Do animals matter more than people?— MPs question Zimbabwe’s wildlife laws

The
issue
came
under
discussion
in
Parliament
on
Wednesday
last
week
when
MP
Elizabeth
Masuku
asked
the
Minister
of
Environment
about
the
government’s
policy
on
the
co-existence
of
people
and
wild
animals,
citing
incidents
in
Hwange
and
Tsholotsho.

“Since
a
lot
of
people
are
being
killed
by
these
animals,”
she
said,
“what
is
the
government
doing
to
protect
communities
living
near
wildlife
areas?”

The
Parks
and
Wildlife
Management
Bill,
Clause
9
Part
IIC
(161)(1),
provides
for
a
Human-Wildlife
Conflict
Relief
Fund
(HWCRF),
intended
to
offer
monetary
relief
to
victims
of
wildlife
encounters
that
result
in
death,
permanent
disability,
or
physical
injury.

However,
Section
161(2)
stipulates
that
no
person
shall
be
entitled
to
such
relief
if
they
are
injured,
maimed,
or
killed
while
illegally
harvesting
or
negligently
interfering
with
wild
animals.

Responding
to
the
concerns,
Minister
of
Justice,
Legal
and
Parliamentary
Affairs,
Ziyambi
Ziyambi,
said
policies
are
in
place
to
manage
coexistence
between
humans
and
wildlife
within
their
respective
territories.

“We
have
a
policy.
However,
once
in
a
while,
you
cannot
control
animals
crossing
into
areas
where
people
live,”
he
said.
“In
those
circumstances,
our
Parks
and
Wildlife
personnel
are
called
in
to
ensure
that
they
either
put
down
the
animals
or
take
them
back.”

He
added:
“We
have
a
policy
where
animals
stay
in
their
game
parks.
If
an
animal
strays
and
becomes
dangerous
to
the
inhabitants
of
that
area,
Parks
officials
will
come
and
put
that
animal
down.
However,
we
must
also
co-exist
with
our
wild
animals,
in
their
space
and
in
ours.”

Contributing
to
the
debate,
MP
Shakespear
Hamauswa
criticised
the
legal
framework
for
what
he
described
as
a
lack
of
fairness,
arguing
that
the
laws
appear
to
protect
animals
more
than
people.

“Why
has
the
government
not
put
in
place
a
law
that
says
when
a
person
kills
or
injures
a
wild
animal,
that
person
is
severely
sentenced,
yet,
on
the
other
hand,
when
a
wild
animal
attacks
a
human
being,
there
is
no
compensation
for
the
humans?”
he
asked.

“I
have
indicated
in
my
earlier
response
that
when
an
animal
strays
and
becomes
dangerous
to
human
beings,
many
times
Parks
and
Wildlife
personnel
put
it
down
rather
than
take
it
back
to
its
original
habitat,”
he
said.
“It
is
not
correct
to
say
that
the
law
favours
animals
over
human
beings.
The
animals
are
being
put
down,
and
human
beings
must
also
act
responsibly
around
wildlife.”

Mnangagwa hits back: Chiwenga’s dossier branded ‘treasonous’ in explosive politburo exchange

HARARE

President
Emmerson
Mnangagwa
and
his
lieutenants
accused
his
deputy,
Vice
President
Constantino
Chiwenga,
of
attempting
to
“undermine
a
constitutionally
elected
government”
and
“incite
despondency”
after
Chiwenga
tabled
a
searing
17-page
dossier
before
the
Zanu
PF
politburo
on
September
17
accusing
the
president
of
presiding
over
“corruption,
capture
and
betrayal”
of
the
ideals
of
the
2017
coup.

Mnangagwa’s
rebuttal

contained
in
a
document
authored
by
Zanu
PF’s
legal
secretary
and
Justice
Minister
Ziyambi
Ziyambi,
and
presented
to
the
Politburo
on
Tuesday

marks
the
most
direct
confrontation
yet
between
the
two
men
who
jointly
led
the
2017
military
intervention
that
ousted
Robert
Mugabe.

Ziyambi,
tabling
Mnangagwa’s
response,
described
Chiwenga’s
document
as
“fundamentally
flawed,
treasonous,
and
lacking
appreciation
of
party
procedures
and
the
national
constitution.”

“At
its
core,
the
document
advocates
for
the
unlawful
removal
of
a
constitutionally
elected
President,”
Ziyambi
wrote.
“Any
attempt
to
destabilise
or
subvert
a
constitutionally
elected
government
is
treasonous.”

Chiwenga’s
document,
which
he
presented
to
Mnangagwa
on
September
17,
opened
by
invoking
the
November
2017
coup
that
brought
the
pair
to
power.

“Comrade
President,
we
undertook
Operation
Restore
Legacy
with
a
sacred
mandate:
to
reclaim
our
nation
from
the
jaws
of
corruption
and
to
restore
the
dignity,
prosperity,
and
sovereignty
of
Zimbabwe,”
Chiwenga
wrote.

But
Mnangagwa’s
camp
shot
back
that
the
vice
president
was
trying
to
monopolise
credit
for
the
coup.

“It
is
denied
that
only
a
few
individuals,
particularly
the
writers
of
this
document,
sacrificed
their
lives
for
Operation
Restore
Legacy,”
Ziyambi
responded.
“Zimbabweans
from
all
walks
of
life
rose
and
participated.
Let
us
acknowledge
the
collective
effort
and
desist
from
claiming
heroism
for
work
done
by
many.”

Ziyambi
even
revealed
that
businessman
Kudakwashe
Tagwirei,
one
of
several
tycoons
Chiwenga
accused
of
“state
capture,”
had
bankrolled
the
2017
operation.

“For
the
record,
Mr.
Kudakwashe
Tagwirei
put
in
a
total
of
five
million
litres
of
fuel,
food
and
other
provisions
for
soldiers
as
requested
by
the
then
CDF,
General
Chiwenga.
Furthermore,
he
put
in
one
million
litres
of
fuel
and
US$1.6
million
to
the
party,”
the
response
says.

In
his
dossier,
Chiwenga
accused
Mnangagwa’s
allies

notably
Tagwirei,
Wicknell
Chivhayo,
Scott
Sakupwanya,
and
Delish
Nguwaya

of
“stealing
more
than
US$3.2
billion
of
government
funds,”
“corrupting
party
structures,”
and
“turning
the
president’s
private
office
into
a
place
where
key
government
decisions
are
made.”

“These
criminals
have
brazenly
looted
our
state
coffers
with
impunity,”
Chiwenga
charged.
“We
cannot
fold
our
hands
and
watch
these
criminals
like
Kudakwashe
Tagwirei,
Wicknell
Chivayo,
Scott
Sakupwanya,
and
Delish
Nguwaya
corrupt
and
bribe
our
structures
and
destroy
our
party.”

He
demanded
their
immediate
arrest,
adding
that
“the
time
for
silence
and
inaction
is
over.”

But
Mnangagwa’s
written
response
dismissed
the
allegations
as
“false,
malicious
and
reckless.”

“Zimbabwe
is
a
constitutional
democracy
with
well-established
institutions
to
deal
with
such
matters,”
Ziyambi
wrote.
“Individuals
have
no
legal
mandate
to
investigate
their
perceived
competitors
to
satisfy
their
personal
ego.
These
utterances
are
defamatory.”

