The Supreme Court’s decision in Callais continues to make clear all the reasons we needed, and continue to need, a Voting Rights Act. And it isn’t about protecting white voters. Congress had an entirely different intent when it passed the Act, an intent that DOJ has forgotten to remove mention of from its website:
Section 2 “prohibits voting practices or procedures that discriminate on the basis of race, color, or membership in one of the [specified] language minority groups,” according to the website, which hasn’t been updated by this administration, at least not yet. “[T]he Supreme Court explained that the ‘essence of a Section 2 claim is that a certain electoral law, practice, or structure interacts with social and historical conditions to cause an inequality in the opportunities enjoyed by black and white voters to elect their preferred representatives.’” Congress clarified that the courts should look to “the history of official voting-related discrimination in the state or political subdivision,” when determining if the law has been violated. In the states hurriedly enacting new maps that eliminate Black voting power, that history involves denying Black people the right to vote. Instead of using Section 2 to fix that, the Court and Southern state legislatures are turning the law on its head and making a mockery of the rights it was meant to protect.
When the Court gutted Section 5 of the act in Shelby County v. Holder, Justice Ruth Bader Ginsburg accused the majority of shutting the umbrella that was meant to protect voters in the middle of a rainstorm who weren’t getting wet, because the umbrella was working. The case was decided in 2013, but even before the Supreme Court formally gutted Section 5 of the Act, repressive measures were being adopted in states like Alabama, which adopted a stepped-up voter identification requirement that made it more difficult for parts of the population, including Black voters, to exercise their rights, expecting that the Court would do away with Section 5’s preclearance provision.
A study at the Brennan Center explained the impact: “The racial turnout gap — the difference between white and nonwhite turnout rates in elections — has been consistently growing since at least 2008, reaching 18 percentage points in the 2022 midterm elections. If the gap did not exist, nearly 14 million additional ballots would have come from voters of color that year.” The analysis was based on nearly 1 billion vote records and controlled for factors like regional differences, income, and education.
The kind of behavior the Act was meant to prevent is exactly what’s happening, as Black voting power is diluted with new maps that are being adopted. And the Court seems to have abandoned its allegiance to the Purcell principle, which it has used in the past to prevent changes from being made too close to an election. Some of the new measures adopted by the states are being challenged, or will be challenged in court, and we’ll get a chance to see if the rules are different now that the Court is focused on protecting white voters from discrimination, which was the story behind Callais.
For instance, Tennessee’s extraordinary gerrymander was accompanied by a change to state law, so that election officials no longer have to advise voters about changes to their designated polling places as a result of the newly drawn maps. It’s easy to imagine how this plays out: voters with limited time because of family responsibilities go to what they think is the right polling place. They wait in a long line, maybe for hours, before being told they’re in the wrong location. At every step, the process is being redesigned to insert more friction, in hopes that Democratic-leaning voters will be dissuaded from participating. As Marc Elias noted, “Republicans defended the map by claiming that only population and politics were considered when the new map was created, not race.” But of course, the two are inextricably intertwined in Southern elections, despite the pretense the Court adopted.
To put all of this into context, consider the importance of the right to vote. At bottom, it’s the right that unlocks all of the other rights, the essence of democracy. Efforts by the Trump faction to impede that right—whether it’s by making it more difficult to register, more difficult to vote, or more difficult to have your vote count—is an effort to lock up all of our other rights.
The NAACP filed a lawsuit challenging Tennessee’s new gerrymander late last week. The complaint explains that “The timing of drawing Tennessee’s congressional districts is governed by Tennessee law, including Section 2-16-102 of the Tennessee Code, which provides: ‘The general assembly shall establish the composition of districts for the election of members of the house of representatives in congress after each enumeration and apportionment of representation by the congress of the United States. The districts may not be changed between apportionments.’” The NAACP is asking the court to issue a declaratory judgment that the late-decade redistricting violates the law and to enter an injunction that will prevent the new maps from going into effect.
There are reports that South Carolina is getting ready to join in this week, with a proposal that would gerrymander its only Black member of Congress, Jim Clyburn, into a district that, at least in theory, is designed to make it more difficult for the veteran Congressman to win. But it’s not clear that the South Carolina Senate will extend the legislative session to permit action to be taken. Currently, the state has seven seats in the House and only one Black representative, although the state is roughly 25% African American.
