Politics
Michigan’s three-car pileup of a primary has Senate Democrats worried
DETROIT — As a professional driver navigated a gleaming new Ford Bronco Sport up a steep ridge, Mallory McMorrow found herself pinned in the back seat clinging to the overhead roll bar.
The Detroit Auto Show course is designed to show off the Bronco’s capabilities — while putting an escapist scare into its thrill-seeking passengers. But it just reminded McMorrow of her day-to-day reality running for Michigan’s open Senate seat.
“It’s a teeter-totter, man,” McMorrow told POLITICO about her race, after having navigated a very literal giant teeter-totter in the Bronco. “It could go any direction.”
McMorrow is locked in a tight three-way primary with Rep. Haley Stevens and physician Abdul El-Sayed that has emerged as a test for what the next generation of Democrats will look like — and whether they can win a key swing-state election that will help determine Senate control.
In recent days, the trio of candidates’ squabbles careened hour to hour from whether they should embrace Medicare for All, to how far Democrats should go in fighting ICE. In fact, the contest has emerged as a catch-all for every question and problem plaguing Democrats politically and tactically: Where should they stand on Israel and Gaza? Should they send their aging congressional leaders packing? What does electability look like in this political environment? Should Democrats tap into the attention economy or focus on traditional campaigning?
El-Sayed, on the left, has taken consistently maximalist positions fitting for a man who wrote a book titled “Medicare For All: A Citizen’s Guide” and has vocal support from Sen. Bernie Sanders. Stevens, a classic swing-state centrist favored by many establishment Democrats, has taken smaller-bore stances. Between them sits McMorrow, who’s aiming to appeal to voters in both of their lanes.
But this three-way battle to replace retiring Sen. Gary Peters (D-Mich.) isn’t just about what direction the Democratic Party takes in Washington — it’s whether they can get there in the first place.
Democrats think they see a route back to the Senate majority. But if they don’t hold on to their seat in Michigan, that faint path won’t materialize.
“It’s already a long shot, but it’s a doable thing — but not without Michigan,” said David Axelrod, the longtime senior adviser to former President Barack Obama.
Axelrod called it the “most fascinating and consequential primary” in the country.
Democratic leaders both in Michigan and D.C. are growing more worried by the day that the hard-fought contest, which won’t be decided until the August primary, will exacerbate ideological tensions and leave the nominee in a weakened position heading into a contest against former Rep. Mike Rogers (R-Mich.).
“We’re used to having long primaries,” Sen. Elissa Slotkin (D-Mich.) told POLITICO. “No one loves them, but we’re used to having them. And I don’t think it’s insurmountable.”
For now, the race is wide open.
Most public polls have found a tight three-way race in the primary, with Stevens or McMorrow holding a slight lead depending on the survey; in those same polls, Stevens runs slightly ahead of Rogers in the general election, with McMorrow just a bit behind her and El-Sayed a bit further back.
Stevens has a fundraising edge. According to the latest Federal Election Commission reports, which posted on Saturday, she brought in $2.1 million in the past quarter and has $3 million cash on hand; McMorrow and El-Sayed both raised around $1.75 million and each has just under $2 million in the bank. Rogers raised just under $2 million and has just under $3.5 million cash on hand.
Part of the lack of separation in the polls is that voters haven’t engaged yet. The campaigns don’t expect cleavage until paid media starts happening in full (El-Sayed is the only candidate so far to roll out a statewide ad.)
“Only the most political have started to click in,” Slotkin said.
Michigan Democrats also worried about the impact the primary could have on the rest of the party as they fight to hold on to term-limited Gov. Gretchen Whitmer’s office and win back control of the Legislature.
Whitmer, with her 60 percent approval rating, is facing a pressure campaign from some in the party to endorse either Stevens or McMorrow early in the race to narrow the field, according to two senior Michigan Democratic officials granted anonymity to speak about private discussions. Otherwise, one of them worried, “we could see real losses.”
Whitmer and El-Sayed duked it out in a 2018 gubernatorial primary, and the officials say bad blood remains between them.
A Whitmer spokesperson declined to comment.
A clash of ideologies
The candidates have sharp ideological divides on major issues including health care, Israel and Gaza and accepting corporate PAC money.
After a second person was killed by a federal immigration agent in Minneapolis, the three candidates’ diverging approach to ICE and its funding supercharged the primary.
While McMorrow and Stevens glad-handed at the Detroit Auto Show and union halls around the MLK holiday, after immigration agents killed Renee Good and before they killed Alex Pretti, El-Sayed, who has championed the Abolish ICE movement since 2018, went to Minneapolis and filmed man-on-the-street interviews for social media that were reminiscent of New York Mayor Zohran Mamdani’s successful viral campaign videos.
