This story appeared in Today, Explained, a daily newsletter that helps you understand the most compelling news and stories of the day. Subscribe here.

Flu season is starting earlier than usual this year, which I know from reviewing federal data. But I also know it because I woke up with body aches and chills last night, mere days before I’d planned to get my flu vaccination (!).

Already, some parts of the country are seeing levels of flu activity typically associated with late fall or early winter. In Washington state, for instance, doctors are reporting seeing as much flu now as they usually would around Christmas. 

Flu activity overall is still low, to be clear. But as of October 7, infections were rising in all 50 states. And flu is spreading before many people — like, say, me — have received their annual vaccine.

Epidemiologists don’t yet know why the flu arrived early this year, or why cases first started rising in Western states like Washington, California, and Nevada. It’s possible that a mutation is helping this year’s flu variants evade existing immunity, one virologist told NPR. International travel could play a role, too: Flu cases also spiked early in Japan and other parts of Asia.

We don’t need to know why the flu arrived early to take some basic precautions, though. So today, we’re talking through some practical tips for coping with an early flu season.

Go a little deeper

An early flu season doesn’t necessarily mean a worse season — but even a moderate season can do serious damage. Last year, influenza sent hundreds of thousands of people to the hospital and caused tens of thousands of deaths, including almost 200 among children.

The first and best way to avoid those kinds of harms is by getting the flu shot, which reduces the risk of serious illness by an average of 40 to 60 percent. In the US, people aged 6 months and older are typically told to get the vaccine by October’s end. 

In light of the early onset, however (it takes two weeks to build up full immunity), you might instead want to get your shot ASAP.

There are some everyday precautions you can take, too — many of them familiar from the Covid-19 era. Wash your hands thoroughly with soap and warm water, for slightly longer than feels appropriate. Mask when you’re sick or might encounter someone else who is. 

And don’t neglect the good habits that support your overall health: getting enough sleep, drinking a lot of water, and eating a balanced diet. (There’s very little evidence for trendier interventions, like supplements, saunas, cold plunges, or the infused herbal baths that my kooky former yoga teacher used to recommend.) 

If you do get flu symptoms, reach out to your doctor early — especially if you’re older, pregnant, immunocompromised, or otherwise at higher risk for complications. Prescription antiviral medications, like Tamiflu, prevent the flu virus from spreading inside your body so that your immune system can clear it. But they work best within 48 hours of symptom onset. 

To be clear, you needn’t take my word on any of this; I’m just another voice in the public health cacophony! Besides, recent polling suggests that my particular voice — that is, the voice of someone who works in media — is not quite as persuasive as it used to be. (Ditto medical websites and government health agencies.)

But if you have doubts or questions about vaccines, there is someone much closer to home you can consult: Ask your doctor (or nurse or pharmacist) about the flu shot’s risks and benefits. They’re best positioned to break the science down and apply it to your health. In hindsight, mine surely would have told me to stop delaying my shot for a more convenient weekend.

One link for later

➨ Get creative in the fight against inflation. The latest inflation numbers are out today, and they are pretty bad. The cost of many goods and services is rising more quickly than both consumers’ incomes and economists’ expectations. For me, this news brought to mind a question that Vox’s former personal finance columnist tackled a few years ago: Namely, am I cursed to keep spending more money on more things forever?! Her answer was essentially “yes,” but she offered a few ways to help offset those costs: things like moving to a cheaper area or pooling resources via initiatives like tool libraries and community gardens. 

Before you go…

• Did you know…that Colombia is home to almost 20 percent of all the avian species on Earth? That’s the most of any country, at nearly 2,000 birds.
• Today’s trivia: Which percussion instrument is famously played by Mississippi State University fans at home football games? (You can find this and other brain puzzles in Vox’s daily crossword. Look for the answer in tomorrow’s edition.)
• Yesterday’s trivia: We asked you for the name of the 2025 Pixar film set in the “Communiverse.” That would be Elio, a movie you may well never have heard of: It had the worst opening weekend of any Pixar film, ever.

For some couples, surrogacy is a miracle: an opportunity to have a child even if they’re unable to conceive one naturally. But it’s also big business. Not only is surrogacy expensive — think six figures — but it’s also largely unregulated. And that last part is becoming a bigger problem. 

Just last week, a California couple was arrested on child abuse charges after it was revealed that they had over 20 children from different surrogate mothers living in a large mansion in Arcadia, a city near Los Angeles. Many of the surrogates are currently fighting for custody through the courts of the children they carried.

The Arcadia case, however, is only the most recent example of how surrogacy can go wrong. Every case is different, but every one illuminates how opaque — and often ripe for abuse or legal issues — the American surrogacy industry is. 