Alito’s Mistake in Callais
Late last week, The Guardian reported that Justice Alito relied on flawed data to justify his majority opinion in Callais. That opinion is predicated on the view that it is no longer necessary to apply the Voting Rights Act as a corrective for historic voter suppression because Black voter turnout has caught up. Of course, that doesn’t square up with the Brennan Center data we discussed up above. But Alito wrote that Black voter turnout exceeded white voter turnout in two of the five most recent presidential elections, both nationally and in Louisiana. He relied on data that the Solicitor General of the United States, who was not a party to the case, but who filed an amicus brief, presented to the Court:
The data is flawed because it calculates voter turnout in Louisiana as a proportion of the total population of each racial group, for people over the age of 18. But that isn’t the same as calculating eligible voters, because total population includes non-citizens, people with felony convictions, and others who are ineligible to vote. For instance, Black people are more likely to have felony convictions in South Carolina than white people are, which skews the data.
Perhaps Justice Alito should have paid more attention to Justice Ginsburg’s explanation about closing the umbrella prematurely. She was right.
Oral Argument in the DC Circuit on Trump Executive Orders
On Thursday, the D.C. Circuit will hear oral argument in the cases regarding Trump’s executive orders that were designed to punish law firms. The terms of the executive orders made it more difficult, if not impossible, for law firms that the president viewed as representing clients or causes he disagreed with to do business. The cases brought by the law firms have been consolidated for the appeal. So far, every court to consider one of the orders has found them to be illegal.
We discussed the executive orders here when they were first issued, and again here, when the administration dismissed the appeals it will argue later this week before abruptly changing course and asking to reinstate them.
Four law firms are involved: Perkins Coie, Jenner and Block, WilmerHale, and Susman Godfrey. There is also an executive order against Mark Zaid, a lawyer known for his work representing whistleblowers. He is represented by Abbe Lowell. Lowell has argued in his briefs that the executive orders turn security clearances, necessary for lawyers in this field to do business, into political weapons.
Perkins Coie’s brief to the Court of Appeals opens like this: “One year ago, the President did something no other president had done before: issue an executive order declaring a law firm whose clients and representations he dislikes ‘dishonest and dangerous’ and deploying the levers of federal power to try to put the firm out of business. That was a perilous moment for appellee Perkins, the legal profession, and the rule of law. Nine law firms, cowed by the threat of firm-ending sanctions, ‘settled’ with the President …Four different district judges recognized the President’s executive orders for what they are: shocking abuses of power that trample the constitutional rights of the law firms and their clients. This Court should recognize the same.” Two of the judges on the panel that will hear the case, Chief Judge Sri Srinivasan and Judge Cornelia Pillard, were appointed by President Obama. The third judge, Neomi Rao, is a Trump appointee.
Kash On The Hill
FBI Director Kash Patel will join the administrator of the DEA, the Director of the ATF, and the head of the U.S. Marshal’s Service for budget hearings in the Senate on Tuesday afternoon. It’s typical for the four DOJ law enforcement agencies to do this jointly.
Despite the intricacies of the federal budget, the question on everyone’s mind will likely be whether Patel will be passing out bottles of his special Ka$h Patel, FBI Director, Bourbon.
Atlantic reporter Sarah Fitzpatrick, who wrote the original expose on Patel’s erratic behavior in office, had a new story last week. Fitzpatrick wrote, “it is not unusual for him [Patel] to travel with a supply of personalized branded bourbon. The bottles bear the imprint of the Kentucky distillery Woodford Reserve, and are engraved with the words ‘Kash Patel FBI Director,’ as well as a rendering of an FBI shield. Surrounding the shield is a band of text featuring Patel’s director title and his favored spelling of his first name: Ka$h. An eagle holds the shield in its talons, along with the number 9, presumably a reference to Patel’s place in the history of FBI directors.”
Finally
The administrative stay in the mifepristone case ends on Monday. That means that unless the Supreme Court issues an order regarding whether the injunction should stay in place while the litigation proceeds, the Fifth Circuit’s ban on obtaining the abortion drug via telehealth goes into effect.