He told POLITICO he was there to “understand what it looks like when an arm of the government lays siege to a city in America.” (El-Sayed also jetted to California for a fundraiser earlier that week).
McMorrow has expressed supportfor reforms to ICE, such as requiring agents to be unmasked, and argues Republicans and Democrats should “deny DHS one penny more until complete overhaul and accountability of this agency” happens.
Stevens, meanwhile, is co-sponsoring a bill that would divert what she called ICE’s $75 billion “slush fund” to state and local law enforcement agencies; she has also called for DHS Secretary Kristi Noem’s impeachment.
The candidates are also at odds over health care, an issue over which they’ve sparred in recent days.
In an interview with Democratic influencer Brian Tyler Cohen last week, El-Sayed reignited the health care debate. He said, “if you like your insurance from your employer or from your union, that can still be there for you,” apparently flipping on his stance on Medicare for All. McMorrow and her allies seized on his remarks as El-Sayed seemingly embracing a position he had repeatedly attacked her on. El-Sayed hosted a December health care town hall with Sanders where he contrasted his Medicare for All support with McMorrow’s and Steven’s backing of a public option.
“It’s wild to call yourself the ‘next generation’ of Democratic leadership and be running AGAINST Medicare for All in 2026,” he posted on X a month ago, quote-tweeting McMorrow.
In an interview with POLITICO after the dustup, El-Sayed declined to discuss specifics of his position on the record. In a statement, a spokesperson said that he supports Medicare for All as a baseline option for everyone, “and if folks want additional private coverage through a union or an employer then that can be there for them too.”
The conflict in Gaza has also led to sharp divisions in the race.
El-Sayed, who is the son of Egyptian immigrants, has been an outspoken critic of Israel, which he has long said was committing genocide in Gaza. That’s a major issue in a state with the highest percent of Arab-Americans in the country; more than 100,000 people voted “uncommitted” instead of backing then-President Joe Biden in the 2024 primary over his administration’s support of Israel — an effort El-Sayed helped lead.
He told POLITICO that when he talks about U.S. tax dollars “being misappropriated to weaponize food against children and to subsidize a genocide, rather than to invest in real people in their communities and their kids and their schools and their health care, it is the single biggest applause line in every speech.”
McMorrow took a bit more time to come to that view. In October, when asked whether she thought the conflict was a genocide, she paused for several seconds, exhaled, and responded, “Based on the definition, yes.” Her campaign said her view was informed by a September United Nations Commission of Inquiry report.
Stevens has been more supportive of Israel, and has the support of AIPAC, the politically influential pro-Israel lobby. Some senior Michigan Democrats have expressed concern that an AIPAC independent expenditure campaign backing Haley could make the primary even more toxic ahead of the general election. Asked about their plans, an AIPAC spokesperson told POLITICO they had no updates.
Asked by POLITICO in November whether she was comfortable with AIPAC support, Stevens dodged, saying she’s delighted to “see the hostages get home,” and added she “wanted to see an enduring ceasefire where Hamas surrenders and so that we can get the people of Palestine and Israel in long standing peace, living peacefully, side by side with one another.”
Stevens’ campaign also attacked both El-Sayed and McMorrow’s record on manufacturing, a sector that employs some 600,000 in Michigan. She told POLITICO that McMorrow “has a history of criticizing Michigan’s key industries” and that El-Sayed “supports policies that would decimate Michigan’s manufacturing economy,” citing his support for the Green New Deal.
“I’m going to call out what isn’t working for Michigan’s manufacturing economy, whether it is Mike Rogers or members of my own party,” Stevens said in an interview in the conference room of the Teamsters Local 234 union hall in Plymouth.
Old school vs. new school
The race is also shaping up as a test of offline coalitional politics at a moment increasingly defined more by viral videos than baby-kissing and union hall campaign stops.
Stevens has leaned hardest into traditional brick-and-mortar campaigning, while El-Sayed has been much more focused online, with McMorrow’s approach once again falling between them.
McMorrow’s biggest splash of the campaign so far came with a viral video that attacked NFL RedZone for adding ads as “the latest example of corporate greed,” and tied it to spiking grocery costs. It earned nearly 2 million views.
El-Sayed has built a national profile and fundraising network in part with a health care-focused podcast on Crooked Media, the network run by the Pod Save America team made up largely of former Obama senior advisers. At least three members, Jon Favreau, Jon Lovett and Ben Rhodes, appeared as hosts on an invite to El-Sayed’s fundraiser earlier this month in California.
Stevens has taken a different tack, putting more focus on campaign stops and meat-and-potatoes fights for local industry, especially auto and other factory jobs.
