The Brief

California tourism could lose billions of dollars because of President Donald Trump’s policies on tariffs, immigration and gender identity, as well as his talk of annexing Canada.

Visit California, a nonprofit organization that promotes tourism in the Golden State, recently revised its overall visitor spending forecast for this year from $166 billion to $160 billion, saying international travel into California is already beginning to slow. Canada, the second-largest source of international tourism dollars for the state after Mexico, accounted for $3.7 billion of the $26.5 billion foreign travel brought into the state last year, Visit California said.

So it could be a big problem for California that many Canadians are angry about tariffs and Trump’s insistence that their country should become the 51st U.S. state. Many are refusing to buy U.S.-made products and don’t want to cross the border. Canada and other countries have also issued advisories for travel to the United States, warning travelers that they risk being detained, or that because of the Trump administration’s policies on transgender people there could be complications for them depending on what gender is shown on their passports.

Carol Harris, who spoke with CalMatters from Nova Scotia, said she and her husband have visited family in San Diego every year for a long time, but not anymore.

“Never again, until Trump’s gone,” said Harris, a retired university professor who said it will be a big loss.

“I will miss the desert,” she added. “I love the topography of California. I like the politics of California.”

Still, she said that as an “adamantly progressive” person, not visiting the United States is “just something we have to do.”

Charlie Angus, a member of Canada’s Parliament, recently called Trump’s rhetoric “an act of war” and urged Canadians not to travel to the United States. He cited the case of a Canadian citizen with a U.S. work visa who said she was detained by U.S. officials for two weeks.

“It’s become clear that Donald Trump is willing to drive his nation’s economy into chaos; to rip up the biggest and best trading partnership in the world; to drive the U.S. travel industry to the ground,” Angus said during a March 20 news conference.

Anna Kelly, a White House spokesperson, doubled down on Trump’s annexation remarks in an email response to CalMatters’ questions about the decline in international travel, especially from Canada: “The United States is a great destination for international travelers, and Canadians will be unburdened by the inconveniences of international travel when they become American citizens as residents of our cherished 51st state.”

Effect on California economy

California saw an 8.8% year-over-year decline in international arrivals in February, Visit California said. If that continues, a broad travel slowdown could hurt industries that fall under the tourism umbrella, including hospitality and restaurants — and the roughly 3 million Californians who work in them.

Lynn Mohrfeld, chief executive of the California Hotel and Lodging Association, said he is concerned about the possible effects on his industry, though he said it could take some time for those to show up. He said international travelers usually plan their trips way in advance, so they may not cancel their plans even if they might have concerns about visiting the U.S. Because of that, he said he expects summer travel to be strong.

He is clinging to optimism about the near term, but Mohrfeld said “we’ve all heard the nationalistic stuff coming out of Canada, and we’re getting whipsawed on these tariffs. We don’t know whether we’re coming and going ... so we would definitely love some consistency and stability on that rhetoric.”

The wide-ranging tariffs imposed by the president last week on nearly every nation have alarmed economists, who are warning about a recession, and roiled the stock markets.

The tariffs could lead to higher prices everywhere, which could cause a continued drop in travel. California restaurants could take a greater hit than hotels. Tourists spent $34.8 billion at the state’s restaurants in 2023, more than the $32.8 billion they spent on lodging, Visit California said.

“Visitors consistently spend the most on food service so restaurants will bear the brunt of any drop in tourism, especially in major metropolitan destinations like San Francisco and Los Angeles when compared to those in the suburbs,” said Jot Condie, chief executive of the California Restaurant Association. He said it could take a greater toll on Los Angeles, which is trying to recover from the deadly fires earlier this year.

Condie said the association is trying to make sure city leaders know about the restaurant industry’s struggles and that it is also working on campaigns to boost local traffic.

As for the airline industry, Visit California Chief Executive Caroline Beteta said among the possible effects of a drop in travel from certain places is a reduction in airline routes.

“Anytime there are significant declines in visitation, airlines can pull routes from California airports, and that can have long-term impacts,” she said. “We saw that in China after the pandemic. Airlift between China and California is still far below where it was in 2019.”

The Canada connection

In February, Visit California published a report forecasting a 15% annual increase in Canadian tourism to the state, but it now plans to release a revised forecast in May that will likely be more in line with an estimate from Tourism Economics that travel from Canada into the United States will decline 15% this year. Already, Canadian air arrivals to the U.S. declined 12.3% in February compared with the same month last year, Visit California said.

