In principle, Ukraine could liberate its lost territory if the United States and its European partners intervened with forces of their own. But this would require jettisoning the indirect strategy they chose in 2022. It would come at great human, military, and economic cost. And it would introduce far greater risk, as it would mean war between NATO and nuclear-armed Russia. For this reason, such a policy will not be adopted.

Instead of clinging to an infeasible definition of victory, Washington must grapple with the grim reality of the war and come to terms with a more plausible outcome. It should still define victory as Kyiv remaining sovereign and independent, free to join whatever alliances and associations it wants. But it should jettison the idea that, to win, Kyiv needs to liberate all its land. So as the United States and its allies continue to arm Ukraine, they must take the uncomfortable step of pushing Kyiv to negotiate with the Kremlin—and laying out a clear sense of how it should do so.

Such a pivot may be unpopular. It will take political courage to make, and it will require care to implement. But it is the only way to end the hostilities, preserve Ukraine as a truly independent country, enable it to rebuild, and avoid a dire outcome for both Ukraine and the world.

Read it all.

The Perfect Has Become the Enemy of the Good in Ukraine | Foreign Affairs https://t.co/YQorbrdOWe

— Richard N. Haass (@RichardHaass) November 4, 2024

A Churchgoer and former employee of Lichfield diocese who has been diagnosed with Stage 4 incurable bowel cancer has run 60 miles, between chemotherapy treatments, to fund-raise for the charity Refugee Action.

The runner, Pete Bate, 50, from Burntwood, near Lichfield, said this week that he had been feeling more stable since his cancer treatments were paused in May, and so he decided to take part in Refugee Action’s Race for Refugees challenge in September. He has raised more than £1200.

“I’m off treatment at the moment, and wanted to do something positive, to show there is life beyond and outside of cancer,” he said. “I’ve been a keen runner for years, but am gradually rebuilding my fitness due to the draining effects of chemo.”

Read it all.

Pete set himself the challenge of running 50 miles for Race for Refugees, during a pause in treatment for Stage 4 bowel cancer. We’re thrilled to share that he reached his goal five days early! #RaceforRefugees pic.twitter.com/OF7ubvygKt

— Refugee Action (@RefugeeAction) November 1, 2024

He called himself a simple onion farmer, a Mayan Indian with four kids and a fourth-grade education.

U.S. prosecutors knew better.

By his late 30s, Felipe Diego Alonzo had built a crime route stretching from Central America to Texas, allegedly paying off Mexican drug cartels along the way. He tooled around Guatemala’s western highlands in a loaded silver Ford Ranger pickup. When the police finally raided his ranch, they found a study in rural narco-chic: wooden chalets, a swimming pool, a show horse valued at $100,000.

What they didn’t find was a narco. Alonzo’s business “was more profitable than drug trafficking,” said one of the Guatemalan officials who detained him.

Alonzo was moving people.

Read it all.

As smuggling rings made billions from migrants, the U.S. was sidelined https://t.co/QKiCwSIpZx

— Mary Beth Sheridan (@marybsheridan) November 1, 2024

MIT researchers have developed wearable devices that may be able to perform similar functions for individual cells inside the body.

These battery-free, subcellular-sized devices, made of a soft polymer, are designed to gently wrap around different parts of neurons, such as axons and dendrites, without damaging the cells, upon wireless actuation with light. By snugly wrapping neuronal processes, they could be used to measure or modulate a neuron’s electrical and metabolic activity at a subcellular level.

Because these devices are wireless and free-floating, the researchers envision that thousands of tiny devices could someday be injected and then actuated noninvasively using light. Researchers would precisely control how the wearables gently wrap around cells, by manipulating the dose of light shined from outside the body, which would penetrate the tissue and actuate the devices.

By enfolding axons that transmit electrical impulses between neurons and to other parts of the body, these wearables could help restore some neuronal degradation that occurs in diseases like multiple sclerosis. In the long run, the devices could be integrated with other materials to create tiny circuits that could measure and modulate individual cells.

Read it all.

In @CommsChem, Media Lab Prof. @DeblinaSarkar59 and researchers from @NCB_MIT and @MITChemE introduce wearable devices for cells. Made of a soft polymer and actuated with light, these battery-free, subcellular-sized devices can gently wrap around different parts of neurons. They… pic.twitter.com/VksMKlMFL7

— MIT Media Lab (@medialab) October 31, 2024

Bishops have said that they would welcome consultation on a “left-field” attempt by a Conservative MP, in an amendment to the House of Lords (Hereditary Peers) Bill, to abolish the parliamentary seats for the Lords Spiritual.

