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N.S. votes: Liberals promise more collaborative care, Tories pledge menopause clinic

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HALIFAX – Nova Scotia Liberal leader Zach Churchill has pledged to build 20 new collaborative care centres and expand services at 20 existing clinics as a way to help tackle the province’s stubbornly long family doctor wait-list.

Outside Soldiers Memorial Hospital in Middleton, N.S., in the Annapolis Valley, Churchill discussed part of his party’s vision for health care, which includes more clinics where doctors, nurses, pharmacists and other health professionals collaborate under one roof.

As of October, the province’s primary care registry listed 145,000 Nova Scotians without a family doctor. Churchill said access to care is particularly difficult in rural areas where patients without family doctors often end up in emergency rooms — if they are open.

“At this hospital, the emergency department has been closed more than it’s been open over the last three years,” he said. “Collaborative care centres are proven to be an effective model for providing people with quality care, and they will certainly attach patients to doctors and primary care providers.”

The government says that across the province there are already 107 collaborative teams working in about 50 clinics that are in various stages of development. The 20 new clinics the Liberals are promising would cost about $40 million — a bill the party plans to amortize over 25 years, bringing the estimated yearly capital cost to $1.6 million.

To encourage health workers to staff the new centres, the Liberals would offer a one-time $15,000 bonus to professionals such as pharmacists and therapists who commit to five years of service. As well, the party would double the existing incentive for doctors to $10,000 a year from $5,000.

Churchill pointed to the success of the collaborative care centre in Clare, N.S., as an example of the potential way forward. He said it’s fully staffed and patient attachment is so high the clinic is able to take on extra patients from nearby Yarmouth, N.S., and Digby, N.S.

“Imagine if we can replicate that success in every region of our province,” he said, while offering no timeline on when the new clinics would be in service.

Elsewhere on the campaign trail, NDP Leader Claudia Chender said in an interview with News 95.7 host Todd Veinotte that an NDP government would work toward establishing collaborative care clinics in every community.

“We need to prioritize primary care and make sure everyone has a doctor or a clinic they can go to,” Chender said, adding that the collaborative model, which relies on nurses and other medical professionals in addition to doctors, is ideal for a province that is short on physicians.

The Progressive Conservatives — elected in 2021 on a promise to fix the health system — have made “a million announcements, they’ve spent billions of dollars,” she said. “We haven’t made a dent in that (primary care wait-list). That has to be the priority.”

Progressive Conservative Leader Tim Houston made a health announcement of his own on Wednesday, promising to open a Halifax-based medical clinic to treat symptoms of menopause.

“The fact of the matter is women have traditionally been underserved by our health system. That’s just a reality,” Houston told reporters. Such a clinic, he said, is needed for the 350,000 women over 40 who don’t get adequate treatment for symptoms related to menopause.

“For too long, too many of these women have been left feeling like they’re fending for themselves in isolation as their bodies go through challenges,” Houston said.

The party estimates it would cost $4 million to set up the clinic and $2.4 million annually to operate it, and that it would provide care for approximately 13,000 patients per year. No timeline was offered on how long it would take to get the clinic up and running.

Houston added that a Tory government would “explore” creating a provincial health billing code that would fund family doctors to do menopause counselling.

At dissolution, the Progressive Conservatives held 34 seats in the 55-seat legislature, the Liberals held 14 seats, the NDP had six and there was one Independent. Election day is Nov. 26.

This report by The Canadian Press was first published Oct. 30, 2024.



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Voters back Nebraska’s ban on abortions after 12 weeks of pregnancy and reject a competing measure

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OMAHA, Neb. (AP) — Nebraska voters supported a measure Tuesday that enshrines the state’s current ban on abortions after the 12th week of pregnancy in the state constitution, and they rejected a competing measure that sought to expand abortion rights. Nebraska was the first state to have competing abortion amendments on the same ballot since the U.S. Supreme Court overturned Roe v. Wade in 2022, ending the nationwide right to abortion and allowing states to decide for themselves. The dueling measures were among a record number of petition-initiated measures on Nebraska’s ballot Tuesday.

