- The United States Supreme Court ruled Friday, June 24, to overturn Roe v. Wade, eliminating Americans’ constitutional right to abortion.
- Roe v. Wade was decided in 1973 and guaranteed a right to abortion until a fetus was viable.
- In the case of Dobbs v. Jackson Women’s Health Organization, the Supreme Court evaluated the constitutionality of Mississippi’s 15-week abortion ban.
- Mississippi had asked the Court to overrule Roe to uphold the 15-week ban.
The United States Supreme Court has voted to overturn Roe v. Wade — the landmark ruling that has protected pregnant people’s right to get an abortion before fetal viability since 1973.
In the case of Dobbs v. Jackson Women’s Health Organization, the Court has been evaluating the constitutionality of Mississippi’s 15-week abortion ban.
Mississippi’s ban has been blocked since 2018 when an appeals court ruled that the ban places an undue burden on pregnant people seeking an abortion.
Mississippi had asked the Court to overrule Roe to uphold the 15-week ban.
In May, Politico published a leaked draft opinion crafted by Justice Samuel Alito, hinting that the Court — which has a 6-3 conservative majority — was prepared to take down Roe.
The Court announced Friday that, in a 6-3 decision, it would be overturning Roe in their ruling on Dobbs and there would no longer be a constitutional right to abortion.
Without Roe’s protections, individual states will regulate abortion and decide if and when a person can get an abortion.
President Joe Biden addressed the nation from the White House on Friday, stating that the decision takes America back 150 years.
“Now with Roe gone, let’s be very clear: The health and life of women in this nation are now at risk,” Biden said.
The Court’s final opinion, published on June 24, 2022 and written by Justice Samuel Alito, held that there is no longer a constitutional right to abortion.
“The Constitution does not confer a right to abortion; Roe and Casey are overruled; and the authority to regulate abortion is returned to the people and their elected representatives,” the opinion states.
The Court’s three democratic justices — Justices Steven Breyer, Sonia Sotomayer and Elena Kagan — filed a joint dissent.
Justice Alito argued that the dissent cannot argue that abortion is rooted in the nation’s history.
“This decision, read in conjunction with yesterday’s decision on gun control, demonstrates the Court’s (or the conservative majority’s) maddening lack of concern for the real world consequences of their decisions and the real people who will suffer because of them,” Alison Gash, PhD, an associate professor in the Department of Political Science at the University of Oregon, told Healthline.
Justice Brett Kavanaugh concurred with the ruling and argued that states cannot block pregnant people from traveling to other states for abortion care and that states cannot punish people who received an abortion before the Court’s ruling takes effect.
Justice Clarence Thomas called for the Court to reconsider other precedents, including those on same-sex marriage and contraception.
“Thomas’s concurrence reads like a call to action especially against gay rights. The fact that it not only calls upon the Court to reconsider past cases that rest on substantive due process but specifically calls out Obergefell and Lawrence will place those rights at risk,” Gash said.
Twenty-six states will partially or fully ban abortions without Roe, according to the Guttmacher Institute, a New York-based organization committed to advancing sexual and reproductive health and rights.
If all 26 states restrict or ban abortion, that will affect more than 36 million women — in addition to all of the other people who can become pregnant — who may lose the right to an abortion in their state.
Thirteen of these states have trigger bans designed to go into effect when Roe is overturned, and nine states have bans in place from before Roe that may immediately go back into effect.
Five states have abortion bans that were enacted after Roe, 11 states have six-week bans that are not yet in effect due to protections from Roe and one state, Texas, has a six-week ban that’s already in effect.
Ohio is expected to be one of the first states to pass a total abortion ban. Republican Gov. Mike DeWine has said he will reverse a block against a six-week abortion ban when the Supreme Court overturns Roe v. Wade.
Florida, Indiana, Montana and Nebraska are also expected to ban abortion quickly.
Sixteen states and the District of Columbia have laws protecting the right to abortion.
New York, Pennsylvania, Virginia, North Carolina, Illinois, Minnesota, Kansas, Colorado, New Mexico, Nevada, Washington, Oregon and California are unlikely to ban abortion and would have the nearest provider for people from states where abortions will be banned.
