With few dentists and fluoride under siege, rural America risks new surge of tooth decay

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By Brett Kelman, KFF Health News

In the wooded highlands of northern Arkansas, where small towns have few dentists, water officials who serve more than 20,000 people have for more than a decade openly defied state law by refusing to add fluoride to the drinking water.

For its refusal, the Ozark Mountain Regional Public Water Authority has received hundreds of state fines amounting to about $130,000, which are stuffed in a cardboard box and left unpaid, said Andy Anderson, who is opposed to fluoridation and has led the water system for nearly two decades.

This Ozark region is among hundreds of rural American communities that face a one-two punch to oral health: a dire shortage of dentists and a lack of fluoridated drinking water, which is widely viewed among dentists as one of the most effective tools to prevent tooth decay. But as the anti-fluoride movement builds unprecedented momentum, it may turn out that the Ozarks were not behind the times after all.

“We will eventually win,” Anderson said. “We will be vindicated.”

James Flanagin, the only dentist in the tiny Arkansas town of Leslie, which also has unfluoridated drinking water, treats patients in the back of an antique store on Main Street. Leslie is one of hundreds of American communities, mostly rural, that have both a shortage of dentists and unfluoridated drinking water. (Katie Adkins/KFF Health News/TNS)

Fluoride, a naturally occurring mineral, keeps teeth strong when added to drinking water, according to the Centers for Disease Control and Prevention and the American Dental Association. But the anti-fluoride movement has been energized since a government report last summer found a possible link between lower IQ in children and consuming amounts of fluoride that are higher than what is recommended in American drinking water. Dozens of communities have decided to stop fluoridating in recent months, and state officials in Florida and Texas have urged their water systems to do the same. Utah is poised to become the first state to ban it in tap water.

Health and Human Services Secretary Robert F. Kennedy Jr., who has long espoused fringe health theories, has called fluoride an “industrial waste” and “dangerous neurotoxin” and said the Trump administration will recommend it be removed from all public drinking water.

Separately, Republican efforts to extend tax cuts and shrink federal spending may squeeze Medicaid, which could deepen existing shortages of dentists in rural areas where many residents depend on the federal insurance program for whatever dental care they can find.

Dental experts warn that the simultaneous erosion of Medicaid and fluoridation could exacerbate a crisis of rural oral health and reverse decades of progress against tooth decay, particularly for children and those who rarely see a dentist.

“If you have folks with little access to professional care and no access to water fluoridation,” said Steven Levy, a dentist and leading fluoride researcher at the University of Iowa, “then they are missing two of the big pillars of how to keep healthy for a lifetime.”

Many already are.

Overlapping ‘dental deserts’ and fluoride-free zones

Nearly 25 million Americans live in areas without enough dentists — more than twice as many as prior estimates by the federal government — according to a recent study from Harvard University that measured U.S. “dental deserts” with more depth and precision than before.

Hawazin Elani, a Harvard dentist and epidemiologist who co-authored the study, found that many shortage areas are rural and poor, and depend heavily on Medicaid. But many dentists do not accept Medicaid because payments can be low, Elani said.

The ADA has estimated that only a third of dentists treat patients on Medicaid.

“I suspect this situation is much worse for Medicaid beneficiaries,” Elani said. “If you have Medicaid and your nearest dentists do not accept it, then you will likely have to go to the third, or fourth, or the fifth.”

James Flanagin, the only dentist in the tiny Arkansas town of Leslie, treats patients in the back of an antique store and, with hand-painted lettering, advertises his clinic and himself as a “pretty good dentist.” (Katie Adkins/KFF Health News/TNS)

The Harvard study identified over 780 counties where more than half of the residents live in a shortage area. Of those counties, at least 230 also have mostly or completely unfluoridated public drinking water, according to a KFF analysis of fluoride data published by the CDC. That means people in these areas who can’t find a dentist also do not get protection for their teeth from their tap water.

