brace

WITH chillier months fast approaching, Brits will be grappling with the many illnesses that like to circulate at high levels during winter.

One infection in particularly experts are raising alarm bells about is pertussis, or whooping cough, which they are warning can be fatal in young infants.

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Whooping cough is a highly contagious bacterial infection affecting the lungs and airways that causes severe coughing fits, often ending in a ‘whooping’ sound as the person gasps for breath.

According to figures from the UK Health Security Agency (UKHSA), cases have been rising since late 2023, with significant increases observed in 2024 and 2025.

This increase is part of a natural, cyclical pattern where cases peak every three to five years – with a peak being overdue after a period of very low numbers during the COVID-19 pandemic.

While in adults and older children the cough can be bothersome and last for months, whooping cough in young children can be life-threatening.

In the UK’s 2024 resurgence, infants under three months of age experienced the highest incidence and risk of severe complications, with 328 cases reported between January and June 2024.

This age group is particularly vulnerable due to their undeveloped immune systems.

In an article published in Pediatrics, experts strongly encourage getting vaccinated to protect against the illness.

According to leading author Caitlin Li, infectious disease specialist at Ann & Robert H. Lurie Children’s Hospital of Chicago and Assistant Professor of Pediatrics at Northwestern University Feinburg School of Medicine, said whooping cough symptoms are different in infants.

Coughing bouts that last for a few minutes and make a ‘whoop’ sound is one of the main symptoms listed by the NHS.

But DrLi said there’s a key symptom to look out for in kids.

She said: “The characteristic whooping cough may be absent, but apnea, or breathing interruption, is common.”

Whooping cough in infants can also present with very high white blood cell count, which paediatricians might mistake for cancer or other non-infectious conditions.

Extremely high white blood cell counts in infants should prompt strong consideration of pertussis, according to the authors.

“Given that infants are at high risk for complications, pertussis vaccination of mothers during pregnancy is critical, as it protects newborns against this potentially fatal illness,” stressed Dr Li.

“Widespread vaccination is also an important tool to protect everyone.”

Babies under 12 months old with whooping cough have an increased chance of having problems such as dehydration, breathing difficulties, pneumonia, and seizures (fits), according to the NHS.

But in the UK, the whooping cough vaccine is routinely given as part of the 6-in-1 vaccine – for babies at eight, 12 and 16 weeks – and the 4-in-1 pre-school booster – for children aged three years four months.

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People who are pregnant are also recommended to have the whooping cough vaccine.

You usually have it when you’re around 20 weeks pregnant to help protect your baby for the first few weeks of their life.

Rapid initiation of antibiotics is recommended for all patients with confirmed or suspected whooping cough.

If given early, this may improve symptoms, while later treatment is unlikely to impact symptoms, although it does reduce transmission.

The NHS also recommends some things you can do to help ease the symptoms of whooping cough – get plenty of rest, drink lots of fluids, and take paracetamol or ibuprofen if you or your child are uncomfortable

But it urges you call 999 or go to A&E if:

• your or your child’s lips, tongue, face or skin suddenly turn blue or grey (on black or brown skin this may be easier to see on the palms of the hands or the soles of the feet)
• you or your child are finding it hard to breathe properly (shallow breathing)
• you or your child have chest pain that’s worse when breathing or coughing – this could be a sign of pneumonia
• your child is having seizures (fits)

Julian Alvarez scores twice as Atletico came from behind to inflict a first defeat of the season on city rivals Real.

Julian Alvarez scored twice as Atletico Madrid came from behind to thrash city rivals Real Madrid 5-2 in a pulsating derby that handed the La Liga leaders their first loss after a perfect start to the season.

The thrilling encounter at a raucous Metropolitano stadium saw Atletico fight back from 2-1 down to claim a memorable victory that lifted them to fourth place with 12 points.

Real Madrid remain top of La Liga on 18 points, two ahead of Barcelona, who have a game in hand.

Atletico’s aggressive start paid off when Robin Le Normand opened the scoring with a header in the 14th minute.

However, Kylian Mbappe burst through to level with an unstoppable strike from close range in a quick counter in the 25th minute, with Arda Guller netting a volley from a Vinicius Jr cross 11 minutes later to put the visitors in front.

Alexander Sorloth’s header in added time before the break gave Atletico a boost and they regained the lead five minutes into the second half when Alvarez converted a penalty after Guler’s high boot clipped rival Nico Gonzalez on the face inside the box.

After Alvarez extended their lead in the 64th minute with a sublime free kick into the top corner, substitute Antoine Griezmann sealed the win in a quick counter in added time.

Alvarez’s performance was sweet redemption after his controversial double-kick penalty contributed to Atletico losing to Madrid in last season’s Champions League.