The Bill, introduced by the Labour MP Pat McFadden in September, seeks to remove the automatic membership of hereditaries in the House of Lords. The move to abolish the remaining 92 hereditary peers was promised in Labour’s election manifesto. The Bill had its Second Reading in the Commons last month. The subject was also debated by the Lords in July, shortly after the election (News, 26 July).

Last month, the Conservative MP Sir Gavin Williamson tabled an amendment to the Bill to include a clause that “No-one shall be a member of the House of Lords by virtue of being a bishop or Archbishop of the Church of England.”

Read it all.

Bishops have said that they would welcome consultation on a “left-field” attempt by a Conservative MP, in an amendment to the House of Lords (Hereditary Peers) Bill, to abolish the parliamentary seats for the Lords Spiritual https://t.co/8r0VXCxTHC

— Church Times (@ChurchTimes) October 31, 2024

What can we say about The Widening of God’s Mercy?

 In the light of the points noted in the course of this review we have to say that Chris and Richard Hays do not offer a persuasive argument in The Widening of God’s Mercy.

They do not show that the biblical laws were revised or that different laws contradict one another.

They fail to recognise that in Isaiah 2 and 56 the advent of universal peace and the inclusion of foreigners and eunuchs is dependent on the nations and particular individuals submitting to God’s law

They fail to show that God changes his mind and admits to having given his people bad laws.

They fail to show that John 16 talks about further revelation through the Spirit that supersedes biblical teaching.  

Finally, they fail to show that rules, boundaries and theologies are rethought in the Bible, they misrepresent the thought of Karl Barth, they say that LGBTQ people need to be included when the New Testament says that they already are, and they fail to distinguish between welcoming people and affirming their behaviour.  

Read it all.

Here's my review of Richard & Christopher Hays' new book "The Widening of God's Mercy" for @TGC.
They haven't found new evidence that changes what the Bible says about same-sex sex. They're offering a sub-theistic view of God to justify their conclusions.https://t.co/17acFfKTHI

— Rebecca McLaughlin (@RebeccMcLaugh) August 29, 2024

Payments from government entitlement programs — transfer payments — are the fastest-growing major component of citizens’ personal income. Such transfers are the third-largest source of personal income: In 2022, the average citizen received almost as much from government transfers ($11,500) as from investments ($12,900), and more than one-quarter as much money as was obtained from work. This average citizen received six times more (adjusted for inflation) in government transfer payments than in 1970, during which span income from other sources increased less than half as much. Transfers’ share of total (inflation-adjusted) personal income has more than doubled since 1970, from 8.2 percent to 17.6 percent in 2022.

The Washington-based Economic Innovation Group, which promotes economic dynamism, has released a report, “The Great ‘Transfer’-mation,” explaining how swiftly U.S. communities became dependent on government transfer payments. In 2022, Americans received $3.8 trillion in government transfers, 18 percent of all personal income. In 1970, not even 1 percent of counties received one-quarter or more of personal income from transfers. By 2000, 10 percent did; in 2022, it was 53 percent. This is certain to increase as the population ages.

The primary explanation: the aging U.S. population.

Read it all.

https://t.co/O2tuE8fr4b
A mountain of government payments buries the myth of American self-reliance

— The Good Shepherd (@HoyasFan07) October 30, 2024

In a significant interview on the Rest is Politics Podcast England’s Archbishop of Canterbury Justin Welby, has denied the teaching of the Bible, and the teaching of his church. 

It is Archbishop Welby’s most public betrayal of his ordination and consecration vow to ‘banish error and to uphold and defend the truth taught in Scripture.’

Archbishop Welby’s comments came on the eve of an important House of Bishops meeting in the UK, which considered a request from a group called The Alliance, consisting of 2360 clergy whose churches represent 42% of the Church of England’s Sunday attendance, and who hold to the Bible’s teaching on sexuality.

Please watch it all:

Note especially these sections–

“…the conservatives, the Bible people and the traditional Catholics won’t come under the jurisdiction, or if you like the false teaching bishops, but will come under a separate Province, separate episcopacy…” and that  “…first order difference requires first order differentiation…”

As well as

“… there’s still ongoing discussion- like the House of Bishops have always said we’ll need to give some kind of provision for those who in conscience can’t go along with this, but that process has really not got anywhere so even though we’re still charging down the direction of blessing for same sex unions a clear trajectory towards same sex marriage for clergy and standalone services, kind of pseudo-marriage services for same sex couples we’ve not had any real details about settlement and some kind of offer.”