Given that the Court virtually disallowed nationwide injunctions last June in Trump v. Casa, it’s difficult to see the legally consistent path to permitting this one to go into effect. And, in the 2023-2024 term mifepristone case, the Court stayed efforts to restrict the availability of the drug from going into effect during the pendency of the lawsuit (before it dismissed it rather than decided the substantive issues, because it found the plaintiffs lacked standing). The smart money would seem to be on similar treatment here, but this is a Court that has been willing to ignore the past to put abortion out of reach for American women, so we will wait and see.
There’s a busy week ahead of us. But Donald Trump is spending the evening on Truth Social, reposting memes about his popularity.
The latest NPR/PBS News/Marist poll shows Trump with just a 37% approval rating; 59% of those polled disapproved of his performance. That’s the worst score this poll has given Trump in either of his terms in office.
Democrats express ‘grave concerns’ over secretive ICE deportation flights
Exclusive: In letter 40 lawmakers demand the FAA address allegations of mistreatment of immigrants and the ‘urgent need for transparency’
The Interior Department added $6.2 million to the no-bid contract for repairs to the Lincoln Memorial pool late last week.
Atlantic Industrial Coatings was hired to repair leaking joints between the pool’s concrete slabs, waterproof the pool’s bottom and paint it a shade called “American flag blue.”Credit…Al Drago for The New York Times
President Trump said that his handpicked contractor would charge only $1.8 million to repair the Lincoln Memorial Reflecting Pool and paint it blue.
The actual cost is now more than seven times that, after the Interior Department nearly doubled the size of the contract late last week, federal records show.
On Friday, the Interior Department added $6.2 million to the contract’s previous cost, saying it now planned to pay $13.1 million to a Virginia firm called Atlantic Industrial Coatings. President Trump said he chose that company to repair the landmark because the firm had worked on the swimming pools at his golf club in Sterling, Va.
The government awarded that firm a no-bid contract last month, bypassing the requirement to seek competing offers by saying that the situation was so urgent that any delay would cause “serious injury” to the government. The government has not publicly said what that injury would have been.
Instead, it has cited Mr. Trump’s desire to get the work done before the country’s 250th birthday on July 4.
Public contracting records do not say why the contract’s cost increased so sharply on Friday. Katie Martin, a spokeswoman for the Interior Department, said that the higher price “reflects the effort necessary to expedite the timeline of completing the leak prevention coating project — more people, more materials, more equipment and longer hours ahead of our 250th.”
Atlantic Industrial Coatings did not respond to questions about the increase.
But government documents obtained by The New York Times show that the contract’s current value matches, down to the dollar, an offer submitted to the government by Atlantic Industrial Coatings in the middle of last month. That offer included a 20 percent profit margin, the documents show.
Competitive bidding laws aim to ensure that the government is getting a fair price from its vendors.
Image
“Every day that the resurfacing continues, the historic character of the Reflecting Pool is being further and fundamentally altered,” a lawsuit filed Monday said.Credit…Al Drago for The New York Times
The contractor was hired to repair leaking joints between the pool’s concrete slabs, waterproof the pool’s bottom, and paint it a shade called “American flag blue.”
The pool has also been troubled for decades by leaks and algae blooms that turn its water green.
On Monday, a nonprofit dedicated to landscape architecture filed a lawsuit in U.S. District Court in Washington seeking to halt the paint job. The Cultural Landscape Foundation said that the Trump administration had ignored a law requiring advance scrutiny of projects that alter historic landmarks.
The foundation, based in Washington, said in its lawsuit that “every day that the resurfacing continues, the historic character of the Reflecting Pool is being further and fundamentally altered.”
David A. Fahrenthold is a Times investigative reporter writing about nonprofit organizations. He has been a reporter for two decades.
Hungry children, canceled benefits: Arizona’s food stamp cuts are a warning for America
Under President Donald Trump’s “big, beautiful bill,” food stamp applicants are fighting to prove eligibility and facing questions about birthday gifts sent over Zelle. A crisis in Arizona offers a warning for America.
An Essential Shot: Vitamin K shots, which help the blood to clot, are one of three key interventions for newborns, along with an antibiotic eye ointment and the hepatitis B vaccine.
Increasing Rejections: The government doesn’t track vitamin K rejections, but hospitals have seen a rise in parents opting out of the shots for their newborns, often driven by unfounded fears.
Troubling Data: Hundreds of children die each year from spontaneous bleeding in the brain, a common result of vitamin K deficiency, suggesting that many related deaths go unreported.
