Health

Subterms

    More stories

    • 213 Shares67 Views

      in US Politics

      The unlikely alliance pressing Trump to regulate Pfas on US farms: ‘This is a basic human right’

      by

      An unlikely alliance of farmers, bikers, truckers, a detective and scientists from across the political spectrum are working to pressure the Trump administration and Republican leadership to rein in the use of toxic sewage sludge as fertilizer on the nation’s farmland.Sludge often teems with Pfas, or “forever chemicals”, which present a health risk to farmers and the public, and have destroyed farms and contaminated water across the country. The issue has touched the groups’ lives in different ways, highlighting its broad risks to health.“We can all sit down and agree that we and our children shouldn’t be fed literal poison,” said Dana Ames, a Johnson county, Texas, detective who is investigating contamination from sludge on local farms.In Oklahoma, farmer Saundra Traywick lives in an area where she says toxic sewage sludge is spread as fertilizer. Her family and animals get sick, and the potent stench can be unbearable.Mike “Lucky” Pruitt, a biker who lives in a dairy- and oil-producing region in Texas, wonders whether Pfas from sludge contributed to the rare brain cancer that killed his six-year-old son; in Johnson county, Texas, Ames took the unprecedented step of opening a criminal investigation, which is ongoing, over sludge that polluted local farms and water.Billy Randal, a trucker, just learned about the sludge’s dangers, and fears that people hauling the substance are exposed to toxic waste. And in Massachusetts, Kyla Bennett, a former US Environmental Protection Agency scientist and cancer survivor, is part of a lawsuit that could lead to sludge being banned.The alliance has a real chance of success, those involved say, because it includes everyone from liberal scientists to people on the far right – they are willing to set aside political differences for the fight.“The American people are smart – once we figure out what’s occurring, we have a whole lot more in common than we don’t, and this is a basic human right,” said Ames, the Texas detective. “We all deserve safe and clean food and water.”The alliance is aiming to hold rallies thatit hopes will draw thousands of people in Austin, Texas, and Washington DC in the coming months. Those involved are aiming to get Trump’s attention and to pressure the Texas legislature to act.Getting Trump’s attentionSludge is a mix of human and industrial waste, and a byproduct of the wastewater treatment process that regulators allow to be used as fertilizer because it’s rich in nutrients that help plants grow. It also virtually always teems with Pfas and other dangerous chemicals, which contaminate water, crops and livestock, while also sickening farmers and contaminating the nation’s food supply.Maine became the first state to ban sludge, also called biosolids, after it found Pfas had contaminated crops or water on at least 73 farms where the substance had been spread. The state established a $70m fund to bail out affected farmers.Pfas are a class of about 15,000 compounds that are dubbed “forever chemicals” because they don’t naturally break down. The chemicals are linked to a range of serious health problems like cancer, liver disease, kidney issues, high cholesterol, birth defects and decreased immunity.View image in fullscreenIn the Biden administration’s final days, the EPA issued a draft risk assessment for Pfas in sludge that could in effect ban the substance, but Republicans in Congress slipped a rider into the current appropriations bill that would essentially kill the process by withdrawing key funding. The rider was inserted just a few weeks after the EPA met with a sludge industry trade group to hear its grievances about the assessment.Ames said the EPA “has gone rogue” and she suspects Trump is unaware of the situation. The president has publicly said he wants clean water and food, Ames said, and she suspects he will act if alerted.“As his voters and his base, we want his ear, and we want to make sure that the president knows what’s going on,” Ames said.In Massachusetts, Bennett, the scientist, who is now with the Public Employees for Environmental Responsibility (Peer) non-profit, has been frustrated with the Biden and Trump administrations’ policies on sludge, and has sued the EPA under the Clean Water Act to force the agency to regulate the substance. Peer is assisting with letters for the action, though it is not directly involved with organizing the rallies.It’s not often that Peer works with folks on the right, but the “strange bedfellows” are a hopeful development, Bennett said.“This is an issue that should transcend politics because it affects human health and people are humans before they’re Republicans and Democrats,” Bennett said.‘We’ve got to make a change’In 2021, doctors diagnosed six-year-old Rylan Pruitt with a rare and aggressive brain cancer. After 30 rounds of radiation treatment and several months of chemotherapy, he died, leaving behind distraught parents looking for answers.There was no family history of cancer, and his father, Mike “Lucky” Pruitt, began to hear about the risks of Pfas. He turned his attention to the huge dairy and oil operations – both known sources of Pfas and other chemical pollution – in the rural community in which he lives.Only about 50 other people have developed the type of cancer that killed Rylan – and one of them was a young girl who lived about 11 miles (17km) away, Pruitt said. He said he put together the pieces, like family history, how the cancer was “stupidly and exceedingly rare”, and the research that has connected sludge and Pfas to rare pediatric cancers.“For me it’s: ‘This is why this is happening, and we’ve got to make a change,’” Pruitt said.View image in fullscreenHis 15,000-member motorcycle group, the Rylan Strong Network, pressures lawmakers on issues around pediatric cancer and health insurance. He contacted every Texas legislator asking them to support a bill that would require measuring Pfas in sludge. So far, very few have responded, and previous versions of the legislation were killed.“It’s all about who has the biggest checkbook,” Pruitt said.In Oklahoma, Traywick’s non-profit, Save Oklahoma Farms and Ranches, has had similar results in pressuring lawmakers. Her kids’ immune disorders, the flies that gnaw her donkeys’ legs raw and the unmeasured effects of suspected Pfas on land and water – none of it has so far convinced state legislators to act.But, she said, she is more optimistic as “a growing movement of people is waking up to the fact that this is not Democrats versus Republicans or left versus right – we all want our children to have a healthy future,” Traywick said.In New Jersey, Randal, founder of the national Truckers Movement for Justice, just learned about the sludge from Ames, and worries about what people hauling the waste are exposed to.The truckers, with thousands of members in the US and Mexico, recently worked with environmental groups to petition the US Department of Transportation to strengthen regulations around hauling fracking waste. The problem with sludge is similar, Randal said. Many drivers have to clean their trucks, there are few protections and they are not made aware of the Pfas and other risks in what they are hauling.“We have truck drivers handling this shit and they don’t have a clue about what they’re working around,” Randal said. “Industry laughs all the way to the bank and it’s time for it to stop.” He plans to mobilize truckers to join the rallies.In Johnson county, Texas, Goldman Sachs-owned Synagro, sold local farmers the tainted sludge that a lawsuit alleges polluted local waters and destroyed the land. The farms’ drinking water was found to be contaminated at levels more than 13,000 times higher than the federal health advisory for Pfos, one kind of Pfas compound, and affected meat was as much as 250,000 times above safe levels, the federal lawsuit against Synagro alleges. Synagro denies that the Pfas came from its sludge.Last year, Ames opened the first-ever criminal investigation into the situation, and Johnson county joined Peer’s Clean Water Act lawsuit. “We’re coming together and we’re saying: ‘No, this isn’t a third-world country, and there’s no reason why in America our food should be poisoned like this,’” Ames said. More

    • 188 Shares71 Views

      in US Politics

      Maha is backing this ‘natural’ infertility treatment. Is it the right’s path to limiting IVF?

