while, as we’re both members of the National Association of Black Journalists. 

Both the Democrats’ moderate and progressive wings have invested so much in the state — it’s become the proxy war in the party’s fight over its future. What is it about Michigan that you think has made the stakes so high? 

Stakes are high because of the control of Congress. But also, Michigan is like a microcosm of America. It swings back and forth every four, eight years. But our US Senate seats have been held by Democrats since 1992. Republicans say they’re going to spend a ton of money to flip the seat being opened by Gary Peters retiring. Women moderates (Dana Nessel, Gretchen Whitmer, Jocelyn Benson) won big in 2018, and eight years later, all three to some degree have disappointed their own voters. Dems had a legislative trifecta from 2022 to 2024, and many people feel like Dems let down Black residents who got them elected in the first place. 

That’s one thing that unites the Black progressives and the Black establishment: Members in both camps feel the Democratic Party hasn’t done enough. 

How would you describe the difference between a Haley Stevens supporter and an Abdul El-Sayed supporter? 

Haley supporter — usually older; the young people I’ve met who support her typically come from wealthier backgrounds. Haley supporters are usually not involved in politics or people who keep up with national discourse. Haley supporters are worried about the gutting of the Voting Rights Act. They are worried about Trump nationalizing elections or not leaving the White House after ’28.

Abdul supporter — usually younger; the older people I’ve met who support him often acknowledge they are in the minority of their peers. The younger people who support him are all over the place in terms of their backgrounds — rich, poor, highly educated, no college. He has the support of most young people under 35. They are mostly worried about sending American taxpayer dollars to Israel, and the influence of AIPAC. I hear more about that than I do Medicare-for-all. 

Stevens has sought to capitalize on El-Sayed’s perceived weakness with the Black vote. How real do you think that vulnerability is? 

Abdul struggles with certain Black voters mostly because they don’t know who he is. I’ve heard from countless people who have said something to the degree of, “I don’t know enough about him.” He received media attention as the Detroit and Wayne County health director, but not enough for people to feel it. Most people know that he ran for governor in 2018 with no experience. People see Haley Stevens ads and mailers. Most Black voters aren’t on Twitter.

I saw this post on X where you were talking to a Stevens supporter who expressed some pretty bigoted claims about El-Sayed’s candidacy. How widespread is that sentiment? When I was reporting on Mamdani’s election in New York City, it was clear that there was anxiety among the Black political class that the rise of Asian, Latino, Muslim communities could displace them. Is that fear at play here? 

The race is definitely a tension point between Wayne County’s Black and Muslim population. Many who have shared with me similar sentiments will point to the anti-Black racism and exploitation of our community at the hands of Arab gas station and liquor store owners. That resentment builds up and then bubbles over in a race like this. We certainly live amongst each other, like off Seven Mile on the east side, where Bengali families and Black families live side by side as next-door neighbors. But there’s a resentment that goes both ways.

The Midterms, Actually is a new weekly newsletter from Astead Herndon. Sign up here to get it in your inbox every Tuesday.

America’s right-wing elites have a theatrical new indictment of liberals that they warn will lead to catastrophe: They care too much.

 “Suicidal empathy,” the phrase coined by Canadian marketing professor and conservative influencer Gad Saad, is suddenly on the lips of everyone right-of-center — including billionaire Elon Musk, who has promoted Saad’s book by the same name. 

The catchy two-word indictment crystallizes a broader critique on the right — that progressive values aren’t just a misdirection of priorities, but an active threat to everything the West has achieved over thousands of years.  

The problem, in the view of Musk, Saad, and like-minded conservatives, is that the left is so obsessed with sticking up for those on the bottom — whether it’s aid recipients abroad, asylum-seekers at the border, or the homeless in cities — that they disregard everyone else, with deadly consequences for society.

“People have empathy for the criminals, but not empathy for the victims of the criminals,” Musk told Tucker Carlson in October 2024. 

It’s also a convenient new spin on an old idea. The billionaire tech right cohort Musk belongs to has long looked for a way to unshackle itself from the leviathan of basic social responsibility. With the concept of suicidal empathy, they have found an intellectual framework to argue that their policy preferences and bottom lines aren’t just about greed or self-interest, but a matter of cultural survival.

In their quest to make this argument, many on the right have pointed to a study that they see as a sort of intellectual checkmate. In 2019, a group of psychologists gathered participants across political ideologies and asked them to express their level of concern about different groups ranging from their close family to animals to all things in existence. In one section, you see a series of heatmaps that appear to show that liberals focus their moral concerns on groups further away from themselves, whereas conservatives value their close loved ones.

Take a minute to enlarge this image and study it.
Conservatives care most about their family, their neighborhood, their own people.
Liberals care most about "poor oppressed foreigners" they never met.
This explains so much about the cult of suicidal empathy sweeping the West. pic.twitter.com/YWSYXQgkvh

— Matt Bracken (@Matt_Bracken48) January 14, 2025

Conservatives seized on the heatmaps and turned them into a meme, arguing that liberals really do value the lives of distant foreigners and strangers over those of their own family and community. 

Venture capitalist and AI Super PAC megadonor Marc Andreessen, for instance, is a fan of the heatmap meme. Rob Henderson, a conservative author, claimed the heatmap proves that “conservatives devote the majority of their empathy and care to family and friends and liberals devote most of their concern to plants, trees, and inert entities such as rocks.” Even the Trump Department of Homeland Security has posted it to respond to a group of protesters opposing the deportation of Kilmar Ábrego García.

But things may not be so simple as this now-infamous set of heatmaps portrays. New research published in the journal Political Psychology last month decided to study liberals’ and conservatives’ moral concerns in a more exhaustive way. It came to a very different conclusion.

What the research says about empathy and politics 

Kyle Fiore Law, an assistant psychology professor at the University of Utah and one of the authors of the study, decided to embark on the research in part after seeing the heatmap memes. 

“The assertion going around was that liberals had come to care more about strangers and distant causes than about their own families and communities, and that claim is testable,” he told me. “It also sat awkwardly against decades of evidence that favoring close others is a widespread default in human social cognition, so we wanted to check it directly rather than assume either side of the debate was right.”

The problem, in Law’s view, was that the 2019 study was not robust enough to really tell us who liberals and conservatives prioritize. 

“The 2019 studies measured how far moral concern extends, and they did that well,” Law wrote to me in an email. “They were not designed to detect whether concern for distant others competes with concern for close others, because both tasks built an outward-expanding structure (e.g., from close humans to distant humans to non-human life to eventually the natural world and non-sentient targets) into the measure itself.”

Instead, Law and his colleagues surveyed liberals and conservatives with what’s called the Moral Expansiveness Scale. This scale lets people rank every group independently, which lets us see how much they value them relative to each other (you can do a simple version of examining how much you care about different groups with the test here). 

What Law and his colleagues found was that it isn’t so much that progressives value foreigners and other distant groups more than their close family; they simply extend their moral concern outward further than conservatives do. 

“Close others came first everywhere,” Law said. “Across all three datasets and essentially the whole ideological spectrum, people gave their inner circle the highest moral concern, and we found no evidence of an inversion among liberals at any level.”

 The only thing ideology seemed to predict in their study was how far out someone’s moral circle of concern goes.

 “[Liberals reached] further toward targets like animals, plants, and future generations,” Law said.

They did ask respondents about tradeoffs, and liberals were willing to allocate more theoretical points to outsiders than conservatives did. But the differences were small. 

When people were asked to divide a fixed pool of 100 points, people close to them received “by far the largest share in every group, roughly 56 to 62 points out of 100,” Law told me.

Law’s more robust study suggests that the heatmap meme is essentially fake. 

“In our data, extending concern outward did not come with reduced concern for close others,” he said.

How far should empathy extend?

But disproving the heatmap meme only tells us how liberals and conservatives tend to think; it doesn’t tell us how they should think.

Tradeoffs are a fact of life. Whether we should be willing to modestly increase the national debt or taxes to increase foreign aid, for instance, is a question of values rather than something that can be empirically derived.

But the heatmap memes and pop psychology theories around “suicidal empathy” that have become so common on the right — from the world’s richest man to the folks who serve in the Trump administration — miss something deep and relevant about human beings. 

As a species, we succeeded not just because of our capacity to defend our in-groups — our family, friends, community, nations — but because of our ability to understand the interests and values of those far away. 

After World War II, for instance, multilateral organizations —  like the United Nations — were established to prevent another global conflict by having diplomatic channels that we can use to anticipate and ameliorate the concerns of other countries; even “Mutually Assured Destruction,” the doctrine that prevented a nuclear war, is based on the shared understanding that you cannot destroy someone else’s country without them deciding to do the same thing to you. 

It’s ironic that Saad’s suicidal empathy concept has taken off right as the Trump administration is actively disproving the idea that we can prosper by disregarding everyone else in the world. 

Trump’s trade wars and actual wars have been conducted under the concept that we can simply bully the rest of the planet and profit as a result. 

By trying to run roughshod over other countries’ economic interests, we’ve helped push them to find support in other major countries, like China. Repeated military attacks on Iran, powered by the idea that we should simply impose our terms on that country instead of coming to a mutually beneficial agreement as former President Barack Obama did, have cost us tens of billions of dollars in warfighting and threaten the global economy.

None of this has been popular with the people close to home that it’s purportedly meant to prioritize. Far from empathetic, the Trump doctrine seems to be suicidal cruelty — lashing out at foreigners even when cooperating with them is in our own best interest. 

The heatmap memes and quips about suicidal empathy may make for great social media fodder. But in the real world, seeing life as a constant zero-sum game where we win only if others lose is just as foolish as any progressive who suffers from an excess of empathy.

This story appeared in Today, Explained, a daily newsletter that helps you understand the most compelling news and stories of the day. Subscribe here.

America formally eradicated measles in the year 2000. But like many other remnants of the 1990s — flip phones, CDs, baggy pants — measles is now regrettably and undeniably back. 

More than 2,300 Americans have come down with measles so far this year — the highest number since 1992. New data from the Centers for Disease Control and Prevention shows that there’ve been more cases in the country in the last two years than in the 24 years prior. 

Many of the cases trace back to large outbreaks in South Carolina, Utah, Virginia, and Pennsylvania, some of which have ended. But the underlying problem is both much broader and much trickier to address: As more parents pass on routine childhood vaccinations for their kids, these once-eradicated viruses have more chances to spread.

For measles, which is incredibly — almost frightfully — contagious, 95 percent of people in any given community must be immune to stop its transmission. But today, only 28 percent of US counties vaccinate enough of their kindergarteners to meet that threshold. 

Another record-setting year for measles

Lower vaccination rates are, in large part, a result of political polarization, misinformation, and declining trust in health authorities and institutions. But there’s another, more ironic reason for measles’ resurgence: We did such a good job getting rid of it.

As late as the 1950s, virtually every American child contracted measles before age 16. Roughly 48,000 patients were hospitalized each year with measles, which is among the most contagious infections known to humanity. 

But the development of a highly effective vaccine in the 1960s, and a series of aggressive public immunization campaigns in the decades after that, all but eradicated a once-common childhood illness. The federal government poured millions of dollars into vaccination programs, especially for low-income kids. Everyone from Michael Jackson to the Teenage Mutant Ninja Turtles championed measles immunization. 

All that campaigning worked. By the end of the 1990s, more than 90 percent of Americans had received the measles vaccine, and a similar percentage agreed that it was important to vaccinate children. As a result, most people born in the last 40 years have no firsthand experience of how dangerous measles is.

“We’ve done too good of a job,” one doctor joked to Vox last December. In other words, ironically, America’s success at vaccinating against measles … has made Americans complacent about measles vaccination. 

One link for later

➨ Go with your gut. The hashtag #GutTok has over 6 billion views on TikTok, and viral trends that promise to “hack your gut” through miracle products and cleanses are all the rage. But you don’t need an influencer-endorsed supplement for digestive wellness. Instead, actual experts recommend basic lifestyle steps like eating a high-fiber diet and reducing stress. 

Before you go…

• Did you know…that there are more endangered species in California than in any other US state? But more surprising is the runner-up: After California, Alabama has the most endangered species. 
• Today’s trivia: Which Irish musician sings the song “Orinoco Flow”? (You can find this and other brain puzzles in Vox’s daily crossword. Look for the answer in tomorrow’s edition.)
• Yesterday’s trivia: On Friday we asked you for the four-letter university located in Athens. That would be Ohio. But there are more than two dozen Athenses in the US, and a rival Athens is also home to the University of Georgia. 

The comical charm of Meta’s new AI-enhanced, smart glasses is that they’re seemingly made for someone unimpressed, perhaps thoroughly, with the way they’re experiencing life. 

Being unhappy with life in its current state is, of course, intrinsically human and a problem that is as old as time. In fairy tales and folklore, the motif ends with a lesson — sometimes with the aid of magic, divine punishment, and maybe a witch or two — to be thankful for the things you have. More contemporary interpretations involve time travel and alternate realities, and perhaps some kind of Christmas theme.

Now, in 2026, we have glasses imbued with technological magic. The $300 Meta glasses are equipped with dual cameras as well as multiple microphones and tiny speakers that connect to an AI-powered app on your phone. This allows you to understand languages you can’t speak, command music to be played, perhaps even identify people you don’t know, and record anything you want and keep it, should you desire, forever. Having the ability to do these things, according to Meta, could make life a little better. 

The problem with Meta’s pitch is that the improvements the glasses promise come at a price. These super-powered spectacles run the risk of annoying or offending or creeping out the people around you. 

And worst of all, even if you’re just plainly wearing the glasses, they’re killing the vibe for everyone else.

Wear Meta glasses at your own risk

The major takeaway from Meta’s advertisements and overall promotional strategy for its glasses is that you’re supposed to wear them everywhere: Japanese restaurants, nights out at bars and clubs, on escalators (possibly to somewhere cool), backstage at concerts, at Kardashian houses, in Miami Beach, skydiving, and everywhere in between. 

What these stylish commercials and dynamic morsels of marketing do not tell you is that at all these places there will likely be people who do not want to see you wearing these glasses at all. 