“And anything that’s been on the table that the Bishops have discussed has been very much of a second order, so basically they’ve dismissed it. Many have said ‘look you don’t really represent very many, it’s just a few leaders and most people don’t really like this. You’re going to get much, much less, if anything it will be second order differentiation, so I don’t think they’ve really heard how many of us are out there and how seriously we hold this. We can’t accept less than we’re asking for.”

And, finally, this in reference to the completely avoidable and disastrous TEC situation:

“Some of us have been saying ‘look across the Atlantic – we’ve got to avoid an Episcopal style train crash which has led to a complete split with… a very large grouping of Orthodox Anglicans who are no completely separate from the Episcopal church and the cost has been massive emotionally, spiritually, missionally and there’s been to many who said that would never happen here but actually there’s a stronger Orthodox grouping here in the Church of England..” [hat tip: Anglican Futures]

The funding of hospices shows that “voluntary sector beginnings” are “still very much in evidence”, Lord Farmer said on Thursday as he introduced his debate on how the state funds palliative care.

“A review of funding would find a highly variable model for hospices: some are run by the NHS, with large annual charitable grants, and others are run by a charity that gets some funding from the NHS. A common hallmark is a holistic, bespoke, and patient-centred approach that values their relationships,” he said.

“We should not forget that all receiving hospice care are on the edge of eternity, and dying peacefully also requires spiritual palliative care.”

Read it all.

The funding of hospices shows that “voluntary sector beginnings” are “still very much in evidence”, Lord Farmer said on Thursday as he introduced his debate on how the state funds palliative care https://t.co/82wnOqIy6K

— Church Times (@ChurchTimes) October 29, 2024

The reason climate change is so difficult to talk about is that bringing up any one issue is like pulling on a thread in a spiderweb: Every other thread in the web vibrates in response. We feel powerless to effect the changes we would like to see when simply meeting the needs of each day feels like an uphill battle. And so, the anxiety builds—until the anxiety itself feels like part of the avalanche threatening to tumble down on us. Is there any hope at all?

The short answer is yes. In fact, I think this is the time for radical hope. I first encountered this term in Jonathan Lear’s excellent book Radical Hope: Ethics in the Face of Cultural Devastation. Lear explores the history of the Crow tribe in the mid-1800s as they responded to the changes brought by western settlement of their territories in Montana.

The key figure in the book is the Crow chieftain Plenty Coups, who spent his life leading his people through those often-traumatic changes with one key insight: The old nomadic way of life chasing the buffalo was inescapably and irretrievably lost. How could his people hope when the very possibility of a meaningful Crow life was being destroyed? They had to learn to live a new way of life. Even their core values, like what it meant to be courageous, had to be re-formed in a culture where traditional warrior acts of courage were illegal.

Radical hope, then, is the hope that is formed when all our previous hopes are gone. Radical hope was the kind God provided the Israelite exiles….

Read it all.

Climate change is a “wickedly complex problem,” writes a lecturer in science and religion.

Radical hope in the face of it “means settling down in our own exile and waiting for God’s promise to be fulfilled beyond the scope of our own lifetimes.”https://t.co/JrkRSyYFlP

— Christianity Today (@CTmagazine) October 26, 2024

Data centers are the factories of AI, turning energy and data into intelligence. Industry leaders estimate that a few major U.S. technology companies alone are expected to invest more than $600 billion in AI infrastructure, particularly in data centers, between 2023 and 2026. The countries that work with companies to host data centers running AI workloads gain economic, political, and technological advantages and leverage. But data centers also present national security sensitivities, given that they often house high-end, export-controlled semiconductors and governments, businesses, and everyday users send some of their most sensitive information through them. And while the United States is ahead of China in many aspects of AI, especially in software and chip design, America faces significant bottlenecks with data centers.

Data centers are critical for the digital economy and AI. But the data center buildout is hitting a wall. The United States is home to the plurality of the world’s data centers, numbering in the thousands. Yet America’s aging energy grid, which powers those data centers, is under enormous strain from a complex set of factors, including rising electricity demand, delayed infrastructure upgrades, extreme weather events, and the complex transition to renewable energy. Meanwhile, surging data center demands driven by rapidly increasing AI workloads are exacerbating the grid’s vulnerabilities.

It’s not just a question of how those energy needs can be met, but where. When it comes to data centers, the shortage of powered land in the United States—or more specifically, the shortage of powered land with the connectivity required to support large-scale data centers—combined with supply chain challenges and lengthy permitting timelines for new infrastructure—presents a challenge to realizing both the public and private sectors’ AI ambitions.

Read it all.