The KFF Health News analysis does not cover the entire nation because it does not include private wells and 13 states do not submit fluoride data to the CDC. But among those that do, most counties with a shortage of dentists and unfluoridated water are in the south-central U.S., in a cluster that stretches from Texas to the Florida Panhandle and up into Kansas, Missouri, and Oklahoma.

In the center of that cluster is the Ozark Mountain Regional Public Water Authority, which serves the Arkansas counties of Boone, Marion, Newton, and Searcy. It has refused to add fluoride ever since Arkansas enacted a statewide mandate in 2011. After weekly fines began in 2016, the water system unsuccessfully challenged the fluoride mandate in state court, then lost again on appeal.

Anderson, who has chaired the water system’s board since 2007, said he would like to challenge the fluoride mandate in court again and would argue the case himself if necessary. In a phone interview, Anderson said he believes that fluoride can hamper the brain and body to the point of making people “get fat and lazy.”

“So if you go out in the streets these days, walk down the streets, you’ll see lots of fat people wearing their pajamas out in public,” he said.

James Flanagin, the only dentist in the tiny Ozark town of Leslie, Arkansas, speaks with a patient in his clinic in the back of an antique store. Flanagin says the town suffers from high levels of tooth decay because the local drinking water is not fluoridated. (Katie Adkins/KFF Health News/TNS)

Nearby in the tiny, no-stoplight community of Leslie, Arkansas, which gets water from the Ozark system, the only dentist in town operates out of a one-man clinic tucked in the back of an antique store. Hand-painted lettering on the store window advertises a “pretty good dentist.”

James Flanagin, a third-generation dentist who opened this clinic three years ago, said he was drawn to Leslie by the quaint charms and friendly smiles of small-town life. But those same smiles also reveal the unmistakable consequences of refusing to fluoridate, he said.

“There is no doubt that there is more dental decay here than there would otherwise be,” he said. “You are going to have more decay if your water is not fluoridated. That’s just a fact.”

James Flanagin, the only dentist in Leslie, Arkansas, treats patients in a one-man clinic in the back of an antique store. Flanagin says the town suffers from high levels of tooth decay because the local drinking water is not fluoridated. (Katie Adkins/KFF Health News/TNS)

Fluoride seen as a great public health achievement

Fluoride was first added to public water in an American city in 1945 and spread to half of the U.S. population by 1980, according to the CDC. Because of “the dramatic decline” in cavities that followed, in 1999 the CDC dubbed fluoridation as one of 10 great public health achievements of the 20th century.

Currently more than 70% of the U.S. population on public water systems get fluoridated water, with a recommended concentration of 0.7 milligrams per liter, or about three drops in a 55-gallon barrel, according to the CDC.

Fluoride is also present in modern toothpaste, mouthwash, dental varnish, and some food and drinks — like raisins, potatoes, oatmeal, coffee, and black tea. But several dental experts said these products do not reliably reach as many low-income families as drinking water, which has an additional benefit over toothpaste of strengthening children’s teeth from within as they grow.

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Two recent polls have found that the largest share of Americans support fluoridation, but a sizable minority does not. Polls from Axios/Ipsos and AP-NORC found that 48% and 40% of respondents wanted to keep fluoride in public water supplies, while 29% and 26% supported its removal.

Chelsea Fosse, an expert on oral health policy at the American Academy of Pediatric Dentistry, said she worried that misguided fears of fluoride would cause many people to stop using fluoridated toothpaste and varnish just as Medicaid cuts made it harder to see a dentist.

The combination, she said, could be “devastating.”

“It will be visibly apparent what this does to the prevalence of tooth decay,” Fosse said. “If we get rid of water fluoridation, if we make Medicaid cuts, and if we don’t support providers in locating and serving the highest-need populations, I truly don’t know what we will do.”

