Health – Page 2 – Michmutters
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US

Nebraska woman charged with helping daughter have abortion

OMAHA, Nebraska (AP) — A Nebraska woman has been charged with helping her teenage daughter end her pregnancy at about 24 weeks after investigators uncovered Facebook messages in which the two discussed using medication to induce an abortion and plans to burn the fetus afterward.

The prosecutor handling the case said it’s the first time he has charged anyone for illegally performing an abortion after 20 weeks, a restriction that was passed in 2010. Before the US Supreme Court overturned Roe v. Wade in June, states weren’t allowed to enforce abortion bans until the point at which a fetus is considered viable outside the womb, at roughly 24 weeks.

In one of the Facebook messages, Jessica Burgess, 41, tells her then 17-year-old daughter that she has obtained abortion pills for her and gives her instructions on how to take them to end the pregnancy.

The daughter, meanwhile, “talks about how she can’t wait to get the ‘thing’ out of her body,” a detective wrote in court documents. “I will finally be able to wear jeans,” she says in one of the messages. Law enforcement authorities obtained the messages with a search warrant, and detailed some of them in court documents.

In early June, the mother and daughter were only charged with a single felony for removing, concealing or abandoning a body, and two misdemeanors: concealing the death of another person and false reporting. It wasn’t until about a month later, after investigators reviewed the private Facebook messages, that they added the felony abortion-related charges against the mother. The daughter, who is now 18, is being charged as an adult at prosecutors’ request.

Burgess’ attorney didn’t immediately respond to a message Tuesday, and the public defender representing the daughter declined to comment.

When first interviewed, the two told investigators that the teen had unexpectedly given birth to a stillborn baby in the shower in the early morning hours of April 22. They said they put the fetus in a bag, placed it in a box in the back of their van, and later drove several miles north of town, where they buried the body with the help of a 22-year-old man.

The man, whom The Associated Press is not identifying because he has only been charged with a misdemeanor, has pleaded no contest to helping bury the fetus on rural land his parents own north of Norfolk in northeast Nebraska. He’s set to be sentenced later this month.

In court documents, the detective said the fetus showed signs of “thermal wounds” and that the man told investigators the mother and daughter did burn it. He also wrote that the daughter confirmed in the Facebook exchange with her mother that the two would “burn the evidence afterward.” Based on medical records, the fetus was more than 23 weeks old, the detective wrote.

Burgess later admitted to investigators to buy the abortion pills “for the purpose of instigating a miscarriage.”

At first, both mother and daughter said they didn’t remember the date when the stillbirth happened, but according to the detective, the daughter later confirmed the date by consulting her Facebook messages. After that he sought the warrant, he said.

Madison County Attorney Joseph Smith told the Lincoln Journal Star that he’s never filed charges like this related to performing an abortion illegally in his 32 years as the county prosecutor. He didn’t immediately respond to a message from the AP on Tuesday.

The group National Advocates for Pregnant Women, which supports abortion rights, found 1,331 arrests or detentions of women for crimes related to their pregnancy from 2006 to 2020.

In addition to its current 20-week abortion ban, Nebraska tried — but failed — earlier this year to pass a so-called trigger law that would have banned all abortions when the US Supreme Court overturned Roe v. Wade.

A Facebook spokesman declined to talk about the details of this case, but the company has said that officials at the social media giant “always scrutinize every government request we receive to make sure it is legally valid.”

Facebook it will fight back against requests that it thinks are invalid or too broad says, but the company said it gave investigators information in about 88% of the 59,996 times when the government requested data in the second half of last year.

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Australia

Launceston General Hospital patient dies after being ramped for more than nine hours

The death of a woman in her 70s who was ramped and waiting to be admitted to a Tasmanian hospital’s emergency department for more than nine hours is “totally unacceptable” and shows the state’s health system is crumbling, a union says.

The union that represents paramedics in Tasmania said the woman was taken to the Launceston General Hospital about midnight on Friday night, and died at about 9am on Saturday.

“The patient had been ramped for nine hours at the time when they passed away, and they were still in an inappropriate setting and had not been allocated a bed at that time,” said Robbie Moore from the Health and Community Services Union (HACSU) .