      by

      @font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.ttf) format(“truetype”);font-weight:300;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.ttf) format(“truetype”);font-weight:300;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.ttf) format(“truetype”);font-weight:400;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.ttf) format(“truetype”);font-weight:400;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.ttf) format(“truetype”);font-weight:500;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.ttf) format(“truetype”);font-weight:500;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.ttf) format(“truetype”);font-weight:600;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.ttf) format(“truetype”);font-weight:600;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.ttf) format(“truetype”);font-weight:700;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.ttf) format(“truetype”);font-weight:700;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.ttf) format(“truetype”);font-weight:900;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.ttf) format(“truetype”);font-weight:900;font-style:italic}@font-face{font-family:Guardian Titlepiece;src:url(https://interactive.guim.co.uk/fonts/garnett/GTGuardianTitlepiece-Bold.woff2) format(“woff2”),url(https://interactive.guim.co.uk/fonts/garnett/GTGuardianTitlepiece-Bold.woff) format(“woff”),url(https://interactive.guim.co.uk/fonts/garnett/GTGuardianTitlepiece-Bold.ttf) format(“truetype”);font-weight:700;font-style:normal}@media (min-width: 71.25em){.content__main-column–interactive{margin-left:160px}}@media (min-width: 81.25em){.content__main-column–interactive{margin-left:240px}}.content__main-column–interactive .element-atom{max-width:620px}@media (max-width: 46.24em){.content__main-column–interactive .element-atom{max-width:100%}}.content__main-column–interactive .element-showcase{margin-left:0}@media (min-width: 46.25em){.content__main-column–interactive .element-showcase{max-width:620px}}@media (min-width: 71.25em){.content__main-column–interactive .element-showcase{max-width:860px}}.content__main-column–interactive .element-immersive{max-width:1100px}@media (max-width: 46.24em){.content__main-column–interactive .element-immersive{width:calc(100vw – var(–scrollbar-width));position:relative;left:50%;right:50%;margin-left:calc(-50vw + var(–half-scrollbar-width))!important;margin-right:calc(-50vw + var(–half-scrollbar-width))!important}}@media (min-width: 46.25em){.content__main-column–interactive .element-immersive{transform:translate(-20px);width:calc(100% + 60px)}}@media (max-width: 71.24em){.content__main-column–interactive .element-immersive{margin-left:0;margin-right:0}}@media (min-width: 71.25em){.content__main-column–interactive .element-immersive{transform:translate(0);width:auto}}@media (min-width: 81.25em){.content__main-column–interactive .element-immersive{max-width:1260px}}.content__main-column–interactive p,.content__main-column–interactive ul{max-width:620px}.content__main-column–interactive:before{position:absolute;top:0;height:calc(100% + 15px);min-height:100px;content:””}@media (min-width: 71.25em){.content__main-column–interactive:before{border-left:1px solid #dcdcdc;z-index:-1;left:-10px}}@media (min-width: 81.25em){.content__main-column–interactive:before{border-left:1px solid #dcdcdc;left:-11px}}.content__main-column–interactive .element-atom{margin-top:0;margin-bottom:0;padding-bottom:12px;padding-top:12px}.content__main-column–interactive p+.element-atom{padding-top:0;padding-bottom:0;margin-top:12px;margin-bottom:12px}.content__main-column–interactive .element-inline{max-width:620px}@media (min-width: 61.25em){figure[data-spacefinder-role=inline].element{max-width:620px}}:root{–dateline: #606060;–headerBorder: #dcdcdc;–captionText: #999;–captionBackground: hsla(0, 0%, 7%, .72);–feature: #c70000;–new-pillar-colour: var(–primary-pillar, var(–feature))}.content__main-column–interactive .element.element-atom,.element.element-atom{padding:0}#article-body >div .element-atom:first-of-type+p:first-of-type,#article-body >div .element-atom:first-of-type+.sign-in-gate+p:first-of-type,#article-body >div .element-atom:first-of-type+#sign-in-gate+p:first-of-type,#article-body >div hr:not(.last-horizontal-rule)+p,.content–interactive >div .element-atom:first-of-type+p:first-of-type,.content–interactive >div .element-atom:first-of-type+.sign-in-gate+p:first-of-type,.content–interactive >div .element-atom:first-of-type+#sign-in-gate+p:first-of-type,.content–interactive >div hr:not(.last-horizontal-rule)+p,#comment-body .element-atom:first-of-type+p:first-of-type,#comment-body .element-atom:first-of-type+.sign-in-gate+p:first-of-type,#comment-body .element-atom:first-of-type+#sign-in-gate+p:first-of-type,#comment-body hr:not(.last-horizontal-rule)+p,[data-gu-name=body] .element-atom:first-of-type+p:first-of-type,[data-gu-name=body] .element-atom:first-of-type+.sign-in-gate+p:first-of-type,[data-gu-name=body] .element-atom:first-of-type+#sign-in-gate+p:first-of-type,[data-gu-name=body] hr:not(.last-horizontal-rule)+p,#feature-body .element-atom:first-of-type+p:first-of-type,#feature-body .element-atom:first-of-type+.sign-in-gate+p:first-of-type,#feature-body .element-atom:first-of-type+#sign-in-gate+p:first-of-type,#feature-body hr:not(.last-horizontal-rule)+p{padding-top:14px}#article-body >div .element-atom:first-of-type+p:first-of-type:first-letter,#article-body >div .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,#article-body >div .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,#article-body >div hr:not(.last-horizontal-rule)+p:first-letter,.content–interactive >div .element-atom:first-of-type+p:first-of-type:first-letter,.content–interactive >div .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,.content–interactive >div .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,.content–interactive >div hr:not(.last-horizontal-rule)+p:first-letter,#comment-body .element-atom:first-of-type+p:first-of-type:first-letter,#comment-body .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,#comment-body .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,#comment-body hr:not(.last-horizontal-rule)+p:first-letter,[data-gu-name=body] .element-atom:first-of-type+p:first-of-type:first-letter,[data-gu-name=body] .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,[data-gu-name=body] .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,[data-gu-name=body] hr:not(.last-horizontal-rule)+p:first-letter,#feature-body .element-atom:first-of-type+p:first-of-type:first-letter,#feature-body .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,#feature-body .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,#feature-body hr:not(.last-horizontal-rule)+p:first-letter{font-family:Guardian Headline,Guardian Egyptian Web,Guardian Headline Full,Georgia,serif;font-weight:700;font-size:111px;line-height:92px;float:left;text-transform:uppercase;box-sizing:border-box;margin-right:8px;vertical-align:text-top;color:var(–drop-cap, var(–new-pillar-colour))}#article-body >div hr+p,.content–interactive >div hr+p,#comment-body hr+p,[data-gu-name=body] hr+p,#feature-body hr+p{padding-top:0}#maincontent .element.element–showcase.element-showcase figcaption,#feature-article-container .element.element–showcase.element-showcase figcaption,#standard-article-container .element.element–showcase.element-showcase figcaption,#comment-article-container .element.element–showcase.element-showcase figcaption{position:static!important;width:100%;max-width:620px}.element.element–immersive.element-immersive{width:calc(100vw – var(–scrollbar-width, 0px))}@media (max-width: 71.24em){.element.element–immersive.element-immersive{max-width:978px}.element.element–immersive.element-immersive figcaption{padding-inline:10px}}@media (max-width: 71.24em) and (min-width: 30em){.element.element–immersive.element-immersive figcaption{padding-inline:20px}}@media (min-width: 46.25em) and (max-width: 61.24em){.element.element–immersive.element-immersive{max-width:738px}}@media (max-width: 46.24em){.element.element–immersive.element-immersive{margin-left:-10px!important;margin-right:0!important;left:0}}@media (max-width: 46.24em) and (min-width: 30em){.element.element–immersive.element-immersive{margin-left:-20px!important}.element.element–immersive.element-immersive figcaption{padding-inline:20px}}.furniture-wrapper{position:relative}@media (min-width: 61.25em){.furniture-wrapper{display:grid;grid-column-gap:20px;grid-row-gap:0px;grid-template-columns:[title-start headline-start meta-start standfirst-start] repeat(5,1fr) [title-end headline-end meta-end standfirst-end portrait-start] repeat(5,1fr) [portrait-end];grid-template-rows:[title-start portrait-start] .25fr [title-end headline-start] 1fr [headline-end standfirst-start] .75fr [standfirst-end meta-start] auto [meta-end portrait-end]}.furniture-wrapper #headline >div:first-child,.furniture-wrapper [data-gu-name=headline] >div:first-child,.furniture-wrapper .headline >div:first-child{border-top:1px solid var(–headerBorder)}.furniture-wrapper #meta,.furniture-wrapper [data-gu-name=meta]{position:relative;padding-top:2px;margin-right:0}.furniture-wrapper .standfirst .content__standfirst,.furniture-wrapper #standfirst .content__standfirst,.furniture-wrapper [data-gu-name=standfirst] .content__standfirst{margin-bottom:4px}.furniture-wrapper .standfirst ul li,.furniture-wrapper #standfirst ul li,.furniture-wrapper [data-gu-name=standfirst] ul li{font-size:20px}.furniture-wrapper .standfirst li a,.furniture-wrapper .standfirst a,.furniture-wrapper #standfirst li a,.furniture-wrapper #standfirst a,.furniture-wrapper [data-gu-name=standfirst] li a,.furniture-wrapper [data-gu-name=standfirst] a{border-bottom:none;background-image:none!important;text-decoration:underline;text-underline-offset:6px;text-decoration-color:var(–headerBorder, #dcdcdc)}.furniture-wrapper .standfirst li a:hover,.furniture-wrapper .standfirst a:hover,.furniture-wrapper #standfirst li a:hover,.furniture-wrapper #standfirst a:hover,.furniture-wrapper [data-gu-name=standfirst] li a:hover,.furniture-wrapper [data-gu-name=standfirst] a:hover{text-decoration-color:var(–new-pillar-colour)}.furniture-wrapper .standfirst p:first-of-type,.furniture-wrapper #standfirst p:first-of-type,.furniture-wrapper [data-gu-name=standfirst] p:first-of-type{border-top:1px solid var(–headerBorder);padding-bottom:0}}@media (min-width: 61.25em) and (min-width: 71.25em){.furniture-wrapper .standfirst p:first-of-type,.furniture-wrapper #standfirst p:first-of-type,.furniture-wrapper [data-gu-name=standfirst] p:first-of-type{border-top:unset}}@media (min-width: 61.25em){.furniture-wrapper figure{margin:0 0 0 -10px}.furniture-wrapper figure[data-spacefinder-role=inline].element{max-width:630px}}@media (min-width: 71.25em){.furniture-wrapper{grid-template-columns:[title-start headline-start meta-start] repeat(2,1fr) [meta-end standfirst-start] repeat(5,1fr) [title-end headline-end standfirst-end portrait-start] repeat(7,1fr) [portrait-end];grid-template-rows:[title-start portrait-start] 80px [title-end headline-start] auto [headline-end standfirst-start meta-start] auto [standfirst-end meta-end portrait-end]}.furniture-wrapper #meta:before,.furniture-wrapper [data-gu-name=meta]:before{content:””;width:540px;position:absolute;top:0;background-color:var(–headerBorder);height:1px}.furniture-wrapper .standfirst p,.furniture-wrapper #standfirst p,.furniture-wrapper [data-gu-name=standfirst] p{border-top:unset}.furniture-wrapper .standfirst:before,.furniture-wrapper #standfirst:before,.furniture-wrapper [data-gu-name=standfirst]:before{content:””;width:1px;background-color:var(–headerBorder);height:100%;position:absolute;top:0;left:.5px}}@media (min-width: 81.25em){.furniture-wrapper{grid-template-columns:[title-start headline-start meta-start] repeat(3,1fr) [meta-end standfirst-start] repeat(5,1fr) [title-end headline-end standfirst-end portrait-start] repeat(8,1fr) [portrait-end];grid-template-rows:[title-start portrait-start] .25fr [title-end headline-start] 1fr [headline-end standfirst-start meta-start] .75fr [standfirst-end meta-end portrait-end]}.furniture-wrapper #meta:before,.furniture-wrapper [data-gu-name=meta]:before{width:620px}.furniture-wrapper .standfirst:before,.furniture-wrapper #standfirst:before,.furniture-wrapper [data-gu-name=standfirst]:before{left:-.5px}}.furniture-wrapper .article-header .content__labels >div,.furniture-wrapper [data-gu-name=title] .content__labels >div{padding-top:2px}.furniture-wrapper #headline h1,.furniture-wrapper [data-gu-name=headline] h1,.furniture-wrapper .headline h1{font-weight:600;max-width:620px;font-size:32px}@media (min-width: 71.25em){.furniture-wrapper #headline h1,.furniture-wrapper [data-gu-name=headline] h1,.furniture-wrapper .headline h1{max-width:540px;font-size:50px}}@media (min-width: 46.25em){.furniture-wrapper .keyline-4,.furniture-wrapper [data-gu-name=lines]{margin-right:0}}@media (min-width: 61.25em){.furniture-wrapper .keyline-4,.furniture-wrapper [data-gu-name=lines]{display:none}}.furniture-wrapper .keyline-4 svg,.furniture-wrapper [data-gu-name=lines] svg{stroke:var(–headerBorder)}@media (min-width: 46.25em){.furniture-wrapper #meta,.furniture-wrapper [data-gu-name=meta]{margin-right:0}}.furniture-wrapper #meta .meta__social,.furniture-wrapper #meta .meta__social ul li a span,.furniture-wrapper #meta .meta__comment,.furniture-wrapper [data-gu-name=meta] .meta__social,.furniture-wrapper [data-gu-name=meta] .meta__social ul li a span,.furniture-wrapper [data-gu-name=meta] .meta__comment{border-color:var(–headerBorder)}.furniture-wrapper #meta .content__meta-container_dcr >div >gu-island,.furniture-wrapper [data-gu-name=meta] .content__meta-container_dcr >div >gu-island{display:none}.furniture-wrapper .standfirst,.furniture-wrapper #standfirst,.furniture-wrapper [data-gu-name=standfirst]{margin-left:-10px;padding-left:10px;position:relative}@media (min-width: 46.25em){.furniture-wrapper .standfirst,.furniture-wrapper #standfirst,.furniture-wrapper [data-gu-name=standfirst]{padding-top:2px}}.furniture-wrapper .standfirst p,.furniture-wrapper #standfirst p,.furniture-wrapper [data-gu-name=standfirst] p{font-weight:400;font-size:20px;padding-bottom:14px}.furniture-wrapper #main-media,.furniture-wrapper [data-gu-name=media]{position:relative;margin-top:0;margin-bottom:2px;grid-area:portrait}@media (min-width: 61.25em){.furniture-wrapper #main-media,.furniture-wrapper [data-gu-name=media]{margin-bottom:0}}@media (max-width: 46.24em){.furniture-wrapper #main-media,.furniture-wrapper [data-gu-name=media]{width:calc(100vw – var(–scrollbar-width, 0px));margin-left:-10px}}@media (max-width: 46.24em) and (min-width: 30em){.furniture-wrapper #main-media,.furniture-wrapper [data-gu-name=media]{margin-left:-20px}}.furniture-wrapper figcaption{position:absolute;bottom:0;padding:4px 10px 12px;background-color:var(–captionBackground);color:var(–captionText);max-width:unset;width:100%;margin-bottom:0;min-height:46px}.furniture-wrapper figcaption span{color:var(–headerBorder)}.furniture-wrapper figcaption span svg{fill:var(–headerBorder)}.furniture-wrapper figcaption span:nth-of-type(1){display:none}.furniture-wrapper figcaption span:nth-of-type(2){display:block;max-width:90%}@media (min-width: 30em){.furniture-wrapper figcaption{padding:4px 20px 12px}}.furniture-wrapper figcaption.hidden{opacity:0}.furniture-wrapper #caption-button{display:block;position:absolute;bottom:10px;right:8px;z-index:30;background-color:var(–captionBackground);border:none;border-radius:50%;padding:6px 5px 5px}.furniture-wrapper #caption-button svg{transform:scale(.85)}@media (min-width: 30em){.furniture-wrapper #caption-button{right:10px}}@media (min-width: 71.25em){.content__main-column–interactive:before{top:-12px!important;height:calc(100% + 24px)!important}}.content__main-column–interactive h2{max-width:620px}:root{–new-pillar-colour: var( –darkmode-pillar, var(–darkModeFeature) ) !important;–headerBorderColor: #606060;–darkModeFeature: #ff5943}nav+section{display:none}nav+aside{display:none}aside+section{display:none}.furniture-wrapper{background-color:var(–darkBackground);margin:0 -10px;padding:0 10px 4px}@media (min-width: 30em){.furniture-wrapper{margin:0 -20px;padding:0 20px 8px}}@media (min-width: 61.25em){.furniture-wrapper{padding:0 20px}}@media (min-width: 81.25em){.furniture-wrapper:before{content:””;width:calc((100vw – 1298px)/2);height:100%;position:absolute;left:calc((100vw – 1298px)/-2);background-color:var(–darkBackground);border-right:1px solid var(–headerBorderColor)}.furniture-wrapper:after{content:””;width:calc((100vw – 1298px)/2);height:100%;position:absolute;right:calc((100vw – 1298px)/-2);background-color:var(–darkBackground)}}.furniture-wrapper .article-header,.furniture-wrapper [data-gu-name=title] a,.furniture-wrapper [data-gu-name=title] span{color:var(–new-pillar-colour, –darkModeFeature)}@media (min-width: 61.25em){.furniture-wrapper #headline >div:first-child,.furniture-wrapper [data-gu-name=headline] >div:first-child,.furniture-wrapper .headline >div:first-child{border-top:1px solid var(–headerBorderColor)}}.furniture-wrapper #headline h1,.furniture-wrapper [data-gu-name=headline] h1,.furniture-wrapper .headline h1{font-weight:700;color:#dcdcdc}.furniture-wrapper #headline figure,.furniture-wrapper [data-gu-name=headline] figure,.furniture-wrapper .headline figure{margin-top:0;margin-bottom:2px}@media (min-width: 71.25em){.furniture-wrapper #meta:before,.furniture-wrapper [data-gu-name=meta]:before{background-color:var(–headerBorderColor)}}.furniture-wrapper #meta details,.furniture-wrapper #meta summary,.furniture-wrapper #meta summary span,.furniture-wrapper [data-gu-name=meta] details,.furniture-wrapper [data-gu-name=meta] summary,.furniture-wrapper [data-gu-name=meta] summary span{color:#dcdcdc}.furniture-wrapper #meta .meta__social a,.furniture-wrapper #meta .meta__social button,.furniture-wrapper [data-gu-name=meta] .meta__social a,.furniture-wrapper [data-gu-name=meta] .meta__social button{border-color:var(–headerBorderColor);color:var(–new-pillar-colour, –darkModeFeature)}.furniture-wrapper #meta .meta__social a svg,.furniture-wrapper #meta .meta__social button svg,.furniture-wrapper [data-gu-name=meta] .meta__social a svg,.furniture-wrapper [data-gu-name=meta] .meta__social button svg{fill:var(–new-pillar-colour, –darkModeFeature)}.furniture-wrapper #meta .meta__social a:hover,.furniture-wrapper #meta .meta__social button:hover,.furniture-wrapper [data-gu-name=meta] .meta__social a:hover,.furniture-wrapper [data-gu-name=meta] .meta__social button:hover{color:var(–darkBackground);background-color:var(–new-pillar-colour, –darkModeFeature)}.furniture-wrapper #meta .meta__social a:hover svg,.furniture-wrapper #meta .meta__social button:hover svg,.furniture-wrapper [data-gu-name=meta] .meta__social a:hover svg,.furniture-wrapper [data-gu-name=meta] .meta__social button:hover svg{fill:var(–darkBackground)}.furniture-wrapper #meta div,.furniture-wrapper [data-gu-name=meta] div{color:#dcdcdc}.furniture-wrapper #meta a,.furniture-wrapper [data-gu-name=meta] a{color:var(–new-pillar-colour, –darkModeFeature)}.furniture-wrapper #meta a:hover,.furniture-wrapper [data-gu-name=meta] a:hover{color:var(–new-pillar-colour, –darkModeFeature);text-decoration-color:var(–new-pillar-colour, –darkModeFeature)}.furniture-wrapper .standfirst a,.furniture-wrapper .standfirst li a,.furniture-wrapper #standfirst a,.furniture-wrapper #standfirst li a,.furniture-wrapper [data-gu-name=standfirst] a,.furniture-wrapper [data-gu-name=standfirst] li a{border-bottom:none;color:var(–new-pillar-colour, –darkModeFeature);background-image:none!important;text-decoration:underline;text-underline-offset:6px;text-decoration-color:var(–headerBorder, #dcdcdc)}.furniture-wrapper .standfirst a:hover,.furniture-wrapper .standfirst li a:hover,.furniture-wrapper #standfirst a:hover,.furniture-wrapper #standfirst li a:hover,.furniture-wrapper [data-gu-name=standfirst] a:hover,.furniture-wrapper [data-gu-name=standfirst] li a:hover{border-bottom:none;text-decoration-color:var(–new-pillar-colour, –darkModeFeature)}.furniture-wrapper .standfirst p,.furniture-wrapper #standfirst p,.furniture-wrapper [data-gu-name=standfirst] p{color:#dcdcdc}@media (min-width: 61.25em){.furniture-wrapper .standfirst p:first-of-type,.furniture-wrapper #standfirst p:first-of-type,.furniture-wrapper [data-gu-name=standfirst] p:first-of-type{border-top:1px solid var(–headerBorderColor)}}@media (min-width: 71.25em){.furniture-wrapper .standfirst p:first-of-type,.furniture-wrapper #standfirst p:first-of-type,.furniture-wrapper [data-gu-name=standfirst] p:first-of-type{border-top:unset}}.furniture-wrapper .standfirst ul li,.furniture-wrapper #standfirst ul li,.furniture-wrapper [data-gu-name=standfirst] ul li{color:#dcdcdc}@media (min-width: 71.25em){.furniture-wrapper .standfirst:before,.furniture-wrapper #standfirst:before,.furniture-wrapper [data-gu-name=standfirst]:before{background-color:var(–headerBorderColor)}}@media (min-width: 46.25em){.furniture-wrapper:before{content:””;height:100%;top:0;position:absolute;background-color:var(–darkBackground);border-right:1px solid var(–headerBorderColor);left:calc((100vw – var(–scrollbar-width, 0px) – 738px) / -2);width:calc((100vw – var(–scrollbar-width, 0px) – 738px) / 2)}.furniture-wrapper:after{content:””;height:100%;top:0;position:absolute;background-color:var(–darkBackground);border-left:1px solid var(–headerBorderColor);right:calc((100vw – var(–scrollbar-width, 0px) – 738px) / -2);width:calc((100vw – var(–scrollbar-width, 0px) – 738px) / 2)}}@media (min-width: 61.25em){.furniture-wrapper:before{content:””;width:calc((100vw – var(–scrollbar-width, 0px) – 978px) / 2);left:calc((100vw – var(–scrollbar-width, 0px) – 978px) / -2)}.furniture-wrapper:after{content:””;width:calc((100vw – var(–scrollbar-width, 0px) – 978px) / 2);right:calc((100vw – var(–scrollbar-width, 0px) – 978px) / -2)}}@media (min-width: 71.25em){.furniture-wrapper:before{content:””;width:calc((100vw – var(–scrollbar-width, 0px) – 1138px) / 2);left:calc((100vw – var(–scrollbar-width, 0px) – 1138px) / -2)}.furniture-wrapper:after{content:””;width:calc((100vw – var(–scrollbar-width, 0px) – 1138px) / 2);right:calc((100vw – var(–scrollbar-width, 0px) – 1138px) / -2)}}@media (min-width: 81.25em){.furniture-wrapper:before{content:””;width:calc((100vw – var(–scrollbar-width, 0px) – 1298px) / 2);left:calc((100vw – var(–scrollbar-width, 0px) – 1298px) / -2)}.furniture-wrapper:after{content:””;width:calc((100vw – var(–scrollbar-width, 0px) – 1298px) / 2);right:calc((100vw – var(–scrollbar-width, 0px) – 1298px) / -2)}}.furniture-wrapper .keyline-4 svg,.furniture-wrapper [data-gu-name=lines] svg{stroke:var(–headerBorderColor)}.furniture-wrapper #meta .meta__social,.furniture-wrapper #meta .meta__social ul li a span,.furniture-wrapper #meta .meta__comment,.furniture-wrapper [data-gu-name=meta] .meta__social,.furniture-wrapper [data-gu-name=meta] .meta__social ul li a span,.furniture-wrapper [data-gu-name=meta] .meta__comment{border-color:var(–headerBorderColor)}.article .article__body h2,article.content–interactive [data-gu-name=body] h2{font-weight:200}.article .article__body h2:has(strong),article.content–interactive [data-gu-name=body] h2:has(strong){font-weight:700}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.ttf) format(“truetype”);font-weight:300;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.ttf) format(“truetype”);font-weight:300;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.ttf) format(“truetype”);font-weight:400;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.ttf) format(“truetype”);font-weight:400;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.ttf) format(“truetype”);font-weight:500;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.ttf) format(“truetype”);font-weight:500;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.ttf) format(“truetype”);font-weight:600;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.ttf) format(“truetype”);font-weight:600;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.ttf) format(“truetype”);font-weight:700;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.ttf) format(“truetype”);font-weight:700;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.ttf) format(“truetype”);font-weight:900;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.ttf) format(“truetype”);font-weight:900;font-style:italic}@font-face{font-family:Guardian Titlepiece;src:url(https://interactive.guim.co.uk/fonts/garnett/GTGuardianTitlepiece-Bold.woff2) format(“woff2”),url(https://interactive.guim.co.uk/fonts/garnett/GTGuardianTitlepiece-Bold.woff) format(“woff”),url(https://interactive.guim.co.uk/fonts/garnett/GTGuardianTitlepiece-Bold.ttf) format(“truetype”);font-weight:700;font-style:normal}:root:has(.ios,.android){–darkBackground: #1a1a1a;–feature: #c70000;–darkmodeFeature: #ff5943;–new-pillar-colour: var(–primary-pillar, var(–feature))}@media (prefers-color-scheme: dark){:root:has(.ios,.android){–new-pillar-colour: var(–darkmode-pillar, var(–darkmodeFeature))}}body.ios #feature-article-container .element-atom:first-of-type+p:first-of-type:first-letter,body.ios #feature-article-container .