There are a lot of known unknowns about AI, but “The Next AI Debate Is About Geopolitics.” In my latest @ForeignPolicy piece, I argue that data might be the “new oil,” but nations—not nature—will decide where to build data centers. Source: Foreign Policy https://t.co/CHLEzhY9I6

— Jared Cohen (@JaredCohen) October 28, 2024

The soldier squints through his binoculars. “They can see us,” he warns, pointing to a silhouette of two figures on a hill in the distance. The men in his line of sight are soldiers from Eritrea. But the hill is in Tigray, a semi-autonomous region in northern Ethiopia. Eritrean troops control a significant chunk of Ethiopian territory on the border, in places reaching as far as 10km inside it. At night they creep even further south, spying on military positions and kidnapping civilians. “Let them not start a war and we shall not go to war,” says Tsadkan Gebretensae, the interim vice-president of Tigray and a veteran military commander. “But we are very much aware that things could get out of control.”

The tense situation around the hill, near the town of Fatsi, is a hangover from a war that has technically been over for two years. In late 2020 Abiy Ahmed, Ethiopia’s prime minister, launched what he promised would be a swift, clean military operation to oust Tigray’s ruling party, the Tigrayan People’s Liberation Front (TPLF). What followed instead was one of this century’s most horrific conflicts. To bring the recalcitrant region to heel, Mr Abiy enlisted tens of thousands of fighters from Amhara, a region next door. He also invited troops from Eritrea, which had been part of Ethiopia until seceding in 1993. Hundreds of thousands of people were killed, by bombs, bullets or government-induced famine and disease. Many of the dead were civilians. More than 100,000 women are thought to have been raped.

A peace agreement signed by Ethiopia’s government and the TPLF on November 2nd 2022, stopped the fighting in Tigray. But it did not settle the conflicts between Tigray and the war’s two other main parties, Eritrea and the militias from Amhara. Two years on, that omission helps explain why Mr Abiy faces fresh insurgencies at home and a potential war with Eritrea. These new pressures threaten to further destabilise the Horn of Africa, which is riven by tensions between several states or would-be states and is facing fallout from a catastrophic civil war in Sudan.

Read it all.

A peace deal made two years ago was supposed to ensure that Ethiopia’s warring parties could mend rifts through further negotiations rather than violence.

No such talks have materialised and now another African war looms https://t.co/CPkGQSzenr 👇

— The Economist (@TheEconomist) October 28, 2024

Since February last year, his position has implicitly shifted. For he has remained in post, as Synod has introduced a new policy, that the Church may bless same-sex couples. The evangelicals see this as undermining the traditional teaching. No, Welby and most of the other bishops have said, there is no planned change to the doctrine of marriage. But the evangelicals are obviously right that the innovation implies the acceptability of gay relationships. The archbishop of York has said that sex is permissible in stable relationships, straight or gay. This is the reformist position, seemingly held by most of the senior bishops.

Astonishingly, Welby has now said the same thing.

Read it all.

Justin Welby has made a huge shift on homosexuality https://t.co/N3wr9IBaba

— Simon Sarmiento (@simonsarmiento) October 28, 2024

Lisa slides a Hellcat pistol into her backpack, slinging it over her shoulder. She jumps out of the driver’s seat of her massive Ford F-250 as we head into a barbecue joint for lunch. Steel brass knuckles glint in the console beside a pencil-shaped, pronged object. She sees me looking at it. 

“That’s my stabby-stick,” Lisa says before I even ask. “In case I can’t bring my gun somewhere. These guys are dangerous.”

“These guys” are sex traffickers, and dangerous doesn’t begin to describe them. 

Many traffickers are members of Mexican or Salvadorian gangs, part of Cuban rings or the vicious Venezuelan group Tren de Aragua. Their modus operandi is luring migrant women and girls across the southern border, promising them good jobs once they get to America, and then forcing them into prostitution once they’re here, ostensibly to pay off the debt they incurred to get into the U.S. Hunting down sex traffickers is not for the faint of heart, and Lisa is not about to take any chances. 

An athletic, no-nonsense blonde in her 50s, Lisa runs a small nonprofit foundation called Shepherd’s Watch, dedicated to bringing down sex-trafficking rings. Prior to starting Shepherd’s Watch in 2016, Lisa had been a telecom engineer and an expert at analyzing cell phone data used in court cases. In that job, she says, she saw a “disturbing” amount of child exploitation. “I couldn’t ignore it anymore.”

Read it all.

