Trump gave the USOPC cover on its transgender athlete policy change. It could end up in court anyway

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By EDDIE PELLS, AP National Writer

In its push to remove transgender athletes from Olympic sports, the Trump administration provided the U.S. Olympic and Paralympic Committee a detailed legal brief on how such a move would not conflict with the Ted Stevens Act, the landmark 1978 federal statute governing the Olympic movement.

That gave the USOPC the cover it needed to quietly change its policy, though the protection offers no guarantee the new policy won’t be challenged in court.

Olympic legal expert Jill Pilgrim called the Trump guidance “a well thought-out, well-reasoned set of arguments for people who want to look at it from that perspective.”

“But I’d be pretty shocked if this doesn’t get challenged if there is, somewhere along the line, a trans athlete who’s in contention for an Olympic team or world championship and gets excluded,” said Pilgrim, who has experience litigating eligibility rules for the Olympics and is a former general counsel for USA Track and Field.

The USOPC’s update of its athlete safety policy orders its 54 national governing bodies to rewrite their participation rules to ensure they are in sync with the executive order Trump signed in February called “Keeping Men Out of Women’s Sports.”

When the USOPC released the guidance, fewer than five had rules that would adhere to the new policy.

Among the first adopters was USA Fencing, which was pulled into a congressional hearing earlier this year about transgender women in sports when a woman refused to compete against a transgender opponent at a meet in Maryland.

One of the main concerns over the USOPC’s change is that rewriting the rules could conflict with a clause in the Ted Stevens Act stating that an NGB cannot have eligibility criteria “that are more restrictive than those of the appropriate international sports federation” that oversees its sport.

While some American federations such as USATF and USA Swimming follow rules set by their international counterparts, many others don’t. International federations have wrestled with eligibility criteria surrounding transgender sports, and not all have guidelines as strict as what Trump’s order calls for.

World Rowing, for example, has guidelines that call for specific medical conditions to be met for transgender athletes competing in the female category. Other federations, such as the one for skiing, are more vague.

White House lawyers provided the USOPC a seven-paragraph analysis that concluded that requiring “men’s participation in women’s sports cannot be squared with the rest of the” Ted Stevens Act.

“And in any event, permitting male athletes to compete against only other fellow males is not a ‘restriction’ on participation or eligibility, it is instead, a neutral channeling rule,” according to the analysis, a copy of which was obtained by The Associated Press.

Once the sports federations come into compliance, the question then becomes whether the new policy will be challenged, either by individual athletes or by states whose laws don’t conform with what the NGBs adopt. The guidance impacts everyone from Olympic-level athletes to grassroots players whose clubs are affiliated with the NGBs.

Shannon Minter, the legal director at the National Center for LGBTQ Rights, said it will not be hard to find a transgender athlete who is being harmed by the USOPC change, and that the White House guidance “will be challenged and is highly unlikely to succeed.”

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“There are transgender women. There are some international sporting organizations that have policies that permit transgender women to compete if they meet certain medical conditions,” Minter said. “Under the Ted Stevens Act, they can’t override that. So, their response is just to, by brute force, pretend there’s no such thing as a transgender woman. They can’t just dictate that by sheer force of will.”

Traditionally, athletes on the Olympic pathway who have issues with eligibility rules must first try to resolve those through what’s called a Section IX arbitration case before heading to the U.S. court system. Pilgrim spelled out one scenario in which an athlete wins an arbitration “and then the USOPC has a problem.”

“Then, it’s in the USOPC’s court to deny that person the opportunity to compete, and then they’ll be in court, no doubt about that,” she said.

All this comes against the backdrop of a 2020 law that passed that, in the wake of sex scandals in Olympic sports, gave Congress the power to dissolve the USOPC board.

That, combined with the upcoming Summer Games in Los Angeles and the president’s consistent effort to place his stamp on issues surrounding sports, is widely viewed as driving the USOPC’s traditionally cautious board toward making a decision that was being roundly criticized in some circles. The committee’s new policy replaces one that called for reliance on “real data and science-based evidence rather than ideology” to make decisions about transgender athletes in sports.