Ziyambi
said
the
transactions
cited
by
Chiwenga,
including
the
Kuvimba
Mining
House
share
sale
and
the
Pomona
waste
management
deal,
had
full
cabinet
approval.

“Zanu
PF
does
not
own
any
shares
in
Sakunda
Holdings,”
Ziyambi
stated.
“All
contracts
were
concluded
in
compliance
with
the
Public
Procurement
and
Disposal
of
Public
Assets
Act.
At
no
time
did
ZEC
[Zimbabwe
Electoral
Commission]
enter
into
a
contract
with
Chivayo
or
any
company
associated
with
him.”

Chiwenga
had
also
accused
Mnangagwa
of
plotting
to
extend
his
rule
beyond
2028
through
what
he
called
the
“so-called
2030
Agenda,”
warning
that
“we
are
repeating
the
ills
that
led
us
to
November
2017.”

Ziyambi
hit
back,
saying
the
2030
Agenda
was
in
fact
Resolution
Number
One
of
the
2024
Zanu
PF
National
People’s
Conference
and
therefore
fully
constitutional.

“The
president
is
a
constitutionalist
who
has
not
deviated
from
the
constitution
at
any
time,”
he
stated.
“There
were
thirty-one
resolutions
from
the
last
conference,
and
Agenda
2030
was
resolution
number
one.
There
is
therefore
nothing
unconstitutional
about
it.”

He
added
pointedly:
“Given
the
underlying
circumstances,
any
attempt
to
destabilise
the
government
on
the
basis
of
such
falsehoods
is
tantamount
to
treason.”

The
response
repeatedly
accused
Chiwenga
of
being
“in
denial”
and
“bitter.”

“The
author
has
clearly
demonstrated
his
bitterness,”
Ziyambi
said
at
one
point.
“To
question
what
happens
to
the
president
in
his
private
space
is
immature
and
intrusive.
A
good
leader
is
a
good
follower.
The
author
has
shown
he
is
not
a
good
follower
and
therefore
cannot
be
a
leader.”

He
also
accused
the
vice
president
of
hypocrisy,
alleging
that
members
of
the
presidium,
“including
the
author
himself,”
host
political
meetings
at
their
private
farms.

“No-one
has
ever
questioned
these
gatherings
nor
eavesdropped
on
what
takes
place
at
these
private
places,”
the
response
notes
acidly.

Chiwenga
had
further
claimed
that
exiled
former
minister
Jonathan
Moyo
was
behind
a
“treasonous
project”
dubbed
the
Breaking
Barriers
Initiative
(BBI),
allegedly
aimed
at
suspending
elections
until
2035.

Ziyambi’s
reply
dismissed
that
as
“strange
and
regrettable.”

“It
is
surprising
how
the
writer
got
hold
of
the
BBI
document
if
it
was
meant
for
parliament,”
he
wrote.
“There
is
nothing
treasonous
about
improving
a
political
system.
The
BBI,
which
is
being
referred
to,
is
actually
promoting
nation
building
and
cohesion.”

He
claimed
the
initiative
was
an
opposition
document
brought
to
him
by
CCC
interim
leader
Sengezo
Tshabangu
“in
the
company
of
a
General
Khumalo
from
the
Vice
President’s
Office.”

Ziyambi
likened
Chiwenga’s
memorandum
to
“narratives
perpetuated
by
hostile
media
and
rebels
like
Blessed
Geza.”

“The
document
bears
a
striking
resemblance
to
the
narratives
perpetuated
by
Geza,
Western
media
and
all
our
detractors
bent
on
undermining
our
sovereignty,”
Ziyambi
went
on.

He
recommended
that
politburo
and
central
committee
members
undergo
“a
reorientation
course
at
the
Chitepo
School
of
Ideology
on
the
supremacy
of
the
party
and
the
tenets
of
democracy.”

The
response
ended
with
a
warning:
“Any
attempt
to
stage
a
coup,
whether
through
treacherous
acts,
misrepresentation
of
facts,
incitement
of
violence,
or
willful
blindness
to
positive
development,
is
a
grave
offence
that
undermines
stability
and
unity
of
our
nation
and
should
be
liable
to
immediate
censure.”

Zanu
PF
insiders
said
Chiwenga
also
came
under
attack
from
Zanu
PF
national
chair
Oppah
Muchinguri,
who
told
him
they
all
went
to
war,
and
their
paths
split
at
independence
when
he
became
a
soldier
and
they
went
into
government.

Muchinguri,
ZimLive
heard,
told
Chiwenga

a
retired
commander
of
the
Zimbabwe
Defence
Forces

that
there
was
“nothing
special
about
coming
from
the
barracks.”

Zanu
PF
legal
secretary
Patrick
Chinamasa
reportedly
told
the
vice
president
that
his
criticism
of
the
land
tenure
implementation
committee,
led
by
Tagwirei,
ignored
the
fact
that
“the
president
owns
all
land.”

Chiwenga,
it
is
understood,
spoke
briefly.
He
reportedly
said:
“I’ve
listened
to
all
your
presentations
and
I’m
convinced
that
all
of
you
support
zvigananda.
It’s
okay.
I
acknowledge
it.“

The
room
reportedly
fell
silent.

Zanu
PF
insiders
say
the
two
documents
have
deepened
factional
rifts
at
the
top
of
the
ruling
party,
which
gathers
in
Mutare
this
week
for
its
annual
conference.
Tuesday’s
politburo
meeting
at
the
party
headquarters
in
Harare
was
followed
by
a
central
committee
meeting
on
Wednesday.

The
Chiwenga
dossier
was
reportedly
supported
by
several
retired
generals
and
some
members
of
the
Women’s
League,
while
Mnangagwa’s
backers
ensured
the
president’s
counter-document
was
adopted
without
debate.

Neither
Mnangagwa
nor
Chiwenga
have
publicly
commented.
But
party
officials
say
the
confrontation

the
first
open
exchange
between
the
two
leaders
since
2017

has
set
the
stage
for
an
explosive
showdown.

📎 Mnangagwa
Responds
to
Chiwenga
Dossier
in
Explosive
Politburo
Meeting

Donna Adelson Sentenced To Life In Prison For Murder Of Her Law Professor Ex-Son-In-Law – Above the Law

Dan
Markel
was
a
law
professor
who
taught
Criminal
Law
at
Florida
State.
His
life
was
cut
short
on
June
18th,
2014
by

Sigfredo
Garcia

and
Luis
Rivera.
But
they
weren’t
the
only
ones
responsible.
Over
time
the
evidence
showed
that
Garcia
and
Rivera
were
paid
to
kill
him.
Markel’s
death
followed
a
heated
custody
battle
over
his
children
with
his
ex-wife
Wendi
Adelson.
Since
then
more
names
have
roped
in
to
his
murder:

Kathrine
Magbanua
,

Charlie
Adelson
,
and
most
recently
Donna
Adelson.
The
head
of
the
Adelson
family
has
finally
been
sentenced
on
charges
of
first-degree
murder
and
conspiracy
to
commit
murder.


ABC

has
coverage
on
the
sentencing:

Donna
Adelson,
the
matriarch
of
a
wealthy
South
Florida
family
who
was

convicted
in
the
hired
killing
of
her
former
son-in-law,

was
sentenced
Monday
to
life
in
prison
for
her
role
in
the
2014
murder-for-hire
of
Daniel
Markel.

