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The Week Of Blurred Lines Between President Trump And Businessman Trump

In the past week, Trump adviser Kellyanne Conway used a news interview to encourage people to buy Ivanka Trump products, and President Trump hosted Japan’s Shinzo Abe at his Mar-a-Lago resort.

LOURDES GARCIA-NAVARRO, HOST:

President Trump spent yesterday golfing with Japanese Prime Minister Shinzo Abe in Florida. The visit has been controversial because Abe’s staying at Mar-a-Lago, the president’s resort in Palm Beach. It’s the latest example of the blurred lines between Trump’s businesses and his role as president. We’re joined by NPR’s Jim Zarroli, who’s been covering the story. Hey, Jim.

JIM ZARROLI, BYLINE: Good morning.

GARCIA-NAVARRO: OK. What’s the problem with President Trump hosting a world leader at Mar-a-Lago?

ZARROLI: Well, this is a property that Trump owns. It’s one of his flagship properties. You know, George W. Bush used to have world leaders – people visiting him at his ranch in Texas. But this is different because this is a working business that Trump owns. So the question that comes up is, who is paying for it? And is Donald Trump making money off an official state visit?

And then, really, this is just one more example of the problems that ethics experts have been talking about ever since Trump was elected. He has a lot of businesses, and he’s going to have a lot of opportunities to profit off the presidency.

GARCIA-NAVARRO: All right. Well, who is paying for this particular visit? Has Trump responded to the criticism?

ZARROLI: Yeah. He came out and said he would pay for the rooms himself, which addresses part of the problem but not all of it because, even if he does pay for the rooms, this is really good publicity for Mar-a-Lago. It’s worldwide publicity. It’s the kind of publicity that money can’t buy. So ethics experts say he is still benefiting from having the prime minister there. And that’s a problem.

GARCIA-NAVARRO: All right. The president also owns a hotel in Washington, D.C. And that’s raised more ethical concerns. This week, NPR’s Peter Overby reported that President Trump has put the hotel into what’s called a revocable trust. What is that? What does it mean? And is that hotel no longer an issue?

ZARROLI: Yeah. The D.C. hotel has been a particular problem because it is owned by the federal government. It’s a former post office. And Trump leased the building from the General Services Administration. And the lease says that the president or vice president or elected official isn’t supposed to be on the lease. So there’s a problem there right away.

Now, to address this, the president has turned over the management of the hotel to one of his sons. He’s also placed the hotel in the revocable trust. That’s meant to sort of create a barrier between the property itself and the president. But it doesn’t really do that because the profits of the hotel still flow to the trust, which flows to Trump himself. And as the name implies, he can revoke it at any time he wants. So that doesn’t really address the ethical issues.

And there’s still a big question mark about – you know, what is the General Services Administration going to do? How are they going to handle this? There have been reports that the Trump Organization is in negotiations with the GSA to try to come up with some kind of solution to the problem. It’s not clear what they’re going to do.

You know, in the past, they’ve sort of come up with some half solutions to address issues like this – haven’t always been, you know, satisfying to ethics people. But we may see some kind of resolution to this, you know – and soon.

GARCIA-NAVARRO: All right. NPR’s Jim Zarroli, thanks so much for joining us.

ZARROLI: You’re welcome.

(SOUNDBITE OF THE BAD PLUS’S “NEVER STOP”)

Copyright © 2017 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

A worker cleaned the windows of the Ivanka Trump Collection in the lobby of Trump Tower in New York last month.

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Updated at 8 p.m. ET

Kellyanne Conway, a top adviser to President Trump, may have violated federal ethics rules Thursday when she urged shoppers to buy Ivanka Trump’s retail brand, following the decision by several retail companies to drop the line because of poor sales.

“Go buy Ivanka’s stuff, is what I was [saying] — I hate shopping and I’m going to go get some myself today,” Conway said in an interview on Fox & Friends.

“This is just [a] wonderful line,” she added. “I’m going to give a free commercial here. Go buy it today, everybody. You can find it online.”

Her comments drew sharp criticism from the chairman of the House Oversight Committee, Republican Jason Chaffetz. “That is absolutely wrong, wrong, wrong. It is over the top,” Chaffetz told reporters.

Chaffetz and the committee’s ranking minority member, Democrat Elijah Cummings, asked the U.S. Office of Government Ethics in a letter to determine whether disciplinary action should be brought against Conway.

