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With Trump on the way, advocates look to states to pick up medical debt fight“Last night and this morning, several of President Trump’s cabinet nominees and administration appointees were targeted in violent, un-American threats to their lives and those who live with them,” Trump transition spokesperson Karoline Leavitt said in a statement. She said the attacks “ranged from bomb threats to ‘swatting'”, adding: “In response, law enforcement and other authorities acted quickly to ensure the safety of those who were targeted. President Trump and the entire transition team are grateful for their swift action.” Swatting entails generating an emergency law enforcement response against a target victim under false pretences. The FBI said in a statement that it is “aware of numerous bomb threats and swatting incidents targeting incoming administration nominees and appointees, and we are working with our law enforcement partners”. It added: “We take all potential threats seriously, and as always, encourage members of the public to immediately report anything they consider suspicious to law enforcement.” Among those targeted was Elise Stefanik, Mr Trump’s choice to serve as the next ambassador to the United Nations. Her office said that she, her husband, and their three-year-old son were driving home from Washington for Thanksgiving when they were informed of a bomb threat to their residence in Saratoga County. “New York state, county law enforcement, and US Capitol Police responded immediately with the highest levels of professionalism,” her office said in a statement. “We are incredibly appreciative of the extraordinary dedication of law enforcement officers who keep our communities safe 24/7.” In Florida, meanwhile, the Okaloosa County sheriff’s office said in an advisory posted on Facebook that it “received notification of a bomb threat referencing former congressman Matt Gaetz’s supposed mailbox at a home in the Niceville area around 9am this morning”. While a family member resides at the address, they said “former congressman Gaetz is not a resident”, adding: “The mailbox however was cleared and no devices were located. The immediate area was also searched with negative results.” Mr Gaetz was Mr Trump’s initial pick to serve as attorney general, but he withdrew from consideration amid allegations that he paid women for sex and slept with underage women. Mr Gaetz has vehemently denied any wrongdoing and said last year that a Justice Department investigation into sex trafficking allegations involving underage girls had ended with no federal charges against him. The threats follow a political campaign marked by unusual violence. In July, a gunman opened fire at a Trump rally in Butler, Pennsylvania, grazing the then-candidate in the ear with a bullet and killing one of his supporters. The US Secret Service later thwarted a subsequent assassination attempt at Mr Trump’s golf course in West Palm Beach, Florida, when an agent spotted the barrel of a gun poking through a fence while Mr Trump was playing golf.

Federal appeals court upholds law requiring sale or ban of TikTok in the US

DUBAI: After voting for Donald Trump in anger at the Biden administration’s perceived inaction on the Gaza war, many Arab Americans are now voicing concern as the victorious Republican candidate prepares to return to the White House with top team nominees vocal in their support for Israel. Former senior US intelligence officer Norman Roule, however, says the incoming Trump administration’s policy in this regard will be largely similar to that of President Joe Biden’s. “It is certainly true that many of the Trump senior designees are openly pro-Israel, but their rhetoric as to what they would do to support Israel is no different than the Biden administration itself,” he said on the Arab News current affairs program “Frankly Speaking.” He believes one positive thing to look forward to is that Trump would avoid embroiling the US, Israel, or the region in an endless conflict in the Gaza Strip. “If there is a difference between the Biden approach and the Trump approach,” he said, “the Trump approach might be more of, to the Israeli government: Do what you feel is necessary, but do it efficiently, humanely, and quickly, we’re not looking to support Israel for an endless war there itself.” Roule stressed that America must end the war and facilitate aid access for the Palestinians in Gaza, who have suffered for over a year from a deepening humanitarian crisis, while at the same time ensuring Israel’s security from Hamas militants. “First, we must provide humanitarian relief to the Palestinian people who have suffered tremendously, largely because of Hamas’ use of this population as human sacrifice, but we must bring in international aid and end the conflict,” he said. “But at the same time, we must end the role of Hamas in threatening Israel. It’s not unfair