As
it
stands,
she
was
sentenced
to
life
without
parole
in
addition
to
another
30
years
on
top.
Before
she
was
sentenced,
Adelson
seemed
to
be
about
as
far
from
a
“the
jig
is
up”
moment
as
you
could
imagine:

“What
happened
to
Danny
is
unforgivable.
But
I
am
an
innocent
woman
convicted
of
this
terrible
crime
without
evidence…”I’ve
always
respected
the
law.
I’ve
never
gotten
a
parking
ticket,
But
I’m
going
to
prison
for
a
murder
I
did
not
commit,”
she
added.

Those
sentiments
may
have
flown
(pun
intended)
when
you
were
on
your
way
to
board
a
one
way
flight
to
a
country
with
no
extradition
to
the
United
States,
but
they
ring
hollow
after
a
drawn
out
trial
where
the
jury
was
confident
in
a
beyond
a
reasonable
doubt
verdict
after
seeing
the
evidence
you’ve
discounted.
That
said,
due
process
is
worth
preserving
no
matter
how
unsavory
of
a
crime
someone
was
accused
of.
Adelson
argued
that
the
jury’s
minds
were
swayed
by
years
of
negative
media
coverage
and
plans
to
appeal
the
outcome.


Donna
Adelson
Sentenced
To
Life
In
Prison
For
Hired
Killing
Of
Ex-Son-In-Law

[ABC]


Earlier
:

Jury
Reaches
Verdict
In
Donna
Adelson
Trial


TikTok
Fails
To
Win
Donna
Adelson
A
New
Trial


Donna
Adelson’s
Lawyer
Pushes
To
Exclude
Divorce
Evidence
From
Trial


Donna
Adelson
Pushes
Judge
For
Another
Delay


Donna
Adelson’s
Attempt
To
Disqualify
Judge
Fails



Chris
Williams
became
a
social
media
manager
and
assistant
editor
for
Above
the
Law
in
June
2021.
Prior
to
joining
the
staff,
he
moonlighted
as
a
minor
Memelord™
in
the
Facebook
group Law
School
Memes
for
Edgy
T14s
.
 He
endured
Missouri
long
enough
to
graduate
from
Washington
University
in
St.
Louis
School
of
Law.
He
is
a
former
boatbuilder
who
is
learning
to
swim, is
interested
in
critical
race
theory,
philosophy,
and
humor,
and
has
a
love
for
cycling
that
occasionally
annoys
his
peers.
You
can
reach
him
by
email
at [email protected]
and
by
tweet
at @WritesForRent.

Trump Is Right: Ban Gender In College Admissions – Above the Law

(Image
via
Getty)



Ed.
note
:
Please
welcome
Vivia
Chen
back
to
the
pages
of
Above
the
Law.
Subscribe
to
her
Substack,
“The
Ex-Careerist,” here.

BRACE
YOURSELF,
PEOPLE.
I
have
something
nice
to
say
about
Trump:
I
don’t
think
his
recent
proposal
to
the
nine
colleges
was
completely
nuts.

Sure,
the
Compact
for
Academic
Excellence
in
Higher
Education

forces
Trump’s
cultural
agenda
down
the
colleges’
throats

from
abiding
by
the
administration’s
definition
of
gender,
bathroom
rules
(has
there
ever
been
a
presidency
so
potty-obsessed?)
to
SAT/ACT
mandates,
and
promotion
of
“diversity
of
viewpoints”
(colleges
commit
to
“abolishing
institutional
units”
that
“belittle”
conservative
ideas).

And,
yeah,
the
tone
was
a
tad
threatening:
“Institutions
of
higher
education
are
free
to
develop
models
and
values
other
than
those
below,
if
the
institution
elects
to
forgo
federal
benefits.”

But
for
colleges
that
sign
on,
the
benefits
are
awesome:
priority
access
to
funds
and
a
presumption
that
they
are
in
compliance
with
civil
rights
laws.
It’s
like
getting
a
TSA
pre-check
at
the
airport

shorter
lines
and
automatic
exemption
from
the
terrorist
list.

The
lucky
institutions
that
got
the
president’s ultimatum offer
are
the
University
of
Arizona,
Brown
University,
Dartmouth
College,
MIT,
the
University
of
Pennsylvania,
the
University
of
Southern
California,
the
University
of
Texas,
Vanderbilt
University,
and
the
University
of
Virginia.
Why
these
nine,
who
knows?
(Funny
how
it
was
also nine
law
firms
 that
capitulated
to
Trump.
Must
be
his
lucky
number.)

So
far,
only MIT
has
refused
 to
comply.
The
others
have
been
largely
quiet

except
for
the
University
of
Texas,
which
gushed:
“We
enthusiastically
look
forward
to
engaging
with
university
officials
and
reviewing
the
compact
immediately.”
(It’s
Texas,
okay?)

Those
who
value
educational
independence
are
alarmed,
including
some
on
the
right.
“This
is
not
engagement,” writes conservative
David
Ramadan,
a
professor
at
George
Mason
University,
in
USA
Today.
“This
is
coercion

an
attempt
to
remake
higher
education
through
executive
fiat
and
financial
threat.”


Even
the
Wall
Street
Journal
 thinks
the
proposal
went
too
far,
though
its
main
objection
seems
to
be
the
five-year
tuition
freeze
and
the
15%
limit
on
international
students

that
free
market
stuff

rather
than
the
threat
to
free
speech
and
educational
autonomy.


So
what’s
positive
about
this
deal? 
Well,
who
doesn’t
like
freezing
tuition?
One
thing
the
left
and
the
right
can
agree
on
is
that
the
price
of
college
is
too
damn
high.
Tuition
at
Brown,
Penn,
Vanderbilt,
Dartmouth,
and
USC

to
name
some
colleges
on
Trump’s
hit
list

is
well-over
$72,000
a
year,
not
counting
room
and
board.

But
what
really
knocked
my
socks
off
was
the
directive
that
colleges
eliminate
gender
in
admissions,
along
with
race,
ethnicity,
and
sexual
orientation.

Does
the
Trump
administration
realize
what
this
will
mean
for
the
future
of
American
men?


Truth
is,
boys
and
men
need
an
extra
bump

to
play
in
the
sandbox.
“Affirmative
action
for
men
has
been
an
open
secret
for
decades,”
says
admissions
consultant
Anna
Ivey,
a
former
admissions
dean
at
the
University
of
Chicago
Law
School.
To
opponents
of
DEI,
though,
“affirmative
action
just
means
women
and
people
of
color,”
Ivey
tells
me.

Fact
is
females outperform
males
 from
the
get
go

and
men
are
not
catching
up.
Women
now
represent
the
majority
in
undergraduate
institutions
(58%
as
of
2020),
law
schools
(56%
in
2024),
and
medical
schools
(55%
in
2024).
And
in
Biglaw,
women outnumber men
in
the
associate
ranks.
(Interestingly,
women
make
up
only
42%
of
MBA
students.)

As
any
parent
who’s
played
the
school
admissions
game
knows,
boys
get
brownie
points.
I
can’t
tell
you
how
many
open
houses
I’ve
been
to

from
nursery
schools
to
colleges

where
the
admissions
officer
talks
about
the
importance
of
striving
for
a
“gender-balanced”
class.
As
the
mother
of
girls,
I
know
the
subtext:
too
bad
your
kid
isn’t
a
boy.

