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Business

Tesla faces strain as EV competitors heats up, ex-Ford CEO says

Elon Musk brought electric vehicles into the mainstream with Tesla. Now the EV company is grappling with the consequences of its own innovation, former Ford Motor CEO Mark Fields told CNBC on Wednesday.

“One of the many things he did is he pushed the industry toward taking EV seriously,” Fields said of Musk, the chief executive of Tesla. “He has real competition now, and that’s why you’re seeing some of their share in some of the major markets under a lot of pressure.”

Tesla shares fell for the third-straight session against the backdrop of multiple challenging headlines for the car manufacturer. One, in particular, is that the San Carlos, California-based company lost some of its grip on the electric vehicle market in April.

Fields was critical of Tesla’s reliance on selling carbon credits to supplement its profits, suggesting it’s a harbinger of more challenges.

“When you look at their year-to-date earnings and their earnings last year, they made a heck of a lot more in selling CO2 credits than they did their total company profit and net profit,” Fields said. “As those credits dry up, there’s going to be a lot of pressure to make money and better margins on their vehicles.”

According to Credit Suisse analyst Dan Levy, Tesla’s global market share was 11% in April, down from 29% in March. He noted share losses in the China, Europe and U.S. markets.

Fields attributed the shift in EV market share to traditional auto giants, such as General Motors and Ford, making headway in the space as new products are announced and come online.

He highlighted that Volkswagen is now leading in EVs in Europe and the Ford Mach E is taking share in the U.S. Ford, which Fields led between 2014 and 2017, in May revealed its electric F-150 to much fanfare.

After soaring in 2020, Tesla shares have dropped more than 14% so far in 2021. The stock, which trades more like a tech stock, closed 3% lower Wednesday at $605.12 a share.

Shares of traditional car companies, taking the form of cyclical stocks, are up double digits this year and have outgained the market through Wednesday.

Ford shares have put up some of the biggest gains, rallying almost 69% this year to $14.91 at the close Wednesday.

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Health

For Sleep Apnea, a Mouth Guard Could also be a Good Different to CPAP

But many patients find sleeping with a face mask less awkward or uncomfortable than using a CPAP machine. The technical term for these devices is mandibular advancement device, so named because it pushes the mandible forward, which in most people helps keep the airway open. There are many variations of these devices in drug stores, but a dentist can design a more effective personalized device and modify or customize it if necessary. The patients in the laryngoscope study were all reexamined after the initial adjustment and most adjustments needed over a period of two to four weeks.

“We recommend a custom device made by a dentist,” said Dr. Benjamin. “And you should be retested to see how well it works. There are subjective and objective improvements that should be pursued. “

But there are people for whom neither CPAP nor dental devices work, either because they cannot use them consistently and correctly, or because the devices themselves do not solve the problem if they are used correctly. Various effective surgical procedures exist for these patients.

The most common is soft tissue surgery, which involves modifying or removing tissue from the back of the mouth. Depending on the structures and muscles of the mouth, the surgeon can trim the soft palate and uvula, remove the tonsils, shrink tissue with a heated instrument, straighten a crooked septum or change the position of the tongue muscles – all with the aim of improving airflow.

There are also bone surgeries that move the jaw forward to increase the total breathing space, a procedure that can involve a lengthy recovery period.

In 2014, the Food and Drug Administration approved a device called the Inspire Upper Airway Stimulation. This is a small device that is implanted under the skin like a pacemaker. Using two electrical wires, it detects the breathing pattern and stimulates the nerve that controls the tongue to move it out of the way and allow the air to flow freely. Implantation is a daily surgical procedure that takes about two hours.

“It doesn’t change the anatomy, and recovery is easier than with other surgeries,” said Dr. Maria V. Suurna, Associate Professor of Otorhinolaryngology at Weill Cornell Medicine, who specializes in sleep apnea surgery. “It’s effective. It has the lowest complication rate of any surgery.

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Business

F.D.A. Approves New Drug to Deal with Vaginal Yeast Infections

The Food and Drug Administration on Tuesday approved a new drug to treat a vaginal yeast infection, which is particularly common in pregnant women who take birth control pills or take antibiotics.

The drug Brexafemme (Ibrexafungerp) manufactured by SCYNEXIS is a one-day oral treatment and the first in a new class of triterpenoid antifungal drugs. The company said the new drug will kill candida – the yeast that can cause infection.

The standard oral drug diflucan (fluconazole) inhibits the growth of yeast, but does not kill it.

But the treatment would most likely not initially be prescribed for common vaginal yeast infections. Dr. David Angulo, the company’s chief medical officer, estimated the drug’s list price at $ 350-450 for the four-tablet treatment. In comparison, GoodRx lists the average retail price of fluconazole at $ 29.81.

He said Brexafemme is approved as a first-line treatment but could also be prescribed to patients whose infections don’t go away easily.

“There is nothing new that can be offered to patients who cannot tolerate it, do not respond well or develop resistance,” said Dr. Angulo.

Dr. Sumathi Nambiar, director of the FDA’s anti-infectives division, said, “This approval of a new antifungal drug provides an additional treatment option for patients with vulvovaginal candidiasis or vaginal or vulvar yeast infections, and represents another step forward in the FDA’s overall effort to be safe and effective To ensure antifungal drugs are available to patients. “

Dr. Denise Jamieson, Chair of Gynecology and Obstetrics at Emory University School of Medicine, said she wasn’t sure the new drug was needed.

