The Israeli prime minister, in his address to the U.N. General Assembly, called Mamdani "the antisemitic mayor of New York."

The AI freakout of the past few weeks has centered on nothing less than the risk of human extinction — on the possibility that artificial intelligence could wipe us all out. But the reality is, AI programs are already having a direct and sinister effect on people’s physical health: UnitedHealth Group, the largest health insurer in the US, has been accused of using AI programs to deny payments to people, despite their doctors saying the care was necessary, and is facing a class-action lawsuit. 

Humana and Cigna are facing their own litigation over similar allegations. Meanwhile, Medicare has launched its own AI tool that will help the government determine whether to approve prior authorizations, and doctors are sending the federal government reports of patients at their offices who are in tears because they can’t get the medicine to manage their chronic pain.   

The claims in the legal complaints are harrowing: Families are desperate for an elderly loved one who recently experienced a serious fall to be allowed to stay in a nursing home. Doctors are flummoxed when a patient who may need months of rehab is cut off by an algorithm after a couple of weeks. 

This is AI’s threat to people’s health right now. 

While the current conversation may be fixated on something more Hollywood, private insurers and the Trump administration are already deploying AI programs to vet people’s health insurance claims — and the evidence is growing that these programs are not always doing a good job and are instead putting people’s health at risk. Until these lawsuits are settled or policymakers can figure out a way to regulate how insurers use this new technology, it will be up to each of us to make sure that an AI program isn’t being used to cheat us out of insurance benefits that we’re entitled to.

“The type of care that clinicians deliver is very sensitive to the patient’s unique circumstances. That may not really show up as a number. There’s not a numeric value that tells you the completeness and connection of a patient’s social network,” said Mika Hamer, a health services researcher at the University of Maryland. “There really are a lot of factors that really can’t be quantified and so aren’t really suitable to go into these models. If we start to rely exclusively on the models, I think we run the risk of losing that human touch.”

Patients say private health insurers are using AI to deny claims

Insurers and patients fighting over medical claims is nothing new: Policyholders want the most coverage they can get and payers have a business incentive to pay as little as they can. Health insurers have also used algorithms for decades: Plug in somebody’s age, their weight, whether or not they smoke, and one of the old-fashioned algorithms could spit out a rough estimate of how much medical care they would need before they died. Simple — and comparatively transparent. 

When you submitted a claim or sought prior authorization, there was supposed to be a human doctor who could review all of the relevant information on behalf of the insurer and make the final decision, in theory with the patient’s best interests in mind. It didn’t always work that way in practice, of course, but that was the idea.

What’s different right now, according to Daniel Schwarcz, a law professor at the University of Minnesota who has looked at health insurers’ AI use, is that these newer programs can make very specific predictions about someone’s future health based on the information that’s fed into them, and those predictions are being used in the process of approving or denying medical claims. And exactly what went into making those predictions — and whether it is the AI or the human who ultimately holds the final authority — is often opaque from the outside.

“The reason we want human review is we want human substantive judgment. We want AI to be supporting that,” Schwarcz said. “But the difficulty is distinguishing between AI supporting meaningful human processing and AI basically replacing the human with the human just passively defaulting to the AI judgment. It’s just incredibly hard to distinguish between those two in practice, particularly in rules or regulations.”

And those questions are at the heart of the lawsuits brought against three major insurers in the past few years about their use of AI in processing claims.

In May 2022, Gene Lokken, then 91 years old, fell in his home. He was taken to the nearby hospital in Tomahawk, Wisconsin, and treated for a broken leg and a broken ankle. Less than a week later, he was placed in the health system’s hospice care because, according to the lawsuit filed by his family, he was “very weak, not communicative, and in constant pain.”

But a month later, after receiving skilled nursing care, Lokken started to improve. By late June, his doctor had removed his splint and placed his leg in a removable boot. In July, he started physical therapy to get up and walk again. And for a while, his Medicare Advantage plan sold by UnitedHealth covered all of the services he needed.

Until July 20. Around that time, according to the lawsuit, UnitedHealth denied any more services at the nursing facility where Lokken had been for the past two months. It insisted that he could be safely discharged and more time at the nursing care facility “was not medically necessary.”

The insurer’s decision left Lokken and his physician “dumbfounded.” The physical therapist notes from the time said Lokken was still suffering paralysis and weakness after only a couple weeks of rehab. His family appealed, but UnitedHealth continued to deny the claims, asserting that because Lokken could feed himself and did not require help to clean himself, he did not need nursing care and could go home. 

From July 2022 to July 2023, Lokken remained at the nursing home, but his family had to pay between $12,000 and $14,000 monthly to keep him there. And on July 17, 2023, Lokken died — having never left the facility.

The lawsuit alleges that the decision to stop covering Lokken’s nursing-home stay was largely made by an AI algorithm, called nH Predict, which UnitedHealth follows so unquestioningly that employees were allegedly at risk of being disciplined or fired if their claims decisions went against the AI’s projections. The complaint alleges that the AI model would typically start denying claims after two weeks of nursing home care — and the attorneys have more examples than Lokken.