Beteta said her group intends to maintain its marketing and advertising efforts in Canada, and that it has a team in Toronto that’s “keeping the California message alive in the market.”

That message, she said: “California can continue to attract Canadian travelers thanks to our diverse culture and open-minded attitude.”

Whether that message will resonate is a big question. Flight Centre, a leading Canadian travel agency, said that as of February, it saw a 20% cancellation rate on trips to the U.S. over the past three months.

Amra Durakovic, head of communications for Flight Centre Travel Group Canada, said “Canadians are choosing to spend their tourism dollars with more intention than ever,” adding that the agency is seeing more domestic travel bookings as well as an uptick in international travel to destinations in Europe and elsewhere.

Nancy, who asked that her last name not be published because she fears the Trump administration will target dual citizens like her, is a “snowbird.” She and tens of thousands of Canadians, many of them retired, stay in California and other warm U.S. states during the winter months.

Canadians have been able to stay in this country for up to six months at a time without a visa, but starting April 11 they will have to register with U.S. immigration authorities if they intend to stay for more than 30 days.

Now, Nancy said she has heard other snowbirds in Coachella Valley are carrying around I-94 visas in their cars, in case they have to prove they are legally allowed to stay in the United States for an extended period of time.

Nancy is American-born but has mostly lived in Canada since the early 1970s. She and her husband are selling their condo in Rancho Mirage, a decision they made because of what she calls the headache involved in owning property in two countries, even before all this “bullying and nonsense.” Now she has heard others like her talk about selling their properties in California too.

“You get together with other Canadians, within the first two minutes that’s what everyone’s talking about,” she said. “The instability is not what you want to deal with when you’re retired.”

She has strong ties to California, including a disabled brother in Los Angeles who has no other living family but her. So she has to return here. But she knows Canadians are serious about boycotting American products and travel. “The economy is just going to be really shaken up on both sides of the border if this continues,” Nancy said.

A second case of measles has been confirmed in Los Angeles County.

L.A. County Department of Public Health officials announced on Saturday the virus was detected in an international traveler who arrived at the Tom Bradley International Terminal — or Terminal B — at LAX on Monday, Jan. 26, through Gate 201A on Viva Aerobus Flight 518.

Public Health said anyone at Terminal B from 10:45 p.m. on Jan. 26 to 1 a.m. on Jan. 27 may have been exposed.

The traveler also spent a day in Disneyland Park and California Adventure Park in Anaheim on Jan. 28 from 12:30 to 10 p.m. On Jan. 30, they visited a Dunkin’ Donuts in Woodland Hills from 3 to 4:45 p.m.

Health officials say people who visited the above locations during those time periods may also be at risk of developing measles.

Symptoms typically appear one to three weeks after exposure.

Public Health recommends these individuals check if they are already protected against measles and advise getting a measles, mumps and rubella vaccine if they aren't.

Symptoms include a fever above 101 degrees; cough; runny nose; red, watery eyes; and a rash that typically starts on the face.

• For those exposed at LAX, the last day to monitor for symptoms is Feb. 16.
• For those exposed at Disneyland Park and California Adventure Park, the last day to monitor for symptoms is Feb. 18.
• For those exposed at Dunkin’ Donuts, the last day to monitor for symptoms is Feb. 20.

Saturday's announcement comes one day after L.A. County public health officials confirmed the first case of measles in the county. More information about that case here.

Orange County has reported two other measles cases this year, one in a young adult who recently traveled internationally and the second in an unvaccinated toddler who had no known exposure to the virus.

Transmission, prevention and more

Measles spreads easily through the air and can stay on surfaces for many hours. Those infected can spread the virus before showing symptoms, which can take weeks to appear.

So far, 588 measles cases of measles have been reported in the U.S. this year, the highest number of cases in a January since the U.S. eliminated measles in 2000. Most of these cases are linked to outbreaks in South Carolina, Arizona and Utah.

The L.A. County Department of Public Health is encouraging Angelenos to check their immunization status for the measles, mumps and rubella vaccine to determine if they’re protected against the virus.

If symptoms develop, contact a health care provider via phone as soon as possible. L.A. Public Health advises people not to go physically into a health care facility before notifying them of measles symptoms.

The measles outbreak in South Carolina is showing little sign of slowing down. The state has confirmed 847 cases since the first case was reported in October, making the outbreak bigger than the one in Texas, which started just over a year ago.

