U.S. Treasury Secretary Janet Yellen met with China’s Ambassador to the United States Xie Fang on Monday, ahead of her travel this week to China as part of the Biden administration’s efforts to address strained relations between the two countries. 

“The frank and productive discussion supported ongoing efforts to maintain open lines of communication and responsibly manage the U.S.-China bilateral relationship,” the U.S. Treasury Department said in a statement. 

Managing relations, working on issues of mutual interest, and ensuring tensions do not turn into conflict have been the major themes of talks between senior officials in recent weeks, including U.S. Secretary of State Antony Blinken’s visit to Beijing last month. 

In Yellen’s talks with Xie, the Treasury Department said, Yellen “raised issues of concern while also conveying the importance of the two largest economies working together on global challenges, including on macroeconomic and financial issues.” 

Yellen is due to visit China July 6-9 for talks with senior officials. 

A senior Treasury Department official told reporters Sunday that the United States wants a healthy economic relationship with China and that halting trade and investment “would be destabilizing for both our countries and the global economy.”  

Officials also said Yellen plans to discuss U.S. concerns about a new Chinese counter-espionage law.  

Yellen addressed U.S.-China relations during an April speech at Johns Hopkins University, saying it would be healthy to have a relationship that fosters growth an innovation in both countries.    

“A growing China that plays by international rules is good for the United States and the world,” Yellen said. “Both countries can benefit from healthy competition in the economic sphere. But healthy economic competition — where both sides benefit — is only sustainable if that competition is fair.”  

Yellen also said that for the sake of global stability, the United States and China should cooperate “on the urgent global challenges of our day.”  

Some information for this story came from The Associated Press, Agence France-Presse and Reuters .
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Maternal deaths across the United States more than doubled over the course of two decades, and the tragedy unfolded unequally. 

Black mothers died at the nation’s highest rates, while the largest increases in deaths were found in American Indian and Native Alaskan mothers. Some states — and racial or ethnic groups within them – fared worse than others. 

The findings were laid out in a new study published Monday in the Journal of the American Medical Association. Researchers looked at maternal deaths between 1999 and 2019 — but not the pandemic spike — for every state and five racial and ethnic groups. 

“It’s a call to action to all of us to understand the root causes — to understand that some of it is about health care and access to health care, but a lot of it is about structural racism and the policies and procedures and things that we have in place that may keep people from being healthy,” said Dr. Allison Bryant, one of the study’s authors and a senior medical director for health equity at Mass General Brigham. 

Among wealthy nations, the U.S. has the highest rate of maternal mortality, which is defined as a death during pregnancy or up to a year afterward. Common causes include excessive bleeding, infection, heart disease, suicide and drug overdose. 

Bryant and her colleagues at Mass General Brigham and the Institute for Health Metrics and Evaluation at the University of Washington started with national vital statistics data on deaths and live births. They then used a modeling process to estimate maternal mortality out of every 100,000 live births. 

Overall, they found rampant, widening disparities. The study showed high rates of maternal mortality aren’t confined to the South but also extend to regions like the Midwest and states such as Wyoming and Montana, which had high rates for multiple racial and ethnic groups in 2019. 

Researchers also found dramatic jumps when they compared maternal mortality in the first decade of the study to the second and identified the five states with the largest increases between those decades. Those increases exceeded: 

— 162% for American Indian and Alaska Native mothers in Florida, Illinois, Kansas, Rhode Island and Wisconsin; 

— 135% for white mothers in Georgia, Indiana, Louisiana, Missouri and Tennessee; 

— 105% for Hispanic mothers in Georgia, Illinois, Indiana, Minnesota and Tennessee; 

— 93% for Black mothers in Arkansas, Georgia, Louisiana, New Jersey and Texas; 

— 83% for Asian and Pacific Islander mothers in Georgia, Illinois, Kansas, Michigan and Missouri. 

“I hate to say it, but I was not surprised by the findings. We’ve certainly seen enough anecdotal evidence in a single state or a group of states to suggest that maternal mortality is rising,” said Dr. Karen Joynt Maddox, a health services and policy researcher at Washington University School of Medicine in St. Louis who wasn’t involved in the study. “It’s certainly alarming, and just more evidence we have got to figure out what’s going on and try to find ways to do something about this.” 