What were the competing abortion measures?

A majority of voters supported a measure enshrining the state’s current ban on abortion after the first 12 weeks of pregnancy in the state constitution. The measure will also allow for further restrictions. Last year, the Legislature passed the 12-week ban, which includes exceptions for cases of rape and incest and to protect the life of the pregnant woman.

Voters rejected the other abortion measure. If they had passed it by a larger number of “for” votes than the 12-week measure, it would have amended the constitution to guarantee the right to have an abortion until viability — the standard under Roe that is the point at which a fetus might survive outside the womb. Some babies can survive with medical help after 21 weeks of gestation.

Abortion was on the ballot in several other states, as well. Coming into the election, voters in all seven states that had decided on abortion-related ballot measures since the reversal of Roe had favored abortion rights, including in some conservative states.

Who is behind the Nebraska abortion measures?

The 12-week ban measure was bankrolled by some of Nebraska’s wealthiest people, including Republican Sen. Pete Ricketts, who previously served as governor and donated more than $1.1 million. His mother, Marlene Ricketts, gave $4 million to the cause. Members of the Peed family, which owns publishing company Sandhills Global, also gave $1 million.

The effort was organized under the name Protect Women and Children and was heavily backed by religious organizations, including the Nebraska Catholic Conference, a lobbying group that has organized rallies, phone banks and community townhalls to drum up support for the measure.

The effort to enshrine viability as the standard was called Protect Our Rights Nebraska and had the backing of several medical, advocacy and social justice groups. Planned Parenthood donated nearly $1 million to the cause, with the American Civil Liberties Union, I Be Black Girl, Nebraska Appleseed and the Women’s Fund of Omaha also contributing significantly to the roughly $3.7 million raised by Protect Our Rights.

What other initiatives were on Nebraska’s ballot?

Nebraska voters approved two measures Tuesday that will create a system for the use and manufacture of medical marijuana, if the measures survive an ongoing legal challenge.

The measures legalize the possession and use of medical marijuana, and allow for the manufacture, distribution and delivery of the drug. One would let patients and caregivers possess up to 5 ounces (142 grams) of marijuana if recommended by a doctor. The other would create the Nebraska Medical Cannabis Commission, which would oversee the private groups that would manufacture and dispense the drug.

Those initiatives were challenged over allegations that the petition campaign that put them on the ballot broke election rules. Nebraska’s attorney general said supporters of the measures may have submitted several thousand invalid signatures, and one man has been charged in connection with 164 allegedly fraudulent signatures. That means a judge could still invalidate the measures.

Voters also opted Tuesday to repeal a new conservative-backed law that allocates millions of dollars in taxpayer money to fund private school tuition.

Finally, they approved a measure that will require all Nebraska employers to provide at least 40 hours of paid sick leave to their employees.

The Canadian Press. All rights reserved.



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Abortion rights advocates win in 7 states and clear way to overturn Missouri ban but lose in 3

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WASHINGTON (AP) — Voters in Missouri cleared the way to undo one of the nation’s most restrictive abortion bans in one of seven victories for abortion rights advocates, while Florida, Nebraska and South Dakota defeated similar constitutional amendments, leaving bans in place.

Abortion rights amendments also passed in Arizona, Colorado, Maryland and Montana. Nevada voters also approved an amendment, but they’ll need to pass it again it 2026 for it to take effect. Another that bans discrimination on the basis of “pregnancy outcomes” prevailed in New York.

The results include firsts for the abortion landscape, which underwent a seismic shift in 2022 when the U.S. Supreme Court overturned Roe v. Wade, a ruling that ended a nationwide right to abortion and cleared the way for bans to take effect in most Republican-controlled states.