Emi Nietfeld is a reporter at Washington Sun who writes about surrogacy, IVF, and how we build families. She spoke with Today, Explained co-host Noel King about what’s kept lawmakers from regulating the surrogacy industry, the recent high-profile cases bringing these problems to light, and why more regulation doesn’t necessarily offer a straightforward fix. 

Below is an excerpt of their conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify. 

The United States does not regulate the surrogacy industry seemingly at all. What is going on? Why not?

The lack of federal regulation is both political and financial. Politically, this goes all the way back to the start of IVF. Anti-abortion Republicans were not comfortable with the idea of creating and destroying embryos during IVF, and so they fought against efforts to regulate it. 

People on the left were worried that limiting what kinds of technology you could access would lead to the government controlling who could have families. You still see these arguments today. People who think that IVF is murder don’t want to have any surrogacy. And people on the left don’t want the government saying who can and cannot have a family.

One of the issues raised by the New Yorker story is that there are surrogacy agencies that connect parents and potential surrogates. And it makes you wonder who gets to do that? Who can own and operate a surrogacy agency in the US today?

Anyone.

Oh. Oh no.

Only one state, New York, requires a special license. And everywhere else it’s easier to open an agency than a hot dog stand or a nail salon. This has resulted in the rise of so-called pop-up agencies where businesses come onto the scene, and nobody really knows who owns them or who’s running them. That has led to many people who aren’t experienced, who sign up with these agencies, then feeling like they weren’t prepared or that they were deceived in entering the agreement.

Have we ever tried in the past to regulate this better? Have there been efforts made?

In the 1980s, there was the case of Baby M. That was called traditional surrogacy where Mary Beth Whitehead was the surrogate, but it was also her egg. So the child she delivered was genetically related to her. After she gave birth, she changed her mind. She kidnapped the child, went on the run for several months, and it was a national crisis where this was all over the news. 

Ultimately, a judge in New Jersey ruled that the surrogacy arrangement was unenforceable. Commercial surrogacy arrangements became illegal in New Jersey, and they stayed illegal in New York until 2020.

Part of why regulation looks the way it does is because in 1995, Congress passed a piece of legislation saying that there would be no federal funding for embryo research, which means no federal funding for IVF. That left all of the research, development, innovation up to the free market. And so while that could be seen as an attempt to regulate IVF, it actually meant that those things would no longer be under the government’s purview.

In the US, we’ve seen over the past few years some really high-profile cases that are making lawmakers reckon with the fact that we do not have laws around this. Tell me about some of those cases.

There’s the Mark surrogacy case in California, which is both a really unique case and also illustrates some of the fears around Chinese intended parents coming to the United States to have their kids. This is part of larger geopolitical tensions between the US and China, which are playing out in the surrogacy industry.

There’s the case of Xu Bo, the Chinese video gaming billionaire who is rumored to have more than 100 children via surrogacy in America. His story taps into fears of birth tourism and people from other countries, especially China, coming to the United States to do surrogacy so that their kids are American citizens. 

Republican lawmakers are talking a lot about the idea that people could come from enemy countries, have American citizens, and raise them with the intent that they might one day become spies or president of the United States and be double actors.

In Texas, there’s the case of McKenna West, where she learned at 20 weeks’ gestation that the baby was very sick. The intended parents asked her to get an abortion. She refused to do so. McKenna went to Texas and began fighting for custody to keep the baby while the parents objected. They wanted the baby, and she petitioned the Supreme Court, which declined to hear the case. 

And finally, there’s the case of Kyla Simpson in Florida, whom I wrote about for New York Magazine, and she gave birth for a single dad in China who wasn’t there for the birth. He hadn’t applied for a visa to come to the United States, and when he did apply, he was rejected. Kyla Simpson tried to adopt the kids and is now fighting for custody in a case that’s still working its way through the Florida courts.

These examples are extraordinary, and they point to just chaos. But how common are they? Are they outliers? Is this going on all the time?

Most of the time things go right. In the academic papers around surrogacy, surrogates are usually happy with their experience. Attorneys and surrogates tell me that it’s absolutely beautiful to hand people the baby that they’ve been working hard for. The issue is that when things do go wrong, there’s often not a lot of recourse or there’s a really big legal mess that parents and surrogates have to go through.

I wonder if there is a case against more regulation. As disastrous as some of these examples are, you said that most of the time, it does go right. And it seems like we could get into tricky territory if we start saying who can and can’t have a kid.

Surrogacy is already really time-consuming. It often takes several years, and it’s expensive, usually costing between $150,000 to $250,000 for a single pregnancy. Regulation tends to make things more expensive and take longer. A lot of people fear that if you introduce more requirements and more burdens, surrogacy will become even more out of reach to people. 

There’s also the fear of government overreach. If you ask the government how many kids a gay couple should have, the answer might be zero. And that libertarian streak is driving a lot of opposition to things that most people might consider common sense. 