Diego Simeone’s Atletico dealt Xabi Alonso his first loss of the season after Madrid had won all six La Liga games and its Champions League opener. Alonso’s only other loss since taking over as Madrid’s coach in the summer was against Paris Saint-Germain in the Club World Cup semifinals in July.

Barcelona can overtake leader Madrid with a win at Real Sociedad on Sunday.

Real Madrid coach Alonso admitted that his side deserved to lose the game.

“We were bad at everything. We couldn’t string passes together, we couldn’t win duels, we couldn’t create chances,” he said.

“We need to analyse what happened and get better, and we will.”

The Madrid coach tried to find positives from this painful defeat as he looked ahead to the rest of the season.

“This is a process,” he said. “We’re in a phase where we’re building an identity. We will get better, for sure.”

A sold out stadium of 85 thousand in Buenos Aires witness two farewell Lionel Messi goals in World Cup qualifier.

Lionel Messi made sure he had good memories of playing a home qualifier with Argentina’s national team for the last time in his illustrious career.

The former Barcelona forward scored twice on Thursday in Argentina’s 3-0 victory over Venezuela in front of a raucous sellout crowd that had gathered at Estadio Monumental to bid him farewell.

“Being able to finish this way here is what I’ve always dreamed of,” Messi said.

“I’ve experienced a lot of things on this pitch, both good and not so good, but it’s always a joy to play in Argentina, in front of our fans.”

Messi is yet to give any clues about when he will retire from the top level of the sport, but the qualifiers for the 2030 World Cup will begin in 2027, when he is 40.

The Argentina captain scored in the 39th and 80th minutes, and Lautaro Martinez added a goal in the 76th.

Messi now has 36 goals in South American World Cup qualifiers and remains the all-time scoring leader.

His Inter Miami teammate, Luis Suarez, has 29 goals in continental qualifying, but he has retired from Uruguay’s national team. Bolivia’s Marcelo Moreno Martins is third with 22.

Looking ahead, Messi clarified he will only compete in next year’s World Cup if he feels physically fit.

“I’m excited, eager. It’s day by day, feeling the sensations. If I feel good, I enjoy it; if not, I’d rather not be there,” he said, adding that the nine months until the tournament kicks off “is a long time”.

Already qualified, the World Cup champions extended their tally to 38 points and will remain atop the South American qualifying standings regardless of what happens in the last round next Tuesday.

Venezuela, trying to qualify for its first World Cup, remains on 18 points and in seventh place. They’re still in contention to advance to an intercontinental playoff.

People thinking about starting a business or retiring early — before they’re old enough for Medicare — may want to wait until November, when they can see just how much their Affordable Care Act health insurance will cost next year. Sharp increases are expected.

Premiums for ACA health plans, also known as Obamacare, on which many early retirees and small-business owners rely for coverage, are going up, partly because of policy changes advanced by the Trump administration and Congress. At the same time, more generous tax subsidies that have helped most policyholders pay for coverage are set to expire at the end of December.

After that, subsidies would return to what they were before the COVID-19 pandemic. Also being reinstated would be an income cap barring people who earn more than four times the federal poverty level from getting any tax credits to help them purchase coverage. Although Congress potentially could act to extend the credits, people weighing optional life changes should factor in the potential cost if lawmakers fail to do so.

“I would hate for people to make a big decision now and then, in a few months, realize, ‘I’m not even going to qualify for a tax credit next year,’” said Lauren Jenkins, an insurance agent whose brokerage helps people sign up for coverage in Oklahoma. “Coupled with the rate increases, that could be significant, especially for someone at or near retirement, when it could easily cost over $1,000 a month.”

Still, how things play out in the real world will vary.

The key factor is income, as the subsidy amount people receive is primarily based on household income and local insurance costs.

People experiencing the biggest dollar increase in out-of-pocket premiums next year will be those who lose subsidies altogether because they earn more than 400% of the federal poverty level. This year, that’s $62,600 for a single person and $84,600 for a couple.

This “subsidy cliff” was removed in the legislation first enacted during the COVID-19 pandemic to create enhanced subsidies, but it will be back next year if they expire. About 1.6 million people who earn more than 400% of the poverty threshold bought ACA plans this year, many of them getting some tax credits to help with the premiums, according to KFF data. KFF is a health information nonprofit that includes KFF Health News.

“A lot of small-biz owners fall around that level of income,” said David Chase, vice president of policy and advocacy for the Small Business Majority, a Washington, D.C.-based advocacy group, which is urging Congress to extend the credits.

And a good chunk of ACA enrollment consists of small-business owners or their employees because, unlike larger firms, most small businesses don’t offer group health plans.

In the Washington metropolitan area, “7 out of 10 people who qualify for lower premiums [because of the tax credits] are small-business owners,” said Mila Kofman, executive director of the DC Health Benefit Exchange Authority.

