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Tired of science being ignored? Get political – Nature.com

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During the COVID-19 pandemic, like many public-health experts, I have been asked to advise people to wear a mask, meet outdoors, wash their hands, keep 2 metres apart, stay home and get tested if they have symptoms, and participate in contact tracing. But researchers are expected to ignore societal structures that mean some people are less able to follow this advice. We are expected to account for individual risk factors that might explain who gets infected, who dies and how fully someone recovers, but not to imagine what public-health and health-care policies could make for better, more equitable health. It is time for researchers to change tack and step into politics.

Compared with some other countries, the United States underinvests in public health. And yet its health expenditures approach 20% of its gross domestic product, with higher per-capita health spending than any other nation. Clinical medicine glitters with technology and innovation. Perhaps that is partly why, in trying to keep up, public-health professionals tend to stress the technical nature of their field, its evidence base and its rigour. By ‘staying in our lane’ and out of politics and advocacy, did US researchers unwittingly help pave an open highway for COVID-19?

The presidents of the non-partisan US National Academy of Medicine and the National Academy of Sciences have publicly expressed alarm at the growing political interference in science. Working researchers’ relative silence about such larger societal issues, often under the guise of professionalism, doesn’t make for good science, although it might make for safer scientific careers. In the middle of a pandemic, good science identifies how to save lives.

The United States is not winning at saving lives. More than one million people globally have died from COVID-19; the United States, one of the wealthiest and most medically advanced countries, accounts for less than 5% of the world’s population but for 20% of deaths. When adjusted for age, death rates are more than three times higher for Black, Latino/Latina and Native Americans than for white Americans (M. T. Bassett et al. PLoS Med.; in the press).

For health professionals, COVID-19 has revealed how epidemics are political, tracking through the fissures of society. Many health workers, some for the first time, are breaking the unspoken ‘commitment to neutrality’ and criticizing President Donald Trump’s administration for its failures and its attacks on science. They are drawing attention to inequitable social policies, segregated neighbourhoods and inadequate labour protections as root causes of this tragedy.

A minority of researchers are working with activists on racial justice, but many avoid doing so out of worry that an ‘activist’ label could have negative implications for their careers. This is typically self-censorship, enforced by norms of ‘professional’ behaviour, but I think recent White House moves against providing racial-sensitivity training and acknowledging the impacts of racism will have a further, chilling effect. I have been cautioned more than once that my talking about racism was ‘off-putting’.

As a former health commissioner for New York City, my hope is that this new ‘political awakening’ will endure and transform how scientists participate in political life. The label ‘activist’ should be an honour, not a slur or reproach.

This is why, in April, I was thrilled to get a call from Natalia Linos, the executive director of the FXB Center for Health & Human Rights at Harvard University in Cambridge, Massachusetts — the centre that I lead. She told me that she wanted to run for a vacant congressional seat in Massachusetts. In the middle of the pandemic, she felt that the attacks on science in Washington DC and the disastrous national response required people with her skill set to step up. Although she was ultimately not selected as candidate, she is right that we need more public-health experts in politics. Some will say that scientists entering electoral races will undermine other worthy candidates with more established political networks. Although this is understandable, the presence of scientific expertise elevates the understanding of science for all candidates, along with the public more generally. This is the best way to have a seat at the table when policy is made.

Germany and Taiwan, which have had successful responses to COVID-19, have leaders who are trained in science. The United States has equivalents in leaders such as Virginia governor Ralph Northam, a former physician, who expanded access to Medicaid (the health-insurance programme for those on low incomes) once elected to office. We need more such elected officials, and we should be encouraging when those from our community take that step.

At a minimum, let’s ensure that we researchers apply our expertise to political advocacy. I am not saying that expertise in one area of science makes us experts overall. Still, when we decide that issues such as structural racism, climate change or income inequality are ‘outside our lane’, we betray both the professional reputation of our field and the health of the people we serve.

