By Juliana Mercer

I graduated from Marine Corps boot camp a couple weeks before September 11, 2001. I had no idea how profoundly 9/11 would change the trajectory of my life.

I went on to deploy to Iraq and Afghanistan. Between deployments, I worked at the Wounded Warrior Battalion in San Diego, supporting Marines as they rebuilt their lives. What I did not understand was how deeply I was absorbing their grief and losses.

That became clearer when I later deployed to Afghanistan during one of the deadliest periods of the war for Marines. I purposefully stopped counting the flag-draped coffins as they were loaded onto planes to return home, swallowing my grief so I could return to the mission.

I became paralyzed watching young Marines go outside the base, thinking about their families and whether they would see them again. I began hallucinating that wounded Marines I cared for were walking toward me in the war zone. I now recognize that, alongside my own PTSD, I was carrying secondary PTSD from caring for wounded Marines.

With every loss, I swallowed what I felt just to keep functioning. I kept moving forward, until everything I buried became impossible to ignore.

I did not recognize what was happening until five years after returning home. I sought help. Therapy helped me feel less alone, but my symptoms continued to affect my life and relationships.

My experience is not unique. 870,000 veterans receiving VA health care were diagnosed with PTSD in 2024. Since 9/11, nearly 150,000 veterans have died by suicide. Many continue searching for relief after available treatments have failed.

That is why veterans are cautiously hopeful about psychedelic treatments. 

Studies of psilocybin for treatment-resistant depression show significant reductions in depressive symptoms, with up to one-third of patients achieving remission in some trials. Research involving veterans with PTSD found that 75% were in remission one month after psilocybin treatment.

I followed the research before pursuing psilocybin treatment myself. During that experience, I was finally able to access the grief I spent decades burying. It did not erase what happened or the memories of the Marines I lost. It changed my relationship with those memories. They no longer controlled my life.

I reconnected to the self I had lost and was able to feel joy and love again.

Psychedelic medicines are not a cure-all. But veterans pursuing them are not looking for shortcuts. Many have spent years doing everything the medical system asked while continuing to search for relief.

Our government is beginning to recognize the potential of new approaches. 

This year, President Trump signed an executive order to accelerate research and reduce barriers to psychedelic treatments for serious mental illness. VA is conducting clinical trials of MDMA for PTSD and psilocybin for depression. In July, FDA finalized guidance for clinical trials involving psychedelic drugs.

If these treatments receive FDA approval, the healthcare system must be ready to deliver them responsibly — through DEA action, clear safeguards, and VA facilities prepared to provide care.

Our country asks a great deal of those who serve. If evidence demonstrates that these treatments are safe and effective, veterans should not wait years longer because Washington failed to prepare for success.

Juliana Mercer is a Marine Corps veteran and executive director of Healing Breakthrough. A version of this column was published in Stars and Stripes.

By Wade Henderson, Esq.

There are moments when a nation must decide, not simply what it has the legal power to do, but what its sense of humanity requires it to do.

The treatment of more than 300,000 Haitians living and working in the United States under Temporary Protected Status (TPS) presents such a moment. The Senate should pass S.4814, legislation that would extend TPS for Haitians for three years. The Senate’s Republican members hold a critical key to whether Congress will act before the midterm elections.

There are several reasons that the Haitian TPS question is a genuine crisis.  First and foremost, Haiti is dangerously unsafe, and the justification for TPS could hardly be clearer.

Haiti continues to experience extraordinary violence and instability. United Nations and human-rights organizations report killings, kidnappings, sexual violence, displacement and widespread abuses by armed gangs. Millions of Haitians face acute humanitarian needs.[1]

Most tellingly, the U.S. Department of State warns Americans: “Do Not Travel” to Haiti, citing kidnapping, crime, terrorism, civil unrest and limited health care.[2]

That warning raises an unavoidable question: If Haiti is too dangerous for Americans to travel there, how can it be considered safe to compel more than 300,000 Haitians to return?

Congress created TPS precisely for circumstances in which armed conflict or extraordinary conditions make safe return impossible or inappropriate.[3] The documented conditions in Haiti meet that humanitarian standard many times over.