“I don’t see any tremendous resistance,” she said. “I can’t really tell if this will be a great addition or not. It is always helpful to have another option and then you have to consider things like costs and tolerances. “

According to Dr. Angulo, in a clinical study used in support of the application, showed 50 percent effectiveness – that is, a complete elimination of all signs and symptoms – 10 days after treatment and 60 percent 25 days after treatment. The other study showed 64 percent effectiveness on day 10 and 73 percent on day 25.

Dr. Michael Carome, director of the Public Citizen’s Health Research Group, was not impressed with the FDA’s approval of Brexafemme.

“This drug is not necessary and few women should need it,” said Dr. Carome. “Fluconazole is very cheap and generally very effective. The cost of this is simply outrageous.

The FDA requires SCYNEXIS to conduct several post-marketing studies, including one to assess the risks to pregnant women, the developing fetus, and newborns; and another to study how much of the product passes into the breast milk of breastfeeding women.

The drug will hit the market later this year.

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Health

Biden doubles down on U.S. efforts to get extra People vaccinated by the Fourth of July

President Joe Biden speaks on Covid-19 response and vaccinations in the South Court Auditorium of the Eisenhower Executive Office Building, next to the White House, in Washington, DC, on June 2, 2021.

Mandel Ngan | AFP | Getty Images

President Joe Biden on Wednesday doubled down on his administration’s efforts to get more Americans vaccinated against Covid-19 by July 4, a date the president has said he hopes will mark a turning point in the pandemic in the U.S.

In early May, Biden announced his administration’s new goals in the fight against the coronavirus: getting 70% of U.S. adults to receive at least one dose of a Covid vaccine and having 160 million adults fully vaccinated by Independence Day.

Speaking from the White House on Wednesday, Biden announced June as the “national month of action” to get more Americans vaccinated by July 4. He urged unvaccinated Americans to get the shots, saying they are still at risk of becoming seriously ill, dying and spreading the disease to others, especially once the U.S. approaches the fall.

“Getting a vaccine is not a partisan act,” Biden said, noting that the Pfizer and Moderna Covid vaccines were authorized under former Republican President Donald Trump.

“I don’t want to see the country that is already divided be divided in a new way: between places where people live free from fear of Covid and places, when the fall arrives, deaths and severe illnesses return,” he said. “The vaccine is free, safe and effective.”

The president outlined his administration’s approach to its nationwide vaccine campaign, which he said would mobilize national organizations, community- and faith-based partners, celebrities, athletes and other influential groups.

In details released ahead of Biden’s speech, the White House also said the administration has asked pharmacies to extend their hours for the month of June and disclosed it is partnering with child-care providers to offer free services to all parents getting vaccinated or recovering from the shots.

KinderCare and Learning Care Group as well as more than 500 YMCAs will offer the child services, Biden said later Wednesday.

The administration is also organizing efforts to call and text people in areas with low vaccination rates and is challenging mayors to compete with each other to see which city can increase shot rates the quickest, according to an email from the White House.

Other administration efforts include “Shots at the Shop,” an initiative that will engage Black-owned barbershops and beauty salons across the country to support local vaccine education and outreach efforts.

Biden and Vice President Kamala Harris will also lead a tour – called the “We Can Do This” National Vaccination Tour – which will highlight “the ease of getting vaccinated, encourage vaccinations, and energize and mobilize grassroots vaccine education and outreach efforts,” according to the White House.

On Wednesday, Biden also touted the White House’s partnership with Uber and Lyft to offer free rides to vaccination sites until July 4.

“America is heading into a summer dramatically different from last summer,” he said. “Safely vaccinated people are shedding their masks and greeting one another with a smile.”

As of Tuesday, more than 162 million U.S. adults, or 62.8% of people 18 and over, have received at least one Covid vaccine, according to data compiled by the Centers for Disease Control and Prevention. More than 133 million U.S. adults are fully vaccinated, according to the CDC.

There was an average of 1.2 million Covid shots administered every day over the last week in the U.S. But some of the data over the long holiday weekend is incomplete, so vaccination rates may be higher.

Public health experts say Biden’s vaccination goal may pose a challenge for his administration as the U.S. has already inoculated those most enthusiastic about getting a vaccine.

Kevin Hensley is given the J&J COVID vaccine in coordination with the Cook County Health Dept. and the Chicago White Sox. Recipients were given a $25 card for discounts on concessions before Game One of a doubleheader at Guaranteed Rate Field on May 29, 2021 in Chicago, Illinois.

David Banks | Getty Images

In order to administer millions of more inoculations in the next four weeks, the White House has said the president will take additional steps to encourage more people to get vaccinated and make it easier for them to do so.

In addition to the steps announced Wednedsay, the Biden administration has worked to make getting a vaccine “as easy as ever” with many vaccination sites across the U.S. offering walk-ins.

The administration in April launched a massive campaign to persuade more Americans to take the vaccines, which is using social media and virtual events where celebrities and athletes answer people’s lingering questions about the vaccines.

The CDC has updated its public health guidance to say that fully vaccinated people no longer need to wear a face mask or stay 6 feet away from others in most settings, whether outdoors or indoors. Many public health experts say the change was designed to encourage more people to get vaccinated.

Categories
Politics

Robert Mueller will take legislation college students behind the decision-making means of the Russia inquiry.