“Conway’s statements clearly violate the ethical principles for federal employees and are unacceptable,” the letter said.

“In this case, there is an additional challenge, which is that the President, as the ultimate disciplinary authority for White House employees, has an inherent conflict of interest since Conway’s statements relate to his daughter’s private business,” it said.

White House press secretary Sean Spicer said Thursday that Conway had been “counseled” over her remarks.

Conway, interviewed later Thursday, again on Fox, said she would have no comment on the counseling but had “spent an awful lot of time with the president of the United States this afternoon and he supports me 100 percent.”

Federal ethics rules bar executive branch employees from profiting off their positions, but the statute exempts the president.

Conway, however, is a White House employee, and her comments urging people to buy the products appear to violate the rules, says Kathleen Clark, professor of law at Washington University in St. Louis.

“The ethics regulation says government employees must not endorse any product, service or enterprise,” Clark told NPR in an interview. She added:

“The broader rule is that government employees shouldn’t use public office for private gain. They shouldn’t use it for their own personal private gain or for somebody else’s private gain. Public office should be used for the good of the public, for the good of the country, for the good of the government, rather than singling out her boss’s daughter’s enterprise and encouraging people to shop Ivanka.”

Clark also noted that Trump’s tweet Wednesday about his daughter was retweeted by someone from the official White House account @POTUS.

“That was a violation of the ethics regulation if it was done by anybody other than the president or the vice president. But even if the president himself did that, it was improper, because there he is using a government resource for his own personal vendetta,” she said.

Meanwhile, the progressive group Public Citizen urged the U.S. Office of Government Ethics to investigate whether Conway’s comments violated the rules.

“Anyone harboring illusions that there was some separation between the Trump administration and the Trump family businesses has had their fantasy shattered,” said Robert Weissman, the organization’s president.

“Kellyanne Conway’s self-proclaimed advertisement for the Ivanka Trump fashion line demonstrates again what anyone with common sense already knew: President Trump and the Trump administration will use the government apparatus to advance the interests of the family businesses.”

In the Fox interview, Conway suggested retailers are dropping the line because of politics.

“They’re using her, who’s been a champion for women in power and women in the workplace, to get to him. I think people can see through that,” she said.

T.J. Maxx and Marshalls told employees last week to stop using signs promoting Ivanka Trump’s brand and mix in her products with others the store sells to make them less prominent.

Nordstrom has also said that it would no longer sell Ivanka Trump jewelry and clothing because sales have been disappointing. Neither the company nor Ivanka Trump’s brand released any sales figures.

The line is still carried by other retailers.

After Nordstrom’s decision, President Trump himself tweeted that his daughter “has been treated so unfairly” by the chain, and his son Donald retweeted an article Thursday about angry store customers cutting up their credit cards.

It’s not clear how shoppers will react to the clothing controversy.

Outside a Marshalls store in Washington, D.C., a housewife from Argentina wasn’t impressed by all the controversy.

“If I like it, I buy it. If I don’t, I don’t,” said Andrea Ponzio, 47. “It doesn’t mean I wouldn’t buy it because of any politics.”

NPR intern Lucia Maffei contributed to this report.

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Malnutrition Is Killing Nigeria's Children Because Of Food Shortage

International groups warn of a looming food crisis in parts of Nigeria due to civil conflict. Children are the most vulnerable in these conditions, but up to 9 million people could be affected.

LAKSHMI SINGH, HOST:

Turning now to West Africa. The United Nations is warning this week of what it calls catastrophic famine conditions in northeastern Nigeria. It threatens men, women and children who have already lost so much to an insurgency that has stretched seven years. The extremist group Boko Haram has killed thousands of people, displaced more than 2 million others. Relief workers fear children, especially those who are under the age of 5, are most at risk of dying from starvation.

NPR’s Ofeibea Quist-Arcton regularly reports from Nigeria and joins us now. Hello, Ofeibea.

OFEIBEA QUIST-ARCTON, BYLINE: Greetings.

SINGH: The situation for refugee kids affected by the fallout from Boko Haram violence in pockets of northeastern Nigeria – we know it’s serious, but could you give us a better idea of just how serious it has become?

