{
  "abstract": "Donald Trump’s second presidential administration has been characterised by flip-flopping policy chaos and dismantling of science, academia and health services, including reproductive health services.1 Trump has repeatedly referred to Canada as the ‘51st US State’, combining threats of annexation with attempts to lure Canada to join the United States (US) for military protection and unencumbered trade. In the fourth month of the Trump–Vance administration, Canadians headed to the polls for a federal election. Despite Trump doubling down on 51st state speak on Canada’s federal election day (28 April 2025), Canadians elected Prime Minister Mark Carney, who campaigned on promises to uphold Canada’s political sovereignty, economic leadership and decidedly ‘anti-Trump’, pro-Canadian platforms.",
  "authors": [
    {
      "affiliations": [
        "Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, Canada"
      ],
      "name": "Laura Schummers"
    },
    {
      "affiliations": [
        "Department of Family Practice, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada",
        "Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK"
      ],
      "name": "Wendy V Norman"
    }
  ],
  "title": "In reproductive health policy and access, Canada is not the 51st US state",
  "uid": "6123ae2c-cf15-5bc2-b2ed-9a0d8da3199c"
}