Dr. Linda Bell, South Carolina's state epidemiologist, points out that in Texas, measles cases grew over the course of seven months, while in South Carolina it has taken just 16 weeks to surpass the Texas case count.

"This is a milestone that we have reached in a relatively short period of time, very unfortunately," she said at a press briefing Wednesday. "And it's just disconcerting to consider what our final trajectory will look like for measles in South Carolina."

The state on Friday reported 58 new cases since Tuesday.

This latest outbreak, as well as the speed at which it is spreading, is another test of the United States' ability to contain measles. It comes as the Trump administration has taken multiple steps to undermine overall confidence in vaccines.

And it is happening as the U.S. is already in danger of losing its status as a country that has eliminated measles. That's a technical designation. It's given to countries that have gone a year without a continuous chain of transmission. For the U.S., the clock started in January 2025 with the Texas outbreak.

Who makes the call?

Measles elimination status is granted — and taken away — by a special verification commission set up by the Pan American Health Organization (PAHO). It reviews extensive evidence to determine whether the outbreaks in the U.S. are all part of a continuous chain of transmission that began with the outbreak in Texas in January 2025. Gathering the necessary epidemiological data, genomic analyses and surveillance reports takes time.

But even if PAHO determines that the outbreaks are separate, the U.S. could still lose its elimination status if it fails to prove that it can interrupt the spread of measles quickly and consistently, says Dr. Demetre Daskalakis, an infectious disease specialist and former top official with the Centers for Disease Control and Prevention (CDC). And so far, he says, the U.S. is failing on this front.

"We do not have the capability to actually control measles, whether or not this is demonstrated through continuous measles transmission for 12 months," Daskalakis said in a press briefing this month. "So I'm going to say that elimination is already lost."

PAHO has said it plans to review the United States' measles elimination status this spring.

"Health freedom"

When asked whether the potential loss of measles elimination status was significant during a press call this month, Dr. Ralph Abraham, the principal deputy director of the CDC, said, "Not really."

Abraham said losing elimination status would not impact how the administration tackles measles. He said the administration supports the measles vaccine, but "You know, the president, Secretary [Kennedy], we talk all the time about religious freedom, health freedom, personal freedom. And I think we have to respect those communities that choose to go a somewhat of a different route."

But infectious disease experts and epidemiologists say the choice not to vaccinate is what's driving these outbreaks. Daskalakis says the resurgence of measles is being fueled by misinformation that undermines trust in vaccines.

And public health experts say losing elimination status is more than just symbolic. "I think it's really a comment on the state of the public health system," says Caitlin Rivers, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health. "We maintained elimination for 25 years. And so now, to be facing its loss, it really points to the cycle of panic and neglect, where I think that we have forgotten what it's like to face widespread measles."

And as measles cases rise, that will lead to more hospitalizations, more deaths and a greater toll on the public health system as a whole, says Dr. William Moss of the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health. He points to estimates suggesting that the average cost for a measles outbreak is $43,000 per case, with costs escalating to well over $1 million total for outbreaks of 50 cases or more. And fighting measles also takes resources away from other public health priorities.

Elimination vs. eradication

In 2000, PAHO declared measles eliminated from the U.S. because there had been no continuous domestic spread for more than 12 months. But the virus is still endemic in many parts of the world, and every year, there are U.S. cases brought in from abroad. So the virus has not been eradicated. 

Compare that with the smallpox virus, which has not been reported anywhere in the world since the World Health Organization declared it eradicated in 1980. 

Across state lines

Similar to Texas, the vast majority of cases in South Carolina have been in children and teens who are unvaccinated, leading to quarantines in about two dozen schools. Clemson University and Anderson University also have recently reported cases. And the virus has crossed state lines. North Carolina has confirmed several cases linked to the South Carolina outbreak. Across the country in Washington state, officials in Snohomish County told NPR they've linked six measles cases in unvaccinated children there to a family visiting from South Carolina.

Dr. Anna-Kathryn Burch, a pediatric infectious disease specialist with Prisma Health in Columbia, S.C., says it breaks her heart to see her state have such a large outbreak.

"I'm from here, born and raised — this is my state. And I think that we are going to see those numbers continue to grow over the next several months," she says.

Measles is dangerous. Here's how to protect yourself.