QUIST-ARCTON: Well, children, of course, are the most vulnerable, as you have said, Lakshmi. But the U.N.’s Food and Agriculture Organization is predicting that this biggest humanitarian crisis in Africa country, in northeastern Nigeria will probably get worse because the lean food and farming season is coming up between June and August. So they’re talking about 120,000 people facing famine, 2 million in an emergency, and forecasting that 9 million people are in crisis in this region.

And aid agencies such as Medecins Sans Frontieres, Doctors Without Borders, that has been dealing with malnourished children says there is a whole slice of children, the under-5s, who are most at risk. They say they see their big brothers, their big sisters, but it seems that malnutrition is killing these young children. When I was in Nigeria I saw it for myself, pin-thin children being taken care of because there isn’t the food to feed them.

SINGH: It appears that a dispute between the Nigerian government and relief agencies, that has in some way hampered the humanitarian crisis.

QUIST-ARCTON: Well, last year there were allegations that government officials and even soldiers and some of those who are in charge of these refugee displaced people’s camp were stealing food aid which was meant for those who have been displaced by Boko Haram. And then in December, President Muhammadu Buhari accused United Nations agencies of – exaggerating, I think, was the word he used – Nigeria’s crisis when they were appealing to donors for about a billion dollars.

Then Kashim Shettima – and he’s the governor of Borno State, the northeastern state hardest hit by the violence – accused some aid agencies of using his state as, quote, “a cash cow.” The governor apologized to the U.N. last month. And he said his anger was directed at local NGOs he said had been aimed to defraud donors. But, you know, when the government and aid workers aren’t all pulling together it can mean bureaucratic hold-ups. And that’s why people say this has also affected an already catastrophic humanitarian crisis in northeastern Nigeria.

SINGH: So President Buhari was voted in just a couple of years ago, so I suspect there’s growing skepticism of his ability to handle all of these problems now facing northeastern Nigeria.

QUIST-ARCTON: Muhammadu Buhari is actually away from the country at the moment. He is in Britain. He has been receiving medical treatment. And just last week, he asked Parliament to extend his medical leave. So people want somebody strong at the helm. When President Muhammadu Buhari came to power almost two years ago now, he said he was going to vanquish Boko Haram, he was going to end corruption, he was going to make Nigeria a better place to live for all Nigerians. Many people will say that there has been some progress, but there have also been steps backward.

SINGH: That was NPR’s Africa correspondent, Ofeibea Quist-Arcton, speaking to us from Johannesburg. Ofeibea, thank you.

QUIST-ARCTON: Always a pleasure. Thank you.

Copyright © 2017 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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DJ Betto Arcos Shares His Musical Finds From The Panama Jazz Festival

The Caribbean-inflected ensemble The Beachers is among Betto Arcos’ picks from the Panama Jazz Festival.

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When he’s not a guest of weekends on All Things Considered, Betto Arcos is traveling the world discovering new music. On this episode, he returns from the Panama Jazz Festival to share songs representing the jazz, folk and calypso influences thriving in Panama’s local music scenes. Hear the conversation at the audio link, and listen to his picks below.

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The Beachers

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03Mosaico Calypso

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The Beachers

  • Song: Mosaico Calypso
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Gustavo Salamin

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13La Peninsula De Azuero

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Gustavo Salamin

  • Song: La Peninsula De Azuero
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Afrodisíaco

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01Viene de Panamá

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Violeta Green

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01The Joker

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Violeta Green

  • Song: The Joker
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Best of the Week: Jack Nicholson Is Coming Out of Retirement, DC Movies Are Turning a Corner and More


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Some New England Patriots Players Say They Won't Attend White House Ceremony

Several New England Patriots players say they won’t attend the White House ceremony to honor their Super Bowl victory. NPR’s Scott Simon talks with ESPN.com’s Howard Bryant about this ritual.

SCOTT SIMON, HOST:

Finally, time for sports.

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SIMON: Winners go to the White House – or will they? Only their agents may know for sure. I’m joined now as always by Howard Bryant of espn.com. Howard, thanks so much for being with us.

HOWARD BRYANT: Good morning, Scott. How are you?

SIMON: I’m fine, thank you. The New England Patriots won the Super Bowl this week in the most spectacular fashion on Sunday. They’ve been invited to the White House, as major sports champions are. I was there just three weeks ago with the Chicago Cubs.

BRYANT: Who?

