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In August 2024, 26-year-old Conor Hylton checked into Bridgeport Hospital in Connecticut. Overnight, he was transferred to critical care, where he died. It was only after his passing that his family found out that Conor was treated at what’s known as a “tele-ICU.” His story shines a light on a practice that’s been around for decades despite a lack of substantial research about its outcomes. A tele-ICU is a hospital unit where patient care is handled off-site by remote doctors, nurses, or specialists. Up to a third of ICU beds in the U.S. are in tele-ICUs. That’s according to a study from the American Hospital Association. In Wisconsin, as of May 1, critical care physicians are no longer physically present in the ICUs of a few Ascension satellite hospitals. They remain available via video call to help bedside nurses and on-site hospital medicine doctors, known as hospitalists, who do not specialize in critical care. These facilities do present an opportunity to expand and improve the health care people receive. But what are the risks of replacing in-person care in the most critical, life or death moments? Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Last year, when Columbia University found itself embroiled by anti-war protests and fighting with the Trump administration, journalist Jodi Kantor was invited to speak at the school’s commencement. “My friends actually tried to stop me. Like, ‘Don’t do it. Call in sick,'” remembers Kantor. The Pulitzer prize-winner did wind up giving that speech. And that experience led her to write a new book about how young people can find their life’s work. We sit down with Kantor to talk about ‘How to Start.’ Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Public trust in the Supreme Court is at a 30-year low, according to Pew Research Center. For some, this month marked a turning point in perceptions of its legitimacy. The court recently ruled in Louisiana v. Callais. Its decision undermined a key provision of the Voting Rights Act of 1965 that protected minority voters and sought to prevent racial discrimination in elections. Following the court’s ruling, Tennessee’s GOP-controlled legislature passed a new congressional map, dismantling the state’s majority-Black district. The map gives Republicans a competitive advantage in all nine districts ahead of the state’s midterms. Other red states are now scrambling to redraw their congressional maps as well. Justice Samuel Alito justified the court’s ruling by claiming that Black voter turnout, both nationwide and in Louisiana, exceeded white voter turnout in two of the five recent presidential elections, writing that the kind of discrimination the Voting Rights Act was designed to prevent no longer exists. However, reporting from The Guardian found that Alito’s claim was based on misleading data from the Justice Department. As trust in the Supreme Court continues to remain low, calls for reform grow. In this installment of our weekly politics series, “If You Can Keep It,” we unpack what that reform might actually look like and what’s at stake for our democracy if it doesn’t happen. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

President Donald Trump told PBS News this week that his offensive in the Middle East has a “very good chance of ending.” Just days later though, the U.S. traded fire with Iran in the Strait of Hormuz, threatening an already fragile ceasefire. The U.S. is still hoping for a “serious offer” from Iran on a proposal to end the war, according to Secretary of State Marco Rubio, even as the threat of escalation looms. Donald Trump isn’t on the ballot in the upcoming Indiana primary. But his agenda certainly is. In late 2025, GOP state lawmakers resisted efforts by the White House to redraw Indiana’s congressional map. Now, Trump allies are running to unseat them. The Trump administration has opened an investigation into Smith College, a women-only institution of higher education, over its 2015 decision to admit trans women as students. And, in global news, the fragile ceasefire between the U.S. and Iran was tested this week when American forces launched “self-defense strikes” in the Strait of Hormuz after Iranian forces targeted three Navy destroyers, though none were struck. These strikes come as Iran reviews the latest U.S. proposal to end the war which American officials hope will result in a “serious offer” from Iran, according to Secretary of State Marco Rubio. President Donald Trump claimed this week that the U.S. will be taking over Cuba “almost immediately.” The backlash from the island nation was swift, with Cuban leader Miguel Diaz-Canel calling the American administration fascist. On Monday, and despite the ceasefire, Israeli attacks killed 17 people in southern Lebanon. We cover the most important stories from around the world in the News Roundup. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