Measles is one of the most contagious diseases on Earth — more than Ebola, smallpox or just about any other infectious disease.

A person infected with measles can be contagious from four days before the telltale measles rash appears, until four days after. So the person could be spreading measles before they know they're infected. And when they cough, sneeze, talk or even just breathe, they emit infectious particles that can linger in the air for up to two hours, long after the infected person has left the room. On average, one infected person can go on to sicken up to 18 other unvaccinated people.

The best way to protect yourself is vaccination. The measles, mumps and rubella vaccine is very safe, and two doses is 97% effective — which means 97% of people will develop lifelong immunity against the disease. When vaccination rates are high in a community — 95% or more is considered ideal — that helps prevent measles outbreaks because there aren't enough vulnerable people for the virus to keep spreading. In Spartanburg County, S.C., the schoolwide vaccination rate for required immunizations is 90%.

Vaccination rates have been dropping in the United States. Nationwide, 92.5% of kindergartners had received the measles vaccine in the 2024-2025 school year, according to the CDC. In many communities across the country, those figures are much lower, creating the conditions needed for measles outbreaks to spread. Experts say all that's needed is one spark to ignite it.
Copyright 2026 NPR

ABOARD AIR FORCE ONE — President Donald Trump said Saturday that he has instructed Homeland Security Secretary Kristi Noem not to intervene in protests occurring in cities led by Democrats unless local authorities ask for federal help amid mounting criticism of his administration's immigration crackdown.

On his social media site, Trump posted that "under no circumstances are we going to participate in various poorly run Democrat Cities with regard to their Protests and/or Riots unless, and until, they ask us for help."

He provided no further details on how his order would affect operations by U.S. Immigration and Customs Enforcement and DHS personnel, or other federal agencies, but added: "We will, however, guard, and very powerfully so, any and all Federal Buildings that are being attacked by these highly paid Lunatics, Agitators, and Insurrectionists."

Trump said that in addition to his instructions to Noem he had directed "ICE and/or Border Patrol to be very forceful in this protection of Federal Government Property."

Later Saturday night, Trump said to reporters as he flew to Florida for the weekend that he felt Democratic cities are "always complaining."

"If they want help, they have to ask for it. Because if we go in, all they do is complain," Trump said.

He predicted that those cities would need help, but said if the leaders of those cities seek it from the federal government, "They have to say, 'Please.'"

The Trump administration has already deployed the National Guard, or federal law enforcement officials, in a number of Democratic areas, including Washington, Los Angeles, Chicago and Portland, Oregon. But Saturday's order comes as opposition to such tactics has grown, particularly in Minnesota's Twin Cities region.

Trump said Saturday night that protesters who "do anything bad" to immigration officers and other federal law enforcement, "will have to suffer" and "will get taken care of in at least an equal way."

"You see it, the way they treat our people. And I said, you're allowed, if somebody does that, you can do something back. You're not going to stand there and take it if somebody spits in your face," Trump said.

Minnesota Attorney General Keith Ellison and the mayors of Minneapolis and St. Paul have challenged a federal immigration enforcement surge in those cities, arguing that DHS is violating constitutional protections.

A federal judge says she won't halt enforcement operations as the lawsuit proceeds. State and local officials had sought a quick order to halt the enforcement action or limit its scope. Justice Department lawyers have called the lawsuit "legally frivolous."

The state, particularly Minneapolis, has been on edge after federal officers fatally shot two people in the city: Renee Good on Jan. 7 and Alex Pretti on Jan. 24. Thousands of people have taken to the streets to protest the federal action in Minnesota and across the country.

Trump's border czar, Tom Homan, has suggested the administration could reduce the number of immigration enforcement officers in Minnesota — but only if state and local officials cooperate. Trump sent Homan to Minneapolis following the killings of Good and Pretti, seeming to signal a willingness to ease tensions in Minnesota.

The president on Saturday night said he intended to speak to Homan and Noem on Sunday and he seemed to endorse the idea of immigration agents wearing body cameras or having their interactions filmed.

Trump was asked by a reporter if he thought it was a good thing having lots of cameras capturing incidents with law enforcement.

"I think it would help law enforcement but I'd have to talk to them," Trump said.

He went on and added: "That works both ways. But overall, I think it's 80% in favor of law enforcement."
Copyright 2026 NPR

Facing federal funding cuts that could strip health coverage from hundreds of thousands of Angelenos, clinic leaders, union members and patients gathered in Inglewood last Wednesday to boost a stop-gap proposal they want to put in front of voters: a county sales tax to stave off service cuts and keep more sick people from seeking primary care in emergency rooms.

