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Oct. 6, 2025, 7:40 PM EDTBy Zoë RichardsPresident Donald Trump said Monday that he would consider invoking the Insurrection Act “if it was necessary,” particularly if the courts or state and local officials delay his plans to deploy the National Guard.”I’d do it if it was necessary. So far it hasn’t been necessary. But we have an Insurrection Act for a reason,” Trump told reporters in the Oval Office when he was asked under what conditions he would consider the rarely used 19th century law.”If I had to enact it, I’d do that. If people were being killed and courts were holding us up or governors or mayors were holding us up, sure, I’d do that. I mean, I want to make sure that people aren’t killed. We have to make sure that our cities are safe,” he added.The Insurrection Act of 1807 allows the president to mobilize the U.S. military to conduct civilian law enforcement activities under certain circumstances. It was last used during the 1992 Los Angeles riots.Trump was speaking about his efforts to federalize troops and crack down on crime in Democratic-run cities.A federal judge in Oregon on Sunday blocked the Trump administration from deploying federalized National Guard members from California or other states to Portland’s streets.U.S. District Judge Karin Immergut, a Trump appointee, had also blocked the administration from deploying Oregon National Guard troops in Portland.”Portland’s been on fire for years, and not so much saving it,” Trump told reporters Monday. “We have to save something else, because I think that’s all insurrection. I really think that’s really criminal insurrection.”Oregon AG: Trump shouldn’t deploy troops to cities unless under ‘extreme circumstances’02:44Trump and his allies similarly referred to protesters opposing Immigration and Customs Enforcement raids in Los Angeles as “insurrectionists,” and Trump offered a similar answer in June when he was asked about any plans to invoke the Insurrection Act. “Depends on whether or not there’s an insurrection,” he said at the time, without ruling out the possibility of using it in the future.A key Trump ally argued earlier Monday that such action is needed now.In a text message to NBC News before Trump’s Oval Office remarks, former White House strategist Steve Bannon said Trump “needs to invoke the Insurrection Act of 1807 immediately and deploy active duty U.S. Army personnel and assets to Portland and Chicago — he needs to put Pritzker and Newsom in their place.”California Gov. Gavin Newsom and Illinois Gov. JB Pritzker, both Democrats, have opposed Trump’s National Guard efforts in their states.At a news conference earlier Monday, Pritzker suggested that Trump is trying to sow unrest so he can invoke the Insurrection Act.”The Trump administration is following a playbook cause chaos, create fear and confusion, make it seem like peaceful protesters are a mob by firing gas pellets and tear gas canisters at them,” Pritzker said. “Why? To create the pretext for invoking the Insurrection Act so that he can send military troops to our city.”Illinois sued Monday to block the Trump administration from deploying federalized National Guard troops to Chicago. A judge declined to immediately block the administration’s move and instead scheduled a hearing for Thursday.White House spokeswoman Abigail Jackson said in a statement that Pritzker had failed to address violence in his state.“Amidst ongoing violent riots and lawlessness, that local leaders like Pritzker have refused to step in to quell, President Trump has exercised his lawful authority to protect federal officers and assets,” Jackson said. “President Trump will not turn a blind eye to the lawlessness plaguing American cities.”During his first term, despite nudging from allies, Trump ultimately did not invoke the Insurrection Act, which the White House said was a possibility in response to demonstrations stemming from the death of George Floyd in Minneapolis in May 2020.Zoë RichardsZoë Richards is a politics reporter for NBC News.Katherine Doyle and Dareh Gregorian contributed.

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The 1807 law, which allows the military to conduct civilian law enforcement activities under certain circumstances, hasn’t been used since the 1992 Los Angeles riots.



