A president and a pope: The world's most influential Americans are at odds over Iran

Donald Trump is accustomed to criticism from coast to coast — Democrats, disaffected Republicans, late-night comedians, massive protests. Yet in his second presidency, Trump’s most influential American critic doesn’t live in the country but at the Vatican.

It's an unprecedented situation, with the first American pope directly assailing the American president over the war in Iran, where a fragile ceasefire took hold this week. The announcement came after Pope Leo XIV declared that Trump's belligerence was “truly unacceptable.”

Never before has the relationship between Washington and the Vatican revolved around two Americans — specifically, a 79-year-old politician from Queens and a 70-year-old pontiff from Chicago. They come from the same generation and share some common cultural roots yet bring jarringly distinct approaches to their positions of vast power. And the relationship comes with risks for both sides.

“They’re two white guy boomers but they could not be any more different in their life experiences, in their values, in the way they have chosen to live those values,” said theology professor Natalia Imperatori-Lee of Fordham University. “This is a very stark contrast, and I think an inflection point for American Christianity.”

Experts on the Catholic Church emphasized that Leo’s opposition to the war reflects established church teachings, not the reflexive politics of the moment.

“For the last five centuries, the church has been involved in a project of helping develop strong international norms,” including the Geneva Conventions in recent centuries, said Catholic University professor William Barbieri. “It is a very long-standing tradition rooted in Scripture and theology and philosophy.”

Yet the U.S. administration, which has close ties to conservative evangelical Protestant leaders, has claimed heavenly endorsement for Trump’s war on Iran.

Defense Secretary Pete Hegseth urged Americans to pray for victory “in the name of Jesus Christ.” When Trump was asked whether he thought God approved of the war, he said, “I do, because God is good — because God is good and God wants to see people taken care of.”

The Rev. Franklin Graham, son of iconic Baptist evangelist Billy Graham, said of Trump that God “raised him up for such a time as this.” And Graham prayed for victory so Iranians can “be set free from these Islamic lunatics.”

Leo countered in his Palm Sunday message that God “does not listen to the prayers of those who wage war, but rejects them.” He referenced an Old Testament passage from Isaiah, saying that “even though you make many prayers, I will not listen — your hands are full of blood.”

While it's not unusual for popes and presidents to be at cross purposes, it's exceedingly rare for the leader of the Catholic Church to directly criticize a U.S. leader, and Leo later named Trump directly and expressed optimism that the president would seek “an off-ramp” in Iran.

An even stronger condemnation came after Trump warned of mass strikes against Iranian power plants and infrastructure, writing on social media that “an entire civilization will die tonight.” Leo described that as a “threat against the entire people of Iran" and said it was "truly unacceptable.”

Imperatori-Lee said Leo’s direct criticism stands out from the church's more general critiques of political and social systems. For example, Pope Francis urged U.S. bishops to defend migrants without specifically mentioning Trump or his deportation agenda. Leo also previously called for humane treatment of migrants.

“Popes have critiqued unfettered capitalism before, very robustly. The popes have critiqued the Industrial Revolution, right? Things that the U.S. has been at the forefront of,” Imperatori-Lee said, “but it’s never been this specific and localized.”

She said Leo’s commentary resonates in the U.S. — with Catholics and non-Catholics — because he is a native English speaker.

“There’s no question about his inflection and meaning,” she said. "It removes any ambiguities.”

Trump welcomed Leo’s election last May as a “great honor” for the country, and he hasn't responded to the latest criticisms. The White House did not respond to a request for comment.

“What Pope Leo and Donald Trump have in common is they both lived through the post-war polarization,” including the political upheaval of the Civil Rights Movement and Vietnam War, said Steven Millies, a professor at Chicago’s Catholic Theological Union, one of the pope’s alma maters.

He noted that Leo is a subscriber to The New York Times, plays the “Wordle” game, keeps up with U.S. sports and talks regularly with his brothers, including an avowed Trump supporter.

“In some ways he’s just like us,” Millies said, someone “who understands where our domestic political crisis came from,” unlike the Argentinian Francis, “who did not fully understand the peculiarities of the United States” even as he offered implicit criticism.