Glennette Kell required emergency surgery after a fall in late August 2023 and was referred to a nursing home rehab center. By mid-September, UnitedHealth was denying her claims for nursing care, despite the fact that, according to the lawsuit, she still could not walk. Kell had to pay $10,000 of her own money to cover the rest of her bills. Darlene Buckner suffered a heart attack in October 2023 and underwent triple-bypass surgery. She was readmitted to the hospital in late November because she was experiencing complications, but less than two weeks later, UnitedHealth allegedly denied any further treatment at the hospital because it was deemed medically unnecessary. At the time, according to the class-action lawsuit, Buckner was experiencing “an open infected wound near her heart from the open-heart surgery, she was on blood thinners, and was receiving antibiotics through an IV.” 

UnitedHealth, in its responses to the plaintiffs, has asserted that federal laws and regulations already require all claims decisions ultimately be made by a human doctor, not an AI program, and raised several other technical legal objections (such as saying the plaintiffs have not fully exhausted their administrative appeal options). The plaintiffs, however, allege that UnitedHealth employees “are instructed not to deviate” from the AI model’s projections, and then tell patients the AI-generated information is proprietary when they or their doctor try to inquire about why their claims are being denied. 

And, to be clear, UnitedHealth is not the only insurer being sued for using AI programs to deny claims. Humana is facing its own lawsuit brought by other Medicare Advantage patients who allege the same nH Predict program also led to their claims being wrongfully denied. Joanne Barrows, then 86, fell in November 2021 and went to a rehab nursing facility after her hospital stay. And just two weeks later, Humana began denying her claims for further care, according to the complaint, leaving her and her doctor “bewildered” because she was under doctor’s orders not to put any weight on her leg.

And the third lawsuit, filed against Cigna, alleges the company used a different AI algorithm that allowed its doctors to deny claims in huge batches — hundreds or thousands at a time — if they did not meet certain predetermined criteria. One patient, Suzanne Kisting-Leung, had claims denied for two ultrasounds done by her doctor to check for ovarian cancer, putting her on the hook for more than $700 in medical bills because, the lawsuit alleges, Cigna’s AI program determined that the scans were not medically necessary. The plaintiffs say that their claims were instantly rejected, without their medical files ever being opened. As for the law that human doctors have to make the final call? According to the lawsuit, the algorithm “enable[s] its doctors to automatically deny payments in batches of hundreds or thousands at a time for treatments that do not match certain pre-set criteria, thereby evading the legally required individual physician review process.”

These people, many of them elderly, had no idea AI was being used to make decisions about their coverage — until it was too late.

“From their perspective, you might as well have been speaking Esperanto. They just had no idea what it was that was being said to them when they were being told. They usually heard about it for the first time when they were being told that they needed to leave,” Glenn Danas, one of the attorneys in the class-action litigation against United, Humana, and Cigna, told me. “They just had no idea what was going on or why this was being done to them.”

AI is now making decisions for traditional Medicare claims too

It’s not just private insurers either. The Trump administration is now pushing traditional Medicare and Medicaid to use AI to adjudicate insurance claims too. In June 2025, nearly two years after those lawsuits had been filed against Cigna, Humana, and UnitedHealth, the US Department of Health and Human Services announced it would deploy a new program called the WISeR (Wasteful and Inappropriate Service Reduction) model to make prior authorization decisions for about a dozen procedures for the people on traditional Medicare in six states — “leveraging enhanced technologies, such as Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review to ensure timely and appropriate Medicare payment for select items and services.” It would be a pilot program, before federal officials decide whether to take the program nationwide.

It was a quiet, massive change for traditional Medicare, which covers about half of the 66 million Americans on the program. (Medicare Advantage plans, in which private companies administer Medicare benefits under slightly different parameters and which were the subject of the earlier AI-related class-action litigation, cover the rest.) People on traditional Medicare had historically not been required to get prior authorization for most services; now they would be, and a novel AI program would play a significant role in which claims get approved and which ones don’t.

From the start, physician and patient advocates warned about the potentially adverse consequences of the WISeR program; the Center for Medicare Advocacy said the program would likely “complicate, delay and even outright deny necessary care.” According to media reports and internal government documents, that’s exactly what has happened since the model went live in January. 

The Washington Post first reported in March that physicians and their patients were experiencing approval delays or denials for medical services that should have been covered. One glitch led to a denial of payment for services that had been approved. Doctors noticed that certain procedures seemed to give the AI model problems — such as two competing treatments for incontinence — and were weighing whether or not to stop offering one of those services altogether. The Post reported on one Arizona patient who had been receiving steroid injections for chronic back pain before being denied multiple times after the AI program’s launch. The pain became so severe, he said, that he could not exercise at all.