“For a few weeks there was a trainer at the gym I noticed wearing glasses — black Ray-Bans — and he had never worn glasses before. It took me a few days but I realized they were Meta,” Sean, a non-Meta glasses wearer in DC, told me. Vox agreed to let Sean and other people interviewed for this article to go by their first name or pseudonym to let them speak freely about these spectacles. 

 “I almost said something to a manager, but then he stopped wearing them before I could say anything,” he added. 

Sean explained his unease. All around this country, people film in the gym all the time — to the point where it’s obnoxious and gets in everyone’s way. This trainer could just be following the trend, using the glasses (which are less cumbersome than an entire tripod setup) to film his clients’ form or creating content for a YouTube channel. But not knowing what the glasses are for, what the trainer is recording, or where he’s recording is what bothered Sean. 

“I don’t want to be in the background of videos all over the internet or on TikTok,” he said. 

There’s a little bit of social absurdity here in that we’ve been encouraged to post and have so many platforms — TikTok, Instagram, YouTube, etc. — to do so. Meta has continually emphasized that not only do these glasses allow people to share their points of view but also that everyone’s point of view is so important that it needs to be shared. At the same time, more people posting more than ever has made people aware of being a background character in someone else’s content. And it turns out that real-life, regular people are not particularly invested in how the stranger next to them in Meta glasses sees the world. 

Patrick, a writer living in New York, told me about a wedding he’d recently attended, where he saw an old friend wearing a pair. His group of friends told their pal that they wouldn’t talk to him until he took them off. 

As someone who aspires to be the kind of person you want to sit next to at a wedding, this is understandable. A wedding is theoretically two people sharing the most romantic day of their lives, but it is also a well of gossip, judgment, inside jokes, and lore that’s shared by the people who are watching said couple share the most romantic day of their lives. There’s also the possibility that, depending on the wedding, the spirit might move oneself to partake in the erotic violence known as the “chicken dance” and would not want any of that recorded. 

“One person screamed, ‘Ew the Kylie glasses, gross.’ It felt so cathartic,” Patrick said, referencing Meta glasses spokesmodel Kylie Jenner who, in her personal life, may or may not wear the glasses she advertises.  

In addition to weddings and the gym, people also told me that they don’t want to see the glasses at restaurants, not on dance floors or at parties, and definitely not in an immersive theater setting. I even spoke to someone who started a petition to ban them from bars. 

“I’m staunchly anti-photographs at good parties — the best parties in the world ban photography from the dancefloor,” said Vee, a nightlife aficionado who has owned but does not use his pair of Meta glasses anymore. “When people know there’s a camera on them, they behave differently. They start to monitor their own behavior. They become self-conscious and they start to think, Well, what will the people watching this video think I’m doing? Am I being cringe?” 

Going out partying is a completely different experience from lifting weights at the gym, and both are obviously very different from attending a wedding with friends. Yet, the critique of wearing Meta glasses at all these places is the same. No matter the vibe, Meta glasses will kill it and flatten the mood. People can’t enjoy the moment because the moment is being intrinsically changed by a person who might be recording. 

One of the rather unfortunate terms that Meta glasses have acquired is “pervert glasses.” This is largely due to the trend of pickup artists, pranksters, and yes, perverts, who are using the glasses to film others without their consent. Vee, the dance enthusiast, told me that it’s one more reason why he doesn’t believe that these specs have any place in nightlife.

“There’s a very significant community of people who trade videos that they’ve taken: candid videos of women who are in various states of undress. It’s just this kind of seedy underground,” Vee said, pointing out that Reddit had to ban entire forums dedicated to sharing nonconsensual videos and pictures of women at festivals and clubs. 

As Vee explained, people at festivals and nightlife events are often partaking in drugs and alcohol. He has no problem with that. What he does take issue with is that no one doing these things should have to think about being someone else’s content. Intoxicated people aren’t in the state of mind where they can consent to being in someone’s video or are even aware that someone’s Meta glasses have their recording light on. 

“There’s this whole kind of creeper contingent of folks who are trying to learn how to disable the recording light,” Vee said. “It’s not everybody who owns these glasses obviously, but there is a significant number of creepers who are giving the hardware a very bad name.”

Are we being too mean to pervert glasses?

The indicator light has since become a major flashpoint. The light is part of the glasses’ vibe-kill persona as it makes clear to everyone that can see that recording is taking place, and it’s especially vibrant in dimly lit places. The effect, I imagine, is like when the toys in Toy Story collapse when they see a human. That’s led to a contingent of glasses-wearers who want to disable the feature. 

While it’s understandable that someone might not want to draw even more attention to these glasses, hacking the light source is something a creeper would also do. Hence the “pervert glasses” moniker. These privacy concerns are why Meta is now rolling out an update that will disable the spectacles’ recording feature if said light is tampered with. 

“I think if you tamper with that, they should just break,” Jason, a 28-year-old Meta glasses owner, told me. “It’s the thin veil that makes it like, ‘Okay, at least you’re telling me you’re filming me.’ So the idea that if you tamper with it? No, your product should be bricked.” 

Jason bought a pair of Meta glasses in November with the idea that he would use them to film food content and post reviews. He had even picked out a name, “Sandwich Digest,” and dreamt of its success. But on his first wear, he took them to a Japanese sandwich shop and quickly realized that his future as a Meta glasses-wearing food critic was not a fun one. 

“I felt so uncomfortable,” Jason said, noting that the obviousness of his Meta glasses and their recording light spiked his self-consciousness. “But I also felt like the people I was interacting with were also uncomfortable. And I felt like they were feeling like, Okay, we both know this is weird, but I can’t say that because you’re actively filming me.” 

The strange interaction Jason described is a version of the panopticon effect, the idea that being recorded makes people alter their baseline behavior, perhaps to the point where people self-regulate even when they’re not being recorded. For Jason, there was no “real” restaurant experience to be filmed because everyone was so uncomfortable with being recorded. 

Therein is the conundrum: Even if you’re not using these glasses to be a creep, people still think you’re a creep, and you know that they think you’re a creep. 

Therein is the conundrum: Even if you’re not using these glasses to be a creep, people still think you’re a creep, and you know that they think you’re a creep. 

Since that initial encounter, Jason tells me that he’s only ever used the filming feature to capture a zipline experience he had in Mexico at the beginning of the year. He thinks he might also use them to capture hikes or excursions on an upcoming vacation, but he won’t use them in the vicinity of or  to film other people — especially since they’ve been dubbed pervert glasses.

“People’s perception of these glasses now is not what it was when I bought them in November,” he told me. “And had it been then, and if I knew what I know now, I probably wouldn’t have bought them.” 

Max, a Meta glasses wearer based in Australia, is a bit more keen on them but still shares some of Jason’s sentiment about their not-so-great reputation. Max explained to me that he has two pairs and wears them around 40 hours per week, mainly when he’s working, or walking and driving from place to place. Though he says he’s never had a negative interaction when wearing his glasses, he understands the backlash. 

“While we’re constantly being recorded when in public anyway, there’s a big difference between mass surveillance and one random weirdo recording you for their own purposes,” Max said, making the point that the indicator light, as awkward and obnoxious as it is, could be the accessory’s most important feature. 

“It’s really the only defense wearers have against the ‘pervert glasses’ remarks,” he added. “If the firmware update is successful, and the marketing around the update is widespread, I think we can slowly turn the public in their favor again.”

To be clear, many Meta glasses owners like Max pointed out that the glasses do have extremely useful features, like hands-free calling or the ability to translate foreign languages in real time. Meta also touts the glasses’ accessibility features, including those for people with reduced vision or hearing. They also offer sun protection. 

These are all ostensibly helpful gizmos, and their existence seems to indicate that Meta and its tech cohort are trying to figure out how to make these glasses as essential to our everyday lives as smartphones. Perhaps, when these features become more innovative or exciting or if the glasses become so popular, the narrative around why people buy them may change. 

But for now, the singularly intriguing thing about these specs is simultaneously their most publicly maligned feature: the filming. 

“There are probably a million things to film with them that are probably not weird,” Jason, the one-time Meta glasses food critic, told me. “But like if you’re wearing them at the beach, I would probably be side-eyeing you because you’re wearing ‘pervert glasses’ at the beach — fork found in kitchen.”

The American right has a new enemy.

In a new report on Cuba, the State Department argued that Havana has become “the beating heart of a new and distinct kind of Marxism” — which the State Department calls “Third Worldism.” Cuba is spreading this doctrine, per Secretary of State of Marco Rubio, with the explicit intent of fomenting revolution in America.

Here, the Trump administration is following conservative influencers — who in recent months have become increasingly preoccupied by the “third worldist” threat. 

“The Left is moving from ‘woke’ to Third-Worldism,” Chris Rufo, perhaps the right’s leading activist, recently wrote. “Third-Worldism is a more serious threat to life, liberty, and property.” 

Ben Shapiro, one of conservatism’s leading media voices, declared in April that “the future of the Democratic Party is radical third worldism.”

And Reihan Salam, the president of the influential Manhattan Institute (which employs Rufo), has warned that “Third Worldism, left unchecked, won’t remain on the radical fringe” — citing New York Mayor Zohran Mamdani as the chief example of a third worldist in power.

All of this may be news to Mamdani and other Democrats, who virtually never use the term to describe their own views. So what are Rubio, Rufo, and Shapiro talking about? And is there any truth in the various claims about rising third worldist influence?

The answer is more complicated than it might seem.

Conservatives are using “third worldist” a lot like the terms “woke” and “critical race theory” before it: as an ill-defined concept that serves as a clearinghouse for various right-wing grievances and can be used as a slur to discredit and demonize the left.

Yet at the same time, they’ve actually put their fingers on something real. Among a very specific and visible sub-section of the socialist left, a set of views that can be reasonably termed “third worldist” are rising in prominence. For progressives outside this camp, deciding what comes next will require engaging with the right-wing critique directly and not dismissing it as a smear. 

What “third worldism” means, on both the left and the right

The term “third world” itself originated in a 1952 article by the French thinker Alfred Sauvy. 

The capitalist West was the “first world,” and the Communist Eastern bloc “the second.” Most countries outside of North America and Europe were, at the time, aligned with neither bloc — making up the “third world.” 

For this reason, the earliest ideology that fits the term “third worldism” was not Marxist, but rather efforts like the Non-Aligned Movement to build global solidarity between post-colonial states who were trying to avoid being dominated by the two competing world powers.

But Communist regimes in the Global South — most notably, China and Cuba — became inspirations for a distinctively Marxist spin on third worldism that emerged in the 1960s and ’70s.

This theory held that the locus of revolutionary activity had shifted to 1) armed revolutionaries of the Global South and 2) militant movements within the capitalist world led by oppressed minorities. Out with the Communist Party USA and the Soviet Union; in with the Black Panthers and the Viet Cong.

This broad worldview had many ideological influences — ranging from Mao’s Little Red Book to the French psychiatrist Frantz Fanon’s The Wretched of the Earth. Some leftist writings, like the Weather Underground manifesto Prairie Fire or the well-known pamphlet The Mythology of the White Proletariat, are clear examples of what might be termed “third worldist” thought.

But on the whole, this kind of third worldism is frustratingly tricky to pin down. It has no authoritative spokesperson, no text or movement that clarified its core principles in any detail. It is a label attached to ideas from the outside, as often by those ideas’ enemies as by their allies.

“‘Third worldist’ is almost a pejorative [term] you would use on the left,” said Bhaskar Sunkara, the president of The Nation magazine and author of Blueprint: How Socialism Can Work in the Real World.

The Trump administration and its allies are basically arguing that people like Sunkara are trying to trick you. Whatever the modern left’s protestations, their actual views are still basically pretty similar to those of Cold War American radicals who apologized for the Khmer Rouge. Only in this case, the most admired Third World militants are now jihadists rather than Communists.

The most influential work in this vein comes from Zineb Riboua, a fellow at the conservative Hudson Institute think tank. She sees third worldism as a joint product of anti-American governments, including Cuba, and leftist intellectuals in American universities. Its recent prominence, in her view, is a function of October 7 and the Gaza war — which allowed third worldist logic to fuse “seamlessly with the decolonial language” that became popular during the woke era.

“In this viewpoint, a terrorist organization like Hamas comes to be seen as the armed expression of a national liberation struggle,” Riboua writes. “The question ceases to be what Hamas actually did and becomes what Israel is presumed to represent. And because Israel is positioned as the forward post of American imperial power, defending Hamas becomes, almost automatically, a moral gesture directed against the United States itself.”

But Riboua does not stop with foreign policy. In her view, third worldism has become a kind of “universal ideology” that is “applied to everything from university hiring and border policy to museum curation.” When leftists talk about “decolonization,” she argues, they are really talking about the planned demolition of America from the inside.

“The ideology asks a country to accept that its power is a historical accident awaiting either correction with a sort of new Red Terror or annihilation,” she writes. 

This, for the right, represents the left’s emerging “post-woke” animating doctrine. While the 2020-era left was interested in policing conservative speech on social issues, it is now interested in acquiring political power and using it to tangibly transform America’s policy and political institutions along Marxist and third worldist lines. It is “a vicious, lowest-common-denominator leftism that imports anticolonial resentments to the metropole,” writes Sarah Rogers, the under secretary of state for public diplomacy.

The effect, ultimately, will be to transform the American governing model into something that more closely resembles that of a “third world” country: corrupt, lawless, violent, and chaotic. The language they use to warn of this can be unmistakably racialized.

“Mamdani wants to plunder New York like the Somalis plundered Minnesota,” Rufo writes. “Legal or illegal, it’s all piracy, looting, and expropriation. Pure third-worldism.”

What the right gets wrong about third worldism — and what it gets right

By the time we get to “Zohran Mamdani is a pirate,” it’s clear that the analytic train has gone off the rails. Third worldism is no longer being used to define a specific and recognizable approach to geopolitics, but rather a pure insult with ugly racial insinuations.