In a year-out-from-election day memo, Stevens’ campaign argued that her “strength with Black Michiganders and union workers, her relentless focus on lowering costs and protecting Michigan manufacturing, and her record fighting for Michiganders — which has led to her winning tough primaries and general elections — will propel her to victory.”
Campaigning at a Teamsters Local 234 union hall in Plymouth, she spent a lot more time talking about a local labor contract dispute than national concerns.
“Look, manufacturing might not light up the internet, but it fuels a lot of jobs here,” she told POLITICO afterward.
That dogged approach helped her flip and hold a swing seat, then win a tough incumbent-on-incumbent primary in 2022, and is one she thinks will pay dividends now.
“I’ve had a couple of tough primaries before, and I’m just out here trying to win it for Michiganders,” she said.
But it remains unclear how well it will translate in a statewide campaign.
“Haley seems to have more institutional support — whether or not it’s admitted as such — and that is a strength, but it also could be a weakness,” said a longtime Michigan Democratic operative who remains neutral in the race and was granted anonymity to assess the primary. “Her presence on the campaign trail I’m not sure is one that’s really like, Man, I got to be with her.”
Stevens has earned criticism over whether she can galvanize the online, grassroots activists, or electrify crowds on the trail. “She’s [an] uneven campaigner when it comes to the retail stuff,” said Adam Jentleson, a longtime Democratic campaign strategist whois pushing for the party to break more with left-wing interest groups and focus more on expanding the party’s coalition to win (he also voiced concern about El-Sayed as a general-election candidate).
Right now, both El-Sayed and Stevens have been training most of their fire on McMorrow rather than each other, seeing her as the bigger threat to their potential voting coalitions.
Insiders and outsiders
Stevens’ electoral track record is part of why many establishment-leaning Democrats in D.C. prefer her in the race.
Democratic Senatorial Campaign Committee Chair Kirsten Gillibrand (D-N.Y.) invited her to attend a fundraising retreat in Napa Valley that featured a crypto roundtable, but Stevens told POLITICO she did not attend due to the government shutdown.
In an interview with POLITICO, Senate Minority Leader Chuck Schumer was bullish on defending Michigan but declined to appraise any individual candidacies; a DSCC spokesperson declined to comment on whether the committee would officially endorse in the race.
McMorrow has taken a very different approach to D.C.’s Democratic leadership.
Shetold POLITICO last March, before she was even officially a candidate, that she wouldn’t vote for Schumer as party leader should she win her Senate seat. She also previously penned a scathing letter to Biden following his disastrous debate with Donald Trump, urging him to drop out.
“We’re drawing a contrast that is really about defining my lane,” McMorrow said in an interview at a campaign stop at a park in Grand Rapids late last year, suggesting Stevens, without naming her, was running “an uninspiring campaign that’s right out of the D.C. playbook” and that El-Sayed, also without naming him, was campaigning on the idea “that there’s just one weird trick to fix democracy.”
Stevens has said it’s too early to determine whether to would back Schumer; she has called him “a great leader.”
El-Sayed also hasn’t said whether he’d back Schumer for leader. But he’s made it clear he is running headlong against the Democratic establishment.
“The movement we’re building is about taking a bet on the divide in our politics not really being about left versus right, but being about the folks who are locked out and the folks who are locking them out,” El-Sayed told POLITICO.
About the only thing the candidates can all agree on is the stakes of the contest.
“The future of this party is going to be based on what happens in this race,” McMorrow said.
Elena Scheider contributed to this report.
Politics
World Cancer Day exposes a collapsing healthcare system
On World Cancer Day, patients in Gaza face a double and merciless threat: cancer itself and a devastated healthcare system.
Thousands now face an uncertain future after hospitals were damaged and the only specialised cancer centre stopped operating. Border crossings remain closed, preventing patients from travelling for treatment.
Gaza’s health situation is no longer a temporary crisis. It has become a daily tragedy.
Patients are trapped between severe physical pain and the absence of essential medicines. Hospitals lack early-diagnosis tools and proper monitoring, turning treatable cancers into life-threatening cases.
Gaza — the grim health reality
The Palestinian Ministry of Health, in a statement seen by Kanari, says around 11,000 cancer patients in Gaza are now deprived of specialised treatment and proper diagnosis. Conditions worsened after specialised hospitals were rendered inoperable and the Gaza Cancer Center was destroyed, pushing the health system close to total collapse.
More than 4,000 patients with referrals for treatment abroad have been waiting over two years for crossings to open. Their health continues to deteriorate while they wait.
A 64% shortage of cancer medicines, alongside the absence of MRI and mammography machines, has sharply increased delayed diagnoses and mortality risks.
Humanitarian and social impact
The cancer crisis in Gaza extends far beyond physical suffering.