Maddox pointed to how, compared with other wealthy nations, the U.S. underinvests in things like social services, primary care and mental health. She also said Missouri hasn’t funded public health adequately, and during the years of the study hadn’t expanded Medicaid. They’ve since expanded Medicaid — and lawmakers passed a bill giving new mothers a full year of Medicaid health coverage. Last week, Missouri Gov. Mike Parson signed budget bills that included $4.4 million for a maternal mortality prevention plan. 

In neighboring Arkansas, Black women are twice as likely to have pregnancy-associated deaths as white women, according to a 2021 state report. 

Dr. William Greenfield, the medical director for family health at the Arkansas Department of Health, said the disparity is significant and has “persisted over time,” and that it’s hard to pinpoint exactly why there was an increase in the state’s maternal mortality rate for Black mothers. 

Rates among Black women have long been the worst in the nation, and the problem affects people of all socioeconomic backgrounds. For example, U.S. Olympic champion sprinter Tori Bowie, 32, died from complications of childbirth in May. 

The pandemic likely exacerbated all of the demographic and geographic trends, Bryant said, and “that’s absolutely an area for future study.” According to preliminary federal data, maternal mortality fell in 2022 after rising to a six-decade high in 2021 — a spike experts attributed mainly to COVID-19. Officials said the final 2022 rate is on track to get close to the pre-pandemic level, which was still the highest in decades. 

Bryant said it’s crucial to understand more about these disparities to help focus on community-based solutions and understand what resources are needed to tackle the problem. 

Arkansas already is using telemedicine and is working on several other ways to increase access to care, said Greenfield, who is also a professor of obstetrics and gynecology at the University of Arkansas Medical Center in Little Rock and was not involved in the study. 

The state also has a “perinatal quality collaborative,” a network to help health care providers understand best practices for things like reducing cesarean sections, managing complications with hypertensive disorders, and curbing injuries or severe complications related to childbirth. 

“Most of the deaths we reviewed and other places have reviewed … were preventable,” Greenfield said. 
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The U.S. recommended Americans reconsider traveling to China because of arbitrary law enforcement and exit bans and the risk of wrongful detentions.

No specific cases were cited, but the advisory came after a 78-year-old U.S. citizen was sentenced to life in prison on spying charges in May.

It also followed the passage last week of a sweeping Foreign Relations Law that threatens countermeasures against those seen as harming China’s interests.

China also recently passed a broadly written counterespionage law that has sent a chill through the foreign business community, with offices being raided, as well as a law to sanction foreign critics.

“The People’s Republic of China (PRC) government arbitrarily enforces local laws, including issuing exit bans on U.S. citizens and citizens of other countries, without fair and transparent process under the law,” the U.S. advisory said.

“U.S. citizens traveling or residing in the PRC may be detained without access to U.S. consular services or information about their alleged crime,” it warned.

The advisory also said that Chinese authorities “appear to have broad discretion to deem a wide range of documents, data, statistics, or materials as state secrets and to detain and prosecute foreign nationals for alleged espionage.”

It listed a wide range of potential offenses from taking part in demonstrations to sending electronic messages critical of Chinese policies or even simply conducting research into areas deemed sensitive.

Exit bans could be used to compel individuals to participate in Chinese government investigations, pressure family members to return from abroad, resolve civil disputes in favor of Chinese citizens and “gain bargaining leverage over foreign governments,” the advisory said.

Similar advisories were issued for the semi-autonomous Chinese regions of Hong Kong and Macao. They were dated Friday and emailed to journalists on Monday.

The U.S. had issued similar advisories to its citizens in the past, but those in recent years had mainly warned of the dangers of being caught in strict and lengthy lockdowns while China closed its borders for three years under its draconian “zero-COVID” policy.