that Israel seeks its security to prevent another repetition of Oct. 7.” On that fateful day in 2023, Hamas-led Palestinian militants carried out a surprise attack on southern Israel, killing some 1,200 people and taking 240 others hostage. Israel retaliated by launching a widespread bombing campaign on Gaza, killing at least 44,000 Palestinians within 14 months, according to the local health authority. Saudi Arabia has consistently condemned Israel’s actions in Gaza, and Foreign Minister Prince Faisal bin Farhan has ruled out normalizing relations with Israel until a Palestinian state is established. Roule lauded the Saudi leadership’s consistency and clear stance on the Palestine issue. “The Saudi foreign minister’s position has been consistent, it’s been clear, and it’s been directed to achieve what the entire Arab world seeks — a two-state solution that is fair to the Palestinian people, that allows security for Israel, and does not provide undue diplomatic recognition or other inducements to Israel before that diplomatic solution of the two-state relationship comes about,” he said. “So, I’m a big fan of Prince Faisal bin Farhan. His comments have been appropriate, and the comments of the Saudi leadership have also been quite clear,” he told Katie Jensen, the host of “Frankly Speaking.” Roule spent 34 years with the CIA covering the Middle East. For nine of those years, he was the national intelligence manager for Iran at the Office of the Director of National Intelligence. Drawing on his background, he expressed skepticism about whether all parties would cooperate in reaching a two-state solution. “If that’s going to be difficult with the Israelis, you just have to imagine yourself right now: Is the president of the Palestinian Authority capable politically of bringing the Palestinians to a two-state solution? Will Hamas tolerate that?” he said. “And, indeed, the question that we all should ask ourselves is, if two-state discussions began today, what would Hamas, the Palestine Islamic Jihad, Hezbollah, Iran and the Houthis say about that? Would they support those talks? Would they try to upend those talks?” According to Roule, the “great unanswered question” is what the international community is doing to ensure that, if a two-state diplomatic approach is reached, it will be protected from “the malign actions of Iran and its proxies.” Asked if parts of the much-talked-about Saudi-US deal could still move forward despite the Kingdom’s stance on not normalizing relations with Israel without the two-state solution being achieved, he said the two countries “have a separate relationship that needs to progress at the same time. “And it’s been doing quite well in recent months,” he said. “Both the Biden administration in its remaining time and the (incoming) Trump administration will seek to implement the parts of the deal that are not related to Israel.” Despite the temporary pause in a comprehensive strategic agreement owing to the Gaza conflict, he sees collaboration continuing in areas like AI, green energy and regional stability. “We have a massive technological cooperation that’s ongoing, particularly in artificial intelligence,” Roule said. “The issue of data centers is coming to the forefront of the relationship, but also, as the Biden administration was working on its strategic agreement with the Saudi government, the sense in Washington is the movement of that deal was quite positive and was only upended by the Gaza conflict.” Roule expects to see continued progress on elements of that deal, which “provides Saudi Arabia and the US with what they need to maintain and build what is a very positive and critical relationship for the US and for the region.” Moving on to Lebanon, Roule said that to bring peace to the war-torn country, “there’s a simple solution with a difficult approach to get there. “We need first to remove Lebanese Hezbollah north of the Litani (River) to empower the Lebanese armed forces to come south of the Litani and do their job — and be able to do so without fear of Lebanese Hezbollah,” he said. Nevertheless, he stressed that the first priority is to “end the conflict” and “end the suffering of the Lebanese people, end the suffering of the Israeli people.” Pointing to the fact that “60,000 Israelis have left their home and prior to the Lebanese recent conflict, 100,000 Lebanese were not going into their homes, and now we have a million displaced Lebanese,” Roule said: “We’ve got to make that our first priority.” Achieving peace in Lebanon, according to Roule, hinges on one key factor: “The Lebanese people must be willing to stand up against Lebanese Hezbollah.” Elaborating on the point, he said: “This isn’t something that we’re going to be able to do. And I’ll close by saying that one bit of diplomatic guidance that in the intelligence community we often give to diplomats is: We can’t want a solution more than the people on the ground. “The Lebanese