Recipe: Micah Siva’s Passover Black and White Cookies

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Black and white cookies are a staple of New York delis, writes Micah Siva, author of “Nosh: Plant-Forward Recipes Celebrating Modern Jewish Cuisine” (The Collective Book Studio, $35).

They’re sweet and soft with a lemon scent and, of course, chocolate. Plus, this version is vegan, gluten-free and great for Passover — just be sure to check that all of your ingredients are kosher.

Passover Black and White Cookies

Makes 8 cookies

INGREDIENTS

Cookies:

1½ cups almond flour, sifted

1/4 cup arrowroot starch

1 teaspoon baking powder

1/4 teaspoon sea salt

1 tablespoon melted coconut oil

1/4 cup maple syrup

1 teaspoon vanilla extract

1/2 teaspoon lemon zest

11/2 teaspoons lemon juice

Frosting:

1½ cups powdered sugar

1/2 teaspoon vanilla extract

2 teaspoons lemon juice

1 to 2 tablespoons water

1 tablespoon light agave syrup or corn syrup

2 to 3 tablespoons cocoa powder

DIRECTIONS

Make the cookies: In a medium bowl, whisk together the almond flour, arrowroot starch, baking powder and salt. Add the coconut oil, maple syrup, vanilla, lemon zest and lemon juice and mix well until combined. Cover with plastic wrap and refrigerate for at least 30 minutes or up to overnight.

When you’re ready to bake, preheat the oven to 350 degrees. Line a large sheet pan with parchment paper.

Divide the dough into 8 equal pieces and roll them into balls. Transfer the balls to the prepared sheet pan and press each one into ½-inch-thick circles. Note: The cookies will not spread.

Bake for 11 to 13 minutes or until just golden. Let cool on the sheet pan for at least 20 minutes or until fully cool. (Icing warm cookies will make them appear messy, and the icing will not set.)

Make the frosting: In a medium bowl, combine the powdered sugar, vanilla, lemon juice and water, 1 tablespoon at a time, whisking to combine. The frosting should be quite thick and run off the spoon in thick ribbons, holding its shape for 2 to 3 seconds before settling back into the bowl. Whisk in the agave.

Divide the frosting equally between 2 bowls. In one bowl, add the cocoa powder. If it looks too thick, add an additional 1 to 2 teaspoons of water.

Using an offset spatula, spread the vanilla frosting on one-half of the bottom (flat) side of the cookie. Place the cookie on a clean sheet pan. Repeat with the rest of the cookies, place in the refrigerator, and let rest for 20 minutes, until the frosting is set.

Spread the chocolate frosting on the other side of the cookies and return them to the refrigerator to set for about 20 minutes.

Note: Store for up to two weeks in an airtight container in the fridge or 3 weeks in the freezer. Layer the cookies with wax paper to prevent sticking during storage.

— Courtesy Micah Siva, “Nosh: Plant-Forward Recipes Celebrating Modern Jewish Cuisine” (The Collective Book Studio, $35).

Republicans scrutinize voting rolls and ramp up for mass challenges ahead of election

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Matt Vasilogambros | Stateline.org (TNS)

When Scott Hoen ran to be Carson City, Nevada’s chief election official two years ago, he campaigned on “election integrity,” promising to make sure voter registration lists were accurate.

In the chaotic aftermath of the 2020 presidential election, he believed that too many of his fellow Republicans were convinced that there was widespread voter fraud. By keeping voter rolls current, Hoen thought he could restore voter trust in his county’s election system.

He won. And every day since he took office, he and his staff have tried to keep that focus, using data from all levels of government to remove voters who have moved or died from the active voter list.

Hoen was surprised, then, to be named in a lawsuit the Republican National Committee and the Nevada Republican Party filed last month against him, four other Nevada county clerks and the secretary of state. The lawsuit alleges that five localities had “inordinately high” voter registration rates, and that the state is violating federal law by not having what are known as “clean” voter rolls.

Hoen said the lawsuit is “unfortunate” and “a distraction” in a pivotal election year. The state responded by saying the data Republicans used in the lawsuit are “highly flawed” and that the RNC’s analysis was like “comparing apples to orangutans.” Former President Donald Trump’s lawyers asserted without evidence that more than 1,500 dead Nevadans voted in 2020 and that an additional 42,000 in the state voted twice.

The Nevada lawsuit is just one example of the tactics Republicans and conservative activists are using ahead of November’s presidential election, as they seek to purge voter rolls of allegedly ineligible voters. The efforts have election experts worried about voter access.

Changing a voter’s status is routine for election officials. Like others across the country, Hoen moves voters from active to inactive when election mail is repeatedly returned or when he gets death notices, and moves them to active status when he gets motor vehicle records for newly registered voters.

