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2 years agoon
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adminMONTROSE, Mo. It took Samantha Lesmeisters family four months to find a medical professional who could see that she was struggling with something more than her Down syndrome.
This story also ran on NBC News. It can be republished for free.
The young woman, known as Sammee, had become unusually sad and lethargic after falling in the shower and hitting her head. She lost her limited ability to speak, stopped laughing, and no longer wanted to leave the house.
General-practice doctors and a neurologist said such mental deterioration was typical for a person with Down syndrome entering adulthood, recalled her mother, Marilyn Lesmeister. They said nothing could be done.
The family didnt buy it.
Marilyn researched online and learned the University of Kansas Health System has a special medical clinic for adults with Down syndrome. Most other Down syndrome programs nationwide focus on children, even though many people with the condition now live into middle age and often develop health problems typically associated with seniors. And most of the clinics that focus on adults are in urban areas, making access difficult for many rural patients.
The clinic Marilyn found is in Kansas City, Kansas, 80 miles northwest of the familys cattle farm in central Missouri. She made an appointment for her daughter and drove up.
The programs leader, nurse practitioner Moya Peterson, carefully examined Sammee Lesmeister and ordered more tests.
She reassured me that, Mom, youre right. Somethings wrong with your daughter, Marilyn Lesmeister said.
With the help of a second neurologist, Peterson determined Sammee Lesmeister had suffered a traumatic brain injury when she hit her head. Since that diagnosis about nine years ago, she has regained much of her strength and spirit with the help of therapy and steady support.
Sammee, now 27, can again speak a few words, including hi, bye, and love you. She smiles and laughs. She likes to go out into her rural community, where she helps choose meals at restaurants, attends horse-riding sessions at a stable, and folds linens at a nursing home.
Without Petersons insight and encouragement, the family likely would have given up on Sammees recovery. She probably would have continued to wither within herself, her mother said. I think she would have been a stay-at-home person and a recluse. Samantha Sammee Lesmeister rides a horse with the help of instructors Rike Mueller (left) and Samantha Richardson at Remember to Dream, a therapeutic riding center in Cole Camp, Missouri. (Christopher Smith for KFF Health News) Samantha Sammee Lesmeister hugs a horse named Dragon. (Christopher Smith for KFF Health News)
A Whole Different Ballgame
The Lesmeisters wish Petersons program wasnt such a rarity. A directory published by the Global Down Syndrome Foundation lists just 15 medical programs nationwide that are housed outside of childrens hospitals and that accept Down syndrome patients who are 30 or older.
The United States had about three times as many adults with the condition by 2016 as it did in 1970. Thats mainly because children born with it are no longer denied lifesaving care, including surgeries to correct birth defects.
Adults with Down syndrome often develop chronic health problems, such as severe sleep apnea, digestive disorders, thyroid conditions, and obesity. Many develop Alzheimers disease in middle age. Researchers suspect this is related to extra copies of genes that cause overproduction of proteins, which build up in the brain.
Taking care of kids is a whole different ballgame from taking care of adults, said Peterson, the University of Kansas nurse practitioner.
Sammee Lesmeister is an example of the trend toward longer life spans. If shed been born two generations ago, she probably would have died in childhood.
She had a hole in a wall of her heart, as do about half of babies with Down syndrome. Surgeons can repair those dangerous defects, but in the past, doctors advised most families to forgo the operations, or said the children didnt qualify. Many people with Down syndrome also were denied care for serious breathing issues, digestive problems, or other chronic conditions. People with disabilities were often institutionalized. Many were sterilized without their consent.
Such mistreatment eased from the 1960s into the 1980s, as people with disabilities stood up for their rights, medical ethics progressed, and courts declared it illegal to withhold care. Those landmark rulings sealed the deal: Children with Down syndrome have the right to the same lifesaving treatment that any other child would deserve, said Brian Skotko, a Harvard University medical geneticist who leads Massachusetts General Hospitals Down Syndrome Program.