Robert S. Mueller III will teach a course at the University of Virginia’s law school intended to take students inside his investigation that concluded Russia had interfered in the 2016 election to help Donald J. Trump, the university announced on Wednesday.

The course, called “The Mueller Report and the Role of the Special Counsel,” will be taught by Mr. Mueller alongside three former federal prosecutors: James L. Quarles III, Andrew D. Goldstein and Aaron Zebley, who was Mr. Mueller’s deputy. Mr. Mueller recruited the three men to work on the investigation, which spanned two years of the Trump administration.

Mr. Mueller will lead at least one of six in-person classes and said that he hoped to bring in other top prosecutors as guest speakers, according to the university.

The course will cover the investigation chronologically, from the hiring of Mr. Mueller as special counsel in 2017 until the inquiry’s conclusion in 2019. The instructors also intend to explain the challenges that prosecutors faced and “the legal and practical context” behind critical decisions, the university said.

The final class is expected to focus on obstruction of justice and the role of special counsels in presidential accountability. The Mueller report detailed actions by Mr. Trump that many legal experts said were sufficient to ask a grand jury to indict him on charges of obstruction of justice, but Attorney General William P. Barr cleared him of obstruction soon after the report was completed.

The announcement of the course is likely to revive curiosity around the Russian inquiry, which Mr. Trump repeatedly derided as a “witch hunt” and of which Mr. Mueller has seldom spoken publicly. He was a reluctant witness during a closely watched congressional hearing in July 2019, where he testified for nearly seven hours, giving many clipped answers and largely not straying from his report’s conclusions.

Last summer, Mr. Mueller wrote an opinion essay for The Washington Post the day after Mr. Trump commuted the prison sentence of his longtime friend Roger J. Stone Jr., a political operative. In the essay, Mr. Mueller defended the prosecution of Mr. Stone for federal crimes as part of the Russia inquiry.

“We made every decision in Stone’s case, as in all our cases, based solely on the facts and the law and in accordance with the rule of law,” Mr. Mueller wrote.

Mr. Zebley told the University of Virginia that the course instructors would rely on public records to explain the path of the investigation.

After the inquiry ended, Mr. Mueller, Mr. Zebley and Mr. Quarles left the Justice Department and returned to the private law firm WilmerHale in Washington, where they are partners. Mr. Goldstein is now a partner at the firm Cooley in Washington. Mr. Mueller and Mr. Zebley are both alumni of the University of Virginia’s law school.

All four lawyers had notable careers at the Justice Department and said they were looking forward to sharing those experiences with students, according to the university.

“I look forward to engaging with the students this fall,” Mr. Mueller said.

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Business

Kentucky Derby winner Medina Spirit fails second drug take a look at

The second test of blood from Kentucky Derby winner Medina Spirit confirmed the presence of the banned steroid betamethasone, a lawyer for the horse’s owner told CNBC on Wednesday.

The second positive test sharply increases the chance that Medina Spirit’s victory on May 1 will be overturned by Kentucky racing officials and that Mandaloun, which ran second that day, will be declared the winner.

Hours after disclosure of the test, the company that operates Churchill Downs Racetrack — the site of the Kentucky Derby — said it had immediately suspended Baffert for two years.

Clark Brewster, the attorney for Medina Spirit’s owner, Amr Zedan, said officials are allowing another lab to analyze a third sample from the 3-year-old colt.

That test, Brewster said, could determine whether there are chemicals that would support the claim by trainer Bob Baffert that the betamethasone may have come from an antifungal ointment applied to the horse, and not an injection.

If the third test gives that result, Brewster could use it to argue against Medina Spirit being disqualified from the Derby, which is the first jewel in thoroughbred racing’s Triple Crown.

The attorney suggested he also might challenge the accuracy and protocol of the first official test, and the second analysis of blood, known as a split sample.

“I have not seen the paperwork to conclude that even the primary or split tests were properly admitted,” Brewster said.

The second failed test was first reported Wednesday by The New York Times.

Brewster said that if a horse fails a first drug test, a trainer normally has the option of “sending the B sample” for analysis at a selected lab for a second, confirmatory test.

For Medina Spirit’s B sample, Brewster said, the horse’s team “requested both the blood and urine to be sent to” such a lab.

Trainer Bob Baffert of Medina Spirit, raises the trophy after winning the 147th running of the Kentucky Derby with Medina Spirit, his seventh career Kentucky Derby win, at Churchill Downs on May 01, 2021 in Louisville, Kentucky.

Andy Lyons | Getty Images

The attorney said that if both substances were tested, it could detect the presence of chemical components that would indicate whether betamethasone came from ointment.

“But they [racing officials] refused to send” the urine, Brewster said. “They only sent the blood.”

The lawyer said that on Monday or Tuesday, Medina Spirit’s team was informed the lab “found betamethasone” in the split sample.

Brewster said the lab did not release the level of that steroid found in the blood, “but they said it’s there.”

“They estimated it was 25 picograms,” he said.

Baffert at a May 9 news conference first revealed that Medina Spirit had tested positive for the steroid, saying the first sample was found to have 21 picograms of betamethasone.

While that drug can be legally used as a therapeutic in Kentucky on a horse, any trace of it on race day is grounds for disqualification if a second test confirms it was in the blood on that day.

A picogram is a trillionth of a gram, a point Brewster made several times during a phone interview Wednesday.