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,body.ios #feature-article-container .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,body.ios #standard-article-container .element-atom:first-of-type+p:first-of-type:first-letter,body.ios #standard-article-container .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,body.ios #standard-article-container .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,body.ios #comment-article-container .element-atom:first-of-type+p:first-of-type:first-letter,body.ios #comment-article-container .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,body.ios #comment-article-container .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,body.android #feature-article-container .element-atom:first-of-type+p:first-of-type:first-letter,body.android #feature-article-container .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,body.android #feature-article-container .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,body.android #standard-article-container .element-atom:first-of-type+p:first-of-type:first-letter,body.android #standard-article-container .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,body.android #standard-article-container .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter,body.android #comment-article-container .element-atom:first-of-type+p:first-of-type:first-letter,body.android #comment-article-container .element-atom:first-of-type+.sign-in-gate+p:first-of-type:first-letter,body.android #comment-article-container .element-atom:first-of-type+#sign-in-gate+p:first-of-type:first-letter{color:var(–secondary-pillar, #000)}body.ios #feature-article-container .article__header,body.ios #standard-article-container .article__header,body.ios #comment-article-container .article__header,body.android #feature-article-container .article__header,body.android #standard-article-container .article__header,body.android #comment-article-container .article__header{height:0}body.ios #feature-article-container .furniture-wrapper,body.ios #standard-article-container .furniture-wrapper,body.ios #comment-article-container .furniture-wrapper,body.android #feature-article-container .furniture-wrapper,body.android #standard-article-container .furniture-wrapper,body.android #comment-article-container .furniture-wrapper{padding:4px 10px 0}body.ios #feature-article-container .furniture-wrapper .content__labels,body.ios #standard-article-container .furniture-wrapper .content__labels,body.ios #comment-article-container .furniture-wrapper .content__labels,body.android #feature-article-container .furniture-wrapper .content__labels,body.android #standard-article-container .furniture-wrapper .content__labels,body.android #comment-article-container .furniture-wrapper .content__labels{font-weight:700;font-family:Guardian Headline,Guardian Egyptian Web,Guardian Headline Full,Georgia,serif;color:var(–new-pillar-colour);text-transform:capitalize}body.ios #feature-article-container .furniture-wrapper h1.headline,body.ios #standard-article-container .furniture-wrapper h1.headline,body.ios #comment-article-container .furniture-wrapper h1.headline,body.android #feature-article-container .furniture-wrapper h1.headline,body.android #standard-article-container .furniture-wrapper h1.headline,body.android #comment-article-container .furniture-wrapper h1.headline{font-size:32px;font-weight:700;padding-bottom:12px;color:#121212!important}body.ios #feature-article-container .furniture-wrapper figure.element-image,body.ios #standard-article-container .furniture-wrapper figure.element-image,body.ios #comment-article-container .furniture-wrapper figure.element-image,body.android #feature-article-container .furniture-wrapper figure.element-image,body.android #standard-article-container .furniture-wrapper figure.element-image,body.android #comment-article-container .furniture-wrapper figure.element-image{position:relative;margin:14px 0 0 -10px;width:calc(100vw – var(–scrollbar-width, 0px));height:auto}body.ios #feature-article-container .furniture-wrapper figure.element-image .figure__inner,body.ios #feature-article-container .furniture-wrapper figure.element-image img,body.ios #feature-article-container .furniture-wrapper figure.element-image a,body.ios #standard-article-container .furniture-wrapper figure.element-image .figure__inner,body.ios #standard-article-container .furniture-wrapper figure.element-image img,body.ios #standard-article-container .furniture-wrapper figure.element-image a,body.ios #comment-article-container .furniture-wrapper figure.element-image .figure__inner,body.ios #comment-article-container .furniture-wrapper figure.element-image img,body.ios #comment-article-container .furniture-wrapper figure.element-image a,body.android #feature-article-container .furniture-wrapper figure.element-image .figure__inner,body.android #feature-article-container .furniture-wrapper figure.element-image img,body.android #feature-article-container .furniture-wrapper figure.element-image a,body.android #standard-article-container .furniture-wrapper figure.element-image .figure__inner,body.android #standard-article-container .furniture-wrapper figure.element-image img,body.android #standard-article-container .furniture-wrapper figure.element-image a,body.android #comment-article-container .furniture-wrapper figure.element-image .figure__inner,body.android #comment-article-container .furniture-wrapper figure.element-image img,body.android #comment-article-container .furniture-wrapper figure.element-image a{background-color:transparent;width:calc(100vw – var(–scrollbar-width, 0px));height:auto!important}body.ios #feature-article-container .furniture-wrapper .standfirst,body.ios #standard-article-container .furniture-wrapper .standfirst,body.ios #comment-article-container .furniture-wrapper .standfirst,body.android #feature-article-container .furniture-wrapper .standfirst,body.android #standard-article-container .furniture-wrapper .standfirst,body.android #comment-article-container .furniture-wrapper .standfirst{padding-top:4px;padding-bottom:24px;margin-right:-10px}body.ios #feature-article-container .furniture-wrapper .standfirst__inner p,body.ios #standard-article-container .furniture-wrapper .standfirst__inner p,body.ios #comment-article-container .furniture-wrapper .standfirst__inner p,body.android #feature-article-container .furniture-wrapper .standfirst__inner p,body.android #standard-article-container .furniture-wrapper .standfirst__inner p,body.android #comment-article-container .furniture-wrapper .standfirst__inner p{font-family:Guardian Headline,Guardian Egyptian Web,Guardian Headline Full,Georgia,serif}body.ios #feature-article-container .furniture-wrapper .standfirst__inner li a,body.ios #feature-article-container .furniture-wrapper .standfirst__inner a,body.ios #standard-article-container .furniture-wrapper .standfirst__inner li a,body.ios #standard-article-container .furniture-wrapper .standfirst__inner a,body.ios #comment-article-container .furniture-wrapper .standfirst__inner li a,body.ios #comment-article-container .furniture-wrapper .standfirst__inner a,body.android #feature-article-container .furniture-wrapper .standfirst__inner li a,body.android #feature-article-container .furniture-wrapper .standfirst__inner a,body.android #standard-article-container .furniture-wrapper .standfirst__inner li a,body.android #standard-article-container .furniture-wrapper .standfirst__inner a,body.android #comment-article-container .furniture-wrapper .standfirst__inner li a,body.android #comment-article-container .furniture-wrapper .standfirst__inner a{color:var(–new-pillar-colour)!important;background-image:none!important;text-decoration:underline;text-underline-offset:6px;text-decoration-color:var(–headerBorder, #dcdcdc);border-bottom:none}body.ios #feature-article-container .furniture-wrapper .standfirst__inner li a:hover,body.ios #feature-article-container .furniture-wrapper .standfirst__inner a:hover,body.ios #standard-article-container .furniture-wrapper .standfirst__inner li a:hover,body.ios #standard-article-container .furniture-wrapper .standfirst__inner a:hover,body.ios #comment-article-container .furniture-wrapper .standfirst__inner li a:hover,body.ios #comment-article-container .furniture-wrapper .standfirst__inner a:hover,body.android #feature-article-container .furniture-wrapper .standfirst__inner li a:hover,body.android #feature-article-container .furniture-wrapper .standfirst__inner a:hover,body.android #standard-article-container .furniture-wrapper .standfirst__inner li a:hover,body.android #standard-article-container .furniture-wrapper .standfirst__inner a:hover,body.android #comment-article-container .furniture-wrapper .standfirst__inner li a:hover,body.android #comment-article-container .furniture-wrapper .standfirst__inner a:hover{text-decoration-color:var(–new-pillar-colour)}body.ios #feature-article-container .furniture-wrapper .meta,body.ios #standard-article-container .furniture-wrapper .meta,body.ios #comment-article-container .furniture-wrapper .meta,body.android #feature-article-container .furniture-wrapper .meta,body.android #standard-article-container .furniture-wrapper .meta,body.android #comment-article-container .furniture-wrapper .meta{margin:0}body.ios #feature-article-container .furniture-wrapper .meta .byline,body.ios #feature-article-container .furniture-wrapper .meta .byline__author,body.ios #feature-article-container .furniture-wrapper .meta span.byline__author a,body.ios #feature-article-container .furniture-wrapper .meta .meta__byline span,body.ios #standard-article-container .furniture-wrapper .meta .byline,body.ios #standard-article-container .furniture-wrapper .meta .byline__author,body.ios #standard-article-container .furniture-wrapper .meta span.byline__author a,body.ios #standard-article-container .furniture-wrapper .meta .meta__byline span,body.ios #comment-article-container .furniture-wrapper .meta .byline,body.ios #comment-article-container .furniture-wrapper .meta .byline__author,body.ios #comment-article-container .furniture-wrapper .meta span.byline__author a,body.ios #comment-article-container .furniture-wrapper .meta .meta__byline span,body.android #feature-article-container .furniture-wrapper .meta .byline,body.android #feature-article-container .furniture-wrapper .meta .byline__author,body.android #feature-article-container .furniture-wrapper .meta span.byline__author a,body.android #feature-article-container .furniture-wrapper .meta .meta__byline span,body.android #standard-article-container .furniture-wrapper .meta .byline,body.android #standard-article-container .furniture-wrapper .meta .byline__author,body.android #standard-article-container .furniture-wrapper .meta span.byline__author a,body.android #standard-article-container .furniture-wrapper .meta .meta__byline span,body.android #comment-article-container .furniture-wrapper .meta .byline,body.android #comment-article-container .furniture-wrapper .meta .byline__author,body.android #comment-article-container .furniture-wrapper .meta span.byline__author a,body.android #comment-article-container .furniture-wrapper .meta .meta__byline span{color:var(–new-pillar-colour)}body.ios #feature-article-container .furniture-wrapper .meta__misc,body.ios #standard-article-container .furniture-wrapper .meta__misc,body.ios #comment-article-container .furniture-wrapper .meta__misc,body.android #feature-article-container .furniture-wrapper .meta__misc,body.android #standard-article-container .furniture-wrapper .meta__misc,body.android #comment-article-container .furniture-wrapper .meta__misc{padding:0}body.ios #feature-article-container .furniture-wrapper .meta__misc svg,body.ios #standard-article-container .furniture-wrapper .meta__misc svg,body.ios #comment-article-container .furniture-wrapper .meta__misc svg,body.android #feature-article-container .furniture-wrapper .meta__misc svg,body.android #standard-article-container .furniture-wrapper .meta__misc svg,body.android #comment-article-container .furniture-wrapper .meta__misc svg{stroke:var(–new-pillar-colour)}body.ios #feature-article-container .furniture-wrapper .element–showcase #caption-button,body.ios #standard-article-container .furniture-wrapper .element–showcase #caption-button,body.ios #comment-article-container .furniture-wrapper .element–showcase #caption-button,body.android #feature-article-container .furniture-wrapper .element–showcase #caption-button,body.android #standard-article-container .furniture-wrapper .element–showcase #caption-button,body.android #comment-article-container .furniture-wrapper .element–showcase #caption-button{display:flex;padding:5px;justify-content:center;align-items:center;width:28px;height:28px;right:14px}body.ios #feature-article-container .article__body,body.ios #standard-article-container .article__body,body.ios #comment-article-container .article__body,body.android #feature-article-container .article__body,body.android #standard-article-container .article__body,body.android #comment-article-container .article__body{padding:0 12px}body.ios #feature-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive),body.ios #standard-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive),body.ios #comment-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive),body.android #feature-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive),body.android #standard-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive),body.android #comment-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive){margin:0;width:calc(100vw – 24px – var(–scrollbar-width, 0px));height:auto}body.ios #feature-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive) figcaption,body.ios #standard-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive) figcaption,body.ios #comment-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive) figcaption,body.android #feature-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive) figcaption,body.android #standard-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive) figcaption,body.android #comment-article-container .article__body figure.element-image:not(.element–thumbnail):not(.element–immersive) figcaption{padding:0}body.ios #feature-article-container .article__body figure.element-image.element-immersive,body.ios #standard-article-container .article__body figure.element-image.element-immersive,body.ios #comment-article-container .article__body figure.element-image.element-immersive,body.android #feature-article-container .article__body figure.element-image.element-immersive,body.android #standard-article-container .article__body figure.element-image.element-immersive,body.android #comment-article-container .article__body figure.element-image.element-immersive{width:calc(100vw – var(–scrollbar-width, 0px))}body.ios #feature-article-container .article__body .prose blockquote.quoted:before,body.ios #standard-article-container .article__body .prose blockquote.quoted:before,body.ios #comment-article-container .article__body .prose blockquote.quoted:before,body.android #feature-article-container .article__body .prose blockquote.quoted:before,body.android #standard-article-container .article__body .prose blockquote.quoted:before,body.android #comment-article-container .article__body .prose blockquote.quoted:before{color:var(–new-pillar-colour)}body.ios #feature-article-container .article__body .prose a,body.ios #standard-article-container .article__body .prose a,body.ios #comment-article-container .article__body .prose a,body.android #feature-article-container .article__body .prose a,body.android #standard-article-container .article__body .prose a,body.android #comment-article-container .article__body .prose a{color:var(–primary-pillar);background-image:none;text-decoration:underline;text-underline-offset:6px;text-decoration-color:var(–headerBorder)}body.ios #feature-article-container .article__body .prose a:hover,body.ios #standard-article-container .article__body .prose a:hover,body.ios #comment-article-container .article__body .prose a:hover,body.android #feature-article-container .article__body .prose a:hover,body.android #standard-article-container .article__body .prose a:hover,body.android #comment-article-container .article__body .prose a:hover{text-decoration-color:var(–new-pillar-colour)}@media (prefers-color-scheme: dark){body.ios #feature-article-container .furniture-wrapper,body.ios #standard-article-container .furniture-wrapper,body.ios #comment-article-container .furniture-wrapper,body.android #feature-article-container .furniture-wrapper,body.android #standard-article-container .furniture-wrapper,body.android #comment-article-container .furniture-wrapper{background-color:#1a1a1a}body.ios #feature-article-container .furniture-wrapper .content__labels,body.ios #standard-article-container .furniture-wrapper .content__labels,body.ios #comment-article-container .furniture-wrapper .content__labels,body.android #feature-article-container .furniture-wrapper .content__labels,body.android #standard-article-container .furniture-wrapper .content__labels,body.android #comment-article-container .furniture-wrapper .content__labels{color:var(–new-pillar-colour)}body.ios #feature-article-container .furniture-wrapper h1.headline,body.ios #standard-article-container .furniture-wrapper h1.headline,body.ios #comment-article-container .furniture-wrapper h1.headline,body.android #feature-article-container .furniture-wrapper h1.headline,body.android #standard-article-container .furniture-wrapper h1.headline,body.android #comment-article-container .furniture-wrapper h1.headline{background-color:unset;color:var(–headerBorder)!important}body.ios #feature-article-container .furniture-wrapper .standfirst p,body.ios #standard-article-container .furniture-wrapper .standfirst p,body.ios #comment-article-container .furniture-wrapper .standfirst p,body.android #feature-article-container .furniture-wrapper .standfirst p,body.android #standard-article-container .furniture-wrapper .standfirst p,body.android #comment-article-container .furniture-wrapper .standfirst p{color:var(–headerBorder)}body.ios #feature-article-container .furniture-wrapper .standfirst a,body.ios #standard-article-container .furniture-wrapper .standfirst a,body.ios #comment-article-container .furniture-wrapper .standfirst a,body.android #feature-article-container .furniture-wrapper .standfirst a,body.android #standard-article-container .furniture-wrapper .standfirst a,body.android #comment-article-container .furniture-wrapper .standfirst a,body.ios #feature-article-container .furniture-wrapper .meta .byline__author,body.ios #feature-article-container .furniture-wrapper .meta span.byline__author a,body.ios #standard-article-container .furniture-wrapper .meta .byline__author,body.ios #standard-article-container .furniture-wrapper .meta span.byline__author a,body.ios #comment-article-container .furniture-wrapper .meta .byline__author,body.ios #comment-article-container .furniture-wrapper .meta span.byline__author a,body.android #feature-article-container .furniture-wrapper .meta .byline__author,body.android #feature-article-container .furniture-wrapper .meta span.byline__author a,body.android #standard-article-container .furniture-wrapper .meta .byline__author,body.android #standard-article-container .furniture-wrapper .meta span.byline__author a,body.android #comment-article-container .furniture-wrapper .meta .byline__author,body.android #comment-article-container .furniture-wrapper .meta span.byline__author a{color:var(–new-pillar-colour)}body.ios #feature-article-container .furniture-wrapper .meta__misc svg,body.ios #standard-article-container .furniture-wrapper .meta__misc svg,body.ios #comment-article-container .furniture-wrapper .meta__misc svg,body.android #feature-article-container .furniture-wrapper .meta__misc svg,body.android #standard-article-container .furniture-wrapper .meta__misc svg,body.android #comment-article-container .furniture-wrapper .meta__misc svg{stroke:var(–new-pillar-colour)}body.ios #feature-article-container .furniture-wrapper figure.element-image.element–showcase figcaption,body.ios #standard-article-container .furniture-wrapper figure.element-image.element–showcase figcaption,body.ios #comment-article-container .furniture-wrapper figure.element-image.element–showcase figcaption,body.android #feature-article-container .furniture-wrapper figure.element-image.element–showcase figcaption,body.android #standard-article-container .furniture-wrapper figure.element-image.element–showcase figcaption,body.android #comment-article-container .furniture-wrapper figure.element-image.element–showcase figcaption{color:var(–dateline)}body.ios #feature-article-container .article__body .prose blockquote.quoted,body.ios #standard-article-container .article__body .prose blockquote.quoted,body.ios #comment-article-container .article__body .prose blockquote.quoted,body.android #feature-article-container .article__body .prose blockquote.quoted,body.android #standard-article-container .article__body .prose blockquote.quoted,body.android #comment-article-container .article__body .prose blockquote.quoted{color:var(–new-pillar-colour)}body.ios #feature-article-container #article-body >div,body.ios #feature-article-container .content–interactive >div,body.ios #feature-article-container #feature-body,body.ios #feature-article-container [data-gu-name=body],body.ios #feature-article-container #comment-body,body.ios #standard-article-container #article-body >div,body.ios #standard-article-container .content–interactive >div,body.ios #standard-article-container #feature-body,body.ios #standard-article-container [data-gu-name=body],body.ios #standard-article-container #comment-body,body.ios #comment-article-container #article-body >div,body.ios #comment-article-container .content–interactive >div,body.ios #comment-article-container #feature-body,body.ios #comment-article-container [data-gu-name=body],body.ios #comment-article-container #comment-body,body.android #feature-article-container #article-body >div,body.android #feature-article-container .content–interactive >div,body.android #feature-article-container #feature-body,body.android #feature-article-container [data-gu-name=body],body.android #feature-article-container #comment-body,body.android #standard-article-container #article-body >div,body.android #standard-article-container .content–interactive >div,body.android #standard-article-container #feature-body,body.android #standard-article-container [data-gu-name=body],body.android #standard-article-container #comment-body,body.android #comment-article-container #article-body >div,body.android #comment-article-container .content–interactive >div,body.android #comment-article-container #feature-body,body.android #comment-article-container [data-gu-name=body],body.android #comment-article-container #comment-body{background-color:var(–darkBackground)!important}body.ios #feature-article-container #article-body >div .element-atom+p:first-letter,body.ios #feature-article-container #article-body >div .element-atom+.sign-in-gate+p:first-letter,body.ios #feature-article-container #article-body >div .element-atom+#sign-in-gate+p:first-letter,body.ios #feature-article-container .content–interactive >div .element-atom+p:first-letter,body.ios #feature-article-container .content–interactive >div .element-atom+.sign-in-gate+p:first-letter,body.ios #feature-article-container .content–interactive >div .element-atom+#sign-in-gate+p:first-letter,body.ios #feature-article-container #feature-body .element-atom+p:first-letter,body.ios #feature-article-container #feature-body .element-atom+.sign-in-gate+p:first-letter,body.ios #feature-article-container #feature-body .element-atom+#sign-in-gate+p:first-letter,body.ios #feature-article-container [data-gu-name=body] .element-atom+p:first-letter,body.ios #feature-article-container [data-gu-name=body] .element-atom+.sign-in-gate+p:first-letter,body.ios #feature-article-container [data-gu-name=body] .element-atom+#sign-in-gate+p:first-letter,body.ios #feature-article-container #comment-body .element-atom+p:first-letter,body.ios #feature-article-container #comment-body .element-atom+.sign-in-gate+p:first-letter,body.ios #feature-article-container #comment-body .element-atom+#sign-in-gate+p:first-letter,body.ios #standard-article-container #article-body >div .element-atom+p:first-letter,body.ios #standard-article-container #article-body >div .element-atom+.sign-in-gate+p:first-letter,body.ios #standard-article-container #article-body >div .element-atom+#sign-in-gate+p:first-letter,body.ios #standard-article-container .content–interactive >div .element-atom+p:first-letter,body.ios #standard-article-container .content–interactive >div .element-atom+.sign-in-gate+p:first-letter,body.ios #standard-article-container .content–interactive >div .element-atom+#sign-in-gate+p:first-letter,body.ios #standard-article-container #feature-body .element-atom+p:first-letter,body.ios #standard-article-container #feature-body .element-atom+.sign-in-gate+p:first-letter,body.ios #standard-article-container #feature-body .element-atom+#sign-in-gate+p:first-letter,body.ios #standard-article-container [data-gu-name=body] .element-atom+p:first-letter,body.ios #standard-article-container [data-gu-name=body] .element-atom+.sign-in-gate+p:first-letter,body.ios #standard-article-container [data-gu-name=body] .element-atom+#sign-in-gate+p:first-letter,body.ios #standard-article-container #comment-body .element-atom+p:first-letter,body.ios #standard-article-container #comment-body .element-atom+.sign-in-gate+p:first-letter,body.ios #standard-article-container #comment-body .element-atom+#sign-in-gate+p:first-letter,body.ios #comment-article-container #article-body >div .element-atom+p:first-letter,body.ios #comment-article-container #article-body >div .element-atom+.sign-in-gate+p:first-letter,body.ios #comment-article-container #article-body >div .element-atom+#sign-in-gate+p:first-letter,body.ios #comment-article-container .content–interactive >div .element-atom+p:first-letter,body.ios #comment-article-container .content–interactive >div .element-atom+.sign-in-gate+p:first-letter,body.ios #comment-article-container .content–interactive >div .element-atom+#sign-in-gate+p:first-letter,body.ios #comment-article-container #feature-body .element-atom+p:first-letter,body.ios #comment-article-container #feature-body .element-atom+.sign-in-gate+p:first-letter,body.ios #comment-article-container #feature-body .element-atom+#sign-in-gate+p:first-letter,body.ios #comment-article-container [data-gu-name=body] .element-atom+p:first-letter,body.ios #comment-article-container [data-gu-name=body] .element-atom+.sign-in-gate+p:first-letter,body.ios #comment-article-container [data-gu-name=body] .element-atom+#sign-in-gate+p:first-letter,body.ios #comment-article-container #comment-body .element-atom+p:first-letter,body.ios #comment-article-container #comment-body .element-atom+.sign-in-gate+p:first-letter,body.ios #comment-article-container #comment-body .element-atom+#sign-in-gate+p:first-letter,body.android #feature-article-container #article-body >div .element-atom+p:first-letter,body.android #feature-article-container #article-body >div .element-atom+.sign-in-gate+p:first-letter,body.android #feature-article-container #article-body >div .element-atom+#sign-in-gate+p:first-letter,body.android #feature-article-container .content–interactive >div .element-atom+p:first-letter,body.android #feature-article-container .content–interactive >div .element-atom+.sign-in-gate+p:first-letter,body.android #feature-article-container .content–interactive >div .element-atom+#sign-in-gate+p:first-letter,body.android #feature-article-container #feature-body .element-atom+p:first-letter,body.android #feature-article-container #feature-body .element-atom+.sign-in-gate+p:first-letter,body.android #feature-article-container #feature-body .element-atom+#sign-in-gate+p:first-letter,body.android #feature-article-container [data-gu-name=body] .element-atom+p:first-letter,body.android #feature-article-container [data-gu-name=body] .element-atom+.sign-in-gate+p:first-letter,body.android #feature-article-container [data-gu-name=body] .element-atom+#sign-in-gate+p:first-letter,body.android #feature-article-container #comment-body .element-atom+p:first-letter,body.android #feature-article-container #comment-body .element-atom+.sign-in-gate+p:first-letter,body.android #feature-article-container #comment-body .element-atom+#sign-in-gate+p:first-letter,body.android #standard-article-container #article-body >div .element-atom+p:first-letter,body.android #standard-article-container #article-body >div .element-atom+.sign-in-gate+p:first-letter,body.android #standard-article-container #article-body >div .element-atom+#sign-in-gate+p:first-letter,body.android #standard-article-container .content–interactive >div .element-atom+p:first-letter,body.android #standard-article-container .content–interactive >div .element-atom+.sign-in-gate+p:first-letter,body.android #standard-article-container .content–interactive >div .element-atom+#sign-in-gate+p:first-letter,body.android #standard-article-container #feature-body .element-atom+p:first-letter,body.android #standard-article-container #feature-body .element-atom+.sign-in-gate+p:first-letter,body.android #standard-article-container #feature-body .element-atom+#sign-in-gate+p:first-letter,body.android #standard-article-container [data-gu-name=body] .element-atom+p:first-letter,body.android #standard-article-container [data-gu-name=body] .element-atom+.sign-in-gate+p:first-letter,body.android #standard-article-container [data-gu-name=body] .element-atom+#sign-in-gate+p:first-letter,body.android #standard-article-container #comment-body .element-atom+p:first-letter,body.android #standard-article-container #comment-body .element-atom+.sign-in-gate+p:first-letter,body.android #standard-article-container #comment-body .element-atom+#sign-in-gate+p:first-letter,body.android #comment-article-container #article-body >div .element-atom+p:first-letter,body.android #comment-article-container #article-body >div .element-atom+.sign-in-gate+p:first-letter,body.android #comment-article-container #article-body >div .element-atom+#sign-in-gate+p:first-letter,body.android #comment-article-container .content–interactive >div .element-atom+p:first-letter,body.android #comment-article-container .content–interactive >div .element-atom+.sign-in-gate+p:first-letter,body.android #comment-article-container .content–interactive >div .element-atom+#sign-in-gate+p:first-letter,body.android #comment-article-container #feature-body .element-atom+p:first-letter,body.android #comment-article-container #feature-body .element-atom+.sign-in-gate+p:first-letter,body.android #comment-article-container #feature-body .element-atom+#sign-in-gate+p:first-letter,body.android #comment-article-container [data-gu-name=body] .element-atom+p:first-letter,body.android #comment-article-container [data-gu-name=body] .element-atom+.sign-in-gate+p:first-letter,body.android #comment-article-container [data-gu-name=body] .element-atom+#sign-in-gate+p:first-letter,body.android #comment-article-container #comment-body .element-atom+p:first-letter,body.android #comment-article-container #comment-body .element-atom+.sign-in-gate+p:first-letter,body.android #comment-article-container #comment-body .element-atom+#sign-in-gate+p:first-letter{color:var(–new-pillar-colour, #ffffff)}}body.ios.garnett–type-comment #comment-article-container .furniture-wrapper .standfirst,body.android.garnett–type-comment #comment-article-container .furniture-wrapper .standfirst{padding-top:24px;margin-top:0}.prose h2{font-size:24px}body.ios #feature-article-container #caption-button,body.ios #standard-article-container #caption-button,body.ios #comment-article-container #caption-button{padding:6px 5px 0}body.android #feature-article-container #caption-button,body.android #standard-article-container #caption-button,body.android #comment-article-container #caption-button{padding:4px 4px 0}@media (prefers-color-scheme: dark){:root:root:not([data-color-scheme=light]){–follow-text: #dcdcdc;–follow-icon-fill: var(–darkmode-pillar);–standfirst-text: #dcdcdc;–standfirst-link-text: var(–darkmode-pillar);–standfirst-link-border: var(–darkmode-pillar);–byline: var(–darkmode-pillar)}}:root{–darkBackground: #1a1a1a}body.ios #feature-article-container .article__header,body.ios #standard-article-container .article__header,body.ios #comment-article-container .article__header,body.android #feature-article-container .article__header,body.android #standard-article-container .article__header,body.android #comment-article-container .article__header{opacity:0!important}body.ios #feature-article-container .furniture-wrapper,body.ios #standard-article-container .furniture-wrapper,body.ios #comment-article-container .furniture-wrapper,body.android #feature-article-container .furniture-wrapper,body.android #standard-article-container .furniture-wrapper,body.android #comment-article-container .furniture-wrapper{margin:0}body.ios #feature-article-container .furniture-wrapper .content__labels,body.ios #standard-article-container .furniture-wrapper .content__labels,body.ios #comment-article-container .furniture-wrapper .content__labels,body.android #feature-article-container .furniture-wrapper .content__labels,body.android #standard-article-container .furniture-wrapper .content__labels,body.android #comment-article-container .furniture-wrapper .content__labels{color:var(–new-pillar-colour, –darkModeFeature)}body.ios #feature-article-container .furniture-wrapper h1.headline,body.ios #standard-article-container .furniture-wrapper h1.headline,body.ios #comment-article-container .furniture-wrapper h1.headline,body.android #feature-article-container .furniture-wrapper h1.headline,body.android #standard-article-container .furniture-wrapper h1.headline,body.android #comment-article-container .furniture-wrapper h1.headline{color:#dcdcdc!important}body.ios #feature-article-container .furniture-wrapper .article-header a,body.ios #feature-article-container .furniture-wrapper [data-gu-name=title] a,body.ios #standard-article-container .furniture-wrapper .article-header a,body.ios #standard-article-container .furniture-wrapper [data-gu-name=title] a,body.ios #comment-article-container .furniture-wrapper .article-header a,body.ios #comment-article-container .furniture-wrapper [data-gu-name=title] a,body.android #feature-article-container .furniture-wrapper .article-header a,body.android #feature-article-container .furniture-wrapper [data-gu-name=title] a,body.android #standard-article-container .furniture-wrapper .article-header a,body.android #standard-article-container .furniture-wrapper [data-gu-name=title] a,body.android #comment-article-container .furniture-wrapper .article-header a,body.android #comment-article-container .furniture-wrapper [data-gu-name=title] a{color:var(–new-pillar-colour, –darkModeFeature)}body.ios #feature-article-container .furniture-wrapper #meta:before,body.ios #feature-article-container .furniture-wrapper [data-gu-name=meta]:before,body.ios #standard-article-container .furniture-wrapper #meta:before,body.ios #standard-article-container .furniture-wrapper [data-gu-name=meta]:before,body.ios #comment-article-container .furniture-wrapper #meta:before,body.ios #comment-article-container .furniture-wrapper [data-gu-name=meta]:before,body.android #feature-article-container .furniture-wrapper #meta:before,body.android #feature-article-container .furniture-wrapper [data-gu-name=meta]:before,body.android #standard-article-container .furniture-wrapper #meta:before,body.android #standard-article-container .furniture-wrapper [data-gu-name=meta]:before,body.android #comment-article-container .furniture-wrapper #meta:before,body.android #comment-article-container .furniture-wrapper [data-gu-name=meta]:before{background-image:repeating-linear-gradient(var(–headerBorderColor),var(–headerBorderColor) 1px,transparent 1px,transparent 3px)}body.ios #feature-article-container .furniture-wrapper #meta .byline,body.ios #feature-article-container .furniture-wrapper [data-gu-name=meta] .byline,body.ios #standard-article-container .furniture-wrapper #meta .byline,body.ios #standard-article-container .furniture-wrapper [data-gu-name=meta] .byline,body.ios #comment-article-container .furniture-wrapper #meta .byline,body.ios #comment-article-container .furniture-wrapper [data-gu-name=meta] .byline,body.android #feature-article-container .furniture-wrapper #meta .byline,body.android #feature-article-container .furniture-wrapper [data-gu-name=meta] .byline,body.android #standard-article-container .furniture-wrapper #meta .byline,body.android #standard-article-container .furniture-wrapper [data-gu-name=meta] .byline,body.android #comment-article-container .furniture-wrapper #meta .byline,body.android #comment-article-container .furniture-wrapper [data-gu-name=meta] .byline{color:#dcdcdc}body.ios #feature-article-container .furniture-wrapper #meta a,body.ios #feature-article-container .furniture-wrapper [data-gu-name=meta] a,body.ios #standard-article-container .furniture-wrapper #meta a,body.ios #standard-article-container .furniture-wrapper [data-gu-name=meta] a,body.ios #comment-article-container .furniture-wrapper #meta a,body.ios #comment-article-container .furniture-wrapper [data-gu-name=meta] a,body.android #feature-article-container .furniture-wrapper #meta a,body.android #feature-article-container .furniture-wrapper [data-gu-name=meta] a,body.android #standard-article-container .furniture-wrapper #meta a,body.android #standard-article-container .furniture-wrapper [data-gu-name=meta] a,body.android #comment-article-container .furniture-wrapper #meta a,body.android #comment-article-container .furniture-wrapper [data-gu-name=meta] a{color:var(–new-pillar-colour, –darkModeFeature)}body.ios #feature-article-container .furniture-wrapper #meta .meta__misc svg,body.ios #feature-article-container .furniture-wrapper [data-gu-name=meta] .meta__misc svg,body.ios #standard-article-container .furniture-wrapper #meta .meta__misc svg,body.ios #standard-article-container .furniture-wrapper [data-gu-name=meta] .meta__misc svg,body.ios #comment-article-container .furniture-wrapper #meta .meta__misc svg,body.ios #comment-article-container .furniture-wrapper [data-gu-name=meta] .meta__misc svg,body.android #feature-article-container .furniture-wrapper #meta .meta__misc svg,body.android #feature-article-container .furniture-wrapper [data-gu-name=meta] .meta__misc svg,body.android #standard-article-container .furniture-wrapper #meta .meta__misc svg,body.android #standard-article-container .furniture-wrapper [data-gu-name=meta] .meta__misc svg,body.android #comment-article-container .furniture-wrapper #meta .meta__misc svg,body.android #comment-article-container .furniture-wrapper [data-gu-name=meta] .meta__misc svg{stroke:var(–new-pillar-colour, –darkModeFeature)}body.ios #feature-article-container .furniture-wrapper #meta .alerts__label,body.ios #feature-article-container .furniture-wrapper [data-gu-name=meta] .alerts__label,body.ios #standard-article-container .furniture-wrapper #meta .alerts__label,body.ios #standard-article-container .furniture-wrapper [data-gu-name=meta] .alerts__label,body.ios #comment-article-container .furniture-wrapper #meta .alerts__label,body.ios #comment-article-container .furniture-wrapper [data-gu-name=meta] .alerts__label,body.android #feature-article-container .furniture-wrapper #meta .alerts__label,body.android #feature-article-container .furniture-wrapper [data-gu-name=meta] .alerts__label,body.android #standard-article-container .furniture-wrapper #meta .alerts__label,body.android #standard-article-container .furniture-wrapper [data-gu-name=meta] .alerts__label,body.android #comment-article-container .furniture-wrapper #meta .alerts__label,body.android #comment-article-container .furniture-wrapper [data-gu-name=meta] .alerts__label{color:#dcdcdc!important}body.ios #feature-article-container .furniture-wrapper #meta span[data-icon],body.ios #feature-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon],body.ios #standard-article-container .furniture-wrapper #meta span[data-icon],body.ios #standard-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon],body.ios #comment-article-container .furniture-wrapper #meta span[data-icon],body.ios #comment-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon],body.android #feature-article-container .furniture-wrapper #meta span[data-icon],body.android #feature-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon],body.android #standard-article-container .furniture-wrapper #meta span[data-icon],body.android #standard-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon],body.android #comment-article-container .furniture-wrapper #meta span[data-icon],body.android #comment-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon]{color:var(–new-pillar-colour, –darkModeFeature)}body.ios #feature-article-container .furniture-wrapper #meta span[data-icon]:before,body.ios #feature-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon]:before,body.ios #standard-article-container .furniture-wrapper #meta span[data-icon]:before,body.ios #standard-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon]:before,body.ios #comment-article-container .furniture-wrapper #meta span[data-icon]:before,body.ios #comment-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon]:before,body.android #feature-article-container .furniture-wrapper #meta span[data-icon]:before,body.android #feature-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon]:before,body.android #standard-article-container .furniture-wrapper #meta span[data-icon]:before,body.android #standard-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon]:before,body.android #comment-article-container .furniture-wrapper #meta span[data-icon]:before,body.android #comment-article-container .furniture-wrapper [data-gu-name=meta] span[data-icon]:before{color:var(–new-pillar-colour, –darkModeFeature)}@media (min-width: 71.25em){body.ios #feature-article-container .furniture-wrapper #meta,body.ios #feature-article-container .furniture-wrapper .meta.keyline-4,body.ios #standard-article-container .furniture-wrapper #meta,body.ios #standard-article-container .furniture-wrapper .meta.keyline-4,body.ios #comment-article-container .furniture-wrapper #meta,body.ios #comment-article-container .furniture-wrapper .meta.keyline-4,body.android #feature-article-container .furniture-wrapper #meta,body.android #feature-article-container .furniture-wrapper .meta.keyline-4,body.android #standard-article-container .furniture-wrapper #meta,body.android #standard-article-container .furniture-wrapper .meta.keyline-4,body.android #comment-article-container .furniture-wrapper #meta,body.android #comment-article-container .furniture-wrapper .meta.keyline-4{display:block;border-top:1px solid var(–new-pillar-colour, var(–headerBorderColor))}body.ios #feature-article-container .furniture-wrapper #meta .meta__misc,body.ios #feature-article-container .furniture-wrapper .meta.keyline-4 .meta__misc,body.ios #standard-article-container .furniture-wrapper #meta .meta__misc,body.ios #standard-article-container .furniture-wrapper .meta.keyline-4 .meta__misc,body.ios #comment-article-container .furniture-wrapper #meta .meta__misc,body.ios #comment-article-container .furniture-wrapper .meta.keyline-4 .meta__misc,body.android #feature-article-container .furniture-wrapper #meta .meta__misc,body.android #feature-article-container .furniture-wrapper .meta.keyline-4 .meta__misc,body.android #standard-article-container .furniture-wrapper #meta .meta__misc,body.android #standard-article-container .furniture-wrapper .meta.keyline-4 .meta__misc,body.android #comment-article-container .furniture-wrapper #meta .meta__misc,body.android #comment-article-container .furniture-wrapper .meta.keyline-4 .meta__misc{margin:unset;margin-left:20px}}body.ios #feature-article-container .article__body p,body.ios #feature-article-container .article__body ul,body.ios #standard-article-container .article__body p,body.ios #standard-article-container .article__body ul,body.ios #comment-article-container .article__body p,body.ios #comment-article-container .article__body ul,body.android #feature-article-container .article__body p,body.android #feature-article-container .article__body ul,body.android #standard-article-container .article__body p,body.android #standard-article-container .article__body ul,body.android #comment-article-container .article__body p,body.android #comment-article-container .article__body ul{max-width:620px}body.ios #feature-article-container .article__body .prose blockquote.quoted:before,body.ios #standard-article-container .article__body .prose blockquote.quoted:before,body.ios #comment-article-container .article__body .prose blockquote.quoted:before,body.android #feature-article-container .article__body .prose blockquote.quoted:before,body.android #standard-article-container .article__body .prose blockquote.quoted:before,body.android #comment-article-container .article__body .prose blockquote.quoted:before{color:var(–secondary-pillar)}body.ios #feature-article-container .article__body .prose a,body.ios #standard-article-container .article__body .prose a,body.ios #comment-article-container .article__body .prose a,body.android #feature-article-container .article__body .prose a,body.android #standard-article-container .article__body .prose a,body.android #comment-article-container .article__body .prose a{color:var(–primary-pillar);background-image:none;text-decoration:underline;text-underline-offset:6px;text-decoration-color:#dcdcdc}body.ios #feature-article-container .article__body .prose a:hover,body.ios #standard-article-container .article__body .prose a:hover,body.ios #comment-article-container .article__body .prose a:hover,body.android #feature-article-container .article__body .prose a:hover,body.android #standard-article-container .article__body .prose a:hover,body.android #comment-article-container .article__body .prose a:hover{background-image:none;text-decoration-color:var(–secondary-pillar)}@media (prefers-color-scheme: dark){body.ios #feature-article-container .article__body .prose blockquote.quoted:before,body.ios #standard-article-container .article__body .prose blockquote.quoted:before,body.ios #comment-article-container .article__body .prose blockquote.quoted:before,body.android #feature-article-container .article__body .prose blockquote.quoted:before,body.android #standard-article-container .article__body .prose blockquote.quoted:before,body.android #comment-article-container .article__body .prose blockquote.quoted:before{color:var(–darkmode-pillar)}body.ios #feature-article-container .article__body .prose a,body.ios #standard-article-container .article__body .prose a,body.ios #comment-article-container .article__body .prose a,body.android #feature-article-container .article__body .prose a,body.android #standard-article-container .article__body .prose a,body.android #comment-article-container .article__body .prose a{color:var(–darkmode-pillar)}body.ios #feature-article-container .article__body .prose a:hover,body.ios #standard-article-container .article__body .prose a:hover,body.ios #comment-article-container .article__body .prose a:hover,body.android #feature-article-container .article__body .prose a:hover,body.android #standard-article-container .article__body .prose a:hover,body.android #comment-article-container .article__body .prose a:hover{text-decoration-color:var(–darkmode-pillar)}}:root[data-rendering-target=apps]{–follow-text: #dcdcdc;–follow-icon-fill: var(–new-pillar-colour);–standfirst-text: #dcdcdc;–standfirst-link-text: var(–new-pillar-colour);–standfirst-link-border: var(–new-pillar-colour);–byline: var(–new-pillar-colour);–article-meta-lines: var(–headerBorderColor);–byline: var(–darkmode-pillar)}:root[data-rendering-target=apps] .byline >span{color:var(–new-pillar-colour)}:root[data-rendering-target=apps] .byline >span >div:has(+[name=FollowWapper]){background-image:var(–headerBorderColor),var(–headerBorderColor) 1px,transparent 1px}@media (prefers-color-scheme: light){:root[data-rendering-target=apps] [data-gu-name=meta] a[data-sponsor=”guardian.org”] picture img{filter:invert(1)}}