“This is a very sad situation that just demonstrates how bad our health system is, that we couldn’t have a bed available for a patient who clearly needed medical assistance, and shows that ambulance ramping is out of control and patients’ lives are being put at risk.”

Ambulance ramping happens when hospital emergency departments are full and cannot admit new patients.

Paramedics care for the patients they have transported in an area of ​​the hospital outside of the emergency department.

Mr Moore said the patient received care from emergency department staff while they were waiting for an ED bed to become available, and was also cared for by ambulance paramedics.

“A patient being ramped for nine hours is totally unacceptable, and demonstrates that we are letting down the Tasmanian community,” he said.

“Unfortunately this is not an isolated incident … we’re unfortunately aware of several other incidents where patients have been unable to get a bed and passed away on the ramp.”

Nursing staff ‘distraught’ at conditions in LGH emergency department

The Australian Nursing and Midwifery Federation’s Tasmanian secretary Emily Shepherd said on the night the woman was brought to the hospital, the LGH’s emergency department was full, with 20 patients waiting to be admitted to beds in other parts of the hospital, about 50 people in the ED waiting room, and seven ambulances ramped up.

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Categories
Australia

Patients getting stuck at transitional accommodation for an average of six months, report finds

A review into transitional accommodation for people with disabilities who have been discharged from hospital has found some people are getting stuck at facilities almost permanently, amid reports from patients that they are receiving substandard care.

The State Government ordered a review of the Transition to Home facilities after multiple complaints, including the case of a man known as “Mr D” who was found by ambulance staff in squalid conditions with an infected wound.

Mr D was at a Hampstead facility that has since closed, but the remaining Transition to Home programs at The Repat and St Margaret’s Rehabilitation Hospital have also come under fire for a lack of care, with allegations clients have been left to soil themselves in their wheelchairs .

Last week, the ABC revealed multiple complaints from patients at the Repat Health Precinct, including allegations that patients were being left in their own faeces and had been given the incorrect doses of medication.

Originally designed to help NDIS clients stuck in hospital waiting for support to return home or to permanent accommodation, the independent report has found clients were being referred to the service without a discharge pathway, “resulting in clients being admitted whose length of stay in T2H will most likely to be static, long stay or permanent.”

A green and white ambulance with a blurred street behind it
A man known as Mr D was found by ambulance staff in squalid conditions with an infected wound.(ABC News: Che Chorley)

It found while the expected length of stay in a T2H facility was 90 days, the average length of stay was 207 days. As of June this year the longest stay was 536 days.

Staff and clients told the reviewers that in some cases clients were waiting on simple home modifications, but NDIS requirements to get three quotes, combined with the post COVID-19 market was leading to delays.

Major facility misunderstanding

The report found the centers were designed to operate as step-down facilities, but there were frequent misunderstandings with clients who expect ongoing hospital-level care, a situation exacerbated by their location in a hospital setting.

While both facilities were supposed to be a home-like environment, the report found they had significant limitations including shared rooms with just curtains to separate clients, a lack of storage, limited access to outdoor areas and a lack of amenities like kitchen and laundry facilities. .

The exterior of the Daw Park Repatriation Hospital's frontage
The “Robust Unit” at The Repat was singled out for particular criticism.(ABC News: Isabel Dayman)

The so-called “Robust Unit” at The Repat was singled out.

“The new Robust Units … are stark and confronting, and the current bright white color and fit out are unlikely to contribute to calming a person with challenging behaviour,” the report found.

It found St Margaret’s “arrangements are of a much higher standard, although a number of shared rooms impact client privacy and dignity”.

The facilities have already been subject to multiple investigations, including internal audits and an inquiry by the Health and Community Services Complaints Commissioner.

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Categories
Entertainment

Ashton Kutcher says he’s ‘lucky to be alive’ after vasculitis diagnosis which left him unable to see or hear

Hollywood actor Ashton Kutcher has declared he is “lucky to be alive” after he was diagnosed with a rare form of vasculitis almost two years ago.