“As a federally chartered organization, we have an obligation to comply with federal expectations,” CEO Sarah Hirshland and board chair Gene Sykes wrote to Olympic stakeholders last week. “The guidance we’ve received aligns with the Ted Stevens Act, reinforcing our mandated responsibility to promote athlete safety and competitive fairness.”

The USOPC didn’t set a timeline on NGBs coming into compliance, though it’s believed most will get there by the end of the year.

Changes to federal student loans leave aspiring medical students scrambling to cover costs

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CHICAGO — Twenty-year-old Eric Mun didn’t want to believe it: Only one kid in the family could make it to medical school — and it wasn’t going to be him.

Mun had done everything right. He graduated high school with honors, earned a scholarship at Northwestern University and breezed through his biology courses.

He immigrated to Alabama from Korea as a toddler. From the quiet stretches of the South, he dreamed of helping patients in a pressed white coat.

But dreams don’t pay tuition. And with new borrowing limits, Mun’s family can only support one child through school.

“My parents already implied that my older brother is probably going to be the one that gets to go,” Mun said.

President Donald Trump’s sweeping “big, beautiful” tax and spending bill, signed into law earlier this month, imposes strict new caps on federal student loans, capping borrowing for professional schools at $50,000 per year. The measure particularly affects medical students, whose tuition often exceeds $300,000 over four years.

Aspiring physicians like Mun have been thrown into financial uncertainty. Many members of the medical community say the measures will send shock waves through a system already laden with economic barriers, discouraging low-income students from pursuing a medical degree.

“It might mean there are people who want to be doctors that can’t be doctors because they can’t afford it,” said Dr. Richard Anderson, president of the Illinois State Medical Society.

Before the passage of Trump’s budget bill, the Grad PLUS loan program allowed graduate students to borrow their institution’s total cost of attendance, including living expenses. The program was slashed as part of a broader overhaul to the federal student loan system.

Now, beginning July 1, 2026, most graduate students will be capped at $20,500 in federal loans per year, with a total limit of $100,000. Students in professional schools, like medical, dental or law school, will face the $50,000 annual cap and a total limit of $200,000.

Through the Chicago Cancer Health Equity Collaborative Fellows program at Northwestern University, undergrads and recent graduates interested in medical school take part in a demonstration of fundamental laparoscopic surgery and a tour at a Northwestern surgical bio skills simulation lab on July 21, 2025. (Antonio Perez/Chicago Tribune)

Mun’s parents work at an automobile assembly plant. Throughout high school, he knew he would have to rely on scholarships and federal loans to pay his way through college.

Mun’s voice faltered. “I’m just trying to remain hopeful,” Mun said.

Also folded into the bill: the elimination of several Biden-era repayment plans, cuts to Pell Grants and limits to the Parent PLUS loans program, which allows parents of dependent undergraduates to borrow.

Proponents of the Republican-backed bill said the curbed borrowing will incentivize medical schools and other graduate programs to lower tuition. The tuition of most Chicago-area medical schools is nearly $300,000 for four years, not including cost-of-living expenses.

Northwestern University’s Feinberg School of Medicine has a $465,000 price tag after accounting for those indirect costs, according to the school’s website. Rosalind Franklin University of Medicine and Science trails closely behind at nearly $464,000.

“One of the main concerns about the Grad PLUS program is money that is going to subsidize institutions rather than extending access to students,” said Lesley Turner, an associate professor at the University of Chicago Harris School of Public Policy.

Still, many medical professionals expressed doubt that schools will adjust their costs in response to the bill. Tuition for both private and public schools has been steadily climbing for decades, up 81% from 2001 after adjusting for inflation, according to the Association of American Medical Colleges.

There’s some evidence that Grad PLUS may have contributed to those tuition hikes. A study co-authored by Turner in 2023 found that prices increased 65 cents per dollar after the program’s introduction in 2006. There was also little indication that Grad PLUS had fulfilled its intended goal of expanding access to underrepresented students.

Through the Chicago Cancer Health Equity Collaborative Fellows program at Northwestern University, undergraduates and recent graduates who are interested in medical school walk for a tour at a Northwestern surgical bio skills simulation lab on July 21, 2025. (Antonio Perez/Chicago Tribune)

But Turner cautioned against the abrupt reversal of the program. After accounting for inflation, the lifetime borrowing limits now placed on graduate students are lower than they were in 2005, she said. Many students may turn to private loans to cover the gap, often at higher interest rates.

