Grace and Michael Smith’s youngest son turned 1 last month but there were few happy memories from the days after his birth, the couple said.

What should have been a time for the parents to bond with their newborn boy, Julian, became a waking nightmare that still intrudes on the happiness of their family.

Hours after Julian was born in April 2021, staff at St. Luke’s Hospital-Anderson Campus took him to the neonatal intensive care unit and accused Grace Smith of abusing methamphetamine while pregnant, launching a monthlong investigation by child welfare authorities that ultimately found no abuse, the couple claims in a federal civil rights lawsuit.

“I wanted to enjoy my son’s first birthday,” Grace Smith said. “It’s hard to separate the joy in celebrating him from the pain of having him taken away from us.”

The Smiths allege St. Luke’s doctors made decisions based on a single drug test that led to their son spending the second night of his life alone in the hospital while they returned in tears to their Monroe County home.

That test was unable to differentiate between the prescription amphetamine Vyvanse that Grace Smith took for attention-deficit/hyperactivity disorder and methamphetamine, which a doctor surmised she got off the street, the lawsuit says.

Methamphetamine, like amphetamine, is a controlled substance that is legally prescribed in some cases but not as commonly as amphetamines such as Vyvanse or Adderall. The two types of drugs have molecular and pharmacological differences but are similar in that they are both stimulants and have the potential to be abused. Vyvanse and Adderall are most commonly prescribed to treat ADHD in both children and adults. When amphetamine is taken by a person with ADHD as prescribed, the risk of abuse or addiction is extremely low, according to Dr. Russell Barkley, an internationally recognized authority on ADHD.

After the Smiths told hospital staff that they intended to leave with their child, they were locked out of the NICU and police arrived, instigating an argument with Michael Smith and blocking his vehicle in the patient pickup area outside. The officers then told the couple that they needed to leave the hospital immediately or they would be arrested for defiant trespassing, the suit says.

“The reason given for the ejection of plaintiffs Mr. & Mrs. Smith from defendant St. Luke’s Hospital premises was that Mrs. Smith was a methamphetamine addict and that St. Luke’s Hospital no longer would tolerate their presence on defendant St. Luke’s Hospital property,” the suit says.

Although Grace Smith and Julian were reunited in the hospital the following day, the Smiths say the ordeal had a lasting impact on their son and family.

“We had pretty much one tradition where our entire family would get together and the siblings would get to meet the newborn baby and that was taken away from us,” Michael Smith said. The couple has three other children: Aurora, 8, Anakin, 6, and Ellika, 2.

Julian developed a condition called pyloric stenosis, in which the opening between the stomach and the small intestine becomes constricted, which the Smiths allege was caused by unnecessary antibiotics administered against their wishes. The baby required surgery to correct the condition.

The causes of pyloric stenosis are unknown, but genetic and environmental factors might play a role. Pyloric stenosis usually isn’t present at birth and probably develops afterward. The Mayo Clinic lists early antibiotic use as a risk factor.

Now, the Smiths, both lawyers, say they hope their lawsuit will ensure that others like them aren’t traumatized in the same way. Michael Smith said he drafted the 973-page complaint over the last year and the Smiths are representing themselves. The suit demands tens of millions in damages and policy changes.

“Nobody was listening to us. I just want someone to take us seriously and for them to stop doing this to people,” Michael Smith said.

A spokesperson for St. Luke’s University Hospital Network did not address the Smiths’ allegations and said the hospital system maintains full compliance with all federal and state rules and regulations regarding reporting requirements.

The suit also names as defendants nearly two dozen doctors and health care professionals, Monroe and Northampton counties and several of their child welfare employees, and the Bethlehem Township police. Monroe and Northampton counties declined to comment. Bethlehem Township police Chief Greg Gottschall said he is not aware of the suit and could not comment.

“Nobody was listening to us. I just want someone to take us seriously and for them to stop doing this to people.”

—  Michael Smith

Under Pennsylvania law health care providers are required to give notice to the state Department of Human Services when they determine, based on standards of professional practice, that a child was born affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure or fetal alcohol spectrum disorder.

The law explicitly states that the notification to Human Services is not a child abuse report. The purpose of the notification is to allow assessment of the child and family to develop a plan of safe care.