“This is a pivotal moment in history, and unfortunately it’s a moment that will live in the infamy as the day that the United States of America, a progressive country, took a step back in equal rights for all citizens in the country,” Dr. Vivek Cherian, a Chicago Based Internal Medicine Physician, said.
Jessie Hill, JD, a constitutional law professor at Case Western Reserve University specializing in reproductive health rights, says though the ruling was expected, it is hard to describe what a monumental moment this is.
Without federal protections, pregnant people living in states banning abortion will have to travel hundreds, if not thousands, of miles to get abortion care.
“The Supreme Court’s ruling today is going to severely impact the medical care available to women everywhere because one of the most important principles in medicine is a patient’s autonomy (you are in charge of your own health), with this ruling today we’ve robbed half the population of that right,” says Cherian.
Clinics in states that continue to conduct abortions are preparing to meet an influx of pregnant people traveling out of state for care.
The overflow of patients means many clinics will have longer wait times.
“I also expect, in the short term, a period of tremendous uncertainty as doctors and others are trying to understand the contours of the law, make sense of confusing and vaguely worded exceptions, and just figure out what rights they have today,” Hill said.
Many people who can not afford to travel for abortion care will be forced to carry the pregnancy to term.
Research has previously shown that when pregnant people are denied an abortion they are more likely to experience financial difficulties, mental health issues and physical health problems.
The consequences are most pronounced in Black, Latino and Indigenous communities.
“I expect the impact will be absolutely devastating, particularly and disproportionately on people with low incomes and people of color, who are already heavily targeted by our legal system and who already have less access to reproductive health care,” says Hill.
Past evidence has found that abortion restrictions
“The most important point to understand is this doesn’t mean that abortions will no longer happen it simply means that abortions will no longer happen in a safe environment subsequently putting women at greater risk and possibly even increasing the rate of female deaths due to poorly executed abortion procedures that women that are desperate for a procedure may try to do at home or elsewhere without the appropriate medical supervision,” Cherian said.
The bottom line:
The United States Supreme Court has voted to overturn Roe v. Wade — the landmark ruling that has protected pregnant people’s right to get an abortion before fetal viability. Without Roe, individual states will decide if and when pregnant people can get an abortion. Twenty-six states are set to quickly ban or restrict abortions, and an estimated 36 million women may lose the right to abortion in their state.
Read the full article here
Examples of the Effects of Mental Health Stigma
Over the past few decades, we’ve come a long way in how we view and talk about mental health.
And that should come as no surprise, because 1 in 5 adults in the United States lives with a mental health condition. Many people are also becoming more open to the idea of sharing their personal experiences.
But there’s still a stigma surrounding mental health. It’s a stigma, in fact, that affects millions of people around the world who live with mental health conditions. It affects everything from their social relationships and professional opportunities to the way they view themselves.
We’ll explore more about what mental health stigma is, and how we can all work to address this and improve the lives of people living with mental health conditions.
Mental health is often stigmatized because of a lack of understanding about what mental health conditions are and what it’s like to live with a mental health condition. Stigma can also arise from personal thoughts or religious beliefs about people who have mental health conditions.
Generally, the lack of understanding about mental health — as well as the harmful assumptions about people living with mental health conditions — is at the heart of a bias or stigma. This can result in avoidance, rejection, infantilization, and other discriminations against people who are neurodivergent or have a mental health condition.
We often use the word “stigma” to describe the overarching experience that people have. However, there are actually three types of stigma: public stigma, self-stigma, and institutional stigma.
- Public stigma: This refers to the negative attitudes around mental health from people in society.
- Self-stigma: This describes the internalized stigma that people with mental health conditions feel about themselves.
- Institutional stigma: This is a type of systemic stigma that arises from corporations, governments, and other institutions.
While there are many examples of mental health stigma in society, here are some of the more common instances you might notice:
- When people are viewed as attention-seeking or weak when they try to reach out and get professional help.
- When others use harmful language, such as “crazy” or “insane”, to judge or trivialize people who have mental health conditions.