More than half of medical students relied on Grad PLUS loans, according to AAMC. The median education debt for indebted medical students is around $200,000, with most repayment plans lasting 10 to 20 years. The median stipend for doctors’ first year post-MD was just $65,100 in 2024.

“I think for many reasons, it would have been reasonable to put some sort of limit on Grad PLUS loans, but I think this is a very blunt way of doing it,” Turner said.

In a high-rise on Northwestern’s downtown campus last week, 20 undergraduate students and alums from local colleges gathered for the Chicago Cancer Health Equity Collaborative Fellows program. The eight-week summer intensive offers aspiring medical professionals a deep dive into cancer health disparities information and research. Participants like Mun have been left reeling after the flurry of federal cuts.

Alexis Chappel, a 28-year-old graduate of Northeastern Illinois University, watched a family member struggle with addiction growing up. She was deeply moved by the doctors who supported his recovery, and it inspired her to pursue medicine. But she has no idea how she’ll cover tuition.

“I feel like it’s in God’s hands at this point,” Chappel said. “I just felt like it’s a direct attack on Black and brown students who plan on going to medical school.”

Through the Chicago Cancer Health Equity Collaborative Fellows program at Northwestern University, Alexis Chappel, center, takes part in a demonstration of fundamental laparoscopic surgery at a Northwestern surgical bio skills simulation lab on July 21, 2025. (Antonio Perez/Chicago Tribune)

Just 10% of medical students are Black and 12% are Latino, according to AAMC enrollment data. Socioeconomic diversity is also limited: A 2018 analysis found that 24% of students came from the wealthiest 5% of U.S. households.

Dr. Tricia Pendergrast, who graduated from Feinberg in 2023, relied entirely on Grad PLUS loans to fund her medical education. Juggling classes and clinicals, she had little money saved and no steady stream of income. Pendergrast was so strapped for cash that she enrolled in SNAP benefits — a program also cut under Trump’s budget bill.

Now an anesthesiologist at University of Michigan Health, she’s documented her concerns on TikTok for her 48,000 followers.

“It’s not going to improve representation, and it’s not going to improve access,” Pendergrast said. “It’s going to act as a deterrent for people who otherwise would be excellent physicians.”

For low-income students, the application process is already fraught with economic obstacles, Pendergrast said. Metrics like GPA and the Medical College Admissions Test, or MCAT, are heavily weighted in admissions, and may disadvantage students from underresourced schools. Many students also lack mentorships or networks to guide them through the process, she noted.

“I think the average medical student is going to be richer and whiter, and not from rural areas and not from underserved communities,” Pendergrast said.

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The elimination of Grad PLUS loans comes amid a mounting nationwide physician shortage. A recent AAMC report predicted a shortfall of 86,000 physicians by 2036. Meanwhile, a significant portion of the workforce is poised to enter retirement: The U.S. population aged 65 and older is expected to grow 34.1% over the next decade.

The shortage is particularly concentrated in primary care. In practice, that means longer waiting times for patients, and an increased caseload on physicians, who may already suffer from burnout.

“If the goal is truly to make America healthy again, then we need to have a strong physician workforce …  We should be coming up with ideas to make it more accessible for people who want to be doctors as opposed to hindering that,” Anderson said.

Sophia Tully, co-president of the Minority Association of Pre-Med Students at Northwestern, said she and her peers have struggled to reconcile with a system that often feels stacked against them. The 21-year-old plans on taking an extra gap year before medical school in an effort to save money.

Tully summed up the environment on campus: “For lack of a better word, people are panicking.”

Starmer says UK will recognize Palestinian state unless Israel agrees ceasefire, ends Gaza suffering

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By JILL LAWLESS and DANICA KIRKA, Associated Press

LONDON (AP) — The U.K. will recognize a Palestinian state in September unless Israel agrees to a ceasefire in Gaza, allows the U.N. to bring in aid and takes other steps toward long-term peace, Prime Minister Keir Starmer said Tuesday.

