U.S. posts sharpest weekly rise in COVID-19 deaths since August

(Reuters) – The United States recorded its biggest weekly rise in COVID-19 deaths since August, increasing 32% from the previous week to average about 1,500 people per day, according to a Reuters analysis of state and county reports.

New cases rose 13% in the week ended Nov. 22, or an average of more than 168,000 per day

Ahead of the Thanksgiving holiday this Thursday, at least 23 states have announced new restrictions to try to slow the spread of the virus but so far only New Mexico has issued a stay-at-home order.

Cases rose by 90% in New Mexico last week, the biggest percentage increase in the country, followed by Virginia at 62% and Arizona with a 50% increase.

In North Dakota, the hardest hit state on a per capita basis, nearly 73,400 tests have come back positive for the new coronavirus since the beginning of the outbreak. That is equivalent to 9.6% of the state’s population. North Dakota mandated masks starting Nov. 14 but another 14 states still do not require them.

Across the United States, 9.8% of tests came back positive for the virus for a second week in a row, according to data from The COVID Tracking Project, a volunteer-run effort to track the outbreak.

The World Health Organization considers positive test rates above 5% concerning because it suggests there are more cases in the community that have not yet been uncovered.

Out of 50 states, 26 had positive test rates above 10% last week, led by Iowa at 56%, South Dakota at 45% and Idaho at 40%.

(Graphic by Chris Canipe, writing by Lisa Shumaker, editing by Tiffany Wu)

‘Very stressful’: COVID-19 surge slices U.S. demand for big Thanksgiving turkeys

By Tom Polansek and Christopher Walljasper

CHICAGO (Reuters) – All summer, Greg Gunthorp slaughtered and froze 15- to 24-pound turkeys on his northeastern Indiana farm for Thanksgiving sales to retailers, restaurants and families across the Midwest.

But as surging COVID-19 cases prompted U.S. cities and states to urge Americans to stay home just weeks before the holiday, customers swapped out orders for whole birds for smaller turkey breasts.

As a last-minute shift toward small-scale celebrations upends demand for the star of Thanksgiving tables, turkey producers and retailers are scrambling to fill orders for lightweight birds and partial cuts.

“It was very stressful,” Gunthorp said. “It cut our numbers on being able to fill customer sizes that they wanted for turkeys – way too short.”

Gunthorp raised and sold nearly 7,000 pasture-raised turkeys this year, up 75% from a year ago. Restaurants and meat shops in major Midwestern cities, his primary clients, cut orders by 10% to 20%, but Gunthorp has made up the difference by partnering with online retailers, shipping turkeys as far away as Los Angeles.

Suppliers need to be nimble as about half of Americans plan to alter or skip traditional festivities due to local health advisories against big gatherings, according to market research firm Nielson. About 70% are planning a Thanksgiving with fewer than six people, compared with 48% last year.

Demand for smaller birds will trim turkey production to 1.445 billion pounds in the last quarter, down five million pounds from previous expectations, according to a Nov. 17 report from the U.S. Department of Agriculture.

“We have seen our supply chain adjust to market disruptions and shifting consumer needs,” said Beth Breeding, spokeswoman for the industry group National Turkey Federation. “Like the rest of the country, it has been a challenging year for turkey production.”

While best known for beef, Nebraska-based Omaha Steaks this year offered 3-pound turkey breasts for the first time to cater to smaller Thanksgiving gatherings, said Nate Rempe, president and chief operating officer. The pre-cooked product sold out online, as some consumers are avoiding grocery stores.

Omaha Steaks also sold out of 10-pound turkeys earlier than usual, Rempe said.

“The number of individual Thanksgiving meals being prepared … is going to be much higher because of the separation of gatherings,” he said.

Butterball, the largest U.S. producer of turkey products, shipped 1,900 truckloads of whole turkeys to grocers in the past two weeks, said Al Jansen, executive vice president of marketing and sales. Many major chains booked orders in the first quarter before the coronavirus outbreak, he added.

Retailers have slashed whole-turkey prices by about 7% to an average of $1.21 per pound, the lowest since 2010, according to the American Farm Bureau Federation. That cuts the average cost of a Thanksgiving meal for 10 people by 4% to $46.90, Farm Bureau said.

