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Essentia Health, Minnesota Business Partnership convene lawmakers ahead of legislative session
Essentia Health, Minnesota Business Partnership convene lawmakers ahead of legislative session
Video Senate poised to cast votes on competing health care proposals
Both plans, one put forward by Democrats and the other championed by Republicans, are almost certain to fail.
Oracle and the hard truths about software
Running a giant digital business is not as fun as it used to be
Data center boom creates political conundrum for the GOP
President Donald Trump is all in on the artificial intelligence build-out. Other Republicans are being more cautious.
Kennebunkport business reopens after car crashes into store
Police say the 21-year-old driver was coming home from work early in the morning when he fell asleep at the wheel.
Healthy disagreement | Latest US politics news from The Economist
The latest news in US politics, with coverage of Donald Trump’s second term.
NFL Week 15 predictions by Microsoft Copilot AI for every game
Microsoft Copilot AI is coming off another respectable week predicting the results of NFL games. Here are its NFL Week 15 picks.
Communicators know business acumen matters. Most don’t feel ready.
There's a sizable gap between what communicators think they should know and what they feel comfortable with.
When does winter start? Your guide to the 2025 winter solstice.
Astronomical winter begins Sunday, Dec. 21 in the Northern Hemisphere. Here's how the solstice works.
Commentary: The U.S. Senate is a mess. He wants to fix it, from the inside
Oregon Sen. Jeff Merkeley is waging a largely one-man crusade to reform the Senate filibuster. He sees it as a way to help end obstructionism and address the Senate's increasing dysfunction.
In search for autism's causes, look at genes, not vaccines, researchers say
After more than 50 years of research, scientists still don't know exactly what causes autism. But the data make clear that genetics are an essential piece of the puzzle.
ETV Win Brings Telugu Entertainment to Life with Dolby Vision and Dolby Atmos
Over 20 titles are now available in Dolby on ETV Win.
Devlin playing 'best football of his life'
With rival fans and a few pundits claiming the air had been seeping out of Hearts' bubble after a few dropped points, the victory over champions Celtic may make them reconsider their opinion. While the spotlight has been on Hearts' new recruits this season - the likes of Claudio Braga and Alexandros Kyziridis have claimed much of the attention - the standout player is now in his fifth season at Tynecastle. Few people had heard of Cammy Devlin when he joined the club in summer 2021.
A SWFL holiday entertainment preview
Whether you are a fan of musical theatre, improv or a classic symphony, Southwest Florida is home to some of the best holiday performances around.
Disappointing Oracle results knock $70bn off value amid AI bubble fears
Weaker-than-forecast quarterly data for Larry Ellison’s tech company shows slowdown in revenue growth but big rise in spending
Peers told they risk ‘constitutional crisis’ after surprise vote to continue blocking employment rights bill
Government lost Lords vote on employment rights bill by 24 votes, just hours after the creation of 25 new Labour peers
BBC Sports Personality of the Year: England stars and 2025 champions nominated
England teammates Chloe Kelly and Hannah Hampton are up against one another for BBC Sports Personality of the Year on a shortlist that also includes Lando Norris and Rory McIlroy.
BBC Sports Personality of the Year: England stars and 2025 champions nominated
England teammates Chloe Kelly and Hannah Hampton are up against one another for BBC Sports Personality of the Year on a shortlist that also includes Lando Norris and Rory McIlroy.
Sports Personality of the Year 2025: Lionesses square off on six-strong shortlist
England teammates Chloe Kelly and Hannah Hampton are up against one another for BBC Sports Personality of the Year on a shortlist that also includes Lando Norris, Rory McIlroy, Luke Littler and Ellie Kildunne.
Democrats voice concerns about Venezuelan tanker seizure: ‘sounds a lot like the beginning of a war’
Senator Rand Paul said it was ‘not the job of the American government to go looking for monsters around the world’
🎧 Bournemouth 'will be hurt' if Semenyo leaves
Jordan Clarke was joined by former AFC Bournemouth defender Joe Partington on the Cherries: Unpicked podcast. Bournemouth's star attacker Antoine Semenyo has received interest from six Premier League clubs over a January move.
Oracle shares slide as earnings fail to ease AI bubble fears
Rolling coverage of the latest economic and financial news
Oracle shares slide as earnings fail to ease AI bubble fears
Rolling coverage of the latest economic and financial news
High school basketball: Boys' and girls' scores from Wednesday
CIF City and Southern Section boys' and girls' basketball results from Wednesday.