Nevada also is a member of the Electronic Registration Information Center, known commonly as ERIC, an interstate data-sharing pact that seeks to help states keep updated voter lists. Recently, ERIC has been a target of conspiracy theories that led to an exodus of nine Republican-led states over the past two years.

“Who knows where they got their numbers. But they didn’t consult me or ask me, or no one’s talked to me about what we do with voter roll maintenance,” Hoen said of the lawsuit in an interview with Stateline. “We do everything we can, per the law, to keep our voter rolls as plain as possible.”

The RNC filed a similar lawsuit against Michigan last month. Conservative groups have recently filed lawsuits in many other states, seeking access to state voter registration lists and claiming they might be bloated.

Some states, including Georgia and Indiana, have made it easier to remove registered voters from the rolls. And Trump-aligned groups have launched data analysis tools to aid in large-scale challenges to voter registrations.

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Election experts say maintaining accurate voter lists is a key part of election administration, but they are concerned that the challenges and lawsuits could bolster unfounded claims of rampant voter fraud. They also worry it could create undue hardships on voters who may have to prove their eligibility close to an election, and bog down election offices with frivolous data requests and challenges.

“When you see efforts to do mass challenges in the midst of the presidential primaries and months before a major election, you’ve got to wonder whether the intent is to create chaos and confusion amongst voters rather than legitimate list maintenance,” said David Becker, founder and executive director of the Center for Election Innovation & Research, a nonpartisan organization that advises local election officials nationwide.

Voter challenges aren’t inherently bad, he said. There are legitimate reasons to bring a challenge: A neighbor may have died or moved away, for example, and a voter wants to let an election official know.

But Becker is concerned that mass challenges and lawsuits could make voter lists less accurate, which could lead to problems at polling places, more provisional ballots and longer lines — creating the conditions for candidates to claim an election was stolen.

Mass voter challenges

Georgia enacted a law in 2021 that allows residents to make unlimited challenges to voter registrations, and requires local election officials to respond to those challenges within 10 business days. Thousands of registrations were challenged, and local election officials raced frantically to check the data and send responses.

The next year, 10 election staffers in Gwinnett County, Georgia, worked more than 40 days straight to handle 47,000 challenges in the midterm election, said Zach Manifold, the county elections supervisor. Fair Fight, a local voting rights group, said data showed those challenges disproportionately targeted people of color and younger voters.

The county’s voter roll is “a living and breathing document,” Manifold said. His office processes thousands of routine changes weekly. In addition to regular updates at the county level and being a member of ERIC, Georgia conducts large-scale list maintenance on odd years.

While a federal judge ruled in January that mass challenges in Georgia are not illegal intimidation, he did emphasize that the list of potentially ineligible voters that conservative activists compiled to contest registrations “utterly lacked reliability” that “verges on recklessness.”

A scenario similar to 2022’s mass challenges may repeat itself this year.

Last month, the Republican-led Georgia legislature passed a bill that would more clearly define existing law by setting standards for probable cause to challenge voters and for how much evidence is needed for a successful challenge. It also would cut off registration removals within 45 days of an election.

Some Democrats worried the change would lead to a rush of challenges, hurting voters. But Republican state Sen. Max Burns, one of the sponsors of the bill, said during a March committee hearing that the legislation may lead to fewer challenges.

“I think we need to clean up our voter rolls, so that people have confidence that those who are on the voter rolls are legitimate,” Burns said.

Republican Gov. Brian Kemp, who also is Georgia’s former secretary of state, has until early May to sign the legislation. His office told Stateline there will be a thorough review process.

Last month, Indiana Republican Gov. Eric Holcomb signed into law a bill that makes it easier to remove voters from the rolls by requiring state officials to compare voter registration lists with motor vehicle lists for noncitizens. People who are flagged would have 30 days to prove their citizenship.

The New Hampshire House also passed a bill that would allow voter registration challenges on Election Day. The measure is sitting in a state Senate committee.

To assist with those challenges, several right-wing groups that claim American elections are rigged because of voter fraud are releasing voter list tools that activists can use to scour voter registrations.

A company called EagleAI developed a tool to scan Georgia’s voter registration records. There are similar efforts in Nevada and Michigan, all coordinated through the Election Integrity Network, which is run by former Trump campaign attorney Cleta Mitchell. The network did not respond to an interview request.

“They’re perpetuating these lies that our voter rolls are full of fraudulent voters and bloated,” said Kristin Nabers, Georgia state director for All Voting is Local Action, a voting rights group that has opposed mass challenges in the Peach State. “The burden on election offices is really considerable.”

More lawsuits

Challenges to registrations are getting an assist from court cases that are making voter rolls public.