Barbieri said Leo’s American savvy still does not change an underappreciated reality of Catholicism and the papacy. “The Catholic Church doesn’t neatly fit into either right or left boxes as they’re understood in U.S. politics,” he said.

Leo spent much of his pre-papal ministry, including all his time as a bishop and cardinal, outside the U.S.

He was educated in Rome as a canon lawyer within the church. He was a bishop in poor, rural swaths of Peru. He led the Augustinian order and served as Francis’ prefect for recommending bishop appointees around the world.

Imperatori-Lee said that global reach gave him a first-hand perspective on how Washington's economic and military policies — including backing dictators in Latin America — have negatively affected less powerful nations and their citizens.

His varied experiences made then-Cardinal Robert Prevost uniquely suited to be elected pope despite the College of Cardinals’ traditional skepticism toward the U.S. and its superpower status. Millies argued that Trump and his advisers, even Vice President JD Vance, a Catholic convert, may not appreciate those distinctions.

“This is an administration that seems to think only in terms of transactional politics — who’s for us and who’s against us,” he said.

Relations between Washington and the Vatican have become so strained that a report of an allegedly contentious meeting involving Pentagon and Catholic Church officials sent shockwaves through both cities.

According to the report in The Free Press, a member of Trump's administration warned the church in January not to stand in the way of U.S. military might.

The Vatican on Friday issued a statement rejecting the report's characterization of the meeting, saying it “does not correspond to the truth in any way.”

The U.S. Embassy to the Holy See also pushed back, writing on social media that “deliberate misrepresentation of these routine meetings sows unfounded division and misunderstanding.”

Millies, meanwhile, questioned whether anything the pope or U.S. bishops say can sway individual Catholics. Trump is likely to lose support among Catholics as he loses support across the broader electorate, Millies said, but that's not necessarily because members of Leo's flock are applying church doctrine.

“Partisan preferences always trump the religious commitments,” Millies said, describing a “disconnect” between church leaders and many parishioners who look to other sources, politicians included, when shaping their views of faith and politics.

“The icon of Catholicism in American politics now is JD Vance, and it’s more about winning an argument," he said. "It’s a very different emphasis, but it’s one that may suit the Trump administration very well.”

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Associated Press reporters Nicole Winfield in Rome and Konstantin Toropin in Washington contributed.

Associated Press religion coverage receives support through the AP’s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content.

Pope Leo XIV blesses faithful as he starts his weekly general audience in St. Peter's Square, at the Vatican, Wednesday, April 8, 2026. (AP Photo/Gregorio Borgia)

NEW YORK (AP) — President Donald Trump's administration this week acknowledged it made a significant error in figures it used to help justify a fraud probe into New York’s Medicaid program, a glaring mistake that undercuts a federal campaign to tackle waste, mostly in Democratic-led states.

The error, one of at least a few misrepresentations in its description of the program, prompted health analysts to question how many of the Republican administration’s sweeping anti-fraud efforts around the country were based on faulty findings. It also reflected a common criticism that’s been made of Trump’s second administration — that it tends to attack first and confirm the facts later.

“These numbers could have been cleared up in a phone call, so it’s really slapdash,” said Fiscal Policy Institute senior health policy adviser Michael Kinnucan, whose recent analysis called attention to the Trump administration’s inaccurate claim.

The mistake appeared in comments made last month by Dr. Mehmet Oz, the administrator of the Centers for Medicare & Medicaid Services, in a social media video and in a letter to New York’s Democratic governor announcing the fraud investigation.

Oz claimed that New York’s Medicaid program last year provided some 5 million people with personal care services, which assist people in need with basic activities like bathing, grooming and meal preparation. That would add up to nearly three-fourths of the state’s 6.8 million Medicaid enrollees.

“That level of utilization is unheard of,” Oz said in the video, adding in his post that New York needs to “come clean about its Medicaid program.”