These highlights were written by the reporters and editors who worked on this story.
They entered the world the way babies should, with piercing cries announcing their arrival. They passed their newborn screening tests. Some made it to their 2-week wellness visits without concern.
Then, without warning, their systems began to shut down. A 7-week-old boy in Maryland developed sudden seizures. An 11-pound girl in Alabama stopped breathing for 20 seconds at a time. A baby boy in Kentucky vomited before becoming lethargic. A brown-haired girl in Texas, not yet 2 weeks old, bled around her belly button.
Desperate to save them, records show, doctors inserted tubes into their airways and hooked them up to IVs. They ordered blood transfusions. They spent half an hour trying to resuscitate one boy until his parents told them they could stop. They shaved another boy’s soft locks to embed a needle directly into his skull to reduce the pressure in his brain.
None of it was enough.
At the morgue, the babies were brought in with their diapers and blankets and with their hospital ID bracelets still wrapped around their tiny ankles. The pathologists’ findings were like those you would typically see in ailing adults, not newborns — the kind of bleeding seen during strokes or brain tissue loss similar to what happens when radiation is administered to treat cancer.
Their autopsies, which took place over the last several years, all came to the same conclusion: The deaths were caused, in whole or in part, by a rare but potentially fatal condition known as vitamin K deficiency bleeding.
In almost every case, the babies’ deaths could have been prevented with a long-standard vitamin K shot. But across the country, families — first in smatterings, now in droves — are declining the single, inexpensive injection given at birth to newborns to help their blood clot.
Many of them are doing so out of a well-meaning but ill-informed abundance of caution. In the hopes of safeguarding their newborns from what they see as unnecessary medical intervention, they have shunned fundamental and scientifically sound pharmaceutical intervention. The trend is also fueled by a contradictory pairing: families’ fierce desire to protect their babies and a cascade of false information infused into their social media algorithms.
Although it is not a vaccine, the vitamin K shot has been swept up in the same post-pandemic tide that has led to a drop in key childhood vaccines, including for measles and whooping cough.
The vitamin K shot is one of the three main interventions, along with the hepatitis B vaccine and an antibiotic ointment in the eyes, that newborns typically receive before leaving the hospital. Leading American institutions and the World Health Organization recommend that newborns get the shot.
In December, the Centers for Disease Control and Prevention stopped recommending that all newborns get the hepatitis B vaccine, which has been highly effective at fighting a virus that can lead to lifelong infections and liver cancer. A federal judge in March temporarily blocked the revised childhood vaccination schedule that included that recommendation. Some families are also rejecting the eye ointment.
Two weeks ago, at a House subcommittee hearing, Rep. Kim Schrier, D-Wash., pressed Health and Human Services Secretary Robert F. Kennedy Jr. to reassure parents that the vitamin K shot is safe. He refused and pushed back.
“I’ve never said, literally never said, anything about it,” Kennedy said.
“That’s exactly the point,” responded Schrier, who is a doctor. “You don’t say anything about it, but the doubt you’ve created about all of medicine and science is causing parents to make dangerous decisions.”
An HHS spokesperson did not respond to questions but in an email blamed the administration of former President Joe Biden for the rise in parents rejecting vitamin K shots. “Vitamin K at birth,” the spokesperson added, “remains the standard of care.”
Meanwhile, families continue to be inundated with advice from self-proclaimed experts using medical terms incorrectly and misunderstanding science to convince parents that getting the shot could put their newborns at risk of grave harm.
Nearly a century’s worth of research and medical advancements shows the opposite to be true.
Babies who don’t get the vitamin K shot, research shows, are 81 times more likely than those who do to develop late vitamin K deficiency bleeding, where in many cases oxygen can’t reach their brains and blood pools around their skulls. Perhaps most alarming is that, according to the CDC, 1 in every 5 babies with vitamin K deficiency bleeding will die.
Determining precisely how many babies have died or suffered severe brain damage because of a lack of vitamin K is difficult. State and federal agencies don’t track data around vitamin K injection refusal or subsequent bleeding, which impedes their ability to quantify and track outcomes, including death.
The number of deaths directly attributed to vitamin K deficiency bleeding appears to be small — fewer than a dozen annually — but has started to climb in recent years, according to death certificate data from federal and state agencies.