Then this month, the Electronic Frontier Foundation released a trove of documents it received in response to a Freedom of Information Act lawsuit related to the WISeR model. The documents revealed aggressive denials — one company using the AI model had actually denied more prior authorization requests than it had approved — and there were delays even when the care was ultimately approved. One review took 83 days when the model was supposed to make a decision within 72 hours.

The direct feedback from doctors in the federal documents obtained by EFF was devastating.

“We have patients calling our offices crying in pain because their procedures are being delayed while awaiting approvals or guidance tied to this model,” one doctor wrote. “A 3-4 day delay for necessary pain procedures is already difficult for vulnerable patients, but when providers cannot obtain answers for weeks, the situation becomes unacceptable.”

According to the federal documents, the Trump administration was already discussing ways to expand the program. Despite the outcry from doctors and patients, and growing concern among their representatives in Congress, it doesn’t look like WISeR is going away.

How can we make sure AI doesn’t take over insurance claims?

AI is becoming a part of healthcare — it is already happening. And many of those uses could be truly beneficial. Anthropic recently announced an initiative to apply the theoretical findings of its AI models to real-life lab work that could lead to new drugs being developed in the future. In terms of scientific discovery and the potential to translate it into new treatments, the excitement among clinicians about its potential is palpable.

And nobody denies that health insurance administration is chaotic and burdensome and would benefit from being made more efficient and streamlined — tasks which AI is at least superficially well-suited for.

But as the past few years have already shown, rushed and sloppy deployment of AI to take responsibility for approving or denying payment for people’s medical care has created serious problems. The issue is that this technology is being adopted more quickly than any regulator can oversee it. We don’t really know how health insurers are using AI tools. We don’t have a good framework for what keeping a “human in the loop” of insurance decisions — which is what people want — would really mean, Schwarcz said. 

“I think everyone agrees at a high level of generality, ‘Yes, AI should be used to enhance human review and not to replace it,’ but no one actually knows how to write rules to enforce it,” he told me. “I don’t think that there’s anything I’ve seen that has effectively defined what it means for a human to be meaningfully in the loop in the sense of retaining independent judgment as opposed to just reviewing and deferring. It is incredibly hard to specify in rules or regulations a standard that is verifiable and enforceable. That is still, as far as I know, an unsolved problem.”

Some states have started adopting rules requiring transparency for AI use in insurance claims, and lawmakers in Congress have put forward proposals requiring human involvement, including the bipartisan Protecting Patients from Automated Denials Act. But these technologies are so ubiquitous and so flexible that rigorously regulating their use is going to be difficult. Meanwhile, the profit incentive for companies to adopt these tools and deploy them widely is extremely strong. We don’t even know how widespread their use really is.

Danas said he and his clients hoped their litigation would help with “putting the brakes” on AI’s use in insurance. Until we figure out what to do from a policy perspective, what can each of us do in the meantime? Hamer told me that the old advice is still the best advice: If your claim is denied, appeal it. An enormous number of denied claims end up getting overturned on appeal. 

“You do not necessarily have to accept that the first answer from your insurance company is the final determination,” she said.

Macklemore reveals his Free Palestine tour, a week after he was dismissed from Ed Sheeran's tour. The tour currently consists of three stops in Europe but will later include U.S. shows, he said.

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President Donald Trump rolled out the literal red carpet for Chinese President Xi Jinping on Wednesday afternoon, greeting his plane with a military band and a jet flyover at Maryland’s Joint Base Andrews.

It’s a very warm welcome for the man Trump once dubbed his “enemy,” and it reflects a fascinating, dramatic shift in his tone toward China — a country that Americans have also come to view more favorably over the past five years. (More on that about-face in just a minute.) 

Trump and Xi have lots to discuss during this week’s state visit. On Wednesday, the two countries agreed to extend the current pause in their on-again, off-again trade war — but that kicks several pressing issues, like technology restrictions and access to critical minerals, further down the road. 

AI safety advocates are also hoping the two leaders can reach some kind of agreement to slow down or safeguard AI development, following calls from a chorus of American tech executives. 

Several of those execs are expected to attend a state dinner at the White House this evening, though the prospects of any substantive AI accord still seem pretty slim. This is more a sip-sparkling-wine-and-see-the-Archives kind of meeting than a signing-big-deals visit.

Go a little deeper

Trump isn’t the only one reassessing China these days. A trio of recent polls found that Americans also feel markedly more positive about China than they did five years ago, with the largest gains among young people. On average, American sentiment toward China is about the same today as it was 10 years ago — before Trump launched his first trade war.

What changed Americans’ minds about China? There is undoubtedly no one cause. It probably helps that Trump himself has changed his tune, no longer portraying the relationship between the US and China as an existential rivalry between so-called great powers. 

Americans’ views on China have also recovered steadily since the Covid-19 pandemic, as memories of that period fade into the rearview. And foreign-policy issues — like, say, the status of Taiwan — generally aren’t top of mind for the average American voter.