Congress must decide by the end of December whether to extend the subsidies a second time. Permanently doing so could cost taxpayers $335 billion over the next decade, but not acting could cause financial pain for policyholders and pose political repercussions for lawmakers.

Because new premiums and smaller subsidies would take effect in January, the potential fallout has some Republican lawmakers worried about the midterm elections, according to news reports.

Republican pollsters Tony Fabrizio and Bob Ward warned the GOP in a memo that extending the enhanced credits could mean the difference between success and failure in some midterm races, because support for the premium help “comes from more than two-thirds of Trump voters and three-quarters of Swing voters.”

Although supporters credit the enhanced subsidies for a record 24 million sign-ups for this year’s ACA plans, critics have blamed them for instances in which brokers or consumers engaged in improper enrollment.

“The expanded subsidies were a temporary COVID pandemic policy enacted by congressional Democrats on a party-line vote and scheduled to end after 2025,” said Brian Blase, president of the Paragon Health Institute, a conservative think tank. “They have led to tremendous fraud and waste, they reduce employer coverage, and they should be permitted to expire.”

Ed Haislmaier, a senior research fellow at the conservative Heritage Foundation, acknowledged that people earning more than 400% of the poverty level would not be happy with losing access to subsidies, but he expects most to stay enrolled because they want to avoid huge medical bills that could threaten their businesses or savings.

“They are middle-class or upper-income people who are self-employed, or early retirees with significant income, which means they have a lot of assets behind that income,” he said. “These are people who view insurance as financial protection.”

He thinks lawmakers would win political support from voters in this category by addressing two of their other major ACA concerns: that annual deductibles are too high and insurers’ networks of doctors and hospitals are too small.

“If you just give these people money by extending subsidies, it’s only addressing one of their problems, and it’s the one they are least upset about,” Haislmaier said. “That is the political dynamics of this.”

Here’s how the expiration of subsidies could play out for some hypothetical consumers.

People in households earning less than four times the poverty rate would still get subsidies — just not as generous as the current ones.

For example, those whose earnings are at the lower end of the income scale — say, just over 150% of the poverty threshold, or about $23,000 — will go from paying a national average of about $2 a month, or $24 toward coverage for the year, to $72 a month, or $864 a year, according to a KFF online calculator.

On the other end of the income spectrum, a 55-year-old Portland, Ore., couple with a household income of $85,000 would take a big hit on the cost of their benchmark plan. They currently pay about $600 a month in premiums — about 8.5% of their household income — with subsidies kicking in about $1,000 to cover the remainder.

Next year, if the tax credits expire, the same couple would not get any federal help because they earn over four times the poverty limit. They would pay the full monthly premium, with no subsidies, which would be about $1,800, based on initial 2026 premium rates filed with state regulators, said Jared Ortaliza, a policy analyst at KFF.

People should begin to see insurance rates late this fall, and certainly by Nov. 1, when the ACA’s open enrollment season begins, said Jenkins, the Oklahoma insurance agent. That gives them time to mull over whether they want to make changes in their plan — or in their lives, such as quitting a job that has health insurance or retiring early. This year, open enrollment extends to Jan. 15. Under new legislation, that open period will shorten by about a month, starting with the 2027 sign-up period.

Those who do enroll for 2026, especially the self-employed and people retiring early, should closely track their incomes during the year, she said.

It would be easy to bust through that income cap, she said.

If they do, they’ll have to pay back any tax credits they initially qualified for. Their income might rise unexpectedly during the year, for example, pushing them over the limit. An income bump could come from drawing down more money from retirement accounts than planned, landing a new customer account, or even from winning big at a casino.

“Maybe they win $5,000 at the casino, but that puts them $500 over the limit for the year,” Jenkins said. “They might have to pay back $12,000 in tax credits for winning a few thousand at the casino.”

Appleby writes for KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF, an independent source for health policy research, polling and journalism.

DRIVERS have been warned to brace for summer holiday chaos as a UK seaside hotspot is hit with months of road closures.

The Cornwall town will see significant travel disruption over the next four months as part of a gas work upgrade.

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The £110,000 gas work upgrade will start in the Marlborough Crescent area of Falmouth later this month.

Utility company Wales & West said the upgrade work should be completed by mid November.

They said: “The gas emergency and pipeline service is starting the work on 24 July and, barring any engineering difficulties, it will finish by mid-November. 

“The works are essential to keep the gas flowing safely to heat and power local homes and businesses, keeping people warm for generations.”

Traffic management will be in place throughout after the company liaised with Cornwall Council to plan the work.