Since 2020, there have “been a lot of questions” surrounding elections, said Lauren Bowman Bis, director of communications and engagement for the Public Interest Legal Foundation, one of several conservative groups that have sued states to release voter registration lists.

Transparency in elections is crucial for people to have more confidence in the system, she added. By gaining access to voter names, addresses and party registration, groups like Bis’ can check states to make sure lists are accurate and they’re not sending multiple ballots to people or are ensuring dead people are removed from the rolls.

Bis has gone to cemeteries in Michigan where, she said, she has seen the names of active voters on tombstones.

The foundation, often known as PILF, has active lawsuits in Hawaii, Michigan and South Carolina over their voter roll maintenance. Over the past four years, they have successfully sued Illinois and Maryland and gained access to those states’ voter lists.

In February, a federal appeals court ruled that Maine had to release its voter rolls to the Public Interest Legal Foundation. The group has appealed a ruling in Michigan that it lost in a district court last month, arguing the state did not make a “reasonable effort” to clean its rolls.

Another conservative group that posts voter rolls online, the Voter Reference Foundation, sued Pennsylvania in February over access to its registration lists. The group did not respond to emailed questions.

“The voter roll really is the most essential election integrity document,” said Bis. “We’re just trying to make sure that federal law is enforced in states or localities where we find election officials aren’t doing what they are required to by law to have a secure election that people can have confidence in the results.”

But the disagreement over these efforts once again comes down to the data — the methodology that plaintiffs use in their complaints.

Conservative groups sometimes compare the current number of registered voters to an outdated estimate of the number of voting-age citizens in that jurisdiction, said Eliza Sweren-Becker, a senior counsel at the Brennan Center for Justice, a voting rights group housed at the New York University School of Law.

“You’re really comparing apples and oranges in suggesting that there’s something improper with high voter registration rates,” she said. “We should hope and expect that all eligible Americans who want to participate in our democratic system are registered to vote and can stay on the rolls.”

Some Republicans are concerned too.

Dennis Lennox, a Michigan-based Republican political consultant, told Stateline that while he does not agree with the way that many Democratic state officials changed voting rules in recent years, he worries that some Republicans are more focused on lawsuits and curbing ballot access than adapting to new early voting realities to get out the vote in a bigger way.

“Republicans, by and large, have been caught flat-footed,” Lennox wrote in an email. “The party nationally and in many states is basically divided between those wanting to focus on so-called lawfare and those willing to adapt and accept the reality of campaigns and elections in 2024.”

Stateline is part of States Newsroom, a national nonprofit news organization focused on state policy.

©2024 States Newsroom. Visit at stateline.org. Distributed by Tribune Content Agency, LLC.

Fact check: Biden is right about $35 insulin cap but exaggerates prior costs for Medicare enrollees

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Samantha Putterman | (TNS) KFF Health News

Insulin for Medicare beneficiaries “was costing 400 bucks a month on average. It now costs $35 a month.”

President Joe Biden, in a March 22 speech

____

The cost of insulin in the United States has risen considerably in recent years, with some estimates finding that Americans have paid around 10 times as much for the drug as people in other developed countries.

But recent changes by the federal government and drug manufacturers have started to drive insulin prices down, something President Joe Biden often mentions at campaign events.

Biden told the crowd at a March 19 campaign reception in Reno, Nevada, that he’s fought for years to allow Medicare to negotiate with drug companies.

“How many of you know someone who needs insulin?” Biden asked. “OK, well, guess what? It was costing 400 bucks a month on average. It now costs $35 a month.”

We’ve heard Biden make this point several times on the campaign trail — in other instances, he has said beneficiaries were paying “as much as” $400 a month — so we wanted to look into it.

The Inflation Reduction Act, which Biden signed in 2022, caps out-of-pocket insulin costs at $35 a month for Medicare enrollees. The cap took effect in 2023. In response, three drug manufacturers said they planned to reduce the price of insulin to $35 through price caps or savings programs.

The legislation also helped patients by clarifying how much they would have to pay for insulin and other drugs.

But Biden overstated the average monthly cost that Medicare beneficiaries were paying before the law.

One government estimate for out-of-pocket insulin costs found that people with diabetes enrolled in Medicare or private insurance paid an average of $452 a year — not a month, as Biden said. That’s according to a December 2022 report by the Department of Health and Human Services using 2019 data. Uninsured users, however, paid more than twice as much on average for the drug, or about $996 annually.

About Half of US Insulin Users Are on Medicare

More than 37 million Americans have diabetes, and more than 7 million of them need insulin to control their blood sugar levels and prevent dangerous complications. Of the Americans who take the drug, about 52% are on Medicare.