      View image in fullscreenFor Erica L and her husband, in-vitro fertilization was the “nuclear option”.After two years of trying to conceive, Erica and her husband had no idea why they could not have a baby. Doctors said only that they had “unexplained infertility”, a non-diagnosis of a diagnosis that is given to an estimated 15% of people trying to conceive. Erica was not ideologically opposed to trying IVF, but felt daunted by the price and unpredictability.Then Erica stumbled across a clinic that specialized in “restorative reproductive medicine”, or RRM. The clinic did bloodwork on Erica and her husband and urged them to eat well-balanced foods and take supplements, as well as prioritize exercise and sleep. Erica also started tracking her temperature and menstrual cycle in intense detail.“We wanted to do everything that we could to try to have a baby as naturally as possible,” said Erica, who asked that her full last name not be published. “There’s a lot of invasive things that I just wasn’t comfortable with.”Restorative reproductive medicine is a decades-old name for a constellation of therapies that are meant to revive the “natural” fertility of people trying to conceive. Often, RRM entails prescriptions for hormones, supplements and lifestyle changes – such as adopting a better diet – as well as closely analyzing one’s menstrual cycle. Its practitioners also sometimes use aggressive surgeries to root out endometriosis, a common and chronic condition that occurs when tissue that is similar to uterine tissue grows outside of the uterus. And, critically, RRM practitioners avoid the use of assisted reproductive technology such as IVF.Top Republicans, rightwing organizations and even White House officials have recently begun to rally behind RRM, seizing on its promise to enhance fertility without resorting to IVF. Many anti-abortion conservatives revile IVF because it can create unused embryos – a practice they see as unethical, if not murderous, as they believe life begins at conception.Yet IVF remains staggeringly popular, to the point that Donald Trump pledged to make it free in the wake of a 2024 Alabama supreme court decision that imperiled the procedure. Now, conservatives are trying to pare back that commitment – and some fertility doctors, including ones who offer RRM, worry that the right is co-opting RRM as a Trojan horse in order to sell a fertility agenda to voters while undermining IVF.Backed by several high-profile anti-abortion groups, Republicans in Congress have repeatedly introduced legislation to bolster government-funded research and education on RRM. In March, the Heritage Foundation – the influential thinktank behind the notorious Project 2025 – released a 63-page report that endorsed RRM and slammed IVF.Then, in July, the Department of Health and Human Services posted a notice soliciting applications for a $1.5m grant to fund an “infertility training center” that would expand access to resources for “holistic infertility treatments” rather than assisted reproductive technology. In August, the Washington Post reported that the Trump administration is backing away from the president’s campaign promises about IVF, although a White House spokesperson rebutted that claim.View image in fullscreenDr Kaylen Silverberg is a reproductive endocrinologist who has advised administration officials, including Trump’s chief of staff Susie Wiles, about IVF. During his discussions with officials, Silverberg said he was asked about RRM.“I’ve been doing this for 31 years, and I’d never even heard the term,” said Silverberg, who is also advisory board chair of the advocacy group Americans for IVF. “So I started doing research about it. I realized that restorative reproductive medicine is just a pseudonym for a basic infertility evaluation.”Silverberg’s view is shared by many mainstream fertility doctors and organizations, who say that the difference between their work and RRM is less scientific than ideological. In their view, RRM is a rebranded version of everyday fertility medicine, minus IVF.RRM, with its focus on optimizing the body’s “natural” rhythms, is tapping into a growing interest in holistic health and wellness – one that is being increasingly politicized and expertly leveraged by the “Make America Healthy Again” (Maha) movement.But support for RRM alone, Silverberg said, cannot fulfill Trump’s campaign promises. “The problem is going to be if – and this is a big if – anybody tries to limit expansion of fertility access and care and coverage to restorative reproductive medicine.”‘There is another option’RRM is not a monolith. Some of its leading organizations and adherents take no position on IVF and reject the idea that RRM is ideologically driven or a new name for old medicine. Instead, they are drawn to RRM’s stance that infertility is not itself a disease but a symptom of something else that has gone wrong.Established in 2000, the International Institute for Restorative Reproductive Medicine (IIRRM), the preeminent group championing RRM, maintains a registry of RRM clinicians and collects data about its techniques’ efficacy.Dr Monica Minjeur, who was trained in family medicine and serves as the US director of communications and development for the International Institute for Restorative Reproductive Medicine, said RRM is “not an anti-IVF movement”. As far as Minjeur knows, no one in Congress has approached the institute to discuss RRM.“We will never say: ‘IVF should go away.’ We just mostly want people to realize: ‘Hey, there is another option,’ because so many couples are told IVF is your only option,” said Minjeur, who added that she is a Democrat.View image in fullscreenSome RRM advocates and groups do oppose IVF and have long aligned themselves with conservative causes such as the anti-abortion movement. One of the most well-known RRM techniques is NaPro Technology, which usually involves such tactics as cervical mucus tracking and has been pioneered by the anti-abortion Saint Paul VI Institute since the 1980s, when the Vatican condemned IVF. The institute’s website presents NaPro Technology as an alternative to IVF, which it calls “a highly abortive technology that often forces women to make abortion-related decisions”.In June, a new thinktank, the Maha Institute, held a roundtable discussion about women’s health and fertility. In her introduction to the discussion, Maureen Ferguson, a commissioner for the US Commission on International Religious Freedom with longstanding ties to the anti-abortion movement, sang RRM’s praises.“Traditional women’s health and fertility care has relied heavily on big pharma bandaids and workarounds that circumvent a women’s reproductive system,” Ferguson said. “Women of all political stripes appreciate healthcare that works in harmony with their body and restores health.”IIRRM wants to harness Maha advocates’ enthusiasm but is wary of being equated with the movement, according to Minjeur and Dr Tracey Parnell, the institute’s global director of communications and development. They described RRM and Maha as two sides of a Venn diagram.“We want to bring increased health to women and men and families,” Minjeur said of Maha. “Beyond that, there are definitely a fair amount of differences.”Parnell added: “We really truly are open to quite broad collaboration without being co-opted.”The rise of wellness cultureThe Make America Healthy Again movement is perhaps the best illustration of a broader push within American conservatism to incorporate the historically leftwing language of holistic health and “natural” treatments – in short, “wellness” – to advocate for traditionally rightwing aims, such as convincing women to have big families.This push started to gain steam in the years after the Covid pandemic, as trust in mainstream medicine started to falter: a survey of nearly half a million US adults found that trust in physicians and hospitals declined from roughly 72% to just 40% between April 2020 – the month after the pandemic broke out – and January 2024. As trust eroded, the wellness industry exploded. Between 2019 and 2023, it grew from $5.3tn to $6.32tn, according to the Global Wellness Institute, which defines wellness as the ongoing and individual pursuit of “optimal holistic health and wellbeing”.“Wellness” can encapsulate a wide range of activities, from undeniably healthy behaviors (such as exercising and eating nutritious foods) to practices that may be dangerous (such as drinking raw milk). These activities are yoked together by a deceptively simple ethos, according to Amy Larocca, author of the book How to Be Well: Navigating Our Self-Care Epidemic, One Dubious Cure at a Time.“In wellness, things that are natural are superior to things that are not,” Larocca explained.Wellness’s sales pitch can be particularly appealing to Americans, given the astronomical costs of traditional healthcare in the US. A single IVF cycle can run tens of thousands of dollars and most states do not require insurers to cover it. By contrast, countries such as Denmark and Sweden cover vast swathes of fertility treatments, including IVF.RRM treatments tend to cost far less than IVF, and may soon get even cheaper. In June, Arkansas’s Republican-dominated state legislature became the first in the country to pass a law requiring state insurance to cover RRM therapies.But critics say there is little quality evidence that RRM is more effective at helping people have babies than mainstream fertility medicine. The American Society for Reproductive Medicine, the American College of Obstetricians and Gynecologists, the Society for Maternal-Fetal Medicine and the Society of Gynecologic Surgeons are worried that other states may follow Arkansas’s lead; last week, the medical organizations sent a letter to urging the National Governors Association to reject pro-RRM legislation.Women’s health and infertility are especially ripe breeding groups for wellness because mainstream medicine routinely fails to take either seriously. Between 2013 and 2023, just 8.8% of research funded by the National Institutes of Health focused on women’s health. Women are also more likely to have their medical concerns dismissed. When women and people of color show up at emergency rooms with signs of chest pain, they usually wait longer; women are also less likely to be admitted.‘Many sobbing women’A year after Erica started working with the restorative reproductive medicine clinic, the clinic told her: “We’re really concerned that you’re not pregnant yet. You should be pregnant.”The RRM specialists suggested that Erica might have endometriosis, which affects about one in 10 women and girls worldwide and is believed to be a leading cause of infertility.It is also profoundly understudied. In 2023, a mere 0.06% of the NIH’s $47bn budget was earmarked for endometriosis research. Because many doctors dismiss the symptoms of endometriosis or lack the expertise to recognize it, it generally takes between five and 11 years to get a diagnosis.Erica went ahead with a surgery to diagnose and remove endometriosis tissue. RRM practitioners have suggested that the condition can be treated by a “one-and-done surgery” – as one RRM surgeon put it in the Heritage Foundation report – that aggressively excises endometriosis tissue.A month later, Erica got pregnant. Erica estimated that she and her husband spent, in total, about $2,500 on RRM.“We definitely wouldn’t have our daughter without them,” she said of RRM specialists.View image in fullscreenMany of RRM’s prescriptions are common sense: if you are trying to get pregnant, it can be helpful to take a holistic view of your health and know as much about your menstrual cycle as possible. But mainstream reproductive endocrinologists are skeptical of RRM’s position that infertility itself is not a disease, which runs counter to the World Health Organization’s definition of infertility. They also suspect that RRM may over-rely on surgery to treat endometriosis. One recent review of infertility treatments published in the New England Journal of Medicine found that while surgery can help mild cases of endometriosis, doctors should use IVF when it is severe. When treated with IVF, almost 40% of women under 35 who have endometriosis get pregnant within a single cycle, the review found.“We do a lot of surgery and other treatment options that can optimize a woman’s fertility. But in the end, there are many diagnoses that cannot be solved with those elements alone and need a very effective tool like IVF,” said Dr Rachel Weinerman, a reproductive endocrinologist and associate professor at Case Western Reserve University’s school of medicine. “You need to have a whole toolbox available to decide what is the right tool for that specific patient.”Dr Eve Feinberg, a reproductive endocrinologist at Northwestern University’s Feinberg school of medicine, first heard of RRM when she started treating patients who had tried it. If patients stick with RRM and defer the use of assisted reproductive technology for too long, Feinberg warned, some may become so old that they lose their chance to have biological children.“I’ve had many sobbing women in my office who really missed out on their fertility window by trying endless numbers of years of this method, who weren’t given the truth and weren’t given a chance to explore other methods because they were misled and they were told that this would work for them,” she said. “I counsel my patients that IVF has limitations. It doesn’t work for every patient. I didn’t feel like these women were adequately counseled in that way.”In an extensive memo it shared with the Guardian, IIRRM rejected many of the critiques of RRM as unfounded, including the idea that it over-relies on surgery. Physicians who provide IVF too often default to it, the institute contended, adding that it would welcome more research comparing RRM to conventional medicine.As someone who eats a mostly plant-based diet, runs religiously and avoids makeup, Feinberg considers herself to be more “natural” than most. She understands the appeal of the wellness-style language that surrounds RRM.“It’s being marketed as being holistic. It’s being marketed as being natural and ethical,” Feinberg said. But, she continued: “I think RRM plays into this fallacy that we can understand everything and we can fix everything. And it’s just not true.”body{–primary-text-color: #121212;–secondary-text-color: #707070;–tertiary-text-color: #707070;–primary-bg-color: #ffffff;–secondary-bg-color: #f3f3f3;–tertiary-bg-color: #f6f6f6;–primary-line-color: #333333;–secondary-line-color: #dcdcdc;–border-divider-color: #dcdcdc;–axis-color: #bababa;–primary-button-color: #121212;–primary-button-text-color: #ffffff;–primary-button-highlight-color: #333333;–highlight-color: #ffe500;–highlighted-text-color: #121212;–info-color: #00b2ff;–news-grey-01: #121212;–news-grey-02: #707070;–news-grey-03: #a1a1a1;–news-grey-04: #bababa;–news-grey-05: #dcdcdc;–news-grey-06: #f3f3f3;–news-core-01: #005689;–news-core-02: #0094da;–news-core-03: #c70000;–news-core-04: #23b4a9;–news-core-05: #494949;–news-core-06: #cca36e}@media (prefers-color-scheme: dark){body.ios,body.android{–primary-text-color: #dcdcdc;–secondary-text-color: #c8c8c8;–tertiary-text-color: #999999;–primary-bg-color: #1a1a1a;–secondary-bg-color: #383838;–tertiary-bg-color: #121212;–primary-line-color: #dcdcdc;–secondary-line-color: #707070;–border-divider-color: #606060;–axis-color: var(–news-grey-04);–primary-button-color: #383838;–primary-button-text-color: #dcdcdc;–primary-button-highlight-color: #707070;–highlight-color: #cda500;–highlighted-text-color: #121212;–info-color: #0077b6;–news-grey-01: #dcdcdc;–news-grey-02: #c8c8c8;–news-grey-03: #a1a1a1;–news-grey-04: #707070;–news-grey-05: #494949;–news-grey-06: #383838;–news-core-01: #0077b6;–news-core-02: #00b2ff;–news-core-03: #e33824;–news-core-04: #23b4a9;–news-core-05: #494949;–news-core-06: #cca36e}}.furniture-wrapper,.furniture-wrapper:before,.furniture-wrapper:after{background-color:#000}.content__main-column–interactive .element-atom{padding:0}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Light.ttf) format(“truetype”);font-weight:300;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-LightItalic.ttf) format(“truetype”);font-weight:300;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Regular.ttf) format(“truetype”);font-weight:400;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-RegularItalic.ttf) format(“truetype”);font-weight:400;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Medium.ttf) format(“truetype”);font-weight:500;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-MediumItalic.ttf) format(“truetype”);font-weight:500;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Semibold.ttf) format(“truetype”);font-weight:600;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-SemiboldItalic.ttf) format(“truetype”);font-weight:600;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Bold.ttf) format(“truetype”);font-weight:700;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BoldItalic.ttf) format(“truetype”);font-weight:700;font-style:italic}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-Black.ttf) format(“truetype”);font-weight:900;font-style:normal}@font-face{font-family:Guardian Headline Full;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-headline/noalts-not-hinted/GHGuardianHeadline-BlackItalic.ttf) format(“truetype”);font-weight:900;font-style:italic}@font-face{font-family:Guardian Titlepiece;src:url(https://assets.guim.co.uk/static/frontend/fonts/guardian-titlepiece/noalts-not-hinted/GTGuardianTitlepiece-Bold.woff2) format(“woff2”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-titlepiece/noalts-not-hinted/GTGuardianTitlepiece-Bold.woff) format(“woff”),url(https://assets.guim.co.uk/static/frontend/fonts/guardian-titlepiece/noalts-not-hinted/GTGuardianTitlepiece-Bold.ttf) format(“truetype”);font-weight:700;font-style:normal}h2.svelte-pp14i6{font-family:Guardian Headline,Guardian Egyptian Web,Guardian Headline Full,Georgia,serif;font-weight:400;font-size:20px;font-weight:700;margin-bottom:20px} More