The decline is welcome news for the nearly 24 million households facing empty cupboards due to COVID-19-related job losses. Food insecurity has nearly tripled since the pandemic began, according to U.S. Census Bureau data.

“Thanksgiving will not be a holiday that all Americans can enjoy this year,” said Joseph Llobrera, research director at the Center on Budget and Policy Priorities. “Alarming levels of food hardship will last through the holidays and beyond unless policymakers immediately provide robust COVID relief.”

Some Americans who had relied on others to cook on Thanksgiving are ordering part or all of their meals from restaurants for the first time. Others simply do not want the hassle of preparing a feast for just a few guests.

“Thanksgiving is going to look very different this year, and we know there’s a lot of cooking fatigue out there right now,” said Tracy Hostetler, a vice president for Perdue Farms. The company launched turkey “ThanksNuggets” as an alternative to traditional turkey dinners.

In Houston, independent marketing consultant Anh Nguyen, 50, will dine with about 10 relatives on a smoked turkey from a local restaurant. Normally, three times as many of her family members gather to gobble up two 20-pound turkeys cooked at home.

“It’s a little weird,” said Nguyen. “Thanksgiving has been historically just one of the holidays where everybody is together.”

(Reporting by Christopher Walljasper and Tom Polansek; Editing by Richard Chang)

U.S. CDC reports 255,958 deaths from coronavirus

(Reuters) – The U.S. Centers for Disease Control and Prevention (CDC) on Monday reported 12,175,921 cases of the new coronavirus, an increase of 147,840 from its previous count, and said that the number of deaths had risen by 882 to 255,958.

The CDC reported its tally of cases of the respiratory illness known as COVID-19, caused by a new coronavirus, as of 4 pm ET on Nov. 22 versus its previous report a day earlier.

The CDC figures do not necessarily reflect cases reported by individual states.

(Reporting by Dania Nadeem in Bengaluru; Editing by Devika Syamnath)

Despite COVID-19 travel warnings, many Americans ‘not living in fear’ ahead of Thanksgiving

By Daniel Trotta and Nathan Layne

(Reuters) – Millions of Americans appear to be defying health warnings and traveling ahead of the Thanksgiving holiday, likely exacerbating a surge in coronavirus infections before a series of promising new vaccines become widely available.

With U.S. COVID-19 infections hitting a record 168,000 per day on average, Americans are flocking to airports against the advice of the Centers for Disease Control and Prevention (CDC), the U.S. surgeon general and Dr. Anthony Fauci, the nation’s top infectious disease expert.

For Americans, the long holiday weekend, which begins on Thursday, is traditionally the busiest travel period of the year, and 2020 may prove to be no exception.

Some 1 million passengers passed through airport screenings on Sunday, the highest number since March. It was the second time in three days that passengers screened topped 1 million but screenings are down nearly 60% from the same time last year, the U.S. Transportation Security Administration said.

Meanwhile, the seven-day average number of U.S. COVID-19 deaths rose for a 12th straight day, reaching 1,500 as of Monday, according to a Reuters tally of official data.

That has further taxed already exhausted medical professionals, as coronavirus hospitalizations have surged nearly 50% over the past two weeks and the United States has surpassed 255,000 deaths and 12 million infections since the pandemic began.

Pleading with residents to stay home and avoid gatherings during the holiday season, Governor Andrew Cuomo reminded New Yorkers of the grim early days of the pandemic when as many as 800 people died in a single day in the state.

Hospitalizations have spiked 122% in New York state over the last three weeks, Cuomo said, prompting the re-opening of an emergency medical facility on Staten Island.

Help could arrive soon. The head of the U.S. campaign to rapidly deploy a vaccine said the first Americans could start receiving vaccinations as early as mid-December, and another global drug company on Monday unveiled promising trial results on a vaccine candidate.

“NOT LIVING IN FEAR”

Still, many Americans are refusing to follow the health advice that could save their lives.

In Pennsylvania, the number of COVID-19 tests coming back positive was 25% last week, according to data from The COVID Tracking Project. On Monday, Secretary of Health Dr. Rachel Levine warned that the latest models indicated the state could start to run out of intensive care unit beds within a week.