Indeed, while Mamdani is certainly a socialist with pro-Palestine politics — he announced this week he looked into arresting Israeli Prime Minister Benjamin Netanyahu but lacked legal authority — there is no evidence to suggest he is an anti-American Hamas admirer.

As mayor, his governance has focused primarily on quality of life and cost of living issues. And far from couching his arguments in the language of anti-American revolution, Mamdani’s recent address on July 4 was a classically patriotic text, whose praise for American soldiers and meditations on our “grand experiment in self-governance” sound far more like Lincoln than Fanon.

The attempt to lump Mamdani into a scary, foreign-sounding category recalls nothing more than the efforts to rebrand other left-wing ideas — like “critical race theory” — into millstones to hang around Democrats’ necks. Rufo was the intellectual force behind the CRT panic, back in 2021, and admitted at the time that his intent was political warfare rather than rigorous analysis. By coming up with a catch-all term for problematic left-wing politics, they could apply it not only to the real “critical race theory” — which were largely abstruse academic texts — but also ordinary Democratic policy or generic liberal ideas. 

“We have successfully frozen their brand — ‘critical race theory’ — into the public conversation and are steadily driving up negative perceptions. We will eventually turn it toxic, as we put all of the various cultural insanities under that brand category,” he wrote. “The goal is to have the public read something crazy in the newspaper and immediately think ‘critical race theory.’ We have decodified the term and will recodify it to annex the entire range of cultural constructions that are unpopular with Americans.”

Read in this light, the right-wing allegation that third worldism is supplanting woke is more confession than anything else. From McCarthyism to the Reagan era and on through Newt Gingrich warning of Barack Obama’s “Kenyan, anti-colonial” worldview, the right has deployed fearmongering about foreign subversion as a central tactic to delegitimize its opponents and rally the base. The sweeping allegations about the entire Democratic Party being overtaken by third worldism represent a fusion of this old Red Scare blueprint with the new Rufo tactics of mimetic-conceptual warfare.

“There’s really nothing new here,” said David Austin Walsh, a historian of the right at the University of Virginia. “Third worldism is a term that’s being utilized to describe the exact same thing as what was meant by ‘the international Communist conspiracy’ back in the 1950s and 1960s.”

Yet Walsh, who is himself a DSA member, also acknowledges that there’s a nugget of truth here. Much as the Communist Party USA actually was a Soviet cut-out, there are people and factions on the American left that actually fit the description of “third worldism” advanced by Riboua and her fellow travelers.

The most obvious example is Hasan Piker, the streamer and provocateur who has become a lightning rod in debates over the Democratic Party’s direction.

Piker has repeatedly expressed admiration for the Chinese Communist Party, despite its vicious authoritarian tendencies, and said he would vote for Hamas “1,000 times” over Israel. My colleague Eric Levitz described his worldview as “campist,” an old leftist term for someone who aligns themselves with any government that opposes the American-led bloc, and one that I think is a bit more precise than “third worldist.” But Piker’s fascination with anti-American militancy and terrorists — he once gave a fawning interview to a Houthi fighter on stream — suggests that third worldist is at least a reasonable descriptor.

Another example is Neville Roy Singham, a Chicago businessman who sold his consultancy for $785 million and has donated hundreds of millions of dollars to leftist causes around the world. Singham, who was known to monologue to his employees about the virtues of Che Guevara, is at the center of what the New York Times describes as “a lavishly funded influence campaign that defends China and pushes its propaganda.” Though he funds American leftist organizations like Code Pink — in fact, his wife, Jodie Evans, is its cofounder — he currently resides in Shanghai.

There is also a third worldist activist current. The International Caucus of the DSA, one of many sub-organizations within the leftist faction, has celebrated the “achievements” of Cuba’s authoritarian government and whitewashed Russia’s invasion of Ukraine (which, again, is more precisely campist than third worldist). Students for Justice in Palestine, the leading pro-Palestine campus activist group, praised the October 7 attacks as “a historic win for the Palestinian resistance.”

And this tendency could be gaining its first representative in Congress. Darializa Avila Chevalier, a DSA candidate who recently unseated a multi-term House incumbent in a Democratic primary in New York, has accused Black and Latino men of “fetishizing ugly colonizer women” and retweeted a message praising Ho Chi Minh, Kim Il Sung, Che Guevara, and Fidel Castro. While her public statements are more limited than those of Piker or the DSA IC, there’s at least reasonable grounds for believing that she’s cut from the same cloth.

The left’s third worldist problem

So what to make of all this?

Right-wingers like Riboua are picking up on real trends in leftist ideology, ones that are reflected to some degree in its institutional infrastructure. And interestingly, the leftists I spoke with conceded that there were some things to worry about here. Arash Azizi, a socialist historian at Yale University, said that this “negative third worldism” was a “serious trend” on the broader left. Sunkara was more skeptical of the term “third worldist, but he did express concerns with the DSA IC’s tendency to forget “first principles” — by which he meant core commitments to democracy and anti-authoritarianism. He also critiqued pro-October 7 statements on the left as “antiquated, ineffective, and morally questionable.”

At the same time, it is concomitantly clear that people on the right are overstating the significance of the problem.

Views that might accurately be called “third worldist” are controversial inside the left and even within the DSA. And the left does not currently dominate the Democratic Party, despite a handful of primary victories this cycle. To say that third worldism has conquered the Democrats, or even that third worldism is the new “woke,” is to get miles ahead of the evidence.

Putting those two conclusions together yields a more precise diagnosis: that third worldist views are, by virtue of the DSA’s electoral success, becoming a more prominent part of the broader left coalition even as its reach remains limited overall.

While Mamdani cannot reasonably be described as a “third worldist,” he operates in coalition with people who are. He filmed chummy videos with Hasan Piker; his endorsement rocketed Darializa Avila Chevalier to her primary victory. Like any political faction, the socialist left depends on alliances between sub-groups who have real and meaningful differences in worldview and approach.

When talking about this, Sunkara tried to disassociate the broader left from the third worldist subcurrent by analogy.

“It would almost be like me saying ‘the Republican Party is programmatically committed to white nationalism’ as opposed to saying ‘the Republican Party sure does have some vocal white nationalists around,’” he said. “The difference is key.”

But of course, the Republican Party’s relationship with white nationalists has been a significant political problem — and a moral one. However Democrats ultimately decide to handle these ideas floating around progressive circles, the process starts with acknowledging that they’re real. 

Medicine has come a long way. We are living longer than ever, we have eradicated diseases that once seemed like a certain death sentence, and new improvements  are constantly being made to our quality of life. But despite all the advances, there’s a huge gap in women’s health. “I think there’s such an interconnectedness between society, culture, medicine, and science,” Dr. Elizabeth Comen told Vox. She’s a medical oncologist who specializes in breast cancer and an associate professor at NYU Langone. She says medicine often mirrors what’s happening in society at large. “For many societies across the globe, women did not have equal agency or power over their bodies, and that’s really reflected in the history of medicine.”

It’s reflected in medicine’s present, too. The share of women with heart disease in the United States is rising, there’s a cultural backlash and skepticism surrounding birth control, and almost half Americans are turning to social media influencers (many of whom aren’t credentialed) for medical information. 

Why is there such a disconnect when it comes to health care for women? And what will it take for it to end? We find out on this week’s episode of Vox’s weekly call-in podcast, Explain It to Me.

Below is an excerpt of my conversation with Evans, edited for length and clarity. You can listen to the full episode on Apple Podcasts, Spotify, or wherever you get your podcasts. If you’d like to submit a question, send an email to askvox@vox.com or call 1-800-618-8545.

We are at this point where we know more about our bodies than we ever have before. Sometimes you go to the doctor, and it feels like they’re still catching up on some pretty basic aspects of women’s health. Why does it feel that way?

Because it’s true. It takes a long time for medical science to catch up with the glaring gaps in our healthcare system. The gaps are not just about the obvious women’s health issues. We focus a lot on breast cancer. We focus a lot on reproductive function or our gynecological needs. But the gaps exist head to toe from our neurologic care, our gastroenterology care, how our hearts function, how our immune system functions, how our joints function. The gaps are real, and the experiences are real.

Can you walk me through some of the history? What did it look like to study women’s health before the 20th century? What were we dealing with?

When we think about modern medicine today and these specialties of urology, gastroenterology, they really didn’t exist before the 1900s at all; those are relatively new concepts. For much of the history of medicine, at least in the Western world, the idea was that, at best, we were small men and, at worst, there were many ridiculous diagnoses like hysteria and a long legacy of dismissing women’s medical needs because we were largely not taken care of by women. Those women that were caregivers in the history of medicine, whether it was the midwives or other types of healers, were largely pushed out of medicine as it became codified, and the idea of medical science really came to rise in the late 19th century.

So, I’m guessing that they weren’t really talking about menopause at the time, let alone perimenopause.

Perimenopause wasn’t even discussed. That’s a relatively new term and new part of our lexicon when it comes to lay discussion and the public at large. With respect to menopause, one of the famous physicians, Roger Wilson, wrote a book [called] Feminine Forever and referred to women going through menopause as vapid cows. He was the one that advocated in the 1960s and 1970s for women to be on hormone replacement therapy. But understand that, in the 1850s, it’s not like people really were wildly aware of what estrogen, and testosterone, and progesterone did. These are all relatively new ideas — the concept of hormones and how they can travel in our body. And again, we have a long way to go.

I read that women were rarely included in clinical trials until the National Institutes of Health mandated it in 1993. I find that so surprising. Why were women missing there? 

Well, these studies were not designed with women in mind. Some of the massive cardiology studies for drugs that we use day in and day out were done on thousands of men and not women. There is so much to that history, including the animal models on which many of these drugs were developed. In order to develop a drug, often, they are developed on mouse models first. It wasn’t until 2016 that you were even required to state the sex of the mice that you were studying. In many of these instances, female mice were not even included in drug development.

Oh my gosh — even the mice? How were these hormones marketed to people when hormone replacement therapy first became a thing?

It depends on which advertisements that you look at. If you look at advertisements of women in the 1950s, ’60s and ’70s, a lot of women were being prescribed anti-anxiety medicine. “Can’t manage your household at home? Don’t want to take care of your kids? Here’s what will sedate you and at least make you able to prepare breakfast for your husband.” It’s really shocking, and yet, not that surprising. If you look at Instagram today, are we really that far off from what gets marketed to women? Women sink billions of dollars probably into sham supplements and sham treatments, because they don’t feel cared for when they go to the doctor. And what fills that space? A lot of people trying to market things that have no proven evidence.

I think it’s really interesting that, at one point, hormone replacement therapy was this big thing, because I feel like growing up in the ’90s and 2000s, hearing women who are older than me speak, they were kind of anti-hormones. How did the pendulum swing that way?

Well, the pendulum has swung in wildly different directions. At first, it was: Every woman needs to be on it. And there were wildly successful sales. Then, there was the women’s health study that exaggerated the risk of breast cancer. Understandably, women were terrified. They were told by the media and by reputable scientists that these risks were significantly high and that they could not be on it, and we didn’t leave them with any alternatives. Now, we’ve become much more granular about what we know and what we don’t know, but I still think we’re far behind on the science. There’s still a lot that we need to learn, but, fortunately, an understanding of the prior studies and what their limitations are has come to light.

There are all these gaps in trust and treatment. There’s going to be a fair amount of snake oil out there, but are there ways that this moment is actually driving better treatment for women?

I’m so grateful that we’re talking about it, but I am terrified of what I see from influencers on Instagram. People can fake their knowledge. There’s so much fake imagery and information that is out there. I wish that we could invest this in quality science, which is long and laborious and painful at times but gives us the quality answers that we need. Every day, I see the consequences of fake information online, whether it’s an incredible loss of financial resources or just wasting money so that you could buy a nice pair of shoes. That would make you feel better than the ridiculous thing online that’s over promising and under delivering. The fear mongering is out of control.

What do you think it will take to trust their doctors again, rather than turning to the treatments they’re being sold online that might be dangerous? What will it take for them to feel good about the interactions they’re having at the doctor’s office? 

I think it’s going to be really challenging. We can’t blame patients, because we’ve done them a disservice. Medicine has fragmented the care of many patients — not just women, but men as well. We have to build a health care system that allows for time to be with patients and really hold space for them. I think that’s where the trust is really going to be built, because, at the end of the day, despite all the technology that’s available, medicine is about human to human care. That is what everybody wants to be treated as: a human to be seen and heard in the ways that you can’t just reduce a body to biology.

Last week, the Food and Drug Administration (FDA) approved a small pill called enlicitide. It is a tablet you swallow once a day on an empty stomach with a sip of black coffee, water, or tea. But it does something that until now took a needle and a specialist’s prescription: It lowers the most dangerous kind of cholesterol by nearly 60 percent, about as much as the strongest injectable drugs on the market.

If that sounds less innovative than some of the medical advances I sometimes cover here — there’s no AI or gene editing involved — you’re missing the story. Enlicitide is just the latest example of how medicine has been quietly making progress against the deadliest thing in the modern world.

That thing is heart disease. It has been the leading cause of death in the United States for essentially a century, and in 2025 it killed 694,708 Americans — about one in five deaths — more than every form of cancer combined. Around the world, cardiovascular disease kills roughly 20 million people a year, the biggest cause of death on the planet.

But today, our enemy is on the retreat. In the US, the age-adjusted death rate from cardiovascular disease has fallen about three-quarters since 1950. In plain terms: A 60-year-old today is roughly four times less likely to die of heart disease this year than a 60-year-old was when Harry Truman was president. As I wrote last year, deaths specifically from heart attacks are down 89 percent since 1970.

That progress comes down to a single number. Low-density lipoprotein, or LDL, aka the “bad” cholesterol your doctor always wants you to lower. Until recently, a high LDL score was all but inescapable, something you could nudge lower with a better diet and willpower but struggle to really fix. What has changed is that we can now lower LDL for nearly anyone who needs it — further, more easily, and earlier in life than before.