But those numbers capture only a fraction of deaths, which often are classified only by other, more immediate causes, such as bleeding in the brain. In 2024, for example, more than 700 newborns died from spontaneous bleeding in their brains, which could have been complicated by liver disease or prematurity. Still, six medical specialists and one official at the CDC said a meaningful portion of those deaths likely were caused by vitamin K deficiency. Many more babies survive the bleeding but suffer massive brain bleeds and lasting injuries.
“A lot of the providers don’t have this on their radar,” said Dr. Jaspreet Loyal, a pediatric hospitalist at Yale Medicine. “The lack of data is almost acting like a reassurance for families that this risk is worth taking.”
Although it is difficult to quantify deaths attributable to vitamin K deficiency, there is clearly a large jump in the number of parents declining the vitamin K shot. Some hospitals have seen refusal rates more than double. A national study of more than 5 million births, published in December, found that the rate of U.S. babies not receiving vitamin K at birth topped 5% in 2024 — up 77% from 2017.
More Newborns Are Not Getting Vitamin K Shots
More than 5% of newborns in the U.S. did not receive vitamin K shots in 2024.
Source: “Trends in Vitamin K Administration Among Infants,” JAMA
The success of the shot has been so remarkable that it nearly eliminated vitamin K deficiency bleeding altogether. The science was settled decades ago.
“This was not something we even bothered to spend much educational effort on,” said Dr. Allison Henry, the director of newborn medicine service at Cedars-Sinai Guerin Children’s in Los Angeles, “because there was this simple, safe intervention.”
A cluster of cases 13 years ago was one of the first major signs that something was amiss.
Four babies were rushed to a Nashville, Tennessee, children’s hospital after they suddenly fell ill months apart. Stunned, doctors ran tests that revealed severe bleeding and reached out to Dr. Robert Sidonio Jr., their blood disorder specialist. They learned that the parents had declined vitamin K shots for the babies, each of them between 6 and 15 weeks old.
Once they realized that, the medical team moved quickly to treat them, injecting them with vitamin K and hoping it wasn’t too late. Much to the relief of doctors, they all survived. Only one infant had developmental delays.
The parents explained that they had declined the shot for a number of reasons: a concern, based on long-debunked claims, that the shot could cause leukemia; a belief that the shot wasn’t necessary; and a desire to reduce their baby’s exposure to “toxins.”
The CDC and the state health department opened an investigation and later published a report that found that when the parents declined the shot, their awareness about the risk of bleeding was “incomplete or absent.”
Dr. Anna Morad, a pediatrician at Monroe Carell Jr. Children’s Hospital at Vanderbilt in Nashville, said she had witnessed a gradual rise in families refusing vitamin K leading up to the hospitalizations.
She and her colleagues went into the Nashville community to speak at birthing centers and advise families about the benefits of vitamin K. One mother who had refused the shot for her newborn partnered with Morad and described how she came to realize that the shot can save lives.
More than a dozen pediatricians interviewed by ProPublica said they strongly recommend all three of the typical newborn interventions but agreed that the vitamin K shot is the most vital.
“I’m picking vitamin K every day,” Morad said. “Absolutely.”
With time, the number of families who turned down the shot dropped. As the need for the community outreach waned, Morad lost touch with the mother she had teamed up with and refocused her energy on directing the newborn nursery at Vanderbilt Health.
“I’ll be honest, I thought we had turned the corner,” Morad said. “Naively, I thought that would be enough.”
Dr. Anna Morad, a pediatrician at Monroe Carell Jr. Children’s Hospital at Vanderbilt in Nashville, says the vitamin K shot is the most essential of three interventions that newborns are typically given. “I’m picking vitamin K every day. Absolutely.”Stacy Kranitz for ProPublica
All newborns lack vitamin K. No matter how much vitamin K a mother consumes, it doesn’t sufficiently pass through the placenta, and breast milk contains only small amounts. That puts babies who are exclusively breastfed at a higher risk for vitamin K deficiency bleeding. Formula is fortified with vitamin K, but even with that, experts agree, babies should still get the shot.
Doctors have yet to understand why some babies who don’t get the vitamin K shot are fine while others bleed uncontrollably. But they do know that the risk increases dramatically. For babies who don’t get the shot, the risk for vitamin K deficiency bleeding from a week after birth to 6 months ranges from 1 in 14,000 to 1 in 25,000 births. With the shot, the research shows, the risk drops to less than 1 in 100,000.