But there’s also a cultural component here, particularly for young Americans. “Younger Americans are less wedded to notions of American primacy and more comfortable with coexistence,” Ryan Hass, a China scholar at the Brookings Institute, posted on X. 

Many young Americans have, in fact, grown up embracing aspects of Chinese culture, from TikTok to Labubu. And there’s a pervasive sense, in some corners, that Western-style capitalism hasn’t precisely delivered the goods. 

But let’s not kid ourselves here — China has plenty of problems, too. Like an economic slowdown, a mounting demographic crisis, and a culture of widespread political repression, to name just a few. For now, at least, an increasingly hostile US isn’t one of them.

One link for later

➨ Go ahead: Eat the wheat gluten. Health SecretaryRobert F. Kennedy Jr. (and many, many others) have warned against the dangers of so-called ultra-processed foods. But the buzzy label lumps some nutritious items, like whole-grain bread and plant-based meats, with the likes of Twinkies and Oreos. To gauge if something’s actually healthy, check its nutrition label. And likewise, don’t make the mistake of assuming a food’s good for you just because it claims to be minimally processed. 

Before you go…

• Did you know…that Joseph Smith, the founder of the Mormon church, was an outspoken abolitionist? During a long-shot presidential run, he proposed buying the freedom of every enslaved person in America and abolishing the country’s prisons.
• Today’s trivia: What’s the word for the lowest female singing voice? Hint: It’s an adjective also used in the names of several instruments. (You can find this and other brain puzzles in Vox’s daily crossword. Look for the answer in tomorrow’s edition.)
• Yesterday’s trivia: Yesterday we asked you for the stage name of the American rapper Adam Yauch. That would be MCA, a founding member of the Beastie Boys and an outspoken advocate for Tibetan independence. 

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There is a kind of terror-tinged embarrassment that comes from dozing off on your beach towel on the sand, only to find a rising tide intrude upon your mid-nap bliss, lapping at your toes and sweeping away your sunglasses.

It is a truth I relearn every June, one that arrives like the season’s first sunburn: The ocean is inevitable, and Poseidon always reclaims his own. Actor Nicolas Cage learned a far more serious — or more expensive, certainly — version of that lesson earlier this month, when a furious high surf siphoned the ground beneath his Malibu, California, mansion, collapsing his driveway and front porch into a gigantic 30-foot-by-30-foot sinkhole. The cave-in ruptured a gas main, swallowed an access road, and forced dozens of locals to evacuate. In the process, it put into stark, cinematic relief the unyielding threat of coastal erosion in every community in the nation with a view of the sea.

It’s impossible not to imagine Cage standing on the edge of that yawning pit as he might in one of his films, bombastic in his bafflement, every outsize gesture a pantomime of confusion. But no one should have been surprised. As far back as 1976, the California Coastal Commission denied a proposal to build a home on the lot where Cage’s Malibu home now teeters over the void, citing “concerns over wave hazards.” In 1986, the same commission rejected another residential proposal on the land, deeming it an “extremely hazardous area” threatened by waves and erosion. 

So why, just a few years later, was a home built there anyway, one that would eventually come to be owned by a certain Hollywood eccentric? A few years after their initial rejections, the waterfront lot’s original owners were able to convince the commission that with enough clever engineering, including a sea wall and concrete stilts, the home, its septic system, driveway, and access road could be protected from the sea god’s wrath. But much like Odysseus before him, Cage has found the hard way that the lord of waves does not easily forget his due. “What is the Grail but Earth itself?” he once told the New York Times, characteristically mythologizing his real estate acquisitions. “The divine object is Earth.”

In this case, at least, Cage chose the wrong cup. But Cage is hardly alone in laying out his home atop the wrong stretch of sand. Nearly all of the nation’s coastal communities — from ritzy enclaves like Malibu to working-class quarters of the Rockaways in New York — rely on coastal engineering to remain inhabitable, dumping sand or erecting sea walls to put off a perpetually and increasingly rising tide. 

To put this into perspective, almost one-third of Americans live along a coastline, and while few of us have the kind of luxury oceanfront views that Cage and his neighbors enjoy, our beachside apartment complexes, utility lines, and coastal highways suffer from the same risks his driveway does. Most of us, however, lack the benefit of a second home or a private island to flee to if something goes catastrophically wrong. 

When a sinkhole opens underneath a celebrity’s driveway, or a stilted home collapses into the sea, it is a reminder that we have built huge swaths of our beloved coastal communities on land that was never meant to sit still. If we want them to survive, we will need to learn to embrace new ways of packing our beach towns up and wheeling them further upshore. Logistically implausible as it may sound — difficult as, say, stealing the Declaration of Independence — it’s a process that several American communities have become much better at in recent years. 

“This is not a problem that is unique to Malibu, which just so happens to be some of the most spectacularly beautiful and spectacularly expensive real estate in America,” said Kara Murphy Schlichting, an environmental historian at Queens College in NYC. “This is a question that is coming for all of America’s coastal communities.”

