Beyond Ukraine: refugees relying on the kindness of strangers – Financial Times

More than 6mn people have fled Ukraine since Russia launched its full invasion of the country, many of them travelling across the globe in search of safety.

The refugees have mainly sought safety in nearby European countries such as Poland, Germany and the Czech Republic, but some have travelled as far afield as Japan and Iceland. It marks the biggest movement of people in Europe since the second world war.

After the Financial Times asked readers for their accounts of ways in which they had been affected by the war, hundreds shared stories of helping Ukrainians, with some putting us in touch with those they were hosting.

We heard directly from Ukrainian refugees, who described the anxiety of fleeing a war zone, their experiences adjusting to unfamiliar countries and their hopes for the future. Hardship, heartache and uncertainty were constants, but so too were acts of kindness by people who offered a safe place to call home.

A passion for karate was the one connection that made Japan seem less alien for Artem Tsymbaliuk. He arrived in the small Japanese mountain town of Nagano three months ago after fleeing Ukraine with his mother.

Tsymbaliuk, who started learning martial arts four years ago, was among nine Ukrainian refugees brought to Japan by Takashi Ozawa, founder of an international karate group to which some of them belonged, after Russias invasion of Ukraine. The war has divided his family with his father, a construction worker, fighting on the front line while his 22-year-old brother lives in Poland.

We all miss each other, Tsymbaliuk said in an interview through an interpreter. But Im very proud of my father for defending our country and I want to be like him when I grow up.

He was speaking a week after a Russian air strike on his hometown of Vinnytsia last month that killed at least 25 people, including three children.

We search for new information on the internet every morning, noon and evening, said Olena Volosenko, his 44-old-mother. We put in calls to make sure our relatives and friends are safe. This is the biggest concern for us.

Tsymbaliuk tries to speak to his father every day but on some days when he is out on the battlefield, they are unable to reach each other, leaving him uncertain about his parents wellbeing.

Despite the disruption caused by the war, Tsymbaliuks face breaks into a smile when asked about his new life in the town of Takamori.

I go to school every day and have made new friends. I also take karate lessons and am eating various Japanese foods that Ive never tasted before, said Tsymbaliuk, who is learning Japanese and keeps in touch with friends at home via occasional online chats.

Japan has accepted just 1,586 people from Ukraine since the war began, according to the Immigration Services Agency. While the Ukrainians have not been granted formal refugee status, allowing that number of people to flee to Japan is a big policy shift for Tokyo and the figure for the evacuees contrasts sharply with the 74 refugees a record at the time Japan accepted last year.

In April, Ozawa personally arranged for plane tickets to Japan for the nine Ukrainian refugees and collected donations to support them in the absence of government funding.

All the kids are very cheerful and its hard to tell that there is a war going on looking at their faces, Ozawa said.

Tsymbaliuk receives karate lessons from Ozawa twice a week and, he said, the experience has been one of the highlights of his stay in Japan. I love karate because I can feel myself getting stronger, he said.

Before the war, life was good for Yelyzaveta Taranukha. When Russian forces invaded, the philology and comparative literature student was reluctant to join the exodus out of Kyiv with her friends.

How could I leave my life, my partner? I thought it would be over in a matter of days, she recalled. I was one of those people who, until the very last moment, could not accept the idea that a full-scale invasion was actually happening.

She and her partner spent the first week sleeping in a shelter as the Russians launched air strikes that shook the capital. The psychological impact of constant shelling quickly took its toll. Taranukha decided to leave for Lviv, the first step to finding a haven abroad.

She packed a few possessions into a rucksack, taking just a laptop, passport, student diploma, personal documents and a single change of clothes.

The hardest thing was leaving Ukraine without my partner. He couldnt go with me as men were expected to stay and join the military even though he has health issues so cant fight. I went on to London and he returned to Kyiv.

Taranukha already spoke some English and had visited the UK, so London seemed the natural place to go until conditions became safe enough for a return home. She had colleagues in London, at the Ukrainian Institute, for whom she taught Ukrainian as a foreign language online from Kyiv.

One of her students, Ian Gaunt, contacted her when the war began and suggested she come and live with him and his wife, Iryna, who also worked at the institute. About 86,000 Ukrainians have resettled in the UK since March under the Homes for Ukraine scheme or a related programme for Ukrainians with family already living in the country.

But both Taranukha and her hosts became frustrated by the complex bureaucracy that every Ukrainian refugee has to navigate to enter the UK.

The paperwork imposed by the British government at the outset seriously delayed the arrival of Ukrainians in Britain. Particularly challenging were the biometric tests needed to obtain a visa, said Gaunt.

Even getting a UK bank account was difficult. Taranukha said it took six weeks to gather the supporting documents and receive a bank card. Even then it took still longer to set up an international transfer, she said.

But she has grown accustomed to her new life. She works for the institute, co-ordinating English courses for Ukrainians. In her spare time, she helps others navigate the British visa application system. But she constantly worries about her family back in Ukraine, some of whom are in territory now occupied by the Russians.

I feel guilty all the time. The people I love are still in Ukraine and yet Im here, safe, in London. Im happy to be away from the bombs but constantly scared for the people Ive left behind.

Russian was the language Alevtyna Kudinova had always used with family and friends. That changed a few months ago after the bombing began. She could no longer bring herself to use the invaders tongue and switched instead to Ukrainian.

Not only have the Russians taken away my life, my home and my family, theyve robbed me of my mother tongue, said the 47-year-old economics professor whose parents were Russian-speaking Ukrainians. I can no longer speak Russian without feeling sick to my core.

Before the invasion she lived in Bucha, 30km north-west of Kyiv, and worked as the director of a business school. One night, soon after the invasion, her husband Denys Verba joined the local defence organisation and she left home to embark on the journey out of Ukraine.

We didnt take much, just the clothes on our backs and a couple of changes. Only what we thought we would need, she said. Then we got in the car and I drove to Truskavets in the Lviv region. We drove for 20 hours.

One of her lasting memories of that journey was seeing hundreds of people walking down a long road dragging suitcases behind them, many walking to towns up to 400 kilometres away.

Weve seen this sort of thing in movies, but never dreamt it could happen in real life.

She drove her twin boys, her mother and niece through Poland to the Czech Republic, Germany, France and finally the UK.

I was humbled by how nice and kind everyone we met along the journey was. People went out of their way to help us, giving us food and shelter and keeping us company. They cried with us when we cried, and supported us when we needed it. she said.

During that journey, her cousin sent a text telling her about a group of parents in the UK who were inviting young Ukrainians to enrol in their childrens independent school Moor Park, and offering to host families.

One of these hosts was Frank Bury whose family runs a country home in the English county of Shropshire and owns rental properties. He and his wife provided three properties on their estate as accommodation for Ukrainian families.

Bury worked alongside volunteers and local people in the village to obtain visas for the Ukrainians staying with him. I pretty much had to down tools from my day job for a few weeks while I helped apply for visas for the Ukrainians, he said.

Kudinovas boys now go to Moor Park and she continues to work remotely, running the business school from Shropshire. They spend time with the other families on the estate.

I enjoy learning English and my boys are speaking the language more fluently every day. I just wish I didnt have to forget the language of my childhood.

Alex Nikolayuk arrived in Poland less than 24 hours after learning that Russia had invaded Ukraine. He travelled with his flatmate by bus from the western city of Lviv, where they attended university, to another city near the Polish border.

After crossing over, they rode on another bus to Warsaw, where a friend had already found them a temporary home in Polands capital. Its all been about getting helped by friends of friends of friends, he said.

Nikolayuks host family posted a message on LinkedIn to help him get a job in which he used his computer skills. Although Nikolayuk was in his third year of studying psychology, he had initially considered studying computer sciences and becoming a software developer.

His Warsaw job search quickly yielded fruit. Since April, Nikolayuk has worked as an online recruiter at Boston Consulting Group, under an initiative it launched to recruit Ukrainian refugees. His job involves searching online for suitable candidates for the consultancy firm.

I felt a lot of guilt and shame about working in a good company and not having to go to a shelter and hide from the bombs, as some of my classmates have had to do, he said of his life in Warsaw. My friends told me that its OK, that me feeling guilty wont help Ukraine win the war.

Nikolayuk hopes to finish his university studies online. He must also choose whether to forge ahead in IT or stick with psychology in Warsaw he has volunteered as a therapist on an online platform that connects him to young people struggling in Ukraine.

He now shares a Warsaw flat with three other young Ukrainians. We really dont talk about the war: sometimes we mention something that were missing, but mostly we talk about the present, things here in Warsaw, Nikolayuk said.

Nikolayuks mother and his half-brother recently visited him in Warsaw. Their hotel stay was paid by the bank that employs his mother, and she worked remotely while in Warsaw.