The role of vitamin K is so crucial that researchers were awarded the Nobel Prize in 1943 for their discovery of its ability to form clots and stop bleeding in babies. The official presenting the award called the discovery the vitamin’s “greatest practical importance” and lauded it among the discoveries that have been of great benefit to humankind.
In 1961, the American Academy of Pediatrics recommended that all newborns in the U.S. get a shot of vitamin K. The CDC has supported newborns getting the shot as well, devoting several pages online to raising awareness around vitamin K deficiency bleeding and writing that babies may bleed “into their intestines, or into their brain, which can lead to brain damage and even death.” For decades, medical textbooks and lectures have presented the vitamin K injection as an example of a public health policy success.
After reports that vitamin K deficiency bleeding was on the rise, the American Academy of Pediatrics updated its policy statement in 2022 to stress the shot’s safety and efficacy. The paper included talking points for pediatricians to help them respond to common misconceptions: “Vitamin K injection does not contain mercury. Vitamin K does not cause cancer. The vitamin K injection used in newborns is safe. The dose is not too high for newborns.”
“We’re a victim of our own success,” said Dr. Ivan Hand, the director of neonatology at Kings County Hospital Center in New York and the co-author of the American Academy of Pediatrics statement. “Since we’ve been treating babies with vitamin K, we haven’t seen much deficiency bleeding, so people think it doesn’t exist.”
Seeing photos online of healthy babies who didn’t get the vitamin K shot and reading comments from parents who felt justified in their refusal, it’s easy to think that the risk of bleeding isn’t real, or at the very least that it’s exaggerated.
On Facebook, comments about the shot include: “Don’t do it!” “Huge lie!” and “It’s a scare tactic.” One person wrote, “Never will I ever inject my baby with poisons from big pharma.”
Families have also pointed to a 2023 episode about vitamin K shots by conservative podcaster Candace Owens, who said, “What Big Pharma is saying is that we realize that babies were born wrong. They don’t have enough vitamin K, and so we’re going to give them what they always needed. God designed us wrong.”
Owens did not respond to a request for comment.
Hidden is the agony of parents mourning the loss of their babies. Some are still in denial.
ProPublica spoke with five of those families, but none of them wanted to be identified publicly.
The obituaries, social media posts and GoFundMe pages capture the utter despair of the families, though none of them reckon with the decision not to get the vitamin K shot.
“No one could’ve prepared us for the heartbreak we faced 6 weeks after our little miracle was born,” one mother wrote. “She had a spontaneous unexplained brain bleed that led to brain death.”
“We miss his sweet smell,” another family wrote.
A third family, who made their decision after reading about vitamin K on social media and talking with their midwife, dismissed the vitamin K shot altogether. Instead, the father expressed outrage at the hospital for not delaying the clamping of the umbilical cord. He said he believed doing so would have allowed his son to be infused with vitamin K from the cord blood, a popular theory on social media. Research, however, shows that while delayed cord clamping can raise the baby’s hemoglobin levels, it does not have the same effect on vitamin K.
“I figured the hospital was already pissy with me because we didn’t vaccinate at all,” he told ProPublica. “They lost out on all the money from that.”
The family’s anger has subsided some since the baby’s death, in part because of their trust in God’s plan.
“I can sit here and be upset and sad, but this brought me closer to God,” the father said. “I just can’t wait to be with him.”
Two of the families who went on to have other children found themselves facing the same decision: Would they decline the vitamin K shot again? Both got the shot for their newborn.
Autopsy reports reviewed by ProPublica, like these two from children in Minnesota and Arizona, have notes from coroners citing vitamin K deficiency as a cause of death.Obtained and redacted for privacy by ProPublica
Morad watched as the number of families declining vitamin K climbed over the last year.
In January, she reached out to Sidonio, her former colleague who first recognized the 2013 cluster of cases there, for advice. Sidonio, now a pediatric hematologist oncologist at Children’s Healthcare of Atlanta and professor at Emory University School of Medicine, said he’s more worried than ever.
During that cluster, Sidonio recognized the need to collect data on how often parents decline the shot and what happens to those babies. But in discussions with the CDC, he said, he was told that it would be too difficult.