The road closures will include:

• A closure on Tregenver Road from the junction ‘Access to Garages and Rear of 16 to 25 Tregenver Road’ to the junction of Dracaena Avenue (July 24 – August 8)
• A closure on Penmere Hill between the junctions of Kings Avenue and Tregenver Road (July 24 – August 8)
• Rolling two/three-way lights starting on Penmere Road leading onto Theydon Road (August 4 – 29)
• Rolling road closure on Theydon Road, from the junction of Penmere Hill to the junction of Margaret Place and Marlborough Grove to the junction Marlborough Avenue (September 8 – November 14)

Further traffic management will also be required between September and November.

Wales & West Utilities Natalie Raphael is managing this work and said: “We have been working with the council to plan these essential works. We know that working in areas like this is not ideal, but it is essential to make sure we keep the gas flowing to homes and businesses in the area, and to make sure the gas network is fit for the future.

“We’ll have a team of gas engineers on site throughout the project to make sure our work is completed as safely and as quickly as possible while keeping disruption to a minimum.

“While most of the gas network is underground and out of sight, it plays a central role in the daily lives of people across Cornwall. Whether it’s heating your home, making the family dinner or having a hot bath, we understand how important it is for your gas supply to be safe and reliable and there when you need it.”

Wales & West Utilities, the gas emergency and pipeline service, brings energy to 7.5m people across the south west of England and Wales.

Another busy road near one of Britain’s best beaches is also still currently closed as it undergoes 14 weeks of works.

For those travelling to Bournemouth from Walkford, they will need to follow a diversion route while a dodgy pipe is replaced.

A finish date for the works has not been confirmed, but the 14 week closure should bring us to the end of August.

And if you’re hitting the roads for your summer holidays this year, drivers have been warned about making a deadly mistake over the holidays.

Motorists have been urged to take regular stops on their long journeys after analysis revealed a steep rise in fatigue-related crashes during the summer months.

National Highways issued the advice and warned that driver tiredness can lead to “dangerous mistakes”.

Drivers have been urged by the agency to plan breaks that go “beyond quick pit stops”.

They suggest activities such as exploring a nearby tourist attraction or beauty spot to ensure drivers are alert before they get back behind the wheel.

The anti-tourism movement is quickly gathering pace across Europe with protest groups causing widespread disruption today – and threatening there is more chaos to come

Just when Brits thought it was safe to get back in the sunshine – an anti-tourism group is threatening more summer protests.

The Southern European Network Against Touristification (SET) group, already revelling in the widespread disruptions caused on a Europe-wide day of action on June 15, is threatening there is more disruption to come. In a strong statement they said: “Common sense is changing.

“The myth of tourism as economic salvation is over. Touristification is no longer a problem perceived by a few. It has become a widespread concern across generations, social classes, cities and regions. And this is just the beginning.

“Given the situations we are witnessing everywhere, there is no doubt that more actions and mobilizations will take place here and there this summer, much like there might be more anti-touristification actions on 27th September for World Tourism Day. The struggle against touristification is growing, expanding, and is being organized. Because our lives are worth more than their profits.”

Tourists across Europe had to endure mass protests last month when thousands of people in Spain, Portugal and Italy took to the streets in at least a dozen tourist hotspots to protest against “touristification”.

It was the most widespread joint action to date against what they see as the steady reshaping of their cities to meet the needs of tourists rather than people who live and work there. Tourists enjoying meals in places like Palma and Barcelona were met with baying mobs and some were even sprayed with water pistols.

In Spain, there were instances of protestors holding signs saying “tourists go home”. Earlier this year The Mirror spoke to one of the ringleaders of the massive tourist protests who spoke to us on condition of anonymity.

He said: “The general mood is one of growing frustration, indignation, and despair. People feel they are being expelled from their own land and that their fundamental rights are not being protected. People have had enough.”

The protestors accuse foreigners of inflating property prices and driving up the cost of living for locals who have reached breaking point. Tensions have been building since the protest movement formed last summer and earlier this year a shocking sign threatening to ‘kill a tourist’ appeared in Tenerife.

Footage of the graffiti being painted on the was posted online by a group called Islas de Resistencia, which describes itself as “a project to recover the memory of social movements in the Canary Islands.” Spanish party isle Ibiza has also seen signs of hostility when access to a popular viewing point was blocked with boulders.

Activists have also reportedly torched and smashed hire cars in Tenerife. Shocking video footage posted online appeared to show vandals pouring flammable liquid on the ground, then setting fire to around 20 rental vehicles in the southern Tenerife resort of Costa Adeje.

And the protests have now spread to Portugal and Italy who both have huge influxes of tourists each summer. The bulk of last month’s protests on June 15 were in Spain, where tourist arrivals surged last year to record levels.

But cities in Italy like Venice and Lisbon in Portugal also took part. The statement from SET added: “The streets of Barcelona, Cantabria, Cordoba, Donostia-San Sebastian, Ibiza, Granada, Genoa, Lisbon, Menorca, Naples, Palma, and Venice were filled with large demonstrations, symbolic actions, statements, and debates.

