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<ul class="summary-list"><li>Biden made commitments during the campaign that impacted key economic appointments.</li><li>Should Harris become president, she'll have much more freedom, and industry leaders have high hopes.</li></ul>When President Joe Biden stepped into the White House in January 2021, he was hamstrung not only by the pandemic but also by a promise he'd made to a former challenger: Sen. Elizabeth Warren of Massachusetts. When slogging through the political thicket of a crowded Democratic primary, Biden had assured Warren that she would have significant sway over economic regulatory agency appointments.Warren's desired appointees — namely <a target="_blank" href="https://www.businessinsider.com/harris-lina-khan-balance-billionaires-silicon-valley-hoffman-progressives-ftc-2024-8">Lina Khan </a>and Gary Gensler, chairs of the Federal Trade Commission and Securities and Exchange Commission respectively — have drawn the praise of many economic progressives and ire of many business leaders. But now that Vice President Kamala Harris is running for president in Biden's place after he dropped out, Khan and Gensler's future as chief regulators is in doubt.<h2 id="6ff1d1bc-fa5b-4d13-adfa-aa52b4d8b1ee">Biden made a key commitment to Warren when he was running for president</h2>"One of [Warren's] preferences was, 'I want Lina Khan to run the FTC,'" William Kovacic, former FTC chair and current law professor at George Washington University, previously told Business Insider. "Biden fulfilled that promise. But that was Biden's promise. That's not Harris' promise."Adam Kovacevich, a Democratic lobbyist and the CEO of progressive tech industry coalition Chamber of Progress, doesn't think that Biden was particularly interested in regulatory economic issues."I think giving some picks to people like Elizabeth Warren kept Warren off his back on other issues," Kovacevich said. "Flash forward to today: Kamala Harris doesn't owe Elizabeth Warren anything."During the 2020 cycle, various media outlets reported that Warren is <a target="_blank" href="https://www.motherjones.com/politics/2020/07/joe-biden-is-promising-progressive-policies-whos-going-to-hold-him-to-it/">singularly attuned</a> to the power of economic regulatory agencies. A former Democratic aide told <a target="_blank" href="https://www.politico.com/news/2021/03/15/elizabeth-warren-aides-biden-administration-475653">Politico</a> that "Warren will be the most influential voice in the financial policy debate under the new administration," and the president of the Consumers Bank Association said that she "virtually hand-picked the financial and other regulatory nominations she cares deeply about."But business and tech leaders who winced at the current appointments <a target="_blank" href="https://www.businessinsider.com/harris-trump-debate-silicon-valley-crypto-regulation-ai-taxes-2024-9">see an opportunity in Harris</a>. With <a target="_blank" href="https://www.businessinsider.com/kamala-harris-biden-california-democrats-silicon-valley-tech-hollywood-2024-7">deep ties to California</a>, Harris is presenting herself as a pro-business candidate who understands the tech industry far better than her current boss. And she's garnering support among industry executives across the country — <a target="_blank" href="https://www.businessinsider.com/silicon-valley-billionaires-investors-kamala-harris-mark-cuban-reid-hoffman-2024-8">a group of powerful venture capitalists</a> have vowed to vote for her and nearly <a target="_blank" href="https://www.businessinsider.com/murdoch-cuban-corporate-executives-silicon-valley-wall-street-endorse-harris-2024-9">100 corporate leaders</a> recently endorsed her in a joint letter.Her supporters in the upper echelons of business and tech are particularly focused on appointments, with many saying that leaders should effectively balance regulation with innovation. In particular, they want appointees that institute clear crypto guidelines and veer away from the current regulatory approach that Warren had championed.Yet <a target="_blank" class="" href="https://www.businessinsider.com/aaron-levie-quit-college-to-found-box-now-25-billion-company-2017-7">Aaron Levie</a>, CEO of Box, said that there isn't consensus in the tech world about anti-trust doctrine, as big and small companies have different priorities. There are many individuals in the Biden administration, such as Arati Prabhakar of the Office of Science and Technology Policy, who are thoughtful tech leaders but aren't widely discussed, he said.