Cathleen Palm of the Center for Children’s Justice said the law is intended to ensure that the baby and family are connected to the resources they need.

“The concept behind the law is to make sure that we are attentive to an infant that is in withdrawal and provide the support and treatment it requires,” Palm said. “The challenges are that it is hard to have the law, which might be well-intentioned, implemented in the way it is intended.”

She noted that approach is a relatively recent shift from a mindset that reporting mothers who used illegal substances while pregnant was intended to be punitive. The law was amended in 2018 to remove requirements that health care providers make reports directly to county welfare agencies and include substances other than illegal drugs.

Human factors such as bias or a parent’s demeanor might lead a health care provider to vary in their subjective assessment of a parent and child’s situation, Palm said.

“It’s challenging in that you can have situations that can spin out of control in a way that the law never intended,” Palm said.

Advocates for reforming child welfare laws say experiences like the Smiths’ are unfortunately common in Pennsylvania.

Emma Roth, an attorney at National Advocates for Protecting Women, said there are widespread misconceptions about what health care providers are required to do in terms of responding to infants who are exposed to drugs in utero. Roth said there are also extreme racial disparities in how doctors and authorities respond. People of color and lower income are more likely to be secretly tested, reported and charged.

“This is much more common than any of us would hope given the serious civil rights implications,” Roth said.

In addition to civil rights violations, reporting mothers who use drugs while pregnant to child welfare authorities and law enforcement has a harmful effect on the overall health of mothers and children, according to the American College of Obstetricians and Gynecologists.

“We know that it really undermines the physician-patient relationship by making patients not trust their doctors,” Roth said. “When mothers don’t trust their doctors they’re less likely to seek assistance from their doctors.”

Many medical societies encourage doctors to talk with their patients about drug use during pregnancy and, if a patient is using drugs, to make referrals and suggest courses of treatment to ensure the best health and medical outcomes.

The AOCG has said the use of the legal system to address perinatal alcohol and substance abuse is inappropriate. It urges physicians and legislators to work to repeal laws that punish women with substance use disorders and implement programs outside of the legal system to support women with addiction.

“It’s challenging in that you can have situations that can spin out of control in a way that the law never intended.”

—  Cathleen Palm, Center for Children’s Justice

The U.S. and Pennsylvania supreme courts have also issued decisions that protect women from being criminally prosecuted for using illegal drugs when pregnant.

The U.S. Supreme Court ruled in 2001 that a hospital violated a patient’s right to be free from unreasonable searches when it tested her without consent in cooperation with police.

The Medical University of South Carolina in Charleston, South Carolina, started testing obstetric patients for drugs in response to a rise in pregnant patients using cocaine. Those who tested positive were arrested.

The women sued and the court ruled in a 6-3 decision that hospital workers cannot test pregnant women for the use of illegal drugs without their informed consent or a valid warrant. The court found regardless of the risks to the fetus posed by the mother’s drug use, testing without patient consent was not a reasonable search under the Fourth Amendment.

At the time, 75 organizations including the American Medical Association and the American Public Health Association filed amicus briefs in favor of the plaintiff.

The Pennsylvania Supreme Court ruled in 2018 that a mother can’t be charged with child abuse against her newborn baby because she used drugs while pregnant.

The state court’s ruling was the result of a protective custody case initiated by Clinton County Children and Youth Services against a mother. The county alleged the mother had abused her baby because her drug use caused the baby to be born suffering from withdrawal symptoms. The mother had tested positive for opiates, benzodiazepines and marijuana while pregnant.

The court held under Pennsylvania’s Child Protective Services Law a fetus is not a child and therefore cannot be the victim of child abuse.

The Smiths, who were not charged with any crimes, are not alone in bringing a civil lawsuit for civil rights violations.

In 2010, the American Civil Liberties Union of Pennsylvania sued Jameson Hospital and Lawrence County Children and Youth Services on behalf of a couple from New Castle.

A hospital drug test found Elizabeth Mort’s urine positive for opiates and she was reported to the county. Mort and her fiance, Alex Rodriguez, took their newborn daughter home, but the next day social workers and police officers showed up and took the baby away for five days.

Sara Rose, the ACLU’s deputy legal director and lead counsel on that case, said the test had an extremely low threshold for detecting opiates, seven times lower than what the federal government used when it tested its employees. Because of this low threshold, the test detected opiates in Mort’s body that came from poppy seeds on an everything bagel she ate.