But
what
happens
if
gender
considerations
are
tossed
out
the
window
and
admission
is
based
solely
on
test
scores,
grades,
and
talent?
The
number
of
girls
and
women
in
higher
education
will
soar.
No
longer
will
they
have
to
give
up
their
seat
for
some
dithering,
mediocre
dude!
And
before
you
know
it,
women
will
comprise
70%,
maybe
80%,
of
all
college
students
in
this
country.
And
dominate
the
professions
and
run
America

leaving
men
in
the
dust.


Poor
men.
It
seems
they’ve
been
screwed.

Just
when
they
thought
this
administration
was
going
to
reset
America
and
make
masculinity
great
again,
it’s
women
who’ll
win
with
this
policy.
Oh,
what
havoc
Trump
has
wreaked
by
pulling
the
DEI
rug
out
from
under
the
men
of
America.

Of
course,
none
of
that
will
happen
because
this
talk
about
instilling
a
culture
of
meritocracy
is
pure
bull.
One
glaring
example
of
the
chicanery:
there’s
no
mention
about
ridding
preferential
treatment
for
children
of
alumni
or
big
donors.
(Not
that
I’d
ever
suggest
that
Trump
and
his
children
didn’t
get
into
Wharton
based
on
their
stellar
academic
records,
or
that Jared
Kushner’s
admission
to
Harvard
 had
anything
to
do
with
his
dad’s
$2.5
million
donation
to
that
college.)

All
this
is
to
say
that
privilege
has
its
privileges,
and
affirmative
action
for
men
will
continue
unabated

with
Pete
Hegseth,
our brawniest
secretary
of
war
,
as
the
ultimate
poster
child.
Except
we’re
not
allowed
to
call
it
that,
because
how
can
something
as
low
rent
as
affirmative
action
possibly
apply
to
them?




Subscribe
to
read
more
at
The
Ex-Careerist….




Vivia
Chen writes “The
Ex-Careerist”
 column
on
Substack
where
she
unleashes
her
unvarnished
views
about
the
intersection
of
work,
life,
and
politics.
A
former
lawyer,
she
was
an
opinion
columnist
at
Bloomberg
Law
and
The
American
Lawyer.
Subscribe
to
her
Substack
by
clicking
here:


TV Legal Analyst Begins Sanewashing Trump Declaring Martial Law – Above the Law

(Photo
by
Zhang
Shuo/China
News
Service/VCG
via
Getty
Images)

Sending
the
military
to
engage
in
domestic
law
enforcement
operations
is,
to
be
clear,
not
something
the
White
House
just
gets
to
do
because
Donald
Trump
hates
Chicago.
While
America
has
long
hoped
to
stop
the
scourge
of
deep
dish
pizza
from
infecting
the
nation’s
strip
malls,
the
Posse
Comitatus
Act
of
1878
protects
Pizzeria
Uno
from
federal
drone
attacks.


That
law

dictates

as
amended

“Whoever,
except
in
cases
and
under
circumstances
expressly
authorized
by
the
Constitution
or
Act
of
Congress,
willfully
uses
any
part
of
the
Army,
the
Navy,
the
Marine
Corps,
the
Air
Force,
or
the
Space
Force
as
a
posse
comitatus
or
otherwise
to
execute
the
laws
shall
be
fined
under
this
title
or
imprisoned
not
more
than
two
years,
or
both.”

Trump
v.
United
States

has,
probably,
rendered
this
law
constitutionally
unenforceable.
Since
the
conservative
justices
proactively
resolved
the
president
of
criminal
liability
for
willfully
using
Navy
SEALs
to
murder
his
political
rivals,
it’s
hard
to
believe
they’d
stop
the
military
from
being
deployed
against
average
citizens.

Still,
it
would
be
interesting
to
see
what
the
Space
Force
nerds
think
they
could
do.

But

Trump
v.
United
States

aside,
the
executive
branch
isn’t
entirely
without
legal
recourse.
The
Insurrection
Act
of
1807
provides
an
exception
to
this
restriction,
allowing
the
president
the
power
to
call
upon
the
military
under
defined,
limited
circumstances.
It’s
an
incredibly
rare
and
radical
executive
action
that
is
not
tripped
by
an
inflatable
frog
costume
twerking
outside
an
ICE
facility.
Nonetheless,
Donald
Trump
is
leaking
to
anyone
willing
to
reprint
it
that
he’s
very
“close”
to
invoking
the
Insurrection
Act.

The
media
has
an
obligation
to
the
public
to
stress
how
abnormal
and
legally
unjustified
an
Insurrection
Act
occupation
of
America’s
cities
would
be.
Unfortunately,

we
get
this
instead.

That’s
Sarah
Isgur,
the
former
spokesperson
for
the
Jeff
Sessions
DOJ,
explaining
that
invoking
the
Insurrection
Act
is
totally
normal.
Despite
the
thrust
of
the
retweeting
account,
Isgur
actually
IS
NOT
saying
that
the
Insurrection
Act
is
cool.
The
MAGA
fans
clicking
to
see
Stephanopoulos
look
“like
a
fool,”
probably
didn’t
stick
around
for
her
conclusion
that
the
Insurrection
Act
should
have
been
amended
years
ago
to
set
stricter
standards.
An
interesting
academic
question
maybe,
but
deeply
misleading.
Whether
the
Insurrection
Act
could
stand
a
rewrite
doesn’t
change
the
fact
that
Donald
Trump
sending
troops
into
Illinois
or
Oregon
over
the
objections
of
their
governors

is
illegal
right
now
!

“Nearly
half
of
U.S.
presidents
have
invoked
the
Insurrection
Act
during
their
terms,”
the
Harvard
Law-educated
Isgur
explains
falsely.
In
total,
16
of
the
45
presidents
(remembering
that
Trump
47
and
Cleveland
24
were
performing
encore
acts)
have
invoked
the
Insurrection
Act,
coming
in
at
around
35
percent,
rendering
nearly
half”
an
extreme
act
of
adverbial
violence
upon
the
both
math
and
the
English
language.

George
Stephanopolous,
interjects
to
add
“not
over
the
objection
of
governors.”
Stephanopolous,
who
recently
saw
his
network

settle
a
defamation
claim
for
$15
million

after
he
said
Trump
was
civilly
liable
for
raping
E.
Jean
Carroll
as
opposed
to
civilly
liable
for
calling
Carroll
a
liar
when
she
said
he
raped
her,
clearly
understands
the
value
of
being
hypertechnically
correct.

Isgur,
however,
pushes
back
“Absolutely!
Think
about
Eisenhower
at
Little
Rock.”
And
while
Ike
did
act
over
the
objections
of
the
Arkansas
governor,
when
she’s
arguing
that
it’s
totally
normal
to
use
the
Insurrection
Act
this
way,
“remember
they
did
it
once
70
years
ago,”
is
not
the
flex
she
thinks
it
is.
For
what
it’s
worth,
Kennedy
also
slightly
more
recently
called
upon
the
Act
over
a
state
government’s
objections.
It
has
not
happened
since.

To
put
in
perspective
how
long
ago
that
was,
when
it
last
happened
over
a
governor’s
objection,
people
heard
the
name
Kennedy
and
did
not
think
“brainworm-addled
lunatic.”