They also came in the same election that Republican Donald Trump won the presidency. Among his inconsistent positions on abortion has been an insistence that it’s an issue best left to the states. Still, the president can have a major impact on abortion policy through executive action.

In the meantime, Missouri is positioned to be the first state where a vote will undo a ban on abortion at all stages of pregnancy, with an amendment that would allow lawmakers to restrict abortions only past the point of a fetus’ viability — usually considered after 21 weeks, although there’s no exact defined time frame.

But the ban, and other restrictive laws, are not automatically repealed. Advocates now have to ask courts to overturn laws to square with the new amendment.

“Today, Missourians made history and sent a clear message: decisions around pregnancy, including abortion, birth control, and miscarriage care are personal and private and should be left up to patients and their families, not politicians,” Rachel Sweet, campaign manager of Missourians for Constitutional Freedom, said in a statement.

Roughly half of Missouri’s voters said abortion should be legal in all or most cases, according to AP VoteCast, a survey of more than 2,200 of the state’s voters. But only about 1 in 10 said abortion should be illegal in all cases; nearly 4 in 10 said abortion should be illegal in most cases.

Bans remain in place in three states after votes

Florida, Nebraska and South Dakota became the first states since Roe was overturned where abortion opponents prevailed on a ballot measure. Most voters supported the Florida measure, but it fell short of the required 60% to pass constitutional amendments in the state. Most states require a simple majority.

The result was a political win for Gov. Ron DeSantis, a Republican with a national profile, who had steered state GOP funds to the cause. His administration has weighed in, too, with a campaign against the measure, investigators questioning people who signed petitions to add it to the ballot and threats to TV stations that aired one commercial supporting it.

Marjorie Dannenfelser, president of the national anti-abortion group SBA Pro-Life America, said in a statement that the result is “a momentous victory for life in Florida and for our entire country,” praising DeSantis for leading the charge against the measure.

The defeat makes permanent a shift in the Southern abortion landscape that began when the state’s six-week ban took effect in May. That removed Florida as a destination for abortion for many women from nearby states with deeper bans and also led to far more women from the state traveling to obtain abortion. The nearest states with looser restrictions are North Carolina and Virginia — hundreds of miles away.

“The reality is because of Florida’s constitution a minority of Florida voters have decided Amendment 4 will not be adopted,” said Lauren Brenzel, campaign director for the Yes on 4 Campaign said while wiping away tears. “The reality is a majority of Floridians just voted to end Florida’s abortion ban.”

In South Dakota, another state with a ban on abortion throughout pregnancy with some exceptions, the defeat of an abortion measure was more decisive. It would have allowed some regulations related to the health of the woman after 12 weeks. Because of that wrinkle, most national abortion-rights groups did not support it.

Voters in Nebraska adopted a measure that allows more abortion restrictions and enshrines the state’s current 12-week ban and rejected a competing measure that would have ensured abortion rights.

Other states guaranteed abortion rights

Arizona’s amendment will mean replacing the current law that bans abortion after the first 15 weeks of pregnancy. The new measure ensures abortion access until viability. A ballot measure there gained momentum after a state Supreme Court ruling in April found that the state could enforce a strict abortion ban adopted in 1864. Some GOP lawmakers joined with Democrats to repeal the law before it could be enforced.

In Maryland, the abortion rights amendment is a legal change that won’t make an immediate difference to abortion access in a state that already allows it.

It’s a similar situation in Montana, where abortion is already legal until viability.

The Colorado measure exceeded the 55% of support required to pass. Besides enshrining access, it also undoes an earlier amendment that barred using state and local government funding for abortion, opening the possibility of state Medicaid and government employee insurance plans covering care.

A New York equal rights law that abortion rights group say will bolster abortion rights also passed. It doesn’t contain the word “abortion” but rather bans discrimination on the basis of “pregnancy outcomes, and reproductive healthcare and autonomy.” Sasha Ahuja, campaign director of New Yorkers for Equal Rights, called the result “a monumental victory for all New Yorkers” and a vote against opponents who she says used misleading parental rights and anti-trans messages to thwart the measure.

