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Today's newsletter is 958 words โ€” a 4-minute read.

1 big thing: C-section rates rise

Data: CDC. Chart: Axios Visuals

The rate of cesarean births in D.C. is higher than the national average, according to new data.

Why it matters: That's well above the 10-15% rate that the World Health Organization considers "ideal."

By the numbers: In D.C., the 2023 C-section rate was 34.1% according to preliminary Centers for Disease Control data.

  • In Maryland, it was 35%, and 32.3% in Virginia.

Zoom out: The national C-section delivery rate increased in 2023 to 32.4%, up from 32.1% in 2022, according to preliminary CDC numbers.

  • That's the highest rate since 2013, and the fourth annual increase after the rate generally declined from 2009 to 2019, says the CDC.

Yes, but: An increase in C-sections doesn't necessarily mean the rate of unnecessary procedures has risen โ€” there are other factors at play.

Patients are sicker overall.

Repeat C-sections account for many procedures, even though the old "too posh to push" idea is not widely held.

  • "If you have already had a C-section, you will almost always be offered โ€” and indeed the default is likely to be โ€” a second," says Emily Oster, economist and author of "The Unexpected," her book about navigating pregnancy complications, due out April 30.

Between the lines: Hospital politics might also come into play.

  • For example, there are cases when doctors are more inclined to perform C-sections because that option would less likely lead to a medical malpractice lawsuit, Van Dis says.
  • And health care system reimbursements for C-sections are generally higher than for vaginal births. "Financial incentives almost always play some role," Oster says.

Full story

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๐Ÿ’ผ See who's hiring around the city.

  1. Coordinator, Meeting & Events at CTIA - The Wireless Association.
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  4. Executive Assistant, BPC Action at Bipartisan Policy Center.
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Want more opportunities? Check out our Job Board.

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2. Mapped: Pro-Palestinian campus protests

College campuses with reported encampments or sit-ins related to the war in Gaza
Data: Axios research. Note: Universities with joint encampments reported separately. Locations approximated for clarity. Map: Kavya Beheraj, Tory Lysik, and Will Chase/Axios

Hundreds of people have been arrested at pro-Palestinian protests on at least 15 college campuses across the U.S. in just over a week, including in Virginia.

Why it matters: University administrations have cracked down on student demonstrators in unprecedented ways as protests grow in size and intensity, with the majority of arrests happening at encampments and sit-ins.

Zoom in: An encampment started at George Washington University last Thursday. It includes student groups from other universities including Georgetown, American, Howard, Gallaudet, and beyond.

  • D.C. police are monitoring the protest but declined to clear out the encampmentโ€”despite pleas from GW officials.
  • Several GW students have been suspended. On Sunday night, protesters broke down barriers around the encampment and sparred with campus police.
  • GW's spring semester just ended, but officials say the campus will remain open. Demonstrators have vowed to stay until their demands are met.

Zoom out: Student protests in the wider region have resulted in arrests. A dozen demonstrators were detained, including nine students at Mary Washington in Fredericksburg over the weekend.

  • Protesters were also arrested yesterday at Virginia Tech University.

What to watch

3. Student loan forgiveness deadline

President Biden speaks about student loan debt relief in Madison, Wisconsin, April 8. Photo: Andrew Caballero-Reynolds/AFP via Getty Images

Some student loan borrowers may qualify for a one-time debt cancellation or credit, but they'll have to take action by today.

Why it matters: Eligible borrowers who consolidate their loans by the deadline may see thousands of dollars of student debt forgiven thanks to a one-time adjustment from the U.S. Department of Education this summer.

Zoom in: To get the most credit toward loan cancellation, borrowers with the following types of federally managed loans must consolidate them: the commercially held Federal Family Education Loan (FFEL), Parent PLUS loans, Perkins loans, and Health Education Assistance Loan (HEAL) Program loans.

  • Payments a borrower has already made would be counted toward loan cancellation.
  • Those with a Parent PLUS loan that has been in repayment for at least 25 years and is managed by the Department of Education will have their loans canceled automatically, per the Education Department.

Go deeper

4. Around the Beltway: Best restaurants

Illustration: Brendan Lynch/Axios

๐Ÿ˜‹ The 25 best restaurants in D.C., according to the New York Times, include Albi in Navy Yard, Almeda in Petworth, and Reveler's Hour in Adams Morgan. (NY Times)

๐Ÿ›๏ธ D.C. launched Small Business Week, touting four local businesses along the Rhode Island Avenue Main Street that are set to receive more than $150,000 in support. (WJLA)

Out today: Inside Axios

Cover: Harmony

My co-founder, CEO and friend Jim VandeHei is out today with a new book โ€” "Just the Good Stuff: No-B.S. Secrets to Success" โ€” about lessons learned starting and running Politico and then Axios.

Why it matters: Jim offers dozens of easy-to-understand โ€” and implement โ€” ideas for dealing with the tough stuff of life and work: picking careers, dealing with bad bosses or jerks, overcoming insecurities or health scares.

Cool twist: All the net proceeds go to students who need help with vocational school, or two- or four-year-college.

๐ŸŽ“ It's a terrific graduation gift: Jim details how he went from a 1.491 GPA in Oshkosh, Wisconsin, to a success on the national stage.

  • The book also provides an inside look at the Axios culture animating this newsletter.

Order here ... Bulk discount here.

5. CityCenter residents revolt

CityCenter in downtown D.C. Photo: Saul Loeb/AFP via Getty Images

Shelling out big bucks for a CityCenter apartment gets you a lot: a rooftop pool, proximity to luxury shops, and what the website calls "carte blanche for exceptional living." But when management announced residents would lose their doormen, all hell broke loose.

The big picture: Tenants of 875 10th Street waged a D.C.-style lobbying campaign this month to keep their status as renters in one of the few buildings with doormen in the city. And Hines building management quickly backtracked.

Why it matters: It's a case study in tenant activism meets type-A Washington.

Catch up quick: CityCenter announced in mid-April that the doormen and concierge desk at 875 10th Street would be removed starting May 1.

  • After a testy meeting between tenants and management, a group of residents fired off a letter to D.C. Attorney General Brian Schwalb. They sought a stop work order on the dismantling of the front desk, arguing the service is guaranteed in their lease.
  • "We are all very concerned about a lack of security," the letter says, citing an incident at the nearby Chanel store where a security guard fired a shot during a shoplifting incident last December.

The intrigue: Last Friday, Hines paused their decision and said the doormen and 24/7 concierge would remain.

  • "We would like to apologize for moving quickly and failing to properly seek input," said a note to residents from Tara Geary, a vice president at Hines.

What's next

Editor's note: Yesterday's story about U.S. News & World Report's 2024 Best High School list misstated Maryland and Virginia's rankings. Maryland has the eighth-highest share of schools listed (not ninth), while Virginia ranks 10th (not 11th).

๐Ÿฅต Anna is too hot, too soon.

๐Ÿงน Cuneyt is spring cleaning.

๐Ÿ“š Mimi is reading the new EmHen book!

Today's newsletter was edited by Alexa Mencia and copy edited by Patricia Guadalupe.