The
Eisenhower
comparison
is
also
inapposite.
The
Insurrection
Act
authorizes
three
exceptions
to
the
bar
on
deploying
an
occupying
army
within
the
United
States.
First,
as
Stephanopolous
flags,
a
request
from
state
government.
Second,
where
people
are
deprived
of
constitutionally
secured
rights
that
the
state
fails
or
refuses
to
protect

the
justification
Ike
and
JFK
operated
under.
And
third,
where
it
is
“impracticable
to
enforce
the
law.”

Trump
is,
at
best,
aiming
for
the
final
justification
by
claiming
that
Portland
is
on
fire,
instead
of
a
hipster
enclave
far
too
obsessed
with
Pinot
Noir.
But
it’s

still

not
sufficient
to
say,
“protesting
furries
have
made
our
ICE
officers
feel
bad.”
The

text
of
the
relevant
statute

contextualizes
“impracticable
to
enforce
the
law”
as
an
inability
to
operate
“by
the
ordinary
course
of
judicial
proceedings.”
There
is
no
claim
that
Trump
can’t
enforce
immigration
laws
and
process
the
folks
ICE
rounds
up
through
ordinary
legal
process.
The
fact
that
he’s

losing

cases
doesn’t
transform
them
from
“the
ordinary
course
of
judicial
proceedings.”

Oh,
and
if
Trump
were
to
invoke
the
Act
anyway,
the

real

culprit,
she
explains,
is

Joe
Biden

for
not
fixing
this
first.
Deferring
responsibility,
for
the
win!

Sure
it’s
been
on
the
books
as
illegal
since
the
19th
century,
but
this
isn’t
Trump’s
fault
for
doing
it,
it’s
on
the
Democrats
who
didn’t
make
it
MORE
CLEAR
that
it’s
illegal!

There
is
no
statutory
justification
for
invoking
the
Insurrection
Act
right
now.
Full
stop.

It’s
not
“a
close
question,”
or
“a
debate,”
or
“a
reason
to
revisit
the
language,”
it’s
just
not
legal
under
any
serious
reading
of
the
text.
When
historians
collect
the
receipts,
they’re
not
going
to
distinguish
the
martial
law
cheerleaders
from
the
folks
staking
out
the
“this
may
not
be
a
good
idea,
but
it’s
legal”
position.
If
anything,
the
latter
is
more
dangerous
because
the
fate
of
the
Republic
isn’t
turning
on
the
hardcore
partisans,
but
will
lean
on
the
sort
of
people
Isgur’s
telling
to
shrug
and
blame
Biden.

These
“I’m
personally
not
happy,
but…”
talking
points
might
earn
a
social
pardon
at
a
DC
cocktail
party,
but
in
the
final
equation,
it’s
still
sanewashing
the
idea
that
the
White
House
can
legally
deploy
troops
to
occupy
American
cities.




HeadshotJoe
Patrice
 is
a
senior
editor
at
Above
the
Law
and
co-host
of

Thinking
Like
A
Lawyer
.
Feel
free
to email
any
tips,
questions,
or
comments.
Follow
him
on Twitter or

Bluesky

if
you’re
interested
in
law,
politics,
and
a
healthy
dose
of
college
sports
news.
Joe
also
serves
as
a

Managing
Director
at
RPN
Executive
Search
.

Streamline To Scale: Transforming Law Firm Workflows For Maximum Impact – Above the Law

Attorneys
juggle
deadlines,
compliance,
client
demands,
and
a
mountain
of
admin
work,
often
without
clear
systems
to
support
them.
Growth,
under
those
conditions,
feels
impossible.
Workflows
are
the
step-by-step
processes
that
run
your
firm,
they
are
the
backbone
of
a
scalable,
profitable,
and
sustainable
legal
practice.
By
streamlining
how
your
firm
operates
day
to
day,
you
create
consistency,
protect
client
trust,
and
free
up
capacity
to
take
on
more
work
without
burning
out
your
staff
or
yourself.


Why
Workflows
Are
the
Hidden
Growth
Engine

In
a
law
firm,
workflows
are
everywhere:
client
intake,
case
preparation,
document
review,
billing,
court
deadlines,
closing
files,
and
more.
But
in
many
small
firms,
these
workflows
are
undocumented,
inconsistent,
or
stuck
in
one
person’s
head.
Workflows
are
your
operational
blueprint
that
reduce
mental
load,
save
time,
and
ensure
that
nothing
falls
through
the
cracks.
They
allow
your
firm
to
operate
consistently,
train
new
team
members
faster,
and
delegate
confidently. 

Many
attorneys
believe
that
growth
happens
when
you
hire
more
staff,
land
more
clients,
or
raise
your
rates.
And
while
those
things
matter,
sustainable
growth
really
comes
from
how
well
your
firm
executes
the
work
it
already
has.
When
your
processes
are
streamlined,
you
don’t
need
to
reinvent
the
wheel
every
time
a
new
case
comes
in.
You
can
handle
more
clients
without
burning
out
your
team
or
compromising
quality.
You
can
automate
small,
repetitive
tasks
and
focus
your
time
on
strategy,
service,
and
scaling.


Building
Procedures
That
Actually
Work

Start
by
identifying
your
most
common,
high-impact
processes:
client
intake,
case
initiation,
court
prep,
billing,
and
closing
files.
Then,
walk
through
each
step
as
it
currently
happens,
what’s
supposed
to
happen
vs.
what
actually
happens.

Once
your
process
is
visualized,
the
next
move
is
to
standardize
it.
That
means
creating
checklists,
SOPs
(standard
operating
procedures),
templates,
and
scripts.
This
can
include
a
checklist
for
opening
a
new
case
file,
templated
welcome
email
with
client
expectations,
uniform
process
for
how
and
when
documents
are
filed,
intake
script
or
FAQ
sheet
for
phone
staff. 

Work
gets
bottlenecked
when
no
one
knows
who
is
responsible.
Use
an
accountability
chart
to
clearly
define
roles
and
assign
ownership
to
every
major
workflow.

Look
for
the
parts
of
your
workflow
that
happen
frequently
and
predictably
and
then
find
ways
to
automate
them.
You
don’t
need
an
expensive
custom
system;
most
modern
practice
management
tools
offer
automation
built
in.

Simple
automations
with
big
impact:

● Appointment
scheduling
and
reminders
(via
Calendly
or
Acuity)

● E-signature
workflows
(DocuSign,
HelloSign,
Lawmatics)

● Client
onboarding
checklists
via
practice
management
tools
(Clio,
MyCase)

● Auto-sending
welcome
packets,
surveys,
or
review
requests

● Follow-up
emails
triggered
by
intake
forms
or
case
milestones

When
you
streamline
your
workflows,
you
don’t
just
gain
time,
you
gain
clarity,
consistency,
and
capacity.
Whether
you’re
a
solo
attorney
or
managing
a
growing
team,
workflows
allow
you
to
scale
with
stability,
delegate
with
confidence,
and
serve
clients
with
greater
professionalism
and
predictability.


The
Tech
Piece 

Modern
legal
tech
is
the
infrastructure
that
keeps
your
workflows
consistent,
measurable,
and
client-centered.
A
well-chosen
practice
management
platform
acts
as
your
firm’s
operational
command
center.
It
can
track
deadlines,
automate
reminders,
organize
communications,
and
store
client
data
in
one
accessible
place.
When
your
technology
mirrors
your
workflows,
every
team
member
knows
what
needs
to
happen
next. 

Tools
like
document
assembly
systems
can
auto-fill
forms
using
client
data,
while
AI-powered
chatbots
can
handle
routine
client
inquiries
or
status
updates.
Even
small
efficiencies
like
syncing
calendars,
automating
billing
reminders,
or
using
template-based
emails
can
reclaim
hours
each
week.