The median life expectancy for a baby born in the U.S. with Down syndrome jumped from about four years in 1950 to 58 years in the 2010s, according to a recent report from Skotko and other researchers. In 1950, fewer than 50,000 Americans were living with Down syndrome. By 2017, that number topped 217,000, including tens of thousands of people in middle age or beyond.
The population is expected to continue growing, the report says. A few thousand pregnant women a year now choose abortions after learning theyre carrying fetuses with Down syndrome. But those reductions are offset by the increasing number of women becoming pregnant in their late 30s or 40s, when they are more likely to give birth to a baby with Down syndrome.
Skotko said the medical system has not kept up with the extraordinary increase in the number of adults with Down syndrome. Many medical students learn about the condition only while training to treat pediatric patients, he said.
Few patients can travel to specialized clinics like Skotkos program in Boston. To help those who cant, he founded an online service, Down Syndrome Clinic to You, which helps families and medical practitioners understand the complications and possible treatments. Email Sign-Up
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If They Say It Hurts, I Listen
Charlotte Woodward, who has Down syndrome, is a prominent advocate for improved care. She counts herself among the tens of thousands of adults with the condition who likely would have died years ago without proper treatment. Woodward, 33, of Fairfax, Virginia, had four heart surgeries as a child and then a heart transplant in her 20s.
Woodward, who is an education program associate for the National Down Syndrome Society, has campaigned to end discrimination against people with disabilities who need organ transplants.
She said her primary care doctor is excellent. But she has felt treated like a child by other health care providers, who have spoken to her parents instead of to her during appointments.
She said many general-practice doctors seem to have little knowledge about adults with Down syndrome. Thats something that should change, she said. It shouldnt just be pediatricians that are aware of these things.
Woodward said adults with the condition should not be expected to seek care at programs housed in childrens hospitals. She said the country should set up more specialized clinics and finance more research into health problems that affect people with disabilities as they age. This is really an issue of civil rights, she said.
Advocates and clinicians say its crucial for health care providers to communicate as much as possible with patients who have disabilities. That can lead to long appointments, said Brian Chicoine, a family practice physician who leads the Adult Down Syndrome Center of Advocate Aurora Health in Park Ridge, Illinois, near Chicago.
Its very important to us that we include the individuals with Down syndrome in their care, he said. If youre doing that, you have to take your time. You have to explain things. You have to let them process. You have to let them answer. All of that takes ore time.
Time costs money, which Peterson believes is why many hospital systems dont set up specialized clinics like the ones she and Chicoine run.
Petersons methodical approach was evident as she saw new patients on a recent afternoon at her Kansas City clinic. She often spends an hour on each initial appointment, speaking directly to patients and giving them a chance to share their thoughts, even if their vocabularies are limited.
Her patients that day included Christopher Yeo, 44, who lives 100 miles away in the small town of Hartford, Kansas. Yeo had become unable to swallow solid food, and hed lost 45 pounds over about 1 years. He complained to his mother, Mandi Nance, that something tickled in his chest.
During his exam, he lifted his shirt for Peterson, revealing the scar where hed had heart surgery as a baby. He grimaced, pointed to his chest, and repeatedly said the word gas.
Peterson looked Yeo in the eye as she asked him and his mother about his discomfort. Nurse practitioner Moya Peterson speaks to patient Christopher Yeo, of Hartford, Kansas. Peterson leads an unusual clinic for adults with Down syndrome, which is housed at the University of Kansas Health System in Kansas City.(Tony Leys / KFF Health News)
The nurse practitioner takes seriously any such complaints from her patients. If they say it hurts, I listen, she said. Theyre not going to tell you about it until it hurts bad.
Yeos mother had taken him to a cardiologist and other specialists, but none had determined what was wrong.
Peterson asked numerous questions. When does Yeos discomfort seem to crop up? Could it be related to what he eats? How is his sleep? What are his stools like?