But the real number of New Yorkers who used those services last year was about 450,000, or between 6% and 7% of total enrollees, CMS spokesman Chris Krepich told The Associated Press this week. He said the agency misidentified New York’s approach to applying billing codes and had since refined its methodology.

“CMS is committed to ensuring its analyses fully reflect state-specific billing practices and will continue to work closely with New York to validate data and strengthen program integrity oversight,” he said in an emailed statement.

Krepich said the probe was ongoing as the administration still has concerns with New York’s oversight of personal care services and the Medicaid program and is reviewing the state’s response to last month’s letter. CMS had raised other flags about New York’s program, including that it spends more per beneficiary and per resident than the average state, has high personal care spending and employs so many personal care aides that the job category is now the largest in the state.

Health analysts said the state's high spending reflected both high costs for services in New York and a policy choice to provide robust at-home care. Cadence Acquaviva, senior public information officer for the New York Department of Health, called Oz’s initial mischaracterizations “a targeted attempt to obscure the facts.”

“New York State remains committed to protecting and preserving vital Medicaid programs that deliver high-quality services to New Yorkers who depend on them,” she said.

In a statement, a spokesperson for Gov. Kathy Hochul said, “The initial claim by CMS was patently false, and we are glad they now admit it."

“Governor Hochul has been clear that New York has zero tolerance for waste, fraud and abuse in Medicaid, or any other state programs, and will continue her efforts to root out bad actors, protect taxpayer dollars, and safeguard the critical programs that New Yorkers rely on,” spokesperson Nicolette Simmonds said.

The Trump administration’s investigation into New York comes as it has similarly approached at least four other states, including California, Florida, Maine and Minnesota, with investigations into potential health care fraud. The anti-fraud effort appears to be expanding as voters in the upcoming midterm elections say they’re concerned about affordability.

Trump last month signed an executive order to create an anti-fraud task force across federal benefit programs led by Vice President JD Vance. As part of that project, Vance announced the administration would temporarily halt $243 million in Medicaid funding to Minnesota over fraud concerns, a move over which the state has since sued.

Kinnucan, the analyst with expertise in New York’s Medicaid program, said he’s concerned that the Trump administration’s adversarial approach to targeting fraud in some states “politicizes” a conversation that should be a team effort.

“We want to think collaboratively among all the stakeholders in the program about how we can actually fix it,” Kinnucan said. “We don’t want to have fraud be this political football.”

In his video, Oz made at least two other claims about New York that Medicaid advocates and beneficiaries say distorted the facts.

In one instance, he said the state recently made its screening for personal care eligibility “more lenient by allowing problems like being ‘easily distracted’ to qualify for a personal care assistant.”

Rebecca Antar, director of the health law unit at the Legal Aid Society, said the opposite was true — that the state in a rule change that went into effect last September instead made its program requirements more stringent. She said being “easily distracted” doesn’t appear anywhere among them.

Krepich said the administrator was referring to whether New York’s standard for personal care services was “sufficiently rigorous.”

“When standards are overly permissive, it risks diverting resources away from individuals with the highest levels of need and placing long-term pressure on the sustainability of the Medicaid program,” he said.

Oz in the video also referred to personal care services as “something that our families would normally do for us, like carrying groceries.”

Kathleen Downes, a 33-year-old who has quadriplegic cerebral palsy and uses personal care services in New York’s Nassau County, said she was offended by the notion that all Medicaid beneficiaries have family members who are willing and able to help.

Downes, who has been disabled since birth and needs personal care help for things like showering, using the toilet and eating, said she hires both her mother and outside assistants for personal care services, so her aging mother doesn’t have to take on those tasks full time. She said her mother did the labor unpaid for years, precluding her from pursuing other career opportunities.

“He’s assuming that everybody wants to and can just do it for free forever,” Downes said. "And that’s not feasible for a lot of people.”

Associated Press writer Anthony Izaguirre contributed to this story.

FILE - Administrator for the Centers for Medicare & Medicaid Services Dr. Mehmet Oz speaks during a news conference on efforts to combat fraud, in the Old Eisenhower Executive Office Building on the White House campus Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner, File)