Kings collapse late as Kraken rally for OT win
Los Angeles surrendered its lead late in the third period before going on to fall in the extra period.
Tiny tracker following monarch butterflies during California migration
When this monarch butterfly hits the sky it won't be traveling alone. In fact, an energetic team of researchers will be following along with a revolutionary technology that's already unlocking secrets that could help the entire species survive.
Crooks: 11-0 ISU 'battle-tested' after win vs. Iowa
Audi Crooks had another huge game in leading No. 10 Iowa State past in-state rival and No. 11 Iowa on Wednesday. After the win, which kept the Cyclones undefeated at 11-0, Crooks said, "I feel like now we're officially battle-tested."
Senate poised to reject extension of health care subsidies as costs rise for many
The Senate is poised to reject legislation to extend Affordable Care Act tax credits for millions of Americans.
Social media and ADHD diagnosis, new mpox strain in England and early firestarters
Science editor Ian Sample sits down with co-host Madeleine Finlay to discuss three eye-catching stories from the week
Connections: Sports Edition hints for Dec. 11, 2025, puzzle No. 444
Welcome to Connections: Sports Edition Coach — a spot to gather clues and discuss (and share) scores.
The New WHO Pandemic Treaty and Global Health Governance: Incorporating Common but Differentiated Responsibilities into PABS - Georgetown Journal of International Affairs
On May 20, 2025, the World Health Assembly unanimously adopted the World Health Organization (WHO) Pandemic Agreement, an international treaty designed to strengthen pandemic prevention, preparedness, and response. The product of three years of arduous negotiations, the treaty marks a new era of global cooperation in public health. However, core aspects of the agreement remain unresolved—notably the Pathogen Access and Benefit-Sharing (PABS) System, which is intended to ensure equitable access to pandemic-related materials and benefits. To support the successful implementation of the WHO Pandemic Agreement, the principle of “common but differentiated responsibilities” should be formally incorporated into the negotiating agenda of the PABS annex. Introduction For the first time, an international treaty has enshrined the principle of “One Health,” the compelling idea that the health of animals, humans, and the environment all contribute to pandemic risks. SARS (2003), H1N1 (2009–10), Ebola (2014–16), and COVID-19 all emerged through zoonotic spillover from animal hosts—respectively, civets, hogs, and bats. Together, they underscore the need for a coordinated, cross-sectoral approach. The Pandemic Agreement responds to this call, requiring state parties to acknowledge the ecological interplay and commit to a comprehensive “One Health” strategy. Specifically, Article 5 charges governments to address “the drivers of pandemics and the emergence and re-emergence of infectious disease at the human-animal-environment interface,” including wild animal markets, deforestation, and antibiotic overuse. Yet the effectiveness of this “One Health” vision depends equally on the free flow of scientific information and data among countries and institutions. Just as environmental and animal health factors have been neglected in past global frameworks, so too has data sharing been marginalized, despite its centrality to timely detection and response. The Pandemic Agreement takes an important step by requiring governments to enhance data collection and cooperate with the World Health Organization (WHO). However, these provisions will remain aspirational without a robust Pathogen Access and Benefit-Sharing (PABS) annex. The PABS system will determine whether countries and researchers can rapidly exchange pathogen samples and genetic data while ensuring equitable access to resulting research and development, including diagnostics, therapeutics, and vaccines. Without such mechanisms, the treaty’s promise to operationalize “One Health” and strengthen global preparedness will risk becoming largely symbolic, echoing earlier failures to translate shared principles into coordinated action. Equity Concerns When the 2025 Health Assembly adopted the Pandemic Agreement, it left the difficult question of access to pathogens and the sharing of resulting benefits to be addressed in a separate agreement. Negotiations on this separate agreement, PABS, are now underway in Geneva. Yet governments remain divided over fundamental questions of equity between the countries that primarily contribute to the system and those that primarily draw from it—and consequently benefit. For example, wildlife in countries bordering the equator is likely to produce PABS materials, but companies in Europe are likely to use them to develop lucrative products. The most likely contributor countries are likely to be those biodiverse countries around the equator, such as Brazil, the Democratic Republic of the Congo, and Indonesia, where the number of human-mammalian viral host interactions is large. Conversely, countries most likely to benefit