LAST 2 WEEKS IN REVIEW | ||||||||
I’m your Representative in Congress and I write to keep you informed.
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Massachusetts’ healthcare services and Eds & Meds economy under siege
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The state of Trump’s Medicaid cuts : House Republicans passed a bill to cut Medicaid, raise health care costs, add $5 trillion to the national debt, and — because it was late at night and the bad ideas pile was growing, so why not — give a billion-dollar tax break to buy silencers for pistols. I voted “NO” on the worst legislation this chamber has seen in decades. Now, the Senate will debate it.
Community health center roundtable : Community health center (CHC) executives from across the MA-04 joined me to discuss potential Medicaid cuts from MAGA's “one big beautiful bill.” CHCs provide cost-effective medical care to all types of patients, from those who have employer-provided insurance to the uninsured. About half their population is covered by Medicaid, though, so they are vulnerable to even small cuts by MassHealth (Massachusetts' Medicaid agency). I am especially concerned about how this could affect health access and outcomes for children, who are 20% of the patient population for CHCs.
CHCs save money and deliver good care. At a time when health care costs are spiraling and frustration with the status quo is mounting, policy-makers should treat CHCs as a keystone solution, by expanding the reach of their primary and preventative care to more patients; stabilizing their funding streams; helping them adopt technology and experiment with different care modalities (like telehealth); and supporting their workforce through greater latitude in recruitment and scope of practice (especially letting pharmacists do more).
The best social program is a good job : I paid a visit to Crossroads Clubhouse, run by Riverside Community Care, in Hopedale. The Clubhouse supports individuals with mental health challenges in seeking recovery through a combination of work and community. Members gain social and employment skills through Clubhouse programming and transitional support at job sites. MAGA's proposed Medicaid cuts threaten Riverside's model, which has been shown to save money by reducing emergency room visits and other care at high-cost facilities.
An unprecedented freeze on international student visas: I joined Fox News Sunday to debate the Trump Administration’s freeze on international student visas. The administration is upset about Chinese scientists inventing and building in the United States. So… its solution is to send them back to invent and build in China.
Replacing autism research with made-up AI citations : Also on Fox News , I confronted the Secretary of Health & Human Services for his quackery. Robert F. Kennedy Jr. is pulling funding used by Harvard and MIT to study the molecular basis of autism. Last week, he issued a report on autism filled with fabricated scientific notations. This fatuous report bears all the hallmarks of being written by generative AI. Delegating public health to chatbots is exactly the kind of incompetence and unseriousness we’ve come to expect from our Health Secretary.
Accountability for Brad Smith : Months ago, I raised concerns about Brad Smith's self-dealing as the health care lead for DOGE. While his tenure as a special employee of DOGE may be over, Smith continues to profit off Medicare and Medicaid. For the first 100 days of this administration, he also had control over them. Americans deserve answers on that conflict of interest.
RFK Jr’s right-hand man : Vanity Fair’s Katherine Eban last month wrote a telling profile on RFK Jr.’s chief of staff, Calley Means, a former lobbyist and cofounder of the health benefits company TrueMed. In May, at RFK Jr.’s urging, Donald Trump nominated Means’ sister, Dr. Casey Means, to serve as surgeon general. Together, the Means siblings have become the faces of the MAHA agenda. They are focused on sidelining career scientists to promote health supplements, which is an approach that benefits the business model of TrueMed but does not have scientific evidence to support it. “Their self-designation as oracles of health care gives them license for corruption…. They are out there using tax-preferential dollars for wealthy people to buy saunas, and they are going to turn our entire health care system into one big GNC store.”
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Supporting detained high-school immigrant in Milford
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Standing with Milford : I joined Milford students and residents in solidarity after 18-year-old Marcelo Gomes Da Silva, a Milford High School junior, was detained by immigration officials on Saturday morning while driving teammates to a volleyball practice. He's enrolled in honors classes, serves as a coaching assistant for the girls volleyball team, plays for the boys volleyball team, and is a talented drummer for the school band. He’s been in America since Kindergarten, and his siblings were born here.