The lawyer said testing labs in recent years have become able to detect minute levels of pharmaceutical substances, some of which can enter a horse’s or human’s system by incidental contact, as opposed to intentional administration.

The Kentucky Horse Racing Commission will have the final say over whether to void Medina Spirit’s Derby win.

“Hopefully they will make a reasonable judgment,” Brewster said.

“I think there will be unanimity on the subject that this is an infinitesimal amount that could not have affected the race,” the lawyer said.

Baffert, who so far this year has seen five of his horses fail drug tests, was suspended indefinitely from Churchill Downs Racetrack, where the Derby is held, as a result of Medina Spirit’s first positive test.

Medina Spirit was later allowed to race May 15 in the Preakness Stakes in Baltimore, the second leg of the Triple Crown, under an agreement that it and another Baffert-trained horse, Concert Tour, submit to “rigorous testing and monitoring,” the Maryland Jockey Club said.

Medina Spirit finished third in the Preakness.

Medina Spirit will not run in the Belmont Stakes on Saturday on Long Island, New York, because Baffert was temporarily suspended last month from entering horses in that race, the third jewel of the Triple Crown, or other major New York tracks as a result of the positive drug test from the Derby.

Baffert has trained two Triple Crown winners. He has trained seven Kentucky Derby winners, counting Medina Spirit.

Baffert’s lawyer W. Craig Robertson III on Wednesday later issued a formal statement on the most recent drug test.

“In response to the inquiries, this will acknowledge that the Medina Spirit split sample confirmed the finding of betamethasone at 25 picograms,” Robertson said.

“There is other testing that is being conducted, including DNA testing,” Robertson said.

“We expect this additional testing to confirm that the presence of the betamethasone was from the topical ointment, Otomax, and not an injection,” Robertson said.

“At the end of the day, we anticipate this case to be about the treatment of Medina Spirit’s skin rash with Otomax. We will have nothing further to say until the additional testing is complete.”

Kristin Voskuhl, a spokeswoman for the Kentucky Horse Racing Commission, said in a statement that the commission “does not provide comment or updates on the status of ongoing investigations.”

“The KHRC values fairness and transparency, and will provide information to the media and public at the close of an investigation,” Voskuhl said.

Marty Irby, executive director of the advocacy group Animal Wellness Action, in a statement, said, “The news of Medina Spirit’s second test confirmed positive is no shock.”

“Churchill Downs, the Kentucky Derby, and the Kentucky Horse Racing Commission must stand firmly together in agreement to take the 2021 Derby title away from Bob Baffert and the horse,” Irby said.

“And we call on Churchill Downs to show no mercy and permanently ban Bob Baffert and his horses from the Kentucky Derby and all of Churchill Downs’ tracks. It’s time to end the cheating and medication abuse in the fastest two minutes in sports and an example must be made.”

Disclosure: CNBC parent NBCUniversal owns NBC and NBC Sports, which broadcast the Triple Crown races.

Categories
Entertainment

Lesbians in Ballet: ‘Has Anybody Like Me Ever Walked These Halls?’

Two new ballet projects, both released online this month by the Joyce Theater, allow dancers to be their authentic selves in very different ways. In a live stream on June 10th, Ballez, who turns 10 this year, will unveil “Giselle of Loneliness”, a radical reinterpretation of the classic romantic ballet “Giselle”. And Pierce’s “Animals and Angels”, a short film with the dancers Cortney Taylor Key and Audrey Malek in a duo on top, celebrates its premiere on June 21st.

In a project that is still developing, the dance artist and scholar Alyah Baker, 39, is researching her artistic background as a queer black woman in ballet. For her final master’s thesis at Duke University, “Quare Dance,” she brought together three dancers (on Zoom) who share their identities: Malek, a member of the Washington Ballet Studio Company; Key, a freelance artist based in New York; and Kiara Felder, dancer with Les Grands Ballets Canadiens de Montreal.

“Always being the only one is one thing I’ve seen a lot,” Baker said, “either the only black woman or the only black dancer or the only queer dancer or woman in certain circles.” Her research, she added added, “was really motivated by: I know that I am not the only one.”

Dance historian Clare Croft, editor of Queer Dance: Meanings and Makings, notes that ballet education for women begins so early that it is imperative for women to have different role models. “Looking up to the older girls is so ingrained in what it means to grow up a woman in ballet,” said Croft. “That’s why it’s exponentially more important to have people who come out as lesbians or queer women.”

Throughout her career, Pierce, 32, who danced for the New York City Ballet and Miami City Ballet, rarely met other lesbian ballet dancers. When she saw an article in Pointe magazine about queer women in ballet last fall, she immediately contacted one of the featured dancers, Lauren Flower, a former member of the Boston Ballet and founder of the Queer Women Dancers blog. Together they reached out to others with similar experiences and organized a “big queer zoom call,” as Flower calls it.

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World News

Netanyahu’s Problem: Israel Dwell Updates

Here’s what you need to know:

Credit…Ronen Zvulun/Reuters

JERUSALEM — Israeli opposition parties on Wednesday reached a coalition agreement to form a government and oust Benjamin Netanyahu, the longest-serving prime minister in Israeli history and a dominant figure who has pushed his nation’s politics to the right.