Patients and families live under immense psychological pressure, caught between fear of death and the inability to access or afford treatment. Harsh living conditions intensify that burden. The wider community also suffers. Cancers easily treatable elsewhere become prolonged battles in Gaza, draining families emotionally and financially.
International silence deepens patients’ sense of abandonment, worsening an already profound humanitarian trauma.
Urgent international appeal
The Palestinian Ministry of Health has called for immediate international action to allow patients to travel for treatment, ensure the entry of vital medicines, and rebuild cancer care facilities.
The ministry warned that continued inaction amounts to a slow death sentence for thousands, cautioning that Gaza faces an unprecedented health and humanitarian catastrophe unless urgent intervention occurs.
Featured image via Euro-Med Human Rights Monitor
Politics
Politics Home | Starmer Agrees To Give All Mandelson Material To Key Committee After Labour MPs Threaten Rebellion

3 min read
Keir Starmer has avoided a major backbench rebellion after agreeing to give all documents relating to Peter Mandelson’s appointment as US ambassador to a cross-party parliamentary committee.
The government had originally planned to withhold documents that it said would undermine national security and international relations. Starmer set out this position in PMQs on Wednesday lunchtime.
However, a significant number of Labour MPs threatened to support a motion tabled by the Conservatives calling for the release of all material related to Mandelson’s appointment, forcing the government to agree a compromise before a planned vote in the evening.
Angela Rayner, the former deputy prime minister, who is widely seen as a leading candidate to succeed Starmer in Downing Street, played a leading role from the Labour backbenches in forcing the government to change its position.
In frantic scenes in the House of Commons this afternoon, the government tabled a further amendment, saying that documents relating to Mandelson’s appointment that are redacted on security grounds will be referred to the intelligence and security committee.
While the government avoided a Labour rebellion, the events represent a significant blow to the authority of the Prime Minister, whose judgment is being called into question over his original decision to appoint Mandelson as UK ambassador to the US.
Morgan McSweeney, the PM’s chief of staff, who played an instrumental role in the decision to bring Mandelson into government, is also facing intense Labour MP pressure.
However, a statement by the Metropolitan Police on Wednesday night further complicated the next steps, with Scotland Yard saying it has asked Downing Street not to publish documents that could undermine its own criminal investigation into the former ambassador.
Starmer sacked Mandelson in September after details about his relationship with Jeffrey Epstein started to emerge.
Mandelson has resigned from the House of Lords amid the growing scandal over his links to Epstein, while the government has said it will use legislation to strip him of his peer title.
Starmer announced earlier today that he had agreed with the King to remove Mandelson from the Privy Council, accusing his former ambassador in Washington of betraying his country.
The PM admitted to MPs that he was aware of Mandelson’s relationship with Epstein when he gave him the senior diplomatic role, but said that Mandelson “lied” to him about the depth and extent of that relationship.
His admission that he was aware of the relationship at the time of the appointment caused consternation among Labour MPs.
One Labour MP described PMQs as “brutal” for Starmer, describing the mood among Labour backbenchers to PoliticsHome as: “It wasn’t pity. But there was no willing him the [PM] on.”
Speaking during a debate following PMQs, Labour MP and former police officer Matt Bishop said that the trust built by the government’s Violence Against Women and Girls strategy “risks being profoundly undermined when we appear unwilling to apply the same standards of transparency and accountability to those closest to power as we demand elsewhere”.
He later added: “If we are not fully transparent about how we vetted the ex-US ambassador in the face of such scandal, how on earth can we expect victims to come forward in future.”
Emily Thornberry, chair of the foreign affairs committee, asked if pressure had been put on the Foreign Office to process the vetting of Mandelson quickly.
Additional reporting by Adam Payne
Politics
Palestine Action verdict enrages Israel lobby: ‘We’re the victims’
Israel is always the victim — in its own eyes. That applies to the groups that support it too, like the avowedly Zionist ‘Board of Deputies’ (BOD). So, naturally, as far as the BOD is concerned today’s exoneration by a jury of six anti-genocide Palestine Action activists is not justice. It’s a slight to the BOD and other Israel supporters.
It’s ‘antisemitism’, in other words.
In a statement, the BOD described the verdicts as “troubling”. It then said that “respect [for] the judicial process” is “important”. And it then made clear that it has no respect for the judicial process by implying the acquittals don’t mean, under British law, that the accused are innocent of the serious charges against them. Therefore they are still guilty and deserving of punishment they should not be “able to evade”.
Evade by means of being found not guilty. The fiends.
BOD releases a statement after Palestine Action activists’ acquittal
This was the BOD’s nonsense in full:
04.02.2026
We are concerned by the troubling verdicts acquitting members of Palestine Action, an organisation that has been proscribed as a terrorist group, and whose activities have included targeting businesses linked to the Jewish community in London and Manchester.