The Two and a Half Men star revealed the auto-immue disorder left him without the ability to see, hear or walk, and took him almost a full year to recover.

“Like two years ago I had a weird, super-rare form of vasculitis that knocked out my vision, knocked out my hearing and knocked out all my equilibrium,” he revealed on a new episode of Running Wild with Bear Grylls: The Challenge.

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“It took me like a year to build it all back up again. You don’t really appreciate it until it’s gone, until you go, ‘I don’t know if I’m ever going to be able to see again; I don’t know if I’m ever going to be able to hear again; I don’t know if I’m ever going to be able to walk again’.”

Kutcher added he is “lucky to be alive.”

“The minute you start seeing your obstacles as things that are made for you, to give you what you need, then life starts to get fun, right?” he said.

“You start surfing on top of your problems instead of living underneath them.”

The 44-year-old enjoyed some quality beach time with his wife Mila Kunis, 38, over the weekend – just days before the clip where he spoke publicly about his health battle was released.

Kutcher was pictured shirtless and wearing a white baseball cap while Kunis sported a black hat along with a white t-shirt and denim shorts.

Vasculitis is an autoimmune disease that causes inflammation of blood vessels, which means the immune system attacks the body’s own cells, tissues and organs.

The disease is “relatively rare” and can affect people of all ages, according to the Australasian Society of Clinical Immunology and Allergy.

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Categories
Australia

COVID in WA: Hospitals wind back COVID-19 screening to free up staff as State passes peak

West Australian hospitals will scale back their COVID-19 screening protocols in a bid to free up staff and allow more visitors.

Public hospitals will shift from “red alert” to a new blue alert level from August 15, bringing an end to several months of heightened precautions.

Patients presenting at emergency departments will only be required to undergo rapid antigen tests upon arrival if they are symptomatic.

The testing requirement will also be removed for asymptomatic visitors unless they are visiting a high-risk area or vulnerable patients.

Visitors must still show proof of vaccination but staff will conduct spot checks rather than mass inspections.

The medical system is on its knees at the moment … our system does not have enough beds to allow this to go up much more,

Healthcare workers who had been required to wear N95-style masks across all clinical areas will now only need to do so when caring for vulnerable patients or working in high-risk areas. Surgical masks must be worn elsewhere.

The changes come as hospitals continue to struggle with getting patients through emergency departments and into beds.

Ambulances spent a record 6982 hours ramped outside hospitals in July.

Health Minister Amber-Jade Sanderson says the changes will help ensure effective patient flow and free up frontline health staff.

“This is a measured approach to scaling back the COVID response in hospitals, which has been endorsed by the chief health officer, and expert infection control teams from the WA health system,” Ms Sanderson said on Tuesday.

“In a time when WA has passed its most recent peak of COVID-19, it makes sense to take practical, reasonable measures to free up some burdens, and support healthcare workers and families supporting their loved ones in hospital.”

WA Health Minister Amber-Jade Sanderson (file image)
Camera IconAmber-Jade Sanderson says the COVID screening changes will free up frontline health staff. Credit: AAP

A limit of two visitors per patient will remain but may be extended by staff under certain circumstances.

Visiting hours will be extended at every hospital and essential visitors will be allowed to visit outside the standard hours.

WA Health on Tuesday reported 2,965 new COVID-19 cases. There were 358 people in hospital including 11 in intensive care.

Australian Medical Association WA president Mark Duncan-Smith last month warned changing the screening protocols would make it easier for the virus to spread in hospitals.

“The medical system is on its knees at the moment … our system does not have enough beds to allow this to go up much more,” he said.

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Categories
Technology

Montblanc’s Summit 3 Smartwatch Has Brains Plus Beauty

Montblanc’s Summit 3 features a lightweight titanium case with hand finishes and other design tweaks.

Montblanc

Textsize

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Categories
Australia

Disability advocates call for better support for people in rural, regional and remote NSW

Pauline Follett has been struggling to get on the National Disability Insurance Scheme (NDIS) for three years and is “frustrated” with the health system.