More than a decade later, nothing has come of it. In a recent email to ProPublica, federal officials said vitamin K deficiency bleeding has never been submitted for consideration as a notifiable condition.
“If you don’t track it, you don’t document it,” said Sidonio, frustration building in his voice. “They have to make it a reportable health condition, just like a new measles case. That’s the only way it’s going to change.”
Like him, Dr. Kristan Scott, the lead author of the national study that found a jump in the number of babies not receiving vitamin K, also landed on a need for a robust system to monitor vitamin K refusals and any subsequent consequences.
“We don’t have a clean data repository provided by public health systems or the state that would allow us to be able to track this in a more systematic fashion,” said Scott, who is a neonatologist at the Children’s Hospital of Philadelphia.
Some doctors failed to recognize the role of vitamin K when a baby came into their emergency rooms, let alone knew how to reverse the damage from the declined shots. Many of them encountered the condition only in medical school textbooks.
Some hospitals have started to run their own numbers, but the effort is scattershot. The data is also usually kept in house, so there’s not a wider knowledge of the problem. Recognizing the urgency of the matter, officials at a handful of hospitals agreed to share their data with ProPublica.
Doctors at St. Louis-based Mercy, which runs birthing hospitals in Missouri, Kansas, Oklahoma and Arkansas, began noticing an uptick in families turning down the vitamin K shot during the pandemic. Last year, 1,552 babies across all Mercy hospitals didn’t get the injection. In 2021, that number was 536.
And at Idaho’s largest hospital system, the refusal rates have gone up every year since the start of the pandemic, and in some cases have more than doubled. In 2020, 3.8% of families across St. Luke’s Health System declined the vitamin K shot for their babies. In 2025, that figure jumped to 9.8%. One hospital even reached 20% of babies not getting vitamin K shots.
At least two babies treated at St. Luke’s died within the last year from complications related to vitamin K deficiency bleeding, hospital officials confirmed. But Dr. Tom Patterson, a pediatrician who treats newborns at some St. Luke’s hospitals and is among the most vocal in warning about the climbing refusal rates, suspects there may be more.
Patterson recently pleaded with a family to allow their baby to get the shot. The father refused and shocked the doctor by going even further. He approached the nurses to complain about Patterson pushing the matter.
How We Reported This Story
As part of our reporting, ProPublica contacted 55 hospitals and birthing centers around the U.S.; interviewed more than 30 doctors; and filed nearly 90 public records requests with state and local health departments, medical examiners and other agencies. ProPublica also analyzed data from the Centers for Disease Control and Prevention and examined hundreds of pages of medical and autopsy records.
Explanation: These people are not in danger. What is coming down from the left is just the Moon, far in the distance. Luna appears so large here because she is being photographed through a telescopic lens. What is moving is mostly the Earth, whose spin causes the Moon to slowly disappear behind Mount Teide, a volcano in the Canary Islands of Spain off the northwest coast of Africa. The people pictured are 16 kilometers away and many are facing the camera because they are watching the Sun rise behind the photographer. It is not a coincidence that a full moon sets just when the Sun rises because the Sun is always on the opposite side of the sky from a full moon. The featured video was made in 2018 during a full Milk Moon. The video is not time-lapse — this was really how fast the Moon was setting.
Trump is a godless conman who knows not one sentence in the Bible, cheated on his wives, fucked a pornstar while his wife was pregnant, grifts and cons brainles rubes and cult members out of money they need with lies and various schemes. https://t.co/MB7mszrpmN
While Americans work a 2nd job so they can afford to get to their 1st job, Trump is focused on ballrooms, & gladiators fighting for his honor. pic.twitter.com/RhpqeYPq3d
Erika Kirk, who runs a white nationalist religious cult, just received an Honorary Doctorate on behalf of her dead racist podcaster husband. I’m fucking speechless. pic.twitter.com/jrZnmmhmYC
Inside Ben Shapiro’s MAGA meltdownThe Daily Wire was once ascendant in right-wing media. Now, the “anti-woke” company faces contentious layoffs, ideological battles and dwindling relevance online.www.washingtonpost.com/technology/2…
But it would have been allowed to celebrate a Christian only private event in the theocratic state of religious Texas. Hugs
A planned celebration of an important Muslim holiday at a Grand Prairie water park has been canceled after backlash from Texas Governor Greg Abbott over religious discrimination.
Scottie's Playtime 