“Simultaneous and coordinated mobilizations have allowed us not only to join, but also to multiply our voices in a powerful chorus of struggle. And we are not alone. Growing numbers of people understand that this tourism model does not bring progress, but causes evictions, precariousness, and devastation.”

Although it is not all doom and gloom for Brits looking to soak up some sun as some industry experts claim one resort’s loss is another’s gain. Miguel Perez-Marsa, president of Majorca’s ABONE nightclub and entertainment association, said business is booming in the German party resort of Playa de Palma instead.

He also said the biggest winner of the drop in British revellers picking Magaluf for their holidays following the party resort “clean-up”. And he has claimed young Brits are turning their backs on Magaluf – where holidaymakers from other European countries were once a rare sight in the summer season – because they have been “demonised.”

Mr Perez-Marsa said the gap was being filled by French and Italian tourists who tend to drink less than UK party animals and don’t spend as much going out at night. And claiming British youngsters who have traditionally packed out the noisy nightspots of Magaluf’s brash Punta Ballena party strip had been “steam-rollered”, he went on to put Benidorm at the top of the list of other “more welcoming” resorts they were flocking to instead.

Mr Perez-Marsa also told Diario de Mallorca more British families were visiting Magaluf, but complained they were opting for all-inclusive deals that meant they spent less outside their hotels. British tourists make up the vast bulk of Benidorm’s foreign holidaymakers.

Shorter enrollment periods. More paperwork. Higher premiums.

The sweeping tax and spending bill pushed by President Trump includes provisions that will not only reshape people’s experience with the Affordable Care Act, but also sharply undermine the gains in health insurance coverage associated with it, according to some policy analysts.

The moves affect consumers and have particular resonance for the 19 states (plus Washington, D.C.) that run their own ACA exchanges.

Many of those states fear that the additional red tape — especially requirements that would end automatic reenrollment — would have an outsize impact on their policyholders. That’s because a greater percentage of people in those states use those rollovers versus shopping around each year, something more commonly done by people in states that use the federal healthcare.gov marketplace.

“The federal marketplace always had a message of, ‘Come back in and shop,’ while the state-based markets, on average, have a message of, ‘Hey, here’s what you’re going to have next year, here’s what it will cost; if you like it, you don’t have to do anything,’” said Ellen Montz, who oversaw the federal ACA marketplace under the Biden administration as deputy administrator and director at the Center for Consumer Information and Insurance Oversight. She is now a managing director with the Manatt Health consulting group.

Millions — perhaps up to half of enrollees in some states — may lose or drop coverage as a result of that and other changes in the legislation combined with a new rule from the Trump administration and the likely expiration at year’s end of enhanced premium subsidies put in place during the COVID-19 pandemic.

Without an extension of those subsidies, which have been an important driver of Obamacare enrollment in recent years, premiums are expected to rise 75% on average next year. That’s starting to happen already, based on some early state rate requests for next year, which are hitting double digits.

“We estimate a minimum 30% enrollment loss, and, in the worst-case scenario, a 50% loss,” said Devon Trolley, executive director of Pennie, the ACA marketplace in Pennsylvania, which had 496,661 enrollees this year, a record.

Drops of that magnitude nationally, coupled with the loss of Medicaid coverage for millions more people under the legislation Trump calls the “One Big Beautiful Bill,” could undo inroads made in the nation’s uninsured rate, which dropped by about half from the time most of the ACA’s provisions went into effect in 2014, when it hovered around 14% to 15% of the population, to just over 8%, according to the most recent data.

Premiums would rise along with the uninsured rate because older or sicker policyholders are more likely to try to jump enrollment hurdles, while those who rarely use coverage — and are thus less expensive — would not.

After a dramatic all-night session, House Republicans passed the bill Thursday, meeting the president’s Friday deadline. Trump is expected to sign the measure on Independence Day. It will increase the federal deficit by trillions of dollars and cut spending on a variety of programs, including Medicaid and nutrition assistance, to partly offset the cost of extending tax cuts put in place during the first Trump administration.

The administration and its supporters say the GOP-backed changes to the ACA are needed to combat fraud. Democrats and ACA supporters see this effort as the latest in a long history of Republican efforts to weaken or repeal Obamacare. Among other things, the legislation would end several changes put in place by the Biden administration that were credited with making it easier to sign up, such as lengthening the annual open enrollment period and launching a special program for very low-income people that essentially allows them to sign up year-round.

In addition, automatic reenrollment, used by more than 10 million people for 2025 ACA coverage, would end in the 2028 sign-up season. Instead, consumers would have to update their information, starting in August each year, before the close of open enrollment, which would end Dec. 15, a month earlier than currently.