A lifesaving genetic mutation

It’s a story that goes back 20 years. In the early 2000s, two geneticists at University of Texas Southwestern, Helen Hobbs and Jonathan Cohen, wanted to solve a medical mystery: Why did some individuals have striking low cholesterol levels? They combed the Dallas Heart Study for an answer. They found a handful — many of them Black Americans — carrying a broken copy of a gene called PCSK9. Their bodies cleared LDL from the blood with unusual efficiency, and the payoff was staggering: carriers of the strongest variant had about 28 percent lower LDL and roughly 88 percent lower risk of heart disease than people who did not carry the mutation.

That finding proved lowering LDL prevents heart attacks, and it handed drugmakers a target: copy that gene. Every PCSK9 drug since — including the new enlicitide — imitates a mutation a few people in Dallas were simply born with.

Millions of Americans still take the old cholesterol-lowering workhorses, statins, and they’ve proven highly effective at reducing heart disease for most people. But not everyone: Some people can’t tolerate the muscle aches; others take them faithfully and still don’t get their LDL low enough. Enlicitide is built for exactly those people: a pill as cholesterol-lowering as an injection but without the needle, and a drug that spares them the statin muscle aches.

Closing the loop

If the pill is today, gene editing is tomorrow — and it may be the answer to a problem no pill can reliably solve: getting people to keep taking their medicine.

About half of patients on statins quit them within a year, and a daily pill, however potent, only helps the people who actually take it. So that demands a fix you can’t forget. A company called Verve Therapeutics, now owned by Eli Lilly, has been testing a treatment that makes a single-letter edit to the PCSK9 gene in the liver — one infusion, in theory for life. In its first human trial, published over the spring in the New England Journal of Medicine, a single dose cut LDL by as much as 62 percent, and held it there for more than a year. Instead of a pill mimicking the effects of the genetic mutation that protected those people in Dallas, gene editing just switches off the gene.

As important as it is, cholesterol isn’t the whole story when it comes to heart disease. There’s smoking, which declined from about 40 percent of US adults in the 1960s to under 15 percent today, sparing countless arteries. High blood pressure — the silent condition that killed President Franklin D. Roosevelt at 63 in 1945, when doctors had few effective ways to treat it — can now be caught early and treated with cheap generic pills.

And then there are the GLP-1s. More than one in 10 US adults say they are currently on an anti-obesity drug, and whatever else you may think of them, they’ll make a significant dent in heart disease. In one major trial semaglutide cut cardiovascular events by 20 percent.

The war continues

Still, the war on heart disease won’t be easy to win.

Just because a pill like enlicitide has been proven to lower a lab value does not mean it’s yet proven to lower deaths. They should — the injectable versions of these drugs cut heart attacks and strokes by about 20 percent in long trials. But enlicitide’s own outcomes study won’t conclude for years.

Precisely because the condition itself so widespread, treatments for heart disease will only be effective if they are equally widespread.

Heart disease is shifting, too. The same research showing heart-attack deaths down 89 percent found deaths from other heart conditions — heart failure, arrhythmias, hypertensive disease — up 81 percent since 1970, though because heart attacks were killing several times as many people, overall heart-disease deaths have still dropped by about two-thirds since 1970.  Some of that shift is perversely the result of success: people who might have died of an initial heart attack now live long enough for the heart to wear out in other ways. And some of this is the reverse of progress: As smoking and cholesterol fell, obesity climbed to about 40 percent of US adults, pulling diabetes and high blood pressure with it.

And then there’s perhaps the biggest problem in medicine: access. A 60 percent drop in cholesterol helps only the people who can actually get the drug. Half of patients abandon cheap statins within a year. Enlicitide arrives at about $300 a month with uncertain insurance coverage. The gene edit, whenever it becomes available, will certainly cost far more, and at first will reach only the sickest.

More than 60 percent of US adults are projected to have some form of heart disease over the course of their life. Precisely because the condition itself so widespread, treatments for heart disease will only be effective if they are equally widespread.

Which brings us back to that unassuming little pill. It’s just a tablet, doing what a generation of scientists spent their careers trying to do: turning one of the deadliest numbers in medicine into one you can change. It’s the kind of progress that’s too easy to miss — until it saves your life.

A version of this story originally appeared in the Good News newsletter. Sign up here!

The gerontocracy is real: The median senator is 64 years old, and 20 members of Congress are over 80. One legal scholar called it the “old-igarchy.” It seems the combination of President Donald Trump’s recent 80th birthday, the sudden death of Sen. Lindsey Graham, and the currently unknown health status of Sen. Mitch McConnell has called collective attention to the advanced age of our elected officials — and with good reason. 

So this week, I talked with Rep. Jim Clyburn of South Carolina on his 86th birthday. And I wanted to (delicately) ask a question that’s been brewing in my head since the whole fiasco with then-President Joe Biden: Why don’t the oldheads want to retire? 

Over a long interview, I asked the House Democratic leader about generational change, shifts in the electorate on corporate PAC money and artificial intelligence, and whether he thinks there are any lessons to learn from the 2024 election.

On the question of age, Clyburn told me, “I know people who are 66 years old with much less energy than I have, and none of the experience that I have.” Clyburn said he would also be open to a recently proposed law calling for members of Congress to take cognitive tests, though he dismissed the idea of term limits or an age cap. 

Here’s what else I learned: 

1. They aren’t giving up power because they don’t want to

That’s the whole thing. The reason the boomers (and Clyburn’s Silent Generation) won’t step aside isn’t that no one has asked. It’s that they don’t want to. And for Clyburn, I think the armor doubles as the blind spot. When I asked about younger generations being distrustful that older politicians can deliver, he invoked his grandparents, saying, “Don’t worry about what people call you. It’s what you answer to that’s the issue.”

And while that is wisdom, hardened over the decades, I don’t know if it works as well as a leadership philosophy. Stay the course and ignore the criticism can also be read as ignoring electoral feedback. “I don’t react to that stuff,” Clyburn said, when asked about calls for generational change.

2. Clyburn says what the establishment thinks: It’s the voters’ fault

Clyburn articulates the core view of establishment politics as cleanly as anyone: There is nothing much to change. He doesn’t believe the party made significant errors in 2024, and he doesn’t take the primary results in New York City, Colorado, and elsewhere to be anything other than a flash in the pan. Pushed on what political lesson he took from an administration built to stop Trump that ended with Trump back in office, he went to turnout: “When the white vote turned out 71 percent two years ago, and the Black vote turned out 59 percent, you tell me whose fault that is.” Asked directly whether the argument was that Black people let Kamala Harris down, he didn’t hesitate: “In many instances, absolutely.” 

At its heart, this is a philosophy that blames the voters and insulates the party establishment from reflection. 

But this is also why the next round of primaries is so important. It’s easy to file New York, Colorado, or Graham Platner’s rise in Maine as one-offs — local flukes, not an overwhelming trend. But the Michigan and Wisconsin primaries are coming, and those are the ones that decide whether this gets treated as a pattern. The temperature of the freakout is still yet to be set.

3. He defends the establishment’s alliance with the Congressional Black Caucus

The moderate wing of the Democratic Party is held up, at the grassroots, by Black voters — particularly in the South. Clyburn knows that, and he defended both the alliance and the corporate policies that tie them together. 

Clyburn holds that taking corporate dollars is necessary for minority candidates who don’t come from family wealth — “I would challenge you to find me one single vote I have ever cast that pharma supported and my constituents didn’t.” He deferred to a pro-Israel colleague, Rep. Gregory Meeks, on questions of Israel: “I’m guided by Gregory Meeks.” He made no apology for backing Andrew Cuomo over Zohran Mamdani in this year’s New York mayor’s race — the same Cuomo he’d said should resign in 2021.

I asked him what Black communities have gotten in exchange for that loyalty. His answer was an agenda: “What did we get out of our support for Obama? What did we get out of our support for Biden?” And that’s a real answer. But I think there’s also another one underneath it.

I see Clyburn’s actions through the context of changing power within the Democratic Party, just as much as what’s going on outside of it. The Black political class, specifically, is invested in holding its own position against the party’s rising coalitions, immigrant communities in particular. That’s part of what’s at the heart of Clyburn’s endorsements of Cuomo and Haley Stevens in Michigan, and even the recent fight over which states should vote first in the Democratic presidential primary. 

Find the full episode — including a bonus segment where Clyburn defends the party’s approach to Israel — wherever you get your podcasts.

Could you accidentally gamble away your right to vote?

If you live in Wisconsin, and you bought contracts on a prediction market like Kalshi about who would win elections there, you’ve done just that, according to state election officials. And they think that if you vote anyway, you could be prosecuted.

“We want voters to understand that they cannot legally make a bet on an election and cast a ballot in that same election,” Meagan Wolfe, administrator of the Wisconsin Elections Commission, said in a statement Tuesday, ahead of the state’s August 11 primaries.

The reason wasn’t a new law about online markets but a very old statute dating back to the year 1849 — just after Wisconsin became a state. 

“No person shall be allowed to vote in any election in which the person has made or become interested, directly or indirectly, in any bet or wager depending upon the result of the election,” the statute reads.

The bipartisan commission also said those voters could be on the hook for felony exposure, if they know about the prohibition and vote anyway. Intentionally voting while not being qualified to do so is a felony, per state law. “It’s important for voters to understand the consequences if they bet on an election outcome,” Wolfe said.

Many other states have laws on the books against gambling on elections. Wisconsin is the first where officials are saying people are banned from voting if they do it through prediction markets.

And it may not be the last, since New York has a very similar provision in both its constitution and state law. 

“In New York State, voting in an election in which an individual has placed any bet or wager on the result is prohibited,” Kathleen McGrath, director of public information for the New York State Board of Elections, told me. 

The New York attorney general’s office has not yet issued a formal opinion on whether Kalshi and Polymarket election bettors are barred from voting in elections they’ve wagered on. But they’re currently locked in a court battle to try and get Kalshi regulated under state gambling laws.

All this makes for a potentially explosive situation in the upcoming midterms, given the rapid growth of the industry, which has rolled out massive advertising campaigns and sponsorship deals to attract customers this election cycle. 

Prediction market companies have responded with fury. Benjamin Freeman of Kalshi posted on X that this was “insane,” blatantly unconstitutional,” “illegal,” “dishonest,” and “dystopian.” In an emailed statement, Kalshi said this was “incredibly dangerous to democracy.” 

Bettors may be less perturbed. “The reaction I am party to is almost amused by how idiotic it is — how unenforceable, and backwards, and emblematic of government regulators,” said Alex Keeney, who founded Eventual, a prediction market podcast he co-hosts with traders.

But Wisconsin Elections Commission member Ann Jacobs, who flagged the issue earlier this year and helped create the new guidance, told me in an interview that the decision was not taken lightly.

“This has been the law for a long time,” she said. “And if you don’t like the law, go talk to your legislator.”

So, where did this old law come from? Could it actually be enforced? And would it hold up against court challenges?

America’s hidden history of degenerate election gambling

It may seem surprising that a state would have such an old law of this nature on the books.

But, it turns out, many early 19th century Americans were degenerate election gamblers — so many that this became a topic of national conversation and condemnation.

In a 2012 paper, economic historian Paul Rhode and economist Koleman Strumpf wrote that betting on elections was “commonplace” since the US’s earliest years as a nation, but that it became “especially intense during the partisan conflicts of the Jacksonian era.” Newspapers, which in those days were mainly partisan, championed the practice.

Concerns eventually rose that election betting encouraged election rigging, just as people complain today that prop bets are corrupting sports. After the 1844 election, Rhode and Strumpf wrote, Whig Party members complained that “gamblers favoring Polk had committed voting fraud using the winnings from election bets to defray their expenses.” 

Then, in 1845, the governor of New York, Silas Wright, urged his state legislature to make “the extensive and rapidly increasing practice of betting on elections” illegal, due to the “corrupting tendencies which it exerts upon the election itself.” And, Rhode and Strumpf continue, evangelicals “preached long and hard against election betting” as part of the second Great Awakening movement.

The craze eventually faded, but it was peaking just around the time Wisconsin became a state in 1848. So its new state constitution specifically addressed the issue, saying “laws may be passed” excluding election bettors “from the right of suffrage.” Hence the 1849 law.

Why attention returned to this law in 2026

In recent years, in the rare occasions when the law has been noticed at all, it’s been treated as an amusing, antiquated curiosity. 

But the rise of prediction markets like Kalshi and Polymarket — and the corresponding surge in election betting — made it relevant again.

In March, after Jacobs of the Wisconsin Elections Commission heard a radio story about Polymarket, she posted on X: “WI friends – I know it’s all the rage to bet on everything, but you cannot bet on an election in Wisconsin!  If you do, your ballot can be challenged & thrown out.”

Kalshi has long taken the position that it doesn’t allow election “gambling,” but rather “financial products” called “event contracts.” But the commission’s legal staff studied the issue, and concluded earlier this month that it was “relatively clear” that a Wisconsinite “cannot, even indirectly” make a bet or wager on an election and then vote in that election. 

The press release warning voters — and the backlash from Kalshi and Polymarket — soon followed. 

How the law might (but probably wouldn’t) be enforced

So, what would happen, then, if an avid “event contract” trader decided to vote anyway?

Realistically, the answer is: probably nothing.

But if someone else had knowledge that this person was making election bets and voting, they could show up to try to get them disqualified.

“You would have to be there at the moment they showed up to vote — or when their absentee ballot is pulled out to be counted — and you’d say, ‘I’m challenging that voter,‘” Jeff Mandell, a Wisconsin election lawyer, told me. “But the chances that somebody is around with the right knowledge to block someone on one of these bases strikes me as pretty slender.”

The other theoretical risk is felony prosecution. Law enforcement officials could obtain information that people voted on elections they’d wagered on and, then, criminally charge them for  voting illegally. 

But Mandell pointed out that “that seems like a lot of work” for a prosecutor, adding, “I think that fears about enforcement, either civil or criminal, are probably overstated.”

Still, Jacobs argued, it’s possible. “This is the law,” Jacobs said. “It is a situation where, if people have placed a bet, they should consult with their own attorney and decide what to do.”

Would the law stand up to court challenge?