people must appoint a president, empower their armed forces, push back on Lebanese Hezbollah.” He is sure that once the Lebanese decide on the political solution, the US “will assist them and support them and provide them with billions of dollars of aid. “But, at a certain point, the political solution must be their own.” Asked about the outlook for the war in Lebanon, especially after Israeli official Michael Freund told the Jerusalem Post that southern Lebanon is actually “northern Israel,” Roule said “harsh rhetoric” is “coming from all sides — Lebanese Hezbollah, elements of the Israeli government, and Palestinians themselves — on all of these issues.” President-elect Trump pledged throughout his campaign to quickly end the conflicts in Ukraine and the Middle East. Roule believes that Trump, who opposes “endless wars,” will pursue this goal by surrounding himself with people who share his worldview. “President Trump does see himself as a deal maker and he assigns to key positions around him individuals with the same worldview,” he said. “So, you’re going to get individuals who are generally sympathetic toward Israel, confident of the strong US relationship with the Gulf Cooperation Council states, willing to deter Iran, willing to do what it takes to keep the US out of regional conflicts, but willing also to push back on adversaries.” While Trump does not want to see the US in a war in the Middle East or in Europe any more than President Biden, the two administrations’ approach to these issues in significantly different ways, according to Roule. “President Trump’s goal appears to be how do we bring some sort of agreement together that stops the killing and restores the diplomatic channels so that we can bring about peace in Europe,” he said. He added that Trump’s goal in regard to Iran is “probably” similar. “Iran needs to reduce its nuclear program, cease its regional adventurism, and act like a normal nation,” Roule said. “If Iran is willing to do this, as we’ve seen in the previous Trump administration, they will offer engagement. “But if not, in either of these cases, what you’re going to see is likely the Trump administration not unwilling to provide Ukraine with more weapons, because Russia won’t cooperate — and also to conduct significant pressure against Iran.” When asked whether Ukrainians and Europeans fear that Trump’s policies might prioritize Russia in a deal and pressure Kyiv, the EU, and NATO to accept it — much like the withdrawal from Afghanistan — Roule responded that the US approach would ultimately depend on whether the issue is deemed existential to its interests. “The Trump administration’s position is going to be: If this is an existential issue for Europe, then it must act accordingly. And there are some countries in Europe which still will not meet their NATO obligations,” he said. “The Trump administration’s position is going to be, not unreasonably, if this is existential for us and we must participate accordingly, why isn’t it existential for you?” Turning to Ukraine, Roule said this has been “a costly, bloody war” within the country. “They’ve lost many of their people to Russian aggression. This is a criminal invasion of another country,” he said. “That said, if you’re interested in stopping the violence, at some point all wars come to a diplomatic solution. They may not be attractive, but that solution is needed.”NO ONE EVER thinks a brain injury will happen to them, but it people in this country each year – that’s 52 people every single day. Globally, neurological conditions – including acquired brain injury (ABI) – are of ill health and disability. Brain injuries happen overnight. It could be as the result of a stroke, a fall, road traffic collision or brain tumour, among many other causes. In an instant, the lives of the person and their family are turned upside down. The effects of any brain injury are life-changing. Some people live with long-term challenges – many hidden, others not: chronic fatigue, loss of sight or speech, memory loss, difficulty managing emotions, reduced capacity to work, or carry out everyday activities like cooking, washing and managing family life. Advances in medical care and technology have resulted in more people surviving the trauma of a brain injury, but survival is just the beginning of a long and often complex recovery journey. For these reasons and many more, timely neuro-rehabilitation is of the essence. Neuro-rehabilitation is a clinical and social process to help recovery after a brain injury. It is about relearning, compensating and regrowth, so the person lives a meaningful life of their own choosing – the WHO describes it as a problem-solving process. Each person is assessed, a personalised plan is put in place and, gradually, they are supported by an expert team to regain independence and adapt to their environment. We know that life after a brain injury can be so much better if the person has access