After his appointment, Peterson referred Yeo to a cardiologist who specializes in adults with congenital heart problems. She ordered a swallowing test, in which Yeo would drink a special liquid that appears on scans as it goes down. And she recommended a test for Celiac disease, an autoimmune disorder that interferes with digestion and is common in people with Down syndrome. No one had previously told Nance about the risk.
Nance, who is a registered nurse, said afterward that she has no idea what the future holds for their family. But she was struck by the patience and attention Peterson and other clinic staff members gave to her son. Such treatment is rare, she said. I feel like its a godsend. I do, she said. I feel like its an answered prayer.
Like a Person, and Not a Condition
Peterson serves as the primary care provider for some of her patients with Down syndrome. But for many others, especially those who live far away, she is someone to consult when complications arise. Thats how the Lesmeisters use her clinic.
Mom Marilyn is optimistic Sammee can live a fulfilling life in their community for years to come. Some people have said I need to put her in a home. And Im like, What do you mean? And they say, You know ? a home, she said. Im like, Shes in a home. Our home.
Sammees sister, who lives in Texas, has agreed to take her in when their parents become too old to care for her.
Marilyns voice cracked with emotion as she expressed her gratitude for the help they have received and her hopes for Sammees future.
I just want her to be taken care of and loved like I love her, she said. I want her to be taken care of like a person, and not a condition. Marilyn Lesmeister and her daughter Samantha Sammee Lesmeister.(Christopher Smith for KFF Health News)
Tony Leys: tleys@kff.org, @tonyleys Related Topics Health Industry Mental Health Rural Health States Disabilities Kansas Missouri Virginia Contact Us Submit a Story Tip

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Business
The 40 jobs ‘most at risk of AI’ – and 40 it can’t touch
Published
3 hours agoon
October 11, 2025By
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AI has stolen £120,000 from Joe Turner.
The 38-year-old writer lost 70% of his clients to chatbots in two years.
His is one of 40 job roles that AI is fast replacing, according to conversations the Money team had with industry experts, researchers, and affected workers.
Read all the latest Money news here
“It’s a betrayal,” says Turner, who earned six figures as a freelancer before the rise of generative AI.
“You’ve put your heart and soul into it for so long, and then you get replaced by a machine.”
He adds: “You always think ‘it’s never going to happen to me’.”

Joe Turner
Around 85% of the tasks involved in Turner’s job could be performed by AI, according to research published by Microsoft in July that has gone largely unnoticed.
The tech giant’s analysis of 200,000 conversations with its Co-Pilot chatbot concluded it could complete at least 90% of the work carried out by historians and coders, 80% of salespeople and journalists, and 75% of DJs and data scientists.
Also in the top 40 most exposed jobs were customer service assistants (72%), financial advisers (69%) and product promoters (62%). Search the table below to see how your role fares…
Speaking to the Money team, senior Microsoft researcher Kiran Tomlinson insists the study “explores which job categories can productively use AI chatbots, not take away or replace jobs”.
Turner for one doesn’t buy this. “That’s what they want to market it as,” he says.
Experts we spoke with were just as sceptical of Microsoft’s optimism.
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‘Replaced entirely by the tool’
“If you were to look at these jobs in three to five years, there’s a very good chance they’ve been replaced entirely,” says an AI consultant with more than a decade of experience deploying the tech in nearly 40 companies.
“Except in areas where they are either relationship-driven or very judgmental,” they add, speaking on condition of anonymity due to their commercial relationships with a range of SMEs, multibillion-pound funds and public bodies.
“These types of jobs are by nature most likely to be replaced entirely by the tool,” agrees AI researcher Xinrong Zhu, an assistant professor at Imperial College London.
“We’re living in a world where we’re witnessing a very important turning point.”

Xinrong Zhu
It’s a verdict echoing job cuts announced by major companies over the summer.
Buy now, pay later firm Klarna shrunk its headcount by 40% due to investments in AI and a hiring freeze, while boasting its chatbot was doing the work of 700 employees.
Microsoft itself said it was laying off 15,000 employees while investing £69bn in data centres to train AI models and reportedly using AI to save $500m in its call centres.