The 54-year-old has been living with cerebral lupus for nearly 30 years and depends on her disability pension as her main source of income.

Lupus can damage nerves in the body through inflammation of nerves or the tissues surrounding them.

The condition affects Ms Follett’s balance, which makes it difficult for her to walk and do tasks such as cooking, cleaning and driving.

She lives by herself in Gol Gol, in far west New South Wales, and has limited support.

“It becomes very difficult when you become too unwell to stay in one’s home. You have to have support when you’re disabled,” Ms Follett said.

An older woman pouring a kettle in her kitchen with her walker in front of her.
Pauline Follett lives on the border between Victoria and New South Wales.(ABC NewsRichard Crabtree)

The first time she applied for NDIS, she said the assessors focused “on the wrong thing”, that she lives with osteoporosis rather than lupus.

The second time Ms Follett applied, she said she was told her specialists could do more for her.

The support she receives is from a local disability service provider, but only includes assistance with transportation and cleaning.

And that support is not guaranteed, as Ms Follett is reassessed for it every six weeks.

That has meant she has made nearly 30 applications over the past three years to maintain the help.

“It’s all up in the air, all the time … You’re not guaranteed, it’s very tiring,” she said.

“You have to be on the ball all the time, which is difficult when you’re ill.”

Uncertainty exacerbates condition

She likes living in her own home but without the right help, she believes she could be forced to leave and fears being unable to find stable aged care accommodation, which would put her at risk of homelessness.

An older woman standing with her walker outside her home.
Pauline Follett hopes to get NDIS support after being rejected twice.(ABC NewsRichard Crabtree)

“Item [aged care] is difficult to get here. It’s not as readily available to us, so to have something like that. It’d be very hard to access,” she said.

Ms Follett said the uncertainty of NDIS providing support had affected her mental health, which had taken a toll on her physically.

“I’m very stressed, and with my lupus, stress is something that exacerbates my condition, so it makes it worse,” she said.

Ms Follett is not alone in finding access to services difficult.

Calls on government to do more

Disability Advocacy NSW released The Aussie Battlers report to the ABC, detailing issues people living with disabilities face in rural, regional and remote (RRR) NSW.

It showed 61 per cent of cases in RRR areas had difficulties meeting evidence requirements due to limited accessibility of service providers.

In RRR NSW, 73 per cent of people reported their service accessibility as poor or very poor.

Disability Advocacy NSW policy officer Cherry Baylosis said the results were not surprising.

A close up of a woman with brown hair wearing a patterned shirt.
Cherry Baylosis contributed to The Aussie Battlers report.(ABC Broken Hill: Youssef Saudie)

“It is concerning when I confirmed these experiences persist despite some of the efforts that were made,” Dr Baylosis said.

She is calling on the government to involve people with disabilities in policymaking.

“At the very least to have consultations with people with disabilities who live in remote areas for better engagement and participation, and then developing considerations within policy based off that,” she said.

“I would like policy to take into consideration the complexities of people with disability living in regional, rural and remote areas to consider the complications — such as the cost of living with a disability.”

Delays from service providers

There are 750 NDIS recipients in far west New South Wales as of June 30, but far west NSW Disability Advocacy district manager Eveleen May said there would be a “lot more” people who were in need of assistance.

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Categories
Australia

Good Samaritans thanked by Melbourne mother after stepping in during roadside toddler seizure

The mother who pulled her unconscious son from a car and cradled him on a busy north-west Melbourne roadside has been reunited with the good Samaritan couple who rushed to help her.

Madeleine Crawford, and 20-month-old Stirling, met Thi and Cindy Le of North Sunshine at an emotional weekend reunion.

It was the first time they had come together since Ms Crawford put out a call to find them so she could finally say thank you.

Suffering a fever, chesty cough and struggling to breathe, Stirling was being driven by Ms Crawford to the Royal Children’s Hospital emergency department on August 3 when he started having a seizure in the back seat.

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Melbourne mum searches for ‘good Samaritans’ who came to her aid when her son had a seizure

A clean bill of health

Desperate for help, Ms Crawford pulled over on the corner of Churchill Avenue and Ballarat Road in Maidstone, grabbed Stirling from the back seat, and stepped onto the median strip.