This case was eventually settled out of court.

The ACLU and Rose are also involved in an ongoing case against University of Pittsburgh Medical Center involving multiple women who were reported by the hospital system to the Allegheny County Office of Children, Youth and Families.

According to a court document filed in 2017, Cherell Harrington was investigated for child abuse after UPMC reported she used marijuana while pregnant. Harrington’s urine, which UPMC staff took without her consent or knowledge, tested positive for marijuana. A test of Harrington’s newborn son showed a negative result and Harrington claimed she hadn’t used marijuana during her pregnancy.

Harrington had her home inspected and was told she would have to participate in drug counseling and undergo drug testing.

Another plaintiff, Deserae Cook, also had her urine taken without her knowledge or consent, but she tested negative. However, UPMC reported Cook to CYF for using marijuana while pregnant after Cook told a hospital employee she had previously taken medical marijuana to treat her multiple sclerosis but stopped after she found out she was pregnant. This resulted in Cook having her home inspected by the county along with continued unwanted contact from the county.

Rose said UPMC had a duty to protect patient confidentiality under state law, and it breached that duty by sharing the mothers’ confidential medical information with Allegheny County. She added St. Luke’s had the same responsibility to Smith.

“I think this is a clear violation of patient confidentiality,” Rose said.

When Grace Smith was allowed to return to St. Luke’s the night after she was ordered to leave, she was kept under constant watch by security guards and was not afforded the support the hospital provides to new mothers, such as a wheelchair or meals. She also was not given privacy in the NICU to breastfeed or have skin-to-skin contact with Julian, the suit alleges.

Nurses told Grace Smith that she would not be permitted to leave with Julian because the family had to be cleared by the Monroe County Children Youth and Family office and because it was a weekend no one was available to handle the case. She also learned that a second report had been made to CYF about Michael Smith, alleging that he was “aggressive and violent,” the suit says.

When she questioned the hospital’s handling of her case, a nurse told her, “I don’t care if you were the preacher’s daughter, we’re required to report it by law,” the suit alleges.

The Smiths state in the lawsuit that Grace Smith never ingested methamphetamine and has a well-documented history of ADHD for which she had taken Vyvanse since she was 12. The suit also states that Julian had no signs of methamphetamine withdrawal and no court order was obtained to separate the Smiths from their child.

Although the Smiths say in the lawsuit they never obtained the results of the initial urine test that prompted the welfare report, a test of their son’s umbilical cord was negative for methamphetamines. Nonetheless, Monroe County ended its investigation of the Smith family only after Grace Smith paid $300 for a hair follicle test that showed she was not a methamphetamine user.

“No one involved has admitted that what they did was wrong,” Grace Smith said. “It makes it all that much more difficult to get past because they’re still acting this way.”

Morning Call reporter Peter Hall can be reached at 610-820-6581 or peter.hall@mcall.com.

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n

Now if only the weather will cooperate!!!