The
real
power
lies
in
connecting
these
tools
so
your
systems
“talk”
to
one
another.
Instead
of
juggling
disconnected
apps
for
intake,
billing,
and
case
management,
look
for
integrations
that
create
a
single,
unified
workflow.
This
interoperability
minimizes
data
entry
errors,
reduces
lag
time,
and
gives
you
a
full
picture
of
your
firm’s
health. 

Finally,
technology
should
be
seen
as
a
teammate,
not
a
threat.
AI-driven
tools
can
augment
your
team’s
performance
by
handling
predictable
tasks,
flagging
risks,
and
freeing
attorneys
to
focus
on
strategy
and
human
connection. 


Conclusion:
From
Chaos
to
Clarity

Streamlining
your
workflows
and
aligning
them
with
the
right
technology
builds
a
foundation
for
sustainable
growth.
It
turns
chaos
into
clarity,
ensures
consistency
across
your
practice,
and
gives
you
the
freedom
to
lead
strategically
instead
of
reacting
constantly.

By
defining
your
workflows,
adopting
tools
that
reinforce
them,
and
empowering
your
team
through
automation
and
accountability,
you’re
not
just
managing
a
law
firm,
you’re
building
a
scalable
business
designed
to
last.

Whether
you’re
a
solo
attorney
setting
up
your
first
systems
or
a
managing
partner
preparing
your
firm
for
its
next
phase
of
growth,
now
is
the
time
to
streamline
to
scale.
Because
when
your
operations
run
like
clockwork,
your
capacity
to
innovate,
serve,
and
succeed
expands
exponentially.




Ruby
L.
Powers is
a
Board
Certified
immigration
attorney
and
founder
of
Powers
Law
Group,
P.C.,
a
full-service
immigration
law
firm
in
Houston,
TX.
She
has
over
16
years
of
experience
in
law
practice
management.
She
is
the
author
of Power
Up
Your
Practice and
AILA’s Build
and
Manage
Your
Successful
Immigration
Law
Practice.
Through
Powers
Strategy
Group,
she
provides
consulting
and
hosts
the Power
Up
Your
Practice podcast.
She
serves
on
various
boards including
the
ABA
TECHSHOW
and
Mobile
Pathways. Ruby
empowers
attorneys
with
strategies
in
legal
innovation
and
business
growth—helping
them
build
client-focused,
efficient,
and
thriving
law
firms. 

On Campus Hiring Is Broken, And This Isn’t Helping – Above the Law

Some
law
firms
are
handing
out

recruiting
entertainment
budgets
to
law
students
.
While
we
don’t
fault
law
students
some
sweet
walking
around
money,
placing
that
power
in
the
hands
of
students
highlights
the
breakdown
in
the
law
school
recruiting
process
and
a
real
risk
of
baking
more
bias
into
hiring.
Why
has

Kirkland
memory
holes
its
incoming
partner
class
?
The
decision
to
opt
out
of
its
traditional
announcement
message
seems
like
a
move
to
shield
its
high-achievers,
but
there
are
some
other
possibilities.
And
a
Senator
wants
some
answers
after
a
pair
of
federal
judges
issue
opinions
with

possible
(read:
likely)
AI
hallucinations
.

US Taxpayers Bail Out Argentina’s Bank As Trump’s Tariffs Help It Steal American Farmers’ Largest Market – Above the Law

Between

multiple
extrajudicial
killings

of
everyone
aboard
several
alleged
Venezuelan
drug
boats,
a
supposed
peace
deal
in
the
Middle
East,
and
a
million
other
international
stories
as
the
chaotic
daily
misinformation
vomit
of
the
Trump
administration
rains
down
upon
us,
you
can
be
forgiven
for
missing
a
tale
of
mere
economics.
Today,
though,
we
will
take
a
few
precious
moments
to
shine
a
light
upon
a
series
of
foreign
policy
decisions
that
would
have
been
a
politically
ruinous
scandal
had
they
been
made
by
any
other
presidential
administration
in
American
history
even
as
they
barely
warrant
a
footnote
today.

So,
did
you
have
any
idea
that
Donald
Trump

has
committed
$20
billion

of
U.S.
taxpayer
funds
to
bail
out
Argentina’s
central
bank?
It’s
true!
Though
the
details
are
scant,
the
idea
is
to
prop
up
Argentina’s
collapsing
currency
and
avert
a
financial
crisis
in
the
country
through
a
currency
swap.

Now,
although
rare,
it’s
not
unheard
of
for
the
U.S.
government
to
step
into
the
finances
of
a
foreign
country
under
dire
circumstances
to
safeguard
American
interests.
For
example,
30
years
ago
the
United
States
(that
time
in
conjunction
with
the
International
Monetary
Fund)
intervened

to
prevent
Mexico
from
defaulting

on
its
debt
so
as
to
protect
significant
American
investments,
prevent
a
collapse
of
global
markets,
and
avert
a
true
crisis
at
the
U.S.
southern
border.

Obviously,
Argentina
is
not
adjacent
to
the
United
States,
meaning
there
are
not
the
same
border
concerns
this
time.
There
are
indeed
American
investors
with
stakes
in
Argentina

the
most
heavily
invested
are
wealthy
hedge
funds
including
Fidelity,
BlackRock,
and
Pimco.

However,
the
Trump
administration
is
not
even
really
trying
to
make
a
cogent
case
for
dropping
$20
billion
into
Argentina.
Trump
likes
Argentina’s
leader
Javier
Milei
because
he
is
a
right-wing,
anti-immigrant
populist.
Sound
familiar?

“He’s
MAGA
all
the
way,”
said
Trump
at
the
start
of
his
meeting
with
Milei
on
October
14.
Trump
was
hosting
Milei
at
the
White
House,
and
has
previously
described
the
Argentine
leader
as
his
“favorite
president.”

This
bank
bailout
comes
at
what
should
be
a
more
politically
sensitive
time
for
providing
gratuitous
favors
to
Argentina:
at
this
very
moment,
American
soybeans
farmers
are
harvesting
their
crops,
often
without
any
hope
of
selling
them
because
China
has
been
instead
buying
soybeans
from
Argentine
farmers
this
year
thanks
to
Trump’s
tariffs.

Last
year,

China
purchased
more
than
half

of
American
soybean
exports
at
a
value
of
$24.5
billion.
This
year,
in
the
midst
of
Trump’s
trade
war,
export
volumes
to
China
have
fallen
by
more
than
50%.

Meanwhile,

the
Milei
government
cut

Argentina’s
export
tax
on
soybeans.
The
move
worked
as
a
means
of
courting
interest.
Chinese
buyers
have
already
reportedly
purchased
approximately
20
shiploads
of
Argentine
soybeans.

Trump
has
talked
about
using
some
of
the
tariff
revenue
to
provide
another
bailout
to
American
farmers.
Yet,
with
tariff
revenue

tied
up
in
legal
limbo

due
to
the
seemingly
facial
invalidity
of
Trump’s
tariff
regime,
and
given
that
markets
do
not
tend
to
just
spring
back
into
place
once
buyers
have
become
accustomed
to
alternative
sourcing,
it’s
an
imperfect
solution
at
best.