- When people make jokes about mental health or certain conditions.
- When people avoid others with certain mental health conditions, like schizophrenia, because of fear or misunderstanding.
- When family or friends tell someone with depression that they can get better if they just “work out and get more sun,” or make other unhelpful judgments.
- When someone living with a mental health condition views themselves as worthless or talks down to themselves because of their condition.
- When companies refuse to hire someone or provide them with adequate accommodations because of their mental health.
- When people view examples of neurodivergence as illnesses or something to be cured.
According to the study results, from roughly 1996 to 2006, people became more knowledgeable about mental health — including acknowledging differences between daily experiences and symptoms of diagnosable conditions.
And from around 2006 to 2018, there was a significant decrease in social stigma against depression — specifically, less desire to be socially distanced from people with depression. However, when it came to schizophrenia and alcohol dependence, not only did social stigma increase but so did negative perceptions of these conditions.
Another earlier study from 2018 took a slightly different approach in analyzing the social perception of mental and physical health conditions. In this study, researchers used automated software to track over a million tweets related to mental health and physical health over a 50-day period.
According to the results of the study, mental health conditions were more likely to be stigmatized and trivialized than physical health conditions. And the results varied by condition — with schizophrenia being the most stigmatized, and obsessive-compulsive disorder (OCD) being the most trivialized.
Intersectionality refers to how someone’s intersecting identities — such as race, gender, sexuality, or class — contribute to their own unique experience with discrimination and oppression.
When it comes to mental health, intersectionality can play a huge role not only in someone’s overall mental health, but also in how mental health stigma affects them.
According to the researchers, less than 20% of the men who were referred to mental healthcare from the clinic continued to receive the recommended care — often as a result of increased social and professional stigma for men to go without mental healthcare of any kind.
Mental health stigma can have a hugely negative impact on the lives of people living with mental health conditions. In fact, stigma can often lead to mental, social, or even professional consequences for the people who are stigmatized.
People living with mental health conditions are more likely to experience low self-esteem and lower self-confidence if they’re stigmatized.
Stigma may lead to difficulty seeking treatment or even following through with treatment. And some people may experience increased symptoms of their condition, or even develop new ones — like anxiety or depression — because of experiencing stigma.
Self-stigma may even hinder someone’s ability to recover from a mental health condition. In one smaller
Social mental health stigma may lead to isolation from friends or family. People with mental health conditions may experience bullying or harassment from others — or possibly even physical violence.
And when others have a judgmental view of mental health, it can be difficult for people living with these conditions to build relationships with them.
Stigma in the professional world can lead to fewer opportunities to excel at school and fewer opportunities to advance at work. People living with mental health conditions may have difficulty fulfilling school or work obligations — especially if they have trouble with classmates, teachers, coworkers, or bosses.
It’s not just classmates or colleagues who contribute to mental health stigma in a professional setting, either.
Stigma comes from everywhere — institutions, society, and even ourselves. But we can all take steps to address and reduce the stigma of mental health:
- Learn about mental health: One of the most important steps toward reducing mental health stigma is to learn more about it. Learning what mental health conditions look like and who they can affect can help reduce some of the fear, misunderstanding, and judgment around them.
- Use words carefully: When we use words with negative associations, like “insane” or “crazy”, we contribute to the judgment and stigmatization of others. It may take some effort to change the way we speak, but it can help reduce the stigma that people with mental health conditions face.
- Take part in campaigns: Many mental health organizations, like NAMI, create fundraising campaigns to help bring awareness and provide funding for mental healthcare. Even if you can’t get directly involved, these campaigns are a great way to learn more about people living with mental health conditions.
- Share your story: If you’re someone living with a mental health condition, one of the most powerful tools for reducing stigma is to share your story. By educating people on what it’s like to live with a mental health condition, we can help reduce the misunderstanding and judgment that people feel.
Mental health stigma plays a significant role in the lives of people with mental health conditions — from the way that they’re treated to the way they feel about themselves. But we can take steps to reduce this stigma.