It’s unlikely that many Medicare enrollees were paying the $400 out-of-pocket monthly average Biden referred to, though it could be on target for some people, especially if they’re uninsured, drug pricing experts told us.

“It would be more accurate to say that it could cost people on Medicare over $400 for a month of insulin, but the average cost would have been quite a bit lower than $400 on Medicare,” said Stacie Dusetzina, a health policy professor at Vanderbilt University School of Medicine.

Medicare Part D, also called the Medicare prescription drug benefit, helps beneficiaries pay for self-administered prescriptions. The benefit has several phases, including a deductible, an initial coverage phase, a coverage gap phase, and catastrophic coverage. What Medicare beneficiaries pay for their prescriptions often depends on which phase they’re in.

“It is confusing, because the amount that a person was supposed to pay jumps around a lot in the Part D benefit,” Dusetzina said. For example, she said, Medicare beneficiaries would be more likely to pay $400 a month for insulin during months when they hadn’t yet met their deductible.

Mariana Socal, an associate scientist at Johns Hopkins Bloomberg School of Public Health, said it’s also difficult to estimate insulin’s precise cost under Medicare because individual prices hinge on other factors, such as how many other prescription medications patients take.

“Because the Medicare program has multiple instances where the patient is required to pay a coinsurance (percentage of the drug’s cost) to get their drug, it is very likely that patients were paying much more than $35 per month, on average, before the cap established by the Inflation Reduction Act went into effect,” Socal wrote in an email.

There are different ways to administer insulin, including through a pump, inhaler, or pen injector filled with the medicine.

In a 2023 report, HHS researchers estimated that about 37% of insulin fills for Medicare enrollees cost patients more than $35, and 24% of fills exceeded $70. Nationally, the average out-of-pocket cost for insulin was $58 per fill, typically for a 30-day supply, the report found. Patients with private insurance or Medicare paid about $63 per fill, on average.

For people with employer-sponsored insurance, the average monthly out-of-pocket spending on insulin in 2019 was $82, according to a report published in October 2021 by the Health Care Cost Institute, a nonprofit that studies health care prices. The study found that the majority of patients were spending an average of $35 a month, or lower, on the drug. But among the “8.7% of individuals in the highest spending category,” the median monthly out-of-pocket spending on insulin was about $315, the study said.

Our Ruling

Biden said Medicare beneficiaries used to pay an average of $400 per month for insulin and are now paying $35 per month.

The Inflation Reduction Act capped the monthly price of insulin at $35 for Medicare enrollees, starting in 2023. The change built in price predictability and helped insulin users save hundreds of dollars a year.

However, most Medicare enrollees were not paying a monthly average of $400 before these changes, according to experts and government data. Costs vary, so it is possible some people paid that much in a given month, depending on their coverage phase and dosage.

Research has shown that patients with private insurance or Medicare often paid more than $35 a month for their insulin, sometimes much more, but not as high as the $400 average Biden cited.

We rate Biden’s statement Half True.

____

PolitiFact copy chief Matthew Crowley contributed to this report.

(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.)

©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.

A vehicle backfiring startled a circus elephant into a Montana street. She still performed Monday

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By AMY BETH HANSON (The Associated Press)

The sound of a vehicle backfiring spooked a circus elephant while she was getting a pre-show bath in Butte, Montana, leading the pachyderm to break through a fence and take a brief walk, stopping noontime traffic on the city’s busiest street before being loaded back into a trailer.

Viola, an Asian elephant with the Jordan World Circus, still participated in two performances Tuesday after her time on the lam in the southwestern Montana city of about 35,000 people that in the late 1800s was the world’s largest copper-producing area.

Viola was getting a bath behind the Butte Civic Center just after noon on Tuesday when she was startled, Civic Center manager Bill Melvin said.

She went through a “kind of rickety” fence and went onto Harrison Avenue, a four-lane street, stopping traffic and causing folks to pull out their cellphones to take photos and video. Viola walked about half a block in the road before turning into the parking lot of a convenience store and casino, Melvin said.

Town Pump surveillance cameras caught images from several angles of the elephant walking down the street in front of the building and plodding through the parking lot with a trainer beside her. She then moved to a residential lawn where she started eating some grass.

People with the circus drove a trailer over with another elephant inside, Melvin said. They “put the ramp down and she walked right back in and that was it.”

“The other elephant was very happy to see her,” Melvin said.

About 10 minutes passed from when she was startled to when she was back in the trailer, he said.

“She come back and she performed last night and everything was good,” Melvin said. “I mean the show went on, as they say.”

Viola and the Jordan World Circus have performances on Wednesday in the state capital Helena.

___

AP reporter Sarah Brumfield contributed from Silver Spring, Maryland.