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How some U.S. women are shut out of a breast cancer treatment, IORT, valued around the world

admin - Latest News - October 7, 2025
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Intraoperative Radiation Therapy has numerous benefits, surgeons tell NBC News, but it generates less money for hospitals and radiation oncologists. It isn’t covered by some private insurers despite being covered by Medicare. Yasmin Vossoughian spoke to a patient who says, “we are missing an opportunity if we are not investing heavily in this and promoting this.”



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October 10, 2025
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October 5, 2025
Oct. 5, 2025, 7:00 AM EDTBy Brooke SopelsaThe most commonly banned books in U.S. schools include LGBTQ titles, international bestsellers, teen romantasy novels and a 1962 classic, according to a new report that compares modern-day censorship to Cold War-era McCarthyism.More than 6,800 book bans were enacted during the 2024-25 school year in 87 public school districts across 23 states, according to a report released Wednesday by PEN America, a nonprofit that advocates for free expression. The report was released ahead of Banned Books Week, which starts Sunday.“Censorship pressures have expanded and escalated,” Kasey Meehan, director of PEN America’s Freedom to Read program, said in a news release. “A disturbing ‘everyday banning’ and normalization of censorship has worsened and spread over the last four years.”The organization’s annual “Banned in the USA” report says the current environment of “unfettered book banning is reminiscent of the Red Scare of the 1950s.” It defines a school book ban as “any action taken against a book based on its content and as a result of parent or community challenges, administrative decisions, or in response to direct or threatened action by governmental officials” that leads to the book being removed or restricted.The latest report found that 3,752 unique titles were affected by bans in the school year that ended in June. The most banned titles included “A Clockwork Orange” and “Wicked,” while the most banned authors included Stephen King, Sarah J. Maas and Jodi Picoult. More than 80% of all bans originated in just three states: Florida, Texas and Tennessee.This past school year saw fewer total bans than in 2023-24, at more than 10,000, though the number is far above where it was in 2021-22 (more than 2,500 bans), when PEN America first started to compile an annual report. Since July 2021, PEN America has tracked 22,810 book bans across 45 states.One reason the total number of book bans may have dipped this year is that some titles are being pre-emptively taken off the shelves.“This functions as a form of ‘obeying in advance’ to anticipated restrictions from the state or administrative authorities, rooted in fear or simply a desire to avoid topics that might be deemed controversial,” the report states. Another potential reason, as author Malinda Lo pointed out, is that previously banned titles have not returned to shelves. Lo, whose book “Last Night at the Telegraph Club” was No. 4 on PEN America’s new list, said on Instagram that her 2021 novel made the cut “partly because all of the usual titles like ‘Gender Queer’ have already been banned and removed.”“Once a book is banned, it’s gone,” she wrote on Wednesday. “This is why we have to keep fighting these attacks on our first amendment rights.”“Gender Queer,” a graphic memoir that debuted in 2019, was No. 1 on PEN America’s Most Banned Books List in 2022, though it didn’t even make the top 15 on this year’s list.Books with LGBTQ themes and characters — like “Gender Queer” and “Last Night at the Telegraph Club” — are consistently among the most banned books highlighted in the annual reports of PEN America and the American Library Association, and this year is no different.Here are the 15 most banned books this past school year as tracked by PEN America, ranked in order of those banned by the most public school districts across the country:“A Clockwork Orange” by Anthony Burgess.W. W. Norton & Company‘A Clockwork Orange’ by Anthony BurgessBurgess’ dystopian satire about a sociopathic, Beethoven-obsessed teen gang leader was banned in 23 districts in the 2024-25 school year. The 1962 novel was adapted into an Oscar-nominated film by Stanley Kubrick in 1971 and was named one of Time’s 100 best English-language novels and one of Modern Library’s 100 Best Novels.“Breathless” by Jennifer Niven.Knopf Books for Young Readers‘Breathless’ by Jennifer NivenNiven’s 2020 novel is a coming-of-age love story that was banned in 20 school districts. On her website, the bestselling author describes “Breathless” as “the book I needed when I was sixteen, seventeen, eighteen. A frank take on sex and love, parental divorce, finding yourself, and the importance of writing your story. Of writing your life.”