Posted by BFAC-Bethlehem Fine Arts Commission on Monday, April 25, 2022

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Dellicker has trouble being concise."},{"_id":"TJR65NVANVFZ7FFNA23QMLR3TI","type":"text","additional_properties":{"_id":1651585431124,"comments":[],"inline_comments":[{"comment":" on","pos":129}]},"content":"Asked at a recent town hall event for his policy proposals to counter China’s economic rise, Dellicker said he has a 38-part plan on his campaign website, and joked that “brevity was never his strong suit.”"},{"_id":"CRDSSQNV6BFO7KN7C2E2MRJL3Q","type":"text","additional_properties":{"_id":1651162295815,"comments":[],"inline_comments":[]},"content":"In a March blog post, he wrote that it would be a “challenge” for him to keep responses under one minute in a debate with his Republican opponent because he likes to “tell stories and add context” to get his message across."},{"_id":"XD7IFFDTXBCJ7PTI36WZLHS3ZY","type":"text","additional_properties":{"_id":1651162295816,"comments":[],"inline_comments":[]},"content":"So how would the congressional candidate, veteran and business owner 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conservative, but I’m independent,” he added. “I’m not beholden to any of these people in Washington that are trying to pull the strings on different Republicans right now.”"},{"_id":"XD7IFFDTXBCJ7PTI36WZLHS3ZY","type":"text","additional_properties":{"_id":1651162295816,"comments":[],"inline_comments":[{"comment":"So how would the congressional candidate, veteran and business owner describe his message to voters in just one sentence?","pos":0}]},"content":""},{"_id":"VCW2HQJ4BZGQNEPFSD4GS4GRRI","type":"text","additional_properties":{"_id":1651162295817,"comments":[],"inline_comments":[{"comment":"“I want to keep America free,” Dellicker said.","pos":0}]},"content":""},{"_id":"B3LU3HYZNBCTDGMEVEU6EWRYFA","type":"text","additional_properties":{"_id":1651162295818,"comments":[],"inline_comments":[{"comment":"Kevin Dellicker is running to be PA-07′s next congressman. SAY HERE WHAT COUNTIES/AREAS THAT REPRESENTS He sees himself as a “grassroots” challenger to Lisa Scheller, CEO of Silberline Manufacturing and the Republican pick in 2020, who lost to incumbent Susan Wild. MOVED UP","pos":0}]},"content":""},{"_id":"XIYPA4UL65HMLLDIKGVEKZTBXM","type":"header","level":2,"additional_properties":{"_id":1651162295819,"comments":[],"inline_comments":[]},"content":"Who is Kevin Dellicker?"},{"_id":"QCHORIFSB5COPLWYWWV7I2EQTE","type":"text","additional_properties":{"_id":1651585431137,"comments":[],"inline_comments":[]},"content":"Dellicker is a New Tripoli native who, after stints living in Harrisburg, Albany and tours abroad in China and Afghanistan, settled with his wife and three kids in Germansville, just a few miles north of where he grew up."},{"_id":"QBANWKL6GNDQDKXUCMU2KOOLLQ","type":"text","additional_properties":{"_id":1651162295820,"comments":[],"inline_comments":[{"comment":"H","pos":26},{"comment":"c","pos":313},{"comment":"w","pos":319}]},"content":"A National Guard veteran, his family’s history in the military goes back generations. His father was a navy fighter pilot, his grandfather was an Army Air Force fighter pilot and his great grandfather was a machine gunner in World War I. He even has ancestors who were members of the Berks County unit during the Civil War, he said."},{"_id":"M5VRHZS5KVADBPFNGFAYZBQPVY","type":"text","additional_properties":{"_id":1651162295821,"comments":[],"inline_comments":[{"comment":" after graduating from Penn State,","pos":125},{"comment":"out of college at the New York State Senate","pos":226}]},"content":"Despite the family history, he said his father never pressured him to join the military. But Dellicker had an epiphany at 24, while working his first job at the New York State Senate after graduating from Penn State University. Surrounded by friends at a bar, discussing their future career aspirations, Dellicker realized he wanted to enlist."},{"_id":"5OVIKDUOYJH47BHUVLLHAFVZXM","type":"text","additional_properties":{"_id":1651162295822,"comments":[],"inline_comments":[]},"content":"“I walked home that night, thinking if I’m going to do this, I’d better stop talking about it and actually go do it,” he said."},{"_id":"PO6TP2T4V5EKPC5JZFMQXJ3X54","type":"text","additional_properties":{"_id":1651162295823,"comments":[],"inline_comments":[{"comment":" down","pos":54}]},"content":"A week later, he enlisted in the infantry and traveled to Fort Benning, Georgia, for basic training. He called it “one of the best experiences” of his life. One of the oldest people there — most of the new soldiers were just 18 or 19 — he took on a leadership role that was mentally taxing but rewarding."