Say it ain’t sinkhole

The void that swallowed Cage’s driveway with the gusto of the actor chewing scenery in one of his films was no ordinary sinkhole. In fact, if you asked a geologist, they would tell you that it was not, technically speaking, a true sinkhole at all. 

“It’s not what I typically would consider a sinkhole,” Michael Sukop, a hydrogeology professor at Florida International University, told me. That’s because most sinkholes form when rainwater or a leaky pipe slowly seeps into the porous bedrock beneath our highways, homes, and soccer fields, creating a cavern that screeches open during a heavy downpour or when the infrastructure above it becomes too heavy to bear. 

There is no accurate accounting of every sinkhole in the US, but geologists widely believe that they have become more frequent globally, driven by extreme weather linked to climate change, aging infrastructure, and what Sukop calls “people moving into sinkhole country,” meaning places like Florida where the bedrock is highly soluble. Some of the worst places for sinkholes in the country are in landlocked states like Missouri, whose unique landscape boasts upward of 16,000 sinkholes, which often open after heavy rainfall.   

But Cage’s sinkhole was formed not from hidden cavities in the bedrock, but from a high surf strong enough to slip under his sea wall and wash away the soggy soil beneath his asphalt and, presumably, his Rolls-Royce Phantoms. It was spurred not by rainfall or a leaky pipe but by a tidal force akin to the one that can put a damper on — or literally dampen, anyway — a beach spot that seemed perfectly sandy when the surf was low. 

@accuweather

A homeowner on North Carolina’s Outer Banks paid to move their beachfront home away from the shore to prevent it from collapsing into the ocean, as several neighboring homes have.

♬ original sound – AccuWeather

But while I can learn to lug my sodden towel and cooler a little further upshore, the same cannot easily be said for Cage’s $10.5 million abode, built — like much of Malibu — atop a constantly shifting coastline. Which isn’t to say that it wouldn’t be a good idea to try.

“It’s a fiction that we can keep a coast in a single place,” said Schlichting. And it is a fiction upheld by hundreds of millions of dollars spent each year on temporary solutions meant to hold the ocean still, and protect the luxury homes and boardwalks we’ve built along it. 

The pristine, sandy beaches that most of us think of when we think of the word “beach” are often heavily manufactured for our pleasure, much like an urban park might be seeded with carefully cultivated trees and brush. In fact, the federal government spends hundreds of millions of dollars each year to dump sand atop eroded coastlines, a process known as beach renourishment, in addition to many more billions spent on sea walls and other structures that can keep a coastline in place for a little while. 

“The most endangered species on the coast is not a turtle or a piping plover; it’s an unengineered beach,” said Robert Young, director of the Program for the Study of Developed Shorelines, who has been tracking beach renourishment projects since the 1980s. “And it’s unsustainable because as sea level continues to rise, we are having to pump that sand more and more frequently.”

How to save coastal neighborhoods

Earlier this year, Malibu released a long-awaited Coastal Vulnerability Assessment that twice called out the acute dangers that erosion poses for Sea Level Drive, a small stretch of private road, upon which a gaping crater now sits where Nicolas Cage’s driveway used to be. As this year’s goliath El Niño gets into full swing, his misfortune is unlikely to be the city’s last. 

Already, the spectacular seafront Pacific Coast Highway faces a gauntlet of exigencies, among them landslides, wildfires, and, of course, a coastline that simply won’t sit still, creeping further and further inland each year. Just this weekend, officials in Malibu issued a warning about hazardous conditions at local beaches, with “severe beach erosion” exposing steel and concrete debris sticking across the coastline.  

“Nature itself does not destroy the coast. It moves the coast,” said Young, but if infrastructure like the Pacific Coast Highway lies in the way of that movement, then there is only so much that building a sea wall or dumping 300,000 cubic yards of sand every five years will do. “No matter where you are, whether you are in California or South Carolina or New Jersey, we are still building in dumb places.”

Much like laying a log in front of your beach towel won’t hold the tide back for very long, these measures are often only a temporary balm. But there is another way, one that involves moving the proverbial towel — or permanent infrastructure — away from the shore, a process known as managed retreat.

As implausible as it may sound, when you take into account just how much money has gone into keeping the coast still, lugging a few celebrity mansions, a beachside school, or a sliver of highway across town might be a Herculean labor worth attempting. 

“It’s totally doable,” said Young. “We can move just about everything.” On the coast of North Carolina, the Cape Hatteras Lighthouse, one of the tallest brick lighthouses in the world, was moved in 1999, a feat that Young helped pull off. At the time, he said, locals  “wanted to shoot us over” the effort, sure that the centuries-old structure would fall down. “And you know what? It’s safe now,” he said, noting that just down the beach in Buxton and in nearby Rodanthe, dozens of homes have collapsed into the ocean since 2020.