<h2 id="3cd1d3b1-d6c5-43d4-abd7-f708eff23c63">Harris could chart a different path</h2>Still, founders and business executives seem, on the whole, dissatisfied. Democratic donors on Wall Street are quietly encouraging Harris to oust Khan and Gensler, <a target="_blank" href="https://www.bloomberg.com/news/articles/2024-09-06/kamala-harris-donors-privately-want-ftc-s-lina-khan-sec-s-gary-gensler-removed">Bloomberg reported</a>.Chris Larsen, the billionaire founder of blockchain payments company Ripple who is among the execs to endorse Harris, told Business Insider he wants her to make different appointments if she wins.Larsen said he wants regulators that are "not pre-selected by the Warren camp and can balance both consumer protection with ensuring our national champions dominate their industries."Christian Catalini, the founder of the MIT Cryptoeconomics Lab, said that Gensler demonstrated "reluctance to engage in constructive dialogue with startups seeking regulatory clarity." He thinks that tech entrepreneurs are particularly hung up on who Harris would choose for the SEC.Recently, billionaire investor and owner of the Dallas Mavericks <a target="_blank" href="https://www.businessinsider.com/mark-cuban-kamala-harris-sec-capital-gains-business-2024-9">Mark Cuban offered himself up for a spot at the SEC</a>. Cuban is in close communication with the Harris team and said that she will likely surround herself with more individuals from the private sector than Biden.Levie also said that engaging with the private sector is "absolutely critical" and hopes Harris invites more industry actors to join the margins of her administration."The way that they have already been interacting with business leaders is a compelling indication of where things could go in the future," Levie told Business Insider.However, the vice president has been relatively quiet about her views on antitrust enforcement and who she would appoint. Khan's tenure as chair of the FTC is up in September and she is open to staying on in her position. Gensler's term lasts until June, 2026; in February, he said he would "<a target="_blank" class="" href="https://subscriber.politicopro.com/article/2024/02/gensler-absolutely-plan-to-stay-on-at-sec-in-second-biden-term-00140134">absolutely" stay on if Biden</a>, who was then still the nominee, won a second term.Kovacic previously told Business Insider that Harris' relationship to economic progressives like Warren remains unclear."A factor to be assessed is, what is the nature of her relationship with this wing of the Democratic Party? How much loyalty does she feel to them? How much does she believe that she has to cater to their tastes in order to maintain a harmonious political relationship? But she has a bit more freedom than Biden did," he said.Kovacevich, who calls himself a "pro-business and pro-Harris democrat," doesn't think that Harris needs to win over Warren voters. He suspects that the Vice President will "reset" the current environment and return to the Obama era, which was friendlier to corporations."I do think it's notable that she has not prioritized attacks on corporate power in her campaign rhetoric. I think she correctly sees how that's not a motivator to most voters," he said.<h2 id="196f9aac-f8fe-4c23-9b6c-70c49aa3137f">The Vice President's precise plans remain unclear with only 50 days until the election.</h2>The relationship between Harris and Warren's philosophical counterparts has been testy at times. In March of last year, Warren gave a lukewarm answer when a radio host asked whether Biden should <a target="_blank" href="https://www.businessinsider.com/warren-called-harris-twice-apologize-comments-hasnt-called-back-2023-3">keep Harris on as his vice president</a>."I really want to defer to what makes Biden comfortable on his team," she said at the time. The senator quickly issued a statement saying that she supports the Biden-Harris 2024 ticket. She reportedly called Harris twice after the incident — without receiving a call back.Kovacic suspects that economic progressives don't entirely trust Harris, given her ties to the business world."It's not as though they think she will simply be an agent of Big Tech," he previously told Business Insider. "It's a concern that she is too sympathetic to their interests, that she will not be as aggressive." He anticipates that Harris will move to the center on mergers, but maintain the Biden administration's approach to monopolization and price-gouging.A spokesperson for the SEC declined to comment, and representatives for Harris and Warren did not respond to Business Insider's request. Douglas Farrar, a spokesperson for the FTC, emphasized Khan's efforts to lower costs and said that "there is a lot of work yet to do to bring the benefits of fair competition to American consumers and entrepreneurs."Should Harris win the election, the question of appointments will loom large. The leadership plays a major role in determining how successful American industries and companies are, Levie said."In the next four years, we'll be dealing with major policy subjects that relate to the next many decades of innovation," he told Business Insider. "And you want very smart, thoughtful, highly competent, experienced people in a stable environment that can help define where we're going to go with AI, with new energy sources, with advanced manufacturing, biotech."Unhampered by campaign promises yet caught between opposing factions of her party, Harris may usher in a new regulatory era. But since regulatory appointments don't make a <a target="_blank" class="" href="https://www.businessinsider.com/trump-harris-economy-tech-debate-tariffs-taxes-2024-9">good political sound bite,</a> it's likely we won't know her plans unless she wins in November.