},{"_id":"FHLOCHNYBZGV5MEDORG2XAN4UQ","type":"text","additional_properties":{"_id":1651162295824,"comments":[],"inline_comments":[]},"content":"He spent four years in the Pennsylvania Army National Guard before becoming an intelligence officer with the Air National Guard in 1999, based in Harrisburg, where he supported diplomatic missions and domestic operations, and completed four overseas deployments."},{"_id":"LX53UJZQ5VFNDIMBC3MF2YQGYI","type":"text","additional_properties":{"_id":1651162295825,"comments":[],"inline_comments":[]},"content":"During that time, he said, he spent a lot of time reading speeches and materials from foreign countries and became “really good at understanding why people hate the United States.”"},{"_id":"OBHAAQA4BNFE5IDFFK5OUIR25I","type":"text","additional_properties":{"_id":1651162295826,"comments":[],"inline_comments":[]},"content":"“The lessons I learned from military intelligence, I think, have been lessons that I’ve been able to take with me my whole life,” Dellicker said."},{"_id":"IMUIIFSMFNCAPOH3VAM575LAFY","type":"text","additional_properties":{"_id":1651162295827,"comments":[],"inline_comments":[{"comment":"And i","pos":0}]},"content":"In 2005, after returning home from deployments, Dellicker quit his job at a small technology company and founded Dellicker Strategies, a cybersecurity and telecommunications company, with his wife, Susan. The company hired its first employee in 2007 and has grown since then. Dellicker still runs the company from his home office."},{"_id":"OQ7NABN7XFDRTCIKDSN7IAKJJI","type":"text","additional_properties":{"_id":1651162295828,"comments":[],"inline_comments":[]},"content":"“It was a neat thing to be able to build a business from scratch with your wife in your own house,” Dellicker said. “I guess that’s the American dream, right?”"},{"_id":"YF3UYZQUPRCIRFOLJPLRZ2GZC4","type":"header","level":2,"additional_properties":{"_id":1651585431147,"comments":[],"inline_comments":[]},"content":"The issues"},{"_id":"4WCOUK5JT5DYPNPEYK7P5O77ZY","type":"text","additional_properties":{"_id":1651162295829,"comments":[],"inline_comments":[{"comment":" is a part of that","pos":162}]},"content":"Ensuring that dream is still accessible to Americans is a primary part of his campaign, Dellicker said, and that involves restoring Republican control of Congress."},{"_id":"LGL3QF4RK5CZVEQGSDJEUPAXUI","type":"text","additional_properties":{"_id":1651162295830,"comments":[],"inline_comments":[{"comment":" U.S.","pos":55}]},"content":"Rising inflation is the most serious economic issue the United States faces right now, he said. Dellicker sees spending bills championed by Democrats as the driving factor in why prices are so high."},{"_id":"VW6YJK6EDVAVJIA2UV3HSVFWC4","type":"text","additional_properties":{"_id":1651162295831,"comments":[],"inline_comments":[]},"content":"If elected, Dellicker said he’d want to curb federal spending and incentivize American oil production to bring gas prices under control. A former environmental policy adviser, Dellicker thinks Democratic policymakers are pushing Americans toward renewable energy before it’s ready."},{"_id":"EFK2WGUWVFCD3N5TFPZIZRIOWA","type":"text","additional_properties":{"_id":1651162295832,"comments":[],"inline_comments":[]},"content":"He grew up in a conservative, military family and, as a high school and college student was inspired by Ronald Reagan’s message that the United States should not live in fear of the Soviet Union."},{"_id":"PQJC4OGK55ANNMXQ4RYQ2VJGQU","type":"text","additional_properties":{"_id":1651162295833,"comments":[],"inline_comments":[{"comment":"What he saw instead was","pos":149}]},"content":"On a study abroad trip to the Soviet Union in 1990, before it collapsed the next year, he arrived expecting to see a paragon of authoritarian power. Instead, he saw crumbling streets and starving people carrying empty bags and hoping a store would open."},{"_id":"INH5D7JNNVEMVA4J3ADVFZCJOU","type":"text","additional_properties":{"_id":1651162295834,"comments":[],"inline_comments":[]},"content":"“I was overcome by how much of a farce it was,” Dellicker said."