The announcement by the parties could lead to the easing of a political impasse that has produced four elections in two years and left Israel without a stable government or a state budget. If Parliament ratifies the fragile agreement in a confidence vote in the coming days, it will also bring down the curtain, if only for an intermission, on the premiership of a leader who has defined contemporary Israel more than any other.

The new coalition is an unusual and awkward alliance between eight political parties from a diverse array of ideologies, from the left to the far right. It includes the membership of a small Arab party called Raam, which would become the first Arab group to join a right-leaning coalition in Israeli history.

While some analysts have hailed the coalition as reflecting the breadth and complexity of contemporary society, others say its members are too incompatible for their compact to last, and consider it the embodiment of Israel’s political dysfunction.

The alliance would be led until 2023 by Naftali Bennett, a religiously observant former settler leader who opposes a Palestinian state and wants Israel to annex the majority of the occupied West Bank. He is a former ally of Mr. Netanyahu often described as more right-wing than the prime minister.

If the government lasts a whole term, it would then be led between 2023 and 2025 by Yair Lapid, a centrist former television host considered a standard-bearer for secular Israelis.

The son of American immigrants, Mr. Bennett, 49, is a former software entrepreneur, army commando, chief of staff to Mr. Netanyahu and defense minister. His home is in central Israel, but he was once chief executive of an umbrella group, the Yesha Council, that represents Jewish settlements in the occupied West Bank. Until the most recent election cycle, Mr. Bennett was part of a political alliance with Bezalel Smotrich, a far-right leader.

Though Mr. Bennett’s party, Yamina, won just seven of the 120 seats in Parliament, the anti-Netanyahu forces could not form a government without his support, allowing him to set the terms of his involvement in the coalition.

Mr. Lapid, 57, is a former news anchor and journalist who became a politician nine years ago and later served as finance minister in a Netanyahu-led coalition. His party placed second in the general election in March, winning 17 seats. But Mr. Lapid considered the ouster of Mr. Netanyahu more important than demanding to go first as prime minister.

Credit…United Arab List Raam, via Agence France-Presse — Getty Images

Yair Lapid, the leader of the Israeli opposition, had until midnight on Wednesday to cobble together an unlikely coalition to topple Benjamin Netanyahu. He needed almost every minute — leaving it until 11:22 p.m. to inform Reuven Rivlin, Israel’s largely ceremonial president, that he had assembled an eight-party alliance.

“The government will do everything it can to unite every part of Israeli society,” Mr. Lapid said in a statement released shortly after his call with Mr. Rivlin.

Mr. Lapid’s celebrations will be put on hold for several days, however. The Speaker of the Israeli Parliament, Yariv Levin, is a member of Mr. Netanyahu’s party, Likud, and can use parliamentary procedure to delay the confidence vote until Monday, June 14, constitutional experts said.

In the meantime, Mr. Netanyahu’s party has promised to pile pressure on wavering members of Mr. Lapid’s fragile coalition, formed of hard-right parties, leftists, centrists and Arab Islamists, in a bid to persuade them to abandon the coalition. Many of them already feel uncomfortable about working with each other, and have made difficult compromises to join forces in order to push Mr. Netanyahu from office.

Mr. Lapid himself agreed to give Naftali Bennett, a hard-right former settler leader who opposes Palestinian statehood, the chance to lead the government until 2023, at which point Mr. Lapid will take over.

In a sign of the friction to come, Raam, the Arab Islamist party, announced that it had joined the coalition after receiving assurances about improvements to the Arab minority’s land and housing rights that many hard-right Israelis deem unacceptable, including the regularization of three illegally constructed Arab towns in the Negev desert.

An hour before the deal was announced, one hard-right lawmaker, Nir Orbach, whose party colleagues say he has been particularly unsure about joining the coalition, tweeted: “We are not abandoning the Negev. Period.”

The fact that these tensions were on full display even before the coalition was officially formed has left many Israelis wondering whether it will last more than a few months, let alone its full term.

Should the coalition collapse, analysts believe Mr. Lapid may emerge with more credit than Mr. Bennett. While Mr. Bennett gets first crack at the premiership, his decision to work with centrists and leftists has angered his already small following.

“Lapid has made a very strong set of decisions, conveyed an amazing level of maturity and really made a big statement about a different kind of leadership,” said Dahlia Scheindlin, an Israeli political analyst and pollster at the Century Foundation, a New York-based research group. “That will not be lost on the Israeli public.”

Credit…Gil Cohen-Magen/Agence France-Presse — Getty Images

Now that opposition parties have reached agreement on a coalition government, it has up to seven days to present the government to Parliament for a vote of confidence.

Some disagreements within the fractious coalition were still being ironed out until shortly before the deadline on Wednesday, at midnight in Israel.

And with the fate of the new coalition dependent on a narrow margin and hanging on every single vote, Prime Minister Benjamin Netanyahu and his allies were on the hunt for potential defectors leading up to the announcement, and signaled that they would continue until the vote of confidence.

The coalition, ranging from right to left, is united primarily by its opposition to Mr. Netanyahu, the prime minister since 2009.

Israel has held four parliamentary elections in two years, all of them inconclusive, leaving it without a stable government or state budget. If the opposition fails to form a government, it could lead to yet another election.

Credit…Sebastian Scheiner/Associated Press

Naftali Bennett, who is poised to become Israel’s next prime minister, is a former high-tech entrepreneur best known for insisting that there must never be a full-fledged Palestinian state and that Israel should annex much of the occupied West Bank.