By being more mindful about how we speak to others, learning more about what it’s like to live with a mental health condition, and sharing our stories when we’re living with these conditions, we can help reduce the stigma surrounding mental health.
Read the full article here
Can People with Diabetes Eat Candy?
Eating candy can be a controversial topic for people with diabetes.
Misconceptions about sugar and candy being off-limits for people with diabetes can be found in the public mindset, in media and entertainment, and within the medical community itself.
With the Halloween season upon us, both kids and adults with diabetes as well as their loved ones and friends may face this issue even more often than at other times of the year.
This article will explore if people with diabetes can actually eat (and enjoy) candy, how much may be allowed, and whether sugar-free candy is worth considering.
Short answer: Yes, people with diabetes can eat candy.
Adults and children with diabetes (no matter the type) are just as entitled to a sweet treat occasionally as anyone else. Like everything else, details and context matter most, and moderation is key for anyone living with diabetes when it comes to food choices. High sugar foods and drinks can impact glucose levels more quickly and dramatically, so understanding how those influence your diabetes management is important.
People with diabetes must consider extra planning if they want to eat candy. They need to be cognizant about counting carbohydrates and dosing insulin correctly if they happen to use that hormone to help manage their condition.
It’s important to remember, too, that people with diabetes are typically watching the total carbohydrate count of food and drink, and not necessarily honing in on the sugar content.
While candy can make blood sugars rise more quickly, it’s that carb count that needs to be watched when consuming a piece of candy. The same applies to sugar-free candy, which also contains a certain amount of carbohydrates and that needs to be considered when factoring that food choice into your diabetes management.
Certain candies, such as those containing peanut butter or nuts, can take longer to impact blood sugars and won’t lead to as dramatic spikes immediately after eating them. However, other regular candies with sugar can cause quick spikes in blood sugar, and some medical professionals suggest eating a piece of candy closer to mealtime in order to “soften the blow” of a sudden spike in blood sugar.
Of course, you’ll still need to account for the calories and carbs contained within the candy.
While sugar-free candy certainly doesn’t get an award for being “healthy” per se, many people with diabetes (especially children) turn to it as an alternative to regular candy. The thought is that sugar-free candy may be healthier for blood sugar levels.
Sugar-free candy is made with artificial sweeteners, meaning that it can have a lighter impact on blood sugar levels.
However, a common misconception is that sugar-free candy does not impact blood sugar. It does, in fact, contain carbohydrates and calories. That means you still need to dose insulin or take glucose-lowering diabetes medications for those sugar-free candies.
If someone with non-insulin dependent diabetes is being mindful of their weight, eating sugar-free candy is not a free pass for sweets. These sugar-free options may sabotage weight loss efforts due to their high calorie content.
A non-diabetes-related benefit of sugar-free candy is that it’s kinder to teeth. Absent of the higher sugar contents, these sugar-free treats don’t lead to as much tooth decay or cavities often linked to frequent sugar consumption.
Additionally, there’s usually not a very big difference in terms of total fat or protein content in sugar-free versus regular candy.
The big issue with sugar-free candy comes down to sugar alcohols in those treats, which can have some negative effects depending on how much you eat.
Side effects included:
- nausea and upset stomach
- excess gas
The study participants who were given sugar experienced no such side effects.
Sugar alcohols are considered fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, or a type of FODMAP. These are food molecules that some people cannot digest easily, especially when eaten in large quantities.
Sugar alcohols can also cause a laxative effect, especially if you’re prone to stomach issues.
While they contain fewer calories than sugar, they’re not calorie-free. Eating any treat in excess can inhibit weight loss or cause weight gain.
Eating sugar-free candy made with artificial sweeteners can also cause side effects, including interrupting the gut microbiome that is important to your health.
While it may not be the healthiest low snack, treating any low blood sugar with fast-acting sugar can be helpful.
Some candies that contain sugar are very fast-acting. However, some others (including those with chocolate or peanut butter) have higher fat content and are slower to digest and take longer to impact blood sugars, so they may not be appropriate to treat severe hypoglycemia quickly enough.