I sometimes get homesick, I miss my community and friends, but Warsaw is a good place and I have some close Ukrainian friends here, he said.

But Nikolayuk added that he had been overwhelmed by the welcome given by Poles to Ukraines refugees. I didnt think that the relationship between Poles and Ukrainians had been warm before the war, but everybody here really seems to care a lot about Ukraine.

A small German town near the Polish border is now home for Marianna Pelykh. She relocated to Niesky in March with her 14-year-old son Andrew, who has autism, and her elderly parents.

Their lives have changed beyond recognition. They are living in a group of apartments alongside 60 other Ukrainian families of children with special educational needs. The families were all helped by Marina Krisov, an Israeli who has spent a lot of time working in Kharkiv, Ukraines second-biggest city, which came under heavy bombardment.

For years, Krisov worked with families and educators in Ukraine to develop an inclusive education system, particularly for children on the autism spectrum. When the war broke out she contacted Pelykh and offered to help her evacuate her family from Ukraine.

I was so happy that she remembered us. Because of Covid we hadnt seen her for two years. She came to our rescue, said Pelykh.

Kharkiv train station was packed with thousands of desperate Ukrainians and Andrey was petrified by the crowds. Marina waited for hours to get my son and my parents on to a bus and bring them to me. I will never forget how it felt to hug them for the first time in two weeks. She saved us that day.

At the apartments where the Pelykhs now live there is a large space for group activities, and also for individual lessons with teachers and consultations with psychologists. Families gather together there to help each other fill in forms and obtain visas.

We split up the jobs that need doing, said Pelykh. One person looks for a local doctor, another tries to find an insurance company and someone else organises our supplies.

As important as the help with the administrative work is the emotional support available in the group. Its much easier to get through this hell together. When one of us is crying, and we feel like we cant go on, others pick us up, dust us off and encourage us to carry on.

Outside the group in Niesky, Krisov and her friends have helped more than 135 other refugees settle in different towns and cities. She is working with people she knows to establish hubs in Italy, Germany and the Netherlands, where families and children could get support in their native language.

Pelykh yearns to return home, but knows that such a move would be too dangerous.

The Russians decided to destroy my country...so for me there is no safe home there now, she said. Its going to be so hard to go back and see all those historic buildings and familiar places destroyed.

Olga Odnopozova felt unsettled after arriving as a refugee in the quiet Italian town of Lubriano, as the 34-year-old mother of two struggled to adjust to the slower pace of life.

Everyone was always staring...but eventually they got used to us, Odnopozova said. Italy is very different, she added, you dont know what to do, you have no plans.

In March, after Odnopozova had endured a week of heavy shelling in Kyiv, Francesca Zanoni an Italian businesswoman who knew the Ukrainian womans husband professionally offered the use of her three-bedroom holiday home in Lubriano.

After fleeing the Ukrainian capital by car, she drove through Romania and Budapest before arriving in Italy with her daughter Emma, aged 7, and her 16-month-old son Boris.

Before the invasion, Italy had the largest Ukrainian population in western Europe with about 235,000 people, many of them older women involved in care work.

But in Lubriano with its tight-knit local community, transient visitors and no Ukrainians at all the family felt isolated, without friends who could understand their experiences.

Helping Odnopozovas daughter, Emma, to socialise with other children was among the biggest challenges. The child participated in online classes with pupils from her English-language private school in Kyiv, which helped give her a sense of solidarity. Of the 22 children in her class, just two had remained in Ukraine, while most like her were elsewhere.

But she felt isolated once classes ended. Most local children play in their own gardens, and the public park was virtually empty.

Zanoni arranged for Emma to join daily classes at a local swimming pool in another town nearby, which helped to build Emmas confidence.

Odnopozova is torn about her next move. The Italian town offered refuge initially, but does not feel like a place for a long stay for a Ukrainian family, she said. Yet she is reluctant to return home with her children while fighting rages, even though schools in Kyiv have reopened.

She is now considering whether to move to Milan, where she has other Ukrainian friends. She thinks a school could be found there that was better suited to her daughters needs.

Were looking for a school with English my daughter doesnt know Italian at all.

London is also an option, but Kyiv is off the list for now. We wont go back to Ukraine until the war ends, she said. I hope it wont last for years.

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Beyond Ukraine: refugees relying on the kindness of strangers - Financial Times

Ukraine’s wedding dress industry is alive and well, despite the war – NPR

Inside the workshop and showroom of Giovanna Alessandro, in Chernivtsi, Ukraine. Eleanor Beardsley/NPR hide caption

Inside the workshop and showroom of Giovanna Alessandro, in Chernivtsi, Ukraine.

CHERNIVTSI, Ukraine American bride-to-be Nona Griffin fell in love with the first wedding dress she tried on in a small bridal shop where she lives in Dublin.

"I was like, yes, this is the dress. It has really intricate embroidery on it the details are just really special," she told NPR over the phone.

Griffin had brought her mom along, who wanted to make sure the dress wasn't made somewhere like China. That's when they found out it was from Ukraine. It was the last week of December.

"She was, like, 'I don't know what we're going to do if Russia invades Ukraine,'" says Griffin. "The dress shop owner said that's not gonna happen. She said you're crazy, basically, and we just kind of laughed it off."

Griffin says she was seized with guilt when the invasion did happen. She felt superficial for worrying about whether she'd get her dress on time when Ukrainians were fighting a war.

Seamstresses Lilya Chorpiyta and Oksana Harik working in the workshop and showroom of Giovanna Alessandro. Eleanor Beardsley/NPR hide caption

Seamstresses Lilya Chorpiyta and Oksana Harik working in the workshop and showroom of Giovanna Alessandro.

But dress designer Yana Bashmakova understands Griffin's feelings perfectly.

"It's normal," she says. "It's the one day in the life of the bride. And it's very important to receive the dress on time."

Thirty-three-year-old Bashmakova runs a dressmaking business along with her husband Alexandr Marandyuk, in Chernivtsi, a western Ukrainian town near the Romanian border that was once the wedding dress capital of the Soviet Union.

As the war shatters Ukraine's economy, many businesses are going bankrupt. But others that anticipated the conflict and adapted have found new opportunities.

That is the case for Bashmakova and Marandyuk, and their wedding dress company, which is called Giovanna Alessandro an Italianized combination of the couple's first names.

At their factory showroom and workshop, seamstresses lean over tables piled with white satin and lace. Sewing machines hum. Giovanna Alessandro exports all over the world, but that wasn't always the case.

When they started their business in 2009, countries from the former Soviet Union were their market. That all changed in 2014, the year of the Maidan uprising in Kyiv, when Ukrainians ousted their pro-Kremlin president.

Wedding dress designer Yana Bashmakova, holding son Adam, runs the Ukrainian wedding dress company Giovanna Alessandro along with her husband Alexandr Marandyuk. Eleanor Beardsley/NPR hide caption

Wedding dress designer Yana Bashmakova, holding son Adam, runs the Ukrainian wedding dress company Giovanna Alessandro along with her husband Alexandr Marandyuk.

Russian President Vladimir Putin responded by annexing Crimea, and fomenting and arming a separatist revolt in Ukraine's Donbas region.

Marendyuk says that's also when Russia's propaganda machine really geared up.

This couple says the current war really started in 2014.

"I felt the aggression of the dress shop owners we worked with in Moscow and it was unacceptable for me," he says. "I told them, you're calling me fascist and telling me we have Nazis in Ukraine but you're ordering my dresses?"

Bashmakova remembers going to a bridal show in Moscow in 2015.

"When they saw my passport, I always had problems," she says. "Everything would be OK until I pulled out my Ukrainian passport. Then I could wait two or three hours in a hotel lobby to get my room number or key. And I waited hours to get gas if they saw Ukrainian license plates."

Marandyuk says they decided to no longer work with dress shop owners who approved of the annexation of Crimea.

In 2014, the ruble also plummeted, leaving many of their Russian clients unable to afford their dresses. Out of the 90 stores they once partnered with in Russia, today they only do business with two.

"That's why 80% of the wedding industry in Chernivitsi went bankrupt," says Marandyuk.

Seamstress Yana Motulyak inspects a dress inside the workshop and showroom of Giovanna Alessandro. Eleanor Beardsley/NPR hide caption

Seamstress Yana Motulyak inspects a dress inside the workshop and showroom of Giovanna Alessandro.

Giovanna Alessandro would have followed that same path if the company had not pivoted to the West, he says.

"We survived because of Yana's talent designing dresses, and because we decided to sell dresses to America and Europe and traveled to various international exhibitions," Marandyuk says.

But the pivot wasn't easy. Their cheaper fabrics and glued-on beads didn't cut it in the West. Name recognition was another problem. Marandyuk says people confused Ukraine with the U.K. Or had no idea where or even what Ukraine was.