The independently wealthy son of immigrants from the United States, Mr. Bennett, 49, first entered the Israeli Parliament eight years ago and is relatively unknown and inexperienced on the international stage. That has left much of the world — and many Israelis — wondering what kind of leader he might be.

A former chief of staff to Prime Minister Benjamin Netanyahu, Israel’s longest-serving prime minister, Mr. Bennett is often described as more right-wing than his old boss. Shifting between seemingly contradictory alliances, Mr. Bennett has been called an extremist and an opportunist. Allies say he is merely a pragmatist, less ideological than he appears, and lacking Mr. Netanyahu’s penchant for demonizing opponents.

In a measure of Mr. Bennett’s talents, he has now pulled off a feat that is extraordinary even by the perplexing standards of Israeli politics. He has all but maneuvered himself into the top office even though his party, Yamina, won just seven of the 120 seats in the Parliament.

Mr. Bennett leveraged his modest but pivotal electoral weight after the inconclusive March election, Israel’s fourth in two years. He entered coalition talks as a kingmaker, and appears ready to emerge as the one wearing the crown.

Mr. Bennett has long championed West Bank settlers and once led the council representing them, though he is not a settler, himself. He is religiously observant — he would be the first prime minister to wear a kipa — but he will head a governing coalition that is largely secular.

He would lead a precarious coalition that spans Israel’s fractious political spectrum from left to right, and includes a small Arab, Islamist party — much of which opposes his ideas on settlement and annexation. That coalition proposes to paper over its differences on Israeli-Palestinian relations by focusing on domestic matters.

Mr. Bennett has explained his motives for teaming up with such ideological opposites as an act of last resort to end the political impasse that has paralyzed Israel.

“The political crisis in Israel is unprecedented on a global level,” he said in a televised speech on Sunday. “We could end up with fifth, sixth, even 10th elections, dismantling the walls of the country, brick by brick, until our house falls in on us. Or we can stop the madness and take responsibility.”

Credit…Dan Balilty for The New York Times

One of the most unlikely kingmakers involved in the formation of a new government is Mansour Abbas, the leader of the small Arab party known by its Hebrew acronym, Raam, with four seats in the current Parliament.

Under an 11th-hour deal, Raam formally agreed to join a Lapid-Bennett coalition government, though it would not hold any Cabinet seats. That was something of a surprise, as the party was expected to remain outside the coalition, while supporting it in a confidence vote in the Parliament. Some Arab lawmakers played a similar role by supporting Yitzhak Rabin’s government from the outside in the 1990s.

For decades, Arab parties have not been directly involved in Israeli governments. They have been mostly shunned by other parties, and are leery of joining a government that oversees occupation of the Palestinian territories and Israel’s military actions.

But after decades of political marginalization, many Palestinian citizens, who make up a fifth of Israel’s population, have been seeking fuller integration.

Israel’s early, leftist governments included Arab parties that were closely affiliated with the mostly Jewish parties. Raam would be the first independent Arab party in government, and the first Arab party of any kind in a right-leaning government.

Raam has been willing to work with both the pro- and anti-Netanyahu camps since the March election and to use its leverage to wrest concessions for the Arab public. The party has refused to commit to a deal unless it gets assurances for greater resources and rights for Israel’s Arab minority, including reforms to housing legislation that potential hard-right coalition partners do not accept.

Credit…Corinna Kern/Reuters

Sitting in her office in Parliament on Wednesday afternoon, Idit Silman, a hard-right lawmaker, flicked through hundreds of recent text messages from unknown numbers.

Some were laced with abusive language. Some warned she was going to hell. All of them demanded that her party abandon coalition negotiations with an alliance of centrist, leftist and right-wing lawmakers seeking to replace Prime Minister Benjamin Netanyahu for the first time in 12 years.

“It’s very hard,” Ms. Silman said. “People would rather put pressure on Idit Silman than see Benjamin Netanyahu leave Balfour Street,” she added, in a reference to the location of the prime minister’s official residence.

As opposition negotiators race to meet a midnight deadline to agree on a new government, supporters of Mr. Netanyahu and his Likud party were working overtime to pressure Ms. Silman and other members of the right-wing Yamina party.

Many right-wing Israelis see Yamina’s turn against Mr. Netanyahu as a betrayal.

This onslaught gave Ms. Silman and her colleagues pause for thought — and an incentive to be seen as prolonging the negotiations for as long as possible. Though Yamina did finally join the coalition on Wednesday night, Mr. Netanyahu’s party, Likud, is likely to continue to play on these fears.

Parliament might not hold a vote of confidence in a new government for another 10 days, giving Mr. Netanyahu more time to persuade Yamina lawmakers to reverse course.

His party has already promised to keep goading Ms. Silman and her colleagues.

“Behind the scenes,” said a senior Likud official, speaking on the condition of anonymity, “the Likud party is ramping up the pressure, particularly on the weakest links.”

The pressure has been relentless for days, since the phone numbers of Ms. Silman and her colleagues, they say, were posted on several WhatsApp and Facebook groups. That has prompted a barrage of messages — and not just from Israelis. Evangelical pastors in the United States have weighed in, and so have Hasidic activists in Britain, among many others.

The Likud party denies accusations that it posted any numbers publicly.

When Ms. Silman turned up at her local synagogue last week, she found several slick posters outside, each with her portrait overlaid with the slogan: “Idit Silman stitched together a government with terror supporters.”