The results end a win streak for abortion-rights advocates

Until Tuesday, abortion rights advocates had prevailed on all seven measures that have appeared on statewide ballots since the fall of Roe.

The abortion rights campaigns have a big fundraising advantage this year. Their opponents’ efforts are focused on portraying the amendments as too extreme rather than abortion as immoral.

Currently, 13 states are enforcing bans at all stages of pregnancy, with some exceptions. Four more bar abortion in most cases after about six weeks of pregnancy — before women often realize they’re pregnant. Despite the bans, the number of monthly abortions in the U.S. has risen slightly, because of the growing use of abortion pills and organized efforts to help women travel for abortion. Still, advocates say the bans have reduced access, especially for lower-income and minority residents of the states with bans.

The issue is resonating with voters. About one-fourth said abortion policy was the single most important factor for their vote, according to AP VoteCast, a sweeping survey of more than 110,000 voters nationwide. Close to half said it was an important factor, but not the most important. Just over 1 in 10 said it was a minor factor.

The outcomes of ballot initiatives that sought to overturn strict abortion bans in Florida and Missouri were very important to a majority of voters in the states. More than half of Florida voters identified the result of the amendment as very important, while roughly 6 in 10 of Missouri’s voters said the same, the survey found.

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Associated Press reporters Hannah Fingerhut and Amanda Seitz contributed to this article.

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This article has been corrected to reflect in the ‘other states’ section that Montana, not Missouri, currently allows abortion until viability.



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South Korea fights deepfake porn with tougher punishment and regulation

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SEOUL, South Korea (AP) — South Korea on Wednesday announced a package of steps to curb a surge in deepfake porn, saying it will toughen punishment for offenders, expand the use of undercover officers and impose greater regulations on social media platforms.

Concerns about nonconsensual explicit video contents that were digitally manipulated deepened in South Korea after unconfirmed lists of schools with victims spread online in August. Terrified, many girls and women removed photos and videos from Instagram, Facebook and other social media accounts, while others held rallies calling for stronger steps against deepfake porn.

President Yoon Suk Yeol quickly confirmed the rapid spread of explicit deepfake contents and ordered officials to “root out these digital sexual crimes.” Police are now on a seven-month special crackdown that is to continue until March 2025.

A task force said in a statement that the government has been working with lawmakers on revising laws to increase punishment for perpetrators involved in deepfake porn-related crimes.

It cited a recently amended law that for the first time makes acts of watching or possessing deepfake porn illegal and punishable with up to three years in prison. The maximum punishment for those who produce or distribute deepfake porn contents was increased from five to seven years in prison.

Police have so far detained 506 suspects this year, 411 of them aged between 10 and 19.

The task force said it’ll push for undercover online investigations, even in cases when victims are adults. The law currently authorizes such methods only when victims are minors. The government also plans another revision that would allow authorities to confiscate profits made through deepfake porn businesses.

The task force said it will push to impose a fine on social media platforms more aggressively when they fail to prevent the spread of deepfake and other illegal contents. It said South Korea will plan to increase monitors on social media platforms to 26, from the current 12.

The task force will also expand mandatory educational programs on digital sex crimes at schools, and produce related public awareness videos with celebrities popular with teens and young people in their 20s.

Most suspected perpetrators in deepfake porn cases in South Korea are teenage boys. Observers say the boys target female friends, relatives and acquaintances — also mostly minors — as a prank, out of curiosity or misogyny.

The deepfake porn issue in South Korea has raised serious questions about school programs but also threatened to worsen an already troubled divide between men and women.

The prevalence of deepfake porn in the country has been attributed to a mix of factors, experts say, including heavy use of smartphones, an absence of comprehensive sex and human rights education in schools, inadequate social media regulations for minors, and also misogyny and social norms that sexually objectify women.

The Canadian Press. All rights reserved.



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