Despite that, bridal show participants were struck by their unique designs.

The couple made investments. They sourced better-quality fabrics. Every bead is now sewn by hand. Marendyuk says today, each of their dresses is a couture creation, but with a lower price tag than dresses by Western designers.

Diana Lupascu is the owner of the Dublin shop Angelo Bridal, where American bride Griffin bought her dress. Lupascu says Ukrainian designers are very popular.

"There is a big, big interest in Ukrainian designers," she says. "It's a different design, very high-quality fabrics and a lot of handmade. We see how well their dresses do in our shop compared to other designers."

The Giovanna Alessandro dressmaking business, in Chernivtsi, Ukraine, makes around 350 dresses a month. They're sold in more than 200 shops in 48 countries. Eleanor Beardsley/NPR hide caption

The Giovanna Alessandro dressmaking business, in Chernivtsi, Ukraine, makes around 350 dresses a month. They're sold in more than 200 shops in 48 countries.

The Ukrainian dress makers also offer strong client service, says Lupascu. With no problem doing alterations.

Marendyuk believes they have another advantage over Western designers: a greater range of sizes. Several large-size mannequins wear wedding dresses in their showroom.

"European designers don't propose so many sizes," he says. "They propose five, we propose 10."

The couple says the full-on Russian invasion this winter stunned them and they closed but only for a week. Seventy percent of their employees who fled have returned.

"We found a way to deliver through Romania and we haven't disappointed any of our brides," says Bashmakova.

Today they're making around 350 dresses a month, which are sold in more than 200 shops in 48 countries, with no end in sight in a post-COVID wedding boom.

Bashmakova says they're now working for more than their own success.

"We are not removing our production or our manufacturing to another country to Poland or to Romania," she says. "We are staying in Ukraine. We will build our economy."

And now, she says with a laugh, everyone knows Ukraine!

Read more here:

Ukraine's wedding dress industry is alive and well, despite the war - NPR

Ukraine war: The artillery slugging match for the south will be a slow and deadly grind – Sky News

The roads leading south are empty of cars. Fighting is intensifying here along this front as Ukraine tries to recapture the city of Kherson.

We travelled with a military escort through checkpoints, along desolate highways, to reach the slowly shifting frontlines.

The villages have all been heavily shelled - and it's getting worse.

The roofs of homes have been pancaked by the impact of the explosions and the fences surrounding them peppered with shrapnel.

Nowhere is safe here.

But amazingly there are a few residents who've decided not to leave.

Russia 'creates military strike force aimed at Zelenskyy hometown' - latest updates

Even after all the months of fighting, Ivan tells me he still shudders when the bombs start to drop.

"They are shelling, shelling on the sea. There are two fires, you can see. And a fire over there. They shell every day," he says.

The attacks come at anytime but it's worse at night and in the early morning.

Those who remain say they don't have the resources to leave.

Others are too unwell to flee and have no choice but to stay in the line of fire.

Lubov shows me where she waits out the barrages of Russian artillery.

She descends through a trapdoor in her small house, which has been hit by shrapnel many times.

It's a dark and lonely existence as the war roars above.

"Every night we come here till morning. During the day if it is a lot of shelling we also have to go down. We are afraid. We hide and are scared. We are waiting for it to end, maybe," she says.

After six months of conflict, the junk of war along the southern front litters the countryside.

Burnt-out Russian armoured personnel carriers (APCs) tell the story of a massive Ukraine attack, on the ground the scorched uniforms of the soldiers who perished.

The Russian armour was destroyed at the beginning of the invasion and the frontlines haven't moved significantly here for months.

Ukraine is hoping its forces will be able to roll back the Kremlin's war machine from areas further south as it launches a counter offensive.

This is now a war that's being fought across vast open areas and hiding in this landscape artillery teams wait for co-ordinates to strike new targets.

But the units stationed here say they need more supplies from the West to win this fight.

Along the line of contact, trenches stretch for miles.

Infantry units hold defensive positions but are waiting to move further forward.

There is a worry amongst the soldiers that western support may fade without steady progress.

But Vasily, from the 59th Brigade, warns a defeat here will have consequences for democracies everywhere.

"A lot of civilians are dying. The Russians fight very dirty. They have no morals no war ethics. They just came in marauding, killing and raping."

"If we will not stop them here in our land, if they God forbid they will take our land and destroy all our army, they will not stop here. It's better to push them back here."

The troops are 100% confident they can win but Ukraine says there are signs Moscow is becoming more desperate.

Attacks on civilian targets are increasing.

In Mykolaiv, residents live under the constant threat of bombing. At a bus stop on the outskirts, seven were killed recently by a Russian rocket.

The war here is entering a new phase but this conflict will not be over quickly.

The artillery slugging match for the south will be a slow and deadly grind.

Read more:

Ukraine war: The artillery slugging match for the south will be a slow and deadly grind - Sky News

In Taiwan, as in Ukraine, the west is flirting with disaster – The Guardian

Arguments in the foothills of war are always the same. Those for war shout loudest and beat their chests, eager for tanks to rumble and jets to roar. Those against are dismissed as wimps, appeasers and defeatists. When the trumpets sound and the drums beat, reason runs for cover.

The visit to Taiwan of the US congressional speaker, Nancy Pelosi, has been so blatantly provocative it seems little more than a midterm election stunt. She declares it essential that America and her allies make clear that we never give in to autocrats. Chinas gross overreaction is a classic example of precipitate escalation. Yet when Joe Biden asserted that the US would defend Taiwan militarily, the presidents office instantly backtracked, reasserting a policy of strategic ambiguity. It remains the case that no one quite believes the US will go to war over Taiwan so far.

A similar ambiguity infuses the wests attitude towards Russia over Ukraine. The US and Britain reiterate that Russia must fail and be seen to fail. But can Russia really be relied on to tolerate ever greater destruction of its armaments without escalation? The west seems set on holding Ukraine to a drawn game, hoping to postpone some horrific penalty shootout. All Russia can do is perpetrate ever more atrocities to keep its team in play. Suppose it escalates something else?

These are the same uncertainties that overwhelmed European diplomacy in 1914. Rulers dithered while generals strutted and rattled sabres. Flags flew and newspapers filled with tallies of weaponry. Negotiations slithered into ultimatums. As the frontline pleaded for help, woe betide anyone who preached compromise.

During the two east-west nuclear crises of the cold war, in 1962 over Cuba and 1983 over a false missile alarm, disaster was averted by informal lines of communication between Washington and Moscow. They worked. Those lines reportedly do not exist today. The eastern bloc is led by two autocrats, internally secure but paranoid about their borders.

The west is blighted by weakened and failing leaders, striving to boost their ratings by promoting conflicts abroad. What is new is the conversion of the old western imperialism into a new order of western interests and values, ready to be prayed in aid of any intervention.

Such an order has become arbitrary and knows no boundaries. Despite Pelosis claim, the west gives in at its own convenience, intervening or failing to do so. Hence wayward policies towards Iran, Syria, Libya, Rwanda, Myanmar, Yemen, Saudi Arabia and others. Britain abandoned Hong Kong to China and donated Afghanistan to the Taliban, the futility of the latter intervention shown last week in the drone killing of al-Qaidas leader in Kabul.

Never in my lifetime has the Ministry of Defence had to defend my country against a remotely plausible overseas threat, least of all from Russia or China. Instead, in the cause of interests and values it has killed untold thousands of foreigners in my name and to virtually no gain.

Now, with the looming threat of a serious east-west confrontation, the least we should expect of Britains probable next prime minister, Liz Truss, is that she drops her cliches and articulates clearly what she sees as Britains objectives, if any, in Ukraine and Taiwan.

Neither country is a formal ally of Britain or critical to its defence. Horror at Russian aggression justified military aid to Kyiv, but that was a humanitarian rather than strategic response. Probably the greatest aid we can be to Ukraine is to assist in the eventual return of its exiled labour force and help in rebuilding its shattered cities. Taiwan likewise merits sympathy in its historic struggle with China, but its status poses no military threat to Britain. Its population has long been content with an ambiguous relationship with China as it knows it is at its long-term mercy.

Boris Johnsons dispatch of the aircraft carrier Queen Elizabeth to the South China Sea last year was a senseless act of vanity.

Russia and China are both experiencing border disputes of the sort that occur in most corners of the world. Outsiders rarely assist their resolution. The days when western powers could ordain the spheres of interest of states such as China and Russia are rightly over, as was acknowledged during the cold war. Since that conflict ended, the wests global interventions have become parodies of imperial outreach, notably across the Muslim world. With few exceptions, neither China nor Russia has shown a comparable desire to possess the world. They have merely desired, however callously, to repossess ancestral neighbours.