Ms Le and her husband had been driving only a few vehicles behind and did not hesitate after spotting Ms Crawford gesturing wildly at passing traffic.

“I immediately knew something was wrong,” she said.

“I didn’t know what else to do so I told Madeleine I’d hold baby Stirling while she drives to the closest hospital.

“Thankfully my husband was a quick thinker and drove in front with hazard lights on to escort us to the hospital safely.”

They made it to Footscray Hospital where Ms Crawford ran inside and Stirling was immediately triaged by the nurses.

Reunited via radio

There was no time to exchange details.

Ms Le said when the pair arrived home, she could not stop thinking about what had happened.

“As a mother myself, I knew how distressing it would’ve been to have experienced that,” she said.

“But I would never have thought Madeleine would try to find us. I just did what I could at the time to help.”

Both families were reunited on Sunday after Ms Crawford put out the call to find them via ABC Radio Melbourne.

“It was incredible to be able to express our gratitude in person,” Ms Crawford said.

“It was a very special afternoon — lots of hugs and smiles.”

Two woman hugging, smiling and looking at the camera.
Ms Crawford wanted to thank the couple who came to her aid.(Supplied: Madeleine Crawford)

A clean bill of health

Stirling was diagnosed with respiratory syncytial virus but has since been issued a clean bill of health.

Ms Crawford said it was his seizure that had caught her off guard and urged other parents to learn how to respond to a similar situation.

In a twist, the Le family revealed their own granddaughter, Aria, had been through a similar experience only months ago.

Their daughter, Anita, had phoned them for help after her sick toddler started having a seizure.

According to the Victorian government, about one in every 20 children between six months and six years old will experience a febrile seizure while suffering a high fever. While alarming, it is not epilepsy and it does not cause brain damage.

“It is absolutely terrifying if it happens to your child,” Ms Crawford said.

“I would recommend parents read the guidance so they can be as prepared as they can if or when it happens.”

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Categories
US

Florida prosecutor vows to fight Gov. DeSantis suspension

ST. PETERSURG, Fla. (AP) — A Florida prosecutor vowed Sunday to fight his suspension from office by Gov. Ron DeSantis over his promise of him not to enforce the state’s 15-week abortion ban and support for gender transition treatments for minors.

Andrew Warren, a Democrat suspended last week from his twice-elected post as state attorney in Hillsborough County, which includes Tampa, said in a Facebook video message and news release Sunday he plans a “vigorous defense” by his legal team but did not give specifics.

“I’m not going down without a fight,” Warren said on the video. “I refuse to let this man trample on your freedoms to speak your mind, to make your own health care decisions, and to have your vote count.”

Warren was suspended Thursday by DeSantis, a Republican seeking re-election in November and potential 2024 presidential candidate, who cited neglect of duty and other alleged violations. The governor contended that’s because Warren signed statements with dozens of other prosecutors nationwide vowing not to pursue criminal cases against people who seek or provide abortions or gender transition treatments.

Warren contended Sunday the governor was essentially seeking to nullify the will of voters in the Tampa area who elected him in 2016 and 2020.

“I was elected because the people of this county share my vision for criminal justice, trust my judgment, and have seen your success,” Warren said in the video. “I swore to uphold the Constitution, and that’s exactly what I’ve done. DeSantis is trying to take away my job for doing my job.”

Under Florida law, the Republican-controlled state Senate has authority to reinstate Warren or uphold his removal from office. Warren could also take his case to court.

The governor’s office did not immediately respond to emails seeking comment Sunday. DeSantis said Thursday, however, that Warren was acting “above the law” and “displaying a lack of competence to be able to perform” the duties of his office.

“I don’t think the people of Hillsborough County want to have an agenda that is basically woke up, where you’re deciding that your view of social justice means certain laws shouldn’t be enforced,” said the governor.