That’s a key change to combat rising enrollment fraud, said Brian Blase, president of the conservative Paragon Health Institute, because it gets at what he calls the Biden era’s “lax verification requirements.”

He blames automatic reenrollment, coupled with the availability of zero-premium plans for people with lower incomes that qualify them for large subsidies, for a sharp uptick in complaints from insurers, consumers and brokers about fraudulent enrollments in 2023 and 2024. Those complaints centered on consumers being enrolled in an ACA plan, or switched from one to another, without authorization, often by commission-seeking brokers.

In testimony to Congress on June 25, Blase wrote that “this simple step will close a massive loophole and significantly reduce improper enrollment and spending.”

States that run their own marketplaces, however, saw few, if any, such problems, which were confined mainly to the 31 states using the federal healthcare.gov.

The state-run marketplaces credit their additional security measures and tighter control over broker access than healthcare.gov for the relative lack of problems.

“If you look at California and the other states that have expanded their Medicaid programs, you don’t see that kind of fraud problem,” said Jessica Altman, executive director of Covered California, the state’s Obamacare marketplace. “I don’t have a single case of a consumer calling Covered California saying, ‘I was enrolled without consent.’”

Such rollovers are common with other forms of health insurance, such as job-based coverage.

“By requiring everyone to come back in and provide additional information, and the fact that they can’t get a tax credit until they take this step, it is essentially making marketplace coverage the most difficult coverage to enroll in,” said Trolley at Pennie, 65% of whose policyholders were automatically reenrolled this year, according to KFF data.

Federal data show about 22% of federal sign-ups in 2024 were automatic reenrollments, versus 58% in state-based plans. Besides Pennsylvania, the states that saw such sign-ups for more than 60% of enrollees include California, New York, Georgia, New Jersey and Virginia, according to KFF.

States do check income and other eligibility information for all enrollees — including those being automatically renewed, those signing up for the first time, and those enrolling outside the normal open enrollment period because they’ve experienced a loss of coverage or other life event or meet the rules for the low-income enrollment period.

“We have access to many data sources on the back end that we ping, to make sure nothing has changed,” Altman said. “Most people sail through and are able to stay covered without taking any proactive step.”

If flagged for mismatched data, applicants are asked for additional information. Under current law, “we have 90 days for them to have a tax credit while they submit paperwork,” Altman said.

That would change under the tax and spending plan before Congress, ending presumptive eligibility while a person submits the information.

A white paper written for Capital Policy Analytics, a Washington-based consultancy that specializes in economic analysis, concluded there appears to be little upside to the changes.

While “tighter verification can curb improper enrollments,” the additional paperwork, along with the expiration of higher premiums from the enhanced tax subsidies, “would push four to six million eligible people out of Marketplace plans, trading limited fraud savings for a surge in uninsurance,” wrote free market economists Ike Brannon and Anthony LoSasso.

“Insurers would be left with a smaller, sicker risk pool and heightened pricing uncertainty, making further premium increases and selective market exits [by insurers] likely,” they wrote.

Appleby writes for KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling and journalism.

June 11 (UPI) — The second night of curfew took place in downtown Los Angeles on Wednesday, as local law enforcement, backed by several thousand members of the National Guard, attempted to restrain violent protests and prevent vandalism.

Meanwhile, a group of protesters were in a standoff with law enforcement officers outside a federal courthouse in Santa Ana, about 32 miles south of Los Angeles, in Orange County. Military-style vehicles and National Guards troops blocked a portion of a street in front of the Ronald Reagan Federal Building and Courthouse and in front of a federal building a couple blocks away.

And protests also are occurring in other major U.S. cities,, including New York, Chicago and Washington, D.C.

The downtown Los Angeles curfew will remain in effect between 8 a.m. and 6 a.m., according to the Los Angeles Police Department’s Central Division. Ramps onto and off the 101 freeway also will continue to be closed, police said.

The curfew zone covers about 1 square mile and affects about 100,000 of Los Angeles’ 10 million residents.

Limited exceptions include law enforcement, emergency and medical personnel, residents, people traveling to and from work and credentialed news media representatives.

The White House confirmed Wednesday that 330 people were taken into custody by federal authorities since immigration sweeps by U.S. Immigration and Customs Enforcement began last week in Los Angeles.

Mayor Karen Bass said the number of people arrested from Tuesday night to Wednesday morning was “minor.”

About 225 were made, including 203 for failure to disperse. One person was arrested after an assault of a police officer with a weapon.

“If there are raids that continue, if there are soldiers marching up and down our street, I would imagine that the curfew will continue,” the mayor said.

During a news conference, Bass said she is trying to set up a call with President Donald Trump for him “to understand the significance of what is happening here.”