Multiple peer-reviewed studies have shown what ending water fluoridation could look like. In the past few years, studies of cities in Alaska and Canada have shown that communities that stopped fluoridation saw significant increases in children’s cavities when compared with similar cities that did not. A 2024 study from Israel reported a “two-fold increase” in dental treatments for kids within five years after the country stopped fluoridating in 2014.

Despite the benefits of fluoridation, it has been fiercely opposed by some since its inception, said Catherine Hayes, a Harvard dental expert who advises the American Dental Association on fluoride and has studied its use for three decades.

Fluoridation was initially smeared as a communist plot against America, Hayes said, and then later fears arose of possible links to cancer, which were refuted through extensive scientific research. In the ’80s, hysteria fueled fears of fluoride causing AIDS, which was “ludicrous,” Hayes said.

More recently, the anti-fluoride movement seized on international research that suggests high levels of fluoride can hinder children’s brain development and has been boosted by high-profile legal and political victories.

Last August, a hotly debated report from the National Institutes of Health’s National Toxicology Program found “with moderate confidence” that exposure to levels of fluoride that are higher than what is present in American drinking water is associated with lower IQ in children. The report was based on an analysis of 74 studies conducted in other countries, most of which were considered “low quality” and involved exposure of at least 1.5 milligrams of fluoride per liter of water — or more than twice the U.S. recommendation — according to the program.

The following month, in a long-simmering lawsuit filed by fluoride opponents, a federal judge in California said the possible link between fluoride and lowered IQ was too risky to ignore, then ordered the federal Environmental Protection Agency to take nonspecified steps to lower that risk. The EPA started to appeal this ruling in the final days of the Biden administration, but the Trump administration could reverse course.

The EPA and Department of Justice declined to comment. The White House and Department of Health and Human Services did not respond to questions about fluoride.

Despite the National Toxicology Program’s report, Hayes said, no association has been shown to date between lowered IQ and the amount of fluoride actually present in most Americans’ water. The court ruling may prompt additional research conducted in the U.S., Hayes said, which she hoped would finally put the campaign against fluoride to rest.

“It’s one of the great mysteries of my career, what sustains it,” Hayes said. “What concerns me is that there’s some belief amongst some members of the public — and some of our policymakers — that there is some truth to this.”

Not all experts were so dismissive of the toxicology program’s report. Bruce Lanphear, a children’s health researcher at Simon Fraser University in British Columbia, published an editorial in January that said the findings should prompt health organizations “to reassess the risks and benefits of fluoride, particularly for pregnant women and infants.”

“The people who are proposing fluoridation need to now prove it’s safe,” Lanphear told NPR in January. “That’s what this study does. It shifts the burden of proof — or it should.”

Cities and states rethink fluoride

At least 14 states so far this year have considered or are considering bills that would lift fluoride mandates or prohibit fluoride in drinking water altogether. In February, Utah lawmakers passed the nation’s first ban, which Republican Gov. Spencer Cox told ABC4 Utah he intends to sign. And both Florida Surgeon General Joseph Ladapo and Texas Agriculture Commissioner Sid Miller have called for their respective states to end fluoridation.

“I don’t want Big Brother telling me what to do,” Miller told The Dallas Morning News in February. “Government has forced this on us for too long.”

Additionally, dozens of cities and counties have decided to stop fluoridation in the past six months — including at least 16 communities in Florida with a combined population of more than 1.6 million — according to news reports and the Fluoride Action Network, an anti-fluoride group.

Stuart Cooper, executive director of that group, said the movement’s unprecedented momentum would be further supercharged if Kennedy and the Trump administration follow through on a recommendation against fluoride.

Cooper predicted that most U.S. communities will have stopped fluoridating within years.

“I think what you are seeing in Florida, where every community is falling like dominoes, is going to now happen in the United States,” he said. “I think we’re seeing the absolute end of it.”

If Cooper’s prediction is right, Hayes said, widespread decay would be visible within years. Kids’ teeth will rot in their mouths, she said, even though “we know how to completely prevent it.”