Florida’s new abortion restriction became effective July 1 and remains under court challenge by abortion providers and allies. It prohibits abortions after 15 weeks, with exceptions if the procedure is necessary to save the pregnant woman’s life, prevent serious injury or if the fetus has a fatal abnormality. It does not allow exemptions in cases where pregnancies were caused by rape, incest or human trafficking.

Violators could face up to five years in prison. Physicians and other medical professionals could lose their licenses and face administrative fines of $10,000 for each violation.

Florida has not enacted laws criminalizing gender transition treatments for minors.

DeSantis appointed Hillsborough County Judge Susan Lopez to serve in Warren’s place during his suspension.

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Categories
US

Biden steps out of the room and finds legacy-defining wins

WASHINGTON (AP) — Over five decades in Washington, Joe Biden knew that the way to influence was to be in the room where it happens. But in the second year of his presidency, some of Biden’s most striking, legacy-defining legislative victories came about by staying out of it.

A summer lawmaking blitz has sent bipartisan bills addressing gun violence and boosting the nation’s high-tech manufacturing sector to Biden’s desk, and the president is now on the cusp of securing what he called the “final piece” of his economic agenda with the sudden resurrection of a Democrats-only climate and prescription drug deal. And in a counterintuitive turn for the president who has long promoted his decades of Capitol Hill experience, Biden’s aides chalk up his victories to the fact that he’s been publicly playing the role of cheerleader rather than legislative quarterback.

“In a 50-50 Senate, it’s just true that when the White House takes ownership over a topic, it scares off a lot of Republicans,” said Sen. Chris Murphy, D-Conn. “I think all of this is purposeful. When you step back and let Congress lead, and then apply pressure and help at the right times, it can be a much more effective strategy to get things done.”

Democrats and the White House hope the run of legislative victories, both bipartisan and not, just four months before the November elections will help resuscitate their political fortunes by showing voters what they can accomplish with even the slimmest of majorities.

Biden opened 2022 with his legislative agenda at a standstill, poll numbers on the decline and a candid admission that he had made a “mistake” in how he carried himself in the role.

“The public doesn’t want me to be the ‘President-Senator,’” he said. “They want me to be the president and let senators be senators.”

Letting the senators be senators was no easy task for Biden, whose political and personal identities are rooted in his formative years spent in that chamber. He spent 36 years as a senator from Delaware, and eight more as the Senate’s president when he was valued for his Capitol Hill relationships and insights from him as Barack Obama’s vice president.

As Biden took a step back, he left it to aides to do much of the direct negotiating. His legislative strategy, instead, focused more on using his role as president to provide strategic jolts of urgency for his agenda both with lawmakers and voters.

In the estimation of many of his aides and advisers, leaving the Senate behind was key to his subsequent success. The heightened expectations for Democrats, who hold precarious majorities in Congress but nonetheless have unified control of Washington, were dragging Biden down among his supporters of him who wanted more ambitious action.

The sometimes unsavory horse-trading required to win consensus often put the president deep in the weeds and short on inspiration. And the dramatic negotiating breakdowns on the way to an ultimate deal proved to be all the more tantalizing because Biden himself was a party to the talks.

In the spring of 2021, Biden made a big show of negotiating directly with Sen. Shelley Moore Capito, RW.Va., on an infrastructure bill, only to have the talks collapse over the scope of the package and how to finance it. At the same time, a separate bipartisan group had been quietly meeting on its own, discussing how to overhaul the nation’s transportation, water and broadband systems. After the White House gave initial approval and then settled the final details with senators, that became the version that was shepherded into law.

The president next tried to strike a deal on a sweeping social spending and climate package with Sen. Joe Manchin, going as far as inviting the West Virginia lawmaker to his home in Wilmington, Delawareuntil the conservative Democrat abruptly pulled the plug on the talks in a Fox News interview. Manchin would later pick up the negotiations again, this time with just Senate Majority Leader Chuck Schumer, DN.Y., and the two would eventually reach an agreement that is now on the verge of Senate approval after more than a year of legislative wrangling.

In late 2021, White House aides persuaded the president to clamor up about his conversations with the Hill, as part of a deliberate shift to move negotiations on his legislative agenda out of the public eye. The West Wing, once swift with the news that Biden had called this lawmaker or invited that caucus to the White House for a meeting, kept silent.