from this material are those with the technology, investors, and infrastructure to capitalize on genomic data, such as the United States, EU member states, and Japan. This imbalance reflects a broader pattern seen in prior international frameworks. Now, as in the past, the wealthiest countries in the world (a useful heuristic is membership of the Organisation for Economic Co-operation and Development (OECD)) disproportionately benefit from systems in which pathogens and genomic sequencing data are contributed to a common source. Under the International Agreement on Plant Genetic Resources for Food and Agriculture (the “Plant Treaty” or “Seed Treaty”) and the Pandemic Influenza Preparedness (PIP) Framework, companies from Europe and North America disproportionately withdraw biological samples and data for development into lucrative medical products. Their governments and companies have both statutory and contractual claims to the products that those companies correspondingly produce. PABS appears poised to follow the same pattern. The text calls for strong language on access to pathogens and associated data, but the corresponding benefits that should flow to poorer countries are couched in equivocal or non-binding language. Common but Differentiated Responsibilities To address these inequities, the principle of “common but differentiated responsibilities” should be formally incorporated into the negotiating agenda of the PABS annex. Common but differentiated responsibilities are often a feature of climate change negotiations. The basic principle is that, even though all countries should reduce carbon emissions, governments that became rich and powerful through massive carbon emissions (e.g., France, the United Kingdom, the United States) should have a greater obligation to address the resulting crises. Applied to PABS, it would require that governments hosting and supporting companies developing lucrative products carry greater obligations toward the cost of running the PABS system; share benefits or final medical products; and transfer technology to help countries worldwide develop their own capacities to innovate and manufacture vaccines during an emergency. For example, an annex could mandate that any company based in an OECD country that withdraws PABS material would be obligated to donate the resulting diagnostics, therapeutics, or vaccines to the WHO during a public health emergency or pandemic. Questions remain about how robust those donations would be, but the principle is that they should deliver highly significant lifesaving benefits to be equitably shared. Theoretically, this approach mirrors the PIP Framework, in which companies withdrawing influenza samples are required to pay half of the operating costs. In practice, however, the framework has fallen short. The PIP Framework Secretariat has struggled to secure payments from companies, with companies often disagreeing over how much is owed. Additionally, without another pandemic influenza to test the strength of the agreement during a public health emergency, corporate compliance with sharing mechanisms remains unknown. Even if these limitations did not characterize the PIP Framework, partially paying for operating expenses does not address the inequity in access to genetic data and pathogen samples that left less developed countries last in line for COVID-19 vaccines (and, before them, H1N1). Common but differentiated responsibilities would go further, addressing governments’ legitimate grievances regarding information sharing. It would make withdrawals of PABS material and resulting products more transparent, building trust across the board. Enforcement and Enduring Success A key implication of this approach is that the governing mechanism of the PABS must have real enforcement authority. The WHO Pandemic Agreement delegates its core governance responsibilities to a Conference of the Parties (COP)—a governing body composed of one representative from each participating government, similar to those established under the UN Framework Convention on Climate Change and the WHO Framework Convention on Tobacco Control. The proposed WHO Pandemic Agreement COP is charged with oversight functions but ultimately possesses no real authority to compel a government to take any action it does not wish to take. The text does not give the COP the ability to, for example, sanction a party that does not comply with either textual obligations or PABS provisions. In other words, there are no effective mechanisms in place to ensure compliance. Perhaps just as significant, establishing a meaningful enforcement mechanism within the PABS system would strengthen the WHO’s credibility and its ability to ensure compliance across global health governance. By setting a precedent for accountability, such a mechanism could enhance the organization’s authority not only within the Pandemic Agreement but also in enforcing the revised International Health Regulations and other frameworks for public health emergencies. Conclusion The PABS annex can—and should—be different. It should establish clear responsibilities