It is inconceivable that the COVID-19 death toll would be as high as it is today if the US political leadership believed in evidence, or had enacted egalitarian social and health policies comparable to those in other wealthy countries. Lack of affordable housing, universal health coverage and job protections are all public-health issues. So are low wages. Building the political will to address these issues will save lives. That’s worth risking a job or a promotion. Let’s use this public-health crisis to organize.

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‘Disgraceful:’ N.S. Tory leader slams school’s request that military remove uniform

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HALIFAX – Nova Scotia Premier Tim Houston says it’s “disgraceful and demeaning” that a Halifax-area school would request that service members not wear military uniforms to its Remembrance Day ceremony.

Houston’s comments were part of a chorus of criticism levelled at the school — Sackville Heights Elementary — whose administration decided to back away from the plan after the outcry.

A November newsletter from the school in Middle Sackville, N.S., invited Armed Forces members to attend its ceremony but asked that all attendees arrive in civilian attire to “maintain a welcoming environment for all.”

Houston, who is currently running for re-election, accused the school’s leaders of “disgracing themselves while demeaning the people who protect our country” in a post on the social media platform X Thursday night.

“If the people behind this decision had a shred of the courage that our veterans have, this cowardly and insulting idea would have been rejected immediately,” Houston’s post read. There were also several calls for resignations within the school’s administration attached to Houston’s post.

In an email to families Thursday night, the school’s principal, Rachael Webster, apologized and welcomed military family members to attend “in the attire that makes them most comfortable.”

“I recognize this request has caused harm and I am deeply sorry,” Webster’s email read, adding later that the school has the “utmost respect for what the uniform represents.”

Webster said the initial request was out of concern for some students who come from countries experiencing conflict and who she said expressed discomfort with images of war, including military uniforms.

Her email said any students who have concerns about seeing Armed Forces members in uniform can be accommodated in a way that makes them feel safe, but she provided no further details in the message.

Webster did not immediately respond to a request for comment.

At a news conference Friday, Houston said he’s glad the initial request was reversed but said he is still concerned.

“I can’t actually fathom how a decision like that was made,” Houston told reporters Friday, adding that he grew up moving between military bases around the country while his father was in the Armed Forces.

“My story of growing up in a military family is not unique in our province. The tradition of service is something so many of us share,” he said.

“Saying ‘lest we forget’ is a solemn promise to the fallen. It’s our commitment to those that continue to serve and our commitment that we will pass on our respects to the next generation.”

Liberal Leader Zach Churchill also said he’s happy with the school’s decision to allow uniformed Armed Forces members to attend the ceremony, but he said he didn’t think it was fair to question the intentions of those behind the original decision.

“We need to have them (uniforms) on display at Remembrance Day,” he said. “Not only are we celebrating (veterans) … we’re also commemorating our dead who gave the greatest sacrifice for our country and for the freedoms we have.”

NDP Leader Claudia Chender said that while Remembrance Day is an important occasion to honour veterans and current service members’ sacrifices, she said she hopes Houston wasn’t taking advantage of the decision to “play politics with this solemn occasion for his own political gain.”

“I hope Tim Houston reached out to the principal of the school before making a public statement,” she said in a statement.

This report by The Canadian Press was first published Nov. 8, 2024.

The Canadian Press. All rights reserved.

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Saskatchewan NDP’s Beck holds first caucus meeting after election, outlines plans

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REGINA – Saskatchewan Opposition NDP Leader Carla Beck says she wants to prove to residents her party is the government in waiting as she heads into the incoming legislative session.

Beck held her first caucus meeting with 27 members, nearly double than what she had before the Oct. 28 election but short of the 31 required to form a majority in the 61-seat legislature.

She says her priorities will be health care and cost-of-living issues.

Beck says people need affordability help right now and will press Premier Scott Moe’s Saskatchewan Party government to cut the gas tax and the provincial sales tax on children’s clothing and some grocery items.

Beck’s NDP is Saskatchewan’s largest Opposition in nearly two decades after sweeping Regina and winning all but one seat in Saskatoon.

The Saskatchewan Party won 34 seats, retaining its hold on all of the rural ridings and smaller cities.

This report by The Canadian Press was first published Nov. 8, 2024.

The Canadian Press. All rights reserved.

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Nova Scotia election: Liberals say province’s immigration levels are too high

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HALIFAX – Nova Scotia‘s growing population was the subject of debate on Day 12 of the provincial election campaign, with Liberal Leader Zach Churchill arguing immigration levels must be reduced until the province can provide enough housing and health-care services.

Churchill said Thursday a plan by the incumbent Progressive Conservatives to double the province’s population to two million people by the year 2060 is unrealistic and unsustainable.

“That’s a big leap and it’s making life harder for people who live here, (including ) young people looking for a place to live and seniors looking to downsize,” he told a news conference at his campaign headquarters in Halifax.

Anticipating that his call for less immigration might provoke protests from the immigrant community, Churchill was careful to note that he is among the third generation of a family that moved to Nova Scotia from Lebanon.

“I know the value of immigration, the importance of it to our province. We have been built on the backs of an immigrant population. But we just need to do it in a responsible way.”

The Liberal leader said Tim Houston’s Tories, who are seeking a second term in office, have made a mistake by exceeding immigration targets set by the province’s Department of Labour and Immigration. Churchill said a Liberal government would abide by the department’s targets.

In the most recent fiscal year, the government welcomed almost 12,000 immigrants through its nominee program, exceeding the department’s limit by more than 4,000, he said. The numbers aren’t huge, but the increase won’t help ease the province’s shortages in housing and doctors, and the increased strain on its infrastructure, including roads, schools and cellphone networks, Churchill said.

“(The Immigration Department) has done the hard work on this,” he said. “They know where the labour gaps are, and they know what growth is sustainable.”

In response, Houston said his commitment to double the population was a “stretch goal.” And he said the province had long struggled with a declining population before that trend was recently reversed.

“The only immigration that can come into this province at this time is if they are a skilled trade worker or a health-care worker,” Houston said. “The population has grown by two per cent a year, actually quite similar growth to what we experienced under the Liberal government before us.”

Still, Houston said he’s heard Nova Scotians’ concerns about population growth, and he then pivoted to criticize Prime Minister Justin Trudeau for trying to send 6,000 asylum seekers to Nova Scotia, an assertion the federal government has denied.

Churchill said Houston’s claim about asylum seekers was shameful.

“It’s smoke and mirrors,” the Liberal leader said. “He is overshooting his own department’s numbers for sustainable population growth and yet he is trying to blame this on asylum seekers … who aren’t even here.”

In September, federal Immigration Minister Marc Miller said there is no plan to send any asylum seekers to the province without compensation or the consent of the premier. He said the 6,000 number was an “aspirational” figure based on models that reflect each province’s population.

In Halifax, NDP Leader Claudia Chender said it’s clear Nova Scotia needs more doctors, nurses and skilled trades people.

“Immigration has been and always will be a part of the Nova Scotia story, but we need to build as we grow,” Chender said. “This is why we have been pushing the Houston government to build more affordable housing.”

Chender was in a Halifax cafe on Thursday when she promised her party would remove the province’s portion of the harmonized sales tax from all grocery, cellphone and internet bills if elected to govern on Nov. 26. The tax would also be removed from the sale and installation of heat pumps.

“Our focus is on helping people to afford their lives,” Chender told reporters. “We know there are certain things that you can’t live without: food, internet and a phone …. So we know this will have the single biggest impact.”

The party estimates the measure would save the average Nova Scotia family about $1,300 a year.

“That’s a lot more than a one or two per cent HST cut,” Chender said, referring to the Progressive Conservative pledge to reduce the tax by one percentage point and the Liberal promise to trim it by two percentage points.

Elsewhere on the campaign trail, Houston announced that a Progressive Conservative government would make parking free at all Nova Scotia hospitals and health-care centres. The promise was also made by the Liberals in their election platform released Monday.

“Free parking may not seem like a big deal to some, but … the parking, especially for people working at the facilities, can add up to hundreds of dollars,” the premier told a news conference at his campaign headquarters in Halifax.

This report by The Canadian Press was first published Nov. 7, 2024.

— With files from Keith Doucette in Halifax

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