Linda Lafferty, a nurse and the owner of a bed and breakfast in McConnellsburg, said family and friends gathered on the first Sunday in November to celebrate, as they do every year because she and others often have to work on Thanksgiving Day.

But Lafferty said her family would have assembled if they could.

“We are not living in fear and if we were able to get together on Thanksgiving Day we absolutely would,” said Lafferty, 47. “We would still get together and we wouldn’t limit the number of folks because if you are family you are family.”

To be sure, many Americans said they would do their best to conform with health recommendations.

Donnalie Hope, a 78-year-old resident of Petersburg, West Virginia, is planning to make fresh cranberries, mash potatoes and her famous corn pudding for Thanksgiving, which she will spend with her daughter, who will be visiting, and a neighbor.

Hope said they would social distance as much as possible in her home, and that she planned to ready rubber gloves and hand sanitizer. She acknowledged that her guests might eventually take off their masks in the home.

“I’m trying very hard to comply with the regs because I want this country to get back to where it belongs,” she said.

(Reporting by Daniel Trotta and Nathan Layne; Additional reporting by Lisa Lambert, David Shepardson and Susan Heavey in Washington, Barbara Goldberg in Maplewood, New Jersey; Writing by Daniel Trotta and Maria Caspani; Editing by Bernadette Baum and Lisa Shumaker)

U.S. prepares for first COVID-19 shots as another vaccine candidate emerges

By Daniel Trotta

(Reuters) – U.S. officials expect to begin inoculating Americans against the novel coronavirus by mid-December as another global drug company on Monday unveiled promising trial results on a vaccine candidate, providing hope as the pace of infections accelerated.

The head of the U.S. campaign to rapidly deploy a vaccine that U.S. healthcare workers and other high-risk people could start getting shots produced by Pfizer Inc within a day or two of regulatory consent next month.

“I would expect, maybe on day two after approval on the 11th or 12th of December, hopefully the first people will be immunized across the United States,” Dr. Moncef Slaoui, chief scientific adviser for “Operation Warp Speed,” told CNN on Sunday.

With many Americans traveling and potentially increasing their risk ahead of the Thanksgiving holiday on Thursday, the United States has surpassed 12 million infections and the death toll has climbed to more than 255,000 since the pandemic began.

Coronavirus hospitalizations have surged nearly 50% over the past two weeks as the pace of new infections quickened, and the average number of new COVID-19 deaths reported in United States has been increasing for 12 days.

The latest vaccine breakthrough came on Monday as British company AstraZeneca said its vaccine could be 90% effective without any serious side effects. The vaccine would give the world another important tool against the pandemic and one that is potentially cheaper to make, easier to distribute and faster to scale up than those of rivals.

The vaccine was 90% effective in preventing COVID-19 when administered in two different doses a month apart, late-stage trials showed.

The British drugmaker said it would have as many as 200 million doses by the end of 2020 and 700 million doses could be ready globally as soon as the end of the first quarter of 2021.

Pfizer, working with German partner BioNTech, says its vaccine was 95% effective against infection from the highly contagious respiratory virus.

Other pharmaceutical companies making progress include Moderna Inc, which is expected to seek separate approval later in December, and Johnson & Johnson, which is working on a single-dose vaccine.

In the United States, the first people to receive the Pfizer vaccine would likely include doctors, nurses and front-line emergency medical personnel, as well as those at the highest risk of severe illness and death from the virus, Slaoui said.

But U.S. Surgeon General Jerome Adams expressed concern that Americans who are dismissive of science and skeptical about vaccines may discourage people from getting their jabs.

“What I’d hate is for us to have a vaccine that could end this pandemic but people don’t trust it,” Adams told the ABC News show “Good Morning America” on Monday.

“I’m just excited we now have three vaccines out there because when you’re trying to immunize the entire planet we want to have as many different tools in our arsenal as possible,” Adams said.

Adams warned Americans that holiday parties “can be super-spreader events,” while New Jersey Governor Phil Murphy urged people to scale back or cancel Thanksgiving plans.

“We’ve pleading with people: Please, God, do the right thing,” Murphy told “Good Morning America.”

California Governor Gavin Newsom said late Sunday he would quarantine for 14 days after three of his children were exposed to a California Highway Patrol officer who tested positive for the virus.