Amazon chief executive Andy Jassy said he expected to “reduce our total corporate workforce as we get efficiency gains from using AI extensively”.
But don’t take this at face value, says the AI consultant. Just because AI will take jobs doesn’t mean it can right now: “I wouldn’t say AI is in a position that you can then generate layoffs immediately: What you tend to see in most businesses is hiring freezes.”
The UK hasn’t had a sharp decline in postings for the jobs most threatened by AI, but they grew four times slower than the least threatened jobs between 2019 and 2024, according to PwC’s AI jobs barometer.
“AI is being used as an excuse,” the consultant says.
“There’s a load of macroeconomic effects that are actually causing [job cuts].”
It’s the Money blog’s usual suspects: Increases to employer national insurance, the cost of hiring and the cost of energy – not an AI takeover.
But, they say, “that’s not to say it won’t happen next year.”
Some 78% of global businesses anticipate increasing their overall AI spending this fiscal year, a Deloitte survey found.
Approximately 40% of employers expect to reduce their workforce where AI can automate tasks, according to a World Economic Forum survey.
An email that changed everything
Freelancers may, then, be the canary in the coal mine.
Demand for gigs related to writing and coding fell by 21% within eight months of the release of ChatGPT, according to a study conducted last year by Zhu.
“The magnitude really surprised us,” she says.
It wouldn’t have surprised Turner.
A few months earlier, in December 2023, he received an email from a website where he’d worked for a decade.
“Do you ever use AI?” it read. “No,” he replied.
That was the last time he heard from them. Overnight, £30,000 was wiped from his annual income.
“I went on their website and I realised they had started using AI instead of me,” he says.
One by one, most of his other clients followed suit.
“It was just a complete desert,” he says of the job landscape.
If you listen to the heads of some leading AI companies, you’d be forgiven for thinking this desert is just one apocalyptic vista at the end of the working world as we know it.
Dario Amodei, chief executive of Anthropic, has warned AI could “wipe out half of all entry-level white-collar jobs”, while OpenAI boss Sam Altman said entire job categories would be “totally, totally gone”.
“They want to glorify the models,” says Dr Fabian Stephany, a Labour economist at the University of Oxford and fellow at Microsoft’s independent AI Economy Institute.
Impersonating a big tech boss, he continues: “‘Oh wow, look, if we can automate away 50,000 people, then that technology must be really tremendous – so you should be investing in our company!’
“I would advocate to have a bit of more of a cooled down, pragmatic approach.
“Think about it as a technology and look at how technology has been interacting with the labour market in the past.”

Fabian Stephany
Inventions that revolutionised the workplace
Take Richard Arkwright’s invention of the Spinning Jenny in 1769, which churned out huge quantities of yarn to make cloth in some of the first factories at the start of the industrial revolution.
While putting home weavers out of a job, it increased the need for mill workers hundreds of times over, says Stephany.
Henry Ford’s invention of the assembly line in 1913 had a similar impact when it reduced the time taken to make a car from 12.5 hours to 1.5 hours.
Speed lowered production costs and forecourt prices, increasing demand, sales and the number of staff hired to fulfil them.
For the same reason, the invention of the ATM in 1967 led to more bank teller jobs despite automating one of their key functions – something Microsoft was keen to point out.
“Our research shows that AI supports many tasks, particularly those involving research, writing and communication, but does not indicate it can fully perform any single occupation,” Microsoft’s Tomlinson says.
Indeed, the study shows 40 jobs where AI can perform just 10% or fewer tasks.
Tradespeople feature heavily, like painter-decorators (4%), cleaners (3%) and roofers (2%).
Surgical assistants (3%), ship engineers (5%) and nursing assistants (7%) also make the list.
But history also includes a list of the losers of technological innovation.
Replacing horses with tractors wiped 3.4 billion man hours from American farmwork annually by 1960, according to research by economic historian Professor Alan Olmstead.
Spare a thought, too, for the pinsetters once responsible for stacking bowling alleys, who were more or less eliminated by the Automatic Pinspotter unveiled in 1946.