While it is important to respect the integrity of the judicial process, there is a serious danger of perverse justifications being used as a shield for criminality. It cannot be the case that those who commit serious criminal acts, including violent assaults, are able to evade the consequences of their actions.
We look to the Government to provide clear direction in tackling hate crime and extremist violence. This incident underlines the urgency of the Home Office’s current review into public order and hate crime legislation.
We are grateful to the officers who attended the scene and the CPS for prosecuting this case. We urge the prosecution to proceed with a retrial in respect of those charges where the jury was unable to reach a verdict, particularly given the severity of the injury suffered by Police Sergeant Evans.
To be clear: none of the defendants has been found to have injured police sergeant Evans.
And, since it’s certain neither the BOD nor the UK corporate media are ever going to refer to it, video evidence proved that police and security guards lied about pretty much everything that happened. And the accusers were not even able to come up with convincing lies even though the police left the Israeli arms-maker in charge of the video evidence for a whole year.
Scandalously, despite the verdicts, the CPS has demanded that the humanitarian defendants — after a year and a half as political prisoners — must not simply walk free. Five of them have been put back on bail — and one, Sam Corner, has been denied bail and put back in prison.
Of course we must never forget that Israel and its lobby are always the victim. Even when they’re slaughtering innocent Palestinians and making up bollocks in court to imprison people trying to stop them.
Featured image via FiltonActionists
Politics
Homan: 'We Have Nothing To Hide'
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Politics
Starmer Caves to Rayner in Bid to Avoid Crippling Backbench Rebellion
The new additional government amendment – on top of its original one – says: “any papers which are prejudicial to UK national security or international relations will be referred to the Intelligence and Security Committee.” Angela Rayner wins. This was rejected by Starmer at PMQs and in the original amendment. Days since last U-turn: zero……
Politics
Keir Starmer Faces Political Crisis Amid Mandelson Scandal
Keir Starmer is fighting for his political life after the row over his decision to make Peter Mandelson the UK’s ambassador to Washington threatens to end his premiership.
The prime minister is facing mounting fury from Labour MPs after confirming that he knew about Mandelson’s ongoing friendship with the convicted paedophile Jeffrey Epstein when he gave him the plum diplomatic job.
Starmer made the shocking admission as he endured a torrid prime minister’s questions in the House of Commons.
One Labour MP told HuffPost UK that watching Starmer’s performance was “like being present at the political death of the prime minister”.
“It’s made his position far, far worse,” the MP said. “I couldn’t believe some of his answers. We were aghast.”
In a fresh humiliation for the PM, the government was also forced to U-turn over its plans to publish the behind-the-scenes communications which took place before Mandelson was made ambassador.
Downing Street had initially said that documents relating to national security and the UK’s relations with other countries would remain under wraps.
However, after a major intervention by former deputy PM Angela Rayner, and with the government facing an embarrassing defeat in the Commons, No.10 agreed that MPs on the Intelligence and Security Committee (ISC) will be allowed to see those papers to decide whether they can be made public.
One MP said: “I’m relieved that we’ve got to a better place but why have we had to go through this?”
The developments left Starmer’s political authority severely damaged and led to veteran left-winger John McDonnell calling on him to think about quitting as PM.
He told ITV News: “I think he really needs to consider his position about how he goes forward on this because this is one of those issues which could not just bring down a prime minister, but bring down a government.
“I think he should consider his track record, is he performing the role responsibly, and I think the responsibility is on his shoulders to think whether he’s doing the right thing by staying on.”
Starmer’s leadership crisis has been triggered by the revelations about the extent of Mandelson’s links to Epstein, which emerged in documents released last weekend by the US Department of Justice.
Mandelson, who was sacked as US ambassador just seven months after Starmer appointed him, is facing a criminal investigation over claims he passed market sensitive information to the billionaire financier when he was business secretary in Gordon Brown’s government.
At PMQs, Starmer said Mandelson – who this week quit the House of Lords – had “betrayed” Britain by his actions.
He also said Mandelson had “lied repeatedly” when being vetted for the ambassador’s role.
“I regret appointing him,” Starmer said. “If I knew then what I know now, he wouldn’t have been anywhere near government.”
Politics
Andrew Lawrence: Britain’s most cancelled comedian
The post Andrew Lawrence: Britain’s most cancelled comedian appeared first on spiked.
Politics
NHS drug shortages have one cause
Almost 400 medicines are vulnerable to shortages in the UK, according to a new list produced by NHS England and Medicines UK. Among the drugs on the list are treatments for blood clots, stroke, and several cancers.
The medicines were identified as at-risk because they have either a single supplier, or no supplier at all. Often, drug companies stop producing specific medicines because they no longer see them as commercially viable.