The fates of Ukraine and Taiwan merit every diplomatic support but they cannot be allowed to lurch downhill towards global war or nuclear catastrophe. This may reduce the effect always overstated of nuclear deterrence, and make them vulnerable to blackmail. But it is one thing to declare yourself rather dead than red, quite another to inflict that decision on others.

It may be that one day a global war, like global heating, delivers the world a catastrophe it may have to confront. For the time being liberal democracy surely owes it to humanity to avert rather than provoke that risk. Both sides are now flirting with disaster. The west should be ready to back off and not call it defeat.

Simon Jenkins is a Guardian columnist

Do you have an opinion on the issues raised in this article? If you would like to submit a letter of up to 300 words to be considered for publication, email it to us at guardian.letters@theguardian.com

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In Taiwan, as in Ukraine, the west is flirting with disaster - The Guardian

Ukraine’s Zelenskiy says harvest could be halved by war – Reuters

A combine harvests wheat during Ukraine-Russia conflict in the Russia-controlled village of Muzykivka in the Kherson region, Ukraine July 26, 2022. REUTERS/Alexander Ermochenko

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ODESA, July 31 (Reuters) - Ukraine's president said on Sunday that the country's harvest could be half its usual amount this year due to the Russian invasion of Ukraine.

"Ukrainian harvest this year is under the threat to be twice less," suggesting half as much as usual, President Volodymyr Zelenskiy wrote in English on Twitter.

"Our main goal to prevent global food crisis caused by Russian invasion. Still grains find a way to be delivered alternatively," he added.

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Ukraine, a key global supplier of grains, has struggled to get its product to buyers due to a Russian naval blockade of Ukraine's Black Sea ports.

An agreement signed under the stewardship of the UN and Turkey on July 22 provides for safe passage for ships carrying grain out of three southern Ukrainian ports.

Speaking in one of those ports on Friday, Ukraine's infrastructure minister said Ukraine was ready to start shipping grain, and that he was hopeful the first ships would leave by the end of the week. read more

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Reporting by Max Hunder; Editing by Hugh Lawson

Our Standards: The Thomson Reuters Trust Principles.

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Ukraine's Zelenskiy says harvest could be halved by war - Reuters

Telehealth could improve access to health care for pregnant mothers, their infants – OHSU News

Research lead byAmy Cantor, M.D., M.P.H, associate professor of medical informatics and clinical epidemiology, family medicine and obstetrics and gynecology in the OHSU School of Medicine, shows telehealth had similar and sometimes better health outcomes for maternal care. (OHSU/Christine Torres Hicks)

Replacing or supplementing in-person maternal care with telehealth generally results in similar, and sometimes better, outcomes compared with in-person care, Oregon Health & Science University researchers found.

The study, published last week in the Annals of Internal Medicine, follows the widespread, rapid implementation of telehealth during the coronavirus pandemic, when physicians suddenly relied on video or phone calls for many types of routine appointments.

Amy Cantor, M.D., M.P.H. (OHSU)

The COVID-19 pandemic and the heightened demand for telehealth services we have seen over the past several years puts us in a unique position as clinicians, where we are now able to reevaluate and reimagine how we deliver care, said lead author Amy Cantor, M.D., M.P.H, associate professor of medical informatics and clinical epidemiology, family medicine and obstetrics and gynecology in the OHSU School of Medicine. The results of this study are encouraging because they indicate that telehealth could improve and expand health care options, especially for underserved communities and those who may face barriers to accessing traditional care.

The health of mothers and their infants is reliant on access to high-quality maternal health care. Attentive care throughout pregnancy allows providers to identify health conditions that may increase the risk for poor outcomes, and provides an opportunity for prevention and treatment of any complications.

There is little evidence to support the idea that the traditional approach to maternal care relying on in-person visits alone is best. When the COVID-19 pandemic suddenly limited access to in-person care, physicians turned to telehealth services, providing the opportunity to rethink how care could successfully be delivered. Considering the disproportionately high rates of maternal morbidity and mortality in the United States, as well as extreme health disparities, researchers are now considering the use of telehealth as a strategy to expand and improve the delivery of maternal health care.

Cantors team conducted a rapid review that included 28 randomized controlled trials and 14 observational studies of nearly 45,000 women. The aim was to understand the effect of telehealth as a supplement to or replacement of in-person maternal health care, compared with in-person care alone, on important health outcomes for pregnant adults and adolescents and their infants.

Researchers found that when telehealth-delivered care was used to supplement or replace in-person maternal care services, clinical outcomes and patient satisfaction were similar to in-person care and sometimes better.

In particular, the study found telehealth strategies were especially promising for certain health services, such as the treatment of postpartum depression and remote monitoring of conditions like diabetes and hypertension during pregnancy. And for low-risk pregnancies, telehealth could replace some general in-person maternity care.

Despite the studys promising findings, Cantor said the effect of telehealth on mothers access to care remains unclear, highlighting an ongoing need to evaluate and improve health equity. Looking ahead, Cantor said future research should focus on larger studies that examine effects of telehealth on vulnerable populations, such as those living in rural areas, and evaluate outcomes based on population characteristics in order to better understand the effect of telehealth on health disparities.

Funding for this study was provided by Patient-Centered Outcomes Research Institute (PROSPERO: CRD42021276347).

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Telehealth could improve access to health care for pregnant mothers, their infants - OHSU News

Democratic lawmakers introduce bill to make reproductive health care more accessible to women with disabilities – The Hill

Democratic lawmakers introduced legislation on Thursday to assist Americans with disabilities seeking reproductive health services, hoping to reduce the barriers they may face after the U.S. Supreme Court overturned Roe v. Wade and the constitutional right to abortion.

U.S. Sens. Patty Murray(D-Wash.) and Tammy Duckworth (D-Ill.) announced the Reproductive Health Care Accessibility Act in a press release, explaining the bill would authorize the Department of Health and Human Services to conduct a study to survey the landscape of reproductive health services for the mentally and physically disabled.

The bill would also fund grants for training and education programs for health care professionals who provide reproductive care for the disabled; pour additional grant funding into programs aimed at recruiting and educating people with disabilities in the reproductive health care field; and create a new technical assistance centerto assist with related educational needs for the disabled.

Duckworth, who lost her legs and partial use of her right arm in Iraq in 2004, said the bill would ensure 61 million disabled American women are not left behind in getting the care we need, when we need it.

For too long, Americans with disabilities have faced persistent barriers to healthcare services, equipment and providers, the senator said in a statement. With right-wing efforts underway to go even further to undermine these rights in the wake of the overturning of Roe, many are rightfully worried about having an even harder time accessing the reproductive care they need.

The Supreme Courts decision to overturn the constitutional right to abortion cleared the way for about half of all states to ban or severely restrict abortion access.

The senators estimate that because of that ruling, 1 in 4 adults with a disability will face barriers to contraception counseling and prenatal care in a society where they already face consistent obstacles.

While the legislation is co-sponsored by several other Democratic senators and has the backing of more than a dozen disability rights groups and reproductive rights organizations, abortion access legislation is unlikely to pass in the evenly divided Senate, where 60 votes are needed to overcome a filibuster.

Murray, however, said every single American deserves to have control over their own body, life, and future.

But people with disabilities have long faced discrimination and truly unacceptable roadblocks to getting the reproductive care they needand Republicans nonstop attacks on our rights have made matters so much worse, the senator said in a statement.

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Democratic lawmakers introduce bill to make reproductive health care more accessible to women with disabilities - The Hill

Health care spending hit $3.07 trillion in 2019 – Medical Economics

Health care spending increased from $2.69 trillion to $3.07 trillion between 2016 and 2019 an increase of 14.3%, according to a report from ValuePenguin. The biggest increases were on mental illness (29.4%), neoplasms (22.8%), infectious & parasitic diseases (19%) and endocrine, nutritional and metabolic diseases and immunity disorders (18.3%).

While spending on most medical conditions are increasing, influenza is seeing particularly large increases. Flu treatment costs and the number of diagnoses increased by 120.4% and 121.3% respectively, according to the report.

Spending on administrative and social admission increased 24.2% between 2016 and 2019 and 15.8% on a per-case basis. Non-prescription pharmaceutical products grew 12.7%.

"Salary growth isnt keeping up with rising health care expenses, and many Americans accrue medical debt as a result, said Robin Townsend, a health care analyst with ValuePenguin, in a statement. The financial burden of health care is causing many Americans to delay or skip medical treatment, which can raise health care expenses further. While52.9% of Americans opted for high-deductible health plansto keep their insurance rates down, policy holders end up sharing a larger portion of the cost of their care adding to the problem."