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Starmer, who is under mounting domestic pressure over the issue as scenes of hunger in Gaza horrify many Britons, convened a rare summertime Cabinet meeting to discuss the situation in Gaza. It came after he discussed the situation in Gaza with President Donald Trump during a meeting in Scotland on Monday.

The president told reporters he didn’t mind Starmer “taking a position” on statehood.

Starmer said after the meeting that Britain will recognize a state of Palestine before the United Nations General Assembly, “unless the Israeli government takes substantive steps to end the appalling situation in Gaza, agree to a ceasefire and commit to a long-term, sustainable peace, reviving the prospect of a two-state solution.

“And this includes allowing the UN to restart the supply of aid, and making clear there will be no annexations in the West Bank,” he said.

He also repeated U.K. demands that Hamas release all the hostages it holds, agree to a ceasefire, disarm and “accept that they will play no part in the government of Gaza.” Hamas has been designated as a terrorist organization by the United States, Canada and the European Union.

Starmer said in a televised statement that his government will assess in September “how far the parties have met these steps” before making a final decision on recognition.

Britain has long supported the idea of an independent Palestinian state existing alongside Israel, but has said recognition should come as part of a negotiated two-state solution to the conflict.

But Starmer said Tuesday Britain was willing to take the step because “the very idea of a two-state solution is reducing and feels further away today than it has for many years.”

He said that despite the set of conditions he set out, Britain believes that “statehood is the inalienable right of the Palestinian people.”

Pressure to formally recognize Palestinian statehood has mounted since French President Emmanuel Macron announced that his country will become the first major Western power to recognize a Palestinian state in September.

More than 250 of the 650 lawmakers in the House of Commons have signed a letter urging the government to recognize a Palestinian state.

More than 140 countries recognize a Palestinian state, including a dozen in Europe. Macron’s announcement last week make France is the first Group of Seven country and the largest European nation to take that step.

France welcomed Britain’s announcement.

″The United Kingdom is joining the momentum created by France for the recognition of the state of Palestine,” French Foreign Minister Jean-Noel Barrot posted on X.

Associated Press Writer Angela Charlton contributed to this story.

Palestinian death toll in Israel-Hamas war passes 60,000, Gaza Health Ministry says

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By WAFAA SHURAFA and SAMY MAGDY

DEIR AL-BALAH, Gaza Strip (AP) — More than 60,000 Palestinians have been killed during the Israel-Hamas war, Gaza’s Health Ministry said Tuesday. Israeli strikes overnight killed more than two dozen people, mostly women and children, according to health officials.

The Israeli offensive, launched in response to Hamas’ attack on southern Israel on Oct. 7, 2023, has destroyed vast areas of Gaza, displaced around 90% of the population and fueled a catastrophic humanitarian crisis. Hamas has been designated as a terrorist organization by the United States, Canada and the European Union.

Experts warned Tuesday that the territory of about 2 million Palestinians is on the brink of famine after Israeli restrictions and a breakdown of security have made it nearly impossible to safely deliver aid.

The Health Ministry, part of the Hamas-run government, said that the death toll has climbed to 60,034, with 145,870 others wounded since the war started. The victims include 18,592 children and 9,782 women. Together, they make up nearly half the dead.

The ministry, which doesn’t distinguish between civilians and combatants in its count, is staffed by medical professionals. The United Nations and other independent experts view its figures as the most reliable count of casualties. Israel has disputed its figures, but hasn’t provided its own account of casualties.

Dozens killed, most while seeking aid

Airstrikes on tents housing displaced people in the built-up Nuseirat refugee camp late Monday killed 30 people, including 12 children and 14 women, according to Al-Awda Hspital.

There was no immediate comment from the Israeli military.

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Israel says it only targets combatants and blames civilian deaths on Hamas, saying they operate in populated areas. The military said that it targeted Hamas military infrastructure over the past day, including rocket launchers, weapons storage facilities and tunnels.

Hospital officials, meanwhile, said that they received the bodies of an additional 33 people who were killed by gunfire around an aid convoy in southern Gaza on Monday, bringing the toll to 58. Witnesses said that Israeli forces fired toward the crowd.