One drug is at the center of the current legal battle over abortion: mifepristone. Since the Supreme Court overturned Roe v. Wade in 2022, mifepristone has become the dominant method of abortion in the United States, filling the gap left by clinic closures in states with abortion bans. And the number of abortions has actually risen nationally as a result. That’s a problem for abortion access opponents. Now, they’re taking aim at one of the main ways it’s prescribed – via telehealth. And last week, they scored their first big win. A federal appeals court blocked remote prescription of mifepristone. Louisiana sued the FDA, arguing that mail access undermines the state’s near-total ban on abortion. But two days later, the drug’s manufacturers went to the Supreme Court and it temporarily restored telehealth access while it considers the case. But that stay is set to expire soon. So, what’s next in this legal battle? And what does it mean for patients and reproductive health providers? Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Last November, Calvin Duncan won an election to serve as the chief records keeper for the criminal courts of the parish that covers New Orleans. He received 68 percent of the vote, beating out a powerful incumbent. He has some personal experience with Louisiana courts. He was incarcerated for a murder conviction for 28 years. He studied criminal law to advocate for himself, and a judge eventually found him innocent. He was freed in 2011. But now, the Louisiana state legislature has moved to eliminate his position. State officials voted to combine his office with another in a move that state senators said was meant to save money. Duncan is taking legal action and a lawsuit over his role is now making its way through the courts. This situation is part of a larger trend across the nation where state legislatures are more and more often undoing decisions made by local officials. “State preemption” describes steps a state government can take to tell a local city or town council it can’t do something. Legislators in states like Florida, Missouri, California, West Virginia, Michigan, and Louisiana have been using it to influence events and regulations in their communities. What’s leading to more frequent, and public, fights between state legislatures and local governments? And what could defuse these fights? Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Power is at the center of Americans’ lives. It lets us cool our homes, keeps them lit, and charges our electronics. But the more things we plug into our aging power grid, the more strained it becomes. And electricity use in the U.S. is rising for the first time in more than a decade. What happens when our grid can’t keep up? We sit down with a panel of experts to find out. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Last week, in a six-to-three ruling along ideological lines, the Supreme Court dealt a major blow to the Voting Rights Act of 1965. That’s the landmark Civil Rights era law designed to prevent racial discrimination in an election. The law was passed to unravel Jim Crow era policies that limited or blocked Black Americans’ access to the ballot. The decision in Louisiana v. Callais struck down Louisiana’s congressional map as an “unconstitutional gerrymander.” But the ruling goes further. It effectively rewrites the rules for how the Voting Rights Act can be used to challenge discriminatory maps, making it much harder to do so going forward. It’s the latest in a string of rulings making the last all but moot. We tackle the race to redistrict across America and we talk about how this hugely consequential ruling changes an election season already in full swing. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

The Supreme Court this week struck down a voting map in Louisiana that created a second majority-Black district, ruling it an unconstitutional racial gerrymander. In doing so, the majority also struck an enormous blow to the landmark Voting Rights Act, and fueled GOP redistricting efforts before the midterms. Secretary of Defense Pete Hegseth headed to Congress, where things got testy as lawmakers grilled him over the war with Iran. Pentagon officials put a price tag on the conflict so far: $25 billion. And gas prices hit a four year high, with a national average of $4.30 a gallon. Federal prosecutors formally charged the alleged gunman at the White House Correspondents’ Dinner with attempting to assassinate the president. He will remain in custody despite an appeal for a pre-trial release. We cover the most important stories from around the country in the domestic hour of the News Roundup. And, in global news, the United States and Iran extend their dueling blockades in the Strait of Hormuz as President Trump rejects the Islamic Republic’s proposal to reopen the critical waterway. Israel ramps up attacks on southern Lebanon, while claiming it did not break a temporary U-S brokered ceasefire. And uncertainty over the global oil supply causes markets to spike once again, the same week energy companies report massive profits. We cover the most important stories from around the world in the News Roundup. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

American farmers are being squeezed. Tariffs are raising the cost of equipment and services. And now the war in Iran is driving up the cost of fertilizer and fuel. And the Farm bill — the sweeping, traditionally bipartisan legislation that shapes everything from crop insurance to food aid – hasn’t been reauthorized since 2018. Next week, the House will try again. What’s in the bill and why the coalition that supported it for years seems to be falling apart. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