SIMON: I knew you’d say that. I knew you’d say that. That’s why I paused. But now six or seven Patriots say they’re not going on principle. What do you make of all this?

BRYANT: Well, this is where we are. And I think it’s an important thing to remember that the New England Patriots didn’t start this trend. This has really been going on for about 25 years. Let’s not forget that Tom Brady did not go to the White House when the Patriots beat the Seahawks. And then Tim Thomas, the Bruins goaltender, when the Bruins beat Vancouver, had his Facebook screed against the Obama administration and chose not to go. James Harrison from the Steelers didn’t go for either Super Bowl victory when George Bush was in the White House or when President Obama was in the White House. So this is where we are.

On the one hand, we say that we don’t want our athletes to be bland. We say we don’t want the canned cliches. And so this is the price for that. Now you have athletes expressing themselves and expressing their politics. And I would like to think, Scott – I would like to think that there is a respect for the office of the presidency regardless of who’s in it, that that office means something to all of us. However, we’re at a point right now where it really doesn’t. That – those days seem to be gone.

SIMON: Here’s a hypothetical that’s not so hypothetical. If either the Golden State Warriors or Cleveland Cavaliers win the NBA title this year, I don’t see Coach Steve Kerr of the Warriors or LeBron James of the Cavs wanting to shake hands with President Trump and perhaps vice versa. Is it time for just – just to retire this event?

BRYANT: Well, on the one hand, I think so simply because you can’t have it both ways. You say that you don’t want politics. People always say stick to sports. But this is a political time. This is a – it’s a political event when you care about who’s in the White House. And these times are very, very, very different. We’re in an extremely incendiary, divisive moment. We have a divisive person in the White House. We have a moment where the decision to put that person in the White House was very different in a lot of ways from elections past. And maybe we have to change with the times.

But once again, I like the citizenship of these players. I like the fact that we’re getting – that we’re getting these athletes – what did we always say about the players over the years? Too rich to care. And now you see ballplayers out there and they’re protesting and they’re expressing themselves. And this latest – this latest trip with Michael Bennett, one of the NFL players who was asked to go on this trip to Israel, came out and said that he’s not going to go and a lot of NFL players aren’t going on this trip because they don’t want to be used. They want to see both sides. And this is, I think, what citizenship is. I appreciate it, actually.

SIMON: Yeah. I was struck by Tom Ricketts, owner of the Cubs. He’s got a sister who’s a big liberal activist, a brother, Republican governor of one state, and one coming to work for the Trump administration. He says, look, we’re a typical American family. We’re all over the ballpark. No pun intended – or maybe pun intended.

BRYANT: Not all going to agree on things. But I can say one thing, Scott.

SIMON: Yeah?

BRYANT: This is where we are, and I don’t think it’s going to change at all. It’s going to intensify.

SIMON: Howard Bryant, thanks so much. You’re listening to WEEKEND EDITION from NPR News.

Copyright © 2017 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.

NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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Trump, GOP At Odds Over “Border Adjustment” Tax

President Donald Trump, Commerce Secretary nominee Wilbur Ross and senior advisor Jared Kushner attend a meeting with Senate and House legislators, in the Roosevelt Room at the White House, February 2, 2017 in Washington, D.C. Lawmakers included in the meeting were Sen. Orrin Hatch (R-UT), Rep. Kevin Brady (R-TX), Sen. Ron Wyden (D-OR) and Rep. Richard Neal (D-MA).

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On Thursday, President Donald Trump told airline executives visiting the White House that tax relief for corporate America is on the way.

“We’re going to be announcing something, I would say over the next two or three weeks,” said Trump, adding that it would be “phenomenal.”

But there’s at least one big issue that stands in the way. It’s called the border adjustment tax. House Republican leaders want it, but the President and some other Republicans are skeptical.

There’s no doubt that President Trump and House Republican leaders are interested in a border tax. The question is what kind. Trump wants to tax imports to punish individual countries, like Mexico, and pay for his border wall.

House Republican leaders have a much more dramatic idea. They would levy what they call a “border adjustment tax” of 20 percent on imports from all countries.

Texas Rep. Kevin Brady, chairman of the House Ways and Means Committee, is a big supporter of this approach. In an interview with NPR, Brady said that right now, “American companies and workers are competing with one hand tied behind their backs, because our tax code is so outdated.”