“Sold” by Patricia McCormick.Little, Brown Books for Young Readers‘Sold’ by Patricia McCormickMcCormick’s young-adult novel, about a girl from Nepal who is sold into sexual slavery in India, was banned in 20 school districts in the last school year. This 2006 title was a National Book Award finalist and was on the Publisher’s Weekly Best Books of the Year list and the ALA’s Top Ten Books for Young Adults list.“Last Night at the Telegraph Club” by Malinda Lo.Dutton Books for Young Readers‘Last Night at the Telegraph Club’ by Malinda LoLo’s young-adult historical novel about love and duty in 1950s San Francisco was banned in 19 school districts in the 2024-25 school year. The critically acclaimed 2021 novel won a long list of awards, including a National Book Award, Stonewall Book Award and Asian/Pacific American Award for Literature.“A Court of Mist and Fury” by Sarah J. Maas.Bloomsbury Publishing‘A Court of Mist and Fury’ by Sarah J. MaasThis bestselling adult romantasy novel, which was banned in 18 districts in the 2024-25 school year, is the second book in Maas’ wildly popular “A Court of Thorns and Roses” series. Maas, the only author with more than one title on this top 15 list, also has the distinction of being one of the most banned authors this year, with 162 total bans, behind only Stephen King and “Crank” author Ellen Hopkins.“Crank” by Ellen Hopkins.Margaret K. McElderry Books‘Crank’ by Ellen Hopkins Hopkins’ 2004 young-adult novel was banned in 17 school districts. On her website, the author revealed this bestseller is loosely based on her “older daughter’s story of addiction to crystal meth.” She said “Crank” began as “a personal exploration of the ‘why’s’ behind my daughter’s decisions, and what part I might have played in them.”“Forever…” by Judy Blume.Atheneum Books for Young Readers‘Forever…’ by Judy BlumeBlume’s award-winning 1975 young-adult novel, which was banned in 17 districts in the last school year, has been a target of censorship for 50 years, according to PEN America. Blume said she wrote the book — which was named one of NPR’s 100 Best-Ever Teen Novels and Time’s 100 Best YA Books of All Time — because her daughter “asked for a story about two nice kids who have sex without either of them having to die.”“The Perks of Being a Wallflower” by Stephen Chbosky.MTV Books‘The Perks of Being a Wallflower’ by Stephen ChboskyChbosky’s 2009 coming-of-age novel about an observant “wallflower” navigating the “strange world between adolescence and adulthood” was banned in 17 school districts in the 2024-25 school year. The No. 1 New York Times bestseller — which deals with topics including first dates, family drama, sex, drugs and suicide — was adapted into a 2012 film starring Logan Lerman, Emma Watson and Ezra Miller.“Wicked” by Gregory Maguire.William Morrow Paperbacks‘Wicked’ by Gregory MaguireThis No. 1 New York Times bestseller, which debuted in 1995 and is a reimagined prequel to “The Wonderful Wizard of Oz,” was banned in 17 school districts. The story of “Wicked,” however, is perhaps best known due to its adaptation into a Tony-winning Broadway musical and an Oscar-winning musical film starring Cynthia Erivo and Ariana Grande.“All Boys Aren’t Blue” by George M. Johnson.Farrar, Straus and Giroux (BYR)‘All Boys Aren’t Blue’ by George M. JohnsonJohnson’s 2020 memoir-manifesto about coming of age as a queer Black man was banned in 16 districts in the last school year, and it also topped the ALA’s list of 10 most challenged library books of 2024. In an interview with NBC News last year, Johnson said the real book censorship danger lies in the “soft-banning”: “We can track the books that are being banned, but we can’t track books that are not being ordered.”“A Court of Thorns and Roses” by Sarah J. Maas.Bloomsbury Publishing‘A Court of Thorns and Roses’ by Sarah J. MaasThe first book in Maas’ internationally bestselling five-book romantasy series was, like the remaining books on this list, banned in 16 school districts. The central character in 2015’s “A Court of Thorns and Roses” is 19-year-old Feyre, a moral huntress who is dragged to a magical land and falls for her immortal captor.“Damsel” by Elana K. Arnold.Clarion Books‘Damsel’ by Elana K. ArnoldThis dark and twisted fairy tale, a 2019 Michael L. Printz Award Honor Book, is, on the surface, about a damsel who is rescued from a dragon by a handsome prince. Prior to “Damsel,” Arnold’s book “What Girls Are Made Of” was a finalist for the 2017 National Book Award in Young People’s Literature.