    • 138 Shares125 Views

      in US Politics

      Raging bulls: why Maga is pushing cow products on to America

      by

      The US health secretary, Robert F Kennedy, claims that beef tallow is a healthier alternative to seed oils (even though the American Heart Association disagrees). Raw milk advocates are currently criticizing Kennedy, who has supported them in the past, to ease restrictions on the sale of their preferred dairy product nationwide. Meanwhile, cows have also infiltrated the ever trendy skincare market, with beef tallow present in moisturizers, lip balm, deodorant and personal lubricant.Though not every beef tallow evangelist or raw milk aficionado might consider themselves Republican, cows’ connection to RFK’s “health” crusade is unavoidable. It appears that cows have won the position of Maga’s favorite animal.It’s not exactly a secret that Trump loves cows. Last year, when a child called into Fox & Friends to ask what his favorite farm animal was. “I’ll tell you what I love, I love cows, but if we go with Kamala, you won’t have any cows any more,” he said, adding: “I don’t want to ruin this kid’s day.” He made the bizarre talking point a part of his campaign stump speeches, telling crowds in North Carolina and Nevada that “they want to do things like no more cows.” Now that he’s in office, cows remain top of mind – or, at least, their byproducts do.“Woo-woo has become moo-moo,” the Atlantic’s Yasmin Tayag wrote this week, in an essay about Americans going “all-in” on “cow-based wellness”.“When it comes to animal products, it seems [that Maga] promotes cows the most,” said Mark Kern, a professor of exercise and nutritional sciences at San Diego State University. “They don’t seem to say the same things for chicken or turkey.”Pigs could be a close runner-up, as lard, another animal fat, was also used regularly in cooking until the early 20th century – a bygone era Maga loves to romanticize.It doesn’t hurt that cow mania follows the trend of tradwives taking up social media space, extolling the virtues of cooking, cleaning, child-rearing and homesteading. If Trump describes cities such as DC, Los Angeles and New York as fiery bastions of anarchy, then cows represent something entirely different: images of ruddy-cheeked children toting milk pails or Sydney Sweeney in a prairie dress.Of course, none of this is the fault of cows. “Beef can be a very healthful food when eaten in moderation,” Kern said. “I see value in it, but that doesn’t mean we should eat it at the expense of seed oils.” The Maha (Make America Healthy Again) crowd’s obsession with beef tallow is based on a “misperception” that it is less refined than seed oils, Kern explained. “You can’t just get beef tallow from a cow,” he said. “You have to render that fat, which is a refining process, too.”Though there are no known benefits of consuming beef tallow, some chain restaurants such as Steak ’n Shake and Sweetgreen have switched to using it in the wake of RFK’s endorsement.Bart Hutchins is the chef of Butterworth’s, a nouveau French restaurant in DC popular with the Maga cohort. Last month, Hutchins told Axios that his kitchen goes through 500 beef bones a week serving a roasted marrow that is Steve Bannon’s “go-to” order. (Marco Rubio and the Breitbart staff apparently love it, too.)skip past newsletter promotionafter newsletter promotionBone marrow contains collagen, a protein that’s long been a beauty buzzword associated with reported cosmetic benefits such as skin, hair and nail health. It is a common ingredient in pills and powders that promise youthful skin, though dermatologists say this has not been definitively proven by any studies. That does not stop rich people from loving it. “If you describe something ‘with collagen’, it’s poised to move for a certain economic class,” Hutchins said.Candice Ray, a 24-year-old dietician student who splits her time between Canada and Vermont, liked beef tallow before it was taken on as a Maha status symbol. She has slathered it on her face every night for two years, swearing it transformed her rough, bumpy complexion into a clear, clean glow.“It’s done wonders for me,” Ray said. “My skin just looks more healthy.” To be fair, Ray – an influencer who shares “nontoxic living” tips to her following of nearly 350,000 on Instagram – adheres to other medically dubious practices such as not washing her face.You might assume that if you cover your face in beef tallow and go to bed without washing it off, you will end up reeking of barnyard musk. Ray disagrees. “I find it smells just slightly earthy,” she says.Ray is not exactly thrilled that Maga has taken up the cause of advancing beef tallow. “My choice to use it is not political whatsoever,” she said. “But when I tell people that I use beef tallow, they kind of look at me like, ‘Oh, you’re a natural-living girly.’” More