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Brady says many of our trading partners use a value-added tax (VAT) that taxes U.S. goods and services, while subsidizing their own exports. Brady argue that unfairly penalizes U.S. products.

Many leading economists, from President Reagan’s former White House adviser, Martin Feldstein, to liberal economist Paul Krugman, say that’s a mistaken understanding of how the VAT tax works. They say U.S. companies are not disadvantaged.

Nevertheless, Brady and House Speaker Paul Ryan have proposed a 20 percent “border adjustment tax” that they believe is necessary to level the playing field.

“Foreign products shouldn’t get a tax break in our tax code.” says Brady. “Our proposal eliminates those tax incentives and creates true competition in the U.S.”

And here’s the bonus … and one of the keys to tax reform. A 20 percent tax on all imports would produce an estimated $1.2 trillion dollars over 10 years, enough to offset much of the loss in revenue from the big reduction in tax rates that Republicans want, including dropping from a 35 percent rate to 20 percent for corporations.

But, rate cuts without that revenue, would mean a major increase in federal deficits, causing heartburn for the party’s deficit hawks.

Now critics, including some aligned with big Republican contributors like the Koch brothers, say, ‘Wait a minute.’ To a great extent, U.S. consumers will bear the brunt of a tax on imports. They’ll end up paying higher prices for things like imported cars, clothes and food. Businesses that import products could also be hurt, including businesses from retailers and petroleum refineries, including those owned by Koch Industries.

Rep. Brady disagrees.

He points to economic theory that suggests the U.S. dollar would rise and offset the added cost for U.S. consumers. But another heavyweight critic, former Republican presidential candidate Steve Forbes, scoffed at that idea in an interview this week on CNBC.

He expressed disbelief at “the idea that these guys in Washington know what the dollar is going to do in the exchange market,” when there are “zillions of factors” determining exchange rates. “I mean the volumes … in currencies each day is over $5.3 trillion,” said Forbes. “These guys are going to figure that out in its intricacies?”

And, Forbes said, the border adjustment tax is raising unnecessary divisions among Republicans and threatening the effort to cut taxes.

“So drop it,” Forbes says. “Do a straight vanilla tax cut. We’ve done that before and it works.”

Most important among the skeptics is President Trump. He has said he “doesn’t love the border adjustment tax,” calling it “too complicated.”

Brady believes he’s making progress on winning over the President. But he acknowledges if he can’t convince Trump to accept the border adjustment tax, with its $1.2 trillion dollars in revenue, the big tax cuts Republicans want for businesses and individuals could be in danger.

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Surprise! Marvel Just Dropped a Hype Reel for 'Avengers: Infinity War'

Avengers: Infinity War is going to be one of the biggest movies ever. It’s going to bring together pretty much every single major character we’ve seen in the Marvel movies so far. Yes, that means that The Avengers will cross over with the Guardians of the Galaxy, who will cross over with Spider-Man, who will cross over with….who knows. The point is, everybody is meeting everybody. It’s going to be insane.

The movie, from Captain America: Civil War directors Joe and Anthony Russo, recently started film in Atlanta, Georgia. And while most productions would wait quite a while to release anything from their sets, Marvel and Disney know that Infinity War is going to be a big, big deal. So they put together a teaser trailer of sorts from day one of production, which includes a bunch of new concept art, as well as a final tease of Thanos prepping to bring some real chaos to the Avengers.

We don’t actually know if that last bit will be in the final movie or if it was created just for this video, but either way, good luck not geeking out about it.

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Avengers: Infinity War hits theaters May 4, 2018.

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Mike Ilitch, Little Caesars Founder, Detroit Tigers And Red Wings Owner, Dies

Owner Mike Ilitch of the Detroit Red Wings celebrates with the Stanley Cup in 2008 after the team defeated the Pittsburgh Penguins in six games. The team won four NHL titles under his ownership. His Detroit Tigers teams made it to two World Series. Dave Sandford/Getty Images hide caption

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Mike Ilitch, founder of Little Caesars Pizza and a former minor-league baseball player who went on to own the Detroit Tigers and Red Wings, has died, reports WDET’s Pat Batcheller.

Ilitch, born in Detroit to Macedonian immigrants, opened his first pizza store with his wife, Marian, in the Detroit suburb of Garden City in 1959, Pat reports; today Little Caesars’ parent company says it’s the world’s largest carryout pizza chain.

