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PROVIDENCE, R.I. — A federal judge has blocked the Trump administration’s sweeping demands for confidential transgender patient information from Rhode Island’s largest hospital that provides gender-affirming care to minors.

U.S. District Judge Mary McElroy’s Wednesday ruling is the latest setback for the U.S. Department of Justice, where at least seven other federal courts have agreed to quash or limit the expansive civil subpoenas sent to more than 20 doctors and hospitals last summer.

McElroy’s decision also echoed similar concerns raised by judges surrounding the expansive scope of the subpoenas, describing the Justice Department as having “immense prosecutorial authority and discretion” but no longer trustworthy it will enforce its power fairly and honestly.

“DOJ has proven unworthy of this trust at every point in this case,” McElroy wrote.

A Justice Department spokesperson said Thursday that it would appeal and continue with its investigations.

“The Rhode Island court’s attack on the professionalism and integrity of DOJ attorneys is outrageous and unjustified,” the department said.

According to the subpoenas, the Justice Department had demanded Rhode Island Hospital hand over the birth dates, Social Security numbers and addresses of every patient who received transgender care over the past five years. It also included instructions to provide all documents detailing adverse side effects in minor patients who received gender-related care, assessments that formed the basis for prescribing puberty blockers or hormone therapy, as well as patient intake forms and guardian authorization.

The Justice Department has repeatedly argued that the information sought in the subpoenas is needed to investigate possible fraud or unlawful off-label promotion of drugs. Most recently during a hearing in Rhode Island, the DOJ said that the investigation was taking place in the Northern District of Texas, where the court’s chief judge ordered Rhode Island Hospital to comply with the subpoena before McElroy’s decision voided the subpoena.

Assistant U.S. Atty. Brantley Mayers told McElroy during the hearing that the Justice Department is investigating potential “misbranding” of drugs approved by the U.S. Food and Drug Administration, such as puberty blockers for young people. While off-label prescribing is legal, Mayers said that the DOJ is concerned that pharmaceutical companies are providing “financial incentives” to Rhode Island doctors to prescribe the drugs.

The subpoenas were crucial in getting the names of children and their families so the Justice Department could interview them.

McElroy rejected that argument.

“The administration has publicly characterized gender-affirming care for minors as abuse, directed the DOJ to bring its practice to an end, and celebrated when hospitals curtailed such programs as a result of this subpoena campaign,” McElroy wrote.

The Rhode Island decision is the latest development in the fight over transgender youth health records. Earlier this week, 11 families filed a class-action lawsuit seeking to block the Justice Department from obtaining the documents. The lawsuit, filed in Maryland’s federal court, is backed by families with transgender children who have received care from hospitals across the U.S.

And separately, a New York hospital announced that it received a grand jury subpoena from federal prosecutors in Texas seeking information about children who received gender-affirming care and the medical providers who administered it.

NYU Langone is the first hospital system to publicly acknowledge receiving a subpoena for such records as part of a federal criminal investigation. But the institution said in its statement Tuesday it was one of several that received a subpoena out of the Northern District of Texas on May 7. It said it was deciding on how to respond.

“The government cannot use its subpoena power to intimidate families out of seeking lawful medical care. To trans and gender-diverse children and their families, we want you to know that you are valued, you are not alone,” Kevin Love Hubbard, an attorney with the Lawyers’ Committee of Rhode Island, who represented the plaintiffs in the case, said in a statement.

Gender-affirming care includes a range of medical and mental health services to support a person’s gender identity, including when it’s different from the sex they were assigned at birth. It may include counseling, medications that block puberty, hormone therapy to produce physical changes or surgeries to transform chests and genitals, although those are rare for minors.

Most major medical groups say access to the treatment is important for those with gender dysphoria and see gender as existing along a spectrum.

At least 27 states have adopted laws restricting or banning the care for minors, while several others have adopted laws or policies protecting access to transgender healthcare.

Kruesi writes for the Associated Press.

Students from Venezuela’s leading universities blocked the main highway in Caracas to demand the immediate release of political prisoners. Demonstrators said more than 450 people remain imprisoned despite government promises of amnesty and reconciliation.