A newly formed coalition, Restore Healthcare for Angelenos, is asking the Los Angeles County Board of Supervisors to place a five-year, half-cent sales tax measure on the June ballot in Los Angeles County.

“The ballot measure that we are proposing is an urgent and necessary step to stop the damage, to protect access to life-saving care,” said Louise McCarthy, president and CEO of the Community Clinic Association of Los Angeles County, one of the organizations in the coalition. “The stakes right now could not be higher.”

As the federal spending plan, H.R. 1, starts to take effect, Medi-Cal cuts and eligibility changes will affect millions of Californians. The state estimates it could lose tens of billions of dollars a year in federal funding.

According to the coalition, their proposal would raise about $1 billion annually for health care in Los Angeles County. The revenue would help create a local coverage program that would pay for primary and emergency care as well as behavioral health needs for people who fall off their Medi-Cal insurance and have no other coverage options, according to the coalition. When people are uninsured, uncompensated care at clinics and hospitals grow, threatening the availability of services for everyone, coalition leaders say.

The coalition is working with Supervisor Holly Mitchell, whose office on Wednesday presented the motion to the county — an initial step before public debate. The board is expected to vote next month; the deadline for placing a board-sponsored measure on the June ballot is March 6.

“I do not take lightly asking fellow residents to consider imposing a ½ percent retail tax,” Mitchell said in an emailed statement. “This option is on the table because what’s at stake are safety net services unraveling for millions of residents — which would come at an even greater cost for the largest county in the nation.”

She added that if the measure passed it would sunset on Oct. 1, 2031 and would be subject to public oversight and audits. “This is a last resort option for the times we’re facing and for voters to make the final call on,” Mitchell said.

If the board of supervisors does not approve the measure for a June vote, the coalition will gather signatures toward qualifying the initiative for the November ballot, said Jim Mangia, CEO of St. John’s Community Health, another coalition member.

Efforts to shore up health care access for poor Californians aren’t unique to Los Angeles. Pressure is building for state and county leaders to find new revenue streams to make up at least in part for the federal losses. In a legislative hearing Tuesday, health providers and advocates also urged state lawmakers to seek creative funding solutions.

Last November, voters in Santa Clara County approved a tax similar to the one proposed in Los Angeles County. Santa Clara’s Measure A will raise the local sales tax by five-eights of a cent for five years. The county projects that it will provide $330 million annually for local hospitals and clinics.

Both local proposals are separate from the push led by SEIU-United Healthcare Workers West for a one-time 5% tax on the wealth of the state’s approximately 200 billionaires, which would generate an estimated $100 billion to fund  medical care and other social services at the state level. Gov. Gavin Newsom opposes the initiative, arguing that such a tax would drive wealthy people — who pay a significant portion of the state’s income taxes — from the state. That measure has not yet qualified for the November ballot.

Local and state tax proposals could seemingly compete for the attention of voters, since both are responses to the issue of federal funding cuts. And in L.A., voters may have to consider a number of other tax measures this election year from a city hotel tax in June to a sales tax to support the Los Angeles Fire Department in November.

Mangia sees the tax initiatives to fund health care as complementary. He said the state tax on billionaires would help restore some of federal cuts to Medi-Cal at the state level, while the L.A County measure would help shore up the local safety net.

“We’re doing this to make sure that no matter what happens federally, statewide, residents of L.A. County will have access to health care,” Mangia said.

Among the most prominent changes and cuts made in Trump’s major budget reconciliation law are a new requirement for enrollees to log 80 hours per month of school, work or volunteering starting in 2027; a rule that requires people to renew coverage every six months rather than annually; restrictions on taxes that the state places on insurers to help pay for the Medi-Cal program; and a reduction in how much the feds will pay for the emergency care of non-citizens.

State health officials estimate 2 million Californians could lose their Medi-Cal coverage over the next several years.

Under its own growing budget pressures, the state has also rolled back coverage for certain groups. Starting earlier this month state health officials froze Medi-Cal enrollment for undocumented people — the state foots most of the cost for this group because with the exception of emergency care, federal dollars cannot be used to cover individuals who are in the country illegally. This summer the state will also cut non-emergency dental care for undocumented adults already enrolled in the program.