for funding as well as for sharing the diagnostics, therapeutics, and vaccines that result from contributions to the system. The system, in turn, must include a dedicated body empowered to hold governments and the corporations they sponsor accountable for their responsibilities before, during, and after pandemics. Doing so would restore trust in the broader agreement, which was eroded as commitments were repeatedly diluted while parties scrambled to meet their own self-imposed deadlines during the Pandemic Agreement negotiations. A robust PABS Annex would cement a grand social bargain. Wealthier countries and their corporations would gain unimpeded access to scientific information essential for developing and manufacturing lifesaving medical products. As such, they would stand to gain considerable economic benefit. Yet that privilege must be matched with responsibility. The grand bargain must include not only the right to innovate, but also the duty to ensure that innovation serves all. As medical products are developed and produced through collective contributions, every person must have equal access. All human beings deserve an equitable chance to survive—to save their own life, the lives of their families, and the well-being of their communities. … Sam Halabi, JD, MPhil, is the Bette Jacobs Endowed Professor at Georgetown University’s School of Health and the Director of the Center for Transformational Health Law at Georgetown Law. He serves as the co-lead for the WHO’s Working Group on Regulatory Consideration on AI and Health’s training workstream. He earned his JD from Harvard, his MPhil from Oxford, and undergraduate degrees from Kansas State University. Lawrence Gostin, LLD (Hon.), JD, BA, is University Distinguished Professor and Founding Director and Timothy and Linda O’Neill Professor of the O’Neill Institute for National and Global Health Law. He is the author of Global Health Security: A Blueprint for the Future (Harvard University Press, 2021); Global Health Law (Harvard University Press, 2014); Public Health Law: Power, Duty, Restraint (University of California Press, 3rd ed., 2016); Public Health Law and Ethics: A Reader (University of California Press, 3rd ed., 2018); Law and the Health System (Foundation Press, 2014); Principles of Mental Health Law & Practice (Oxford University Press, 2010). He also directs the WHO Collaborating Center at Georgetown University. Image Credit: United States Mission Geneva, CC BY 2.0, via Wikimedia Commons
Deadly shooting near Horseshoe Casino raises safety concerns in entertainment hub
A deadly shooting outside a Royal Farms store near the Horseshoe Casino in south Baltimore has left residents concerned about safety.
Former 'DWTS' pro Maksim Chmerkovskiy explains why he wouldn't return to the ballroom
Former 'DWTS' champion and 17-season pro Maksim Chmerkovskiy doesn't think he would go back to the series if asked, saying, 'I think the boat has sailed.'
GOP strategist on Trump’s economic message: ‘I’m watching him struggle and it reminds me of the previous administration’
Trump calls reports questioning his health ‘seditious, perhaps even treasonous’
Trump calls reports questioning his health ‘seditious, perhaps even treasonous’
Neighboring businesses react to Roanoke strip club returning
A controversial business is returning to Roanoke under new management and a new name. A developer plans to reopen Gold and Silver Gentleman’s Club as Lust Gentleman’s Club.
Chandler's Will Mencl named ALL-USA Football Team QB finalist
Chandler's Will Mencl is the definition of a dual-threat quarterback, and he has been named an ALL-USA Football Team finalist after a huge season.
🏆Champions: Huachipato crowned in the 2025 Copa Chile
Huachipato was crowned champion of the 2025 Copa Chile in a thrilling final against Deportes Limache, which was decided by penalties after a dramatic draw. The hero of the day was Carlo Villanueva, wh...
Breonna Taylor's mother pushes for federal ban on no-knock warrants
The legislation is named after Palmer’s daughter, Breonna Taylor, who was killed by Louisville police in 2020.
Virginia City business owners face steep rent increases from state
Virginia City business owners say new state lease agreements increasing rent to 15% of gross revenue could force closures in the historic town.
NFL Week 17 schedule: Texans-Chargers, Ravens-Packers chosen for Saturday doubleheader
Week 17 will feature a pair of compelling Saturday games
Dynamite located during mental health crisis call in Apache Junction on Wednesday
On Wednesday afternoon, Apache Junction police officers were called to Axiom Care, a drug and alcohol addiction treatment center, located near Ironwood Drive and Apache Trail, for a person in crisis.
Google DeepMind to build materials science lab after signing deal with UK
Big Tech group will work with Sir Keir Starmer’s government to enhance AI use across public sector
Google DeepMind agrees to sweeping research collaboration with the U.K. government
The partnership will focus on nuclear fusion, discovering new materials, AI safety, and the societal impacts of AI.