    • 175 Shares157 Views

      in US Politics

      ‘Distracting the public’: group of health professionals call for RFK Jr to be removed

      by

      A grassroots organization of health professionals have released a report outlining major health challenges in the US and calling for the removal of Robert F Kennedy Jr from the US Department of Health and Human Services (HHS).The report from Defend Public Health, a new organization of about 3,000 health professionals and allies, is an attempt to get ahead of misinformation and lack of information from health officials.In an effort to keep making progress in public health, Defend Public Health’s report was slated to coincide with that of the anticipated second US report to “make America healthy again” (Maha). The first Maha report was released in May, and a second report was expected this week – but amid turmoil at the health agencies, it has reportedly been delayed for several weeks.“The Maha report is essentially a distraction from the real causes of poor health,” said Elizabeth Jacobs, professor emerita at the University of Arizona and a founding member of Defend Public Health.“This administration does not want to address things like poverty and education and access to healthcare. Instead, they’re distracting the public with information on solutions to problems that don’t actually exist. When the foundation of your policy is not evidence-based, it will collapse.”The Defend Public Health report diverges from the previous Maha focus on issues such as processed foods and environmental chemicals, but it covers familiar ground in public health.The group highlights the importance of food safety, security and access to food, including through the Supplemental Nutrition Assistance Program (Snap), and improved opportunities for physical activity.They seek to ensure equitable access to vaccines; expand access to healthcare, including comprehensive sexual and reproductive healthcare access; and build strategies for clean air.The report also recommends fully funding scientific research and public health systems; combatting scientific misinformation, including from the US government; and strengthening pandemic preparedness. They call for reductions in gun violence, now the number one cause of death for children.And their last recommendation is to remove Robert F Kennedy Jr, secretary of the US Department of Health and Human Services (HHS), from office, calling his removal “the single most important step toward improving the health of Americans”.The recommendations are exactly what the US needs to address to become healthier, said Georges Benjamin, executive director of the American Public Health Association (APHA). If you “look at the things that actually kill people, from the 10 leading causes of death, that is indeed the right list”.The US spends twice as much on healthcare as the next industrialized country, despite having poorer health outcomes, Benjamin pointed out.“The fracturing of our healthcare system undermines the accessibility of healthcare,” Benjamin said before noting that the US also spends less than other countries on the social determinants of health and social supports, and invests less in primary care and prevention.Such gaps are getting worse under the second Trump administration, with huge cuts to Medicaid, affordable housing, and nutrition programs like Snap.“If they’re serious about making America healthy again, I would suggest that we first begin by feeding children,” Jacobs said. “When, for example, RFK Jr is talking about food dyes, I don’t think that that is anywhere near as important as the fact that 13 million children in the United States do not know where their next meal is coming from.”Scientific misinformation is an “existential threat” to Americans, and the US government is a “major source” of misinformation and disinformation now, Jacobs said.The first Maha report “contains misinformation and uses references that don’t even exist”, she noted. The Defend Public Health report has a tongue-in-cheek note that it was “created by real human experts relying on real rigorous data”.Jacobs recommended working with social media companies, “one of the biggest amplifiers of misinformation”, to address the spread of harmful information. Educating children on how to evaluate the quality and accuracy of information is also important, she said.But one of the biggest purveyors of health misinformation is Kennedy himself.“Everything that he is doing is horrifying,” Jacobs said. “There is a saying in public health, ‘saving lives a million at a time’, and he is doing the opposite of that.”skip past newsletter promotionafter newsletter promotionShe called him a “genuine threat” who is “devastating” public health.“He has no knowledge, training or experience in any type of science. He’s never done an experiment, he’s never written a paper, he’s never gotten a grant to study anything. He has no understanding of the underlying causes of poor health in the United States,” Jacobs said.Defend Public Health launched in November, after Trump’s re-election because, as Jacobs said, “it was very clear to us that public health specifically was going to be under attack.”“We knew that it was going to be a tough fight. I don’t think that any of us knew how bad this was going to get, how quickly. But we are doing everything in our power to support our fellow researchers, public health workers, anybody that we can, and also continue to get accurate information out to the public,” Jacobs said.The group joins other established health organizations as well as other newcomers like the Vaccine Integrity Project to serve as reliable sources of information.There’s a long history of groups like these providing outside perspectives on official recommendations, Benjamin said. But the federal government is uniquely positioned to speak to the health of all Americans.“Pediatricians certainly have the nation’s trust around vaccines for kids, but there’s a big debate about at what point does a kid become an adolescent, become an adult? At what point do they go into the adult health system?” he said.That creates confusion around which advice a patient should follow. The same may be true of a patient who becomes pregnant, or someone who may fall under the purview of multiple health organizations. It’s not always easy to know who belongs in which group.“We have to be careful that each of these private sector organizations align our recommendations, so that we don’t further confuse the public,” Benjamin said.Yet, Benjamin continued, “as the federal government withdraws in its responsibility to protect the public, groups like ours will become more influential in filling that void until we can get the federal government again to step up into that place as a trusted advisor.”Benjamin and Jacobs – and other experts in these groups – hope that the federal government will once again become a source of reliable information.“We really wanted to start building a framework so that we’re ready when we have the opportunity to start putting some of our policy recommendations in place,” Jacobs said.“There is just rampant chaos right now around public health and science related to this administration, and we have got to stand firm and keep bringing the conversation back to the actual causes of poor health among Americans. I can’t control what the government is going to decide to do. What we can do is continue to provide accurate information to the public.” More

    • 213 Shares135 Views

      in US Politics

      Friday briefing: What will US funding cuts on mRNA vaccines mean for the health of the world?

      by

      Good morning. You may have heard a saying along the lines that “when the US sneezes, the rest of the world catches a cold”. So when the US health department announced plans to cut half a billion dollars in vaccine research funding on Wednesday, the world took notice.The US is the world’s largest funder of biomedical research, but this position has become more precarious with the appointment of Robert F Kennedy Jr, a longtime vaccine sceptic, as US health secretary.This week, Kennedy has announced plans to terminate 22 federal contracts for mRNA-based vaccines, casting doubt on the safety of a technology widely credited with helping end the Covid-19 pandemic and saving millions of lives.In total the affected projects are worth nearly $500m (£376m), according to the health agency. As for Kennedy, he said: “We reviewed the science, listened to the experts, and acted.”The only problem? The scientific community in the US and around the world has overwhelmingly condemned the decision. To understand why, for today’s newsletter I spoke to Michael Head, a global health researcher at the University of Southampton. That’s after the headlines.Five big stories

      Israel-Gaza war | Benjamin Netanyahu’s office said his security cabinet had approved a plan to take over Gaza City after the prime minister earlier said Israel planned to take full control of the Palestinian territory. The decision early on Friday marks another escalation of Israel’s offensive in Gaza. Follow developments live

      Ukraine | Volodymyr Zelenskyy said ahead of an expected meeting between Donald Trump and Vladimir Putin that Europe must participate in the peace process between Ukraine and Russia. As the Kremlin refused a three-way meeting with Zelenskyy and Trump, the Ukrainian president said: “Ukraine is not afraid of meetings and expects the same brave approach from the Russian side.”

      Economy | The chancellor and prime minister will begin to foreshadow tax rises and reforms from September to prepare the country for a difficult budget that could be held in November, the Guardian has been told. A rise in gambling levies – advocated by Gordon Brown – is thought to be near-guaranteed as part of the package of tax rises.

      UK news | Amnesty International has warned the Met police against arresting participants protesting this Saturday in London in support of Palestine Action.

      Labour | The UK homelessness minister, Rushanara Ali, resigned after it emerged she evicted tenants from her east London property before increasing the rent by almost £700 a month.
      In depth: ‘The mRNA vaccines saved about 20 million lives’View image in fullscreenThe first thing to understand is that mRNA vaccines work differently from traditional ones. The latter generally introduce a weakened or inactivated part of a virus to train the immune system to recognise and fight it in the future; whereas mRNA vaccines use a molecule that tells our cells how to make a viral protein, which triggers the body’s immune responses.This technology is a scientific gamechanger, to the extent the researchers behind it won the Nobel prize in 2023. But since rising to prominence during the Covid pandemic, mRNA vaccines have been dogged by misinformation (this analysis by my colleague Nicola Davis is well worth a read.)Michael Head tells me that mRNA technology offers a very effective and adaptable approach to developing vaccines. “It’s often described as plug-and-play because you can adapt constituents of the vaccine with, for example, the latest Covid variant.”For something like a flu vaccine, researchers need to incubate the virus and grow it, which takes weeks, Head explains. “That’s fine to an extent when it comes to producing an annual vaccine like we do for seasonal influenza, but the advantage to mRNA technology is that it can be updated so quickly that it allows us to produce new vaccines or update existing vaccines quicker, which can hopefully then reduce the threat of whatever infectious disease is present.”This is crucial during a pandemic such as Covid. “The mRNA vaccines saved about 20 million lives globally in the first year of their rollout,” Head says.Why is Kennedy doing this?Kennedy once described mRNA Covid vaccines as “the deadliest vaccine ever made”. On Wednesday, he justified the health agency’s decision to terminate research by claiming that data shows mRNA vaccines “fail to protect effectively against upper respiratory infections like Covid and flu”.Kennedy offered no scientific evidence to support this – and Head said Kennedy has been spreading vaccine misinformation for years. “He has on at least one or two occasions compared vaccines to being like the Holocaust, a common anti-vaccine trope.”He has also recently falsely claimed vaccines such as the measles, mumps and rubella (MMR) jab contain “aborted foetus debris”; ordered a sweeping new study on the long-debunked link between vaccines and autism; and dismissed a panel of government vaccine experts, replacing them with his own appointees – who then voted to ban a longstanding vaccine preservative that has been a frequent target of the anti-vaccine movement despite its strong safety record.Kennedy claims he is shutting down research on mRNA vaccines and instead shifting funding to “safer, broader vaccine platforms that remain effective even as viruses mutate”, and that mRNA vaccines “encourage new mutations and can actually prolong pandemics”.It’s just not true, though. Head says variants actually tend to emerge in the absence of vaccinations, and in people with long-term infections – often those who are immunocompromised and can’t get over the virus quickly. That gives the virus more chances to multiply and mutate.“Vaccines reduce the risk of transmission and infection,” Head says, which means fewer opportunities for the virus to mutate. “So vaccines will have a protective effect against new variants emerging, rather than as Kennedy suggests.”What impact will this have?The question of the next pandemic is not if, but when. History shows pandemics happen, Head says, pointing to the 1918 flu pandemic, swine flu, Sars, and of course Covid.Head says this is especially true in our era of globalisation and human encroachment into new environments. “If you create enough opportunities, a new virus will enter human beings. There might be a scenario where it runs out of control like we saw with Covid. Or, it might be a bit more like Sars, where we were able to get it under control within a couple of months.“But again, globalisation and the mixing of people and animals makes things more challenging. And so a pandemic will happen at some point. We just don’t know when.”Technologies like mRNA vaccines, then, are vital. Head added that the potential applications go far beyond infectious disease.“There’s quite promising research on skin cancer and the potential for this technology to be applied across different areas of health,” Head says. That is another reason Kennedy’s decision is so damaging, he adds.One of Head’s research areas focuses on how funding decisions impact science such as cancer research. “It’s very early days, but we are starting to see a slightly alarming picture. It’ll be very hard for the rest of the world to fill the cancer research gaps that the US is likely to leave.”Is this a worrying time for the scientific community?There is no way to sugarcoat it; this is a particularly alarming moment for scientists. The World Health Organization coined the term “infodemic” during the pandemic to describe the overwhelming amount of misinformation that spreads during a public health crisis, Head says. Even before Covid, in 2019 the WHO listed vaccine hesitancy as one of the top 10 global health threats.“I have huge concerns that if a pandemic happened again tomorrow, whether populations in the UK, US, and around the world would trust public health decision making that would be vital to mitigate the impacts of any new pandemic. So the role of misinformation is significant and it can be very severe,” Head warned.“It does not help that some of the most powerful people, like US president Donald Trump and Robert F Kennedy Jr, are making poor quality comments on vaccination because that does have an impact on population level decision making.”Some of Head’s research has looked into vaccine uptake in Ghana during the pandemic. The study found that political views played a big role in whether someone agreed to receive a Covid vaccine.“​​The government was saying, go and get vaccinated, please, but there was a fair amount of anti-government sentiment at the time. And hesitancy was greater if you voted for the opposition and therefore trusted the government messaging less. So there are lessons to be learned on who delivers the messaging to get your vaccine, and how to address that lack of trust in governance,” Head said.For now, the world holds its breath … and hopes no one sneezes.skip past newsletter promotionafter newsletter promotionWhat else we’ve been readingView image in fullscreen

      Patrick Barkham’s piece about the recent hopeful surge of some wildlife is both a joyous celebration of animals’ resilience and a call for us to give them a helping hand. Lucinda Everett, newsletters

      I love this ranking of Daniel Day-Lewis films, and to learn that the triple Oscar winner has retired from acting, and returned twice. Aamna

      We asked our readers to share the strangest things they’ve found in a new home, and they didn’t disappoint. Forgotten placenta, anyone? Lucinda

      This story by my colleague Mark Townsend is extraordinary: it pieces together, using intelligence reports and witness testimony, how the RSF paramilitary began a massacre described as “genocidal” in Zamzam refugee camp. Aamna

      Daniel Boffey examines how David Lammy is wooing JD Vance, from inviting the US vice-president to pray with him, to shedding tears over his memoir. Lucinda
      SportView image in fullscreenTennis | Ahead of the Cincinnati Open, Emma Raducanu told Tumaini Carayol in an exclusive interview that she believes her new coaching partnership with Francisco Roig can help to take her game to the next level.Football | Liverpool have agreed a fee of £46.3m plus add-ons with Al-Hilal for Darwin Núñez. The Uruguay international is expected to complete a move to the Saudi Pro League once personal terms have been finalised.Cricket | The leader of the Tech Titans consortium that has bought 49% of London Spirit believes the Hundred will become a multibillion-dollar competition to rival the Indian Premier League.The front pagesView image in fullscreenThe Guardian print edition reports “Netanyahu defies warnings over taking military control of all Gaza”. “Minister resigns over rental ‘hypocrisy” – that’s the Telegraph while the i paper expands on that: “UK’s minister for homelessness quits after she’s caught ejecting tenants and hiking rent”. “Minister for hypocrisy is forced to quit” the Mail delights. “Single-sex spaces ‘off limits to trans women’” says the Times. “Weight loss pill ‘on NHS’” and “Pill for weight loss on NHS” – the Mirror and Express both says it’s a possibility. Deep breath needed before reading the FT’s headline aloud: “BoE lowers rates but tight vote forces investors to rein in bets on more cuts”. “He’s our brave little miracle” reports the Metro, about a lifesaving “world-first operation” on a little boy.Something for the weekendOur critics’ roundup of the best things to watch, read, play and listen to right nowView image in fullscreenMusicAmaarae: Black Star | ★★★★☆Weaving elements of house, trance and EDM into Afrobeats rhythms and spiky rap cadences, the Ghanaian-American singer’s slick take on a club record is deliriously in love with wealth, celebrity and all the power it affords. But there is a difference between Amaarae and the other stars fixated on such topics: for her, glamour is a side quest and love is the motive. Shaad D’SouzaTVLucy Letby: Beyond Reasonable Doubt? | ★★★★★
      Neonatal nurse Lucy Letby became, in tabloid parlance, “Britain’s worst child serial killer” when she was convicted in 2023 of seven murders and seven attempted murders of infants in her care. This brilliantly cogent documentary, which forces sentiment aside and unpacks the science and statistics around the most contested pieces of evidence, covers more ground more meticulously in an hour than any documentary I’ve seen in recent years, and perhaps ever. Lucy ManganFilmThe Kingdom | ★★★★☆
      Lesia, a moody 15-year-old, is sent to her mob boss father’s luxurious and fortified family compound , and she is thrilled when she quickly becomes lieutenant. There are fierce and overwhelmingly authentic performances from first-time actors in Julien Colonna’s intensely atmospheric, absorbing and exciting drama. Peter BradshawGamesTime Flies | ★★★★☆
      This perception-warping bug puzzler reimagines the inevitably short lifespan of a housefly as an absurd tragedy – by providing the soon-to-perish pest with a bucket list. Over the course of roughly a minute, players buzz around minimalist 2D environments trying to make those last wishes come true. By blending this thinky thesis with playful mechanics, it supplies a lighthearted canvas for players to engage with existentialism for an hour or two. Sarah ThwaitesToday in FocusView image in fullscreenInside China’s fast-fashion factories as a US trade war loomsThe Guardian’s senior China correspondent, Amy Hawkins, visits factories threatened by US tariffs in Guangzhou, south China, as the deadline for a US-China trade agreement approaches with no deal yet in sight.Cartoon of the day | Martin RowsonView image in fullscreenThe UpsideA bit of good news to remind you that the world’s not all badView image in fullscreenLynx – shy wild cats no bigger than a Labrador – became extinct in Britain 1,300 years ago thanks to hunting and habitat loss. But a paper published in the Journal of Environmental Management says the animals could thrive in Northumberland’s Kielder Forest area. The paper found that releasing 20 lynx over several years would eventually create a healthy population of about 50 animals, bringing benefits like helping to curb the overpopulation of deer in woodlands. According to the researchers, Kielder Forest is the only area of England and Wales with enough woodland for lynx to thrive. But thankfully locals are keen on the plan, with 72% of people in the project area supporting reintroduction.Sign up here for a weekly roundup of The Upside, sent to you every SundayBored at work?And finally, the Guardian’s puzzles are here to keep you entertained throughout the day. Until tomorrow.