Harris can chart her own path with the top regulators — and Big Business hopes she's on their side

<ul class="summary-list"><li>While a <keyword id="12215059" type="UNKNOWN" weightage="60" keywordseo="vasectomy" source="Orion">vasectomy</keyword> is considered a permanent form of <keyword id="11910865" type="UNKNOWN" weightage="60" keywordseo="birth-control" source="Orion">birth control</keyword>, it is possible to undo the prodecure through a vasectomy reversal. </li><li>Based on previous research, the average pregnancy success rate after a vasectomy reversal is only 49%. </li><li>The sooner a vasectomy is reversed, the better the chances of a successful pregnancy. </li></ul>Vasectomies are the second most common form of <a href="https://www.auajournals.org/doi/10.1016/j.juro.2012.09.080" target="_blank" rel="noopener">permanent contraception</a> in the US. And, while they may be reversible, only <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194271/#rmb212207-bib-0003" target="_blank" rel="noopener">6% of people who have had vasectomies</a> request a reversal, says <a href="https://inlandurology.com/about/dr-elmer-pineda/" target="_blank" rel="noopener">Elmer B. Pineda</a>, MD, a urologist with <a href="https://www.pvhmc.org/" target="_blank" rel="noopener">Pomona Valley Hospital Medical Center</a>. It's also important to note that getting a vasectomy reversal doesn't ensure a successful pregnancy. If you're considering a vasectomy reversal in order to have a child, it's important to know the odds as well as risks associated with the procedure.<h2>What is a vasectomy reversal? </h2>When someone undergoes a vasectomy, their vas deferens - or the tubes that carry sperm from the testicle to the penis - are severed or cut off. Therefore, a <a href="https://health.clevelandclinic.org/vasectomy-reversal-5-facts-men-need-to-know-2/" target="_blank" rel="noopener">vasectomy reversal</a> is a surgical procedure that re-connects these tubes, thereby restoring fertility. However, a 2018 <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194271/#rmb212207-bib-0003" target="_blank" rel="noopener">review</a> found that while the average rate of patency, or the presence of sperm in the semen, after vasectomy reversal was 87%, the average rate of pregnancy was only 49%. "Even when a patient has a successful return of sperm to semen, they may not be able to achieve pregnancy," Yih says. "There are a lot of other factors that go into achieving pregnancy, which is why the number is lower."Other factors that can affect pregnancy rates after vasectomy reversal <a href="https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537#:~:text=Many%20factors%20affect%20whether%20a,fertility%20issues%20before%20your%20vasectomy." target="_blank" rel="noopener">include</a>:<ul><li>Age of the partner trying to get pregnant </li><li>Surgeon experience and training</li><li>Past fertility problems prior to getting a vasectomy </li></ul>While you can reverse a vasectomy at any time, success is <a href="https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537#:~:text=Risks,that%20the%20reversal%20will%20work." target="_blank" rel="noopener">greater the sooner you do so</a>. For example, pregnancy success rates can be as high as <a href="https://www.arizona-urology.com/blog/what-is-the-success-rate-for-a-vasectomy-reversal" target="_blank" rel="noopener">76% if the reversal is done within 3 years of the vasectomy</a>, but drop to about <a href="https://www.arizona-urology.com/blog/what-is-the-success-rate-for-a-vasectomy-reversal#:~:text=Of%20those%20whose%20reversals%20occurred,reversals%20show%20an%20increased%20success." target="_blank" rel="noopener">30%</a> after 15 years or more, says <a href="https://wexnermedical.osu.edu/find-a-doctor/jessica-yih-md-114054" target="_blank" rel="noopener">Jessica Yih</a>, MD, a urologist with <a href="https://wexnermedical.osu.edu/" target="_blank" rel="noopener">The Ohio State University Wexner Medical Center.