UT Southwestern biochemist to receive O’Donnell Award from TAMEST
Yunsun Nam, Ph.D., Professor of Biochemistry and Biophysics at UT Southwestern Medical Center, will receive the 2026 Edith and Peter O’Donnell Award in Biological Sciences from the Texas Academy of Medicine, Engineering, Science & Technology (TAMEST) for her research into how RNAs and proteins interact at the molecular level. Her work has shed light on gene regulation, cancer biology, and RNA-based therapeutics.
The GOP's health care woes: From the Politics Desk
Plus, Ukraine at a crossroads.
The GOP's health care woes: From the Politics Desk
Plus, Ukraine at a crossroads.
Ukraine presents response to US peace plan as Trump says European leaders want a meeting
Ukraine delivered its response to the latest US-drafted peace proposal aimed at ending the war with Russia to the Trump administration on Wednesday, US and Ukrainian officials told CNN, as the contours of a tenuous potential deal take shape and the US president continues to make clear he wants the conflict resolved quickly.
Trump officially launches 'gold card' immigration program
The price tag is $1 million for individuals and $2 million for companies on a foreigner's behalf, who would be eligible for citizenship in five years.
ENTERTAINMENT: Gingerbread Extravaganza, ‘Charlie Brown Christmas’ lead weekend list
Stage 13 Foundation for Performing Arts stages its inaugural production, “A Charlie Brown Christmas,” 7:30 p.m. Friday and Dec. 18, 4 p.m. Sunday, 5 and 7:30 p.m. Dec. 19 and 2 and 5 p.m. Dec. 20-21 at Wildwood Park for the Arts.
Club Brugge 0-3 Arsenal - send us your thoughts
Whether you were at the game or following from elsewhere, we want to know what you learned. Come back on Thursday for a selection of your replies
Congress to require greater oversight of military health restructuring
The proposed defense authorization bill calls for more eyes on proposed modifications to military treatment facilities.
Democrats are doing nothing to control 'out of control' health care costs: Sen. Bill Cassidy
Sen. Bill Cassidy, R-La., contrasts the Republican and Democratic Party's plans for health care on 'America Reports.'
Providence hospitals, clinics in Oregon are in-network again for Aetna members
A new deal between Aetna and Providence brings the state’s largest hospital system back into the insurer’s network across Oregon.
McDonald's AI Christmas ad controversy explained: How the fast food chain has responded to the backlash
McDonald's is under fire for releasing an AI-generated Christmas ad. Here's everything to know about the controversy, and how the fast food chain responded to the criticism.
Fantasy Football Rankings: Risers and fallers ahead of the first round of the playoffs
Back Bills to Win Super Bowl ... Because What Could Go Wrong?
Sammy P surmises that there are no bad reasons to bet the Bills to win the Super Bowl.
'I love an underdog': Trump-Zohran Mamdani voters are at the center of an unexpected relationship
NBC News exit polling from the November vote found that about 1 in 10 Trump voters who showed up to the polls backed Mamdani.
What defines a league-leading management team? Win today AND tomorrow: MoneyCall
Read the cheat sheet of all of the biggest sports-business stories in The Athletic's free newsletter, MoneyCall
'We need to come up with something': House Republicans struggle to agree on a health care plan
The House will vote on a health care plan before the end of the year. But a growing number of Republicans worry their party will pay the price for rising insurance premiums.
YouTube TV will offer new sports package to customers next year
The Google-owned service will offer 10 genre-specific packages in 2026.
Truckee, North Tahoe to leave Nevada high school athletics
Truckee and North Tahoe will no longer compete in Nevada high school sports due to conflict regarding biological sex and gender identity.
Health experts criticise NHS chief’s remarks that people with flu symptoms ‘must wear face masks’
Exclusive: Experts warn mixed messaging from Daniel Elkeles causes confusion and could undermine public faith in official guidance
According to 'Forbes,' Taylor Swift is the most powerful woman in entertainment
Who's the most powerful woman in media and entertainment? It's not the head of a TV network or a movie studio — it's Taylor Swift.That's according to Forbes, which has published its annual list of The World's 100 Most Powerful Women, based on four main metrics: money, media, impact and spheres of influence. Taylor comes in at #21 on the list, which makes her the highest-ranked, and therefore the most powerful, woman in the Media & Entertainment category.
YouTube TV to launch a new sports package next year
Early in 2026, YouTube TV will launch 10 genre-specific packages, including a YouTube TV Sports Plan.