“The DUFF” by Kody Keplinger.Poppy‘The DUFF’ by Kody KeplingerIn Keplinger’s 2010 young-adult novel, 17-year-old Bianca discovers her high school’s “slimy school hottie” has given her an offensive nickname — DUFF, or Designated Ugly Fat Friend — but she still ends up in a “closeted enemies-with-benefits relationship” with him. Keplinger was only 17 herself when she wrote this bestselling book, which was adapted into a 2015 film.“Nineteen Minutes” by Jodi Picoult.Atria Books‘Nineteen Minutes’ by Jodi PicoultThis No. 1 New York Times bestseller is about the aftermath of a school shooting in a small New Hampshire town. Published in 2007, this is one of 29 novels written by Picoult, whose other works include “My Sister’s Keeper,” “Small Great Things” and “The Pact.”“Storm and Fury” by Jennifer L. Armentrout.Canary Street Press‘Storm and Fury’ by Jennifer L. ArmentroutArmentrout’s 2019 romantasy novel is the first book in her three-book “Harbinger” series. “Storm and Fury” is centered on 18-year-old Trinity Marrow, who “may be going blind” but “can see and communicate with ghosts and spirits,” according to Armentrout’s website.Brooke SopelsaBrooke Sopelsa is the editorial director of NBC Out, NBC News’ LGBTQ digital destination. 
September 21, 2025
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October 1, 2025
Oct. 1, 2025, 5:05 PM EDTBy Monica Alba, Laura Strickler, Dareh Gregorian and Amanda TerkelWASHINGTON — A number of federal agencies are putting out messages blaming Democratic senators for the current government shutdown, in a sharp break from how departments have handled shutdowns in the past. Traditionally, agencies provide information on the status of the funding lapse and what services won’t be available, but stay away from partisan talking points. Some civil servants, who are supposed to be nonpartisan, are being encouraged to push out the messages as well. The Department of Labor sent a message to all employees Wednesday morning, suggesting a potential out-of-office notification: Thank you for contacting me. On September 19, 2025, the House of Representatives passed H.R. 5371, a clean continuing resolution. Unfortunately, Democrat Senators are blocking passage of H.R. 5371 in the Senate which has led to a lapse in appropriations. Due to the lapse in appropriations I am currently in furlough status. I will respond to emails once government functions resume. The department offered a similar message about employees who must continue working throughout the shutdown. A civil servant at the Department of Health and Human Services said their boss suggested they put up an out-of-office message that had this line: “Unfortunately, Democratic Senators are blocking its passage in the Senate, which has led to a lapse in appropriations.” Not all agencies are sending out this guidance. Employees at the Centers for Disease Control and Prevention, Food and Drug Administration, Justice Department and Department of Housing and Urban Development said they did not get suggestions like the one given to employees at the Department of Labor. We’d like to hear from you about how you’re experiencing the government shutdown, whether you’re a federal employee who can’t work right now or someone who is feeling the effects of shuttered services in your everyday life. Please contact us at tips@nbcuni.com or reach out to us here.A spokesperson for the Department of Health and Human Services referred NBC News to the Office of Management and Budget, which did not return a request for comment. The Department of Labor also did not respond. “What this administration is doing is unprecedented, illegal and flat-out wrong,” said Max Stier, CEO of the nonpartisan Partnership for Public Service. “I’ve been deeply engaged in our federal government for over 30 years and there is nothing that has come close. Federal employees who are furloughed are still subject to the same legal and ethics rules, and there is no excuse for this behavior. The administration should not be using federal employees or federal resources to wage a political battle.”Congress failed to reach a funding agreement late Tuesday night, leading to a shutdown that is expected to last at least through the week. While Republicans have full control of the federal government, including the White House and majorities of both chambers of Congress, they don’t have the 60 votes needed to end debate on legislation in the Senate and move bills forward without Democratic votes. Democrats want to include provisions to extend health care funding, as well as assurances that President Donald Trump won’t keep unilaterally withholding spending directed by Congress.Federal employees will not be paid during the shutdown — even if they’re deemed essential to operations and have to continue working. Approximately 750,000 employees will be furloughed, according to the Congressional Budget Office. Members of Congress and President Donald Trump will continue to receive paychecks. The Trump administration’s messaging on the shutdown extends to federal government websites as well. Visitors to the Department of Housing and Urban Development’s site are greeted with a large red banner that reads: “The Radical Left in Congress shut down the government. HUD will use available resources to help Americans in need.”In case visitors missed the message, a large pop-up box then appears: “The Radical Left in Congress shut down the government. HUD will use available resources to help Americans in need.”