      Quick crossword

      Cryptic crossword

      Wordiply More

    • 150 Shares118 Views

      in US Politics

      Trump cuts shut down an LGBTQ+ youth suicide lifeline. What happens now?

      by

      Becca Nordeen had just left a town hall for the 988 Suicide & Crisis Lifeline when she received some shocking news. As the senior vice-president of crisis intervention at the Trevor Project, a non-profit focused on suicide prevention for queer youth, Nordeen’s team had provided counseling to LGBTQ+ individuals through 988, a national suicide and crisis hotline, for nearly three years. But a few minutes after the meeting, Nordeen received an email notifying her that those services would be terminated in a month.“There’s an emotional hangover of dealing with the grief and the work of shutting down the program,” Nordeen said. “In the days and weeks that have followed, we have looked at, ‘well, there are still young people who need us, and in our remaining service, how can we be there to meet that need?’”From 988’s inception, trained counselors had answered 1.5m online chats, calls or texts from LGBTQ+ youth in crisis. The Trevor Project was one of several groups contracted by the federal agency the Substance Abuse and Mental Health Services Administration (Samhsa) to field calls from LGBTQ+ people, nearly 10% of the lifeline’s overall contacts. Nordeen’s team had responded to about half of the requests for services from the high-risk population. Samhsa cited financial constraints as the reason for closing its line geared toward the LGBTQ+ community, though opponents of the closure say that it was politically motivated.The 988 general hotline still exists and specialized services for veterans remain. But free, 24/7 counseling is no longer available for LGBTQ+ youth through the “press 3” option. According to 2023 survey data from the Centers for Disease Control and Prevention, 20% of queer youth attempted suicide between 2022 and 2023. They are more than three times more likely to do so than their cisgender and heterosexual peers.Since the closure of 988’s LGBTQ+ services on 17 July, Nordeen said that the Trevor Project has been “picking up the pieces”. The closure of the 988 lifeline has also meant that the Trevor Project lost the $25m federal contract that allowed the non-profit to more than double its impact by reaching 270,000 people. More than 200 counselors from the Trevor Project were let go upon the national lifeline’s termination. But through donations from individuals and foundations, the non-profit retained 30 counselors who will join their privately funded 24/7 suicide prevention hotline that started in 1998.Now, the Trevor Project has 130 counselors to answer the 20% surge in calls over the past two months. It’s too early to predict how long the influx will last, said Nordeen, but in the meantime, she wants youth to know that the non-profit is still there to help them. Over the past couple of weeks, Nordeen’s team has monitored the volume of requests and reached out to off-duty counselors and their network of more than 400 volunteers to respond to calls and texts during influxes.More than 53,000 people signed the Trevor Project’s petition to protect the lifeline, some of whom shared their personal experiences using it. One signer from California wrote that it saved their child’s life during a mental health crisis last year, and another person from Pennsylvania wrote that they had used the service countless times and would not be here today without it.“These youth resources make us the adults we are today,” a signer from New York wrote in the petition. “They’re not extras or luxuries, they’re lifelines. They’re the affirming spaces, the trusted adults … the moments where we were told: ‘You belong.’ Without them, many of us wouldn’t have made it.”‘An erasure of a population’A Samhsa spokesperson told the Guardian in an email that the “press 3” option had run out of congressionally directed spending and that “continued funding of the Press 3 option threatened to put the entire 988 Suicide & Crisis Lifeline in danger of massive reductions in service”. Congress had appropriated about $519m for 988 in the 2025 federal fiscal year that began on 1 October 2024 and ends on 30 September 2025. The LGBTQ+ services were allotted $33m, which had been exhausted by June, Samhsa said in a statement. “The 988 Lifeline will continue to be a direct connection to immediate support for all Americans,” the spokesperson said, “regardless of their circumstances.”View image in fullscreenBut Dr Sunny Patel, a child psychiatrist and former senior adviser for children, youth and families at Samhsa, said that the agency was under pressure from the Trump administration to close 988’s “press 3” option to adhere to executive orders aimed at dismantling diversity, equity and inclusion initiatives. “One of the things that I find very challenging to believe is that it’s related to a lack of funding,” Patel said.The National Suicide Hotline Designation Act of 2020, which created 988 and was signed into law by Donald Trump during his first term, specified that Samhsa must be prepared to provide specialized services for LGBTQ+ youth. But now, the Trump administration has taken a special interest in targeting the healthcare of transgender individuals, Patel said. “They don’t want anything to do with LGBTQ populations,” he added. “There is this air of, ‘Well, everything should be for everybody, and so why should we have any specialized services for anybody?’”Patel said that he believed that the agency was obliged to continue a lifesaving service, and that ending it would generate harm and confusion. “I fear for the direction that we’re going in,” Patel said, “where there’s an erasure of a population and its needs.”Mark Henson, the Trevor Project’s vice-president of government affairs and advocacy, is hopeful that the decision will be reversed, in light of support from members of Congress who are pushing the Trump administration to reinstate the 988 lifeline. In the meantime, the non-profit is fundraising to try to hire more counselors to handle the potential for a continued surge in calls. And in July, the office of California’s governor, Gavin Newsom, announced that California would partner with the Trevor Project to train 988 counselors in the state to better serve LGBTQ+ youth.“We’re trying to flood the zone in any way that we can, to the extent that resources allow us to keep these services going,” Henson said, and to ensure that “the LGBTQ+ youth know that there are services out there, that they belong, and that their life has value”.‘What happens if there’s only one?’When the announcement was made that the lifeline would be terminated, Henson heard from youth that they would use 988’s LGBTQ+ services as a backup if surges on the Trevor Project’s hotline prevented them from quickly accessing a counselor and vice versa. “If there was an increase in wait time on one line, they would go to the other. There was an equilibration there that enabled them to have these multiple options,” Henson said. Now, he said, youth are asking: “What happens if there’s only one?”Specialized services from trained counselors provided a safe and affirming space for LGBTQ+ youth, Nordeen said, so that they felt less alone even if they did not have community or local support. “When you take that network away,” Nordeen said, “you are essentially invalidating that young person and their experiences and the crisis that they might feel.”The specialized services were also effective because the counselors sometimes shared similar experiences to the callers and were better able to relate to those in crisis, said Hannah Wesolowski, chief advocacy officer at the National Alliance on Mental Illness (Nami), where she advocates for policies to help people affected by mental health conditions. Youth and LGBTQ+ people were the most aware of 988, she said, so she’s concerned that dropping services could lead to “tragic outcomes”.“I fear in this time of really heated political rhetoric and partisanship,” Wesolowski said, “that this is another message point that tells young people: ‘You’re not important, you’re not the priority.’”Nami, the American Foundation for Suicide Prevention (AFSP) and other organizations are working with members of Congress to try to return funding to the hotline in the 2026 fiscal year, or to pass legislation that would require specialized services for LGBTQ+ people. And from a state level, Nami’s local chapters are brainstorming with politicians on potential crisis service options for queer youth in their nearby communities.For Bob Gebbia, the CEO of AFSP, an organization that researches suicide prevention and that advocated for the formation of 988, it is ironic that the specialized service that received widespread bipartisan support during its creation is now the subject of fierce debate. The argument for maintaining LGBTQ+ services is simple, he said: it’s based on need. “It isn’t a political issue,” he said, “it’s a public health issue.” More

    • 138 Shares118 Views

      in US Politics

      RFK Jr’s health department to halt $500m in mRNA vaccine research

      by

      The US Department of Health and Human Services said on Tuesday it would terminate 22 federal contracts for mRNA-based vaccines, questioning the safety of a technology credited with helping end the Covid pandemic and saving millions of lives.The unit, Biomedical Advanced Research and Development Authority, helps companies develop medical supplies to address public health threats, and had provided billions of dollars for development of vaccines during the Covid-19 pandemic.HHS said the wind-down includes cancellation of a contract awarded to Moderna for the late-stage development of its bird flu vaccine for humans and the right to purchase the shots, as previously reported in May.The US health agency said it was also rejecting or canceling multiple pre-award solicitations, including proposals from Pfizer, Sanofi Pasteur, CSL Seqirus, Gritstone and others.In total, the affected projects are worth “nearly $500 million”, the Department of Health and Human Services (HHS) said. Certain late-stage projects were excluded from the move “to preserve prior taxpayer investment”.This is the latest development under US health secretary Robert F Kennedy Jr, a longtime vaccine skeptic who has been making sweeping changes to reshape vaccines, food and medicine policies.“We reviewed the science, listened to the experts, and acted,” Kennedy said in a statement.Kennedy said the HHS is terminating these programs because data show these vaccines “fail to protect effectively against upper respiratory infections like COVID and flu”, but did not offer scientific evidence.“We’re shifting that funding toward safer, broader vaccine platforms that remain effective even as viruses mutate,” Kennedy said.HHS said the decision follows a comprehensive review of mRNA-related investments initiated during the Covid-19 public health emergency.Since taking office, Kennedy, who spent two decades sowing misinformation around immunization, has overseen a major overhaul of US health policy – firing, for example, a panel of vaccine experts that advise the government and replacing them with his own appointees.In its first meeting, the new panel promptly voted to ban a longstanding vaccine preservative targeted by the anti-vaccine movement, despite its strong safety record.He has also ordered a sweeping new study on the long-debunked link between vaccines and autism.Unlike traditional vaccines, which often use weakened or inactivated forms of the target virus or bacteria, mRNA shots deliver genetic instructions into the host’s cells, prompting them to produce a harmless decoy of the pathogen and train the immune system to fight the real thing.Though in development for decades, mRNA vaccines were propelled from lab benches to widespread use through Donald Trump’s Operation Warp Speed – a public-private partnership led by Barda that poured billions into companies to accelerate development.The technology’s pioneers, Katalin Karikó and Drew Weissman, were awarded the 2023 Nobel prize in medicine for their work contributing “to the unprecedented rate of vaccine development during one of the greatest threats to human health in modern times”. More

    • 163 Shares169 Views

      in UK Politics

      Voices: Nurses ‘essential’ but we ‘won’t miss’ GPs: readers react to NHS strikes

      by

      Reaction to the threat of new strike action by nurses and GPs has sparked passionate debate among Independent readers, with many expressing sympathy for NHS workers but differing on whether walkouts are the right approach.The Royal College of Nursing (RCN) has warned its members feel “deeply undervalued” and will ballot for industrial action after 91 per cent rejected the government’s 3.6 per cent pay offer.GPs have also told minister Stephen Kinnock that the government must act on their demands to “avoid a future dispute,” escalating tensions across the NHS.These fresh threats follow a five-day walkout by resident doctors over the government’s refusal to grant a 29 per cent pay rise. Several commenters said nurses are “doing the work of doctors” for far less pay, and pointed to years of below-inflation increases, rising living costs, and poor career progression as valid reasons for industrial action. Mental health professionals were singled out as particularly undervalued.Others criticised GPs for high salaries and part-time hours, arguing patient access has worsened even without strikes. Some readers said they “won’t miss” GPs if they walk out, though most agreed that nurses are essential.While a few readers questioned the effectiveness of striking, most called for urgent reform and investment to retain skilled staff and protect patient safety.Here’s what you had to say:I won’t miss them if they go on strikeIt’s almost impossible to get an appointment with a GP, so I for one won’t miss them if they go on strike. I accept I would miss nurses, as they are the medics I see if I ask for a GP appointment. My daughter is a mental health nurse — she has two degrees and is undervalued by the NHS and not valued by others in the medical profession. Pay is dreadful for nurses and even worse for mental health professionals. However, I don’t believe striking will solve the problems of pay and conditions. The way to make the point is to vote with their feet and move abroad, into the private sector, or out of the medical profession. Some will say there are too many vacancies already — agreed — but even more will put on permanent pressure, whereas a strike causes only temporary disruption.HOSSNurses doing the work of doctorsPay the nurses properly, as they now regularly carry out roles once in the purview of doctors. As has been said many times, it’s difficult to see your GP face-to-face. Seeing a nurse practitioner is now the norm, and only if necessary are you referred to the GP. So why do GPs expect higher pay when nurses or trained practitioners are doing more? How many GPs work full-time, compared with part-timers?ChuckiethebraveWe should all be out behind themI’m 100 per cent behind them. The money that’s been taken out of the economy and given to shareholders — and not a word is said. We should all be out behind them.It wasn’t long ago that people were banging pots and pans, supporting them — rightly so.The government is hell-bent on driving down wages and pensions. It’s about time we stood up to this lot.LesMisrablesThe NHS is pricelessIt is very clear that most workers in the NHS feel undervalued and underpaid. For 14 years, a cynical Tory government has undermined their standard of living for ideological reasons — i.e. full privatisation.Our NHS is priceless.The electorate should kick out every government that doesn’t fund it properly — because it’s our lives at stake.NomoneyinthebankAll workers will strike eventuallyAll workers will strike, eventually, if their salaries are reduced over a fifteen-year period and their standard of living is reduced.It is naïve to think otherwise.Cyclone8If the NHS fails, get ready to payI admit that it’s difficult to get a doctor’s appointment. We’re having to wait longer for an ambulance and within A&E, together with there still being quite a hefty backlog on the waiting list — but it is coming down, albeit slowly.Despite the access issues, once you get NHS treatment, it remains exceptional.Since 2010, our doctors and nurses have effectively had a pay freeze, and, with inflation booming in recent years, our energy bills doubling, our groceries virtually doubling, and many nurses resorting to food banks, it’s no wonder they’re leaving for Australia in droves.I understand the current government were handed a skeletal economy, fractured public services, the highest taxes since WW2 and almost tripled national debt — but like any business, if you don’t invest in your workers, they will leave.For those attacking unions, they are simply workers fighting for the equality, fair pay, working conditions and T&Cs that they deserve.Our NHS is a healthcare system to be proud of. It deserves proper investment — and that includes its workers.For the Brits who are against investing in our NHS workers — I hope you’re rich enough to afford private healthcare. If the NHS fails, you’ll need to start saving now for the hundreds of pounds it’ll cost you each month in insurance.AmyNothing for GPsI fully understand the nurses — they deserve better. My GP has notified me that they can’t tell me the results of a scan for four weeks. That is just a telephone call. They deserve nothing, as far as I’m concerned. They can’t handle what they have now, let alone more.MartynIs £150,000 not enough?My local health centre has four full-time GPs. They have an average salary of over £150,000.Is that not enough? And it is still almost impossible to get an appointment.PeterLoud1Shame on you NHS workersShame on you NHS workers. Just as Starmer and Streeting were starting to sort out the NHS — I can confirm this, as my doctors’ surgery appointments have got much, much better — and I’ve just had two cataract operations with a minimum wait of one week for the first eye and four weeks for the second.You got a good increase last year, and now you’re starting to destroy the NHS.Jol Some of the comments have been edited for this article for brevity and clarity.Want to share your views? Simply register your details below. Once registered, you can comment on the day’s top stories for a chance to be featured. Alternatively, click ‘log in’ or ‘register’ in the top right corner to sign in or sign up.Make sure you adhere to our community guidelines, which can be found here. For a full guide on how to comment click here. More