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$Trump coin & selling off the presidency
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Selling the Trump Presidency to the highest bidder : Just days before taking office, on January 17th, Donald Trump launched $TRUMP, a meme cryptocurrency. Senator Warren and I immediately raised concerns about the conflict of interest and potential corruption.
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Should foreign investors be allowed to buy Trump's personal meme coin? | ||||||||
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Anti-Jewish violence on American streets
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Antisemitic rhetoric fuels antisemitic violence : The murder of Sarah Milgram and Yaron Lischinsky by an anti-Israel fanatic, and now the horrific attack in Boulder where Jews were lit on fire, underscores the urgency in the Jewish community for both left and right to take antisemitism seriously. Anti-Jewish conspiracy is the thread that connects extremists at home and abroad, from the hard left to the extreme right. Jews have been used as a scapegoat for almost every group that pursues power by tapping into grievance.
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30 years of the Dayton Accords in Bosnia
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Renewing U.S. commitment to peace in the Balkans : As co-chair of the House Bosnia Caucus, I welcomed Denis Bećirović, one of the three elected members of the tripartite Presidency of Bosnia and Herzegovina. The President is in the United States for a conference on the 30-year anniversary of the Dayton Accords , which ended the bloodshed and ethnic cleansing in the Balkans and provided a framework for peace and development.
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SEED learning : At Don's Diner in Plainville, I met with Sandra Pearl and Elizabeth Bless, scientists and teachers who founded SEED (Science & Engineering Education Development) to offer hands-on science instruction to elementary and middle school students in Massachusetts. We discussed curiosity and experimentation as building blocks for a scientific mindset; the long road back from the school closures in students' academic and social skills; how to better support teachers in the classroom; and how Massachusetts compares in its science curriculum to other states.
Banning phones bell to bell: Newton South High Schoolers asked me questions about the state of Democrats, social media, and the rule of law at their Civics Day assembly. As always, my favorite conversation with students was about social media: the tension between free speech and making the platforms accountable for torts (Section 230), the economy of endless scrolling, and why I think smartphones should be banned, bell to bell, in the schools.
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Meeting with local entrepreneurs in Bellingham
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Bellingham business owners : In Bellingham, State Representative Mike Soter introduced me to two local business owners: Tony Khoury of Khoury Industries (thermal test fixtures) and John Kauker of Antron Engineering & Machine (precision machining). Tony and John told me their stories of entrepreneurship.
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Memorial Day in Mansfield
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Memorial Day in Mansfield : I joined veterans, officials, and families in Mansfield for its Memorial Day Ceremony. I was particularly excited to bring my three children (5, 3, and 2 years old), to introduce them to the themes of service, sacrifice, and patriotism.
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Question: “I'm extremely concerned about the future of PBS/NPR now that President Trump has decided to eliminate the financial support for these essential programs. I understand that the cost is $1.60 per person per year. That's all! This is NOT where it makes sense to cut funds; it's not even worth it. Can Congress pressure the administration to reverse this decision?”
Answer: I agree. DOGE has continually confused ‘cost’ with ‘return on investment’. Gutting public broadcasting at home, or polio vaccines abroad, or medical research & regulation, may technically reduce dollars spent in one budgetary cycle. But it deprives the public of enormous dividends: in trustworthy media, healthier families, and more. The dollars are also small. Even the National Institutes of Health, which is the world’s biggest biomedical funder, is only about 5% of the military’s budget. PBS & NPR are much smaller, still – less money than the Pentagon admits to misaccounting each year in its audits. You can submit a question for a future newsletter here . Please note that casework inquiries for federal agencies must be submitted to my website here . My casework team will respond to these in a timely manner. | ||||||||
Onwards, | ||||||||
Jake | ||||||||
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