Another con of eating candy to treat low blood sugars is that it can react quickly and if you eat too much, it may cause higher blood sugars (rebound highs).
Make sure to consult your diabetes care team about any concerns or questions relating to candy and treating low blood sugars.
Yes, children and adults with diabetes can and do eat candy. The key is moderation and making sure to track the number of carbohydrates and calories eaten. Sugar-free candies can be better for blood sugar levels, but they still contain carbs and calories. The sugar-alcohols in these treats can also cause upset stomach, nausea, diarrhea, and excess gas.
Candy can be used to treat hypoglycemia, but it may not always be appropriate for urgent low blood sugars requiring glucagon or emergency medical assistance.
Read the full article here
Where Can I Go for Medical Care Without Insurance?
Finding affordable healthcare without insurance may seem daunting, but there are more options than you may think. Here are more than 18 resources that can provide assistance.
It’s no secret that accessing healthcare can be very expensive. If you don’t have insurance, those costs are even higher. In fact, 85% of uninsured people in the United States reported that paying for healthcare was difficult in 2022.
Fortunately, there are resources that can help you find and pay for medical care without insurance. You can find care at low or no cost with a variety of programs designed to help people without health insurance get the care they need.
Yes, you can get medical care if you don’t have health insurance.
In the United States, hospital emergency rooms are required to provide treatment regardless of insurance or ability to pay.
Additionally, there are many medical facilities that provide routine care to people who don’t have insurance. You will be asked to pay for any care you receive, but there are ways to find healthcare at a lower cost.
There are a variety of options for seeking care if you don’t have insurance. Many of these options are designed to be affordable. In some cases, you might be able to get certain healthcare services for free.
You can find low cost or free care in several locations:
Community health centers
Community health centers are nonprofit health clinics that offer low cost or free care. Often, fees are set on an income-based sliding scale, and staff will work with you to determine your costs.
The exact services offered by a community health center depend on the location but generally include:
- preventive healthcare
- basic healthcare
- family planning services
- chronic condition management
Some community health centers also offer prescription medications and dental care. You can search for community health centers near you by checking here.
State or county departments of health
Your state or county department of health might cover certain healthcare services for eligible residents. Often, this includes access to preventive care, such as vaccines or screenings.
You might need to register in advance and prove that you reside in the county or state to receive free care.
You can search for your local department of health here.
Urgent care and walk-in clinics
Urgent care centers and walk-in clinics offer care without an appointment. Often, these facilities offer reduced cost care for people who don’t have insurance. Some urgent care centers list costs for standard services on their websites.
You can also call ahead to talk with a representative about fees and possible cost reductions for people without insurance.
Pharmacy care clinics
Pharmacies, including the pharmacies inside major national chains such as Walmart, often provide preventive care services for free. These services are normally provided during health clinics held on specific days.
Services offered can vary but typically include:
You can check with your local pharmacy about any upcoming clinics, or search online for pharmacy clinics in your area.
If you have a teaching hospital in your area, you might be able to receive care at a reduced rate. The exact care you can access at a reduced rate depends on the hospital and the needs of the medical students.
You can call the teaching hospital and ask whether they offer any reduced cost care.
Employer-sponsored wellness programs
Some employers offer wellness programs to their employees. In many cases, this includes preventive healthcare, such as annual vaccines and healthcare screenings.
You can check in with your human resources department if you’re not sure what healthcare benefits are part of your employer’s wellness program.
The National Association of Free & Charitable Clinics
You can use the National Association of Free & Charitable Clinics website to search for health clinics and pharmacies in your area that offer free or low cost services.
The association is dedicated to caring for people who are uninsured or underinsured. There are more than 1,400 clinics and pharmacies in the association.
If you need assistance paying for care, you have a handful of options:
Some states offer charity care that reduces the cost of medical care for people who meet income requirements. If you qualify, you can receive low cost or free medical care.
In certain states, people are screened automatically. In other states, you will need to apply for the program.
Medicaid is a federal program that provides healthcare for people who meet income requirements. Each state oversees its own Medicaid program. Income limits and exact coverage vary by state.
You can find your state’s Medicaid website here.