For days, protesters have picketed her home, shouted abuse at her children, and trailed her by car in a menacing fashion, she said.

Yamina’s leader, Naftali Bennett, decided to negotiate with the opposition on Sunday night, after months of wavering. His calculus was based on realism, analysts say: Mr. Netanyahu cannot form a coalition, even with Mr. Bennett’s support. So Mr. Bennett can either fall in with the opposition, who have offered him the chance to be prime minister — or force the country to a fifth election in little more than two years.

“We always ask ourselves this question,” Ms. Silman said on Wednesday afternoon. “Is it right? Can we do something else?”

Credit…Pool photo by Yonatan Sindel

Naftali Bennett, who leads a small right-wing party, and Yair Lapid, the centrist leader of the Israeli opposition, have joined forces to try to form a diverse coalition to unseat Benjamin Netanyahu, Israel’s longest-serving prime minister.

Spanning Israel’s fractious political spectrum from left to right, and relying on the support of a small Arab, Islamist party, the proposed coalition, dubbed the “change government” by supporters, could signal a profound shift for Israel. Its leaders have pledged to end the cycle of divisive politics and inconclusive elections.

The opposition parties announced a coalition agreement on Wednesday. But even if they survive a vote of confidence in the Parliament and form a government, toppling Mr. Netanyahu, how much change would their “change government” bring, when some of the parties agree on little else besides antipathy for Israel’s longest-serving leader?

Mr. Bennett, whose party won seven seats in Parliament, is often described as further to the right than Mr. Netanyahu. While Mr. Netanyahu eroded the idea of a two-state solution to the Israeli-Palestinian conflict, Mr. Bennett, a religiously observant champion of Jewish settlement in the occupied West Bank, openly rejects the concept of a sovereign Palestinian state and has advocated annexing West Bank territory.

Still, though the coalition will include several parties that disagree on both those issues, they have agreed to allow Mr. Bennett to become prime minister first.

If the coalition deal holds, Mr. Bennett would be replaced for the second part of the four-year term by Mr. Lapid, who advocates for secular, middle-class Israelis and whose party won 17 seats.

By conceding the first turn in the rotation, Mr. Lapid, who has been branded as a dangerous leftist by his opponents on the right, smoothed the way for other right-wing politicians to join the new anti-Netanyahu alliance.

In a measure of the plot twists and tumult behind this political turnaround, Mr. Bennett had pledged before the election not to enable a Lapid government of any kind or any government reliant on the Islamist party, called Raam.

The coalition would stand or fall on the cooperation between eight parties with disparate ideologies and, on many issues, clashing agendas.

In a televised address on Sunday night, Mr. Bennett said he was committed to fostering national unity.

“Two thousand years ago, there was a Jewish state which fell here because of internal quarrels,” he said. “This will not happen again. Not on my watch.”

Credit…Pool photo by Ronen Zvulun

Even as the country and its Parliament remained deeply divided over the formation of a new government, Israeli lawmakers came together on Wednesday to elect a new president, Isaac Herzog, a former leader of the Labor party and government minister.

Displaying a rare degree of consensus in a secret ballot, they voted overwhelmingly for Mr. Herzog, who currently serves as the chairman of the quasi-governmental Jewish Agency for Israel, which helps deal with immigration, interacts with the Jewish diaspora and runs social programs.

The president plays a mostly symbolic role as a national unifier in Israel’s fractious parliamentary democracy, where the prime minister wields the most power.

One of a president’s main responsibilities is to grant a candidate the task of forming a government after elections. In Israel’s current, fragmented politics, which have produced four inconclusive elections in two years, that involves more than the usual level of skill, legal interpretation and discretion.

The president can also play an important role in Israeli diplomacy and has the power to pardon convicted criminals and exercise clemency by reducing or commuting sentences.

Mr. Herzog, 60, the grandson of the first chief rabbi of Israel and the son of one of the country’s earlier presidents, Chaim Herzog, will take over from the current president, Reuven Rivlin, in July.

“Our challenges are many and should not be taken lightly,” Mr. Herzog said in his acceptance speech. “I intend to be the president of all Israelis, to lend an attentive ear to every position and respect every person.”

Credit…Mohammed Saber/EPA, via Shutterstock

Less than a month ago, an eruption of intense fighting between Israel and Hamas militants in the Gaza Strip plunged Israeli and Palestinian communities into chaos. As the civilian casualties grew, overwhelmingly on the Gaza side, the conflict polarized Israeli society, and the world, in ways seldom seen before.

At least 230 people were killed in Gaza during the war, including at least 65 children, while in Israel at least 12 were killed, including two children. Gaza’s infrastructure, already ailing, was gutted by Israeli airstrikes on the densely populated territory. And Israeli towns and cities within range of Hamas rockets went into repeated, frightening lockdowns in shelters.

The war also spurred unrest within Israel and the occupied territories that has been more explosive than any in years. It has inspired a new era of Palestinian activism, and has shifted the ground politically, coloring the drama that was playing out in Israel on Wednesday.

Here is what to know about the 11-day war, and its lasting effects.

JERUSALEM — For Israelis, the possible downfall of Prime Minister Benjamin Netanyahu, the country’s longest-serving leader, is an epochal moment. Israeli media have barraged their audiences with reports and commentary on the opposition attempts to form a government.