Let’s also clear up another misimpression.  The Supreme Court in its June 25, 2026 decision in Mullen v. Doe did not order TPS to end and it did not order Haitians to be deported. 

Rather, the Court ruled that the Department of Homeland Security (DHS) had the primary responsibility to decide when to grant TPS and that its decisions were not, in most instances, judicially reviewable.[4]

The decision therefore permitted the Administration’s termination of Haitian TPS to proceed, but the humanitarian question of whether it should proceed remains with the political branches. In other words, Congress retains its legislative authority to act.  S.4814 is Congress exercising that authority.

For Haitians living under the threat of deportation, this is not an abstract legal dispute.  The human cost is becoming painfully real.

Consider Pierre Damas Bel, a 20-year-old Haitian college student with a promising future, who lived in Springfield, Ohio. After losing his immigration protection, he was placed on an ICE ankle monitor. His family has described the profound psychological distress he experienced.

Bel subsequently died after stopping his car and walking into traffic on a crowded Ohio highway. His family believes it was suicide  Authorities are investigating, and it would be irresponsible to claim that immigration policy alone caused his death. But his tragic story illustrates the human consequences of creating fear and uncertainty for people who have lived, studied and worked lawfully in this country and have no immediate expectation of returning home safely.[5]  

There also is another compelling reason for Congress to act: Haitian TPS holders are caring for Americans.

Approximately 21,000 Haitian TPS holders work as caregivers and nursing assistants, serving an estimated 77,000 patients nationwide.[6] They care for seniors in nursing homes, assist people with disabilities and provide home care that allows vulnerable Americans to remain in their communities. 

When experienced Haitian caregivers lose their legal ability to work, families must scramble to find replacements, nursing facilities face staffing shortages, and vulnerable people can lose caregivers they have trusted for years.

At a time when America already faces a serious shortage of direct-care workers, deporting thousands of experienced Haitian caregivers is not merely inhumane, it’s self-defeating and contrary to our nation’s own healthcare needs.[7]

The mass deportation of Haitians also presents a troubling humanitarian double standard that Congress should confront.

The Trump Administration has made a special effort to admit White South African Afrikaners as refugees, citing racial persecution and violence — a dubious claim at best. At the same time, it is stripping protection from Haitians whose country is experiencing catastrophic violence, death and insecurity.

The State Department currently rates South Africa for travel recommendations at Level 2—“Exercise Increased Caution.” Haiti is at Level 4—“Do Not Travel.”[8]

Every person facing genuine persecution deserves humanitarian consideration and protection, but humanitarian standards should be applied consistently. If America can recognize humanitarian danger facing White South Africans, surely it can recognize the documented and extraordinary danger confronting Black Haitians.

The disparity deserves congressional scrutiny—not because one group should receive less protection, but because humanitarian protection should not depend upon race or political convenience.

Finally, the Haitian TPS question should not be reduced to a partisan argument.

Republican Ohio Governor Mike DeWine has criticized the Administration’s approach to Haitian immigrants and warned of the consequences of ending TPS. Democratic Maryland Governor Wes Moore has likewise expressed opposition to returning Haitians to dangerous conditions.[9]

These governors understand that immigrants are not merely immigration cases. They are workers, taxpayers, caregivers, parents, students, neighbors and members of their communities.

The House of Representatives has already taken action and passed a bill to restore Haitian TPS. 

The Senate’s Haitian TPS bill (S.4814) offers a measured response: three additional years of protection while Haiti confronts its extraordinary crisis. It is not amnesty! It does not grant citizenship or permanent residence. It does not repeal America’s immigration laws. It does, however, provide important and humane temporary protection while conditions make return to Haiti unsafe.

Our history tells us what happens when government treats human beings with hostility and indifference, and regards humanitarian appeals as inconveniences to be overcome.

America can and must do better.

The Senate now has an opportunity to demonstrate that America’s humanitarian principles apply consistently—to Black immigrants as well as everyone else.  Republican senators hold a critical key to bipartisan action. Before the midterm elections, they should join Democrats in responding to this humanitarian imperative. 

Our nation’s sense of humanity demands it.

Wade Henderson, Esq. is a civil and human rights attorney in Washington, DC.  He serves as a Senior Advisor to the Haitian Bridge Alliance.