Quantity does not mean quality, either: Arkwright’s millers faced exhausting and repetitive 13-hour shifts in extreme noise, heat and dust.
How fulfilling would working with an AI be?
“Sterile and just not interesting, uniform and bleak and surface-level and hollow” is how Turner described its work after trying AI at the request of a client.
“Cars were a solution – a car was a horse that never got tired. But if you look at AI the same way, it’s basically saying: ‘There aren’t enough rubbish books out there, we need to make more.'”
More human work, not less?
That’s not what it’s for, though, says the AI consultant.
“I don’t see an AI right now coming up with wonderful ideas for creative writing authors,” they say.
But what it’s good at is taking an author’s idea and making a first draft extremely quickly, they explain.
“Now, does that mean we have fewer authors or does that mean we have more?”
The consultant’s optimism comes from seeing AI create extra human work at some of the companies that hired them.
A landscaping firm used ChatGPT to generate personalised services to upsell to existing customers.
At a pension provider with 350,000 scheme members, AI saved “literally thousands of hours” by scanning millions of notes, PDF documents and email chains for spousal support agreements.
That might seem like work stolen from a law firm at first glance, but it likely wouldn’t have been undertaken at all without AI due to the extreme cost of manual labour, says the consultant.
The cost of starting a digital business has also shrunk dramatically, he adds, if you use AI to organise a website, workflow, marketing and employment contracts.
“You end up in a world where you could have thousands more small start-ups because the cost of failure is so much lower.”

Pic: iStock
The ‘losers of technological change’
Such a positive attitude would do little to convince veteran audio producer Christian Allen, who has lost gigs worth £7,000 to AI in the past year.
“Hasn’t anyone seen Terminator, for Christ’s sake?” says Allen, 53, whose work over the past two decades has been played on major radio stations like Classic FM and Heart FM.
“I think it could very easily take over.”
AI started by depleting requests for voiceovers in company training videos, but Allen recently lost a potential radio client who instead bought the first AI advert he’s ever heard that’s good enough for broadcast.
“It was scarily good,” says Allen, who lives near Birmingham. “No one would know.”
The cost to the client? £11.99. Voice actors would expect £1,000.
“There’s no way anybody can compete.”

Pic: iStock
Shifting sands forming another job desert?
Not according to Oxford’s Labour economist Fabian Stephany, who was keen to “challenge the dystopian narrative”.
“It is very rare for a new technology to completely replace an entire profession,” says Stephany.
The only exceptions are jobs defined by a single task without any complexity, like bowling alley pinsetters or the translators at the top of Microsoft’s table, he says.
There’s complexity in Allen’s job, like creating video and TV soundtracks and mixing audio, but he’s still nervous.
“The AI subscription can mix for you too, so that’s production houses everywhere – we’re no longer needed. That’s quite scary.”
He adds: “I won’t be doing this in 10 years’ time.”
Microsoft researcher Kiran Tomlinson says AI “may prove to be a useful tool for many occupations” and “the right balance lies in finding how to use the technology in a way that leverages its abilities while complementing human strengths and accounting for people’s preferences”.
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Alexa, tell me what the government is doing
In January, Sir Keir Starmer said there was “barely an aspect of our society that will remain untouched” by AI in the coming years.
The technology is mentioned at least 126 times in the government’s industrial strategy for the tech sector, focusing heavily on its potential benefits.
Insufficient attention is being paid to its disruption, says Zhu. Why is Microsoft publishing reports on job exposure, but not the government? Where is the guidance on how employers and employees should adapt?
“The government should play some important role here, and they’re not,” she says.
Recalling how laid-off steelworkers were left to fend for themselves in the 20th century, Stephany warns it is “crucial to not make the mistakes of the past again”.
Allen couldn’t agree more: “All jobs under threat of AI need to be protected. Because otherwise, how the hell do people earn money?”
The government says it is putting people “at the heart” of its AI plans.
