US Second Lady Ushua Vance holds her son Alec Vance before US President Donald Trump and First Lady Melania Trump arrive for a executive order signing ceremony in the Rose Garden of the White House in Washington, DC, on October 19, 2026. The executive order aims to a create a Women's Health Division at the National Institutes of Health (NIH) and a White House Women's Health Task Force. (Photo by Brendan SMIALOWSKI / AFP via Getty Images)