“It’s unnecessary pain and suffering,” Hayes said. “If you go into any children’s hospital across this country, you’ll see a waiting list of kids to get into the operating room to get their teeth fixed because they have severe decay because they haven’t had access to either fluoridated water or other types of fluoride. Unfortunately, that’s just going to get worse.”

KFF Health News data editor Holly K. Hacker contributed to this article.

Methodology: How we counted

This KFF Health News article identifies communities with an elevated risk of tooth decay by combining data on areas with dentist shortages and unfluoridated drinking water. Our analysis merged Harvard University research on dentist-shortage areas with large datasets on public water systems published by the U.S. Centers for Disease Control and Prevention.The Harvard research determined that nearly 25 million Americans live in dentist-shortage areas that span much of rural America. The CDC data details the populations served and fluoridation status of more than 38,000 public water systems in 37 states. We classified counties as having elevated risk of tooth decay if they met three criteria:More than half of the residents live in a dentist-shortage area identified by Harvard.The number of people receiving unfluoridated water from water systems based in that county amounts to more than half of the county’s population.The number of people receiving unfluoridated water from water systems based in that county amounts to at least half of the total population of all water systems based in that county, even if those systems reached beyond the county borders, which many do.

Our analysis identified approximately 230 counties that meet these criteria, meaning they have both a dire shortage of dentists and largely unfluoridated drinking water.

But this total is certainly an undercount. Thirteen states do not report water system data to the CDC, and the agency data does not include private wells, most of which are unfluoridated.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs of KFF — the independent source for health policy research, polling and journalism.

©2025 KFF Health News. Distributed by Tribune Content Agency, LLC.

US-Canada-Mexico joint World Cup goes from unity to acrimony thanks to tariffs and ’51st state’ talk

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By HOWARD FENDRICH, AP National Writer

WASHINGTON (AP) — Seven years ago, when a joint bid by the United States, Canada and Mexico was awarded the 2026 World Cup, rifts created by tariffs — yes, back then, too! — and a proposed border wall were glossed over because of the neighbors’ longstanding political and economic alliances.

“The unity of the three nations″ was the overriding theme articulated by Carlos Cordeiro, then-president of the U.S. Soccer Federation. “A powerful message,” he called it.

Well, here we are now, with the soccer showcase arriving in North America in about 15 months, and President Donald Trump back in office — inciting trade wars between the neighbors, not to mention across the globe, by levying tariffs that come, then go, then return, with more promised, including what the Republican calls “ reciprocal tariffs ” starting Wednesday.

It’s hard to know how, exactly, the current geopolitical fissures, made all the more stark every time Trump or those in his administration talk provocatively about making Canada the 51st state, might affect the World Cup, its organization and coordination, fans’ travel plans and more.

“Oh, I think it’s going to make it more exciting,” was Trump’s take during an Oval Office appearance with FIFA President Gianni Infantino last month. “Tension’s a good thing.”

Will the world come to the 2026 World Cup and the 2028 Olympics?

Given that the U.S. also is preparing to welcome the world for FIFA’s Club World Cup in June, golf’s Ryder Cup in September and the Los Angeles Olympics in 2028, the question becomes: Will the world want to come?

And, taking Trump’s border and visa policies into account, will the world be able to?

Alan Rothenberg, who ran the 1994 World Cup and successfully oversaw the bid to host the 1999 Women’s World Cup as then-president of U.S. Soccer, thinks the answers to those questions are “Yes.” Pointing to concerns about the last two World Cups, in Russia in 2018 and Qatar in 2022, he noted those still attracted attendance totals above 3 million apiece.

“People love the United States around the world — frankly, we wouldn’t have the immigration issue that we’re dealing with if that weren’t the case — so a lot of this is government-to-government,” Rothenberg said. “A passionate soccer fan is not going to be held up by that.”

He doesn’t think one of the host nations would drop out of the World Cup, say, or that other countries might boycott, as happened at the 1976, 1980 and 1984 Summer Olympics.