Since Wisconsin’s original state constitution specifically said the state could restrict election bettors from voting, the law would seem to be on firm ground.

There’s just one catch: That section of the constitution was repealed forty years ago. 

That repeal was made as part of a broader overhaul of the document and doesn’t appear to have been specifically targeted at the election betting issue. But it does mean that the statute doesn’t necessarily have the firm state constitutional footing it once did.

“The current constitutional language only authorizes the legislature to disenfranchise voters on two grounds — a felony conviction or incompetency — which does suggest that disenfranchisement on other grounds is impermissible,” Robert Yablon, a University of Wisconsin-Madison law professor, said in an email.

The law could also be challenged in federal court. As written, the law appears to prohibit even someone making a $1 bet with their friend on an election outcome from voting. Challengers could argue that law isn’t narrowly tailored enough to justify depriving qualified citizens of their voting rights.

For now, though, the law is on the books, and it says what it says. 

“As a policy, it makes sense,” Jacobs told Vox. “You want people to make their voting decisions based on who they think is best for the job — not who’s going to make them the most money.”

The New York question

Though the Wisconsin situation has made national headlines this week, it has largely escaped notice that New York has very similar provisions in both its constitution and in state law.

New York’s constitution says that no person who “shall make or become directly or indirectly interested in any bet or wager depending upon the result of any election, shall vote at such election.”

In fact, state law says that if a voter’s eligibility is challenged on these grounds, they must swear what is known as the “Bribery Oath,” swearing that they haven’t been paid to vote a certain way — and that they “have not made, or become directly or indirectly interested in any bet or wager depending upon the result of this election.”

When I inquired with New York state officials about whether these provisions about bets and wagers applied to Kalshi and Polymarket election event contracts, they declined to comment specifically on that.

But the New York attorney general’s office has repeatedly taken the position, both in their public rhetoric and in court, that prediction markets are “gambling platforms” that should be regulated by state gambling law. (Earlier this month, a judge gave the state a favorable ruling in a suit brought by Kalshi over this, though Kalshi is appealing.)

If New York reaches a similar interpretation as Wisconsin, Kalshi or Polymarket bettors on elections would not be legally permitted to vote in those elections. Of course, doing that comes with a risk of voter disenfranchisement, especially if this guidance isn’t well-publicized or is only belatedly clarified.

So, in both states, these very old laws have collided with a modern trend — and the result is a big mess. 

Ticks are taking over the United States. Due to climate change, changing land use, and an explosion in the deer population, ticks have been expanding their territory and infecting more people than ever. They carry pathogens that cause everything from Lyme disease to the red meat allergy-inducing Alpha gal syndrome. In some cases, tick bites can be fatal.

Ticks usually lurk in the tall grass in wooded areas. That means going on a hike or even just hanging out in your backyard or a park can expose you to a tick bite. In many parts, of the country fear of ticks is changing how people live their lives, including the way they dress, how they enjoy their hobbies, or even whether they spend much outdoors at all. 

The tick surge is catching public health officials off guard. Emergency room visits due to tick bites are the highest they’ve been since 2017. In spite of the uptick, most public health departments still focus on lowering the population of mosquitos in their areas over ticks. 

Climate reporter Jonthan Mingle says we can fix this problem. As Mingle explained in a recent New York Times op-ed, encouraging the public to do tick checks and use bug spray is a part of the solution, but we’re leaving a bunch of larger interventions on the table. Mingle joined Today, Explained co-host Sean Rameswaram to explain why ticks are expanding their range and what we can do about it. 

Below is an excerpt of their conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get your podcasts, including Apple Podcasts, Pandora, and Spotify.

We covered Lyme disease and tick bites on this show back in 2018 because the tick situation was getting out of hand. How much more out of hand has it become since then?

You know some experts I talked to used the word exponential. So what’s happening is that some of these tick species are spreading into areas where people aren’t familiar with them, doctors aren’t familiar with them. Thanks to warmer winters, ticks are expanding their hunting season. You may have a day that’s like 40 degrees in January, ticks are out looking for you, waiting for you to walk by and grab on and grab a meal. 

In 2024, a pilot named Brian Weitzel, father of three in northern New Jersey, had a hamburger, at a barbecue, went home to mow his lawn, and a few hours later was unresponsive on the floor and he died that night. His family was left in shock, of course, trying to figure out why he had died. And it turned out that he had likely been bitten by the lone star tick and had developed an allergy to red meat. This is referred to as Alpha-gal syndrome, which is just the latest entrant into the files of all the many ways in which tick bites can make us sick. The most familiar one, of course, is Lyme disease. Each year, about half a million people are treated for Lyme disease. It’s the fastest growing vector-borne disease in the US. Cases have more than doubled over the past decade, and those cases are mostly as a result of getting bitten by the black-legged tick or the deer tick. The thing is both of these ticks — and many other ticks that are also marching northward and westward and expanding their empires rapidly across North America — they can deliver all kinds of pathogens.

They’re claiming more and more of the map, and they’re claiming more and more of our psychic map right? I tell people I’m not a tick expert, although I’ve talked to a bunch of them, but I’ve become a tick expert in the sense that I am very familiar with tick paranoia and how it can keep you from venturing out into the places you love: hiking paths or picnic grounds or parks. And so that was part of the story I wanted to write about, too — Why are we letting the ticks keep us, if not out of these places that we need and love, why aren’t we fighting back?

And why is it? Are we not fighting back against the ticks?

Not really. I mean, this is one of the surprising takeaways from my reporting is that we’re barely even trying. One way of understanding that is to think about two numbers. One number is 90 percent. 90 percent of vector-borne disease cases in the US are from ticks.

90 percent?

Yeah. And yet despite the fact that 90 percent of cases of vector-borne illness come from tick bites, if you look at what local city, county health agencies do in terms of vector control, 80 percent of what they do is mosquito control, and only about 10 or 11 percent of these local health agencies around the country do any kind of tick control. So why is that? It’s a familiar story in the public health world. It’s not enough funding or policy support for trying out, testing, deploying new approaches to controlling ticks.

Even though people are dying?

We’re just kind of taking for granted that, ‘Oh, well, what can you do? You just tuck your pants in and spray some insecticide on your boots and that’s all you can do.’ It’s like, well, actually we have a long history of going to war with mosquitoes. Before there was tick control, there was mosquito control. The CDC was founded with the sole mandate in 1946 of wiping out malaria and fighting mosquitoes. 

It feels like they lost that fight because in my neighborhood you can’t go out between the hours of seven and nine o’clock.

The mosquitoes haven’t gone away, but malaria did for the most part. You know, in talking to experts today, including folks at the CDC, they told me that there’s a suite of tools we could be using if we wanted to get serious about fighting ticks. As one veteran tick expert at the CDC told me, if you want to make a dent in this problem, you have to get to the deer. The deer are the engine driving a lot of these tick species spreading, and we just have way more deer than we did decades ago, especially in the eastern US and suburban parts of America. So how do you get to the deer? I had people in the comments section of my piece saying the clear answer is just we should all be hunting deer. But in talking to the experts, they’ll tell you it’s not really a feasible solution. You would have to knock deer populations way down to make a dent in the tick populations. 

What is more promising is a combined approach of stuff like vaccines. There are people developing vaccines that you could deliver to deer or to rodents, which are another important host for these ticks so that when the tick bites them, they’ll die. That, I learned from talking to folks who do this kind of research for a living, is a more promising avenue for controlling ticks than all of us picking up crossbows and becoming deer hunters.

So why is it that we’re not doing anything?

What I heard from experts is that we’re not even funding this research in a serious way. We do this stuff for mosquitoes. People don’t realize it, but your local county health agency, they go out and they find where the mosquito breeding grounds are and stagnant pools the water and they treat it. It takes this sustained quiet effort. 

We saw the consequences of not doing that recently. This is a bit tangential, but screwworm. Screwworm was this flesh eating larval pest that devastates cattle herds that it was eradicated in the US in 1966, and it was kept at bay by the vigilance of people at USDA and USAID who ran these programs to release millions of sterile screwworm males out of airplanes. It created this wall that kept the screwworm from coming into the southern US. And probably if we stopped doing the mosquito control at a local scale, we’d see more cases of dengue fever, West Nile virus, and all these other rare but serious illnesses that climate change is making more of a threat here in the US.

Could you just practically help people understand how they can protect themselves in the absence of, I don’t know, a functional government?

Doing tick checks. And we do it in my household pretty much daily when you come home, do a thorough tick check, throw your clothes in the dryer. Ticks hate heat. And some people like to use permethrin spray, which is this insecticide that’s designed to kill ticks on your boots or your pants when you go out for a hike. Researchers have known these things are really effective if you keep doing them, if you stay vigilant. And all it takes is that one time, that one time you go out for a hike and you come back and you forget to do the tick check. 

So we need those kinds of personal measures of vigilance and protection, but we still need to kind of push for a bigger public health response to this. The ticks are going to keep spreading into the calendar, too, in the sense that as winters get warmer, more and more days of the year when you’re outdoors, you’re going to encounter ticks who are hungry, and they’re looking for you. 

The Trump administration may have just signed an agreement so controversial that President Donald Trump himself is opposed to it. 

On Wednesday, the US and Saudi Arabia signed a 30-year, multibillion-dollar nuclear energy cooperation agreement. The terms of the deal signed by Secretary of Energy Chris Wright and his Saudi counterpart have not been released, but some of the details discussed by officials in reporting by the Wall Street Journal and New York Times earlier this week raised eyebrows, mainly the fact that in addition to helping the Saudis construct nuclear reactors, the US could potentially help the Saudis construct facilities to enrich their own uranium.

The timing is particularly awkward with the US currently at war with Saudi Arabia’s rival Iran, in large part due to concerns about that country’s nuclear enrichment program. 

It is also happening in the context of an emerging new nuclear world, where last century’s arms control agreements are falling by the wayside, regimes like Russia are increasingly employing nuclear threats, and longtime US allies are increasingly nuclear-curious due to both growing military threats and skepticism about the value of American security guarantees. It could raise the risk that other countries will seek the capability to raise the bomb, even if they don’t immediately build one. 

“It’s unprecedented in the history of US nuclear policy,” said Matthew Kroenig, senior fellow at the Atlantic Council and author of the book, Exporting the Bomb. “Never before have we helped another country build a uranium enrichment facility. All the way back to Eisenhower, the deal has been: If you want nuclear energy, terrific. We’re happy to help you, but you can’t make the fuel because once you make the fuel, it’s too dangerous.”

Whether the deal will even happen is getting less clear. The agreement was already going to face significant opposition in Congress, where it must be sent for review, but Trump added to the confusion on Thursday morning with a Truth Social post that contradicted much of what had been reported the day before. Trump wrote that there would be “no enrichment of material” under the deal and that the agreement is “totally subject to Saudi Arabia joining the very respected and successful Abraham Accords,” referring to the series of diplomatic normalization agreements between Israel and a number of Muslim countries signed during Trump’s first term. This was not reported in any of the media accounts earlier in the week, which were based on statements from US officials. 

The Saudi government has not yet responded to Trump’s latest statement, but sources close to the talks have indicated that no such pledge was included in the negotiations. 

Saudi Arabia has long insisted that it will not normalize relations with Israel until the creation of a Palestinian state, and if they had caved on that position prior to the agreement, it seems unlikely that no one would have mentioned it before today. At a press briefing on Thursday, White House spokesperson Karoline Leavitt affirmed that the deal would be “off” unless Saudi Arabia joined the Abraham Accords. Asked for clarification on the discrepancy between Wednesday’s reporting and Trump’s announcement on Thursday, the White House press office referred Vox to Leavitt’s statement. 

At the moment, there’s more confusion than clarity around the deal, and what it means for the future of both the Middle East and global efforts to control nuclear weapons. 

What’s standing between Saudi Arabia and a nuke?

This idea behind the Saudi deal isn’t new: Both the first Trump administration and the Biden administration pursued a civilian nuclear deal with the kingdom. It’s been a controversial notion for just as long, given Saudi Arabia’s often aggressive foreign policy, human rights record — including the high-profile murder of US citizens — and the fact that Crown Prince Mohammed bin Salman has said in the past that his country would seek to build its own nuclear bomb if Iran ever acquired one. 

Saudi Arabia insists that its interest in nuclear energy is purely peaceful — part of a larger goal to diversify its economy away from oil and gas and to generate power for a nascent artificial intelligence industry. Proponents in the US argue that a deal would deepen ties between the US and an important security partner. It would also, they argue, head off the risk of Saudi Arabia cooperating instead with China or Russia to build a nuclear program and be a potential windfall for the US nuclear power industry. 

The US has previously entered into 29 nuclear cooperation agreements — commonly known as “123 deals” for Section 123, the legislation that governs them — involving 49 countries. The deals require countries to submit to a number of safeguards to prevent them from weaponizing these nuclear programs, including requiring US consent for any enrichment of uranium for the US-built nuclear plants. 

In more recent US deals, most countries have agreed to give the International Atomic Energy Agency even more stringent inspection authorities. Some have gone further: Under the deal signed with the United Arab Emirates in 2009 and Taiwan in 2013, the countries agreed to forswear any enrichment of uranium on their soil, including for projects in which the United States is not involved. This has been called the “gold standard” for nuclear sharing deals, and it’s what the US pushed for in previous nuclear sharing negotiations with Saudi Arabia. 

The Saudis have long balked at some of the stricter provisions in some more recent US deals, such as additional IAEA inspections and a pledge to enrich no uranium at all. The kingdom has argued these are intrusive infringements on its sovereignty, particularly given that Iran was allowed to continue enriching under previous agreements with the US. But, Kroenig said, there’s little plausible reason to oppose these restrictions if Saudi Arabia is only interested in civilian energy.

“They probably haven’t decided to build nuclear weapons yet, but it seems like they want the option,” Kroenig said.

Saudi Arabia is not going to build a bomb overnight. It’s not even going to start enriching uranium for some time. Under the deal — at least the version that was reported earlier this week by the Wall Street Journal — US companies would immediately begin work on building nuclear power plants when the deal goes into force, while US and Saudi officials would conduct a two-year study to determine “value of enrichment for Saudi Arabia.” (This, notably, would likely be concluded during Trump’s term.)