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Health care spending hit $3.07 trillion in 2019 - Medical Economics

Executive Order on Securing Access to Reproductive and Other Healthcare Services – The White House

By the authority vested in me as President by the Constitution and the laws of the United States of America, itishereby ordered as follows:

Section 1. Policy. On July 8, 2022, following a decision by the Supreme Court to overrule Roe v. Wade, 410 U.S. 113 (1973), I signed Executive Order 14076 (Protecting Access to Reproductive Healthcare Services). As that order recognized, eliminating the right recognized in Roe has had and will continue to have devastating implications for womens health and public health more broadly.

Following that order, the Department of Health and Human Services (HHS) has taken critical steps to address those effects. These steps include clarifying the obligation of hospitals and providers under the Emergency Medical Treatment and Labor Act, 42 U.S.C. 1395dd, to provide to patients presenting at an emergency department with an emergency medical condition stabilizing care, including an abortion, if that care is necessary to stabilize their emergency medical condition, and issuing guidance to the Nations retail pharmacies on their obligations under Federal civil rights laws including section 504 of the Rehabilitation Act, 28 U.S.C. 794, and section 1557 of the Affordable Care Act, 42 U.S.C. 18116 to ensure equal access to comprehensive reproductive and other healthcare services, including for women who are experiencing miscarriages.

However, the continued advancement of restrictive abortion laws in States across the country has created legal uncertainty and disparate access to reproductive healthcare services depending on where a person lives, putting patients, providers, and third parties at risk and fueling confusion for hospitals and healthcare providers, including pharmacies. There have been numerous reports of women denied health- and life-saving emergency care, as providers fearful of legal reprisal delay necessary treatment for patients until their conditions worsen to dangerous levels. There are also reports of women of reproductive age being denied prescription medication at pharmacies including medication that is used to treat stomach ulcers, lupus, arthritis, and cancer due to concerns that these medications, some of which can be used in medication abortions, could be used to terminate a pregnancy. Reportedly, a healthcare provider, citing a State law restricting abortion, even temporarily stopped providing emergency contraception.

As it remains the policy of my Administration to support womens access to reproductive healthcare services, including their ability to travel to seek abortion care in States where itis legal, I am directing my Administration to take further action to protect access to reproductive healthcare services and to address the crisis facing womens health and public health more broadly.

Sec. 2. Definition. The term reproductive healthcare services means medical, surgical, counseling, or referral services relating to the human reproductive system, including services relating to pregnancy or the termination of a pregnancy.

Sec. 3. Advancing the Ability to Obtain Reproductive Healthcare Services. In furtherance of the policy set forth in section 1 of this order, the Secretary of HHS shall consider actions to advance access to reproductive healthcare services, including, to the extent permitted by Federal law, through Medicaid for patients traveling across State lines for medical care.

Sec. 4. Promoting Compliance with Non-Discrimination Law in Obtaining Medical Care. In furtherance of the policy set forth in section 1 of this order, and to ensure that individuals are not denied necessary healthcare on the basis of any ground protected by Federal law, including current pregnancy, past pregnancy, potential or intended pregnancy, or other medical conditions, the Secretary of HHS shall consider all appropriate actions to advance the prompt understanding of and compliance with Federal non-discrimination laws by healthcare providers that receive Federal financial assistance. Such actions may include:

(a) providing technical assistance for healthcare providers that have questions concerning their obligations under Federal non-discrimination laws;

(b) convening healthcare providers to provide information on their obligations under Federal non-discrimination laws and the potential consequences of non-compliance; and

(c) issuing additional guidance, or taking other action as appropriate, in response to any complaints or other reports of non-compliance with Federal non-discrimination laws.

Sec. 5. Data Collection. The Secretary of HHS shall evaluate the adequacy of research, data collection, and data analysis and interpretation efforts at the National Institutes of Health, the Centers for Disease Control and Prevention, and other relevant HHS components in accurately measuring the effect of access to reproductive healthcare on maternal health outcomes and other health outcomes. Following that evaluation, the Secretary shall take appropriate actions to improve those efforts.

Sec. 6. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department or agency, or the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

JOSEPH R. BIDEN JR.

THE WHITE HOUSE,

August 3, 2022.

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Executive Order on Securing Access to Reproductive and Other Healthcare Services - The White House

CVS Health Looking To Enhance Capabilities Through Home Health Care – Home Health Care News

CVS Health (NYSE: CVS) is one of many large corporations that have expressed a desire to revolutionize the consumer experience in health care.

To do so, the company will continue to try to enhance its health service offerings in three categories: primary care, provider enablement and home health care.

CVS Health CEO Karen Lynch reiterated that plan Wednesday.

We are expecting to enhance our health services in three categories: primary care, provider enablement and home health, Lynch said during the companys Q2 earnings call. There are multiple pathways for us to make a mark on community health care and our ability to achieve our strategic goals. We have very specific criteria that we look at as were evaluating our many options. We look to see if theres a strong management team, a very strong tech stack, the ability to scale and a pathway to profitability.

Despite losing out to Amazon Inc. (Nasdaq: AMZN) on a bid for primary care player One Medical, Lynch said CVS Health plans to acquire or take a stake in a primary care company by the end of 2022.

We cant be in primary care without M&A, Lynch said. We are being very disciplined, both strategically and financially, as we pursue our M&A strategy. M&A can be very fluid. You dont necessarily design exactly how these deals get done. We are committed to extending our health services and we are very encouraged and confident that well take the next step on this journey by the end of this year.

Other public primary care players that could be potential targets: CareMax, Cano, Agilon and Oak Street Health, among others.

CVS Healths focus falls in line with other companies, like Amazon and Walgreens Boots Alliance (Nasdaq: WBA), that are becoming nontraditional primary care providers.

Nontraditional primary care providers could capture around 30% of the U.S. market in the next 10 years, according to a new report from Bain & Company.

New primary care models from nontraditional players such as advanced primary care providers, retailers and payers aim to deliver more efficient care, improve patient outcomes, and lower costs, the report read. Payers, health systems and investors will need to make strategic choices to determine where to play and how to win over the next decade.

CVS reported net income of $2.95 billion in Q2 of 2022, up from $2.78 billion year over year, a 6% increase.

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CVS Health Looking To Enhance Capabilities Through Home Health Care - Home Health Care News

Navigating health care as a young adult | News, Sports, Jobs – The Express – Lock Haven Express

Michelle Cavanaugh, M.D.

Our teenage years and early twenties are a pivotal time of change in our lives. Young adults are simultaneously transitioning educationally or vocationally, legally, socially, and emotionally. Young adults take on the responsibilities of becoming an adult and navigating life, and managing health and wellness are a big piece of the life puzzle. From updating your health insurance plan to finding in-network doctors and scheduling appointments, staying healthy can feel overwhelming. However, young adults do not have to go it alone and theres support available to help you find your way.

Owning Your Health

Once you turn 18, you are legally responsible for your own care and, unless you agree, your parents cannot access medical information or attend doctors visits. As parents, encouraging your childs involvement early on in their own care helps them be more comfortable making their own decisions when the time comes.

Transition is a process that begins in early adolescence by partnering with patients and families to prepare them for adult care. Throughout these years good communication between patients and providers is key. This isnt all on the patient and their family either. Pediatric providers also play a role in ensuring a smooth handoff to their successors and helping their patients through the change.

Primary Care Provider Key to Managing Wellness

Your biggest partner in your journey is your primary care provider. Finding a new primary care physician as a young adult can be overwhelming. Thats especially the case if you recently left your parents insurance plan and need a health professional you can trust. After years of relying on a pediatrician with intimate knowledge of your medical history, it can be hard to navigate the many options of new doctors.

There are lots of primary care doctors around, and it can seem like an overwhelming task to find the right one. The best way to start is to ask friends and family for referrals. You might find the same name or practice keeps coming up. If you already have a family physician you trust, ask them for a referral.

Once you have some names, its important to verify which doctors are in your health insurance network or who accepts your insurance plan. To do this, you often can call the office and ask. You also can use online directories to begin your search.

Scheduling a Visit

The best way to confirm whether a new physician is right for you is to schedule a face-to-face visit. When you make the appointment, either via phone or through an online portal, let the office staff know youre looking for a new provider and would like to sit down and discuss your expectations. During the appointment, get a feel for the office atmosphere and confirm youre comfortable with the entire staff. Talk about your medical history, medications, and worries moving forward and confirm the provider meets your requirements.

This first appointment is a great opportunity for a well visit. Just like it sounds, the well visit is your chance to talk to your provider when you are not sick. You can feel just fine while having underlying conditions, like high blood pressure, unhealthy cholesterol levels, pre-diabetes, or suspicious moles. These conditions, if discovered early, can be managed before they turn into larger chronic health concerns.

Once youre confident in your provider choice, talk to them about recommended screenings and tests. Many screenings happen every year, such as blood pressure, heart and lung function, and gynecological exams, or at other regular intervals, like cholesterol and blood sugar. Your provider may also have recommendations for vaccinations including influenza, tetanus, measles, mumps, HPV, and hepatitis A and B, ensuring youre up to date and protected.