(Additionl reporting by Lisa Lambert, Susan Heavey, Doina Chiacu, Kate Holton, Josephine Mason and Kate Kelland; Editing by Bernadette Baum)

U.S. screens highest number of airline passengers since March

By David Shepardson

WASHINGTON (Reuters) – The U.S. Transportation Security Administration said it screened 1.047 million passengers on Sunday, the highest number since mid-March.

The number of U.S. air travelers is still nearly 60% lower than the same date last year but Sunday was the second time in three days that passengers screened topped 1 million.

The Centers for Disease Control and Prevention (CDC) on Thursday urged Americans not to travel during this week’s Thanksgiving holiday to mitigate the spread of the coronavirus as cases of COVID-19 spike around the United States.

There have been just three days since March 16 that the number of U.S. airline passengers screened topped 1 million, with the first being Oct. 18 when it was 1.031 million.

Delta Air Lines and Southwest Airlines have cautioned that the recent surge in COVID-19 cases may have a negative impact on travel over the winter holidays, a period the sector had hoped would see improved bookings.

U.S. airlines say travel demand remains down 62%, while international travel demand remains down more than 70%. Some officials think U.S. restrictions barring many non-U.S. citizens from arrival could be eliminated or reduced with new testing.

The CDC on Saturday said COVID-19 testing before and after international travel can reduce risk and “make travel safer by reducing spread on planes, in airports, and at destinations.”

On Wednesday, the chief executives of the seven largest U.S. airlines made a fresh plea for more payroll relief in a letter to congressional leaders.

American Airlines and United Airlines last month furloughed 32,000 workers.

The COVID-19 pandemic brought travel to a near halt earlier in the year, forcing airlines to scale back operations and seek government bailouts.

(Reporting by David Shepardson; Editing by Toby Chopra and Andrea Ricci)

U.S. officials worry about holiday spike as coronavirus surges

By Brendan O’Brien and Maria Caspani

CHICAGO (Reuters) – U.S. health authorities braced for further increases in COVID-19 infections, hospitalizations and deaths on Friday, capping a week in which the spread of the novel coronavirus accelerated ahead of next week’s Thanksgiving holiday.

The seven-day rolling average of new COVID-19 cases reached more than 165,000 on Thursday, while the seven-day average for deaths climbed to 1,359, more than any day since late May, according to a Reuters tally of public health data.

With hospitalizations rising across much of the nation, straining already exhausted medical staff, officials in more than 20 states have imposed restrictions to curtail the spread of the virus.

The White House Coronavirus Task Force coordinator, Dr. Deborah Birx, said the virus is spreading at a high rate across more than half the country and that Thanksgiving gatherings should be limited to immediate family members rather than a maximum number of people.

“I don’t like it to be any number… if you say it can be 10, and it’s eight people from four different families, then that probably is not the same degree of safe as 10 people from your immediate household,” Birx told CNN on Friday.

In a positive sign for combating the pandemic, Pfizer Inc. said it will apply to U.S. health regulators on Friday for emergency use authorization of its COVID-19 vaccine, the first such application in a major step toward providing protection against the virus.

Pfizer and German partner BioNTech SE this week reported final trial results that showed the vaccine was 95% effective in preventing COVID-19 with no major safety concerns.

If the data is solid, “we literally could be weeks away from the authorization of a 95% effective vaccine,” U.S. Health Secretary Alex Azar said on CBS’ “This Morning.”

California’s governor on Thursday imposed some of the most stringent restrictions on the vast majority of the state’s population, with a curfew on social gatherings and other non-essential activities that will start on Saturday night and end on the morning of Dec. 21.

“The virus is spreading at a pace we haven’t seen since the start of this pandemic, and the next several days and weeks will be critical to stop the surge,” Governor Gavin Newsom, a Democrat, said in a statement announcing the measure a week before the Thanksgiving holiday.

Similar restrictions took effect in Ohio this week, while Minnesota ordered a shutdown of restaurants, bars, fitness centers and entertainment venues from Friday until Dec. 18 at the earliest, as the state’s hospital intensive care units were stretched to capacity.

In Illinois, where the number of COVID-19 tests coming back positive was at an alarmingly high 20% and new restrictions, including a ban on indoor dining, took effect on Friday, long lines appeared again at testing sites.