NEW Migrant crime story: I shadowed a private investigator in Dallas and saw firsthand how easy it is to “order” a migrant girl off one of dozens of sex solicitation websites. @ShepherdsWatchF is doing great work trying to stop this kind of crime. https://t.co/RJ29TzMKtv

— Maddie Rowley (@Maddie_Rowley_) October 14, 2024

The Death Spiral is one of the main Pentagon Pathologies. The American people devote ever greater resources to their defense while receiving less and less in return. The Air Force had 10,387 aircraft in 1975 when the Military Reformers began their work in earnest. Today the Air Force has 5,288. The Navy had 559 active ships in 1975. Today the fleet has only 296. The Pentagon’s base budget is more than 60% higher today than it was in 1975, when adjusted for inflation. The American people simply spend more and receive much less in return for their defense dollars.

An argument can be made that modern military equipment is more expensive because of the capabilities they provide the troops. That is extremely debatable because many of the high-profile acquisition programs over the past 25 years have been underwhelming at best, and often complete failures. It is difficult to find anyone who will honestly say the Littoral Combat Ship was worth the effort.

Left unchecked, the acquisition Death Spiral’s inevitable destination is unilateral disarmament. Norman Augustine, a former DoD official and Lockheed Martin CEO predicted in 1983, with only a hint of satire, that by 2054, “the entire defense budget will purchase just one aircraft. This aircraft will have to be shared by the Air Force and Navy 3-1/2 days each per week except for leap year, when it will be made available to the Marines for the extra day.”

Read it all.

At the current spending rate, in another generation we will have a lot of rich contractors and no aircraft or Naval fleets to speak of https://t.co/k4XV5gsk7Z

— Responsible Statecraft (@RStatecraft) October 24, 2024

The action is now moving beyond America. With over two-fifths of the world overweight or obese, demand for glp-1 drugs is voracious. Pharma companies are racing to make them work as pills, which would be cheaper to produce than jabs, and to reduce their side-effects. Generic versions for older GLP-1 agonists are entering the market. Semaglutide is to come off patent in Brazil, China and India in 2026; eight such drugs are in the works in China. That is just as well. As incomes in the developing world have risen and life has become more sedentary, people’s waistlines are catching up with those in the West.

Curbing obesity would be consequential. Yet glp-1 drugs promise to do much more. Overweight patients on semaglutide have been found to suffer fewer heart attacks and strokes; the benefits, astonishingly, seem to be largely independent of how much weight is lost. Tirzepatide improves sleep apnoea. Trials show that glp-1 agonists reduce chronic kidney disease in diabetics; and there are signs they may lessen brain shrinkage and cognitive decline in Alzheimer’s. Studies of health records suggest that they may help with addictions, too; people already on glp-1 drugs in America were less likely to overdose on opioids or abuse cannabis or alcohol. Researchers are even talking, in hushed tones, of their anti-ageing effects.

How can one class of drug do so much? As our briefing explains this week, not only do the drugs act in the gut, but they also bind to receptors all over the body and in the brain. 

Read it all.

I’ve been saying this for quite some time: GLP-1 agonists are miracle “everything drugs”! it’s likely there’ll be more of these types of drugs soon

“It’s not just obesity. Drugs like Ozempic will change the world
As they become cheaper, they promise to improve billions of lives” pic.twitter.com/61tc17dKRE

— Derya Unutmaz, MD (@DeryaTR_) October 24, 2024

It’s widely rumored that organized religion is going down the drain. While the secularization thesis has been debated for decades, its main components are hardly controversial. Religion has reduced social power: its chief officers have less influence on political ideas and social norms, its language and habits no longer permeate the discourse of public life, and fewer people make collective worship and fellowship the rhythm of their week. Death no longer has a compelling hold on the public imagination: people still die, but usually not in the home or in their youth, and few people are terrified of the prospect of eternal hell. Meanwhile, with the possible exception of minority faiths among recent immigrants, it’s become increasingly difficult to socialize young people into a religion. It’s not that religion adheres to egregious ideas so much as that the whole notion of being habituated into a committed community of ritual and tradition seems incongruous.

There’s little that’s specifically Christian about all this. Real as the church’s failures are, most of its challenges it shares with other institutions associated with the pretechnological era. But in any case, in most congregations in the US mainline and the UK equivalent, a disproportionate number of the people are over age 65. The prospects for self-replication in 30 years’ time aren’t promising.

What are we to do about this? I see three main options…

Read it all.

“We have no idea what lies around the corner. Jesus Christ is the same yesterday, today, and forever, but the way the Holy Spirit makes Christ present to us seems to be ever changing.”

– Samuel Wellshttps://t.co/Vh9j7Gfe1E

— theChristianCentury (@ChristianCent) October 18, 2024

Don’t turn our doctors into killers, says the Star. Like several of the opposing factions to the bill, it cites Canada as exemplifying the slippery slope, with one in twenty deaths there being by assisted dying.