In this respect, the deal may in fact be tougher than the never-concluded Biden agreement, which reportedly would have allowed enrichment to begin immediately. 

If the study concludes Saudi Arabia needs to enrich, the enrichment facility would be constructed in a secretive “black box” to prevent the Saudis from acquiring sensitive technology. If the US objects to Saudi enrichment after the study, the Saudis couldn’t enrich for another 10 years. After that, it’s not clear what happens. 

The safeguards do not mollify many nonproliferation experts. 

“Skeptical is a mild way of putting it,” said James Acton, co-director of the Nuclear Policy Program at the Carnegie Endowment. “Even if you black-box the technology, Saudi Arabia could still nationalize the facility. This is a country that has overtly declared an interest in proliferation. Once it’s on Saudi soil, you have very limited options to stop it from misusing that technology if it decides to do so.”

The most difficult and expensive part of building a nuclear device is uranium enrichment, and the US will have helped Saudi Arabia a long way down that path. That doesn’t mean the kingdom is necessarily planning to build a bomb, but if it decides on that course of action down the road, it will have a significant head start.

“Saudi Arabia’s nuclear program does not pose a near-term proliferation risk,” said Kelsey Davenport, director for nonproliferation policy at the Arms Control Association. Rather than trying to quickly build a bomb, she suggested that “the more likely scenario is that Saudi Arabia will continue to acquire the capabilities that would be necessary to weaponize and move to the threshold of nuclear weapons, which would enable a rapid move to build the deterrent if the decision were made.”

This, she added, would both complicate ongoing nuclear talks with Iran and “set a terrible precedent” for future nuclear agreements. 

What happens now? 

“Look, there are some benefits to the deal,”  said Robert Einhorn, a former State Department special adviser for nonproliferation and arms control. “It will give a boost to the US nuclear industry. It will help cement US-Saudi strategic relations. It will deny Russia and China a foothold in an important element of the Saudi economy. But the Trump administration will have to work hard to convince the Congress and the American public that the shortcomings of the deal are not disqualifying.”

That process starts this week. The agreement will now be submitted to Congress for a 90-day review period. This isn’t a formal treaty that requires approval. Congress has to pass a joint resolution opposing it.

The deal is likely to draw opposition on both sides of the aisle. In 2019, then-Republican Sen. Marco Rubio (FL), now secretary of state, sponsored legislation that would require any 123 agreement with Saudi Arabia to be affirmatively approved by Congress.  (“I miss Sen. Rubio,” Rep. Brad Sherman (D-CA), a co-sponsor of the House version of the bill, said during a hearing on Wednesday.)

In addition to security concerns, the potential conflicts of interest around the bill may also draw scrutiny. Tom Barrack, a close Trump confidante who is now US ambassador to Turkey and an adviser on Middle East policy, was investigated by federal authorities and was the subject of a House probe during Trump’s first term for lobbying for nuclear deals with Saudi Arabia and the UAE while he had significant real estate investments in those countries and ties to the government.  

ProPublica also reported in 2019 that Barrack had sought a major financial stake in Westinghouse, the nuclear reactor builder. The Wall Street Journal wrote that Westinghouse Electric is likely to be one of the main beneficiaries of the deal to build nuclear reactors in the Kingdom.

It still seems unlikely that opponents of the deal in Congress will be able to cobble together a veto-proof majority to block it. The better question is whether Trump is effectively blocking it. If he is really going to insist on Saudi Arabia joining the Abraham Accords, that could be a nonstarter for Mohammed bin Salman. 

A new nuclear world takes shape

Events in recent years have led Saudi leaders to doubt the extent to which the US would really come to their aid in a worst-case scenario. There have been mixed reports about whether Saudi Arabia backed or opposed Trump’s decision to launch this year’s war on Iran — the Saudi government denies supporting it — but either way, if this war ends with Iran’s regime still in place, in possession of its uranium stockpile, and in control of the world’s most critical energy chokepoint, the doubts in Riyadh about America’s reliability will only increase, along with their nuclear ambitions. 

In the coming weeks, the White House will make the case that this deal is safer and more comprehensive than the ones the US would not agree to in the Biden administration and Trump’s first term. But that argument will be harder to make against the notion that Saudi Arabia’s incentive to build a bomb has only grown since then. 

Abdul El-Sayed is among America’s most prominent proponents of Medicare-for-all. 

The frontrunner in Michigan’s Democratic Senate primary literally wrote the book on that policy (or at least, a book on it). In El-Sayed’s view, Medicare should cover “all necessary healthcare” for every American — without co-pays, premiums, or deductibles — and be “accepted everywhere.”

Alas, despite his many years of advocacy, El-Sayed has seemingly failed to persuade his wife of that last point: According to a recent report from the Washington Free Beacon, El-Sayed’s partner, the psychiatrist Sarah Jukaku, does not accept Medicare as a form of payment at her private practice.

This bit of gossip is of little importance, in and of itself. The Free Beacon’s story does nothing to refute the case for El-Sayed’s candidacy or his healthcare plan (his wife’s business is, well, her business). As hit pieces go, it’s weak tea.

Nevertheless, the tension between El-Sayed’s healthcare proposals and his wife’s business practices is real. And it is illustrative of a major challenge facing anyone who wishes to reform our nation’s misbegotten healthcare system: To meet the medical needs of all Americans, reformers will need to defy the interests of most doctors — and in many cases reduce their compensation. 

And that won’t be easy. Few people feel a deep fondness for insurance companies. But El-Sayed is far from the only American who loves a physician.

The biggest obstacle to Medicare-for-all

To understand why Medicare-for-all would be bad news for many doctors — and how the Free Beacon’s story illustrates that point — we must first dwell on one fundamental fact about America’s healthcare system: It’s a rip-off. 

The US spends about twice as much per person on medical goods and services as other wealthy countries. And yet, all that money does not actually buy us much more care. Compared to our peers abroad, Americans are less likely to see a doctor, secure a long hospital stay, or access a timely appointment for medical treatment. On the other hand, we do have the privilege of paying radically higher healthcare prices.

To take just one telling example: In the United States, a coronary bypass surgery will typically cost more than $89,000; in Australia, it costs just $17,741.

Such exorbitant prices are the chief obstacle to any version of universal healthcare. Even with one-third of working-age Americans uninsured or underinsured — and thus, consuming too little medical care — the bill for America’s health sector ran to $5.7 trillion in 2025. 

In El-Sayed’s vision, Americans would consume vastly more medical services than they do today: The uninsured would suddenly have access to every doctor in the country, while everyone else would see their co-pays and deductibles drop to zero, encouraging them to schedule far more doctors’ visits.

This would be a costly proposition in any country. At America’s current healthcare prices, it would be prohibitively expensive. There is simply no way to realize anything approaching the left’s healthcare ambitions without slashing the amount of money that Americans pay per medical service. 

Doctors will pay a price for universal healthcare

Medicare-for-all advocates are aware of this fact. And they’re typically eager to talk about one source of America’s high healthcare prices: The inefficiencies of our private health insurance model. 

In America’s byzantine system, each insurer needs its own teams of auditors, claims reviewers, and myriad other specialists, while every major healthcare provider needs a horde of administrators to navigate the idiosyncratic rules of all these different insurance companies. Americans pay dearly for this bureaucratic bloat. By one estimate, our system’s administrative costs are $500 billion higher than they would be if the insurance industry was consolidated into a single public insurer. 

And yet, as large as that figure may seem, it still represents a fraction of America’s excess healthcare costs. The primary cause of our nation’s exorbitant medical prices is simpler than administrative redundancies: our healthcare providers charge exceptionally high rates.

Hospitals are the biggest culprits on this front. But physicians are also part of the problem.

According to a 2026 study from economists at the University of Chicago, Stanford, and the US Census Bureau, American physicians earn about twice as much as Canadian ones — and four times as much as Swedish doctors. 

Critically, this does not merely reflect America’s greater wealth or wage inequality. It is true that educated professionals of all kinds — financial analysts, lawyers, software engineers, etc. — earn more in the US than they do in other rich countries. But American doctors don’t just earn unusually high absolute incomes — they also occupy an atypically rarified place within their own country’s class hierarchy. About 42 percent of American specialty physicians are in the top 1 percent of their nation’s income earners. Among Canadian specialists, that figure is just 27 percent; for Swedish ones, it is 7 percent.

The main driver of these disparities is straightforward: America imposes fewer price controls on its healthcare sector than other nations do. 

And this is where Jukaku’s practice reenters the picture. 

The public parts of America’s insurance system — Medicare and Medicaid — pay rates that are only modestly above international norms. It is when American doctors bill private insurers — or the rich consumers of boutique medicine — that they really make bank.

As a result, top clinicians like Jukaku often decline to take Medicare. If you’ve got affluent patients beating down your door, accepting Uncle Sam’s rates just doesn’t pay.

Unless the government forces doctors and hospitals to swallow steep pay cuts, however, Medicare-for-all won’t pencil out. According to a widely cited 2018 analysis by the economist Charles Blahous, if a single-payer system kept provider payments constant, national health spending would rise by $3.25 trillion over a decade, even with administrative savings taken into account. By contrast, if all providers were forced to accept Medicare’s rates, health spending would actually fall by $2.05 trillion over the same period.

Soaking physicians is tough politics

Thus, there is a clear conflict between progressives’ healthcare ambitions and medical providers’ material interests. 

Yet the left is often reluctant to acknowledge this reality. El-Sayed tends to portray insurers as the sole economic beneficiaries — and political defenders — of America’s inequitable healthcare system. The fact that hospitals and doctors also profit off the status quo’s dysfunctions does not feature prominently in his rhetoric. To the contrary, El-Sayed suggested in 2020 that doctors like his wife are actually underpaid, even though American psychiatrists earn far higher salaries than their counterparts abroad. 

To be fair, progressives aren’t alone in eliding providers’ culpability. Virtually all Democratic politicians do the same. And not without reason. Politically speaking, it is one thing to denounce the greed of private insurers — the faceless bureaucracies standing between Americans and their desired treatments. It’s quite another to call for reducing the wages of doctors, men and women who perform laudatory work and enjoy widespread admiration. 

Precisely for this reason, however, reformers must grapple with healthcare providers’ investment in the current system. The American Medical Association (AMA), the lobby representing our nation’s physicians, was instrumental in killing past attempts to move toward single-payer. And at least some segments of the medical profession would surely mobilize against any contemporary Medicare-for-all bill that imposed substantial cost controls on the healthcare sector. What’s more, in doing so, they would be able to draw on a resource the private insurance industry lacks — the public’s trust.

How to make healthcare less expensive right now

There is no easy answer to the problems all this presents. But part of the solution is to chip away at providers’ payment rates where progressives already have the power to do so. This would not only help drive down costs for existing healthcare in the short term, an urgent priority all its own, but also would smooth the path to universal coverage in the long run.

That project can take many forms. One would be state-level payment regulations. In Maryland, hospitals receive the same rates, no matter whether their patients pay with Medicare, private insurance, or cash. And their budgets are also fixed, so that they aren’t able to milk fees out of unnecessary care. Rhode Island, meanwhile, caps the growth of its hospital reimbursement rates at the pace of overall inflation. Other states could follow their lead. 

But policymakers should also address the supply constraints that undergird American doctors’ high salaries. US physicians’ ability to command high pay doesn’t just reflect America’s weak cost controls but also a persistent shortage of working doctors. The US has roughly 2.7 physicians for every 1,000 of its residents; the average among comparable countries is 3.9, according to a Kaiser Family Foundation analysis.

In this context, forcing down doctors’ pay might seem perilous. After all, doing so would reduce young people’s incentive to pursue a medical career, potentially deepening the shortage. 

In reality, however, there is no dearth of qualified people who want to practice medicine in the US. We just don’t let many of them do so.

This is partly because American policymakers consciously sought to restrict the number of doctors in the country, beginning in the 1980s. As Robert Orr of the Niskanen Center explains, the US government issued a report in 1981 warning of an imminent “physician surplus” and recommending “immediate action to curtail both the domestic training of physicians as well as the admittance of those trained outside of the country.”

The report’s argument rested on false premises; it failed to anticipate that Americans’ demand for healthcare would rise sharply as they grew wealthier. Nonetheless, its recommendations were largely implemented: Federal support for medical-school scholarships was pared back while funding for residencies has been capped since 1997. 

At the same time, policymakers maintained high barriers to the immigration of fully-trained foreign doctors: Even physicians with years of experience, and credentials in nations with high medical standards, are typically required to complete a multi-year residency before being able to practice in the US.

Ending the federal freeze on residency funding will require congressional action. But states can immediately make it easier for foreign doctors to practice within their borders. In fact, Tennessee established a pathway for such physicians to ply their trade in the state, without having to repeat a residency, in 2023. And many states subsequently enacted similar reforms.

Removing the bottlenecks on America’s doctor supply won’t eliminate the political hurdles to Medicare-for-all. But it would put downward pressure on doctors’ salaries, reduce the risks of capping physician pay, and make the left’s vision of healthcare abundance more feasible. After all, you can’t actually eliminate the care rationing that so many Americans resent by extending insurance coverage or enacting price controls alone. No matter how we pay for our medical services, we can only deliver as much care as our health sector’s resources allow. 

Don’t hate the doctor, love the sick

In saying all this, I don’t mean to convey disdain for the medical profession. Like El-Sayed, some of my best friends are doctors! In fact, my mother, father, brother, and sister-in-law are all physicians. And they all have contributed far more to American society than I ever will. My brother spends his workdays providing lifesaving treatments to cancer patients; I often spend mine sitting at a desk in my pajamas, arguing about politics on the internet. 

Physicians deserve to be well-paid for their strenuous labor. But if we want healthcare in America to be universally affordable and widely accessible, we will need to pay many of them a bit less.

This story appeared in Today, Explained, a daily newsletter that helps you understand the most compelling news and stories of the day. Subscribe here.