But even in places where such coastal relocations were once commonplace, it’s still not an easy sell for most coastal policymakers and their constituents, especially in places like Malibu, whose density and geography make it all but impossible to move things nearby. But sooner or later, they might not have a choice. 

“I can’t tell you how many coastal elected officials have said to me, ‘Rob, you know, retreat is not an option from this place.’ And I’m like, well, actually, you are retreating here, here, here, and here,” Young told me. “It’s just you’re doing it in the worst way possible. You’ve got septic tanks rolling around in the sea. That is not a great Chamber of Commerce moment.”

Waymo introduced its transit rewards program in the Bay Area this week, which gives riders credit for future rides when they connect their Waymo trip to public buses and trains.

© Allen J. Schaben/Los Angeles Times

Welcome to The Midterms, Actually. Every week I’ll be writing about two things: one big idea or trend I see forming across the 2026 primaries, and one thing I’m hearing from a voice on the ground. Let’s get into it. You can sign up here to get it in your inbox every week. Let’s get into it.

One big idea: Latinos didn’t come home. They’re just in motion.

In the last presidential election, President Donald Trump’s strong support with Latino voters ended up one of the biggest stories of the night. After years of Democrats telling themselves that the growing number of Hispanic Americans would help lead to a permanent liberal majority, their dreams were first dashed in 2016 (when many of those voters stayed home) and then buried in 2024 (when they, and other nonwhite voters, swung toward Trump).

But just as Democrats have at times been too confident that minority voters would fall in line, it now seems Republicans have replicated their mistake. Poll after poll shows a historic reversal among Latino voters in Trump’s second term, and these days even Republican members of Congress are beginning to call Trump out on his deportation efforts. 

Why? It comes back to the numbers.

As Nate Cohn observed in the New York Times this week, Democrats now lead Republicans among Hispanic likely voters by 35 percentage points on the generic congressional ballot, 64-29 — a 28-point swing from 2024, when Kamala Harris carried Hispanic voters by just 7 points. The shift is a big reason the polling has Democrats in “blue wave” territory this November.

Last week on America, Actually I explored this shift in detail — by talking to Stephanie Valencia, co-founder and president of Equis, the research firm that has spent a decade digging into the Latino electorate. And the first thing she wanted us all to know: Get rid of the idea that Latinos will ever be permanently Democratic or permanently Republican. Part of the electoral power is that a larger section of the electorate defines itself more independently.

“Latinos often get given the title, the sleeping giant, which I just want to rid that out of everybody’s vocabulary. We should be called the swinging giant based on how much shift we have seen election to election. A third of Latinos consider themselves kind of independent or apolitical nonpartisan, and that’s that swinging middle that really is deciding every single election.”

Here are three more trends Valencia pointed out, which help explain why this all-important voting group has done such a drastic 180 on Trump in his second term.

1. It’s the economy (again)

As with all things in Trump’s second term, it starts with the fundamental problem of his second term: He has not delivered on lower prices. Equis found that Trump’s net approval with Latinos on cost of living sits at -52 — and his number on the economy (-45) is worse than his overall approval with the group (-31). Both are dramatically worse than where he sits with non-Latinos, who put him at -39 on cost of living and -25 on the economy. Among Latino men 18 to 39, cost of living hits a stunning -63.

Here’s what Valencia said:

“Latinos make up more of the wage workforce than any other racial subgroup. And so what that means is when wages are down and inflation is high, Latinos feel it more. We have less savings. We have less rates of home ownership. So the kind of safety nets that other people might have, we just don’t have.”

She also pointed this out:

“In Trump 1.0, his approval on the economy and the cost of living was actually better than his everyday approval… And he has been underwater with Latinos almost this entire term so far on the cost of living and the economy. It’s almost been a complete and total reversal.”

One of the arguments Trump made to Hispanic communities (and other groups also) was that he’d economically empower them, and that this was more important than prioritizing social causes that didn’t have a material benefit. That’s also been his fundamental flaw. From tariffs to rising gas prices, he has not only not delivered — people also feel worse off than before.

2. The immigration backlash

Valencia’s data was undeniable: More and more Latinos turned on Trump as he broadened his deportation efforts, which were broadly unpopular. But what I didn’t understand is why it took until Trump’s second term for people to realize those threats were legitimate, considering they were so front and center during his campaign. (They held up “Mass Deportation Now!” signs at the Republican National Convention!)

Here’s what Valencia said:

“I think this is really important for us as avid news consumers to understand what it is that the average voter, and especially that voter who’s coming in and out of elections, the kind of news they’re consuming. What they were seeing on mainstream media, perhaps even Fox News at the time, was a focus on Trump surrogates who said he’s gonna focus on serious criminals, securing the border, and violent criminals. And so that’s what people bought.”

“Fast-forward to 2026, the people who feel most regretful who voted for Trump in 2024 are most regretful because of immigration. They feel like there was a broken promise there. Like, they were told he was gonna focus on the border, which everybody agreed was chaos, and he was gonna focus on violent criminals and serious threats, and at the end of the day, he has not complied with that.”