This argument that the bill will open up unforeseen consequences for the disabled, and indeed for the unfortunate residents of bad care homes, is common, Archbishop Welby, facing down former Archbishop Carey, said that assisted dying was in effect a sword of Damocles over the disabled and aged. We should add that many Canadians choosing state sponsored suicide cite feeling a burden on family and caregivers as their motive. Canada surely vindicates Welby.

This argument really is cogent and necessary, but is it sufficient for a Christian view which sees humanity made in the image and likeness of God, leading to the doctrine of the sanctity of life? As Frost says this a doctrine that has permeated and grounded western civilization. Is it not simply wrong to kill people even those begging to die? Hospices and care giving was the Christian answer, but Christianity is fading fast with its practical altruistic legacy of looking after the sick and dying.

Lord Frost has pointed to our society’s reliance on Judaeo Christian ethics for all its institutions and to the perilous situation of breaking with this tradition of the sanctity of life for a callous utilitarianism. So far his is the deepest theological apologia for the classical Christian ethic of life  on offer, we trust Christian leaders will step up to the challenge soon.

Read it all.

Ask MPs to oppose assisted suicide ✋

Some helpful tips here 👇 https://t.co/wr1LYSQylr

— Better Way (@betterwayUK) October 24, 2024

In Shakespeare’s time, people still lived out their days under the shadow of divine reward and punishment. Lady Macbeth hopes otherwise. “A little water clears us of this deed,” she says as she and her husband rinse their hands of blood. How wrong she was. 

Our leaders could use a dose of the humility of Edward, the Earl of March, who prays, “Ere my knee rise from the earth’s cold face / I throw my hands, mine eyes, my heart to Thee / Thou setter-up and plucker-down of kings.”

King Lear knew what it was to be set up and plucked down, and only in his reduced state did he taste the wonder of grace. Shakespeare often echoes what theologians call “the theology of reversal,” as expressed in the Beatitudes.

In the paradox of grace, he describes in As You Like It, “Sweet are the uses of adversity / Which, like the toad, ugly and venomous / Wears yet a precious jewel in his head.” Dogberry, the comical constable in Much Ado About Nothing, gets his words mixed up in a deeply ironic way when he says to a wrongdoer, “O, villain! Thou wilt be condemned into everlasting redemption.”

Read it all.

William Shakespeare’s honest tragedies and bold assumption of God’s providence offer insight in our contentious election season.

From @philipyancey:https://t.co/O4FQPN9eCB

— Christianity Today (@CTmagazine) October 23, 2024

Private Medicare insurers got about $4.2 billion in extra federal payments in 2023 for diagnoses from home visits the companies initiated, even though they led to no treatment, a new inspector general’s report says.

The extra payments were triggered by diagnoses documented based on the visits, including potentially inaccurate ones, for which patients received no other medical services, the report says. Insurers offering private plans under Medicare, known as Medicare Advantage, are paid more when patients have costly conditions.

Each visit was worth $1,869 on average to the insurers, according to the Office of Inspector General for the Department of Health and Human Services. The findings are similar to those of a Wall Street Journal investigation published in August. It showed that insurers between 2019 and 2021 pocketed an average of $1,818 for each visit based on diagnoses for which people received no other treatment.

The OIG recommended in Thursday’s report for the first time that Medicare restrict or even cut off payments for diagnoses from these visits. 

Read it all.

It is official now that the @HHSOIG has determined that #MedicareAdvantage health plans w/ @UHC leading the way received over $4B in diagnosis upcoding from home visits. Medicare Paid Insurers Billions for Questionable Home Diagnoses, Watchdog Finds https://t.co/OO1R4Alcwk

— Ed Gaines (@EdGainesIII) October 24, 2024

More than a quarter of Americans believe that civil war could break out after this year’s presidential election, according to polling for The Times.

Fears that an eruption of violence is very or somewhat likely are shared across the political divide by 27 per cent of American adults, including 30 per cent of women and 24 per cent of men, YouGov found in a survey of 1,266 registered voters on October 18-21.

Twelve per cent of respondents said they knew someone who might take up arms if they thought Donald Trump was cheated out of victory in under two weeks’ time. Five per cent said they knew someone who might do the same if they thought Kamala Harris was cheated.

The YouGov poll found 84 per cent of US voters said America was more divided than ten years ago, with only 5 per cent thinking it less divided.

Read it all (subscription).

