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"Why are 1 in 5 Republican voters saying no to J.D. Vance?" the group asks in an ad that will be placed in newspapers serving small rural towns. "There are many reasons." Destroying resources vital for civilian life is widely regarded as a violation of international humanitarian law. Salas, an emergency medical physician at Massachusetts General Hospital and Harvard Medical School, is one of nearly 100 authors who contributed to the prestigious medical journal’s annual report on climate change and health. The Vance-Ryan race is closer than many observers had expected given that Trump twice won the state by 8 points. Ryan has tailored his message to appeal to independent and GOP voters, and his campaign has far outraised Vance’s. Combined, a few outside groups have spent a little more than $5 million on the race. But top-spending national Democratic groups have avoided the race, seeing other paths to maintaining and expanding their Senate majority. And Vance, has benefited from more than $25 million in outside money, some of it from groups aligned with Trump and Senate GOP leader Mitch McConnell, according to AdImpact, an ad-tracking firm.



























































































































































































































































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