Having identified this vulnerability, NHS England and its partner organisations are taking steps to mitigate the problem. They’re calling the initiative ‘Project Revive’, providing incentives for drug companies to manufacture the medicines on the list.
Whilst undoubtedly an important step towards ensuring the resilience of the medical supply system in the UK, this is a treatment for a symptom, rather than a cure.
We’re in this mess in the first place because we treat drug manufacture as a commercial market, where companies can compete, patent, price gouge, and drop drugs when they stop making money. That commercialisation of healthcare costs lives.
NHS shortage of ‘products of critical priority’
In total, NHS England identified 378 drugs on its list of vulnerable medicines. Of these, around 80 no longer have a supplier at all, meaning that the currently existing supply is all that remains.
The medicines on the list include bendamustine, a chemotherapy drug used for several cancers; flupentixol, which is used for schizophrenia; and urokinase, a treatment for pulmonary embolism. The prices that the UK pays for these drugs could soar if demand starts to outpace supply.
NHS England produced its list alongside Medicines UK, a trade body representing manufacturers of generic medicines. Mark Samuels, Medicines UK’s chief executive, said:
The list includes products of critical priority and the ambition is to target those medicines representing the most serious risk to supply resilience, which could lead to shortages affecting patient care.
Drugs which have faced shortages across the UK in recent years include estradiol, an element of hormone replacement therapy; lisdexamfetamine, an ADHD medication; and Creon, which is used to treat cystic fibrosis.
Project Revive
However, NHS England, Medicines UK, and the Medicines and Healthcare Products Regulatory Agency (MHRA) plan to tackle the problem of shortages through ‘Project Revive’. This scheme will provide incentives like fast-tracked license approvals to enable manufacturers to supply the 378 drugs on the list.
The pilot of Project Revive will run for 12 months. Then, in 2027, coordinators plan to instate a long-term iteration of the same scheme. Samuels explained that:
We have long stated that medicine shortages cannot be solved in isolation, and this project shows what can be achieved by working together. By working with NHS England and MHRA, we hope that this new model provides more certainty to enable companies to produce and supply medicines for use in the NHS.
Fiona Bride, interim chief commercial officer for NHS England, echoed that sentiment:
Ensuring a resilient and stable supply of medicines is fundamental to delivering patient care, with pharmaceuticals being the most common healthcare intervention in the NHS, and this collaborative pilot initiative aims to strengthen that supply chain by incentivising more companies to become NHS suppliers, or deepen existing partnerships.
Treating the symptom
The news of Project Revive comes after medicine pricing issues hit the headlines last year. Several of the world’s biggest drug manufacturers announced that they were ditching their UK projects.
Critics from within the industry blamed uncompetitive prices for new medicines, low levels of government investment, and Trump’s tariffs adding to supply prices.
Then, in September 2025, science minister Patrick Vallance argued that the NHS would have to pay higher prices for medicines to prevent pharmaceutical investors from abandoning the UK.
This is a problem inherent to introducing a profit motive to any aspect of healthcare, all across the world. Treating medicine as a capitalist exercise creates a host of problems for patients, who should always have been the center of the issue.
Meanwhile, the global pharmaceutical industry has raked in profits at higher margins than practically any other sector.
Profit over patients
As NHS England showed in the Project Revive research, drug companies can cease supply of individual medicines if their profits aren’t high enough. This can leave patients without crucial medications that they need.
Likewise, manufacturers can also raise their prices artificially if they aren’t faced with competition from other companies, or if other countries are willing to pay higher prices. Patents and intellectual property rights for individual drugs can also allow companies to create artificial scarcity.
Even beyond this, the profit motive causes problems with the development of new medicines. Companies aim to develop medicines in profitable sectors, particularly cancer and rare diseases. This, in turn, sees less-profitable diseases neglected in terms of research and development.
Likewise, even the idea of curing a disease can be anathema to a profit motive. In a choice between being paid once to cure a patient, or being paid again and again to treat a disease without curing it, the latter is the profitable choice. For example, one damning Goldman Sachs report stated that:
The potential to deliver ‘one shot cures’ is one of the most attractive aspects of gene therapy, genetically-engineered cell therapy and gene editing. However, such treatments offer a very different outlook with regard to recurring revenue versus chronic therapies…. While this proposition carries tremendous value for patients and society, it could represent a challenge for genome medicine developers looking for sustained cash flow.
Project Revive looks like an important step towards strengthening the UK’s drug supply chain. However, it’s a band-aid on a problem which will take far more work to heal.
In the UK, we fear the loss of socialised healthcare through the NHS, but the private sector already has its hooks in the system at every level.