to the rehabilitation they need as soon as possible. tells us that “early access to specialised, intensive neuro-rehabilitation services enables people with ABI to recover faster and achieve the best outcome for them, their families and society at large.” Timely access shortens the length of hospital stays, and reduces the burden of care on families, and the cost to the state. Most importantly, it lessens the impact of the brain injury and maximises the potential of the person to rebuild a new life. that neuro-rehabilitation is a necessary part of recovery and adjustment. But despite all the evidence, neuro-rehabilitation services in Ireland continue to be substantially under-resourced. While some recent and welcome investment has been made in short-term, post-acute services, the reality is that there is still very limited neuro-rehabilitation available to survivors, especially over the long-term in the community. Even the Government’s acknowledges that “services in the area of neuro-rehabilitation have been underdeveloped in Ireland and where they exist, they have been developed in an ad hoc manner”. The result, for survivors and their families, is a lottery of age and geography where access to rehabilitation and potential for recovery depends on where you live, or how well your family can advocate for services. This is a fundamental contravention of the human right to rehabilitation as enshrined in the UN Convention on the Rights of Persons with Disabilities ( ). Some stay months, or even years in hospital beds waiting for a rehabilitation placement. Others are discharged without a plan for follow-up supports, to homes that are not accessible and with families unable to cope. Young survivors are still being placed inappropriately in nursing homes for older people because there is simply no alternative available. Once there, there is no equitable system in place to review and support their case. Behind closed institutional doors, many are forgotten about. However there are solutions to the pathway problem, and sustainable state investment in long-term neuro-rehabilitation is one of the cornerstones. Currently, 21 brain injury survivors previously placed in nursing homes are living in Acquired Brain Injury Ireland community-based houses with 24/7 specialist rehabilitation support. Our Case Managers and rehabilitation teams have supported 41 more to transition out of nursing homes back to community living. Some of them have since moved into their own homes. Over two years, our vocational rehabilitation programme supported 234 survivors: 53% returned to work, 21% to education. All of them are making a meaningful contribution to the communities of which they are a part. Our Clubhouses, providing group rehabilitation, promote independence and offer members structure, community and camaraderie. Education resources and peer support groups are available to families and carers coming to terms with a new way of life. With access to ongoing neuro-rehabilitation it is possible for survivors of brain injury to rebuild their lives and reach their full potential. But it must be available on an equitable basis for everyone who needs it. And ultimately – what is the alternative? Incidences of ABI will continue to increase in the years to come in line with increased survival rates. So too – – will demand for neuro-rehabilitation. It is incumbent on those elected to our next Dáil to address the lack of political priority and slow policy implementation process in this area to date, as the “inhumane mistake of many national governments”. In advance of Friday’s vote, we at Acquired Brain Injury Ireland are calling on candidates to fight for the lives of brain injury survivors. We are asking them to commit in the Programme for Government to fully implement the . We want to see our elected representatives: In the course of our election campaigning, we spoke to author and survivor Phil Quinlan who described his lived experience after suffering a traumatic brain injury on the football field at the age of 15. To this day he asks if he could have achieved so much more, had the system kept him and supported him. He talks about the impact on his parents who took over his rehabilitation when he was discharged from hospital, ‘left to his own devices’. And he affirms – as we know too well from our work in the field – that “After the devastation of a brain injury when families have their loved one back home, they’re emotionally so relieved and simply exhausted that often they don’t have the energy to seek help.” On behalf of Phil, and the 120,000 other people in Ireland living with a disability after brain injury, we invite you to ahead of this Friday’s election. Please ask the candidates in your locality if they will ‘fight for the lives’ of brain injury survivors and sustain vital rehabilitation services. None of us know when we may need the support.

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