Endnotes

1. United Nations Integrated Office in Haiti (BINUH), Human Rights Reports; Human Rights Watch, World Report 2026: Haiti.
2. U.S. Department of State, Haiti Travel Advisory, Level 4—“Do Not Travel.”
3. 8 U.S.C. §1254a(b)(1).
4. Mullin v. Doe / Trump v. Miot, U.S. Supreme Court, June 25, 2026.
5. Washington Post, “College student steps into traffic, is killed after losing immigration status,” Sept. 1, 2026; ABC News, Sept. 1, 2026. Authorities continue to investigate Bel’s death.
6. Reuters, “US families, healthcare providers under strain after Trump crackdown on Haitian immigrants,” Aug. 19, 2026.
7. Id.; see also reporting by LeadingAge concerning the impact of ending Haitian TPS on senior and disability care.
8. U.S. Department of State, Haiti Travel Advisory; South Africa Travel Advisory.
9. Reporting on statements by Ohio Gov. Mike DeWine and Maryland Gov. Wes Moore concerning Haitian TPS.

Black voters have been among the Democratic Party’s most dependable supporters for generations. But loyalty and trust are not the same thing.

With less than a month to go before the midterm elections, Black voters and political strategists say years of inconsistent engagement and unmet expectations have left some voters questioning whether the party has earned their continued support. The challenge now is bigger than winning votes. It’s convincing distrustful voters that staying politically engaged is worth it.

Communications strategist Ashley Etienne argues that Democrats have spent years taking one of their most reliable voting blocs for granted, creating a widening trust gap that threatens the party’s long-term prospects in Texas and nationally.

“Trust is the currency of persuasion,” she said. “We’re seeing distrust at an all-time high, especially with Black voters … distrust of the media, institutions, the Democratic Party, self-agreement. Campaigns don’t lose because they fail to talk to voters. They lose because they fail to listen.”

Etienne, who served as a senior adviser to Presidents Barack Obama and Joe Biden and communications director for Vice President Kamala Harris, said repairing that relationship requires something considerably more difficult than another campaign advertisement. It requires listening.

Black support remains strong, but not absolute

Recent polling suggests Democrats continue to hold a substantial advantage among Black voters heading into November, but that support isn’t universal.

A July 2026 Pew Research Center survey found 68% of Black registered voters said they would support the Democratic candidate for U.S. House in their district, compared with 8% who favored the Republican. Another 25% said they were either unsure or would support another candidate.

That uncertainty follows some erosion in Democratic support among Black voters in the 2024 presidential election. A Pew analysis of validated voters found 83% of Black voters supported Kamala Harris in 2024, compared with 92% who supported Joe Biden in 2020.

Pew found that shift was driven less by individual voters switching from one party to another than by differences in who turned out to vote.

The findings don’t suggest Black voters have abandoned Democrats. They do raise questions about whether longstanding party loyalty is enough to guarantee participation.

“We’ve been making that same argument decade after decade,” Etienne said. “Those are becoming less persuasive arguments.”

Why is trust disappearing?

The distrust isn’t necessarily about one candidate or one election. For some Black voters, frustration comes from feeling heavily courted during election season without seeing enough progress afterward on the issues affecting their daily lives.

Housing costs remain a concern. So do education, economic opportunity, neighborhood investment, and the cost of everyday necessities.

That creates a difficult dynamic for campaigns: Asking voters to participate in a political system that some believe has not delivered enough for them.

It also raises a separate question. What happens when frustration with political parties becomes disengagement from the political process altogether?

What happens when voters stay home?

The answer can become particularly consequential in local elections, where races can be decided by hundreds of votes rather than thousands.

Harris County Democratic Party Chair Traci Gibson has pointed to several 2024 judicial races decided by narrow margins. District judge candidate Elaine Palmer lost by 304 votes, while Jeralynn Manor lost by 647 votes.

Gibson also warned about voters who begin Harris County’s lengthy ballot but don’t finish it.

“If you go into these polls and you vote for the first five people and then you leave, that’s how we get Elaine Palmer losing by about 300 votes,” Gibson said.