“Due to the Democrat-led shutdown, website updates will be limited until full operations resume,” reads the message on the State Department’s site. The undersecretary for management at the State Department also sent a letter criticizing Democrats to all employees on Tuesday: “Unfortunately, Democrats are blocking this Continuing Resolution in the U.S. Senate due to unrelated policy demands. If Congressional Democrats maintain their current posture and refuse to pass a clean Continuing Resolution to keep the government funded before midnight on September 30, 2025, federal appropriated funding will lapse.” Both the Forest Service and the Treasury Department also now have messages up on at the top of their websites blaming Democrats and the left for the shutdown.And VetResources, which the Department of Veterans Affairs bills as “a weekly newsletter for Veterans, their families, caregivers, and survivors,” sent an email to subscribers Wednesday blaming Democrats for any gap in resources.“President Trump opposes a lapse in appropriations, and on September 19, the House of Representatives passed, with the Trump Administration’s support, a clean continuing resolution to fund the government through November 21,” the newsletter reads. “Unfortunately, Democrats are blocking this Continuing Resolution in the U.S. Senate due to unrelated policy demands. During the current lapse in funding, the vast majority of VA benefits and services will continue uninterrupted, but the government shutdown is not without consequences to VA.”The messages have already raised questions about their ethics and legality.A former senior counsel at the Housing Department told NBC News that the agency’s message on its website likely violates the federal code of conduct for employees.“There’s no universe where that is acceptable or advisable under the code of conduct,” said Donald Sherman, who’s now executive director of the government watchdog group Citizens for Responsibility and Ethics in Washington. The code says “employees shall act impartially” and without preferential treatment, he said. “This agency is meant to service every American, whether they’re right or left or have no political views whatsoever,” and now the first thing people see on the site is about “political ideology.”The group Public Citizen filed a complaint against HUD, saying the message on its website violated the Hatch Act, which prohibits federal employees from using their official capacities to affect or interfere with elections. A HUD spokesperson defended the site on Tuesday, telling NBC News, “The Far Left is barreling our country toward a shut down, which will hurt all Americans. At HUD, we are working to keep critical services online and support our most vulnerable. Why is the media more focused on a banner than reporting on the impact of a shutdown on the American people?” A HUD official also pushed back on Hatch Act questions, saying the message was carefully worded so as not to name a specific party or politician, but rather an ideology. The watchdog group Democracy Defenders Fund on Wednesday sent a letter to the Government Accountability Office urging an investigation into HUD. “The purpose of HUD’s website is to help Americans find affordable housing and protect their rights. It is not a campaign website or a tool to advance a political party’s agenda,” said Virginia Canter, the group’s ethics and anticorruption chief counsel and director. “The Trump administration, however, turned a government agency website into a partisan billboard. It’s an abuse of power, a waste of taxpayer money, and appears to be a flat-out violation of the law.”Monica AlbaMonica Alba is a White House correspondent for NBC News.Laura StricklerLaura Strickler is the senior investigative producer on the national security team where she produces television stories and writes for NBCNews.com.Dareh GregorianDareh Gregorian is a politics reporter for NBC News.Amanda TerkelAmanda Terkel is politics managing editor for NBC News Digital.Abigail Williams, Allan Smith, Kelly O’Donnell, Ryan J. Reilly, Courtney Kube, Steve Kopack and Michael Kosnar contributed.
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