In Chicago’s metro area, Emily Randall had no luck finding an opening to get tested after she woke up with a throbbing headache on Thursday.

“It’s very frustrating because I’m trying to be a responsible citizen,” said the 43-year-old research analyst. “My head feels a lot better but I am still worried because I have read stories of people who got better and then, all of a sudden, got worse.”

The number of patients hospitalized with COVID-19 in the United States has jumped nearly 50% in the past two weeks, with more than 80,000 people being treated for the disease in hospitals across the country as of late Thursday, a Reuters tally showed, the most at any time during the pandemic.

Daily COVID-19 deaths surpassed the 2,000 mark for the first time since late June on Thursday.

THANKSGIVING FEARS

U.S. officials have pleaded with the public to avoid unnecessary travel and exercise caution as the winter holidays of Thanksgiving and Christmas approach.

The U.S. Centers for Disease Control and Prevention issued a “strong recommendation” on Thursday that Americans refrain from traveling for the holiday.

Although COVID-19 restrictions have received more bipartisan support from state leaders in recent weeks, South Dakota Governor Kristi Noem, a Republican and close ally of President Donald Trump, refused to limit gatherings on Thanksgiving.

“In South Dakota, we won’t stop or discourage you from thanking God and spending time together this Thanksgiving,” Noem said in a statement on Friday.

With cases and deaths increasing steadily in most states, the University of Washington’s Institute for Health Metrics and Evaluation updated its widely cited model.

It now projects 471,000 coronavirus deaths by March 1, up from less than 440,000 in its previous forecast.

In hard-hit Wisconsin, the state’s hospital association implored lawmakers to address the growing crisis by providing more resources to health care workers and facilities.

“With few tools available right now to curb spread other than increasingly urgent public appeals, our COVID numbers are growing rapidly and predict, quite accurately so far, a health care crisis in Wisconsin that without significant, swift, and unified action will become a catastrophe,” Wisconsin Hospital Association President and CEO Eric Borgerding wrote in a letter to legislators and the governor on Thursday.

(Reporting by Maria Caspani in New York and Brendan O’Brien in Chicago; additional reporting by Anurag Maan in Bengaluru, Sharon Bernstein in Sacramento and Steve Gorman in Los Angeles, California; Editing by Dan Grebler)

‘Dial back’ or ’emergency brake?’ New lockdowns and the U.S. economy

SAN FRANCISCO (Reuters) – The surge in new COVID-19 infections is driving a fresh wave of restrictions in cities and counties across the United States.

California’s “emergency brake,” Oregon’s “freeze,” Philadelphia’s “safer at home” and Minnesota’s “dial back” are among a new patchwork of rules adopted by states, cities and counties that are much less strict and far more narrow than measures imposed to stop the spread of the virus in the spring.

The overall economic bite will be smaller, too, compared to the downdraft that started earlier this year and which led to roughly 22 million people losing their jobs, a collapse in retail spending and a recession.

“I don’t see where you get a 30% hit to GDP,” said Tim Duy, an economics professor at the University of Oregon. “There’s not as much to take off the table … I’m having a hard time seeing where you are going to derail the recovery.”

Businesses that were fully shut in March, like medical offices, shops, factories, and even hair salons, will remain open in many areas this time around.

That’s in part because many Americans have changed their behavior, businesses from manufacturers to retail stores have added routine temperature checks, and face masks are more common and in many states mandated. Meanwhile, consumers have embraced online shopping and curbside delivery to keep spending.

High-frequency data backs that up: even after the latest explosion in case numbers, economic activity has not collapsed.

SURGICAL STRIKE

Many of the latest restrictions target activities where science shows the spread of the virus is the most pernicious – indoor pursuits, in close quarters, for extended periods of time, or with heavy or unmasked breathing.

That means they will hurt some already hard-hit sectors of the economy, including hospitality and entertainment. The U.S. Centers for Disease Control and Prevention on Thursday issued a strong recommendation against travel over the Thanksgiving holiday this month, though it did not ban it outright.

Many of the more than two dozen states that have issued new restrictions this week have closed or restricted indoor dining and gyms. California, the biggest state by economic output, is among that group.

At the same time, businesses shut during California’s lockdowns in the spring, including shopping malls, body waxing venues, and barber shops, can continue to operate, albeit with some limits to contain the spread of the virus.

Philadelphia’s ban on indoor dining goes into effect on Friday.

Stock Fishtown and Stock Rittenhouse, which are owned by Philadelphia-based restaurateur Tyler Akin, will shift to carry-out and delivery mode. On Monday new rules in Delaware will force him to reduce capacity at his Le Cavalier restaurant in Wilmington to 30%, down from the current 50%. Though better than being entirely closed down, as was the case in March, Akin may need to adjust staffing to fit revenue.

“We have some really hard conversations ahead of us,” he said.

Efforts to adapt business to the realities of the pandemic may allow some restaurants and bars to weather the worst effects of the restrictions. In Oakland, California, as in many cities around the country, restaurants and bars have built platforms decked out with tables, chairs and propane heaters to make customers more comfortable outside in chillier weather.

It’s “a way to keep our businesses afloat,” said Ari Takata-Vasquez, who leads a small-business alliance in Oakland that has raised money to build the outdoor dining areas for cash-strapped eateries.

She’s working on, or completed, five of them – and has 30 eateries and gyms on the waiting list.

In Minnesota, movie theaters and yoga studios will shut at midnight on Friday, along with indoor and outdoor service at eateries, pubs and gyms. Minnesota Governor Tim Walz, like many of his counterparts across the country, is also telling families not to have household gatherings, and he acknowledged the new rules will be felt especially hard by small businesses.

“By closing your doors and putting your financial well-being at risk, you are protecting the lives of your neighbors,” he said this week.

LIGHTER LOCKDOWNS, LESS RELIEF

Many of the newly implemented restrictions are expected, at least for now, to last two to four weeks. But even though lockdowns will be more moderate – and in many places are simply sector-specific curfews rather than sweeping closures – business owners and employees, especially in the restaurant industry, are worried their own financial pain will be sharper.

That’s because Congress has shown little sign of delivering another round of fiscal relief, let alone the massive pandemic packages totaling some $3 trillion passed earlier this year.

The last of the extra government aid for the unemployed is due to run out at the end of this year. A bill with bipartisan support to rescue the restaurant industry is caught in limbo in Congress, as the outgoing Trump administration focuses on challenging the results of the Nov. 3 presidential election.

While households overall still have excess savings, built in part from prior government aid, for many families that money is likely to run out before a vaccine comes into widespread use.

(Reporting by Ann Saphir and Jonnelle Marte and Howard Schneider; Editing by Paul Simao)

Why Republican voters say there’s ‘no way in hell’ Trump lost

By Brad Brooks, Nathan Layne and Tim Reid

SUNDOWN, Texas (Reuters) – Brett Fryar is a middle-class Republican. A 50-year-old chiropractor in this west Texas town, he owns a small business. He has two undergraduate degrees and a master’s degree, in organic chemistry. He attends Southcrest Baptist Church in nearby Lubbock.

Fryar didn’t much like Donald Trump at first, during the U.S. president’s 2016 campaign. He voted for Texas Senator Ted Cruz in the Republican primaries.

Now, Fryar says he would go to war for Trump. He has joined the newly formed South Plains Patriots, a group of a few hundred members that includes a “reactionary” force of about three dozen – including Fryar and his son, Caleb – who conduct firearms training.

Nothing will convince Fryar and many others here in Sundown – including the town’s mayor, another Patriots member – that Democrat Joe Biden won the Nov. 3 presidential election fairly. They believe Trump’s stream of election-fraud allegations and say they’re preparing for the possibility of a “civil war” with the American political left.

“If President Trump comes out and says: ‘Guys, I have irrefutable proof of fraud, the courts won’t listen, and I’m now calling on Americans to take up arms,’ we would go,” said Fryar, wearing a button-down shirt, pressed slacks and a paisley tie during a recent interview at his office.

The unshakable trust in Trump in this town of about 1,400 residents reflects a national phenomenon among many Republicans, despite the absence of evidence in a barrage of post-election lawsuits by the president and his allies. About half of Republicans polled by Reuters/Ipsos said Trump “rightfully won” the election but had it stolen from him in systemic fraud favoring Biden, according to a survey conducted between Nov. 13 and 17. Just 29% of Republicans said Biden rightfully won. Other polls since the election have reported that an even higher proportion – up to 80% – of Republicans trust Trump’s baseless fraud narrative.

Trump’s legal onslaught has so far flopped, with judges quickly dismissing many cases and his lawyers dropping or withdrawing from others. None of the cases contain allegations – much less evidence – that are likely to invalidate enough votes to overturn the election, election experts say.

And yet the election-theft claims are proving politically potent. All but a handful of Republican lawmakers have backed Trump’s fraud claims or stayed silent, effectively freezing the transition of power as the president refuses to concede. Trump has succeeded in sowing further public distrust in the media, which typically calls elections, and undermined citizens’ faith in the state and local election officials who underpin American democracy.

In Reuters interviews with 50 Trump voters, all said they believed the election was rigged or in some way illegitimate. Of those, 20 said they would consider accepting Biden as their president, but only in light of proof that the election was conducted fairly. Most repeated debunked conspiracy theories espoused by Trump, Republican officials and conservative media claiming that millions of votes were dishonestly switched to Biden in key states by biased poll workers and hacked voting machines.

Many voters interviewed by Reuters said they formed their opinions by watching emergent right-wing media outlets such as Newsmax and One American News Network that have amplified Trump’s fraud claims. Some have boycotted Fox News out of anger that the network called Biden the election winner and that some of its news anchors – in contrast to its opinion show stars – have been skeptical of Trump’s fraud allegations.

“I just sent Fox News an email,” Fryar said, telling the network: “You’re the only news I’ve watched for the last six years, but I will not watch you anymore.”

The widespread rejection of the election result among Republicans reflects a new and dangerous dynamic in American politics: the normalization of false and increasingly extreme conspiracy theories among tens of millions of mainstream voters, according to government scholars, analysts and some lawmakers on both sides of the political divide. The trend has deeply troubling long-term implications for American political and civic institutions, said Paul Light, a veteran political scientist at New York University (NYU).

“This is dystopian,” Light said. “America could fracture.”

Adam Kinzinger, a Republican member of the U.S. House of Representatives, is among the few party members to publicly recognize Biden’s victory. He called his Republican colleagues’ reluctance to reject Trump’s conspiracies a failure of political courage that threatens to undermine American democracy for years. If citizens lose faith in election integrity, that could lead to “really bad things,” including violence and social unrest, he said in an interview.

David Gergen – an adviser to four previous U.S. presidents, two Democrats and two Republicans – said Trump is trying to “kneecap” the Biden administration before it takes power, noting this is the first time a sitting American president has tried to overthrow an election result.

It may not be the last time. Many Republicans see attacks on election integrity as a winning issue for future campaigns – including the next presidential race, according to one Republican operative close to the Trump campaign. The party, the person said, is setting up a push for “far more stringent oversight on voting procedures in 2024,” when the party’s nominee will likely be Trump or his anointed successor.

Other Republicans urged patience and faith in the government. Charlie Black, a veteran Republican strategist, does not believe Republican lawmakers will continue backing Trump’s fraud claims after Biden is inaugurated. They will need White House cooperation on basic government functions, such as appropriations and defense bills, he said.

“People will come to see we still have a functioning government,” Black said, and Republicans will become “resigned to Biden, and see it’s not the end of the world.”

The Biden campaign declined to comment for this story. Boris Epshteyn, a strategic advisor to the Trump campaign, said: “The President and his campaign are confident that when every legal vote is counted, and every illegal vote is not, it will be determined that President Trump has won re-election to a second term.”

‘THERE’S JUST NO WAY’

Media outlets declared Biden the election winner on Nov. 7. As calls were finalized in battleground states, Biden’s lead in the Electoral College that decides the presidency widened to 306 to 232.

Many Republican voters scoff at those results, convinced Trump was cheated. Raymond Fontaine, a hardware store owner in Oakville, Connecticut, said Biden’s vote total – the highest of any presidential candidate in history – makes no sense because the 78-year-old Democrat made relatively few campaign appearances and seemed to be in mental decline.

“You are going to tell me 77 million Americans voted for him? There is just no way,” said Fontaine, 50.

The latest popular vote total for Biden has grown to about 79 million, compared to some 73 million for Trump.

Like many Trump supporters interviewed by Reuters, Fontaine was deeply suspicious of computerized voting machines. Trump and his allies have alleged, without producing evidence, a grand conspiracy to manipulate votes through the software used in many battleground states.

In Grant County, West Virginia – a mountainous region where more than 88% of voters backed the president – trust in Trump runs deep. Janet Hedrick, co-owner of the Smoke Hole Caverns log cabin resort in the small town of Cabins, said she would never accept Biden as a legitimate president.

“There’s millions and millions of Trump votes that were just thrown out,” said Hedrick, 70, a retired teacher and librarian. “That computer was throwing them out.”

At the Sunset Restaurant in Moorefield, West Virginia – a diner featuring omelets, hotcakes and waitresses who remember your order – a mention of the election sparked a spirited discussion at one table. Gene See, a retired highway construction inspector, and Bob Hyson, a semi-retired insurance sales manager, said Trump had been cheated, that Biden had dementia and that Democrats planned all along to quickly replace Biden with his more liberal running mate for vice president, Kamala Harris.

“I think if they ever get to the bottom of it, they will find massive fraud,” said another of the diners, Larry Kessel, a 67-year-old farmer.

Kessel’s wife, Jane, patted him on the arm, trying to calm him, as he grew agitated while railing against anti-Trump media bias.

Trump’s rage against the media has lately included rants against Fox News. He has pushed his supporters towards more right-wing outlets such as Newsmax and One America News Network, which have championed the president’s fraud claims.

Rory Wells, 51, a New Jersey lawyer who attended a pro-Trump “stop the steal” election protest in Trenton last week, said he now watches Newsmax because Fox isn’t sufficiently conservative.

“I like that I get to hear from Rudy Giuliani and others who are not immediately discounted as being crazy,” he said of Trump’s lead election lawyer.

Newsmax CEO Chris Ruddy said the network’s viewership has exploded since the election, with nearly 3 million viewers nightly via cable television and streaming video devices.

Ruddy said Newsmax isn’t saying that Biden stole the election – but they’re also not calling him the winner given that Trump has valid legal claims. “The same media who said Biden would win in a landslide now want to not have recounts,” he said in a phone interview.

Charles Herring, president of One America News Network, said in a statement that his network has seen three weeks of record ratings, as “frustrated Fox News viewers” have tuned in.

‘NO WAY IN HELL’

Some Trump supporters said they would accept Biden as the winner if that is the final, official result. Janel Henritz, 36, echoed some others in saying that she believed the election included fraud, but perhaps not enough to change the outcome. Henritz, who works alongside her mother Janet Hedrick at their log cabin resort in West Virginia, said she would accept the outcome if Biden remains the winner after recounts and court challenges.

“Then he won fair and square,” she said.

In Sundown, Texas, Mayor Jonathan Strickland said there’s “no way in hell” Biden won fairly. The only way he’ll believe it, he said, is if Trump himself says so.

“Trump is the only one we’ve been able to trust for the last four years,” said Strickland, an oilfield production engineer. “As far as the civil war goes, I don’t think it’s off the table.”

If it comes to a fight, Caleb Fryar is ready. But the 26-year-old son of Brett Fryar, the chiropractor, said he hoped Trump’s fraud allegations would instead spark a massive mobilization of Republican voters in future elections.

Asked whether Trump might be duping his followers, he said it’s hard to fathom.

“If I’m being manipulated by Trump … then he is the greatest con man that ever lived in America,” Caleb Fryar said. “I think he’s the greatest patriot that ever lived.”

(Reporting by Brad Brooks in Texas, Nathan Layne in West Virginia and Tim Reid in California; editing by Brian Thevenot)

Trump administration issues two rules aimed at drug prices

(Reuters) – U.S. President Donald Trump on Friday said it was issuing two new rules that are aimed at lowering drug prices for the Medicare program, including one aimed at making sure pharmacy benefit managers pass after-market rebates onto seniors.

The second rule is aimed at aligning the prices paid in the United States to those paid in foreign countries, he said.

(Reporting by Caroline Humer, Editing by Franklin Paul)