Let’s
review.
Without
any
oversight
from
Congress
or
the
courts,
Trump
has
committed
20
billion
American
tax
dollars
to
bail
out
the
central
bank
of
Argentina
largely
to
assist
wealthy
hedge
funds
and
a
foreign
right-wing
politician.
At
the
same
time,
Argentina
is
actively
striving
to
steal
what
was
American
soybean
farmers’
largest
market,
helped
along
by
Trump’s
erratic
tariff
regime.
Trump
is
not
doing
this
for
some
grand
strategic
reason,
but
because

Argentina’s
leader
is
aligned
with
him

ideologically.

According
to
one
report,
America’s

most
farming-dependent
counties
backed
Trump

in
last
year’s
election
by,
on
average,
an
overwhelming
77.7%.
I
guess
you
reap
what
you
sow.




Jonathan
Wolf
is
a
civil
litigator
and
author
of 
Your
Debt-Free
JD
 (affiliate
link).
He
has
taught
legal
writing,
written
for
a
wide
variety
of
publications,
and
made
it
both
his
business
and
his
pleasure
to
be
financially
and
scientifically
literate.
Any
views
he
expresses
are
probably
pure
gold,
but
are
nonetheless
solely
his
own
and
should
not
be
attributed
to
any
organization
with
which
he
is
affiliated.
He
wouldn’t
want
to
share
the
credit
anyway.
He
can
be
reached
at 
[email protected].

Top Biglaw Firm Says Sayonara To Its Tokyo Office – Above the Law

Biglaw
firms
are
closing
their
offices
in
China
left
and
right,
but
could
those
closures
expand
to
offices
in
other
Asian
countries?
For
one
firm,
the
answer
is
yes.

As
part
of
a
shift
in
Asia,
O’Melveny
&
Myers
will
be
stepping
away
from
its
office
in
Tokyo,
marking
an
end
to
its
presence
in
Japan
after
nearly
40
years.

An
O’Melveny
spokesperson
shared
the
following
comment
with

Law.com
International

on
its
decision
to
close
its
Tokyo
office:

“Following
a
strategic
review
of
our
Japan
operations,
we’ve
determined
that
we
will
wind
down
our
office
in
Tokyo
over
the
coming
months.
Going
forward,
we
will
continue
to
support
our
clients
in
the
region
from
our
network
of
offices
across
Asia
and
internationally.”

Yoji
Maeda,
the
O’Melveny’s
managing
partner
in
Tokyo

who
has
led
the
office
for
over
20
years

will
retire
as
part
of
the
transition.
“We
are
grateful
for
Yoji’s
friendship
and
leadership
and
wish
him
all
the
best
in
his
next
chapter,”
the
spokesperson
said
on
behalf
of
the
firm.

O’Melveny’s
exit
from
Tokyo
may
be
a
one-off

or
the
first
sign
of
a
regional
shift
in
Biglaw’s
long
game
across
Asia.

Which
Biglaw
firm
will
be
the
next
say
zàijiàn
to
its
offices
in
China
and
other
Asian
countries?
You
can email
us
 or
text
us
(646-820-8477)
if
you
have
any
intel.
Thank
you.


O’Melveny
Shutters
38-Year-Old
Tokyo
Office,
Managing
Partner
Retires

[Law.com]


Staci Zaretsky




Staci
Zaretsky
 is
the
managing
editor
of
Above
the
Law,
where
she’s
worked
since
2011.
She’d
love
to
hear
from
you,
so
please
feel
free
to

email

her
with
any
tips,
questions,
comments,
or
critiques.
You
can
follow
her
on BlueskyX/Twitter,
and Threads, or
connect
with
her
on LinkedIn.

As Insurers Drop GLP-1 Coverage, Advocates Search for a Hero in Obesity – MedCity News

With
roughly

two
in
five
U.S.
adults

affected
by
obesity,
GLP-1
drugs
have
emerged
as
a
promising
solution

but
their
steep
price
remains
a
significant
hurdle.

For
instance,

GLP-1
drugs
have
a
list
price

ranging
from
$936
to
$1,349
before
insurance
coverage,
rebates
or
other
discounts
are
applied.

Given
the
expense,
several
insurers
have
decided
to
stop
covering
GLP-1s
for
weight
loss,
leading
to
outrage
among
physicians
and
advocates,
though
they
are
still
covering
the
drug
for
patients
who
have
diabetes. 

This
has
prompted
at
least
one
interviewed
for
this
story
to
say
comprehensive
coverage
in
terms
of
an
executive
order
from
the
White
House
may
be
what
is
necessary
to
make
sure
this
drug
is
available
to
those
who
need
it. 

Starting
January
1,
Blue
Cross
Blue
Shield
of
Massachusetts
(BCBSMA)
will
no
longer
cover
GLP-1s
for
weight
loss
for
employers
with
fewer
than
100
employees.
Employers
with
more
than
100
employees
can
choose
to
cover
these
drugs
at
an
additional
cost.
BCBSMA’s
policy
applies
to
self-insured
and
fully-insured
employers.

“We’ve
made
this
decision
after
careful
consideration
and
to
be
responsive
to
customers
who’ve
expressed
to
us
that
they
are
no
longer
able
to
bear
the
burden
of
paying
for
these
high-priced
medications,”
said
Kelsey
Pearse,
a
spokesperson
for
BCBSMA.

Harvard
Pilgrim
Health
Care

an
insurer
in
Maine,
Massachusetts,
Rhode
Island
and
New
Hampshire

is
also
ending
GLP-1
coverage
for
weight
loss
for
most
commercial
plans
starting
January
1.
Large
fully-insured
employers
with
more
than
100
employees
can
opt
to
pay
to
continue
coverage.
Members
of
these
plans
will
be
required
to
complete
a
six-month
behavioral
modification
program
before
accessing
the
medication,
unless
they
are
already
using
it. 

“Given
[the]
current
pipeline
of
pending
future
FDA
approvals
of
weight
loss
medications
for
alternative
indications
including
cardiovascular
conditions
and
other
comorbidities,
this
action
is
being
taken
to
ensure
affordability
of
coverage
for
all
our
members,”
a
Harvard
Pilgrim
Health
Care
spokesperson,
who
declined
to
be
named,
said.

In
other
words,
costs
are
only
expected
to
increase
with
these
additional
FDA
approvals
down
the
line.

While
no
definitive
number
is
available
to
show
how
many
insurance
companies
and
employers
are
dropping
coverage,
here
are
few
others
that
have
announced
ending
coverage
for
GLP-1s
for
obesity:
Blue
Cross
Blue
Shield
of
Michigan,
RWJBarnabas
Health
for
its
employees
and
Ascension
for
its
employees.

Medicare
also
does
not
cover
GLP-1s
for
weight
loss,
and
some
state
Medicaid
programs
are
rolling
back
coverage,
including

North
Carolina
.
Former
President
Joe
Biden
proposed
a
rule
that
would
have
expanded
coverage
of
these
drugs
under
Medicare
and
Medicaid,
but
the
Trump
administration
chose

not
to
finalize

the
rule. 

When
it
comes
to
self-insured
employers,
73%
are
covering
them
for
obesity,
while
99%
are
covering
them
for
diabetes,
according
to
a
recent
survey
from
the

Business
Group
on
Health
.
To
manage
costs,
some
employers
are
implementing
cost-cutting
strategies
like
a
higher
body
mass
index
threshold
for
coverage.