Another 14 Palestinians were killed on Tuesday near a site in central Gaza run by the Gaza Humanitarian Foundation, or GHF, an Israeli-backed American contractor, according to local hospitals. GHF said that there were no violent incidents near its sites on Tuesday.

The Israeli military said it was “not aware of casualties” as a result of Israeli gunfire near the GHF site. There was no comment from the military on the shooting near the aid convoy on Monday.

More than 1,000 Palestinians have been killed by Israeli fire while seeking aid since May, according to witnesses, health officials and the U.N. human rights office. Israel, which controls large areas of Gaza where aid is distributed, says that it has only fired warning shots at those who approach its forces.

Hunger crisis ‘dramatically’ worsens

The Integrated Food Security Phase Classification, or IPC, the foremost international authority on food crises, said that Gaza has teetered on the brink of famine for two years. But it said that recent developments, including Israeli restrictions, have “dramatically worsened” the situation.

“The facts are in — and they are undeniable,” U.N. Secretary-General António Guterres said. “Palestinians in Gaza are enduring a humanitarian catastrophe of epic proportions … The trickle of aid must become an ocean.”

Israeli Foreign Minister Gideon Saar denied that Israel was deliberately starving Gaza, and said that the focus on hunger was part of a “distorted campaign of international pressure.”

“This pressure is directly sabotaging the chances for a ceasefire and hostage deal. It is only pushing towards military escalation by hardening Hamas’s stance,” he said Tuesday.

The U.S. and Israel have both recalled their negotiating teams over the past week as long-running negotiations over a ceasefire and hostage release seem to have stalled.

Palestinians swim for airdropped aid

Under mounting international pressure, Israel announced a series of measures over the weekend to increase the flow of aid, including expanded humanitarian corridors and international aid drops. U.N. officials say there has been little change on the ground so far, and much more is needed.

Air force cargo planes from Jordan and the United Arab Emirates have dropped aid over Gaza in recent days, and France and Germany have announced plans to join that effort.

But Associated Press reporters in Gaza said that much of the aid has fallen in so-called red zones that Israel has ordered people to evacuate from.

Dozens of Palestinians raced into the Mediterranean Sea on Tuesday to try and retrieve food from airdropped parcels that went off course. Some could be seen returning with soaked bags of tea and flour. One man held a can of beans.

Momen Abu Etayya said that his son had told him to “catch the plane” when they saw it flying in the distance.

“I came to try to get aid from the sea. I almost drowned,” he said, adding that he had only managed to get three packets of biscuits.

U.N. agencies and aid groups have long expressed skepticism about airdrops over Gaza, saying they are far costlier and deliver much less aid than land shipments. Parcels can land on desperate crowds, causing injuries or deaths, and can also spark deadly stampedes as thousands try to reach them.

Hunger-related deaths

The World Health Organization says more than 60 people have died this month from malnutrition-related causes, including 24 children under age 5.

Overall, 88 children died of causes related to malnutrition since the start of the war, while 58 adults died this month from malnutrition-related causes, according to the Gaza Health Ministry.

During hunger crises, people can die from malnutrition or from common illnesses or injuries that the body isn’t strong enough to fight. The ministry doesn’t include hunger-related deaths in its overall toll.

Hamas-led terrorists killed about 1,200 people, mostly civilians, in the attack that sparked the war, and abducted another 251. They are still holding 50 captives, around 20 believed to be alive, after most of the rest were released in ceasefires or other deals.

The war took a major turn in early March when Israel imposed a complete 2½-month blockade, barring the entry of all food, medicine, fuel and other goods. Weeks later, Israel ended a ceasefire with a surprise bombardment and began seizing large areas of Gaza, measures it said were aimed at pressuring Hamas to release more hostages.

At least 8,867 Palestinians have been killed since then.

Israel eased the blockade in May, but U.N. agencies say it hasn’t allowed nearly enough aid to enter and that they have struggled to deliver it because of Israeli restrictions and the breakdown of law and order. An alternative Israeli-backed system run by GHF has been marred by violence and controversy.

Samy Magdy reported from Cairo. Associated Press writer Melanie Lidman in Tel Aviv, Israel contributed.

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