In 2024, Robert F. Kennedy Jr. was a presidential hopeful running under the banner of “making America healthy again.” Among his most fervent supporters: vaccine skeptics and cynics, nutrition-focused parents and anti-pesticide activists. After dropping out of the presidential contest and endorsing Donald Trump, Kennedy emerged as the president’s foremost pick to lead the Department of Health and Human Services. Now, many in the so-called “MAHA coalition” are disappointed with Secretary Kennedy for what they describe as a failure to deliver key reforms to the nation’s health and food systems. And, we discuss what the rise in measles and other infectious diseases means about the state of our public health. Secretary Kennedy has repeatedly downplayed recent measles outbreaks and given deeply mixed messages on vaccination. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Artificial intelligence is revolutionizing how we run cities. It has the potential to make life more affordable, efficient, and safe. But with little oversight and policy, what are the risks to residents? As tech changes our communities, it’s often mayors who are leading the way. More than 500 of them are meeting in Madrid to share their best ideas as part of this year’s Bloomberg CityLab, a global cities summit from Bloomberg Philanthropies in partnership with the Aspen Institute … and 1A is there. The mayors of San Antonio, Texas, Nairobi, Kenya and Bogotá, Colombia join us for a discussion about how local leaders are using artificial intelligence to aid them in running their cities — and how they are balancing residents’ concerns about privacy, the environmental impact, and what an increased use of AI could mean for the job market. They’re among 10 founding mayors of the Mayors AI Forum launched Tuesday in Madrid by Bloomberg Philanthropies and Johns Hopkins University. “Mayors have often been early leaders on global challenges – even as national and international responses lagged,” said Michael R. Bloomberg, founder of Bloomberg Philanthropies and Bloomberg L.P., and three-term mayor of New York City. “Now, the Mayors AI Forum will help put them – and the communities they serve – at the forefront of conversations about the future of AI.” Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

A growing number of states are looking at implementing a wealth tax to fund social services. California is among them, with a billionaire tax set to be included on its November ballot. And this month, New York City Mayor Zohran Mamdani, a democratic socialist, and Democratic New York Gov. Kathy Hochul introduced a proposed tax on luxury second homes in the city. In March, Washington passed its first ever income tax – which has already been met with a legal challenge. All this comes as the wealth gap in the U.S. grows to its widest point in three decades – and only looks set to keep increasing. In this installment of “If You Can Keep It,” we look at how tax codes have contributed to a growing inequality in the country, how to fix it, and what this wealth gap means for the health of our democracy. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

President Donald Trump is giving Iran a short window to unify behind an offer for peace in the Middle East after negotiations between Tehran and Washington recently broke down — or the ceasefire he extended Tuesday ends. Donald Trump’s labor secretary, Lori Chavez-DeRemer, is leaving the agency amidst accusations of misconduct. She’s now the third cabinet member to leave during the second Trump administration. Elsewhere, Virginia voters approved a new congressional map on Tuesday that could help Democrats pick up seats in the House during the midterms later this year. But a state judge blocked the map from being certified just a day after its passage. And, in global news, Iranian Foreign Minister Abbas Araghchi is expected to arrive in Islamabad, Pakistan, tonight for another round of peace talks with the U.S. A top Trump administration envoy floated the idea to FIFA this week to replace Iran with Italy at this summer’s World Cup. The swap was likely suggested as an effort to repair ties between President Donald Trump and Italy Prime Minister Giorgia Meloni amid rumors they’ve fallen out over the presidents attack on Pope Leo XIV. The Trump administration is reportedly in talks with the Democratic Republic of Congo to send as many as eleven hundred Afghan refugees there, including more than 400 children. We cover the most important stories from around the world in the News Roundup. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Just a few decades ago, human immunodeficiency virus, also known as HIV, was a death sentence for those who contracted it. However, over the past 35 years, more effective medication and widespread access to AIDS drug assistance programs have helped those with the virus live longer and healthier lives. But in the coming months, tens of thousands of people living with HIV in the U.S. could lose access to that medication. That’s because states around the country are trying to save money by making cuts to programs that pay for HIV meds and care. In March, more than 16,000 people lost coverage when Florida slashed ADAP eligibility overnight. Weeks later, Gov. Ron DeSantis signed a law allocating $31 million to keep thousands of those who lost coverage on their meds. But that money is only slated to last through June. And this isn’t just a problem happening in Florida. Some 23 states and Washington, D.C. have implemented or are considering implementing cuts to their own HIV medication and care programs to help balance their budgets. We sit down with a panel of experts to discuss. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