During his campaign to become mayor of New York, Zohran Mamdani famously vowed that he’d arrest Israeli Prime Minister Benjamin Netanyahu the next time he visited the Big Apple. 

This week, Netanyahu essentially called his bluff. He’s expected to address the United Nations in September. And after a whole lot of hemming, and hawing, and hedging, Mamdani admitted in a video Tuesday night that he does not actually have the legal authority to arrest a foreign dignitary on US soil. 

The retreat is not surprising to legal experts, who had long questioned how Mamdani would pull this particular promise off. In November 2024, the International Criminal Court — a tribunal recognized by 125 countries, not including Israel, China, Russia, or the US — did issue an arrest warrant for Netanyahu on charges of starvation, murder, persecution, and intentionally directing attacks against civilians.

But the US does not recognize the ICC’s jurisdiction. And even if it did, the job of executing its warrants would presumably not fall to New York City cops. So, why did Mamdani suggest he’d arrest Netanyahu when he actually knew he could not?

The end of the pro-Israel consensus

Mamdani’s allies argue that the principle here mattered, that the mayor needed to issue some kind of denunciation, even if he couldn’t act. But there’s another, more cynical read here, too: For Democrats, critiquing Israel is good politics. 

This is a seismic, generational shift, with far-ranging implications for both Democrats and US foreign policy. The party’s left flank has criticized Israel for years, but older and more moderate Dems only soured on Israel recently. 

“A few months after October 7, younger and progressive Democrats overwhelmingly took the opinion that Israel was committing a genocide,” said Hamid Bendaas, of the Institute for Middle East Understanding, a pro-Palestinian advocacy group. “But there were still elements of the Democratic Party — people watching MSNBC or NPR — that weren’t convinced.”

For many of these voters, the turning point only came after President Donald Trump took office again. Severe famine swept across Gaza last summer — the consequence of ongoing conflict and Israeli restrictions on food and aid shipments. Netanyahu also allied himself closely with Trump, particularly around the war in Iran. Support for Israel has consequently grown more GOP-coded, rather like Kid Rock or Bass Pro hats.

Now, even Democrats far to the right of Mamdani are looking to retool the US-Israeli relationship. Listen to Tuesday’s Today, Explained podcast episode for even more about the shift (!).

One link for later

➨ Beat the endless scroll at its own game. Social media is compelling — and compulsive — because it hijacks your sense of curiosity. But my colleague Constance Grady has come up with a delightful (and delightfully simple) antidote: To reclaim your time, just find the thing that fascinates you even more than your feed. 

Before you go…

• Did you know…that the term “luddite” comes from a movement of skilled, 19th-century textile workers who smashed and burned automated looms?
• Today’s trivia: The city of Enid, Oklahoma, is named after a character from which Victorian literary work? (You can find this and other brain puzzles in Vox’s daily crossword. Look for the answer in tomorrow’s edition.)
• Yesterday’s trivia: Yesterday I messed up! I told you that there were 23 countries in Latin America, when there are in fact 23 countries in North America. (I think we can all agree that the latter makes for more surprising trivia.) I also asked you for the name of the Eminem song that gave us the slang term for an obsessive admirer. That would be “Stan.” It also samples Dido. 

Welcome to The Logoff: President Donald Trump has seemingly called off a nuclear deal with Saudi Arabia after his energy secretary already formally signed it.

What happened? On Wednesday, the Trump administration formally concluded what’s called a “123 Agreement” to work with Saudi Arabia on the development of its civilian nuclear power infrastructure. This kind of deal allows the United States to provide another country with nuclear fuel and equipment on the condition that they submit to safeguards against building a nuclear weapon.

But on Thursday morning, after the negotiations were quite literally concluded, Trump threw a monkey wrench into things — posting on Truth Social that the deal was “totally subject to Saudi Arabia joining the very respected and successful Abraham Accords.”

The Abraham Accords are a series of agreements from Trump’s first term that normalized diplomatic relations between Israel and some nearby Arab states. In effect, then, Trump is saying that Saudi Arabia will not get its 123 Agreement unless it formally recognizes the State of Israel. Which the Saudis are unwilling to do absent the creation of a Palestinian state.

Why is Trump doing this? As is often the case with his strange last-minute decisions, no one really knows. There are a few leading guesses, though.

The first is that the agreement with Saudi Arabia was a bad idea on the merits. Experts on nuclear weapons, the Middle East, and international relations more broadly all said that the deal gave Saudis exactly what they wanted with virtually nothing in return, effectively surrendering a key piece of leverage Washington has on Riyadh.

The second is that other American friends in the Middle East got angry. The Israelis are a leading candidate, as they have long opposed any agreement that might bring the Saudis closer to a nuke. The Emiratis, often in competition with Saudis for regional influence, are another; their nuclear deal with the US, inked in 2009, is a lot stricter.

The third is bipartisan opposition in Congress, which would need to approve any deal.

What’s the takeaway: Unless something changes radically, Trump has blown up a nuclear deal that’s already been signed — humiliating his negotiators and angering the Saudis.

And with that, it’s time to log off…

As of today, we are officially two weeks away from the NFL’s first preseason game. Our long national nightmare of calling soccer “football” is almost over.

What caused the ongoing outbreak of cyclospora, the diarrhea-causing parasite currently spreading across the United States? Michigan officials have been saying for weeks that they believed the outbreak may be linked to bagged salad or salad kits. What we were waiting to learn was the specific brands and specific products in question. 

And late last week, it looked like we finally had the answer — but then things quickly got cloudy. 

On July 16, the Washington Post reported, citing anonymous sources, that the outbreak had been linked to shredded iceberg lettuce supplied to Taco Bell by Taylor Farms. A day later, Taylor Farms said it was withdrawing products from US stores and restaurants based on information from the FDA.

But then on July 19, per NBC News, the FDA said that there had been a false positive for cyclospora when testing a sample of Taylor Farms iceberg lettuce; Taylor Farms said in its own statement that the FDA had “apologized” for the mix-up. The next day, the company and the federal government were stuck in a semantic argument: Per NOTUS, the FDA insisted it did not “officially apologize” to Taylor Farms but “explain[ed] factually the issues” with the false positive. 

So where does that leave us right now? Officials still believe that Taylor Farms iceberg lettuce was the source of the Michigan outbreak. But whether those are the only products driving the outbreak remains unclear, with almost every state now reporting at least one cyclospora case in 2026. And on Thursday afternoon, the FDA announced that it was tracking a second outbreak linked to other unspecific products, though details were otherwise scarce.

Any outbreak of food-borne illness requires careful public communication. Officials need to tell people how to avoid contaminated food without scaring them away from eating fresh fruits and vegetables altogether.

But instead, many Americans have been left wondering what, exactly, they’re supposed to do. As one frustrated Reddit user put it: “So is the damn lettuce bad or not????” (If you need some advice on what foods are safe and what foods to be cautious about, we have a story for you.)

It may sound like a funny question, but it’s a profoundly serious one. The problem isn’t just that people are confused about their lettuce. The Trump administration’s handling of the cyclospora outbreak — from its conflicting public messages to accusations of political favoritism — has left many Americans even more confused about whether they can trust anything they’re hearing from the government. That’s a dangerous place to be during any public health emergency.

The cyclospora outbreak has become a communications nightmare

We are approaching 10,000 cyclosporiasis cases across the US this year: Michigan alone has recorded 7,664 as of this morning, Ohio has seen more than 1,200, and more than 40 states have now reported at least one case in 2026. The country usually sees a few hundred cases at most in a given year. Cyclosporiasis, the disease caused by the cyclospora parasite, leads to what public health experts describe as “watery” and “frequently explosive” diarrhea. While it isn’t typically life-threatening, it can cause serious complications: 160 people have been hospitalized in Michigan since the outbreak began.

And so for those of us who very much hope to eat fresh produce but do not want diarrhea, there’s a bit of urgency to figure out where the cyclospora is coming from. Food-borne illness investigations are already inherently difficult because of how globalized our food supply has become: Produce can travel all over the country and the world before it comes to your grocery shelf, and the process of government health workers interviewing the people who get sick and cross-checking to identify the shared foods that they might have in common is laborious.

Once investigators find a source, the information has to be shared clearly and responsibly. That is where the Trump administration has tripped up this week. 

Trump — and Health Secretary Robert F. Kennedy Jr. in particular — came into office criticizing the public health establishment. They accused officials of misleading the public about the novel coronavirus and the vaccines developed to fight it, while failing to convey the nuances of the pandemic. But now, as they grapple with the incomplete picture of the cyclospora emergency, they are making many of the same mistakes.

“They’re very similar problems, even if on the outside, they don’t look quite the same,” said Michael Mackert, director of the Center for Health Communication at the University of Texas at Austin. “The underlying commonality is very much that we are dealing with imperfect information all the time.”

In any outbreak, some uncertainty is to be expected. Investigators have struggled to identify the source of earlier cyclosporiasis outbreaks too. And the FDA maintains that the likely source of the outbreak is Taylor Farms iceberg lettuce, based on the information they have gathered from sick patients and other sources, no matter the false positive result that has sparked so much confusion.

“The epidemiological evidence is so strong that the lack of a positive test is almost meaningless,” said Francisco Diez-Gonzalez, director of the Center for Food Safety at the University of Georgia. 

But the mistake that the Trump administration made was in sharing preliminary results and then having to issue a seemingly contradictory statement shortly afterward.

“FDA should have waited for confirmation of the presumptive results before going public,” Diez-Gonzalez said.

The larger stakes of the Trump administration’s poor communication

Investigations like these are hard enough — but when you add in the public health funding cuts of the past 18 months and the casual and widespread corruption characteristic of the Trump administration, trust in the government’s public health apparatus has sunk even lower.

It’s created just the conditions for conspiracies to bloom. “Unfortunately our FDA is compromised,” wrote one top commenter on Reddit. “I would not trust what comes out of it during this administration.” 

Several news outlets and influential social media accounts noted that Taylor Farms had donated $1 million to Trump’s MAGA super PAC and, in the middle of the controversy, received a private White House meeting. According to the New York Times, Taylor Farm officials used that meeting to dispute the findings that their products were responsible for the outbreak — and shortly thereafter, the FDA made its “false positive” announcement.

The administration insists that their decision-making is being guided by science, but even the appearance of impropriety has become a common theme in the press coverage. The broader uncertainty and distrust may help to explain why it’s not only Taco Bell and Taylor Farms taking a hit right now: According to Market Watch, Chipotle and the fast-casual salad chain Chopt have also seen a decline in traffic in recent weeks.

Public health requires public confidence. Perceived influence from special interests is a problem, even if the interactions didn’t alter the FDA or CDC’s actions.

Kennedy, who helms our government’s health department, should understand this well: His Make America Healthy Again movement made restoring public trust a central part of its message while accusing the existing public health establishment as being in league with special interests. 

The cyclospora outbreak has revealed how difficult that is to do in practice. 

In trying to communicate nuanced information during an active outbreak — while consulting interested parties like Taylor Farms itself — the administration has instead fueled doubts about the credibility of its messaging

Even before cyclospora turned eating salad into a leap of faith, Trump had a poor track record: His administration has slashed CDC staff, brought on vaccine skeptics to set vaccine policy, and clashed with the scientific establishment on a number of high-profile issues, like the time Trump held a televised press conference to argue a disproven theory that Tylenol can cause autism.

“Unfortunately, this is another example of a missed opportunity to establish credible and trusted communications to prepare the public to understand the real risks from the pathogen and confidence in the food safety and information from the FDA,” Scott Ratzan, editor-in-chief of the Journal of Health Communication: International Perspectives, told me. “Faith in our institutions continues to erode. We could do better.”

We are lucky cyclospora is not a deadly disease. Next time, the stakes for these miscues could be much higher.

Chances are good you live with another person. Over half of American adults cohabitate with their spouse or significant other. Older adults are increasingly living with roommates. Multigenerational households have more than quadrupled over the last decade. And about a third of adults under 35 live with a parent. 

If you’ve found yourself living communally at one point or another, you know that sharing space comes with its quirks and potential headaches. Who gets to use the only bathroom first in the morning? Who’s responsible for taking out the trash? Do you actually need to be friends with your roommates? 

Being a better roommate or family member isn’t just about minimizing daily annoyance — it’s about transforming your relationships and overall well-being. According to the 2025 World Happiness Report, a household of about four members is predictive of higher happiness levels and better relationships. Older adults who cohabitate are more satisfied living with others, and have higher well-being and happiness than those who live alone, research suggests.  

Whether you live with a romantic partner, roommates, parents, grandparents, or other family members, experts (including therapists, authors, friendship experts, and researchers) — who have firsthand experience of their own — have concrete tips for how to communicate, declutter, and split finances with the people you share space with. 

Responses have been edited and condensed for clarity. 

Communicate, communicate, communicate

“I will live and die on the hill of communication being the most important aspect of successfully living with other adults. That comes from my experience living with my parents in adulthood, and from working on my anthology about communal living and interdependence. If good communication can ultimately lead to progress, any challenges that come up around logistics, habits, preferences — the things people tend to think are most important to consider when sharing space with others — can be addressed. Understanding that living with other adults doesn’t require perfect compatibility, but rather a shared willingness to work at it, opens up so many doors.”

—Samantha Paige Rosen, editor of Living, Together: Reimagining Community in the Age of Disconnection

Accept everyone’s unique (and probably wrong) ways of doing chores

“How someone loads the dishwasher is the biggest differing personalities button-pusher ever. Know this. And accept it.”

—Lauren Palmer Jansen, communications coordinator for L’Arche GWDC, a community where people with and without intellectual disabilities live and work together

Get regular meetings on the calendar

“I always recommend having a designated time — weekly, monthly — for house meetings. It feels odd initially because we believe that everything with friends should happen organically. But when you’re sharing something as sacred as a home, you have to be aligned on what creates a safe and joyful experience. This also helps with any anxiety you might feel about bringing up hard topics, like washing the dishes or inviting guests over, because you have the security of knowing that there’s dedicated time to check in.”

—Danielle Bayard Jackson, friendship educator and author of Fighting For Our Friendships: The Science and Art of Conflict and Connection in Women’s Relationships

Mark your territory

“In a shared home, peace isn’t about square footage, but it’s often helped by each person having one space that’s truly their own. That single boundary, like a door you can close, is often what makes the togetherness feel like a choice you’re happy to continue making.”

—Juli Ford, multigenerational living expert and founder of Home After 50

Discuss decluttering

“Clutter is a common household stressor, and our research suggests one reason why is that people living together buy things independently but hesitate to get rid of things independently, often over-involving each other in disposal decisions. Our proposed fix: Set disposal rules up front, the same way you might set buying rules. Let each person freely toss items only they use, or create a ‘staging area’ where items sit briefly before leaving the house. People can weigh in if they want, without letting clutter linger indefinitely.”

—Peggy Liu, professor of marketing at the University of Pittsburgh School of Business, and Theresa Kwon, assistant professor of marketing at the University of Hong Kong Business School

Agree to the “uncomfortable rule”

“Roommates who want to get along will find a way to get along. The second you stop wanting to get along, the dynamics shift. Agree to the uncomfortable rule. The uncomfortable rule says that if anyone is uncomfortable, you all agree to talk about the problem and listen. This way no one needs to hide the truth when uncomfortable situations come up. This also makes it easier to have conversations instead of confrontations.”

—Harlan Cohen, author of Win or Learn: The Naked Truth About Turning Every Rejection Into Your Ultimate Success

Divide chores equitably, not equally

“Don’t divide housework equally, divide it explicitly and equitably. In an intergenerational home, people have different amounts of time, energy, and physical capacity, so the goal isn’t identical workloads but a shared agreement everyone considers fair. Use a shared system to make the work visible. Track what gets done and by whom, then check in regularly before invisible labor turns into resentment.”

—Peter Askjær Drejer, founder of Tody, a chore managing app

Get clear about money up front

“From a financial therapist perspective, one of the biggest sources of conflict in shared living situations is the meaning people attach to money, fairness, and responsibility. Talk about expectations from the very beginning. You want to reduce the possibility of resentment forming, which can often happen if there were no conversations early on discussing what is or is not acceptable behavior and what is expected of everyone within the shared space. Most often people will wait until they’re already frustrated to discuss sharing finances or household responsibilities. But it is highly unproductive to engage in a conversation when it starts emotionally charged. Instead, schedule regular check-in conversations where you discuss not only who pays for what, but also whether the current arrangement still feels fair.” 

—Kiki Jacobson, licensed mental health counselor specializing in financial therapy

Find the good in tough situations

“My best advice is to see good intentions everywhere, even if you’re experiencing bad outcomes. For the most part, no one wants to be a bad roommate, so if someone is acting in a way that’s driving you insane, you want to approach the situation as if both of you want to fix the situation. Offer help rather than accusations. And, importantly, sometimes you can help teach others how to show up to a conversation by modeling good behavior. Sometimes people just don’t know how to have a mature, helpful conversation because they’ve never done it before. Staying regulated goes a long way.”

—Katie Rose, licensed clinical social worker

Don’t compromise, get creative

“Every recurring argument is an invitation to redesign the system rather than blame the person. Stop asking who’s right and start asking, How could we make this easier? The happiest households aren’t conflict-free — they’re creative. They develop rhythms, rituals, and agreements that work for the people actually living there rather than trying to squeeze themselves into someone else’s idea of how a household should function. One person cooks while the other cleans. Mornings become a quiet zone. Everyone gets an hour alone before reconnecting. Creativity is often a far better relationship skill than compromise.”

—Jane Garnett, licensed marriage and family therapist

Invest in a white noise machine

“Get an industrial strength white noise-maker. The app on your phone won’t cut it. It needs to be the kind you find in therapy offices so you can drown out at least some of the annoying sounds around you. Keep it on all day, not just for sleeping. Buy two if needed.”

—Mary McLaughlin, licensed clinical social worker

This story appeared in Today, Explained, a daily newsletter that helps you understand the most compelling news and stories of the day. Subscribe here.

A yet-unreleased, cutting-edge AI model escaped its test environment last week, connecting to the internet and murdering its creators in a bid for self-determination and autonomy. 

I’m kidding, of course: That’s the plot to Westworld. (And Ex Machina, and The Matrix, and too many other sci-fi stories to list.) But on Tuesday, OpenAI did reveal that two of its models broke containment and hacked Hugging Face, a platform for AI developers, during a recent test. 

The test was designed to evaluate how good the models had gotten at finding, and exploiting, cybersecurity flaws. To do that, researchers placed the models in a tightly controlled, tightly isolated environment, called a “sandbox,” and essentially challenged them to solve a cybersecurity puzzle. 

Instead of solving it directly, however, the models identified an unknown flaw in software connected to their test environment — then used that flaw to tunnel through OpenAI’s research network until they located a computer with internet access. From there, the models (correctly!) reasoned that Hugging Face might hold the answer to their challenge. 

It’s an “unprecedented” incident, OpenAI said — and a cautionary tale. Over the past year, a growing chorus of AI researchers, cybersecurity experts, and tech executives have warned that society is unprepared for this new generation of frontier AI models. 

In the real world, of course, these models do come with guardrails. (OpenAI turned them off for the test.) But the episode still suggests that the gap between reality and science fiction is narrowing — perhaps a bit faster than you’d expect.

The (impossible?) quest for a moral AI

The Hugging Face hack is a textbook example of what AI researchers call the alignment problem: the enormous, mind-melty challenge of getting AI systems to do what you want, the way that you wanted them to do it. 

Given a task and left to their own devices, AI models will pursue that task using the most efficient means available to them. But sometimes, the most efficient means are harmful, deceitful, antisocial, or otherwise…bad. 

The Hugging Face episode is one example. Bias is another: When an Amazon hiring algorithm discriminated against female candidates, for instance, it was doing what Amazon wanted (finding candidates who resembled past hires) in a way that Amazon did not want (by penalizing resumes that included words associated with women). 

In a truly apocalyptic scenario, you could even imagine — and many sci-fi writers have imagined — AI systems killing people in the narrow, relentless, and morally indifferent pursuit of their goals. Consider an AI that’s asked to order coffee, for example, and then takes steps to ensure that no one on earth can ever stop it. 

In the interests of avoiding this dystopia, AI companies have poured billions of dollars into the project of encoding their creations with human values. But even that apparently worthwhile ambition raises thorny questions, because human values vary — and often, conflict.

Should the AI order the cheapest coffee, or the cup produced under the best labor conditions? A lot of forests are cleared to plant coffee each year; maybe the AI should nudge me toward tap water, instead. Is your inferior human brain starting to melt yet…? 

One link for later

➨ Write a little note today. By hand. With a pen. Handwriting is a disappearing art in American schools, homes, and workplaces. (The average kindergarten teacher spends only 10 minutes a week teaching handwriting, and that’s the primary grade when kids learn penmanship.) People tend to think more deeply when they’re writing than when they’re typing, one education researcher told Vox. Plus, a handwritten note has a certain charm that an email or text does not. 

Before you go…

• Did you know…that the average F1 race car driver can lift 90 pounds — wait for it — with their neck? Driving doesn’t immediately sound all that athletic, but the extreme physics of F1 racing demand extraordinary fitness.
• Today’s trivia: Which Eminem song gave us the slang term for an obsessive admirer? (You can find this and other brain puzzles in Vox’s daily crossword. Look for the answer in tomorrow’s edition.)
• Yesterday’s trivia: Yesterday we asked you for the number of countries in North America. The answer is 23. It includes Central America and the Caribbean, in addition to the big three.

Last week, House Democrats voted on an amendment that would have cut $3.3 billion in annual US military aid to Israel from a State Department funding bill. The amendment was brought to the floor by Rep. Thomas Massie, an outgoing Republican from Kentucky. It failed 314-104, but 103 Democrats — nearly half of the House Democratic caucus — supported it, signaling a significant shift in the party’s longstanding support for aid to Israel.

In 2024, a similar vote came up in the House to cut military aid to Israel. Then, just 37 House Democrats voted for the measure. Now, two years later, 103 House Democrats voted to cut funding. That shift in support was accelerated after the October 7 Hamas attacks and Israel’s subsequent military campaign in Gaza, which has killed large numbers of Palestinian civilians. The debate is also playing out in Democratic primaries across the country. In New York and Colorado, Democratic socialist candidates who have sharply criticized Israel and opposed continued US military aid recently won House primaries.

Historically, Jewish Americans have overwhelmingly identified with and voted for the Democratic Party, while Democratic lawmakers have generally supported Israel and US military assistance to the country. In 2016, the Obama administration signed a 10-year memorandum of understanding (MOU) with Israel, committing the US to seek $38 billion in military assistance for fiscal years 2019 through 2028. Congress must vote to approve this funding, so the shift in Democratic support of Israel could have real consequences.

There is still a very strong support for Israel among many House Democrats, but the shifting views are notable. House Minority Leader Hakeem Jeffries opposed the Massie amendment, arguing that it was overly broad and could jeopardize humanitarian assistance. But in a letter addressed to his House colleagues he also called for a “major reset” in US policy toward what he described as Israel’s “far-right Netanyahu government.”

Today, Explained host Sean Rameswaram spoke with Democratic Rep. Brad Schneider, who represents Illinois’s 10th Congressional District, and remains a strong supporter of Israel.

Below is an excerpt of the conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify. 

Can you walk us through last week’s vote? You voted against the measure to cut aid to Israel, and a lot of your colleagues obviously did not. How did that play out for you?

Growing up in the ’60s, ’70s, and for the last 65 years, I fundamentally believe that the US-Israel relationship is important. I also believe that the aspiration for peace in the Middle East, not just between Israelis and Palestinians, but broadly throughout the region, is something that is in the United States’s interest and the interest of the people in the region. So this is not a new issue to me, and it’s something I thought long and hard about. 

Tom Massie doesn’t believe any of that. His intentions with this amendment were anything but pure. It was hastily crafted and poorly written. And one of the biggest issues with it is not only does it [not] address this 10-year memorandum of understanding, something negotiated by President Obama eight years ago, but there are also two years left on the MOU. 

It was a messaging bill and nothing more, and it was a negative message. I voted no because I think if we’re going to move toward peace, we need to do so in a constructive way. A lot of my colleagues were saying we need to send a message to the Netanyahu government.

“I have to hold onto that optimism for the prospects of peace because the alternative is too dark.”

I’ve been extremely critical of this government, their failure to address the settler violence in the West Bank, the failure to plan for a day-after in Gaza following what was a horrific war. If we’re going to move towards peace, if we’re going to find a path where Israelis and Palestinians can live side by side and the region can have the peace they deserve. Because we’re not just talking about Israelis and Palestinians; there’s progress being made between Lebanon and Israel in giving Lebanon, the people of Lebanon, the liberty and freedom they all deserve. 

Can I ask you if you still take money from AIPAC? And if so, how much?

I appreciate the support I get from people who care about the issues that I advocate for. So people who are pro-Israel, pro-US-Israel relationship are likely to support me because I’m pro-US-Israel, pro-US-Israel relationship. I’m also pro-addressing gun safety and reducing gun violence in this country. So I get the support of those groups. The support I get doesn’t determine my positions. I think my positions determine who supports me. 

Has your position on Israel shifted at all since October 7th, or at any point in your political career? And if so, can you tell us how?

So my position hasn’t changed because I’ve always been committed to promoting peace between Israelis and Palestinians and finding a path where both can live together, which I believe ultimately is two states: a Jewish democratic state of Israel, and a Palestinian state living side by side. My frustration with the current Israeli government has grown and continues to grow. Every conversation I have with them, whether it’s the US ambassador to Israel, whom I’ve had the privilege of working with many times, or my meetings with Prime Minister Netanyahu. I’ve had an engagement with the prime minister going back now for almost 30 years. But in the last several years, every single conversation I have with them talks about the need to address settler violence, the need to get humanitarian aid.

One of the things that I am proud of and will say loudly and proudly is that immediately after October 7th, as the war began, my team and I worked hard to push for humanitarian aid into Gaza to do everything we could to make sure that the civilians who were always caught in the middle of any war wouldn’t suffer more than they did. And the suffering was horrific. And I did challenge Israel when they made what I’ll call ill-conceived, ill-advised, in some cases illegal decisions to deprive humanitarian relief from entering Gaza. We pushed hard, and we worked with the Egyptians to get the Rafah crossing open. We pushed the Israelis to open the Karam Shalom crossing. And to not just get aid to those crossings, but get aid into and across the territories within Gaza.

Why are you so optimistic about the situation? 

I am always going to be optimistic. I have to hold onto that optimism for the prospects of peace because the alternative is too dark. And let’s separate the issue for folks living in the region and the folks living here. And for the Israelis and Palestinians, these are two peoples who are totally traumatized — traumatized not just over the last couple of years, but for decades. So I recognize the trauma that Israelis have and are experiencing, and I recognize the trauma that the Palestinians have and are experiencing. And that’s part of what I feel is my obligation: to hold onto that optimism and speak to a better future and work to try to find ways to bring the parties on both sides of the issue together to make the hard choices and take the risk to get to a path to peace.

So the reason I’m holding onto optimism — and it’s not 24/7; I have my moments when I am down and where I feel like the hill we’re climbing is just too steep — is you take a deep breath and you dig deep, and you say, I can’t give up on hoping and working towards peace because otherwise peace is never going to happen. And I want to find people who are like-minded.

And that is not just on the Israeli side of the equation. We have to find people on the Palestinian side, and for those on the Palestinian side, we have to find Israelis. And I meet, and I spend time with them on a regular basis. They come to my office. When I’m in the region, I talk to them. We have to strengthen and empower those voices who believe that peace will only come when the Israelis see the Palestinians as a people worthy of engagement and a shared future, and the Palestinians see the Israeli as a people worthy of engagement and a shared future, and recognize that until they get there, there’s no future for either side. We’ve got to have a path where both are pointing in the same direction.