Just over a quarter of Americans fear civil war will break out after this year's elections, a new poll for @thetimes by @YouGovAmerica shows https://t.co/v5qGmVwJth

— David Charter (@DavidCharter) October 23, 2024

“It’s very important that we discuss it here in the Senedd today because although the private member’s bill is going forwards in Westminster, if it were passed the implication would be very important in Wales because we have responsibility for health and social care.”

Ms Morgan said it is important to have safeguards to ensure people meet specific criteria, with medical people present when the decision is made….

Carys Moseley, a public policy researcher and analyst for Christian Concern based in Cardiff, said the group was “concerned” about the motion.

She said: “We’ve got a visual display of the actual cases that have been happening in different jurisdictions in the western world.

“These are tragic cases – diabetes being treated as a long-term illness in Oregon, assisted suicide the fifth leading cause of death in Canada – these are very grave issues.”

She said the public question the issue more when they hear about other countries.

“Once you introduce this choice – dying – there is a pressure then which eventually becomes a duty to die,” she said.

“There isn’t such a thing as (going on) ‘your own terms’, because it affects all the doctors that become responsible for killing patients or assisted killing rather than preserving life.

Read it all.

The Welsh Senedd, which has a progressive majority, has overwhelmingly voted down a motion to legalise assisted suicide. The more people learn about assisted suicide the less they like it. pic.twitter.com/fww05M1fLi

— Yuan Yi Zhu (@yuanyi_z) October 23, 2024

Less than a mile from Singapore’s luxurious Changi Airport sits a rather less glamorous business park. Residents of the industrial estate include freight and logistics firms, as well as the back offices of several banks. One building is a little different, however. Behind a glossy onyx facade, layers of security and imposing steel doors, sits more than $1bn in gold, silver and other treasures. “The Reserve” hosts dozens of private vaults, thousands of safe deposit boxes and a cavernous storage room where precious metals sit on shelves rising three storeys above the ground.

After four years of retrofitting, the complex is almost complete. Its grand opening will come at an opportune moment: gold is in the midst of an extraordinary renaissance. Over the past year investors have piled into the metal, driving its price up by 38% to over $2,700 per troy ounce—a record high (see chart 1). The buzz has reached unusual places: gold bars have hit the shelves of Costco, an American retailer, and CU, a South Korean convenience-store chain, as the resurgence of inflation and fears of war drive consumer enthusiasm. Central bankers are also getting involved, as financial fragmentation increases appetite for an ancient asset. The world has entered a new golden age.

Read it all.

What the surging gold price says about a dangerous world https://t.co/2oLSBR8QCy

— YD (@Enhance___) October 23, 2024

The Archbishop of Canterbury discovered recently that one of his ancestors was a slave owner, he said on Tuesday.

In a statement, Archbishop Welby revealed that his biological father, Sir Anthony Montague Browne, had an “ancestral connection to the enslavement of people in Jamaica and Tobago”.

Sir Anthony was the great-great-grandson of Sir James Fergusson, the 4th Baronet of Kilkerran (1765–1838), who had owned slaves and received compensation when slavery was abolished.

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The Archbishop of Canterbury @JustinWelby discovered recently that one of his ancestors was a slave owner, he said on Tuesday https://t.co/UZb561Pnir

— Church Times (@ChurchTimes) October 22, 2024

Canada’s fertility rate hit its lowest rate in recorded history for a second consecutive year in 2023. The spinoff impacts of this are already being felt – with Canada’s aging workforce joining a swelling retirement-age population and increasing economic pressure to meet this groups’ needs and entitlements.

New data from the non-profit Angus Reid Institute finds insight into the reasons behind lagging birth rates. ARI asked 1,300 Canadian adults younger than 50 if they plan to have children, and if not, why? Among this group, one-in-five are definitely (21%) going to have at least one child, while one-in-three (32%) say they may still do so. Within these two groups of potential parents, fully half say that they have delayed having kids longer than they ideally would have wanted. This rises to three-quarters (74%) among 35- to 44-year-olds. The top reasons driving delays are both societal and personal. For many, the search for the right partner has just not borne fruit (40%). For others, however, uncertainty surrounding their finances and the job market (41%) the cost of childcare (33%) and the housing affordability crisis (31%) are all drivers of the decision to wait.

Even among those who are definitely not going to have children (37% of the 1,300 adults surveyed) these worries about childcare and cost are a factor. One-quarter among this group say they decided not to have kids because the spectre of childcare costs was too daunting (25%), while one-in-five (18%) said it was too hard to foresee having proper housing to start a family.

With immigration playing a larger role year over year in sustaining the population – and criticism of immigration policy evidently growing – the historically low birth rate trend divides Canadians. They’re equally likely to feel that the birth rate is (43%) and isn’t (42%) a crisis.