There’s also an element of disbelief. When Trump said he would deport “bad people,” a lot of people thought he was only talking about people in other communities — or immigrants with criminal legal histories — not the more far-reaching immigration sweeps we’ve seen since he’s been in office. A striking ad from Rep. María Elvira Salazar (R-FL) this week where she directly criticizes Trump’s immigration policy explicitly made this distinction. 

The Equis numbers track that shift almost perfectly. In December 2024, 65 percent of Latino Trump voters believed he would target only criminals and recent arrivals. Today, 62 percent of Latinos overall say he’s going after undocumented immigrants broadly — and among his own Latino voters, the share who say that has jumped from 26 percent to 37 percent. That perception is the whole ballgame: Latino Trump voters who still believe he’s targeting only criminals give him +84 net approval. Among those who’ve concluded he’s targeting everyone, it collapses to +31.

The backlash isn’t about the border. It’s about what’s happening in the interior — the raids, the family separations, the citizens and legal residents swept up. 

Equis finds 68 percent of Latinos say Republicans promised to deport criminals and deported hardworking people instead — and 67 percent say Democrats promise immigration reform and never deliver. Forty-two percent say both parties broke their promises.

“I think it is a huge mistake for Democrats to assume or to rest on their laurels and think that because of what people are feeling around Trump and Republicans and the sense of disappointment and broken promises, that that is automatically going to translate to them as a party and as a brand. Right now, the Democratic brand has suffered a repeated set of blows among Latino voters. 20 years of comprehensive immigration reform that hasn’t been delivered. It’s a thing that comes up in almost every focus group.”

3. Meeting voters where they are

The third trend isn’t about persuasion at all. It’s about the fact that a lot of campaigns are still bad at the mechanics of reaching this electorate — and Valencia’s examples were almost comically basic.

Their testing found that more than 70 percent of Latinos who see an ad in Spanish come away thinking that candidate or party cares more about Latinos. That’s not a persuasion effect. That’s a respect effect, and it’s enormous for the price of one ad buy.

So how do campaigns blow it? Some examples, according to Valencia: translating English ads directly into Spanish, rather than tailoring them to the language and culture; and assuming English speakers and Spanish speakers are separate categories when voters often shift between media in both languages. 

The deeper error is the monolith problem — the group is still treated as a voting bloc that moves in unison, rather than a diverse set of people from varying countries of origin and contexts. And the fastest-moving division isn’t the country of origin at all. It’s age — an electorate replenishing itself faster than either party’s model of it.

“There are a million Latinos who turn 18 every single year, and an 18-year-old who turns 18 this year and will vote in this year’s election was born the year Barack Obama was elected president. … The era of politics for an 18-year-old today is chaos, Covid, and corruption. They do not remember the hopium of Obama and the beautiful coalition that we built. That is all ancient history to them.”

A million new voters a year, completely up for grabs. Nobody is inheriting these voters. Neither party owns them. Because as Valencia put it: Demographics have proven not to be destiny — effort and intention matter more.

What I’m hearing

This week I called Matthew Eadie, a reporter at Evanston Now, who has been covering an ICE stop in Evanston, Illinois that has since attracted national attention. On the morning of Sunday, September 20, federal agents stopped a man walking on Howard Street. He turned out to be a US citizen, and not the person they were looking for. Agents reportedly left him on the ground with injuries to his head, neck, and teeth. DHS says he “refused to identify himself. Now the community is demanding answers.”

What’s the community reaction been?

People are really furious. If you remember the fall here — Operation Midway Blitz, the heightened Border Patrol enforcement across the Chicago area, Gregory Bovino parading around the streets with camera crews, the protests at the Broadview processing center — people here were very aware of how impactful it was. It was also happening around the elections, so it was prominent news everywhere and everybody was talking about it.

Over the summer it really died down, and I don’t think people have paid much attention since. ICE has been around all year, but they haven’t been as flashy about it, which has been talked about nationally too. This was a flare-up, and it’s a reminder that it’s still going on even after Bovino left. There have been protests at Broadview this week unrelated to the Evanston incident. So either people are starting to pay more attention as the election gets closer, or the incidents are actually picking up again.

What are the unanswered questions you’re still chasing?

Who were they looking for? Were they actually looking for somebody? That’s been their story — a specific individual — and a lot of people I’ve talked to are really skeptical that’s the case. One witness at the scene told me he felt like they just picked him and drove up on him. Essentially what’s been called a “Kavanaugh stop” — if they’re suspicious of you, they can pretty much find a reason to detain you. And then they dropped it once they realized either that he was a US citizen, which he says he is, or that there were too many people around taking videos for it to be worth their time.

So: What happened in the lead-up, and who specifically were they looking for? 

Afterward, the agents talked to Evanston police — that’s an Evanston police policy; they’re supposed to try to get information from ICE officers. I’ve FOIAed all the body cam footage. I want to see what those conversations were like, and what exactly the agents told police officers when they talked privately.