For example, there’s a lot of talk around whether intended parents should go through background checks before they have kids via surrogacy. Right now, no state in America requires intended parents to go through a criminal background check before having a kid. Critics of regulation say heteros don’t need a background check to have sex in the back of a car and make a baby the old-fashioned way, so it’s unfair to require that from people who need to do surrogacy to have a family. 

Most people can agree that surrogacy could be better regulated, but like many things in our country, it’s almost impossible right now because of politics.

This story appeared in Today, Explained, a daily newsletter that helps you understand the most compelling news and stories of the day. Subscribe here.

When life gives you lemons, make it rain. Or…something like that! On Tuesday morning, Minnesota Rep. Ilhan Omar launched a fundraising drive in response to the Trump administration’s unusual predawn raid of her Washington, DC, residence.

The raid, which went down Monday, is reportedly part of a criminal investigation into Omar’s immigration history. The Democratic Congress member was born in Somalia and came to the US as a child, becoming a naturalized citizen in 2000 at age 17.

Omar has since become one of the most prominent progressive voices in Congress and a regular thorn in the side of President Donald Trump, who on Monday called her “terrible” and “totally crooked.” Vice President JD Vance has similarly claimed, without evidence, that Omar “committed immigration fraud.” On Monday, the New York Post reported that the investigation may have sprung from mistakes Omar’s late father made while filling out her citizenship application roughly 30 years ago. 

Needless to say, decades-old citizenship paperwork is not the kind of threat to public safety that typically commands the resources of the Department of Homeland Security’s investigations branch. (That same branch is charged with investigating transnational gangs and terrorists.)

And the raid is unusual for another reason, too: By longstanding practice, the Justice Department avoids taking any public steps in investigations involving political candidates within 60 days of an election. The midterms are just three weeks from now. 

This investigation is unlikely to affect Omar in the midterms, however. In the words of her longshot Republican challenger, John Nagel, Minnesota’s Fifth District is among “the ‘bluest’…in the country.” The raid may have even galvanized Omar’s supporters, dozens of whom rallied at a Minneapolis park on Monday afternoon. Some held banners that read “we stand with Ilhan.” Another sign read, simply, “see you at the polls.”

Go a little deeper

Omar now belongs to an unenviable and surprisingly populous club: political opponents of Trump whom his administration has threatened with criminal indictments and investigations. 

I initially planned to list them out for you here, but then realized that list would be perilously long. By my back-of-the-envelope count, there are at least 30 Democratic politicians, public officials, and Trump-world defectors who have been accused of, investigated for, or charged with crimes during the second Trump administration. 

It’s easy to forget the scale of that campaign, however, because many of these efforts have (thus far!) stalled out or collapsed. In several cases, the administration opened much-publicized and thinly supported investigations that have yet to yield charges. (See, for instance, the criminal probe into writer E. Jean Carroll or former New York Gov. Andrew Cuomo.) 

In at least two cases — that of then-Federal Reserve chair Jerome Powell and several Minnesota officials — federal judges tossed out subpoenas for lack of evidence. And in one high-profile instance earlier this year, a grand jury refused to indict six Democratic members of Congress who released a video reminding soldiers to refuse illegal orders. The legal bar for issuing such an indictment is actually pretty low — which makes this grand jury’s refusal a telling rebuke of the administration. 

But these judicial setbacks aren’t exactly reason for optimism. The federal court system is becoming increasingly partisan, and as long as Republicans hold the Senate, they’ll be able to stack it with ever-more conservative and deferential judges. And several of the most partisan judges already on the bench are “openly auditioning” for Supreme Court slots, as my colleague Ian Millhiser recently put it. 

In other words, in the not-so-distant future, the court system may provide a weaker check on presidential overreach. And that’s bad news not only for the Ilhan Omars of the world…but also for American democracy. 

One link for later

➨ Turn off your sleep tracker. If your sleep hygiene and underlying health are both good, but you still struggle to catch enough ZZs, then you might actually want to tone down your quest for better sleep. “What you see in people with insomnia is that they’re trying too hard,” one sleep scientist told Vox. Analyzing your sleep scores and timing your naps can create anxiety that further fuels insomnia. 

Before you go…

• Did you know…that Coke, Pepsi, and Dr. Pepper were all invented by 19th-century pharmacists? At the time, it was widely believed that carbonated water could cure illnesses. And sugary syrups made said water vastly more delicious. 
• Today’s trivia: What’s the name of the 2025 Pixar film set in the “Communiverse”? (You can find this and other brain puzzles in Vox’s daily crossword. Look for the answer in tomorrow’s edition.)
• Yesterday’s trivia: Last week we asked you for the three-letter successor of tube TVs. That would be LCD, which stands for liquid crystal display.