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Savewith a NBCUniversal ProfileCreate your free profile or log in to save this articleOct. 6, 2025, 6:07 PM EDTBy Erika EdwardsThe booming IV hydration spa industry operates with virtually no oversight or data backing up its claims, according to the first comprehensive national analysis of hydration clinics. At clinics nationwide, people pay hundreds of dollars to have vitamins and minerals dripped directly into their veins as a detox, to ease headaches or boost immunity, “almost completely without evidence,” said Dr. Peter Lurie, president of the Center for Science in the Public Interest and co-author of the study, published Monday in JAMA Internal Medicine. “As a result, there’s a real danger to consumers.”Hydration clinics, combined with the growing number of med spas offering intravenous vitamin drips, skin care and cosmetic procedures, have ballooned into a $15 billion wellness industry in recent years, according to the American Med Spa Association. The group represents med spas, which often offer IV treatments, nationwide. Alex Thiersch, chief executive officer of the American Med Spa Association, said some IV hydration clinic providers don’t realize that they’re actually practicing medicine and may lack proper training.“We have had folks who are surprised by that,” Thiersch said. “They thought, ‘I’m just doing an IV. It’s different. It’s vitamins.’”“If you’re putting a needle in someone’s vein,” he said, “that’s 100% medical practice.”There are no federal health regulations or national standards for procedures for med spas. Instead, the facilities fall under the authority of each state.As of June 2024, no state or jurisdiction had enacted legislation specifically to regulate IV hydration spas, according to the new study.Thirty-two states did have some kind of policy addressing IV hydration spas, including rules either for prescribing or compounding drugs or how clinics should dispense medications.Four states — Alabama, North Carolina, South Carolina and Vermont — had the most comprehensive oversight. “This is a medical system that exists largely outside of conventional medicine,” Lurie said. “We’re worried that people will spend their money on these without reason to expect benefits. We’re also worried that there will be adverse effects related to this.”The potential for injury is real: Products or equipment could be contaminated, or a provider might not have appropriate training to give an IV safely.There’s no official count of the number of people injured at med spas. Infections and allergic reactions aren’t often reported to health departments. The new research cited NBC News’ previous reporting on med spas as evidence of “rising concerns of their safety, with reports of infections and contaminated products.” Of 255 clinic websites analyzed, more than half offered IV hydration therapy touting therapies like magnesium for headaches and muscle cramps, glutathione as a potential immune system booster, or other substances advertised to increase energy.Just two of those sites listed tangible sources for those health claims. None mentioned potential risks, like infection or allergic reactions. One aspect of the research involved a secret shopper investigation, in which researchers placed calls to 87 randomly chosen spas.Only about 1 in 4 required a medical consultation beforehand. More than 85% recommended specific IV cocktails when callers mentioned symptoms like a headache or cold, often without verifying a patient’s medical history.Fewer than 1 in 4 warned about potential side effects, like bruising or infections. The Food and Drug Administration previously warned consumers about the potential for severe infections and skin deformities from unauthorized shots touted to dissolve fat at med spas.Erika EdwardsErika Edwards is a health and medical news writer and reporter for NBC News and “TODAY.”
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Sept. 30, 2025, 12:04 PM EDTBy Kaan OzcanNew cases of cancer have been rising among younger people, worrying patients and doctors about causes. A new study suggests increasing numbers of cases of early onset cancer are largely due to improved and more routine screening, while mortality rates among younger people haven’t changed.The study, published Monday in JAMA Internal Medicine, compared rates of new diagnoses over the past three decades to mortality rates of the fastest-rising cancers in adults under 50. Of the eight cancers the research team studied, only two, colorectal and endometrial, showed increases in deaths. Other cancers included thyroid, anal, pancreatic, kidney, myeloma and small intestine. While breast and kidney cancers have increased in incidence, the mortality rates across all age groups have decreased in recent years.In fact, invasive breast cancer has been increasing faster in women under 50 than women over 50, at around a 1.4% increase per year from 2012 to 2021, according to the American Cancer Society. Similarly, colorectal cancer rates increased 2.4% per year in adults under 50 years and by 0.4% in adults 50-64 from 2012 to 2021. However, deaths have been halved for both because of earlier detection and improved treatment such as immunotherapies.Advances in screening technology and recommended screening at younger ages have allowed doctors to detect tumors at their earliest stages, including cases that may not ever negatively affect a person’s health.Dr. H. Gilbert Welch, senior investigator at the Center for Surgery and Public Health at Mass General Brigham hospital and a co-author of the study, said the harder doctors look for cancer, the more they are bound to find. “There really isn’t much more cancer out there,” Welch said. “We’re just finding stuff that’s always been there. That’s particularly true in things like the thyroid and the kidney.”The increase in “diagnostic scrutiny” for cancer adds to the uptick in some cancer case numbers. “Largely, what’s going on here is that people are getting tested more, and they’re getting more, if you will, powerful tests that can resolve smaller and smaller abnormalities,” he said. “This is largely simply unearthing things that have always been there.”Last year, the highly influential U.S. Preventive Services Task Force lowered the recommended age for first breast cancer screenings to 40, down from 50. And as deaths from colon cancer among people ages 45 to 49 ticked up, in 2021 the recommended age to start screening dropped from 50 to 45. Dr. Ahmed Jemal, senior vice president for surveillance, prevention and health services research at the American Cancer Society, said rising incidence rates can’t simply be chalked up to more and improved screening. Some of the causes are diet, obesity and physical inactivity.The study also pointed out that unnecessary treatments, such as surgery or radiation or chemotherapy, for cancers that aren’t “clinically meaningful” can cause multiple burdens for younger patients, Jemal said. A clinically meaningful cancer is considered dangerous and could spread if it is untreated. “You create not only cost burden, but you create anxiety,” Jemal said. Dr. Philippe E. Spiess, chief of surgery at Moffitt Cancer Center in Tampa, Florida, said the psychosocial aspect of cancer is another significant consequence. “Once a patient physically knows they have a mass, there is a significant burden that you have related to knowing that,” he said.Rather than intervene with every cancer doctors find, Spiess said, it’s important for doctors to assess whether patients’ cancers are dangerous and at risk of harming them. If tumors are small enough to be considered nonlethal, doctors should work with patients to monitor and continually assess their risk.“As long as the patient is committed to observation and surveillance, I think the consideration there is that you’re really not losing anything,” Spiess said.Kaan OzcanKaan Ozcan is an intern with NBC News’ Health and Medical Unit. 
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