“More than anything, they’ll see it as an opportunity for, perhaps, rapprochement, rather than escalating the tensions,” Rothenberg said.

“Besides, from an organizing standpoint, if either Canada or Mexico withdrew” from the World Cup, he said, “the U.S. would pick up the games in a heartbeat.”

Spectators booing the U.S. national anthem

Still, as the White House stance on tariffs and Russia’s war in Ukraine have put Europe on edge, and relations with other countries have become fraught, it might not be a surprise if soccer stadiums for the U.S. games at the World Cup offer the same sort of anti-American sentiment heard when spectators in Canada booed “The Star-Spangled Banner” during hockey’s 4 Nations Face-Off in February.

FIFA, soccer’s governing body, did not respond to Associated Press requests for comment, but Infantino has never hidden his admiration for Trump, which he often demonstrates via social media. They have met at least five times since the U.S. election in November.

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Last week, when Kirsty Coventry was elected president of the International Olympic Committee — becoming the first woman in that position — she was asked how she would work with Trump and what she would tell athletes about traveling to the U.S. for the next Games.

“I have been dealing with, let’s say, difficult men, in high positions since I was 20 years old,” Coventry said with a chuckle, “and first and foremost, what I have learned is that communication will be key. That is something that will happen early on. And my firm belief is that President Trump is a huge lover of sports. He will want these Games to be significant. He will want them to be a success.”

Referring to concerns about whether the administration might deny some athletes visas, she added: “We will not waver from our values … of solidarity in ensuring that every athlete that qualifies for the Olympic Games has the possibility to attend the Olympic Games and be safe during the Olympic Games.”

The overriding assumption among those involved in the Olympics is that Trump will assure the 2028 Games are a success.

As U.S. Olympic and Paralympic Committee chairman Gene Sykes put it: “I can’t speak for him, but I think he’s the kind of person who probably believes that having these go very, very well is a reflection of his leadership.”

Will Trump’s tariffs and other policies affect soccer’s World Cup?

“The most likely outcome is that Trump’s nonsense won’t have an impact,” said Smith College professor Andrew Zimbalist, an expert on the economics of sports.

“My guess is that if relations between Canada and the U.S. deteriorate to the point that there are travel restrictions and spending restrictions,” Zimbalist said, “Trump would — just like he’s making exceptions all the time on his tariffs policies — make an exception for a month or six weeks.”

The U.S. and Canadian soccer federations declined AP requests for comment on how White House policies might affect the 2026 World Cup.

Gabriela Cuevas, who represents Mexico’s government in meetings with FIFA, said she considers the tariffs and the soccer event “separate issues,” adding that she believes “the World Cup could be a route to engage in a conversation.”

Observers tend to agree, saying logistics such as security cooperation or team transportation from city to city — or country to country — should not be hampered when it comes to the World Cup, scheduled to take place in 16 cities across the U.S., Canada and Mexico from June 11 to July 19, 2026.

The borders might become an issue, though.

“The main thing FIFA needs to move for this event is not car parts, and it’s not wheat, and it’s not electricity. It’s people. That’s your real concern,” said Victor Matheson, an economics professor at the College of the Holy Cross in Worcester, Massachusetts.

“What were previously pretty reasonable border crossings could become much more challenging, simply because both sides amp up their level of inspections and the United States, in particular, cuts down government services that allow people to move effectively between countries.”

As for the fans, 29-year-old Mexican businessman German Camacho Pacheco said “soccer is religion” in his country, so when it comes to the World Cup, “I don’t think they care about tariffs.”

Camacho, wearing the Monterrey club jersey of defender Sergio Ramos while on the way to watch a game at a sports bar in Mexico City, said he doesn’t expect there to be any effect at all on the World Cup “unless this goes from a trade war to an actual war.”

AP writers Greg Beacham in Inglewood, California; Nancy Benac in Washington; Ronald Blum in New York; Graham Dunbar in Costa Navarino, Greece; Eddie Pells in Denver; Anne M. Peterson in Portland, Oregon, and Carlos Rodriguez in Mexico City contributed.