The larger issue extends beyond any candidate or political party. Judges are elected. School boards make decisions affecting students and families. City and county officials determine how public dollars are spent. State lawmakers decide which bills become state law.

Those decisions are made regardless of how many eligible voters participate.

For voters distrustful of political parties or government institutions, political participation also doesn’t have to mean unquestioning loyalty to either party.

Voters can research candidates individually, compare their positions, attend or watch candidate forums and examine an incumbent’s record against previous campaign promises. They can also learn what the often-overlooked offices farther down the ballot actually control.

In that sense, distrust can become a reason for greater scrutiny rather than disengagement.

Candidates have work to do, too

Responsibility for rebuilding participation doesn’t fall solely on voters.

At a recent Third Ward town hall hosted by state Rep. Jolanda “Jo” Jones, Harris County Precinct 7 Constable James “Smokie” Phillips and Houston Black American Democrats, voters and political strategists called for more sustained campaign engagement.

“Investment drives outcomes. If you don’t invest in it, it doesn’t work,” Etienne said.

She argued that campaigns spend heavily on polling, consultants and advertising while directing too little money toward Black-led political infrastructure and organizations with established relationships in Black communities.

Shamier Bouie, chair of Houston Black American Democrats, said organizing cannot begin a few months before Election Day.

“It’s all about year-round organizing, and increased investment in Black voter outreach … more funding for Black-led organizations that have relationships, infrastructure, and experience in effectively engaging Black communities,” Bouie said.

The question of investment also surfaced in July when Democratic U.S. Senate candidate James Talarico pledged $25 million toward Black voter outreach. Some voters wanted specifics about where and how that money would be spent.

“We still need our kids, we still need our schools equitably funded,” said Augie Cahee, vice president of marketing web delivery at JPMorgan Chase & Co. “So, we want to know what you’re going to do with the money. Don’t stand up and tell me $25 million and you don’t have a plan.”

The exchange illustrated the larger trust problem: Voters aren’t simply asking candidates to talk to them. They want to know what happens after the conversation.

From distrust to accountability

Karla West, a precinct chair for downtown’s Precinct 16, said responsibility ultimately belongs on both sides.

“We fell asleep at the wheel,” West said of voter turnout.

But she also challenged political leaders.

“The Democratic Party did not say what they would do for you,” West said. “We haven’t heard a plan for years. I’m sick of it. We have to have strategies, we have to have plans, we have to have a mechanism in place for people to feel they are heard.”

Defender Reporter Tannistha Sinha contributed to this report.

Based on reporting by Houston Defender.

As the father of a young daughter with autism, I have learned that getting your child to school is not always as simple as putting them on the bus and waiting for them to come home.

When your child has an Individualized Education Program, you pay attention to things other parents may never have to think about.

Who is working with my child today? Does this person understand her needs? What happens if her routine suddenly changes? If something goes wrong and she cannot fully explain it to me, who will be able to tell me what happened?

Those questions do not stop at the schoolhouse door. They follow our children onto the school bus.

That is why one of the simplest pieces of advice I can give another parent of a child with an IEP is this: Get to know your child’s bus driver and attendant.

Learn their names. Introduce yourself. Say good morning. Ask how your child is doing on the ride.

Those few minutes can matter more than we realize.

For some children with disabilities, consistency is incredibly important. The same bus, the same driver, the same seat and the same routine can provide a sense of comfort before the school day even begins.

Then one morning, something changes.

The bus is late. There is a substitute driver. The route changes. The bus does not arrive when expected.

For many families, that is an inconvenience. For some of our children, it can change the entire morning.

As parents, we also know that our children may not always come home and tell us exactly what happened during the ride. That makes the adults who interact with them even more important.

A bus driver may notice that your child suddenly does not want to get on the bus. An attendant may notice that your child seems upset at the same point along the route every day.

They may notice a change in behavior, a problem with another student, or simply that something seems different.

That information can be valuable to a parent.

But relationships work both ways.

Parents can also help transportation staff understand our children. You do not have to share every detail of your child’s disability or educational record. But appropriate information about communication, behavior, safety or transitions can help the adults responsible for transporting your child better understand how to support them.