But for many Palestinians, the political drama has prompted little more than a shrug and a resurgence of bitter memories.

During Mr. Netanyahu’s current 12-year tenure, the Israeli-Palestinian peace process fizzled, as Israeli and Palestinian leaders accused each other of obstructing the process, and Mr. Netanyahu expressed increasing skepticism about the possibility of a sovereign Palestinian state.

But to many Palestinians, his likely replacement as prime minister, Naftali Bennett, would be no improvement. Mr. Bennett is Mr. Netanyahu’s former chief of staff, and a former settler leader who outright rejects Palestinian statehood.

Instead, many Palestinians are consumed by their own political moment, which some activists have framed as the most pivotal in decades.

The Palestinian polity has long been physically and politically fragmented between the American-backed Palestinian Authority in the occupied West Bank; its archrival, Hamas, the Islamic militant group that rules Gaza; a Palestinian minority inside Israel whose votes might make or break an Israeli government; and a sprawling diaspora.

But spurred by last month’s 11-day war between Israel and Hamas in Gaza, and the worst bout of intercommunal Arab-Jewish violence to have convulsed Israel in decades, these disparate parts suddenly came together in a seemingly leaderless eruption of shared identity and purpose.

In a rare display of unity, hundreds of thousands of Palestinians observed a general strike on May 12 across Gaza, the West Bank, the refugee camps of Lebanon and inside Israel itself.

“I don’t think whoever is in charge in Israel will make a great deal of difference to the Palestinians,” said Ahmad Aweidah, the former head of the Palestinian stock exchange. “There might be slight differences and nuances, but all mainstream Israeli parties, with slight exceptions on the extreme left, share pretty much the same ideology.”

The strike in mid-May, Mr. Aweidah said, “showed that we are united no matter what the Israelis have tried to do for 73 years: categorizing us into Israeli Arabs, West Bankers, Jerusalemites, Gazans, refugees and diaspora.”

“None of that has worked,” he said. “We are back to square one.”

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Business

Medical Journals Reluctant to Tackle Racism, Critics Say

After JAMA’s podcast, Dr. Givens set about tabulating the race, gender and ethnicity of editors and editorial board members at the JAMA network of journals and the New England Journal of Medicine. The current editor of JAMA Dermatology may be “the only nonwhite editor in the entire history of all those journals,” he said.

Dr. Givens, who is Black, said he did not object to the topic of the controversial podcast. But to discuss whether structural racism exists without having experts on that topic nor Black physicians present was “a complete breakdown of scientific thinking,” he said. “If that’s not structural racism, or even meta-structural racism, I don’t know what is.”

In October, Dr. Givens contacted Dr. Rubin, editor in chief of the New England Journal of Medicine, and Dr. Bauchner, pointing out the disparities in staffing at their journals.

“I note with humor but absolute sincerity that there are more editors named David at your journals than Black and LatinX editors combined or East Asian and South Asian editors separately,” he wrote. Dr. Rubin responded and arranged a meeting to hear more. Dr. Bauchner did not reply, according to Dr. Givens.

“People are just really resistant to the very possibility that somebody might call them a racist, or that we might suggest that they hold racist views or ideas,” Dr. Givens said. “And because of that, there’s this unwillingness, or really this tendency, to shut down the conversation whenever it goes there.”

In an interview, Dr. Rubin acknowledged that the journal’s staff was not diverse enough, but said the low turnover among editors presented challenges to hiring new people.

Since his arrival, the journal has added four editors and four editorial board members, and in June, introduced a section of the journal’s website called Race and Medicine. Although the journal does not have self-reported information on race, half of the new additions are people of color, and three — including the new executive editor — are women, he said.

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Health

When Your Job Harms Your Psychological Well being

“When you’re really stressed out and have a mental health issue you’re grappling with, it is very difficult to think more broadly about the team,” said John Quelch, dean of Miami Herbert Business School in Coral Gables, Florida. and co-author of the book “Compassionate Management of Mental Health in the Modern Workplace”. Even so, he added, “you have to try to get into your employer’s mind.”

Mental health problems were ubiquitous during the pandemic. A report from the Centers for Disease Control and Prevention concluded that as of June 2020, 40 percent of adults in the United States were struggling with mental health problems or substance abuse.

It’s okay to be open and admit to yourself and those you trust that you’re in trouble, said Paul Gionfriddo, president and CEO of Mental Health America. In fact, he added, “Most good employers will ask, ‘What can I do to help you?'”

You can also choose to keep your concerns private and discuss them with your therapist, and that’s fine, too. Establishing healthy working boundaries is crucial, according to experts.

“Remember that you are a worthy and valuable person, regardless of your job role, productivity, and even how others might evaluate you,” said Dr. Burnett-Zigler. “When feelings of self-doubt and non-belonging arise, don’t lose the unique talents and ideas that you bring to the workplace.”

But say your efforts to improve your emotional wellbeing at work have failed or the work environment has become toxic. In this case, the experts say, it’s probably best to look for another job, especially if you are being mocked, threatened, or verbally abused by a manager.

It is illegal for an employer to discriminate against you just because you have a mental illness. And according to the U.S. Equal Employment Opportunity Commission, if you have a qualifying condition like major depression or post-traumatic stress disorder, you are legally entitled to reasonable accommodation that would help you with your job – the ability to make schedules around, for example Bypass therapy appointments, a quiet office space, or permission to work from home.