Business was so good that Ilitch eventually was able to purchase the Detroit Red Wings hockey team in 1982, and a decade later baseball’s Detroit Tigers — the same team he once had a minor-league contract with, Pat reports. He acquired the Tigers from business rival Tom Monaghan, whose own Domino’s Pizza got its start in Ypsilanti, Mich., a year later and less than 25 miles from Ilitch’s first store.

Christopher Ilitch, one of Mike and Marian Ilitch’s seven children, will take over operations for the businesses, the Detroit Free Press reports.

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Mike Ilitch, Little Caesars Founder, Detroit Tigers And Red Wings Owner, Dies

Owner Mike Ilitch of the Detroit Red Wings celebrates with the Stanley Cup in 2008 after the team defeated the Pittsburgh Penguins in six games. The team won four NHL titles under his ownership. His Detroit Tigers teams made it to two World Series. Dave Sandford/Getty Images hide caption

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Mike Ilitch, founder of Little Caesars Pizza and a former minor-league baseball player who went on to own the Detroit Tigers and Red Wings, has died, reports WDET’s Pat Batcheller.

Ilitch, born in Detroit to Macedonian immigrants, opened his first pizza store with his wife, Marian, in the Detroit suburb of Garden City in 1959, Pat reports; today Little Caesars’ parent company says it’s the world’s largest carryout pizza chain.

Business was so good that Ilitch eventually was able to purchase the Detroit Red Wings hockey team in 1982, and a decade later baseball’s Detroit Tigers — the same team he once had a minor-league contract with, Pat reports. He acquired the Tigers from business rival Tom Monaghan, whose own Domino’s Pizza got its start in Ypsilanti, Mich., a year later and less than 25 miles from Ilitch’s first store.

Christopher Ilitch, one of Mike and Marian Ilitch’s seven children, will take over operations for the businesses, the Detroit Free Press reports.

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GOP Docs Rise To Power As Congress Retools Health Care Law

Health and Human Services Secretary Tom Price was part of the GOP Doctors Caucus while he served in the House of Representatives. Andrew Harnik/AP hide caption

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The confirmation of Tom Price, the orthopedic surgeon-turned-Georgia congressman, as secretary of Health and Human Services on Friday represents the latest victory in the ascendancy of a little-known but powerful group of conservative physicians in Congress — the GOP Doctors Caucus.

During the Obama administration, the caucus regularly sought to overturn the Affordable Care Act, and it’s now expected to play a major role determining the Trump administration’s plans for replacement.

Robert Doherty, a lobbyist for the American College of Physicians, the professional organization for internal medicine doctors, says the GOP Doctors Caucus has gained importance with Republicans’ rise to power. “As political circumstances have changed, they have grown more essential,” Doherty says.

“They will have considerable influence over the discussion on repeal and replace legislation,” he says.

Price’s supporters have touted his medical degree as an important credential for his new position, but Price and the caucus members are hardly representative of America’s physicians in 2017.

The “trust us, we’re doctors” refrain of the caucus obscures its conservative agenda, critics say.

“Their views are driven more by political affiliation,” says Mona Mangat, an allergist-immunologist and chair of Doctors for America, a 16,000-member organization that favors the current health law. “It doesn’t make me feel great. Doctors outside of Congress do not support their views.”

For example, while the American College of Obstetrics and Gynecology has worked to protect access to abortion, the three obstetrician-gynecologists in the 16-member House caucus are anti-abortion and oppose the ACA provision that provides prescription contraception without copays.

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While a third of the U.S. medical profession is now female, 15 of the 16 members of the GOP caucus are male, and only eight of them are doctors.

House

  • Ralph Abraham, R-La., family doctor
  • Larry Bucshon, R-Ind., heart surgeon
  • Michael Burgess, R-Texas, ob-gyn
  • Scott DesJarlais, R-Tenn., family doctor
  • Neal Dunn R-Fla., urologist
  • Andy Harris R-Md., anesthesiologist
  • Roger Marshall, R-Kan., ob-gyn
  • Phil Roe, R-Tenn., retired ob-gyn
  • Ami Bera, D-Calif., internal medicine
  • Raul Ruiz, D-Calif., emergency medicine

Senate

  • Rand Paul, R-Ky., ophthalmologist
  • Bill Cassidy, R-La., gastroenterologist
  • John Barrasso, R-Wyo., orthopedic surgeon

Source: American Medical Association

The other eight members are from other health professions, including a registered nurse, a pharmacist and a dentist. The nurse, Rep. Diane Black of Tennessee, is the only woman.