The new approach drew criticism from the press, but the White House wagered that the public was not invested in the details and would reward the outcomes.

Biden and his team “have been using the bully pulpit and closely working with Congress to fight for policies that lower costs for families and fight inflation, strengthen our competitiveness versus China, act against gun violence” and help veterans, said White House spokesman Andrew Bates . “He also directed his Cabinet, senior staff and legislative team to constantly engage with key lawmakers as we work together to achieve what could soon be the most productive legislative record of any president” since Lyndon Johnson.

Some of the shift, White House aides said, also reflected the changing dynamics of the COVID-19 pandemic, which kept Biden in Washington for most of 2021; his meetings of him with lawmakers amounted to one of the few ways to show he was working. As the pandemic eased and Biden was able to return to holding more in-person events with voters and interest groups, he was able to use those settings to drive his message directly to people.

The subtle transformation did not immediately pay dividends: Biden’s approval rating only continued to slide amid legislative inertia and soaring inflation.

Yet in time, Biden’s decision to embrace a facilitating role rather than being a negotiator in chief — which had achieved mixed success — began to pay off: the first substantive gun restrictions in nearly three decades, a measure to boost domestic production of semiconductor computer chips, and care for veterans exposed to toxic burn pits.

White House officials credit Biden’s emotional speech after the school shooting in Uvalde, Texas, with helping to galvanize lawmakers to act on gun violence — and even his push for more extensive measures than made it into the bill with giving the GOP space to reach a compromise. And they point to a steady cadence of speeches over months emphasizing the need to lower prescription drug costs or to act on climate with keeping those issues in the national conversation amid the legislative fits and starts.

In turn, both Democratic and GOP lawmakers say that Biden removing himself directly from the negotiations empowered senators to reach consensus among themselves, without the distraction of a White House that may have repeatedly pushed for something that would be unattainable with Republicans or could be viewed as compromising by some Democrats.

“The president kind of had said that we’re staying out,” Sen. Rob Portman, R-Ohio, said, referring to the gun talks earlier this year. “I think that was helpful.”

Being hands off, however, by no means meant the administration was absent.

Rather than be in the room as a gun deal was coming together, White House aides stayed by the phone, explaining how the administration would likely interpret and regulate the law that senators were drafting. Murphy spoke with White House officials every day, and when the Connecticut senator met personally with Biden in early June to offer an update, the president never gave him an ultimatum on what he was or was not willing to sign — continuing to defer to lawmakers.

At another point during the gun negotiations, rumors flew that the administration was considering barring the Pentagon from selling certain types of surplus ammunition to gun dealers, who then sold the ammunition commercially, according to two people familiar with the deliberations. But Republicans, chiefly Sen. John Cornyn, R-Texas, urged the White House to scrap those plans because it would run counter to the parameters of what the gun negotiators had discussed, said the people, who spoke on condition of anonymity to discuss details of private negotiations.

The White House eventually did so, issuing a statement to a conservative publication that no such executive order on ammunition was under consideration.

On the semiconductor package that Biden plans to sign into law Tuesday, the administration organized classified briefings for lawmakers that emphasized how China is gaining influence in the computer chip sector and the national security implications. Republicans were regularly in touch with Commerce Secretary Gina Raimondo, a Biden Cabinet official who has developed warm relationships across the aisle.

And on the Democrats’ party-line climate and health care package, Manchin has emphasized that it is impossible to craft legislation of this magnitude without White House input, although he did not deal with Biden directly until near the end, when the president called to let Manchin know the White House would support his agreement with Schumer, according to an official with knowledge of the call.

Biden also stayed out of the last-minute deliberations involving Sen. Kyrsten Sinema, D-Ariz., and she and the president did not speak even as Democrats finalized an agreement that accommodated her demands.

“In his heart, Joe is a US senator,” said Sen. Jon Tester, D-Mont., the chief Democratic author of the burn pits legislation who also helped hash out the infrastructure law last year. “So he understands allowing this to work is how you get it done.”

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