Families of 10 Pakistani crew members taken hostage by Somali pirates have rallied in Karachi to demand their release. The crew of the Honour 25 have been held for more than three weeks. Hijackings off the coast of Somalia are on the rise in the wake of the US-Israeli war on Iran.

KATIE Price has issued husband Lee Andrews a new ultimatum after he failed to fly to the UK AGAIN – ditching their first joint TV interview in the process.

The former glamour model, 47, spoke out about the latest debacle surrounding the self-styled businessman in a chat on Good Morning Britain.

The couple, who tied the knot in January, were due to appear on the ITV daytime series together on Tuesday.

In the chat, Katie defended her man and his absence, and said he had been delayed by business duties – and he has since taken to his Instagram page to double down on her claims.

She refuted claims he had been detained in the United Arab Emirates though the mum of five – whose kids haven’t yet met her hubby – did lay down an ultimatum.

Katie said that although Lee “pays for” her flights to Dubai, she needs him to be more present in the UK.

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She told GMB: “I’ve been in Dubai, I came back on Friday.

“But because I can’t keep going to Dubai, because obviously I’ve got work and my kids here,” before host Susanna Reid quipped: “And it’s expensive”.

Katie replied: “Well, he pays for it anyway.

“But I can’t keep going to Dubai”.

Who is Katie Price’s husband Lee Andrews?

KATIE Price tied the knot with Lee Andrews in January 2026. Yet who is he?

• Katie Price has married businessman fiancé Lee Andrews in a whirlwind wedding
• It is the fourth time Katie, 47, has been a bride. She has also been married to Peter Andre, Alex Reid and Kieran Hayler
• Katie and Lee met just after being introduced on social media
• Lee claimed he is a billionaire in a failed clip from his acting career
• He now claims to be a Dubai-based businessman
• Yet The Sun has unmasked him as a fantasist who faked celebrity links using AI-generated photos and recently talked about marrying two other women
• Failed actor is just another title to add to Lee’s questionable CV, after he claimed to have once worked as the Director of Philanthropy at The Prince’s Trust (now The King’s Trust)
• Lee also shared images – since proven to be AI – of him working with Elon Musk and Kim Kardashian
• It’s been revealed shameless Lee told former girlfriends that he had studied at Cambridge University, and has a PhD in biotechnology science
• But The Sun has seen a response from the university explaining it could not find a record of Lee being registered as a student with a date of birth they had provided
• His LinkedIn profile says Lee has been a Member of the Board of Advisors to the Labour Party since 2015
• Lee was also mocked for repeating the exact same wedding proposal on Katie – that he did for another woman just four months ago.

Laying down her ultimatum she added: “So he is now shifting to here, so he is going to spend a lot of time here now.

“Because I said ‘look I keep flying to you, you’ve got to come to England now’.

“So that’s what he is going to do”.

There is ongoing speculation that her husband Lee, 43, is unable to leave the United Arab Emirates city after allegedly forging his ex-girlfriend Dina Taji’s signature to secure a £200,000 loan – something he’s strongly denied.

On today’s GMB, presenters Susanna and her co-host Ed Balls told how they had approached the Foreign Office to see if Lee had a travel ban.

They said they had been informed they had “supported a British man detained in the United Arab Emirates”.

When the pair quizzed Katie as to whether this was Lee, she said he had denied it in a voice note and added laughing Emoji icons to his message.

Explaining the reason for his no-show Katie, who wore a pink shirt and gold hoop earrings for her chat, said: “He just didn’t make the flight.

“He’s coming here to spend quite a few months now.

He’s been sorting out my visa, my international driving licence.

“He’s flying from Muscat and he had things to do, he didn’t make the flight but he’s at the airport now”.

She then clarified: “Because of his business he had some things he had to do last minute.

“He is at airport now he is on his way”.

Lee reinforced her words as he took to his social media page from the departures lounge.

He praised Katie’s appearance on GMB and said: “Hello everyone.

“Yes I am at the airport and flying to my wife, who did very well on GMB today.

“And I am on my way to her.

“I had a couple of things that I had to do last minute, I couldn’t make the show, I was hoping to get on there with the ZOOM link but they carried on with Kate, and she did really really well”.