China generally responds angrily to what it considers U.S. efforts to impugn its authoritarian Communist Party-led system. It has issued its own travel advisories concerning the U.S., warning of the dangers of crime, anti-Asian discrimination and the high cost of emergency medical assistance.

China had no immediate response to the travel advisory on Monday.

Details of the accusations against the accused spy John Shing-Wan Leung are not available, given China’s authoritarian political system and the ruling Communist Party’s absolute control over legal matters. Leung, who also holds permanent residency in Hong Kong, was detained in the southeastern city of Suzhou on April 15, 2021 — a time when China had closed its borders and tightly restricted movement of people domestically to control the spread of COVID-19.

The warnings come as U.S.-China relations are at their lowest in years, over trade, technology, Taiwan and human rights, although the sides are taking some steps to improve the situation. U.S. Secretary of State Antony Blinken made a long-delayed visit to Beijing last week and Treasury Secretary Janet Yellen is making a much-anticipated trip to Beijing this week. China also recently appointed a new ambassador to Washington, who presented his credentials in a meeting with President Joe Biden at the White House.

Other incidents, however, have also pointed to the testiness in the relationship. China formally protested last month after Biden called Chinese leader Xi Jinping a “dictator,” days after Blinken’s visit.

Biden brushed off the protest, saying his words would have no negative impact on U.S.-China relations and that he still expects to meet with Xi sometime soon. Biden has also drawn rebukes from Beijing by explicitly saying the U.S. would defend self-governing Taiwan if China, which claims the island as its own territory, were to attack it.

Biden said his blunt statements regarding China are “just not something I’m going to change very much.”

The administration is also under pressure from both parties to take a tough line on China, making it one of the few issues on which most Democrats and Republicans agree.

Along with several detained Americans, Two Chinese-Australians, Cheng Lei, who formerly worked for China’s state broadcaster, and writer Yang Jun, have been held since 2020 and 2019 respectively without word on their sentencing.

Perhaps the most notorious case of arbitrary detention involved two Canadians, Michael Kovrig and Michael Spavor, who were detained in China in 2018, shortly after Canada arrested Meng Wanzhou, Huawei Technologies’ chief financial officer and the daughter of the tech powerhouse’s founder, on a U.S. extradition request.

They were charged with national security crimes that were never explained and released three years later after the U.S. settled fraud charges against Meng. Many countries labeled China’s action “hostage politics.”
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U.S. Treasury Secretary Janet Yellen is due to travel Thursday to China to meet with senior officials in the latest effort to address strained relations between the two countries. 

The Treasury Department said in a statement Sunday that Yellen’s visit would take place from July 6-9 and follows a directive from President Joe Biden to deepen communications on issues such as financial developments and the global macroeconomy.

“While in Beijing, Secretary Yellen will discuss with PRC officials the importance for our countries — as the world’s two largest economies — to responsibly manage our relationship, communicate directly about areas of concern, and work together to address global challenges,” the statement said. 

A senior Treasury Department official told reporters Sunday that the United States wants a healthy economic relationship with China and that halting trade and investment “would be destabilizing for both our countries and the global economy.” 

Yellen’s visit follows Secretary of State Antony Blinken’s trip to China last month in which he and President Xi Jinping agreed to stabilize U.S.-China relations and ensure that areas of disagreement do not turn into conflict. 

A senior treasury official said Yellen plans to discuss U.S. concerns about a new Chinese counter-espionage law. 

“We have concerns with the new measure, and how it might apply, that it could expand the scope of what is considered by the authorities in China to be espionage activity,” the official said, citing possible spillovers to the broader investment climate and the economic relationship. 

Yellen addressed U.S.-China relations during an April speech at Johns Hopkins University, saying it would be healthy to have a relationship that fosters growth an innovation in both countries. 

“A growing China that plays by international rules is good for the United States and the world,” Yellen said. “Both countries can benefit from healthy competition in the economic sphere. But healthy economic competition — where both sides benefit — is only sustainable if that competition is fair.” 

Yellen also said that for the sake of global stability, the United States and China should cooperate “on the urgent global challenges of our day.” 

Some information for this story came from The Associated Press, Agence France-Presse and Reuters.
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