There’s no easy fix for the problem of private profiteering in medicine. Capitalism itself is an enemy of good healthcare. It sounds glib, we know, but it’s also true. Failing to recognise that fact will mean that we’re trapped in a cycle of treating the symptoms, whilst neglecting their cause.
Featured image via the Canary
Politics
Shapiro needs big policy wins for a 2028 run. He’s gunning for a Democratic trifecta to achieve them.
Pennsylvania Gov. Josh Shapiro has made his ability to navigate a sharply divided Legislature a core part of his national sales pitch. But as 2028 approaches, what he really wants is a Democratic trifecta in Harrisburg.
Shapiro helped Democrats flip the state House in 2022 when he won the governor’s mansion. But the Republican-controlled Senate has been his Achilles’ heel since, stymieing his attempts to pass core Democratic policies like raising one of the lowest state minimum wages in the country. And the split Legislature left Shapiro mired in a monthslong budget standoff last year that held up billions of dollars in state funding for counties, schools and nonprofits.
Now, Shapiro is leading the charge to help Democrats wrest back the chamber from Republican control by a slim 27-23 majority and expand their single-seat majority in the House — part of an aggressive down-ballot push the governor is undertaking alongside his own reelection bid.
Shapiro has repeatedly voiced his desire to win unified control of the commonwealth both in private conversations with donors and in public. He’s touted what he could do with it — outlining a policy agenda rooted in increasing affordability that includes raising the state’s minimum wage and boosting energy production, including through renewables.
When asked his second-term goals and whether he needs unified Democratic control to achieve them, the governor said his record proves “I can bring the Republicans and Democrats together to get stuff done.”
“There are some things, though, that the Republican Senate has blocked me on that I would like us to be able to get done,” he said at an event in Washington last week. “And certainly, having a trifecta would allow me to do that.”
During his state budget address Tuesday, Shapiro unloaded on Senate Republicans who’ve stood in the way of his priorities, saying they’ve “refused to act” on raising wages and needling them to “stop making excuses” on advancing his energy plans. His voice ringing with emotion, he accused them of “cowering to … special interests” and “tying justice for abused kids to your pet political projects” over stalling enhanced protections for sexual abuse victims.
Shapiro’s effort to secure unified control of Harrisburg will serve as a critical test of his coattails in the nation’s largest swing state. And it’s a prerequisite for him to be able to score some big-ticket liberal policy wins he can brag about on a 2028 presidential primary stage that could be jam-packed with governors who already have their own achievements to tout.
“If he can add to the appeal he already has with things like a higher minimum wage, with other pieces of the puzzle that state government can do to make things more affordable, it just gives his candidacy and his message that extra spark that is missing right now,” said longtime Democratic strategist Pete Giangreco, who worked on Barack Obama’s and Amy Klobuchar’s presidential campaigns but is not working for any likely 2028 contenders.
But Pennsylvania Democrats haven’t had a trifecta in three decades. And they face a narrow path to achieving it even in a year when national Democrats are bullish on a blue wave.
Just half the Pennsylvania Senate is on the ballot this year, and operatives on both sides say the battlefield is even smaller, pointing to a handful of districts in the Philadelphia suburbs through the Lehigh Valley and more rural swaths of the state. Prognosticators say the Pennsylvania Senate “leans Republican.”
“If you look at the Republican map on who needs to be defeated, it’s a lot of more rural, red areas,” said Pennsylvania-based GOP consultant Josh Novotney. “Nothing’s impossible in such a bad year for Republicans. But it’s going to be tough.”
But Keystone State Democrats are emboldened by last year’s elections. The party swept judicial retention races for the state’s highest court and flipped a state Senate seat during a special election in a district Democrats said President Donald Trump carried by 15 percentage points in 2024. They’re encouraged by Democratic wins and overperformances across the country over the past year.
And, top Democrats say, they have Shapiro.
The governor remains highly popular, with an approval rating that’s cracked 60 percent in some surveys. He’s a fundraising juggernaut who has amassed a $30 million war chest to unload against likely GOP rival Stacy Garrity, the state treasurer, who raised just a fraction of that amount.
Democrats rode to power in the Pennsylvania House in 2022 on what one top lawmaker described as “Shapiro’s landslide coattails,” and they credit the governor for helping them hold their razor-thin majority in 2024, even as Trump won Pennsylvania and Democrats lost every statewide election.
“He is a huge part of the reason we have the majority. He’s a huge part of the reason that we were able to hold the majority in 2024,” said state Rep. Mike Schlossberg, the House majority whip. “I have no doubt he will lean in very, very heavily to making sure that we not only expand our majority in the House, but hopefully take control of the Senate — something that’s realistically in play for the first time probably in my entire career.”