Mum of three Susanna mused: “I wonder if he’s telling you everything, do you trust him?” to which Katie said yes.

Ed then quizzed if “the Foreign Office were right and Lee was arrested ayt the airport?”

He then asked if Lee was normally unreliable, and she replied: “Not with me”.

It isn’t the first time Lee has reneged on his vow to travel to Katie’s home turf.

Back in March he vowed to visit – yet again pulled out of the trip.

Initially, The Sun exclusively reported how he made a wild claim he had visited Katie in the UK secretly – but Katie’s rep said the suggestions were not true.

Bolivia faces growing unrest as widespread road blockades disrupt travel across major cities including La Paz and El Alto. Protesters are demanding the resignation of President Rodrigo Paz amid fuel shortages, rising costs, and wage disputes.

Hundreds protested in Mexico City on Mother’s Day to demand justice and accountability for missing loved ones. 130,000 people are registered as missing in Mexico, as of early 2026, which has been driven by organised crime and escalating violence.

Iran has said it will only accept a fair and comprehensive agreement in ongoing negotiations with the United States, as talks continue alongside a fragile ceasefire in the Middle East conflict. Foreign Minister Abbas Araqchi made the remarks following discussions with Wang Yi in Beijing.

At the same time, Donald Trump has pointed to what he described as significant progress, announcing a temporary pause in US naval operations linked to the Strait of Hormuz to support negotiations. The strait remains largely restricted, disrupting global oil flows and contributing to an ongoing energy crisis.

What does Iran mean by a comprehensive agreement
The key question is what Iran is asking for. A comprehensive agreement suggests Tehran wants more than a temporary ceasefire. It likely includes guarantees on sovereignty, relief from military pressure, and recognition of its rights under international agreements such as nuclear development for peaceful purposes.

This position indicates Iran is negotiating for long term security and political legitimacy rather than short term concessions.

What is the United States offering in response
The United States appears to be using a mix of pressure and incentives. Military actions and blockades continue, but the pause in naval escort operations signals willingness to de escalate if progress is made.

Statements from US officials show a firm stance on preventing Iran from controlling key shipping routes, while still leaving room for diplomacy. This creates a dual track approach of negotiation backed by force.

Why is the Strait of Hormuz central to the talks
The Strait of Hormuz is critical because it carries a significant share of global oil supply. Its disruption has already triggered sharp movements in energy markets and raised concerns about global economic stability.

Control over this route gives Iran strategic leverage, while reopening it safely is a priority for the United States and global markets. This makes the strait a core bargaining point in negotiations.

Implications for global markets and politics
The negotiations are directly influencing oil prices, currency markets, and investor sentiment. Even signals of progress have led to falling oil prices and improved market confidence.

Politically, the situation affects domestic dynamics in the United States, where rising energy costs are a concern ahead of elections. It also shapes regional power balances across the Middle East.

Analysis what are the possible outcomes
There are three main paths forward. First, a comprehensive agreement could stabilise the region, reopen energy routes, and reduce global economic pressure. Second, prolonged negotiations without resolution could keep markets volatile and maintain the current fragile ceasefire. Third, a breakdown in talks could lead to renewed escalation, further disrupting oil supply and increasing geopolitical risk.

The most realistic short term outcome appears to be continued negotiations with limited de escalation steps. A full agreement will likely require compromises on both security concerns and economic demands.

With information from Reuters.

BBC’s new crime drama starring Sheridan Smith has been a hit with viewers

BBC viewers are already hooked on the new crime drama starring Sheridan Smith.

The Cage recently made its debut onto our TV screens and a number of fans have already binge-watched all five episodes with many calling for another season.

It comes as no surprise that viewers are gripped on the show. Not only is the cast lead by BAFTA-winner Sheridan but its creator is the BAFTA-winning Tony Schumacher, who created the acclaimed police drama The Responder.

Alongside Sheridan, her co-star Michael Socha also leads the cast of the popular series, which follows two financially struggling Liverpool casino employees who end up confronting dangerous local criminals and the authorities after siphoning money from the casino safe.