When
asked
about
insurers
rolling
back
coverage
of
GLP-1s
for
weight
loss,
a
spokesperson
for
AHIP
said,
“obesity
is
a
complex,
chronic
condition
that
affects
millions
and
requires
individualized
care. 

“While
GLP-1s
have
emerged
as
a
treatment
option
for
some
patients,
they
are
not
universally
appropriate
and
can
present
risks
or
challenges,”
said
Conner
Coles,
the
spokesperson.
“Health
plans
continue
to
assess
clinical
evidence
and
work
with
experts
to
support
coverage
policies
that
prioritize
safe,
effective,
and
clinically
appropriate
care
for
weight
loss.”


What
advocates
and
physicians
are
saying

While
insurers
may
be
ceasing
coverage
of
GLP-1s
for
obesity
due
to
cost
challenges,
one
obesity
medicine
physician
said
this
is
a
dangerous
game.
She
noted
that
while
obesity
often
contributes
to
numerous
other
health
conditions,
the
industry
typically
covers
treatments
for
those
conditions

but
not
obesity
itself.

“I
think
it’s
the
wrong
thing
to
do.
I
mean,
it’s
malpractice,
if
insurance
companies
could
be
held
to
malpractice
standards.
If
I
have
a
patient
with
obesity
today
and
I’m
seeing
them,
and
I
don’t
recommend
that
they
go
on
this
type
of
treatment,
I
think
you
could
consider
it
malpractice
today,
given
the
data
that
we
have
[on
how
well
these
drugs
work].
Especially
if
that
patient
had
multiple
other
issues
that
they
had
along
with
their
obesity,”
said
Dr.
Angela
Fitch,
co-founder
and
chief
medical
officer
of
metabolic
health
company

knownwell
.
Fitch
is
also
the
former
president
of
the
Obesity
Medicine
Association.

Fitch
added
that
when
her
patients
don’t
have
coverage
for
GLP-1s,
she
has
to
advise
them
to
pay
cash
and
go
through
manufacturers’
direct-to-consumer
options
(Novo
Nordisk’s
NovoCare
or
Eli
Lilly’s
LillyDirect).
Or
she
has
to
switch
them
to
an
older
medication
that
requires
more
visits
and
potentially
more
side
effects.

A
healthcare
advocate
also
expressed
concern
over
insurers’
decisions
to
cease
coverage
of
GLP-1s
for
weight
loss.
Millicent
Gorham
is
the
CEO
of
the
Alliance
for
Women’s
Health
and
Prevention
and
leader
of
the

EveryBODY
Covered
campaign
,
which
is
pushing
for
comprehensive
coverage
of
obesity
care.
She
noted
that
women
living
with
obesity
often
face
discrimination
in
the
workplace,
earn
less
money
than
their
colleagues
and
are
less
likely
to
be
promoted.

“To
see
insurers
roll
back
coverage
of
these
evidence-based
therapies
is
deeply
concerning,
as
these
decisions
reinforce
the
culture
of
stigmatization
for
women
living
with
obesity,
while
also
exacerbating
health
complications
associated
with
the
disease,”
she
said.
“We
as
a
society
need
to
break
from
the
misguided
belief
that
obesity
is
a
result
of
‘poor
lifestyle
choices.’
Obesity
management
medications
aren’t
‘vanity
drugs,’
they
are
critical
interventions
for
a
serious
chronic
disease.”

Gorham
added
that
if
insurers
care
about
cardiovascular
disease,
diabetes
and
cancer,
then
they
should
care
about
obesity
too.
Covering
these
medications
leads
to
fewer
emergency
room
visits,
fewer
surgeries
and
lower
rates
of
disability
and
absenteeism,
she
argued.

According
to
DoseSpot,
which
offers
software
to
providers
to
help
them
manage
prescription
ordering,
the
rollback
of
coverage
is
creating
a
lot
of
uncertainty
for
patients
and
providers.
That’s
why
the
company
is
using
its
platform
to
inform
providers
and
patients
of
what
financial
assistance
programs
there
are.

“We’re
bringing
more
power
into
the
patient’s
hands,
advocating
for
their
ability
to
see
pricing
of
medication
and
shop
pharmacies
that
might
have
the
medication
at
a
cheaper
price
or
more
convenient,
whether
it’s
mail
order
or
an
in-person
pharmacy
counter
experience,”
said
Josh
Weiner,
CEO
of
the
company.


What
manufacturers
are
saying

The
manufacturers
of
weight
loss
drugs
are
also
calling
out
insurance
companies
for
rolling
back
coverage
of
GLP-1s.

“We
are
disappointed
by
decisions
that
limit
access
as
it
is
contrary
to
actions
that
many
throughout
our
country
are
taking
to
expand
coverage
for
GLP-1s
for
weight
management,
recognizing
the
importance
of
these
medicines
for
people
living
with
obesity,”
said
Allison
Schneider,
director
of
media
relations
at
Novo
Nordisk.
“We
believe
that
comprehensive
coverage
through
government
and
commercial
insurance
plans
is
critical
to
providing
more
people
living
with
obesity
access
to
affordable
healthcare
and
treatment
options.”

Eli
Lilly,
which
manufactures
Zepbound
and
Mounjaro,
similarly
criticized
insurers’
actions.

A
spokesperson
who
declined
to
be
named
said
obesity
is
a
chronic
disease
and
should
have
comprehensive
coverage
like
other
diseases.

“Gaps
in
insurance
coverage
disrupt
effective
care
and
limit
access
to
safe,
evidence-based
obesity
management
medications,”
the
spokesperson
said.
“Lilly
believes
access
should
be
guided
by
clinical
evidence,
not
insurance
design.”

It’s
worth
noting,
however,
that
manufacturers
aren’t
necessarily
blameless
in
this
issue,
as
they’re
the
ones
pricing
the
medications.

Data
from
one
study
shows

that
Ozempic
can
be
manufactured
for
less
than
$5
a
month,
but
costs
about
$500
through
NovoCare.


What
needs
to
happen

While
there
were
efforts
to
expand
coverage
of
GLP-1s
under
Medicare
and
Medicaid

which
in
theory
would
encourage
more
employer-sponsored
coverage

this
wouldn’t
be
enough,
according
to
Fitch.
If
Medicare
were
to
start
covering
GLP-1s,
it
would
take
a
couple
of
years
for
that
to
take
effect,
and
then
a
few
more
years
for
commercial
insurers
to
follow
suit,
she
argued.
Instead,
there
needs
to
be
an
executive
order
from
the
White
House
that
makes
obesity
treatment
a
standard
benefit,
she
said.

“Our
health
system
is
not
designed
to
make
people
well
or
prevent
disease,”
she
declared.
“It’s
designed
to
treat
disease
after
it’s
already
happened.
But
we’re
in
a
new
era
now
where
we
can
actually
treat
the
root
cause
of
disease,
which
is
obesity,
and
prevent
all
these
other
diseases,
but
we
need
some
sort
of
urgent
public
health
action.”

So
while
Trump
could
be
the
hero,
that
doesn’t
mean
payers
should
wait
around
for
federal
action.
She
also
called
on
insurers
to
step
up.

“They
could
be
the
hero
right
now.
We
need
a
hero
in
obesity

because
we
have
revolutionary
treatment
in
our
hands
as
clinicians,
and
we
need
the
ability
to
get
it
out
to
people,”
Fitch
said.


Photo:
Jason
Dean,
Getty
Images