Part of what we’re trying to do is see the issues that play out from the bottom up rather than the way they get framed nationally. Beyond immigration, is there anything in your coverage that’s shaping local politics more than the national conversation reflects?

The national issues matter to everybody, but they hit communities in completely different ways. Evanston is affluent — college town, Northwestern, wealthier than most suburbs. Affordability is a buzzword that comes up everywhere, but people here talk about it differently.

This is an overwhelmingly progressive Democratic city. Some people in Evanston certainly need it to be more affordable for themselves. But you also have progressive voters saying we want to make Evanston more affordable and more inclusive for other people. Sometimes the affordability conversation gets framed as “life is too expensive for me and we need to make it cheaper for me,” which is true in a lot of places. In somewhere like Evanston, where there are a lot of affluent people who are also very progressive voters, it’s more: If we actually want to say we’re a progressive community, we have to show it. And showing it maybe means building affordable housing.

It’s also a city that passed reparations, which the federal government is challenging right now. That’s going to be a federal court case through the end of this year and probably into next year — the feds challenging the city’s reparations program. That’s something the city prides itself on. Those are big issues here that come out of the national conversation but sound different than how we hear them in national media.

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President Donald Trump can’t selectively bar his least-favorite outlets from covering the White House, a federal judge ruled early Thursday morning.

The Trump-appointed judge, Timothy Kelly, ordered the White House to immediately reinstate the press credentials taken from CNN, MS NOW, and Politico last week, when Trump barred the outlets for publishing what he called negative and inaccurate coverage.

By all accounts, the president’s case was a feeble one. While the Justice Department attempted to argue on Wednesday that the three outlets’ reporting jeopardized national security, Trump himself kind of gave the game away last week when he said he’s gotten “sick” of the stories the three organizations published. 

But the case is by no means closed. Even before the hearing, Trump promised that he would appeal any decision against him “almost without question.” And on Thursday morning, despite Judge Kelly’s orders, reporters from CNN, MS NOW, and Politico were blocked from entering the White House yet again.

Go a little deeper

This is all emblematic of how Trump has escalated his attacks on the news media in his second term: not just by insulting and demeaning the press, but also by weaponizing otherwise neutral-seeming rules.

Every administration has policies that regulate who can access the White House grounds and under what conditions, for instance. But in early 2025, the White House took control of the press pool — the rotating group of reporters that frequently travels with the president — and soon sought to exclude disfavored organizations.

More insidiously, Trump has mobilized regulatory agencies like the Federal Communications Commission against his perceived critics, in some cases even threatening to revoke the licenses of local TV stations that air coverage and commentary he disagrees with. 

While no licenses have actually been suspended, the FCC has mysteriously pulled some up for unscheduled review. And just the prospect of government retaliation has been enough to force some content off the air: Just two weeks ago, the late-night comedy host Jimmy Kimmel said his show wouldn’t air a scheduled interview with Texas Senate candidate James Talarico because of the FCC’s new scrutiny of political content. 

This playbook isn’t a Trump original, as my colleague Zack Beauchamp has explained. In fact, weaponizing broadcast regulations was also a favored technique of former Hungarian Prime Minister (and infamous strongman) Viktor Orbán, who successfully used licensing rules and other bureaucratic technicalities to force independent media outlets into submission. 

Likewise, revoking the press credentials of critical reporters has long been a favorite tactic of Russian President Vladimir Putin, Nico Perrino, the executive vice president of the nonprofit civil liberties group Foundation for Individual Rights and Expression, said in a briefing on Wednesday: “These are things that are done by regimes that we do not want to emulate.” 

Lest these comparisons get you down, however, recall that neither Hungary nor Russia has all the defenses that the US does. Defenses like, for example, an independent court system.

One link for later

➨ Date a little differently. It’s not just your imagination: The search for love has become weirdly intolerant and antagonistic. One new survey finds that the percentage of singles with a must-have trait list they’re checking off has risen to a whopping 34 percent. Experts blame larger cultural changes, the rise of dating apps, and negative social media narratives. But you can fight back in your own dating life by letting your guard (and maybe your standards!) down a little bit. 

Before you go…

• Did you know…there are more than 1,000 designated wildlife corridors in the US? These crossings basically act like overpasses for nearby animals, helping them navigate around busy highways and preventing hundreds of human deaths.
• Today’s trivia: Adam Yauch is the given name of what American rapper and musician? (You can find this and other brain puzzles in Vox’s daily crossword. Look for the answer in tomorrow’s edition.)
• Yesterday’s trivia: Yesterday we asked you for the second-largest landlocked country in Africa. That would be Niger. (Chad is the largest.) 

Update, September 24, 2026, 11 am ET: This story originally was published on September 23 and has been updated to include Judge Kelly’s ruling, as well as the continued exclusion of CNN, MS NOW, and Politico reporters from the White House grounds on Thursday morning.