As a young adult your health may be the last thing on your mind. However, the time you spend today can put you on the path to a happier, healthier lifetime. Your primary care provider is your partner in any health goal and were here to offer suggestions to improve your overall health and give you resources to help you start and maintain healthy habits, now and through all of lifes milestones ahead.

Michelle Cavanaugh, M.D., is a physician with UPMC Family Medicine and sees patients at UPMC Primary Care, 175 Pine St., Williamsport. To schedule an appointment with Dr. Cavanaugh, call 570-326-2447. For more information, visit UPMC.com/PrimaryCareNCPA.

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Navigating health care as a young adult | News, Sports, Jobs - The Express - Lock Haven Express

Covid-19 has damaged the reputation of Cuban health care – The Economist

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For a long time Cubans were proud of their health-care system, and justifiably so. Between 2000 and 2020 the small communist-run island outspent most other countries in Latin America and the Caribbean. Life expectancy is higher than in the United States. Cuba has qualified doctors and nurses to spare. When covid-19 first struck, Cuba sent some of its medics to countries struggling with their initial wave of patients. An impressive 89% of Cubas population is now fully vaccinated with its homegrown covid jabswhich boast efficacy rates of up to 92.4% after three doses. But according to The Economists excess mortality tracker, Cuba has one of the highest estimated death tolls from the pandemic, relative to its size. Where did it go wrong?

Officially, by August 2022 covid had killed 8,529 of Cubas 11m people. But our model estimates that the true toll could be far higher. Excess mortalitythe gap between how many people have died in a given period, regardless of cause, and how many deaths would normally have been expectedsuggests that up to 62,000 Cubans may have died as a result of the pandemic. That 600% increase over the official toll is probably the result of inadequate testing and other problems. It is possible that officials underreported the deaths, too.

Cubas estimated tally of excess deaths per 100,000 people is 550. This revised death toll would place it among the 20 worst countries in the world. It would also make Cuba an outlier in the region: the average across the Americas is 368.

Its ageing populationalmost 20% of Cubans are over 60, more than anywhere else in the regionmade Cuba especially vulnerable to covid. But other factors were avoidable. Budget cuts and a shortage of essential supplies were taking a toll even before the pandemic. After the outbreak hospitals quickly became overwhelmed; oxygen, personal protective equipment and medicines ran short. And although plenty of Cubans are now vaccinated, the country was slow off the mark. Deaths peaked as late as August 2021, during the Delta wave. In that month only around 35% of Cubans had received a full course of covid vaccinations, compared with 64% of Britons and 54% of Americans. The pandemic has brought to light something Cubans have known for some time, but that officials wanted to keep under wraps: the countrys health-care system is not what it used to be.

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Covid-19 has damaged the reputation of Cuban health care - The Economist

Meet the Woman Bringing Health Care to the Doorsteps of Low-Income Kenyan Communities – Global Citizen

It took a pandemic for the conversation about the urgent need to strengthen health systems to top global agendas. Meanwhile, citizens in low-income areas across the African continent have known for a long while that health care, although a human right, is an issue of inequality the wealthier you are, the better and easier it is to access crucial health care services.

Kenyan social health innovator Naom Monari, however, didnt need a pandemic to know that more needed to be done to support low-income communities and help them access health care easily and affordably. Through her social enterprise, Bena Care, she has stepped up to help bridge the inequality gap that has made managing and curing illnesses a burden on low-income communities.

Thats why Monari is this years winner of the Waislitz Global Citizen Disruptor Award, a $50,000 prize given to an applicant who has created measurable impact in an innovative way that disrupts the existing systems that allow for extreme poverty to persist.

Monari and her two fellow award winners will receive networking support to accelerate and scale their impact in addition to their cash prizes. The award presented by the Waislitz Foundation and Global Citizen is supported by the leading US and Australian-based cellular medicines company, Mesoblast.

Bena Care is not just a social enterprise, we are a movement aimed at creating awareness on the health care injustices that low-income families face, and the role this plays in pushing them further into poverty, Monari told Global Citizen.

The social enterprise was founded in 2016, and with a slogan that reads, Health care at your doorstep its beyond fitting that Bena Cares main aim is making health care both more affordable and accessible for people with chronic and life-threatening illnesses right from the comfort of their homes.

How did she get started? Well, her eyes were opened to what inequality in Kenya looks like when she attended public school.

[It] opened my eyes to what abject poverty was with more than half of my classmates attending school barefoot and on empty stomachs. It was unsettling, she explained. There was clearly a great divide among people from the growing middle class, and lower class that were pushed to the side.

The Bena Care Team at work. Image supplied with permission.Image: Bena Care

Monari realized that something urgently needed to be done on health access particularly when she was at nursing school and saw how inadequate access to health care could fuel the poverty shed first recognised as a child; and how that poverty could continue to drive inadequate access to health care creating a vicious cycle of inequality.

Working as a student nurse on clinicals in a local hospital, I came face to face with the harsh realities of extreme chronic illnesses, long term hospitalization, and the emotional and economic effects these had on patients and their families, she told Global Citizen.

On taking a deeper look at how the problem really looked like in other parts of the country, I realized that more than one million people get pushed below the poverty line each year in Kenya by health care-related costs, she continued. A shocking statistic that led to the birth of Bena Care.

Bena Care is a social enterprise in Kenya, and this year's winner of the 2022 Waislitz Global Citizen Disruptor Award.Image: Bena Care

Bena Care works to provide preventative, rehabilitative, and therapeutic care, to citizens who need it most. Part of this work is an online platform that allows for access to used homecare equipment such as hospital beds and oxygen concentrators, which Monari noted helps to improve the quality of life for patients and their families, and cuts their health care costs significantly.

Since inception, Bena Care has successfully tackled the emotional and economic effects of long term hospital stays, Monari told us, explaining the impact that Bena Care has had so far. She highlighted too that the social enterprises services are also designed to benefit those working in the health care system.

By building a network of health care workers spread across Kenya, we are able to deploy nurses to patients in need of care nearest to them. Hence, the health care workers benefit from full-time, part-time, and flexible hour jobs to supplement their incomes, she said.

At the peak of the COVID-19 pandemic, the Bena Care team were able to obtain a grant from the Making More Health Accelerator, which allowed them to engage in extensive outreach, boosting their capacity to provide at-home care services throughout the pandemic.

The COVID-19 pandemic has shone a long overdue spotlight on the field of home care, leading to an inevitable shift from hospital to home, as it presents more value in palliative care, she said.

Now that Monari and Bena Care have won this years Waislitz Global Citizen Disruptor Award, the priority, Monari says, is to get even more ambitious in the mission to end health care inequalities..

The award is a clean slate for Bena Care to set new goals and better structures to achieve a world with no health care injustices, she said.

She added: My appeal for every Global Citizen is to understand that our backgrounds and circumstances may have influenced who we are today, but it is our responsibility to create sustainable change for better and healthier communities.

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Meet the Woman Bringing Health Care to the Doorsteps of Low-Income Kenyan Communities - Global Citizen

Tampa General Hospital’s Vice President of Innovation Chosen Among Top Leaders In Keeping American Health Care on the Cutting Edge – PR Newswire

Rachel Feinman is among 30 leaders around the country chosen by Becker's Healthcare for creating a culture of innovation.

TAMPA, Fla., Aug. 4, 2022 /PRNewswire/ -- Rachel Feinman, vice president of Innovation at Tampa General Hospitaland managing director of TGH Innoventures, has been named one of the nation's top innovation leaders by Becker's Healthcare.

Feinman is among the list of "30 Great Chief Innovation Officers to Know,'' leaders who are vital to digital transformation efforts and initiatives to keep health systems on the cutting edge of delivering patient care.Feinman was chosen for her work in creating a culture of innovation across the Tampa General system, accelerating research and development, and managing venture capital funds.

Feinman also was selected for her efforts to harness the ingenuity and creativity of the academic medical center's team members to improve operations and clinical care.

"Innovation is critically important to our organization as it is the engine that propels us forward in developing real-world solutions for some of the most complex issues in health care," said John Couris, president and CEO of Tampa General. "Rachel has done an outstanding job in realizing our plan to find and leverage partnerships and perspectives that amplify next-generation ideas."

"This is an incredible honor, and it reflects the dedication of the team to move innovation forward,'' Feinman said. "It's another sign that our organization continues to strive to be a national leader in delivering world-class care.''

Feinman became vice president of Innovation at Tampa General in 2021 afterserving as executive director of Florida-Israel Business Accelerator (FIBA) for three years. With a passion for influencing the strategy for impactful innovation, she currently leads innovation and oversees Tampa General's venture investment strategy.

