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Nate Bargatze on Hosting Emmys, ADHD, Quitting Standup, Theme Park

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I notice Nate Bargatze’s car before I notice him.

The burnt orange Porsche has just pulled up to the bustling Nashville restaurant where we’ve agreed to meet, and the valet is signaling for Bargatze to park out front. Once he’s made his way inside, he’ll tell me that his primo spot is a perk of driving a stick shift — what he won’t say, and what he’d hate having to read here, is that it’s also a perk of being the most successful touring comedian in the world.

As Bargatze, 46, has climbed to the top of that comedy food chain — slowly at first, then lightning fast — he’s wrestled with many things, none more so than: How does a guy who’s parlayed his everyman persona into a burgeoning empire remain an everyman? After all, an everyman doesn’t sell out arenas; he doesn’t star in movies; he doesn’t host Saturday Night Live; he doesn’t get tapped to emcee this year’s Emmy Awards; and he certainly doesn’t have a burnt orange Porsche parked out front.

Photographed by Beau Grealy

Truth is, Bargatze loves the car. He spends so much time on tour, it’s nice having something he looks forward to driving when he’s home. And frankly, at this stage, he could afford a whole fleet of them without noticing a dent in his bank account. But there’s also a genuine discomfort that comes with the spoils of success. “I’m embarrassed,” he says as a few restaurant-goers do double takes. “I hesitate to even talk about it because I don’t want anybody to think that I think I’m better than them.”

Bargatze has spent a fair share of his time lately grappling with concerns like this one in therapy, which is another thing that he’s embarrassed about. He’s terrified he’ll come off as some out-of-touch elitist and not the comfortably relatable, oafish dad that’s earned him his legions of fans. But he has just come from his therapist’s office, and he had a good session, maybe even a breakthrough, and once he starts talking about it, he can’t seem to stop.

You have to understand this is all relatively new territory for Bargatze, who was raised “upper lower class” in Old Hickory, Tennessee, where nobody spoke about shrinks, much less saw one. “Where I come from, the only reason you’d go to therapy is if you, like, set your house on fire,” he says, “not because you’re, like, managing life.” But who else is he supposed to talk to about this stuff? These aren’t exactly everyman problems.

***

Nate Bargatze was photographed Aug. 13 at the Grand Ole Opry in Nashville. He’s performed on the famed stage many times over the years, but his first job included sweeping the Opry steps.
Artistic and Fashion Director Alison Edmond
Canali suit, shirt, pocket square; David Yurman lapel pin, ring; Christian Louboutin boots.

Photographed by Beau Grealy; Fashion Assistant: Elliott Pearson. Hair: Eric Miller. Makeup: Katie Barr. Tailor: Mariana Vasiltsova.

In Bargatze’s high school yearbook, students were asked what they thought they’d be doing with their lives in 10 years. His response? Performing at Zanies, the preeminent comedy club in his native Nashville. On its face, it’s an obvious answer for the funny kid in class — it also reveals an ambition that he’s always had but has only recently been comfortable discussing. “I think it used to feel stupid for me to want to dream this big,” he says.

Ask the same question of Bargatze today, and he’ll look you in the eyes and tell you that he’s trying to build “the next Disney” — a destination for the kind of wholesome content that he grew up on and wishes were still available to enjoy with his wife, Laura, and their 13-year-old daughter. A decade from now, Nateland, as he’s named his company, should have TV shows, movies, podcasts, specials, live events and, yes, even an amusement park. He laughs off the notion that it may be too late for mass-appeal entertainment in an era of niche. “Every weekend, I look out [at packed arenas] and I see that it’s OK to be for everybody,” says the comic, whose family-friendly act grossed more than $80 million last year, outselling everybody in the business, including Dave Chappelle, Jerry Seinfeld and Sebastian Maniscalco combined.

Still, he regrets how he articulated his vision for Nateland and, more notably, its competition in a springtime interview with Esquire, telling the magazine: “Now Disney is run by a guy that’s just a businessman [and] doesn’t care about the audience.” It wasn’t exactly what Bargatze meant, and when he saw his comments making headlines, he was frustrated, mostly with himself.