Court case

The Trump administration is asking a federal judge to reject California’s emergency court order request to limit how federal officials can use Marines and members of the state’s National Guard in and around Los Angeles.

The Guardsmen “are not performing law enforcement or any other functions,” Army Maj. General Niave F. Knell said in a declaration submitted to federal court Wednesday.

Justice Department lawyers responded to San Francisco-based U.S. District Judge Charles Breyer on Wednesday seeking briefs.

The 32-page filing notes that it is entirely within Trump’s authority as commander-in-chief, and is not reviewable by the court.

Federal law generally bars the military from enforcing domestic laws, but Trump invoked a provision to protect federal property and personnel when there is a “rebellion” or “danger of rebellion.”

The brief suggests that Gov. Gavin Newsom broke the law by failing to pass on Trump’s order to activate the guard. They said he might be “unwilling” to put a stop to the violence.

The judge, who was appointed by President Bill Clinton, initially rejected an immediate order and has scheduled a hearing for Thursday.

“The federal government is now turning the military against American citizens,” Newsom said in a news release Tuesday announcing the lawsuit. “Sending trained warfighters onto the streets is unprecedented and threatens the very core of our democracy.

“Donald Trump is behaving like a tyrant, not a President. We ask the court to immediately block these unlawful actions.”

The attempted order was filed as part of the governor’s lawsuit against Trump, Hegseth and the Department of Defense, “charging violations of the U.S. Constitution and the President’s Title 10 authority, not only because the takeover occurred without the consent or input of the Governor, as federal law requires, but also because it was unwarranted.”

According to the lawsuit: “ICE officers took actions that inflamed tensions — including the arrest and detainment of children, community advocates, and people without criminal history — and conducted military-style operations that sparked panic in the community.”

Community members then began protesting to express opposition to “these violent tactics, arrests of innocent people, and the President’s heavy-handed immigration agenda.”

Protests continued for two more days, “and although some violent and illegal incidents were reported — leading to justified arrests by state and local authorities — these protests were largely nonviolent and involved citizens exercising their First Amendment right to protest. The protests did not necessitate federal intervention, and local and state law enforcement have been able to control of the situation, as in other recent instances of unrest.

Federal response

Approximately 2,000 Guardsmen from the 79th Infantry Brigade Combat Team are helping protect ICE Officers, Customs and Border Protection Officers and FBI Special Agents. Another 2,000 have been called up.

Army Maj. Gen. Scott M. Sherman, who is overseeing the National Guard, said about 500 of the National Guard troops have been trained to accompany agents on immigration operations.

National Guard troops have temporarily detained civilians in the Los Angeles protests, but they quickly were turned them over to law enforcement, Sherman said.

Attorney General Pam Bondi said the administration “is not scared to go further” in expanding its legal authority to deploy troops in the city.

Defense Secretary Pete Hegseth also has deployed 700 Marines near Los Angeles. Sherman said the Marines are still training outside Los Angeles.

“Marines get a two-day set training for civil unrest, very extensive. It’s all about civil disturbance and how to control crowds and protection of facilities,” Sherman said during a news briefing Wednesday.

Hegseth told senators at a hearing Wednesday that Trump’s order to federalize the National Guard in California could be applied in other states.

“Thankfully, in most of those states, you’d have a governor that recognizes the need for it, supports it and mobilizes it, him or herself,” he said. “In California, unfortunately, the governor wants to play politics with it.”

Trump said in an interview with the New York Post’s Pod Force One, said: “I’m able to do things now that I wouldn’t have been able to do because the previous president and presidency was so bad that anybody looks good.

“As an example, I can be stronger on an attack on Los Angeles,” Trump said. “I think bringing in the National Guard four years ago, or eight years ago, would have been more difficult.”

Newsom on Wednesday said: “President Trump has unnecessarily redirected 4,800 activated guards and Marines to Los Angeles – that’s more soldiers than are currently stationed in Iraq and Syria combined.”

Situation on the streets

Los Angeles County Sheriff Robert Luna said his agency is investigating whether there’s “conspiracy” or organization behind crimes committed during protests.

“There is some evidence we’ve seen that I don’t want to share at this time,” Luna said at a Wednesday news conference with Los Angeles County District Attorney Nathan Hochman.

He said authorities are focused on arresting individuals in causing unrest at the protests.

Hochman said his office will review additional criminal cases brought by law enforcement in addition to the five he announced Wednesday.

Two people were charged with assault on a peace officer after they allegedly drove motorcycles into a line of officers. One officer was hurt and several others were knocked down, Hochman said.

“For any individual who is engaged in criminal conduct but did not get immediately arrested, let me provide some bad news for you,” Hochman warned. “There is a tremendous amount of video out there through social media, and otherwise. We will know who you are, who engaged in this conduct. We will track you down, we will arrest you, we will prosecute you, and we will punish you. So for people who’ve already engaged in this, in this illegal activity, we’re coming for you.”