And when a transportation problem occurs, you are no longer starting the conversation with a complete stranger.

That does not mean parents should be responsible for fixing school transportation. We shouldn’t.

School systems remain responsible for providing required transportation services, including services identified in a student’s IEP. When buses are repeatedly late, accommodations are not being followed or transportation problems interfere with a child’s education, parents should document those concerns and raise them with the appropriate school and transportation officials.

Building a relationship with a driver should complement accountability, not replace it.

That distinction is important.

As a father navigating special education, I have learned that advocacy is not only about what happens during an IEP meeting.

Advocacy happens in the hallway. It happens at pickup. It happens through an email to a teacher. And sometimes it happens at the bus stop at 7 o’clock in the morning.

Our children’s educational experience begins before they enter the classroom and continues after they leave it.

Think about the person behind the wheel.

For some children, their bus driver is the first school employee they see every morning and the last one they see every afternoon.

That person is part of your child’s school experience.

So tomorrow morning, if you haven’t already, introduce yourself.

Learn the driver’s name.

Let them learn your child’s name — and, when appropriate, a little about what helps your child succeed.

It won’t prevent every late bus, substitute driver or transportation problem.

But if there is one thing I continue to learn as both a father and an advocate, it is that relationships matter.

And for children with IEPs, one more adult who knows, understands, and cares about your child can make a difference.

Based on reporting by Washington Informer.

Affinia Healthcare and Employment Connection are teaming up to help patients find jobs, training or volunteer opportunities as new Medicaid work requirements approach.

Beginning Jan. 1, 2027, certain adults will have to meet work, education or community service requirements to keep their coverage. Some patients may qualify for exemptions.

Patients seeking assistance can call Affinia Healthcare at 314-814-8700 and ask about the partnership. Affinia’s outreach team can help connect them with Employment Connection.

The post Partnership helps patients prepare for Medicaid rules appeared first on St. Louis American.

Based on reporting by St. Louis American.

A volunteer-led task force of St. Louis-based lawyers will go after contractors who take advantage of victims of last year’s May tornado.

Mayor Cara Spencer announced the creation of the task force on Thursday as an expansion of the city’s effort to provide legal aid to victims in the tornado zone. The EF3 tornado damaged and destroyed thousands of homes in the north and west parts of the city.

The task force will be composed of area lawyers and Legal Services of Eastern Missouri, a legal aid group that often works with the city on housing and other legal issues.

Together, the litigators will provide free legal expertise and representation to eligible homeowners who believe they were defrauded by a contractor, including by receiving shoddy or partial work.

Spencer said she hopes the task force sends a “clear and unambiguous message” to fraudsters looking to victimize homeowners impacted by the tornado.

“I’ve just heard over and over again some truly heartbreaking stories of folks that have been taken advantage of by contractors, some of which are local,” Spencer said.

In May, a High Ridge contractor was charged with defrauding victims of the tornado by Missouri Attorney General Catherine Hanaway’s office.

Homeowners seeking legal aid will go through a two-stage screening process to evaluate their claims. Then, if selected, an attorney will be matched with the homeowners. The intake form can be found here.

Celeste Vossmeyer, an attorney who has worked with Spencer’s administration on several other projects, helped assemble the task force. She said the city’s north and west sides need extra eyes while recovery efforts continue.

“We’re hoping that this is also going to be a deterrent as other money flows into the tornado disaster area and to other scammers that may try to take advantage of these individual homeowners,” she said.

Spencer said the city will also partner with the attorney general’s consumer protection office. The office will forward complaints from homeowners in the tornado zone to the task force.

Spencer said that without the help of the volunteers, Legal Services of Eastern Missouri and the attorney general, the city could not offer this type of help.

Shawn Caruso, a senior attorney at Legal Services of Eastern Missouri, called on other lawyers in the area to consider joining the pro bono team.

“Every lawyer who volunteers expands our ability and our capacity to provide more free legal aid to our residents,” Caruso said.

Published with permission as part of a content partnership between The St. Louis American and St. Louis Public Radio. Click here to view original story.

The post St. Louis officials form pro bono task force to fight fraud against tornado survivors appeared first on St. Louis American.

Based on reporting by St. Louis American.