“That was me dumbly not knowing and just saying something,” he tells me. “But when I said it, I was also kind of seeing, like, does what I say have weight? And it turns out it does.” According to Bargatze, it led to him texting directly with Disney CEO Bob Iger, which was, admittedly, wild. It was Bargatze who fired off the first text: “I don’t know how to do interviews.” The two are hoping to cross paths Emmy weekend.

Now that he has the industry’s attention, Bargatze wants to meet everybody. “All the people who came before me,” he says, “and just learn from them.” He already peppered Adam Sandler, a role model, with questions at the SNL50, and he picked Mark Wahlberg’s brain on the golf course. He’s also sat, spongelike, with top executives like Peter Rice and Jeffrey Katzenberg, and he keeps an encouraging voice note from Seinfeld, an idol turned mentor, saved on his phone. Bargatze may make jokes about his “big dumb eyes” — the name of his current tour and his best-selling book — but the college dropout is ferociously competitive and now deeply committed to building a behemoth.

“Nate’s got that ‘aw, shucks’ thing to him, but he’s taking it all in,” says Felix Verdigets, a friend and neighbor who recently left his partner role at the prestigious consulting firm KPMG to be the CEO of Bargatze’s company. “I love being in business meetings where people start to get like, ‘Hey, buddy, are you with us?’ Like, ‘You following us?’ And then he’ll just turn around and ask the smartest questions, and everyone will go, ‘Oh.’ ”

But in order for him to get to the next level, Bargatze says he’s got to do some real work on himself, which is where the therapist comes in. For about a year now, he has been carrying around ADHD meds. A doctor prescribed them because Bargatze has many of the symptoms — “I can be hyper-focused on things like comedy, but then everything else feels overwhelming,” he says — and he had every intention of taking them. Then he got scared. “So scared,” he tells me. “Because what if ADHD is my superpower?”

There’s also a part of Bargatze, one that he isn’t particularly proud of, that worries that this very conversation makes him weak. “Like I should be able to just grow up and handle it,” he says. At the same time, what if the meds could quiet his brain? What if they could even help him get a handle on his diet and start committing to being fit and healthy once and for all? These are things he wants, and as the demands of him and his time continue to grow, things he needs.

Fans of Bargatze’s stand-up and his Nateland podcast know all about his affinity for chain restaurants — he famously met his wife working at Applebee’s — and for fast food. “I have a major problem. Last night, I even drove myself to get a Sonic Blast because I was overwhelmed and I don’t know where to send that energy except to that,” he says. “Then I look at myself and I go, ‘Why am I going? I don’t even want it.’ But I don’t know what else to do. Drinking is gone. I was able to address that. So, what’s my outlet now?”

Bargatze cut booze back in 2018, just as he was making the transition from comedy clubs to theaters. He feared if he didn’t, it would sabotage his career. But his relationship with food has proved trickier to wrestle control of. In fact, he says he started taking the weight-loss drug Mounjaro earlier this year, right before production began on The Breadwinner, his first feature, because he felt himself spiraling — but he hates how the shot makes him feel and he hates the fact that he needs it.

If he does end up taking the ADHD meds — which, on this evening, is still a big if — he’ll want to figure out a way to get off of them as quickly as he can. “It would just be to give myself a break,” he says, as he forks into a butter pecan doughnut that he’s ordered for dessert. “It’s almost like I’m drowning, and I need a raft to hold on to, just to let me get my bearings, and then I need to try to swim again.”

Brunello Cucinelli jacket, shirt, tie, pants; Christian Louboutin shoes.

Photographed by Beau Grealy

***

Bargatze used to worry that he would never make it in the comedy business because he didn’t have a troubled childhood to mine. Instead, as he wrote in his best-seller, his upbringing was “pure dumb funny.”

His father, Stephen, was a clown, then a magician, which would yield loads of material as he grew older (including a 2012 special, Yelled at by a Clown); as a kid, it just meant the Bargatze house was full of silly props and Nate and his two younger siblings had reliable birthday party entertainment. Any time he was given a chance to join his father onstage, he’d jump at it, though he never engaged in the magic. Even now, he says, “I only know how to ruin a trick.” (These days, Stephen opens for his son on the road, where he regularly kills; in a matter of weeks, the nearly 70-year-old will tape his first special, which Nateland is producing.)