Shapiro poured $1.25 million into the Pennsylvania House Democrats’ campaign committee in 2024 and helped raise another $1 million toward defending their majority that year. He also donated $250,000 to state Senate Democrats’ campaign committee. And he cut ads and hit the campaign trail in key legislative districts.
Last year, Shapiro gave the state party $250,000 to fund infrastructure improvements heading into the midterms, with a promise of more to come. His political team is in “regular communication” with Pennsylvania Democrats’ campaign arms, said state Sen. Vincent Hughes, a Philadelphia Democrat who chairs the party’s Senate campaign committee.
The governor’s political operation declined to share an estimate of how much Shapiro plans to spend down-ticket this year, or where he plans to campaign. Manuel Bonder, a spokesperson for Shapiro, said the governor “has a long track record of working to elect Democrats up and down the ballot” and will “continue to focus on” that alongside his reelection bid.
Shapiro and his allies have repeatedly lamented Republican roadblocks to an agenda that includes raising wages, boosting housing and energy production and securing sustainable funding for public transportation. House Speaker Joanna McClinton, a Philadelphia Democrat, accused the GOP of “political gamesmanship” in an interview, claiming the opposition is trying to “keep down the productivity” to hurt Shapiro and state Democrats in 2026 and beyond.
Senate Republican leaders signaled more friction to come as they fired back on several fronts after Shapiro’s speech Tuesday, skewering his plan to overhaul the state’s energy sector, accusing him of being “more interested in the political talking point” on hiking wages to $15 an hour (while indicating they’re open to compromise) and saying there are “different paths” to helping victims of abuse.
As 2028 looms, Democratic legislative leaders and political strategists acknowledged the potential political benefit of a trifecta for Shapiro, who could get a boost from both turning a purple state blue and passing policies that could pad a potential presidential platform.
“If he can help us win the trifecta, and then use it to actually govern and get good results — or as he likes to say, ‘get shit done’ — that looks really good at the national level,” Schlossberg said.
Politics
New York’s Kathy Hochul forms first women-led ticket, selecting Adrienne Adams as her running mate
ALBANY, New York — Democratic Gov. Kathy Hochul has selected former New York City Council Speaker Adrienne Adams as her running mate for a women-led ticket — a first in Empire State history for a major party.
Adams’ selection is simultaneously a bold and safe choice for the governor.
Hochul and Adams are both moderate, church-going mothers who take a low-key approach to their jobs and are around the same age. Yet the governor, who holds a massive polling advantage over her political rivals, is making a statement by picking a woman to be her No. 2 in a state government that, until recently, has been male dominated.
“Adrienne and I are no strangers to rolling up our sleeves and getting results for working New Yorkers,” Hochul said in a statement. “Together, we’re going to continue investing in public safety, bringing costs down, and making this state a place where all families can thrive.”
Adams would be the first Black woman to hold the position and, as a Queens native, brings geographic balance to a ticket led by the state’s Buffalo-born governor.
New York’s lieutenant governor is a largely powerless position and its officeholders usually do not garner much statewide recognition. Teasing her decision earlier this week, Hochul said she wanted someone who would be able to step into her job should the need arise.
Hochul’s previous picks to fill the post have caused her significant problems, though, leading to no shortage of political headaches.
Her first lieutenant governor, former state Sen. Brian Benjamin, resigned only months into the job after he was indicted on corruption charges that were later dismissed. Hochul then turned to Rep. Antonio Delgado, who represented a swing Hudson Valley House district. Delgado, though, has clashed with Hochul and is now waging a long-shot Democratic primary bid against her.
Adams, 65, was a late entrant into the Democratic mayoral primary last year. The Queens Democrat was urged to launch her bid when ex-Gov. Andrew Cuomo held frontrunner status and his critics — including state Attorney General Letitia James — were trying to find ways to stop him. At the time, Adams, who is no relation to former Mayor Eric Adams, was seen as someone who could draw moderate Black voters away from Cuomo.
Adrienne Adams eventually finished fourth and was eliminated after the second round of ranked-choice voting. During the primary, though, she confronted the eventual winner, democratic socialist Zohran Mamdani. Her campaign criticized Mamdani on X for backing calls to abolish Immigration and Customs Enforcement, a post that was later deleted following backlash.
She eventually endorsed Mamdani after the June primary — even as she expressed doubts he would win the general election.
The selection of Adams to join the ticket was a closely held secret by the Hochul campaign for days as her aides batted down rumors of potential suitors.
Delgado officially announced Wednesday he had picked former Buffalo mayoral candidate India Walton, a move that’s meant to bolster his left-flank support. Walton, like Adams, would be the first Black woman to serve as lieutenant governor.
Hochul’s likely Republican opponent, Nassau County Executive Bruce Blakeman, is yet to announce his lieutenant governor choice.
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