Children’s Health Insurance Program (CHIP)
The Children’s Health Insurance Program (CHIP) is a federal program that provides healthcare for children. Just like Medicaid, qualifying for the program depends on income level. Each state sets its own income limits and coverage varies.
You can read about CHIP in your state here.
The Hill-Burton program
The Hill-Burton program provides funds to participating hospitals and healthcare facilities in exchange for offering a set amount of free or low cost care to people who meet income requirements.
You will need to apply for the Hill-Burton program with the admissions or business department of the healthcare facility. You can find a directory of Hill-Burton facilities here.
Aunt Bertha is a social and human services database you can search to find programs in your area. This includes programs that can help you pay for healthcare.
You can enter your ZIP code and a category to find programs that will meet your needs.
Keeping prescription costs low is a great way to lower your overall healthcare costs. Here are some options:
Prescription drug manufacturer programs
The makers of many prescription drugs offer programs to help people afford their medications. You can often join these programs to get your medication at low or no cost. You might need to meet certain income requirements to qualify.
You can use RXAssist to search a database of manufacturer programs.
GoodRx is a website that will show you the prices of your medication at stores in your local area. It can also show prices at online and mail-order pharmacies. By comparing pharmacies, you can find the lowest price.
Plus, GoodRx will even help you find coupons and manufacturer discounts.
Walmart, CVS, and other pharmacies have membership programs that can save you money. By signing up for these programs, you can get access to discounts on your medication. You can also earn discounts to use on other pharmacy purchases.
Grants for charitable organizations can cover your medical costs. Some examples include:
The PAN Foundation
The PAN Foundation helps uninsured people who have received a diagnosis of a life threatening, chronic, or rare disease pay for their medical care. You can see a list of conditions the foundation currently provides assistance for on its website.
If you have a condition listed on the site, you can instantly check your eligibility and can then apply online for a grant.
The HealthWell Foundation
The HealthWell Foundation helps uninsured people with certain medical conditions pay for their medical expenses. You can see their list of covered conditions on its website.
If you have a condition covered on the site, you can apply for a grant that will cover your medical expenses.
Good Days is an organization that can help people with chronic and acute conditions pay for their medical treatments. You can check out the list of covered conditions here.
Applications for assistance are available in both English and Spanish.
There are a few additional options you can explore to get access to lower cost or free healthcare. If you haven’t already, consider doing the following:
- Ask the hospital or doctor’s office about installment payment programs.
- Search for programs specific to a health condition you have.
- Apply for low cost health insurance on the Health Insurance Marketplace.
- If you’re a veteran, apply for VA benefits.
- Sign up for clinical trials in your area to help researchers study new treatments.
- Consider telehealth for conditions that don’t need in-person care.
You can learn more about accessing medical care without insurance by reading answers to common questions.
When can I enroll in Medicaid?
If you qualify for Medicaid, you can enroll at any time. Check out your state’s Medicaid website for income limits and other details.
What if I can’t pay an emergency room bill?
In an emergency, getting care is your No. 1 priority. But this can leave you with a bill that is outside of your budget, especially if you don’t have insurance.
However, medical bills are often negotiable. In many cases, you can call the hospital’s billing department to work out a plan.
If you’re unable to work out a plan with the hospital, there are nonprofit organizations that can help you apply for debt forgiveness.
Will healthcare professionals treat me if I don’t have insurance?
It’s illegal for healthcare professionals to refuse care in an emergency.
This isn’t the case for nonemergency care. Most healthcare professionals will list payments they accept on their websites.
If private pay is listed, you can get treatment without insurance. If it’s not, it’s best to call in advance to make sure the healthcare professional accepts patients who don’t have insurance.
You have options for receiving medical care even when you don’t have health insurance. There are several sources you can turn to for care, prescriptions, payment help, and more. Some programs are limited to certain states or certain health conditions.
Additionally, you will need to meet income requirements to qualify for some of these programs. If you don’t, options like telehealth and urgent care can help you cut costs.
You can also look into getting affordable insurance through the Health Insurance Marketplace.
Read the full article here
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