It was his father’s faith, however, that did more to shape Bargatze. Stephen and his wife, Carol, raised the family Southern Baptist, which, their son has joked, meant that “Jesus had more fun than [he] did.” It definitely limited what Bargatze was allowed to watch, and the language that he uses to this day. His friends all say they’ve never heard him curse, on- or offstage. He remembers doing so once, in an early special, and he’s still mad about it. He’d called his dad for permission at the time, explaining how the tag he’d be using — “don’t be a bitch about it” — was the only way he could think to secure a laugh. “I regret it so much,” he says now. “I just wasn’t a good enough comic to figure out something else.”

Bargatze with his dad, Stephen, a clown turned magician who now opens for his son on the road.

Courtesy of Subject

Bargatze still makes a habit of going to church when he’s home, and prayer is his answer to many things. At one point, he tells me, “As a Christian, I feel very much called in what I do,” then stops himself. In his desire to be broadly relatable, Bargatze has learned to minimize his faith publicly. It’s easier to sell out arenas on both coasts and everywhere in between when you’re not potentially alienating anyone. It’s one of the reasons he’s always chafed at the “Christian comic” label, a box inside which he never wanted to be placed.

The clean label, on the other hand, Bargatze wears like a badge of pride — though in an ideal world, he’d rather you not notice that he never touches anything remotely controversial. That’s arguably easier to accomplish these days, when Bargatze and his openers all subscribe to the same PG philosophy. It was significantly harder to pull off early on, when he was coming up in New York City clubs, doing the uncensored midnight shows with jokes about parking and his magician dad. (It’s worth noting here that he’s never been fazed by what others do; the vast majority of Bargatze’s comedian friends and role models are considerably filthier and often political and it doesn’t stop him from hanging out or guesting on their shows. He’s done them all: Joe Rogan’s, Theo Von’s, Marc Maron’s and John Mulaney’s.)

His commitment to staying clean has always impressed Jimmy Fallon, who once headlined his own Clean Cut Comedy Tour before taking over The Tonight Show, and recruited Bargatze to join him. “He could go dirty if he wanted to, but he’s like, ‘I’m going to choose not to,’ and it’s harder to make the choice not to and be successful,” says the late night host, who’s had Bargatze on his show more than a dozen times and later recommended him to Lorne Michaels to host SNL.

His viral “Washington’s Dreams” sketch from his first SNL appearance is widely considered brilliant.

Will Heath/NBC/Getty Images

Still, it was a slog. For years, Bargatze watched as the careers of his edgier peers took off. “We all knew how good he was, but the bookers took a little longer,” recalls fellow comic Julian McCullough, who came up with Bargatze in New York and now emcees his tour. “You sort of always knew it was going to be a longer road for him because he wasn’t a noisy, flashy guy and he wasn’t going to change to fit tastes — he was just going to keep writing better jokes than everybody else, and that’s what he did.”

In Bargatze’s estimation, his career was always moving forward, just never as quickly as he wanted it to or felt it should. In fact, even after he scored a Grammy nomination for his 2021 Netflix hour, The Greatest Average American, Netflix is said to have encouraged him to explore other distributors for his next special. Amazon bit immediately, and though Netflix ultimately came around with a bigger offer, he took the Prime Video deal. He was hurt, but not particularly surprised. “It wasn’t that I wasn’t doing well,” he says, “but everybody started getting a little opinionated, and it was like, ‘Man, they’re getting all this industry love’ and they’re ‘the coolest thing.’ And when I’d get offstage, people would be like, ‘Oh, he’s the funniest,’ but I wasn’t getting any of that and it was really frustrating.”

Bargatze had an even harder time in Hollywood. He spent a decade pitching a series of loosely autobiographical sitcoms without anything to show for it. He even managed to enlist big-name producers, who were genuine fans of his comedy. One had Fallon attached; another had Jerrod Carmichael and Drew Goddard. It was never enough. Bargatze was selling something that L.A. executives weren’t buying.

Then everything changed.

Bargatze been on Fallon’s show more than any other comic.

Todd Owyoung/NBC/Getty Images

***

In Bargatze’s career, there is a “before Saturday Night Live” and an after. Michaels gave him his first shot as host in October 2023, when the rest of Hollywood was off on strike. And though he was filling arenas by then, there were plenty still googling, “Who is Nate Bargatze?” He took it in stride.

“I’d just sold out the Oklahoma City Thunder arena that week, but I didn’t go in, like, ‘You should know who I am,’ because why should they?” he says now. “I knew that that was a different audience, and that I had to murder.”

By all accounts, he did. Bargatze’s monologue, nearly 10 minutes of his best material delivered in his laconic, deadpan way, earned widespread raves; and his “Washington’s Dream” sketch, which mocked America’s asinine system of weights and measurement with him as George Washington, quickly went viral. The episode delivered the show’s highest ratings in nearly a year and catapulted Bargatze into the zeitgeist in a way he’d never experienced before. “It couldn’t have gone better,” says Fallon, who’s agreed to open for his buddy at Madison Square Garden later this month and is now back in comedy clubs for the first time in years. As for Bargatze, he was invited back to SNL the following season.

From there, Bargatze’s touring business exploded — “I was doing arenas before, but I joke that SNL added the second arena,” he says — and so did his ambitions. He hired Verdigets, and the two built out a staff of about 15 full-time employees. They already have a talent incubation system in place to identify and grow other clean comics, along with plans to build a sweeping production facility in Nashville and offer Nateland “experiences,” which include a 2026 voyage with Norwegian Cruise Line and that amusement park. The latter is moving along nicely, says Bargatze — they’ve completed a market study and are about to start the feasibility one. If everything continues to go well, they’ll have a shovel in the ground in five to six years. To pull it all off, he’s been meeting with Tennessee legislators and potential investors.

“I’ve been with Nate long enough that when he starts talking about a theme park, I know he isn’t joking. I’m like, ‘Yes, let’s do a theme park,’ ” says McCullough. “I also know that not everybody’s going to hear it that way, and they haven’t.” But as Bargatze and everyone in his circle will tell you, naysayers are his fuel. “Tell him no and he just winks at you, like, ‘All right, I’ll show you,’ ” says Verdigets, who claims his partner’s competitive side is omnipresent: “Everything’s a game with him. You go over to the house, and he has you in the Trackman [golf simulator] seeing who can hit the target first, or you’re in the pool seeing who can hold their breath the longest.”

In recent months, the Hollywood end of Nateland’s business has been moving at warp speed. If you believe his reps, it’s because Bargatze’s poised to revive the once vital family-friendly comedy — think Home Alone or Honey, I Shrunk the Kids — and he knows how to sell tickets. That he’s never actually acted in a movie, much less opened one, doesn’t seem to faze them. “Everybody recognizes that he’s this unicorn in the world right now,” says Jason Heyman, a UTA partner who works closely with Bargatze. “He can tap into the left and the right and everyone between the coasts in a way that no one else is, and he’s doing it in a very wholesome, nonthreatening, family-first way.”

For Nicole Brown, president of Sony’s TriStar Pictures, Bargatze was worth betting on. In fact, she couldn’t get the Mr. Mom-esque comedy that he co-wrote, produces and stars in into production fast enough. “The idea of his first film being so personal and authentic to him and his comedy felt like the perfect foray, and he’d really identified a space,” she says of The Breadwinner, where Bargatze plays a bumbling dad. “He was like, ‘I want to be able to watch a film with my whole family. We can go watch animation now, but there’s nothing with real people in it.’ ” Plus, he intends to promote The Breadwinner with a preshow teaser video in every arena he plays from now until its March theatrical release. That there was also a stunning number of brands, from Walmart to Toyota, that wanted to be affiliated with the film was, as Brown puts it, “an amazing surprise.”

Verdigets, who calls Bargatze “a corporate dream,” squeaky-clean without being saccharine or cheesy, was considerably less surprised. “Look, Sony’s great, they’re awesome, but these companies didn’t wake up one morning and go, ‘Let’s do something with Sony today,’ ” he says. “They went, ‘Oh, we finally can get with Nate,’ because he typically doesn’t endorse as Nate Bargatze but he can endorse as Nate Wilcox, his character in The Breadwinner.”

By Verdigets’ count, there are at least nine more scripts, three animated projects and two game shows in various stages of development at Nateland — and that doesn’t account for the deluge of IP coming Bargatze’s way. (“Every classic comedy that studios have in their cellar,” says Heyman.) Given his schedule, he’s already abandoned his own sitcom dreams, though he hopes to produce them for other comics. Bargatze will stick to movies, animation and game shows. At press time, his reps were hammering out a deal with ABC for the latter, which he’s hoping to film at the Grand Ole Opry, as he did his CBS holiday variety special last year. CBS is hoping he’ll do more of those, too, but first they’ve got him hosting the Emmy Awards.

“At a time when so much comedy is polarizing — half the country loves it, half the country hates it — you have this genius in Nate, who’s just trying to bring us all together,” says CBS CEO George Cheeks, a longtime Bargatze fan. “He’s not preachy, he’s not didactic, he’s just human — and to me, there’s nothing more refreshing.”

Others might tell you that hosting an awards show is a thankless gig, but Bargatze doesn’t seem fussed. He chuckles at the idea of having to watch all of the nominated shows, and he has no plans to cancel his Denver tour dates on Friday and Saturday of Emmy weekend. A week and a half before the Emmys, he calls me, not from a writers room in L.A. but rather from a golf trip in Pinehurst, North Carolina. “Don’t worry, I’m getting jokes sent to me,” he says. (He also says that he’s just started taking those ADHD meds that he’d been carrying around, and it’s been “nice to get some relief.”)

As Bargatze sees it, the Emmys don’t actually require a ton of stage time from the host, and he makes his living on a stage. Plus, he has an A-list team with him that includes head writer Mike Gibbons, who wrote for both Nikki Glaser’s Golden Globes and The Roast of Tom Brady. Still, the fact that a guy who spent 10 years trying and failing to get a television series of his own on the air is now hosting the TV industry’s biggest night is not lost on Bargatze. “And there’s probably a little bit of me that wants to feel like I belong,” he says. “I know that I sound different and I live in Nashville and I do these other things, but I want to be accepted by them. I think they’re cool, and I want them to think I’m cool, too. I want all of it.”

And he’s about to go all in.

Todd Snyder suit; vintage shirt; David Yurman ring; Jimmy Choo shoes.

Photographed by Beau Grealy

***

Bargatze’s plan is to do one more tour after the one he’s currently on, and that’s it. He’ll turn his attention to Hollywood. “I know how much focus and hard work it is to get where I got with stand-up, so if I want to do that in movies, I can’t do both,” he says. “It’s just too much, and I won’t do it well.”

It’s an audacious pivot for someone who sold more than 1 million tickets on the road last year. Ask Verdigets how he feels about the plan, and the CEO jokes: “On the record, I’m going with whatever Nate says.” Even Heyman, who manages Bargatze’s Hollywood business, acknowledges how much his client leaves on the table when he isn’t delivering stand-up. “If we looked at it in terms of money,” he says, “it would be idiotic to do movies.”

In reality, Bargatze will still perform, just at a vastly different scale and cadence than he has for the past 20 years. “It’ll be more like a hobby,” he says, envisioning himself popping in at Zanies or the Comedy Cellar in New York. And maybe it’s all for the best. He’s already concerned about the threats to his everyman authenticity. It’s the reason he set aside time to write the hour he’s currently touring before production on The Breadwinner got underway.

Bargatze with his wife, Laura, whom he met working at Applebee’s; she as a server, he as a host.

Rich Polk/GG2025/Penske Media/Getty Images

“I knew I was about to get into a world where you’re recognized a lot more and you’re not doing normal things, and you don’t want to get up there and be like, ‘Ah man, the other day, I was with the Rock,’ ” he says. “You’d never want your whole act to be about your career and success. You want it to still be about things that are relatable — the things that people come to see.”

It’s also the reason that, in addition to his solo sessions, he’s started going to therapy with his wife. “As all this stuff changes for me, it also changes for her and for our family,” he tells me. “And we want to make sure that we stay ‘us’ focused. We’re a family, and that’s what’s important — none of the other stuff matters.”

It’s getting late now, and Bargatze has to head home. He’s got a slew of things to do in the morning, then he’s back out on the road. Columbia, South Carolina. Jacksonville, Florida. Then, Orlando, where his wife and daughter will join him over the weekend. He plans to take the family to Disney World, just as an everyman would. Of course, he’ll also be doing a little market research while he’s there.

This story appeared in the Sept. 10 issue of The Hollywood Reporter magazine. Click here to subscribe.



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Peter Mandelson sacked as US ambassador by Keir Starmer over emails to Jeffrey Epstein

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Jaws drop in Westminster, but No 10 insists due process was followedpublished at 10:41 British Summer Time

Chris Mason
Political editor

This time last week, there was a drip, drip of revelations about the then-deputy prime minister and calls for her resignation.

Fast forward seven days, and there is a drip, drip of revelations about the UK’s ambassador to the United States and calls for his resignation.

A cabinet minister’s jaw drops when I tell them about the story.

For those who have kicked around at Westminster for a while, there is something familiar about it too.

Peter Mandelson twice lost his job in the cabinet two decades ago over his dealings with rich men.

Mandelson’s friendship with the late Epstein has long been publicly known, so the key political questions are actually for the prime minister, in choosing to appoint him.

Downing Street is not currently providing straight answers when we ask whether these most recent revelations are a surprise to them and whether they know what may be still to come.

They insist “due process” was followed before Mandelson’s appointment.

It would appear that either Downing Street was insufficiently curious or sceptical about the extent of Lord Mandelson’s friendship with Epstein before giving him the job, or calculated that he would be so good in the role it would be worth soaking up any embarrassment the connection might cause them.

Or perhaps they hoped the embarrassing stuff would never come out.



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UK fires ambassador to US Peter Mandelson over links to Epstein | Politics News

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Veteran Labour politician under scrutiny over relationship with the late convicted sex offender, Jeffrey Epstein.

The United Kingdom has fired Peter Mandelson as ambassador to the United States over his relationship with the late convicted sex offender Jeffrey Epstein, the British Foreign, Commonwealth and Development Office (FCDO) has said.

Mandelson, a veteran Labour politician who was key to the party’s success under former leader Tony Blair, came under heavy scrutiny over his relationship with Epstein after a birthday book was released, including a letter purportedly from Mandelson describing Epstein as “my best pal”.

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“In light of the additional information in emails written by Peter Mandelson, the prime minister has asked the foreign secretary to withdraw him as ambassador,” the FCDO said on Thursday.

“The emails show that the depth and extent of Peter Mandelson’s relationship with Jeffrey Epstein is materially different from that known at the time of his appointment.”

On Wednesday, The Sun newspaper published emails that it said showed Mandelson telling Epstein to “fight for early release” shortly before he was sentenced to 18 months in prison.

“I think the world of you,” Mandelson told him before he began his sentence for soliciting prostitution from a minor in June 2008.

“I can still barely understand it. It just could not happen in Britain,” Mandelson wrote. “You have to be incredibly resilient, fight for early release and be philosophical about it as much as you can.”

The emails were published after the Democrats on the US House Committee on Oversight and Government Reform released a 50th birthday album compiled in 2003 for Epstein, who at the time was a wealthy and well-connected financier. In that album, Mandelson called Epstein “my best pal” in a handwritten note.

Epstein is believed to have abused hundreds of children during his high-flying career, with charges related to abuse of underage girls dating back to 2006.

The FCDO said the revelation of Mandelson’s suggestion that Epstein’s first conviction was wrongful and should be challenged was “new information”.

Facing questions from Tory leader Kemi Badenoch on Wednesday, Prime Minister Keir Starmer insisted “full due process was gone through” in his appointment, the BBC reported.

Still, Mandelson’s relationship with Epstein was public knowledge for years, with Epstein nicknaming him “Petie”.

Mandelson, 71, has twice been forced to resign as a minister over alleged misconduct in 1998 and 2001. Though he made regular comebacks to politics, his tenure was often marred by controversies, including links to Russian oligarch Oleg Deripaska.

Trump’s birthday letter

The tens of thousands of files related to Epstein’s case have meanwhile become a political conundrum for US President Donald Trump, who previously pushed for the release of all files during his re-election campaign amid swirling conspiracy theories about Epstein’s 2019 death by suicide in a New York jail cell.

Trump also faces accusations of penning a birthday letter to the late financier, and was known to socialise with him.

House Democrats released the letter on Monday as part of the birthday album; it contains a sketch of a naked woman with Trump’s signature in place of pubic hair.

The White House has denied the letter’s authenticity, and Trump is separately pursuing a multibillion-dollar lawsuit against The Wall Street Journal, which first revealed the letter’s existence in July.



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‘The chaos is the point’: tumult as Covid vaccine boosters deployed under RFK Jr | Coronavirus

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The first deployment of updated Covid shots under the Trump administration has been plagued by access issues and misinformation amid confusion and chaos at US health agencies.

People attempting to get the vaccines say they have struggled to understand eligibility requirements, book appointments, process insurance claims, battle misinformation from pharmacists and obtain prescriptions from their doctors in some states. Such hurdles will disproportionately affect people of color and low-income people, experts say.

These problems come amid turmoil at US health agencies, with top leaders of the Centers for Disease Control and Prevention (CDC) quitting because of reported pressure from the Trump administration to approve unscientific vaccine policies and new limitations placed on the Covid vaccines.

“Anybody can get the booster,” Robert F Kennedy Jr, secretary of the US Department of Health and Human Services (HHS), said at a hearing before a US Senate committee last week – before adding: “It’s not recommended for healthy people.” In an August post on X, Kennedy said the updated Covid vaccine was approved only for people “at higher risk”.

Matt Shipman, a health writer in North Carolina, was eager to receive an updated shot to protect himself against the acute and long-term risks of a Covid infection, especially as the late-summer Covid wave appears to be reaching its peak.

It used to be easy to schedule an appointment at a pharmacy, but now he received a message saying the vaccines will hopefully be available in a few weeks. He had heard some people were getting prescriptions for the shots, but when he called his doctor’s office, they wouldn’t even make an appointment for a prescription.

North Carolina is one of several states where pharmacists are requiring prescriptions before administering any shots.

In some states, pharmacists are prevented by law from administering vaccines that are not recommended by the CDC’s advisory committee on immunization practices (ACIP). While doctors have liability protections for Covid vaccines under the Public Readiness and Emergency Preparedness (Prep) Act, pharmacists may not if the vaccines are not approved by the advisory committee.

Some insurers might also opt not to cover the shots until they are recommended.

The independent advisers are expected to take up Covid recommendations at the next meeting in mid-September, but that meeting has been embroiled in controversy. Senator Bill Cassidy, a Republican from Louisiana, called for an indefinite postponement given the recent upheaval at health agencies.

Shipman said: “It’s incredibly frustrating, because this has significant consequences for public health, and there is no reason in the world for this to be happening.

“It is an entirely manufactured problem that is going to cost people their health and wellbeing and possibly their lives. It is manifestly clear that people who would like the Covid vaccine are not able to access it.”

Changing the rules to make vaccination easier will depend on the state, said Lindsay Wiley, a professor of law and faculty director of the health law and policy program at UCLA Law.

“In several states, governors and health officials are solving the prescription problem pretty swiftly, so it’s a rapidly evolving situation right now. In other states, the legislature may need to take action to fix the problem,” Wiley said.

Even states that have tried to combat the confusion still have vaccine challenges. The state of Maryland released guidance last week for all residents to access vaccines – without specifying the need to disclose qualifying conditions. Maryland’s governor, Wes Moore, called the federal changes to vaccine policy “harmful for Marylanders and all Americans”.

Yet when Ian Morgan tried to obtain the vaccine in Maryland, the pharmacist said it could only be administered to those over the age of 65 or people with at least one underlying health condition. Morgan tried to make an appointment online, but was told CVS couldn’t schedule his appointment because he did not qualify.

Morgan, a postdoctoral fellow at the National Institutes of Health and a union steward of NIH Fellows United-UAW 2750, said the tumult has been caused by Kennedy’s messaging on vaccines.

“I think the chaos is the point, and that chaos has consequences,” Morgan said. “Creating this confusion, creating this chaos, trying to discredit scientific experts – and we see that every time [Kennedy] goes out there – that in and of itself is causing problems, and that in itself is harming the American people.”

Workers log a shipment of Covid vaccines in Horsham, Pennsylvania. Photograph: Matt Rourke/AP

Morgan is one of 1,000 current and former HHS employees who signed a letter calling for Kennedy’s resignation.

Vaccine availability for children, especially for those under the age of five, has lagged even further behind adults as pediatricians struggle to understand new limitations and potential legal risks.

Joanne Hilden, a retired physician, has been searching for the updated vaccines for her four grandchildren, who are between the ages three and 12, in Minnesota. The local health department, where the youngest two kids were vaccinated in 2021, is only offering vaccines for adults over the age of 65. Pharmacies have not received the pediatric doses yet.

There are also immense structural barriers that make it harder for marginalized people to access the shots.

Julia Lynch, a professor of political science at the University of Pennsylvania, first made plans to get vaccinated in Oakland, New Jersey, a 45-minute drive from her home in Philadelphia, before the state board of pharmacy gave pharmacies the go-ahead to vaccinate Pennsylvanians.

The CVS pharmacies near her home had no appointments, so she ended up driving to a predominantly white suburb.

“I don’t know why it is that the vaccines are getting to those CVSes first,” she said. But that means “if you’re Black or Latino, you are less likely than if you’re white to live close to someplace where you can get a vaccine”.

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The population of Oakland, for example, is 80% white and had appointments – but neighboring Camden, New Jersey, had no appointments, and its population is 3.5% white.

Transportation is another major issue. Traveling to Oakland by public transit would have taken more than two hours on three buses and one regional train.

“Eligibility right now is obviously limited to people who are over 65 or who have at least one medical condition that puts them at high risk,” Lynch said. “These are exactly the people who are most likely to have trouble traveling four-plus hours on a multimodal public transit journey to get their Covid shot.”

Not everyone has reliable internet access, the technological knowledge to book appointments, or the ability to take time off work or find childcare to locate and travel to appointments.

“For people who are not chronically online, it’s a major undertaking to do all this,” Lynch said.

Fighting to have the shots covered by insurance, or paying out of pocket for the uninsured, is another major hurdle, she said.

Rachel, who lives in Pittsburgh and asked to be identified by her first name to protect her health history, has two autoimmune disorders and a genetic blood clotting disorder that puts her at high risk if she gets sick with Covid. She said she would like to get the latest Covid shot, but is planning to wait for a few weeks.

“The challenges right now for me are just around information, and actually knowing what is the truth and what is going to happen if I try to get it,” she said. She said she had heard of people being turned away from pharmacies even after the Pennsylvania vaccine announcement.

“It just sounds like it’s still a shitshow. It’s still challenging to make an appointment here, so I’m going to wait a little bit.”

Rachel said it reminded her of 2021, when many people scrambled to get their first Covid shots.

“It’s just frustrating to me that based on absolutely zero evidence, and in some cases, just making up lies about evidence, [the] HHS has just decided these are so dangerous that we need to limit them,” she said.

Sarah, who lives in Westchester county, New York, and asked to be identified by her first name so she is not harassed by anti-vaccine activists, said she was finally able to get the shot after days of effort.

In New York, she needed a prescription. That later changed when Kathy Hochul, the governor, opened up access to all New Yorkers.

The faxed prescription never went through, so her health system had to set up an electronic prescription system. Sarah asked that her doctor prescribe any Covid vaccine; she said she overheard the pharmacist denying one prescription because it was for the Pfizer vaccine and they only had Moderna.

Even after the prescription was received, the pharmacist said he needed verbal confirmation from the doctor by phone as well.

Sarah said she paid $250 out of pocket, and has since spent hours on the phone with her insurance company to be reimbursed. After she paid, the pharmacist tried to dissuade her from getting the shot, Sarah said.

“Do you really know what you’re getting into? This is brand new,” she recalls him saying. She responded: “I know – that’s why I want it.” But he told her they “don’t know anything” about the updated vaccines and “we don’t know what’s gonna happen” to her once she received it, she said.

The roadblocks were “wearing me down”, Sarah said. “It’s trying to make it inaccessible, impossible, confusing.”

Shipman in North Carolina was dogged in his search, even looking at appointments in other states. Eventually, he was able to receive the vaccine at an urgent care center.

But not everyone is able to track down the vaccine and overcome these obstacles, Lynch said. “It’s really hard for ordinary people who are very busy and not necessarily paying close attention to this to know what they’re supposed to do to keep themselves or their loved ones safe.”



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