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"Half of Canadians who want children have waited longer than they’d like, due largely to cost." –@angusreidorg #cdnpoli #generationalfairness https://t.co/XtH9zRh2nA pic.twitter.com/9BbZg6CFEM

— Generation Squeeze (@GenSqueeze) October 17, 2024

Hurricane Helene Relief Efforts Need Your Support
 

The Diocese continues to mobilize, providing relief to those affected by Hurricane Helene. We are working closely with ARDF to coordinate efforts. Are you willing to donate supplies or funds or volunteer in relief efforts?

Fill out the form on our website.

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The Latest Edition of the #Anglican Diocese of #SouthCarolina Enewsletter https://t.co/N7YwW0YFAb #parishministry #religion #faith pic.twitter.com/zAvfRfVnXM

— Kendall Harmon (@KendallHarmon6) October 22, 2024

Before the service starts on Sunday morning at San Diego Reformed Church, the building fills with the sound of singing. Sean Kinnally, an associate pastor, leads a 45-minute Psalm-sing so the congregation can practice reading music together and using printed hymnals.

“We’re seeking to add more and more hymns—it’s a more robust form of worship,” Kinnally said. “There has been incalculable growth in the singing at our church.” 

San Diego Reformed is in the process of shifting its worship toward hymnal-aided congregational singing. The congregation is part of what appears to be a growing number of churches working to recover the practice—never entirely lost, but not as popular as it used to be—of singing from books.

Hymnals offer perceived permanence and stability in a musical landscape that changes quickly and often. The decision to reintroduce congregations to hymnals is often an ideological one, especially for churches that made the transition away from them in recent decades.

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A number of churches are choosing the printed page over lyrics projected onto a screen.

“Hymnals offer perceived permanence and stability in a musical landscape that changes quickly and often,” said Dan Kreider, the composer of the “Sing! Hymnal.”https://t.co/MfajqRkS5w

— Christianity Today (@CTmagazine) October 20, 2024

 More than half of Americans (52%) say they and their family are worse off today than they were four years ago, while 39% say they are better off and 8% volunteer that they are about the same. The 2024 response is most similar to 1992 among presidential election years in which Gallup has asked the question.

The latest findings are from a Sept. 16-28 poll, which also finds differences among partisans’ perceptions on this measure — Democrats (72%) are much more likely than independents (35%) or Republicans (7%) to view themselves as “better off.”

The higher-than-usual percentage of U.S. adults who say they are worse off this year is largely owing to Republicans’ much greater likelihood to say this than opponents of the incumbent president’s party had been in prior election years. Likewise, the higher-than-usual percentage of “better off” responses in 2020, when Donald Trump was in office, was attributable to Republicans’ much greater likelihood to give that response than supporters of the incumbent president’s party did in prior election years.

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More than half of Americans (52%) say they and their family are worse off today than they were four years ago.

New data: https://t.co/TAz6shizZE pic.twitter.com/2qpEG10tGC

— Gallup (@Gallup) October 19, 2024

By Williams’s estimation, our societal disregard for God’s image in mothers and children has a far-reaching impact. It means that we see pregnancy as a sickness to be prevented or solved by means of birth control or abortion. It means we reduce our children’s existence to an “assembly-line life,” obsessing over educational achievement and resisting the reality that “children, like all people, are unpredictable individuals and are not made for the convenience of their parents.” It means we force new moms back to work too early, pitting their careers against their children. 

Mothers, Children, and the Body Politic begins by describing contemporary problems. But disdain for mothers and children, Williams demonstrates, was also characteristic of antiquity. Drawing on myths, literature, and histories from Greek and Roman writers, she describes a past in which women were sexually exploited, infants were left “exposed” on “village dung heaps,” and anyone who couldn’t achieve military victory on the battlefield was a second-class citizen by default. 

It’s Christianity, she argues, that changed all of this—that gave us the human rights we take for granted, that blessed the meek and lowly instead of kowtowing to the powerful. “It is because of two millennia of Christian valuing of human life,” she states forcefully, that “we do not delight in the suffering of the weak.” Both the life of Christ and the writings of the church fathers demonstrate that “the church is responsible for caring for the bodies and souls of the neglected and the abandoned at all ages and life stages, because their lives are priceless.”

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In western post-Christian society, humans are treated more like commodities than image bearers.

In ‘Mothers, Children, and the Body Politic,’ @NadyaWilliams81 uses ancient and modern sources to show how Christians can value life amidst an empire that seeks to dehumanize it. pic.twitter.com/ErT36b1P0n

— IVP Academic (@ivpacademic) October 15, 2024