Shot in and around Liverpool and Merseyside, the narrative centres on Leanne (Sheridan), a single mother and casino cashier who begins siphoning cash from the safe to rescue her family home.

However, when she discovers that her boss Matty (Muchael), a gambling addict, is engaged in the same activity, both of their lives begin to unravel.

The duo forge an unexpected alliance to conceal their theft, but quickly become entangled with local gangsters and the police.

The synopsis states: “Leanne is the charismatic cashier at an inner-city casino who finds herself threatened with losing the family home and starts skimming cash from the casino safe to secure her family’s future.

“When Leanne discovers her boss Matty is doing the same thing, their lives are set on a collision course; with each other, the local gangster they’re stealing from, and the police.

“As Leanne’s loyalties are pulled in different directions, Matty battles with his inner demons meaning the pair will have to play every hand perfectly.”

Viewers have wasted no time sharing their reaction as one viewer said: “I just finished watching it, so good. I hope they have a season 2.”

Another wrote: “#thecage Just finished binge watching this series and loved it. Great cast especially the performance of Michael Socha.Some great music in there as well.”

A third commented: “Binged The Cage in one sitting, fantastic show! Well done all involved.” Another said: “Binged the whole series tonight. I really enjoyed it, proper good British drama and great cast/performances,”

Meanwhile another added: “Loved it!! It was so good had me on the edge of my seat.” While another called for a second season, writing: “Michael and Sheridan were absolutely phenomenal, can’t wait for series 2?”

You can stream The Cage on BBC iPlayer

Mérida, April 20, 2026 (venezuelanalysis.com) – The Venezuelan government launched a “Great National Pilgrimage” to oppose economic sanctions on Sunday, April 19, coinciding with the 216th anniversary of the country’s declaration of independence.

The nationwide mobilization seeks to channel popular opposition to the US-led economic blockade into a sustained, nationwide movement. 

The pilgrimage was inaugurated in three Venezuelan regions, with a calendar of marches, assemblies, and cultural activities covering the remaining 21 states before a closing event in Caracas on April 30. 

In western Zulia state, Acting President Delcy Rodríguez led a rally through the streets of Maracaibo. Addressing a crowd, Rodríguez linked the historical struggle for independence to the modern-day resistance against Washington’s unilateral coercive measures.

“It is a date that marks the first cry for independence from a united people, and so, beginning with that historic date, I feel compelled to embark on this pilgrimage,” she declared to the crowd.

Venezuelan leaders have sought to highlight the impact of unilateral coercive measures on living standards and public services to push for their withdrawal.

“We want Venezuela to be free of sanctions, so that it can grow without restrictions,” Rodríguez affirmed at the Zulia rally. “I am speaking to the people of the United States, Europe, and the governments of those countries. Please stop levying sanctions against the Venezuelan people.”

In Puerto Ayacucho, Amazonas, National Assembly President Jorge Rodríguez led a parallel mobilization on Sunday. He emphasized that the pilgrimage is not merely a political event but a “spiritual and national defense” of the country’s right to self-determination. The campaign’s launch in border states highlighted the disruptions to public services that are generally more acute away from the capital and surrounding areas.

The government’s initiative was also backed by sectors of the moderate opposition. Timoteo Zambrano, deputy from the Democratic Alliance, vowed that his political faction would participate in the pilgrimage.

“[Pilgrimage] is a deeply religious term that unites the world’s religions. We are witnessing a new moment to fight together against sanctions and the blockade,” he said in a press conference in Caracas on Saturday.

For his part, Acción Democrática Secretary-General Bernabé Gutiérrez claimed that Caracas must ask the Trump administration to release proceeds from oil exports “so they reach the state coffers and allow for the solution of our problems.” 

Since January, the White House has imposed control over Venezuelan crude sales, with Venezuela-owed royalties, taxes, and dividends mandated to be deposited in US Treasury-run accounts before being returned to Caracas at US officials’ discretion.

The “Great National Pilgrimage” takes place against a backdrop of nearly a decade of economic pressure from Washington. The first Trump administration launched a “maximum pressure” campaign in 2017 with the goal of triggering regime change.