More than 70 million Americans live with a disability. That’s roughly one in four adults. And any of us can join that number at any point in our lives. Through an injury, illness, or simply getting older. Disabled people are one of the largest minorities in this country. Yet there’s one part of their lives that almost never gets discussed: sex. Today, that silence is being challenged – by disabled people themselves – online, in film and television, and in conversations happening in bedrooms and doctors’ offices across the country. In February, we brought you 1A’s first sex week – about sex across our lifespans. And you told us you wanted more about sex and disability. How do we express our needs in the bedroom, especially when the sex we want doesn’t match common ideas of what sex – and the people who have it – can look like? Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Towns across the U.S. are now grappling with what it means to have ICE detention centers in their backyard — even communities that overwhelmingly voted for President Donald Trump and support his deportation efforts. Last week, hundreds of protestors showed up outside a Maryland courtroom while a federal judge temporarily blocked the construction of a detention center in the state. That pause will remain in place as a lawsuit from the the state’s attorney general plays out. And last month, Pennsylvania Gov. Josh Shapiro blocked ICE’s access to water and sewage systems in two different counties where warehouses were bought. Local leaders argue these warehouses would overwhelm city resources. So, what are conditions like in these facilities? And what does the future hold for this new wave of detention centers? Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

Most of us would agree that access to foreign intelligence is important to national security. But whose private data gets swept up in the process? The Foreign Intelligence Surveillance Act (FISA) was first established in 1978 following Watergate. It’s a key U.S. surveillance tool. Section 702 was added to the act in 2008 allowing the government to collect the communications of more than 300,000 foreign nationals outside of the U.S. without a warrant every year. And the Trump administration would like to keep it that way even though lawmakers on both sides of the aisle worry that the act violates American citizens’ right to privacy. That section was set to expire today. But last Friday, the House voted to extend the expiration to April 30th. That’s after House Speaker Mike Johnson failed to corral his party’s support behind a long-term extension. The Senate also passed that short-term extension. So, as its future hangs in the balance, what’s at risk if we lose this tool? And what are the dangers of failing to reform it? Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

We start with the U.S.-Israel war with Iran — a war that President Donald Trump said would end in two to three weeks. Now, in its seventh week, the Pentagon is sending 10,000 more troops to the Middle East to pressure Iran into making a peace deal. On Sunday, Trump posted a long rant on Truth Social calling Pope Leo XIV “weak on crime, and terrible for foreign policy.” Then, later that night, Trump posted an AI-generated photo that appeared to depict him as Jesus Christ. Rep. Eric Swalwell was a front-runner for the seat of California governor just weeks ago. Now, he’s out of the race and out of Congress after numerous sexual assault allegations were leveled against him. And, in global news, Iran declared the Strait of Hormuz completely open to commercial vessels. This move is expected to lessen severity of the growing global energy crisis and bring the possibility of a peace agreement between Iran and the U.S. closer to becoming a reality. New reporting from Axios indicates that U.S. and Iranian negotiators made progress in new peace talks on Tuesday. On Thursday, Pakistan’s foreign ministry said a second round of talks between the U.S. and Iran will be held in Islamabad. But no date has been announced yet. And it’s the dawn of a new era in Hungary this week. For the first time in 16 years, Viktor Orbán will no longer lead the nation from Budapest, having lost the election for his position as prime minister to conservative rival Peter Magyar. We cover the most important stories from around the world in the News Roundup. Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy

For over 75 years, the North Atlantic Treaty Organization has bolstered American power and shaped the world order as we know it. But under President Donald Trump, its future is uncertain. The United States has spent the better part of a year telling its allies they’re on their own. Trump has threatened to annex Greenland – the sovereign territory of NATO ally, Denmark. He skipped the Munich Security Conference. And he launched the war in Iran without consulting NATO allies. Now, the president is asking for help securing the Strait of Hormuz. And European countries are saying no. How is the war in Iran testing the alliance? And how would a U.S. withdrawal from NATO reshape global power dynamics? Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a. See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy