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In a pair of 2015 speeches, President Donald Trump's nominee for a federal judgeship in Texas described transgender children as evidence of "Satan's plan," lamented that states were banning conversion therapy and argued that sanctioning same-sex marriage would lead to polygamy and bestiality.Jeff Mateer, the current first assistant attorney general of Texas, was serving at the time as general counsel of the First Liberty Institute, a religious liberty advocacy group known before 2016 as the Liberty Institute. He faced criticism from LGBT rights groups for his work with the organization, such as opposing the expansion of nondiscrimination protections to LGBT people in the city of Plano. If confirmed by the US Senate, he will serve on the US District Court for the Eastern District of Texas.In a May 2015 speech, titled "The Church and Homosexuality," Mateer discussed a Colorado lawsuit in which the parents of a transgender girl sued her school for preventing her from using the bathroom of her choice."In Colorado, a public school has been sued because a first grader and I forget the sex, she's a girl who thinks she's a boy or a boy who thinks she's a girl, it's probably that, a boy who thinks she's a girl," Mateer said in a video posted on Vimeo in 2015 and reviewed by CNN's KFile. "And the school said, 'Well, she's not using the girl's restroom.' And so she has now sued to have a right to go in. Now, I submit to you, a parent of three children who are now young adults, a first grader really knows what their sexual identity? I mean it just really shows you how Satan's plan is working and the destruction that's going on."Mateer's nomination comes as the Trump administration has unveiled a series of actions aimed at rolling back advancements for gay and transgender rights. Trump vowed to fight for the LGBT community during his presidential campaign and said last April that people should "use the bathroom they feel is appropriate." Since taking office, however, Trump has withdrawn an Obama administration directive that allowed transgender students in public schools to use the bathroom of their choice and issued a directive banning transgender military recruits.In that same May 2015 speech, Mateer said that the Supreme Court decision allowing same-sex marriage could lead to what he called "disgusting" new forms of matrimony."I submit to you that there'll be no line there," he said. "And actually in the arguments Chief Justice Roberts, who's in the center there said, I mean, what is the limiting? Why couldn't four 4 people wanna get married? Why not one man and three women? Or three women and one man? And we're gonna spare you some of those slides. We actually have a presentation that we get into it. And I'll tell you, we say it's PG-13, it may be R, or what do they call the next one? NC-17 or whatever?"He continued, "I mean, it's disgusting. I've learned words I didn't know. I mean, other than...my assistants here, have you ever heard the word 'throuple'?'Throuple' so that's three people coming together of different sexes, maybe mixed sexes. Them coming together. There are people who marry themselves. Somebody wanted to marry a tree. People marrying their pets. It's just like -- you know, you read the New Testament and you read about all the things and you think, 'Oh, that's not going on in our community.' Oh yes it is. We're back to that time where debauchery rules."Later that year in November 2015, Mateer lamented that states were banning gay conversion therapy at a conference hosted by controversial pastor Kevin Swanson, who preaches that the Biblical punishment for homosexuality is death."Biblical counselors and therapists, we've seen cases in New Jersey and in California where folks have gotten in trouble because they gave biblical counseling and, you know, the issue is always, it's same sex," Mateer says in audio obtained by CNN's KFile. "And if you're giving conversion therapy, that's been outlawed in at least two states and then in some local areas. So they're invading that area."Groups like the American Psychiatric Association and the American Pediatric Association have condemned the practice as having no scientific basis and the potential to do mental harm.Mateer did not respond to a request for comment. A Department of Justice spokesperson declined to comment on Mateer's remarks. 4371

How accurate are the coronavirus tests used in the U.S.?Months into the outbreak, no one really knows how well many of the screening tests work, and experts at top medical centers say it is time to do the studies to find out.When the new virus began spreading, the Food and Drug Administration used its emergency powers to OK scores of quickly devised tests, based mainly on a small number of lab studies showing they could successfully detect the virus.That’s very different from the large patient studies that can take weeks or months, which experts say are needed to provide a true sense of testing accuracy.The FDA’s speedy response came after it was initially criticized for delaying the launch of new tests during a crisis and after the Centers for Disease Control and Prevention stumbled in getting its own test out to states.But with the U.S. outbreak nearly certain to stretch on for months or even years, some experts want the FDA to demand better evidence of the tests’ accuracy so doctors know how many infections might be missed.There have been more than 2 million confirmed coronavirus cases in the U.S. and more than 115,000 deaths, according to data compiled by Johns Hopkins University. Cases in nearly half of U.S. states are rising.In recent weeks, preliminary findings have flagged potential problems with some COVID-19 tests, including one used daily at the White House. Faulty tests could leave many thousands of Americans with the incorrect assumption that they are virus-free, contributing to new flare-ups of the disease as communities reopen.“In the beginning, the FDA was under a lot of pressure to get these tests onto the marketplace,” said Dr. Steven Woloshin of Dartmouth College, who wrote about the issue in the New England Journal of Medicine last week. “But now that there are plenty of tests out there, it’s time for them to raise the bar.”The FDA said in a statement that it has already asked multiple test makers to do follow-up accuracy studies, although it didn’t say for how many of the more than 110 authorized screening tests. The agency also said it is tracking reports of problems. Accuracy has also been an issue with blood tests that look for signs of past infections.No screening test is 100% accurate. So details on accuracy are routinely provided for tests of all types, including seasonal flu, hepatitis, HIV and cancers. For example, rapid flu tests are known to miss 20% or more of all cases, a factor doctors weigh when treating patients who have symptoms but test negative.For now, most COVID-19 tests in the U.S. don’t give data on real-world performance, including how often the tests falsely clear patients of infection or falsely detect the virus. That information is lacking for all but a few of the roughly 80 commercial screening tests available, according to an Associated Press review.The government’s emergency authorization process “requires a lower level of evidence,” the agency said. Makers need only show that a test “may be effective” instead of the usual requirement to demonstrate “safety and effectiveness.” They would have to meet that higher threshold once the U.S. government declares the emergency over.Many of the commercial test makers submitted results from 60 samples, the minimum number required and mostly used lab-produced specimens of the virus. The FDA now recommends the use of nasal swabs or other real samples from people screened for coronavirus.Experts say larger patient studies patients are needed to assess a test’s true performance.Lab testing bears little resemblance to actual — sometimes imperfect — conditions at hospitals, clinics and testing sites noted Dr. Robert Kaplan of Stanford University.“You’re testing people in parking lots, the patients themselves are extremely anxious and often unable to follow instructions,” said Kaplan, a former associate director of the National Institutes of Health.Kaplan and others say those differences could explain why some tests are not performing as expected.Last month, the FDA warned doctors of a potential accuracy problem with Abbott Laboratories’ rapid ID Now test, which delivers results in roughly 15 minutes. The test has been lauded by President Donald Trump and used to screen the president, his staff and visitors to the White House.The FDA alert followed a preliminary report by New York University that found Abbott’s test missed between a third to one-half of infections caught by a rival test in patients screened for the virus.Abbott rejected the findings, saying the researchers did not follow the instructions for using its test. The company pointed to alternate patient studies, including its own, that have found the test successfully detects between 91% and 95% or more of virus cases when compared to other tests.But similar problems with ID NOW’s accuracy have been flagged in preliminary reports by researchers at Stanford University, Loyola University and the Cleveland Clinic.For now, the FDA is requiring Abbott to conduct follow-up studies in several different patient groups.The FDA’s emergency standards “are still high but there is a significant difference in the body of work that what would go into a submission under the normal process,” said Abbott vice president John Hackett. “Our normal process takes years to bring these out.”Requiring bigger studies of all coronavirus tests could provide valuable information, but it could also strain the FDA’s already stretched staff and resources, said Dr. Daniel Schultz, former director of the FDA’s medical device center.Dr. Colin West of the Mayo Clinic worries doctors and patients have put too much confidence in the current crop of tests, when an unknown number of patients with COVID-19 are likely receiving false negative results.Even a modest error rate can have grave consequences during an outbreak like COVID-19. West gives the example of a test that is 95% accurate at detecting the virus and is used on 1 million people. That would still result in 50,000 people being incorrectly told that they don’t have the virus.“The negative test does not mean that I’m off the hook,” West said. “We just need to maintain that level of vigilance until we have a better sense of how good these tests really can be.”___Follow Matthew Perrone on Twitter: @AP_FDAwriter.___Follow AP pandemic coverage at http://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 6604

In an interview with the Washington Post, FDA Commissioner Scott Gottlieb said that the agency is proposing a ban on menthol cigarettes citing youth and minority smoking rates. According to the New York Times, a ban on menthol cigarettes could take several years to execute. It is a move that other nations have made. Canada has already implemented such a ban, and the European Union's menthol ban goes into effect in 2020. According to the FDA, menthol may reduce the irritation and harshness of smoking. According to FDA statistics, more than half of youth smokers smoke menthols. Also, a disproportionate number of minorities smoke menthols. Studies have also suggested that using menthol makes it more difficult to quit smoking, the FDA says. There have been groups, such as the African American Tobacco Control Leadership Council, that have pushed the federal government to ban menthol cigarettes. The council's co-chair, Phillip Gardiner, told the Washington Post, "I’m sorry it has taken the FDA so long to come around but I’m glad they finally are. They should have done it 10 years ago and saved hundreds of thousands of lives."According to FDA figures, more than 19 million Americans smoke menthols.  1273

Hours ahead of the first 2020 presidential debate, Democratic presidential nominee Joe Biden released his 2019 tax returns, as well as his returns for the last 22 years."The American people deserve transparency from their leaders, it's why as of today, I've released 22 years of my tax returns," Biden tweeted Tuesday.According to Biden's 2019 return, the former Vice President reported more than 0,000 in income and paid 8,000 in taxes.The release comes amid a series of New York Times reports regarding two decades worth of President Donald Trump's tax returns. The Times reports that Trump did not pay income taxes for 10 of the last 15 years which they viewed, and only paid 0 in income taxes in both 2016 and 2017.The Times also reports that Trump is on the hook for more than 0 million in debt and loans, most of which will come due within the next four years. 886

If it's hard to understand how a service member could end up on the streets, listen to Chris Perry's story.“When I got out, my transition back into civilian life didn’t work out too well," Perry said. "I became homeless for about five or six years and kept getting into a lot of trouble."Perry battled addiction when he left the Marine Corps after eight years of service. He is an Iraq War veteran, who enlisted in the Marine Corps as soon as he could.“I joined when I was 17. My mama had to sign a paper to let me go in early," Perry recalled.When he left the military, he found himself lost in the country he swore to protect.“Honestly, I didn’t see any light at the end of my tunnel," Perry said.Finding that light can take a village, and for Perry, it's not a figure of speech.The tiny homes of Kansas City's Veterans Community Project are a unique approach to the all-too-common problem of veteran homelessness.Army Veteran Brandonn Mixon, who served in Afghanistan, is one of the founders of the Veterans Community Project, and he knows the challenges so many veterans face.“The most successful I’ve ever been was in the military. When I came back home, I couldn’t adjust. I couldn’t transition out of the military mentality back to the civilian-life mentality," Mixon said.The veterans who live in the village get to keep everything inside their tiny home, and the staff helps connect them with services so they can move forward.While some nonprofits may consider factors like whether a veteran looking for help was honorably discharged from the military to join this community, the promise at the core of service is what matters most.“By veteran, I mean, you raised your right hand, you took the oath to serve your country, you could have served one day or 100 years; you’re a veteran in our book," said Bryan Meyer, one of the founders of Veterans Community Project who served in the Marine Corps and was deployed to Iraq in 2003 and 2005.The tiny homes model is expanding nationwide. The Veterans Community Project broke ground on a new village in Longmont, Colorado.The expansion is important because each veteran, like Chris Perry who is now enrolled in community college, is now on the right path.“They got me to a point where there is no going back, so it’s just straightforward from here," Perry said.However, there are still people who took the oath to protect this country and living on its streets in need of help."I know there is a veteran who is sleeping on the streets. There is a veteran crying right now, wanting to commit suicide because there’s nobody who has his back. I’m not going to lie, we’re not going to be done until we find that veteran," Mixon said. "We save his life, we have his back, because he would do that for me, and I owe it to do it for him.” 2794