Pope’s work during convalescence includes clearing path for saints from Venezuela, Papua New Guinea

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By COLLEEN BARRY

VATICAN CITY (AP) — Pope Francis spends part of his days at his desk working and concelebrates Mass daily in his private chapel, the Vatican said Tuesday, in signs of continued improvements during his convalescence at the Vatican after beating life-threatening double pneumonia.

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“The pope is continuing physical and respiratory therapy, with the expected results, which means his voice is also improving,” the Vatican said. “There is obviously also time for work, which the pope does partly sitting at a desk.”

That included clearing the path to canonization for the first saints to hail from Venezuela and Papua New Guinea, as well as an archbishop killed during the massacres of Armenians in 1915.

The decrees were approved last Friday in coordination with the curia, or Vatican hierarchy, from Santa Marta, the Vatican hotel where the 88-year-old pope’s apartment is located.

Announced on Monday, they relate to the canonization of Peter To Rot, a layman from Papua New Guinea who was declared a martyr for the faith after he died in prison in World War II, Venezuelan religious founder Blessed María del Monte Carmelo and Archbishop Ignatius Choukrallah Maloyan, who was executed during the mass killings of Armenians in 1915 along with 13 priests when they refused to renounce their faith.

Maloyan was among an estimated 1.5 million people killed in the events, which are widely viewed by scholars at the first genocide of the 20th century. Turkey denies the deaths constituted genocide, saying the toll has been inflated and that those killed were victims of civil war and unrest.

Blessed María del Monte Carmelo, born Carmen Elena Rendíles Martínez, founded the Congregation of the Handmaids of Jesus. The miracle attributed to her intercession involved a young woman in Caracas who was cured of a heart condition.

Pope’s condition

The Vatican, which has reduced its updates on the pope’s health to twice weekly, said he remains in a good mood and continues to receive greetings of affection from the faithful.

Postcards of Pope Francis are sold outside St. Peter’s Square, at the Vatican, Tuesday, April 1, 2025. (AP Photo/Gregorio Borgia)

An X-ray this week shows a “slight improvement” in a lingering lung infection, the Vatican said. Doctors have said that the pope has recovered from the pneumonia, but that a fungal infection in his airways would take months to clear under pharmaceutical treatment.

Francis hasn’t had any official visitors since returning on March 23 to the Vatican, although the doctor who coordinated his hospital treatment at Rome’s Gemelli hospital, Dr. Sergio Alfieri, visited him last Wednesday and intends to make weekly visits to monitor his recovery. He is being attended at the Vatican by his regular medical team.

New audio message

Doctors have ordered two months of rest to fully recover and to avoid large gatherings. The Vatican hasn’t yet said whether the pope would be able to participate in any celebration during Holy Week leading up to Easter on April 20. On Wednesday, the Vatican will mark the 20th anniversary of St. John Paul II’s death with a Mass.

Alfieri said that the pope was near death during an acute respiratory crisis eight days after his Feb. 14 hospitalization, and that both the pope and his primary medical caregiver consented to “decisive” measures despite the risks that it posed to his organs.

The Vatican on Tuesday also released an audio message from the pope released before his hospitalization. Speaking in Spanish, the pope said he “would like for us to look less at screens, and look each other in the eyes more! Something’s wrong if we spend more time on our cell phones, than with people.”

He urged people to use “technology to unite, not to divide,” including to help the poor, the sick and the disabled, and to help care for the planet.

The pope was last seen upon his release from the hospital, appearing frail and his voice weak as he greeted well-wishers from a Gemelli hospital balcony. The Vatican previously released an audio recording of the pope in a wan voice thanking the faithful for their prayers, and a photograph of the pope concelebrating Mass inside his private chapel in the hospital, pictured from behind.