</a> That's because the longer you wait to get a reversal, the more likely you are to develop blockages that prevent the sperm from coming out of the vas deferens. What's the cost? Vasectomy reversals are usually not covered by insurance, Pineda says. The cost of the procedure can <a href="https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal" target="_blank" rel="noopener">range from $5,000 to $15,000</a> depending on where you live and the rates your doctor's medical practice charges. <h2>How do vasectomy reversals work? </h2>A vasectomy reversal is done under general anesthesia and takes about <a href="https://www.mayoclinic.org/tests-procedures/vasectomy-reversal/about/pac-20384537" target="_blank" rel="noopener">two to four hours</a>, Pineda says. There are two procedures to reverse a vasectomy: <ul><li><a href="https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal">Vasovasostomy</a>, which connects the two ends of the tube carrying sperm back together. </li><li><a href="https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal" target="_blank" rel="noopener">Vasoepididymostomy</a>, which is a more complex procedure where the vas deferens are connected to a much smaller tube in the duct behind the testis, called the epididymis. </li></ul>Doctors will decide which procedure to perform after making two incisions on each side of the scrotum and extracting fluid from the testicle side of the vas deferens, Yih says. If the fluid contains sperm, they will perform a vasovasostomy. If it doesn't, then they will perform a vasoepididymostomy. Follow-up protocol after a reversal differs slightly among urologists, Pineda says, but in general, your doctor will test your semen every <a href="https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal" target="_blank" rel="noopener">2 to 3 months</a> to determine sperm count. And patience is key here, since it may take <a href="https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal" target="_blank" rel="noopener">4 to 12 months</a> for your partner to become pregnant after a vasectomy reversal.<h2>Vasectomy reversal recovery</h2>Full recovery after a vasectomy reversal can take one to two weeks, Pineda says, and the pain is likely to be more intense than your vasectomy recovery, but still relatively mild overall.According to Pineda, after the procedure you may experience:<ul><li>Mild scrotal discomfort </li><li>Bruising and swelling of the scrotum</li><li>Bleeding</li><li>Infection, though the risk is low - <a href="https://www.bestvasectomy.com/risks-of-vasectomy-reversal/#:~:text=If%20an%20infection%20were%20to,reversal%20is%20less%20that%203%25." target="_blank" rel="noopener">less than 3%</a> </li></ul>Patients are usually <a href="https://www.urologyhealth.org/urology-a-z/v/vasectomy-reversal" target="_blank" rel="noopener">advised</a> to wear scrotal support, like a jockstrap, for about a month afterward, avoid strenuous activity, and do not lift anything heavier than 5 to 10 pounds for about four weeks, Pineda says. Yih recommended patients not ejaculate for a full month after their surgery. Ejaculation can stress the recently reconnected tubes and increase the risk of failure from scar tissue blocking off the connection.<h2>Insider's takeaway </h2>While a vasectomy is meant to be a permanent form of contraception, it is possible to reverse it through surgery to become fertile again. However, it is not a foolproof procedure. In fact, pregnancy success rates after a vasectomy reversal are usually about 49%. Yet, the odds are more favorable the closer it is to the time of the vasectomy. Therefore, if you are considering a vasectomy reversal, the sooner you do it the better the outcome. <a data-type="61606af7fc269768b03fb1ac">What is a vasectomy? What to know about the birth control method that is 99.99% effective in preventing pregnancies</a><a data-type="6154b31c6bf54a3ded2f98d8">Why trials for the male birth control pill were halted and what limited options are available today for men</a><a data-type="5ebad2ce5f726e09074606f4">What everyone should know about birth control, from the types to effectiveness</a><a data-type="608846b87c964f3e3e31e22a">3 ways to enlarge your penis that actually work and 4 methods you should never try</a>

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Harris can chart her own path with the top regulators — and Big Business hopes she's on their side

Alice Tecotzky

Are vasectomies reversible? What you need to know if you change your mind

Erin Heger,Jason R. McKnight

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