US Treasury sanctions targeted multiple economic sectors, from mining to banking, and particularly targeted the oil industry, causing an estimated US $25 billion in yearly revenue losses. The blockade also effectively gridlocked Venezuela from international credit markets and saw Venezuelan foreign assets frozen and seized. 

Since the January 3 US military attacks and kidnapping of President Nicolás Maduro, Caracas and Washington have fast-tracked a diplomatic rapprochement. Acting President Rodríguez has struck a conciliatory tone toward the US, recently thanking Trump and US officials for their efforts in reestablishing “cooperation.”

The US Treasury Department has maintained wide-reaching sanctions in place but issued a series of general licenses in the hydrocarbon, mining, and banking sectors, allowing Western entities to deal with Venezuelan counterparts under restricted conditions.

Edited by Ricardo Vaz in Caracas.

ASML occupies a critical position in the global semiconductor supply chain as the sole producer of extreme ultraviolet lithography systems. These machines are essential for manufacturing the most advanced chips used in artificial intelligence applications. As demand for AI computing has surged, driven by data centre expansion and high performance processing needs, the semiconductor industry has entered a new investment cycle focused on capacity growth.

Strong earnings and upgraded forecast

ASML reported first quarter earnings that exceeded expectations and raised its 2026 revenue outlook to between 36 billion and 40 billion euros. This revision signals stronger than anticipated order inflows and reinforces the scale of demand emerging from the AI sector.

The company’s performance reflects a broader trend in which chip demand is outpacing supply. According to CEO Christophe Fouquet, customers are accelerating expansion plans well beyond the near term, indicating confidence in sustained AI driven growth.

ASML as a strategic enabler of AI growth

Investors increasingly view ASML as a foundational player in the AI ecosystem rather than a conventional manufacturer. Its tools are used by leading chipmakers such as TSMC, which produces advanced processors for firms like Nvidia and Apple.

This positioning places ASML at the upstream end of the value chain. Instead of competing in chip design or production, it supplies the essential infrastructure that enables both. As a result, its growth is tied to the entire semiconductor sector rather than any single company.

Supply constraints and industrial limits

Despite strong demand, structural constraints remain significant. Semiconductor fabrication plants require years to build and involve complex global supply chains. ASML itself faces production bottlenecks due to the precision and cost of its machines, which can reach hundreds of millions of dollars per unit.

Even with plans to increase shipments of its leading systems in 2026 and 2027, capacity expansion is gradual. This creates a persistent imbalance where demand continues to exceed supply, reinforcing pricing power across the industry.

Geopolitical and regulatory risks

A key uncertainty for ASML lies in export controls, particularly regarding sales to China. Proposed restrictions in the United States, including the MATCH Act, could limit the company’s ability to supply Chinese customers. Currently, China represents a significant portion of ASML’s revenue.

However, the global shortage of advanced chips may mitigate this risk. Reduced access to one market could be offset by demand from others, especially as countries and companies compete to secure semiconductor supply chains.

Market response and valuation concerns

ASML’s share price has risen sharply, reflecting investor optimism around AI driven growth. The company is often described as a “picks and shovels” investment, benefiting from the broader expansion of the industry regardless of which firms dominate end products.

At the same time, analysts caution that valuations are elevated. The current pricing assumes sustained high growth, leaving limited room for setbacks related to supply constraints or regulatory changes.

Analysis

The upgrade in ASML’s forecast highlights a structural shift rather than a temporary cycle. AI is not only increasing demand for chips but also reshaping the entire semiconductor value chain. ASML’s monopoly in EUV technology gives it a unique strategic advantage, effectively making it a gatekeeper for next generation chip production.

However, this dominance also exposes the company to geopolitical pressures and operational challenges. The interplay between technological leadership, supply limitations, and regulatory dynamics will determine whether current growth trajectories can be maintained.

ASML’s stronger outlook underscores the depth of the AI driven semiconductor boom. While demand momentum remains robust, the company operates within a constrained and politically sensitive environment. Its future performance will depend on balancing rapid industry expansion with the physical and geopolitical limits shaping the global chip ecosystem.

With information from Reuters.