On the Senate side, there are three physicians, all of them Republican and male: Sen. John Barrasso, an orthopedic surgeon from Wyoming; Sen. Bill Cassidy, a gastroenterologist from Louisiana; and Sen. Rand Paul, an ophthalmologist from Kentucky.

While 52 percent of American physicians today identify as Democrats, just two out of the 14 doctors in Congress are Democrats, Reps. Ami Bera and Raul Ruiz, both of California.

About 55 percent of physicians say they voted for Hillary Clinton and only 26 percent voted for Donald Trump, according to a survey by Medscape in December.

Meanwhile, national surveys show doctors are almost evenly split on support for the health law, mirroring the general public. And a survey published in the New England Journal of Medicine in January found almost half of primary care doctors liked the law, while only 15 percent wanted it repealed.

Rep. Michael Burgess, R-Texas, a caucus member first elected in 2003, is one of the longest serving doctors in Congress. He says the anti-Obamacare Republican physicians do represent the views of the profession.

“Doctors tend to be fairly conservative and are fairly tight with their dollars, and that the vast proportion of doctors in Congress [are] Republican is not an accident,” he says.

Price’s ascendency is in some ways also a triumph for the American Medical Association, which has long sought to beef up its influence over national health policy. Less than 25 percent of practicing physicians are in the AMA, the organization says.

Price is an alumnus of a boot camp the AMA runs in Washington each winter for physicians contemplating a run for office. Price is one of four members of the caucus who went through the candidate school. In December, the AMA immediately endorsed the Price nomination, a move that led thousands of doctors who feared Price would overturn the health law to sign protest petitions.

Even without Price, Congress will have several GOP physicians in leadership spots in both the House and Senate.

Those include Rep. Phil Roe of Tennessee, the caucus co-chair, who also chairs the House Veterans Affairs Committee, and Burgess, who chairs the House Energy and Commerce subcommittee on health. Sen. Cassidy sits on both the Finance and the Health, Education, Labor and Pension Committees. Sen. Barrasso chairs the Senate Republican Policy Committee.

Roe acknowledges that his caucus will have newfound influence. Among his goals in molding an ACA replacement are to kill the requirement that most people buy health insurance (called the individual mandate) as well as to kill the requirement that 10 essential benefits, such as maternity and mental health care, must be in each health plan.

He says the caucus will probably not introduce its own bill, but rather evaluate and support other bills. The caucus could be a kingmaker in that role. “If we came out publicly and said we cannot support this bill, it fails,” Roe says.

The GOP Doctors Caucus has played a prominent role in health matters before.

For example, in 2015, when former House Speaker John Boehner needed help to permanently repeal a Medicare payment formula that threatened physicians with double-digit annual fee cuts, he turned to the GOP Doctors Caucus. It got behind a system to pay doctors based on performance — the so-called “doc fix.”

“When the speaker had a unified doctors’ agreement in his coat pocket, he could go to Minority Leader Nancy Pelosi and show that, and that had a lot to do with how we got this passed,” Roe says.

But not all doctors are unified behind the caucus. Ruiz, one of the two physicians in the House who are Democrats, says he worries because few doctors in Congress are minorities or primary care doctors.

Ruiz, an emergency room physician who was elected in 2012, says he is wary about Price leading HHS because he is concerned Price’s policies would increase the number of Americans without insurance.

Indeed, many doctors feel the caucus’ proposals will not reflect their views — or medical wisdom.

“My general feeling whenever I see any of their names, is that of contempt,” says Don McCanne, a family medicine physician in California who is past president of the Physicians for a National Health Program. “The fact that they all signed on to repeal of ACA while supporting policies that would leave so many worse off demonstrated to me that they did not represent the traditional Hippocratic traditions which place the patient first.”

This story was produced through a collaboration between NPR and Kaiser Health News, an editorially independent program of the Henry J. Kaiser Family Foundation. Follow Phil Galewitz on Twitter: @philgalewitz.

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