At Tampa General, innovation and health care are inseparable. Part of the hospital's objective is to significantly advance the future of health care in the Tampa Bay region, state of Florida and nationally. Launched in early 2021, Innoventures provides a coordinated mechanism for Tampa General to develop innovative solutions to improve quality and access to care. Innoventures also provides the hospital with a platform to invest resources and funds into emerging companies that share the academic medical center's vision and can help develop immediate solutions for health care access, quality and delivery.

Innoventures began as a$15 million, innovation-focused investment fund to support entrepreneurs, scientists and administrators addressing real-world problems. Some of its early successes include:

The full list of honorees can be read at: https://www.beckershospitalreview.com/lists/30-great-chief-innovation-officers-to-know-2022.html

ABOUT TAMPA GENERAL HOSPITAL

Tampa General Hospital, a 1,040-bed, not-for-profit, academic medical center, is one of the largest hospitals in America and delivers world-class care as the region's only center for Level l trauma and comprehensive burn care. Tampa General Hospital is the highest-ranked hospital in the market in U.S. News & World Report's2022-23 Best Hospitals, and is tied as the third highest-ranked hospital in Florida, with seven specialties ranking among the best programs in the United States. Tampa General Hospital has been designated as a model of excellence by the 2022 Fortune/Merative 100 Top Hospitals list.The academic medical center's commitment to growing and developing its team members is recognized by two prestigious Forbes magazine rankings first nationally in the 2022 America's Best Employers for Women and third out of 100 Florida companies in the 2021 America's Best Employers by State.Tampa General is the safety net hospital for the region, caring for everyone regardless of their ability to pay, and in fiscal year 2020, provided a net community benefit worth more than $182.5 million in the form of health care for underinsured patients, community education, and financial support to community health organizations in Tampa Bay. It is one of the nation's busiest adult solid organ transplant centers and is the primary teaching hospital for the USF Health Morsani College of Medicine. With six medical helicopters, Tampa General Hospital transports critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. Tampa General houses a nationally accredited comprehensive stroke center, and its 32-bed Neuroscience, Intensive Care Unit is the largest on the West Coast of Florida.It also is home to the Jennifer Leigh Muma 82-bed Level IV neonatal intensive care unit, and a nationally accredited rehabilitation center. Tampa General Hospital's footprint includes 17 Tampa General Medical Group Primary Care offices, TGH Family Care Center Kennedy, TGH Brandon Healthplex, TGH Virtual Health, and 21 TGH Imaging powered by Toweroutpatient radiology centers throughout Hillsborough, Pasco, Pinellas and Palm Beach counties. Tampa Bay area residents also receive world-class care from theTGH Urgent Care powered by Fast Tracknetwork of clinics, and they can even receive home visits in select areas throughTGH Urgent Care at Home, powered by Fast Track.As one of the largest hospitals in the country, Tampa General Hospital is the first in Florida to partner with GE Healthcare and open a clinical command center that uses artificial intelligence and predictive analytics to improve and better coordinate patient care at a lower cost.For more information, go towww.tgh.org.

Media Contact: Karen BarreraAssistant Director of Communications & Partnerships(813) 844-8725 (direct)(813) 928-1603 (cell)[emailprotected]

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Tampa General Hospital's Vice President of Innovation Chosen Among Top Leaders In Keeping American Health Care on the Cutting Edge - PR Newswire

Energy and Health Care bill faces opposition in Congress – WWLP.com

WASHINGTON DC (WWLP) After a year of negotiations, Democrats have finally reached an agreement for an energy and health care bill. The next step is to get the bill passed by Congress but it faces GOP opposition.

The Inflation Reduction Act of 2022 addresses prescription drug prices, climate change, and inflation. Heres what you can expect from the bill.

The American Council on Renewable Energy CEO Gregory Wetstone says this bill will provide needed stability for renewable energy companies, For the first time with this bill, the renewable energy business, wind and solar and other swill have the benefit of knowing there is a long term tax platform.

The proposed new minimum tax on big corporations worries Republicans. They say the increase will hit millions of Americans because the corporations will pass on costs to consumers.

Wyoming Senator John Barraso says this will send Americans over a cliff, In terms of wanting to raise taxes and increase spending. Those are things that are going to make the economy even worse.

In the face of Republican opposition, the proposal needs the vote of every Senate Democrat to become law. With August recess starting next week, there is a scramble to nail down support for the bill.

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Energy and Health Care bill faces opposition in Congress - WWLP.com

Is abortion health care? Court to hear trigger ban case – Wyoming Tribune

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Is abortion health care? Court to hear trigger ban case - Wyoming Tribune

Bassett Healthcare Network Invests Nearly $50 Million in Compensation Increases for Its Workforce – Bassett Healthcare Network

Bassett Healthcare Network has undertaken a full compensation analysis for its caregivers and practitioners across eight counties, investing nearly $50 million into pay increases for its workforce. The analysis, accomplished in partnership with outside firms called Gallagher and Sullivan Cotter, has resulted in wage adjustments across the organization that are competitive across New York State. The project represents Bassett leaderships intensified dedication to its caregivers and practitioners, recruitment and retention, and the health systems surrounding communities.

Bassett Healthcare Network is incredibly pleased to complete this important compensation analysis, a massive collaborative effort in support of our thousands of employees across the region, says Dr. Tommy Ibrahim, President and CEO.

Bassett partnered with Gallagher to engage in comprehensive position reviews for every caregiver across the organization, examining job descriptions, years of service, education, experience, and market data among other details to put in place a new pay grade structure and harmonize job titles. More than 1,200 caregiver positions have been analyzed individually as part of the analysis. Meanwhile, a parallel assessment conducted by Sullivan Cotter will boost pay structures for Bassetts practitioner population with a focus on improving incentivized compensation and rewarding quality.

Our overall goal has been to make sure Bassetts wages are in line with comparable job positions in our industry and region, explains Christine Pirri, senior vice president and chief people and diversity officer at Bassett Healthcare Network.

The full sweep compensation evaluation and adjustment comes on the heels of Bassett recently increasing its minimum wage to $16 an hour. One year ago, in July 2021, the network increased its minimum wage to $15. Other initiatives are being prioritized by the organizations leadership to boost retention and recruitment. Bassett, which is celebrating its 100-year anniversary this year, recently launched a new series of ads that underscore the institutions legacy and more than century-long commitment to building healthy rural communities.

When Dr. Mary Imogene Bassett one of the first female medical directors in the history of the United States founded our hospital in Cooperstown, she had a vision to pioneer advanced health care to our rural communities, says Dr. Ibrahim. I know she would be proud to see how weve carried out this tremendous legacy and continue to build upon it every day. What was originally a state-of-the-art research hospital nestled in Cooperstown is now a large health care system that spans eight counties and 5,600 miles throughout Central New York roughly the size of the state of Connecticut.

Bassett Healthcare Network includes five hospitals (three of which are designated critical access hospitals), over two dozen community-based health centers, more than 20 school-based health centers, two skilled nursing facilities, a durable medical equipment company, a home health agency, and other partners in related fields. The institution is affiliated with Columbia University College of Physicians and Surgeons and has established innovative relationships with companies like Optum.

Bassett Healthcare Network is hiring in all locations. Visit our careers pageto explore opportunities across the region and apply today.

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Bassett Healthcare Network Invests Nearly $50 Million in Compensation Increases for Its Workforce - Bassett Healthcare Network

Warnock tweak would further expand health insurance in inflation deal – Business Insider

Democratic Sen. Raphael Warnock of Georgia wants to see his party's latest $740 billion inflation deal go further on healthcare.

He'll be introducing an amendment that would offer government-funded health insurance to 4 million people with earnings below roughly the federal poverty level, his office confirmed to Insider.

Warnock will introduce the amendment when the Inflation Reduction Act undergoes "vote-a-rama," a marathon session of amendment votes that could end up changing the final draft of legislation. Initial votes on the legislation will begin Saturday.

The news about the amendment comes after a coalition of advocates in southern states sent a letter to senators Wednesday urging them to support Warnock's Medicaid amendment.

Without it, they warned, "the proposed bill would leave behind the poorest Americans at a time when growing abortion restrictions make access to comprehensive health care even more urgent."

"Closing the Medicaid coverage gap is the most racially equitable health policy this Congress could enact," the coalition said.

It's not clear how many senators will vote in favor of the amendment, and Warnock's office didn't specify how precisely it would be designed.

Depending on how the amendment is written, it could cost the federal government $125 billion through 2025, according to projections from the Congressional Budget Office, the federal government's nonpartisan scorekeeping agency.

States already have the option to expand Medicaid under the Affordable Care Act, colloquially known as "Obamacare." In the majority of states that have done so, people earning $13,590 or less for a single person or $27,750 for a family of four pay nothing or very little for healthcare.