Downtown St. Louis entertainment district to deploy mounted police force starting next year
Downtown St. Louis entertainment district to deploy mounted police force starting next year
Downtown St. Louis could get a permanent mounted police patrol and more mega-concerts as part of a new entertainment district launching in 2026.
Report says states along northern border losing business because of White House policies
A report released Wednesday by congressional Democrats says states along the Canadian border are losing business because of President Donald Trump's policies, including tariffs.
'Can’t blame me for anything anymore': Joe Carollo's near 50-year stint in Miami politics ends
A regular fixture in local politics, Miami Commissioner Joe Carollo will soon leave city hall for what could be the last time following his mayoral election loss. From his start as the youngest commissioner ever elected in the City of Miami, his time in public office featured plenty of high profile moments — such as dealing with the Elián Gonzalez saga as mayor — and controversies.
Record-setting gift to Boston Children's to transform pediatric behavioral health
Boston Children's Hospital announced Wednesday a record gift of $100 million that it says will "transform the future of pediatric behavioral health care."
Unfinished business (part 2): fixing the “biggest problem” in physics
Our podcast on science and technology. This week, physicist Vlatko Vedral on how to bridge the quantum and classical worlds
In CNN interview, Govs. Spencer Cox of Utah and Josh Shapiro of Pennsylvania condemn political violence
Republican Utah Gov. Spencer Cox and Democratic Pennsylvania Gov. Josh Shapiro condemned the rise of political violence during a joint interview with CNN’s Dana Bash, calling on politicians, including President Donald Trump, to help lower the temperature in the country.
Humans were lighting fires from scratch a lot earlier than previously thought
A 400,000-year-old tinderbox is found in eastern England
Shapiro talks of national 'crisis' around political violence in Washington
WASHINGTON — Under the massive vaulted ceiling that made their voices echo through the ornate Washington National Cathedral, Pennsylvania’s...
House GOP to bring vote on health care plan without ObamaCare subsidies
House GOP leaders will bring a vote next week on a package of health care bills that does not include an extension of expiring ObamaCare enhanced subsidies, as Republicans remain divided about how …
House GOP erupts over health care as leaders hunt for a plan
Speaker Mike Johnson presented a list of concepts that did not include extending expiring Obamacare subsidies.
'We Can Get There': Scientists Make the Case for Mars in 200-Page Report
Primarily they want to search for life, but geological and resource exploration are also discussed.
Man made fire 350,000 years earlier than previously thought, discovery in Suffolk suggests
Groundbreaking find makes compelling case that humans were lighting fires much earlier than originally believed
Genre Bundles Coming to YouTube TV Next Year as Tech Giant Sets Cheaper and More Flexible Plans
Christian Oestilen, YouTube's subscription chief, says that more than 10 genre-specific packages are planned, including for sports and news.
Ancient Humans Were Making Fire 350,000 Years Earlier Than Scientists Realized
Making fire on demand was a milestone in the lives of our early ancestors. But the question of when that skill first arose has been difficult for scientists to pin down
Worker Injured After Becoming Trapped In Machine At South Windsor Business
Authorities said the injured employee was found on top of industrial equipment and needed to be rescued.
ChatGPT is Apple's most downloaded app of 2025 in the US
This is ChatGPT's first year as the No. 1 app on the U.S. App Store by downloads.
Third federal judge grants request to unseal Jeffrey Epstein-related court records
A federal judge on Wednesday approved the unsealing of documents from the investigation and criminal prosecution of accused sex trafficker Jeffrey Epstein.
Surging healthcare costs reshaping millionaires' migration
The United States ranks as the most expensive private healthcare market in the world.
Who is Eileen Higgins? What to know about Miami's mayor-elect
Eileen Higgins coasted to victory in Miami's mayoral election, defeating Trump's preferred candidate. Here's what to know about her.
CBS Sports' College Football All-America Team 2025: First-team picks from our experts
The complete 2025 College Football All-America Team, featuring first- and second-team selections and headlined by Vanderbilt QB Diego Pavia, our Player of the Year
2026 NFL mock draft roundup: Expert predictions for Round 1
Who will each NFL team target in the 2026 draft? Here's how four experts project the first round to go, and where Fernando Mendoza could land.
Iowa, Ohio latest states to flip negative on Trump approval ratings
President Donald Trump's approval rating has fallen to negative in two states: Iowa and Ohio. See his popularity in other states where he backs elections.