With a TikTok ban looming, Trump signals a deal will come before April 5 deadline

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By SARAH PARVINI, AP Technology Writer

LOS ANGELES (AP) — As the deadline to strike a deal over TikTok approaches this week, President Donald Trump has signaled that he is confident his administration can broker an agreement with ByteDance, the social media app’s China-based parent company.

Speaking with reporters on Air Force One late Sunday, Trump said that “there’s tremendous interest in Tiktok.” He added that he would “like to see TikTok remain alive.” The president’s comments came less than one week before an April deadline requiring ByteDance to divest or face a ban in the United States.

“We have a lot of potential buyers,” Trump said.

Trump also said that the administration is “dealing with China” who “also want it because they may have something to do with it.” Last week, Trump said he would consider a reduction in tariffs on China if that country’s government approves a sale of TikTok’s operations in the U.S.

Questions about the fate of the popular video sharing app have continued to linger since a law requiring ByteDance’s divestment took effect on Jan. 19. After taking office, Trump gave TikTok a 75-day reprieve by signing an executive order that delayed enforcement of the statute until April 5.

During his first term, Trump tried to ban TikTok on national security grounds, which was halted by the courts before his administration negotiated a sale of the platform that eventually failed to materialize. He changed his position on the popular app during last year’s presidential election and has credited the platform with helping him win more young voters.

“I won the young vote by 36 points. Republicans generally don’t do very well with the young vote,” he said Sunday. “I think a lot of it could have been TikTok.”

Trump has said that the deadline on a TikTok deal could be extended further if needed. He previously proposed terms in which the U.S. would have a 50% stake in a joint venture. The administration hasn’t provided details on what that type of deal would entail.

TikTok and ByteDance have not publicly commented on the talks. It’s also unclear if ByteDance has changed its position on selling TikTok, which it said early last year it does not plan to do.

What will happen on April 5?

If TikTok is not sold to an approved buyer by April 5, the original law that bans it nationwide would once again go into effect. However, the deadline for the executive order doesn’t appear to be set in stone and the president has reiterated it could be extended further if needed.

Trump’s order came a few days after the Supreme Court unanimously upheld a federal law that required ByteDance to divest or be banned in January. The day after the ruling, TikTok went dark for U.S. users and came back online after Trump vowed to stall the ban.

During his first term, Trump tried to ban TikTok on national security grounds, which was halted by the courts before his administration negotiated a sale of the platform that eventually failed to materialize. He changed his position on the popular app during last year’s presidential election and has credited the platform with helping him win more young voters.

The decision to keep TikTok alive through an executive order has received some scrutiny, but it has not faced a legal challenge in court.

Who wants to buy TikTok?

Although it’s unclear if ByteDance plans to sell TikTok, several potential bidders have come forward in the past few months.

Aides for Vice President JD Vance, who was tapped to oversee a potential deal, have reached out to some parties, such as the artificial intelligence startup Perplexity AI, to get additional details about their bids, according to a person familiar with the matter. In January, Perplexity AI presented ByteDance with a merger proposal that would combine Perplexity’s business with TikTok’s U.S. operation.

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Other potential bidders include a consortium organized by billionaire businessman Frank McCourt, which recently recruited Reddit co-founder Alexis Ohanian as a strategic adviser. Investors in the consortium say they’ve offered ByteDance $20 billion in cash for TikTok’s U.S. platform. And if successful, they plan to redesign the popular app with blockchain technology they say will provide users with more control over their online data.

Jesse Tinsley, the founder of the payroll firm Employer.com, says he too has organized a consortium, which includes the CEO of the video game platform Roblox, and is offering ByteDance more than $30 billion for TikTok.

Trump said in January that Microsoft was also eyeing the popular app. Other interested parties include Trump’s former Treasury secretary Steve Mnuchin and Rumble, the video site popular with some conservatives and far-right groups. In a post on X last March, Rumble said it was ready to join a consortium of parties interested in purchasing TikTok and serving as a tech partner for the company.