Leticia Rhi Buckley, who lives and works just under a mile from the Los Angeles Federal Building, told CNN that the Trump administration’s narrative that Los Angeles is under siege is false. She said the vast majority of what she’s witnessed has been peaceful.

“I live less than a mile from here. I drive home and about five blocks down, there’s nothing. It’s like nothing is happening,” she said. “Living in downtown for 15 years, it’s gotten louder when the Dodgers won the World Series, or when the Lakers won.”

Bass, the Los Angeles mayor, said “the portrayal is that all of our cities are in chaos. Rioting is happening everywhere, and it is a lie,” she said, adding it is not an insurrection as Trump suggests.

“Given that I was there on January 6th and saw that insurrection take place, the idea that this, what is happening here is an insurrection is just false and I think it is deliberately false,” Bass, appearing with 30 other mayors in the region, said. “I don’t think they’re confused.”

Bill Essayli, the U.S. attorney for the Central District of California, said authorities are collecting video, photos and body camera footage to identify anyone who committed acts of violence.

ICE agents conducted raids Wednesday morning in Downey, Calif., Councilman Mario Trijulli said. The city of more than 110,000 people located south of Los Angeles.

Fearful immigrants

Nannies are worried they could be profiled and detained by ICE agents while working, one of them told CNN.

“I’m a citizen of the United States, but my color, my skin color, makes me wonder…will they see me different?” Elsy Melara said. “I’m honestly not afraid to the point myself, but I’m afraid that if they don’t believe me, or if they choose not to believe me, what would happen to the kid?”

She said she knows two nannies are in ICE detention after they were handcuffed in a public park.

LA’s garment industry is on edge.

Federal agents were seen going into the manufacturer Ambience Apparel in Downtown Los Angeles on Monday.

“We’re hearing from our membership about a lot of fear and stress. People’s mental health is really being impacted,” Bo Metz, founder of LA-based manufacturer Bomme Studio, told Vogue Business. “People are afraid to leave their homes. Some people are opting to not go to work and others have no choice. We also need to continue to put food on the table and keep a roof over our heads. Workers are really feeling that pressure right now.”

More than one-third of the more than 300,000 workers producing clothing and shoes in the U.S. are immigrants, according to an analysis by Fwd.us, an immigration reform organization. That includes an estimated 30,000 undocumented.

UK holidaymakers could experience serious travel disruption over the busy summer holiday period, as workers in two major airports could ballot over strike action against their employer

Brits could face serious travel disruption over the summer holidays, as workers at two major UK airports threaten strike action.

Unite the Union has revealed that staff at Edinburgh and Glasgow Airport have overwhelmingly rejected ‘unacceptable’ pay offers from their employer, Menzies Aviation. An overwhelming 97 per cent of around 300 workers at Glasgow Airport and 100 per cent of some 300 workers at Edinburgh Airport voted against the proposed deals.

The union has since warned that unless Menzies Aviation presents an improved offer, it will be forced to ballot members for strike action, potentially causing summer travel chaos. “Summer strike action looms over Edinburgh and Glasgow airports because the pay offers on the table from Menzies Aviation aren’t good enough,” Unite industrial officer Carrie Binnie said.

READ MORE: UK passport warning as travellers experience Brexit rule hell at airports

“Menzies Aviation has the ability to improve its offers and they can easily resolve this pay dispute without any disruption to the travelling public. If the company fail to table a better offer to our members, Unite will have no option but to ballot our members for strikes over the summer holidays.”

Glasgow rejected a 4.25 per cent pay increase, while Edinburgh rejected a four per cent increase. The union emphasised that the ground crew workers, including dispatchers, allocators, airside agents, and controllers, all play a vital role in supporting major airlines.

The threat of industrial action follows similar tensions last year. However, these strikes were called off when workers accepted a new and improved pay deal in July, 2024.

Unite general secretary Sharon Graham added: “Unite’s Menzies members have emphatically rejected unacceptable pay offers. The Menzies group is posting sky-high profits and our members who contribute towards this success deserve far better from the company.”

Last year, Edinburgh Airport handled a record-breaking 15.78 million passengers, a 10 per cent increase compared to the year before. Despite only having one runway and one terminal, 37 airlines operate from the hub – travelling to 155 different destinations.

Glasgow Airport is much smaller, and only welcomed 7.5 million passengers last year. Still, it was a 13 per cent increase from the previous year – and outranks Aberdeen (2.2 million) and Inverness (801,000) combined. According to reports, the hub flies to 27 different countries and offers 185 routes.

If your flight has been cancelled delayed in the last six year, or five in Scotland, you could still be eligible for compensation. You can find out more here.

PA approached Menzies Aviation for comment.

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