},{"_id":"6RCU44QHQ5GTHPGGURUVOHZOLE","additional_properties":{"fullSizeResizeUrl":"/resizer/2wL37R79jnyr3WeiWuDrAIIILvk=/arc-anglerfish-arc2-prod-tronc/public/6RCU44QHQ5GTHPGGURUVOHZOLE.jpg","galleries":[{"headlines":{"basic":"7th Congressional District GOP Debate | PHOTOS"},"_id":"Y6QBQG6TTNBIBFO7ZP3VW4SPSU"}],"ingestionMethod":"manual","iptc_job_identifier":"3132265","iptc_source":"The Morning Call","iptc_title":"Rick Kintzel","keywords":["bethlehem township","republican 7th congressional district debate","rick 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He’s against transgender girls competing in girls’ sports, and has said the bigger problem is “the idea that you can have a choice in your gender.”"},{"_id":"MFBLHGKA3VGIJKCQBFV6GSC4ZE","type":"text","additional_properties":{"_id":1651162295846,"comments":[],"inline_comments":[]},"content":"A devout Christian, he is staunchly pro-life and has said he would not support an abortion ban that made an exception for rape and incest. He said he would support those exemptions if it was the only way to codify a ban on abortion."},{"_id":"DNT2JLH4MBARBKDOENPXASVZFY","type":"text","additional_properties":{"_id":1651162295847,"comments":[],"inline_comments":[{"comment":"on top of his","pos":99},{"comment":" recently","pos":163}]},"content":"Dellicker, who continues to work full-time for his company and takes on some military duties while campaigning, estimates he’s been working around 90 hours a week."},{"_id":"CUXTOJFES5ALHJZBJTRAYBMJ3M","type":"text","additional_properties":{"_id":1651162295848,"comments":[],"inline_comments":[]},"content":"There’s fewer military veterans in Congress since World War II, and Dellicker wants to be a part of changing that. 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It’s why he’s at campaign events, meeting with voters across the Lehigh Valley nearly every day to spread his message."},{"_id":"QMUJHSHOJVH7VGID2UEVPSALFY","type":"text","additional_properties":{"_id":1651162295850,"comments":[],"inline_comments":[]},"content":"“The screamers from both parties have such sway because you know everything has to get fit into bite sized sound bites,” Dellicker said. “But that leaves out context, it leaves out nuances.”"},{"_id":"AQYC4F6L3NBE3KNKB734FZRYJ4","type":"text","additional_properties":{"_id":1651162295851,"comments":[],"inline_comments":[{"comment":" support","pos":70},{"comment":" his opponent,","pos":147},{"comment":" (PAC)","pos":312}]},"content":"He sees his campaign as grassroots because he’s running it without the backing of most mainstream Republicans, who have thrown their support behind Scheller. Nearly all of Dellicker’s campaign donations have come from Pennsylvania residents and he has received just one donation from a political action committee."},{"_id":"J2Y6YVUP7VBIDG46PAMJJ2FMNA","type":"text","additional_properties":{"_id":1651162295852,"comments":[],"inline_comments":[{"comment":" get his name out there by running","pos":56},{"comment":"ing","pos":89}]},"content":"Without the support of the Republican party, he’s had to run an active campaign, and hold events, town halls and meet-and-greets in all four PA-07 counties."},{"_id":"GHMCKZJJMNDTBDYIHXTTJYW3TQ","type":"text","additional_properties":{"_id":1651162295853,"comments":[],"inline_comments":[{"comment":"added","pos":110}]},"content":"“I have a positive conservative message that appeals to many people, regardless of party affiliation,” he said. “I want to be able to have a dialogue with everyone in the Lehigh Valley that’s willing to have a conversation.”"},{"_id":"A7HEAMX5K5BCHPJES26RDHEAME","type":"text","additional_properties":{"_id":1651162295854,"comments":[],"inline_comments":[]},"content":"Morning Call reporter Lindsay Weber can be reached at 610-820-6681 and liweber@mcall.com."}],"created_date":"2022-04-13T17:22:08.662Z","revision":{"revision_id":"IL35N5442BBYTCBMUD3C2AHEAQ","parent_id":"RLGQCKYARJCA7LP7NMN5XIIY64","editions":["default"],"branch":"default","user_id":"jacqueline.palochko@mcall.com","published":true},"last_updated_date":"2022-05-06T11:30:02.377Z","headlines":{"basic":"Kevin Dellicker has trouble being concise, but he has a simple message for why Republicans should choose him to challenge Susan Wild","meta_title":"Kevin Dellicker is hoping voters choose him to challenge Susan Wild","mobile":"","native":"","print":"","tablet":"","web":""},"owner":{"sponsored":false,"id":"tronc"},"address":{},"workflow":{"note":"","status_code":3},"subheadlines":{"basic":""},"description":{"basic":"Kevin Dellicker is running to be PA-07′s next congressman. 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