States that didn't expand Medicaid, however, have higher rates of uninsured people. An estimated 4 million more people would be able to join Medicaid if all states expanded the program, according to a federal government report compiled by the Department of Health and Human Services.

Several Republican-led states refuse to expand Medicaid, largely out of ideological opposition but also saying they don't want to pick up 10% of medical costs they'd be on the hook for under Obamacare. Under the law, the federal government picks up the remaining 90% of costs.

Today, 12 states still haven't moved to expand Medicaid, including Georgia, Florida, and Texas.

Warnock is up for reelection in Georgia. In November he'll face off against Republican Herschel Walker, a former star athlete who has the endorsement of former President Donald Trump.

The senator has called Medicaid expansion an equity issue. At least 275,000 people in Georgia are uninsured because they can't access the program, he said during a hearing in October 2021.

So far, the Inflation Reduction Act contains provisions to allow the federal government to set prices of some prescription drugs for seniors and would funnel billions of dollars to Obamacare "marketplace" health insurance. These plans are sold by private insurers to middle- and higher-income people, but the federal government helps to pay the costs of premiums.

Provisions for Medicaid were in the Build Back Better Act, the $2 trillion legislation that passed the US House but failed to gain support in the Senate. Republicans, who hold 50 seats in the Senate, opposed the plan as did Democratic Sens. Joe Manchin of West Virginia and Kyrsten Sinema of Arizona.

Under that bill, people with incomes below the poverty level would have been able to access private insurance in the Obamacare "marketplaces." The federal government would pay the full cost of healthcare premiums and would contribute to extra healthcare expenses incurred at the doctor's office or in a hospital.

It's not clear whether Warnock is pursuing the same approach with his amendment. Paying for private insurance is more expensive than paying for Medicaid.

The federal government already offers to defray state costs of Medicaid for two years under the $1.9 trillion stimulus bill President Joe Biden signed into law in March 2021.

Majority Leader Chuck Schumer announced Thursday that initial votes will begin Saturday on the Inflation Reduction Act. The parliamentarian, who is the referee for the Senate, still has to finish reviewing the bill to make sure it fits the Senate's arcane rules for reconciliation, which would allow Democrats to pass the bill with 50 senators as well as a tie-breaking vote from Vice President Kamala Harris.

But the legislation is not a done deal since Sinema has not yet taken a position on it.

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Warnock tweak would further expand health insurance in inflation deal - Business Insider

The Rise of Indonesia on the Global Stage: Reflections on an Economic Ascent – The Diplomat

The Debate|Opinion

With its presidency of the G-20 this year, the country is finally beginning to fulfill its potential as a regional and global leader.

Indonesian President Joko Widodo meets with his Ukrainian counterpart Volodymyr Zelenskyy in Kyiv, Ukraine, June 29, 2022.

Indonesia has just hosted the G-20 Foreign Ministers Meeting in Bali. Today, President Joko Widodos Indonesia stands strong on the global stage, using its neutral non-aligned status to carefully navigate a diplomatic crisis in this case the war in Ukraine. The Indonesian leader, known as Jokowi, has met with both U.S. and Russian presidents, as well as fellow G-20 leaders and Ukraines president, in order to try and add some cool Javanese diplomacy to the simmering diplomatic tensions between the West and Russia.

Indonesia is also increasingly vocal in combating Chinese expansionism in its backyard, specifically in the South China Sea. Indonesia frequently turns back or in some cases blows up illegal Chinese fishing boats. Indonesia is beginning to assert itself on both the regional and global diplomatic stage something that many commentators, including myself, have been arguing it should do for almost a decade.

The ascent of Indonesia should be welcomed. As an archipelagic nation, Indonesia is so big and sprawling that it has no interest in expansion but is solely focused on keeping its disparate and stretched territories together. Its neutral status in which it is allied neither with the West nor China should also be seen as a positive. By maintaining a neutral stance, Indonesia plays a fine balancing act of attracting both.

Having been fortunate enough to have spent almost my entire career and adult life in Indonesia, I have witnessed first-hand the steady, although admittedly sometimes messy, economic rise of Southeast Asias largest economy and ASEANs leading power.

Get briefed on the story of the week, and developing stories to watch across the Asia-Pacific.

Indonesia, growing again after a global COVID-19-induced economic slump, is becoming more developed and advanced every year. It is on the cusp of using its advanced and increasingly strong tech status to move or at least gradually shift the economy from a pure natural resource-based export-orientated economy to a mixed service, manufacturing, and natural resource-based economy and an Asian hub.

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Since the time of colonialism and the Dutch East Indies, and before that trading with Indian and Arab merchants, Indonesia has been rich in natural resources and successful at exporting these goods around the world. It will likely and should continue to do so. Awareness of the negative impacts of climate change is increasingly growing in policy circles in Indonesia and with the public at large, with Indonesia making greenhouse gas reduction pledges, but natural resources such as palm oil, love it or loathe it, form the base on which Indonesia is able to develop other strands of the economy.

With the right economic management, and a leader who can strike the right balance between climate change reduction and natural resource development while nurturing Indonesia as a regional manufacturing, service and tech hub, there is no reason why Indonesia will not meet its potential after Jokowis second term comes to an end in 2024. With its economic ascent it will be able to increase its political weight on the global stage further something which Jokowi has started with aplomb.

All this would not be possible without a very aspirational and demographically young and growing Indonesian population. It is unique and striking that Indonesians seem to possess an innate entrepreneurial ability, from the humble street shop or roadside restaurant to Indonesias rapidly expanding multibillion dollar tech scene. Years of painfully slow incremental improvements in education, healthcare, and social security programs now finally seem to be showing results.

Indonesia of course remains beset by economic problems outlined in multiple World Bank reports namely, deep-seated corruption at all levels of business, regulation, and government and a still largely closed nationalistic economy that both favors local investors and makes it unnecessarily difficult for foreign backers to get even the basic permits to operate. However, the countrys progress and improvement should be celebrated. Indonesia has come a long way over the last five years, let alone the last decade. With the right will and leadership, matched with sound policymaking and financial management, there is no reason why Indonesia cannot accelerate its economic ascent further over the next decade and claim a coveted place at Asias top table of superpowers.

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The Rise of Indonesia on the Global Stage: Reflections on an Economic Ascent - The Diplomat

Key To Building Wealth In Times Of High Inflation – Crypto & DeFi – – The Coin Republic

Yearly expansion in the US advanced quickly to an incredible 9.1% in June this year, the most elevated in 40 years. Furthermore, this while food and gas costs proceed to increase and property holder loan fees presently surpass 5% on a 30-year fixed-rate contract. Stagflation, as Larry Summers portrayed it, is a powerful coincidence that consolidates easing back GDP development and rising expansion, with a durable impact.

The US economy contracting 1.4% in the principal quarter of 2022 could proclaim this financial discomfort. Join that with the typical APR on customary investment accounts of a weak 0.10%, a lowest pay permitted by law not raised at the government level in north of 10 years, and its undeniable we really want better approaches to make our government issued currency reinforce. based economy and supplement our ventures.

In his book The Changing World Order, mutual funds titan Ray Dalio depicts monetary cycles that rehash the same thing from the beginning of time as the force of countries shifts.

At the point when a nation turns into the prevailing force to be reckoned with, its money turns into the save cash until the end of the world. For instance, during the rule of the British Empire, real once controlled the worldwide economy.

Notwithstanding, in 1944, the Bretton Woods Agreement made the US dollar the accepted hold cash of the world. Despite who is in control, one steady remaining parts: in the midst of rising expansion, the simplest way for an administration to think about rising obligation is to print more cash; as such, to blow up out.

ALSO READ: ICO Pitchmen Sentenced to Prison

There has been a ton of discuss national bank computerized monetary forms (CBDCs), yet on the off chance that we as of now have deflationary stablecoins in the environment whose worth can be fixed to security like other digital currencies or even conventional resources, what is the genuine advantage of a CBDC?

The entire thought of a stablecoin is to offer a crypto resource whose worth isnt defenseless to outrageous instability. Most stablecoins accomplish this dependability by fixing their worth to a government issued money like the US dollar, or a bushel of resources that could incorporate fiat and digital currencies.

Furthermore, most stablecoin projects additionally boost individuals to remain put resources into the environment by offering subordinate adaptations of resources theyve gotten into liquidity pools, permitting financial backers to engage with other DeFi conventions, regardless of whether their fundamental ones resources stay obstructed.

They can acquire liberal premium despite everything use subordinates to get from us, or procure returns somewhere else, increasing their underlying ventures.

Andrew is a blockchain developer who developed his interest in cryptocurrencies while his post-graduation. He is a keen observer of details and shares his passion for writing along with being a developer. His backend knowledge about blockchain helps him give a unique perspective to his writing

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Key To Building Wealth In Times Of High Inflation - Crypto & DeFi - - The Coin Republic