“That includes partnerships with leading tech firms to help us deliver AI skills training to 7.5 million workers, and initiatives to bring digital skills and AI learning into classrooms and communities,” a spokesperson says.
“This will provide training to people of all ages and backgrounds and is backed by £187m.”
They say “thousands of jobs” will be created by AI Growth Zones, areas earmarked for AI data centres where the state will support big tech companies with access to power and planning.

Keir Starmer announces the TechFirst programme teaching school pupils AI in June. Pic: PA
What can you do for yourself?
Workers should be concerned if they’re not trying to use AI, says the consultant.
CVs with AI skills have so far been consistently favoured by a group of 2,000 recruiters observed by Fabian Stephany in an ongoing study.
“If a worker is willing to invest in their skill set, in developing their profile, they should not be worried at all,” they say.
Almost half (45%) of global employers consider AI competency to be a core skill, according to the World Economic Forum.
LinkedIn data shows AI-related skills on member profiles rose 65% year-on-year in 2024.
Job postings on Indeed.com containing AI terms have risen by 170% since the end of June 2023 – albeit from a low starting point (1.7% to 4.6% by 31 August).
“If you’re willing to learn skills that allow you to integrate AI into the job that you’re currently doing, you will probably not only be doing fine, but you might actually have a big career boost ahead of you,” Stephany adds.
In a separate study of 10 million job vacancies in the UK, he found jobs asking for AI skills paid 23% more – a salary boost greater than that expected from a master’s degree (20%).
The best starting point is creating a free account with AI chatbots like ChatGPT, Claude or Gemini, says the AI consultant.
“Log into one of them, provide it a pretty detailed description of who you are, what you do day-to-day, both in your job and potentially in your personal life, and ask it how it can help.
“Right now, that can mean that you do your job better, which gets you promoted.”
Or maybe not.
In the past few months, writer Joe Turner has seen some clients make a sheepish return.
“I see an influx of new jobs coming in and people are now requesting no AI content at all,” he says.
Clients have found its hollow tropes and generic mannerisms carry the unmistakable mark of a “soulless machine”.
“It’s called AI, but it’s not artificial intelligence. It’s just a database of words with reasoning models,” he concludes.
“It puts the words in the right order, but at the end of the day, it means nothing.”
Politics
Corbyn and Sultana have ‘patched things up’ – but what really happened?
Published
3 hours agoon
October 11, 2025By
admin
For decades he was the dissident backbencher, then unlikely Labour leader. She was a firebrand left-wing Labour MP with a huge online presence. To the left – on paper – it looked like the perfect combination.
Coupled with the support of four other independent MPs, it held the blueprints of a credible party. But ever since the launch of Your Party (working title) the left-wing movement has faced mockery and exasperation over its inability to look organised.
First, we learned Jeremy Corbyn’s team had been unaware of the exact timing of Zarah Sultana’s announcement that she would quit the Labour Party. Then a much bigger row emerged when she launched a membership drive linking people to sign up to the party without the full consent of the team.
It laid bare the holes in the structure of the party and pulled focus away from its core values of trying to be a party to counter Labour and Reform UK, while also drawing out some pretty robust language from their only woman MP calling the grouping a “sexist boys club”. It gave the impression that she was being sidelined by the four other male MPs behind the scenes.
This week, they tried to come together for the first time at a rally I attended in Liverpool and then, in quick succession, another event at The World Transformed conference the day after. But not everyone I spoke to who turned up to see the two heroes of the left found them all that convincing.
Jeremy Corbyn admitted to me that “there were some errors made about announcements and that caused a problem”. He said he was disappointed but that “we’re past that”.

Jeremy Corbyn and Zarah Sultana take part in a discussion on Your Party at The World Transformed conference in Manchester. Pic: PA
Zarah Sultana said they were like Liam and Noel, who managed to “patch things up and have a very successful tour – we are doing the same”.
The problem is, it didn’t really explain what happened, or how they resolved things behind the scenes, and for some, it might have done too much damage already.
Layla signed up as a member when she first saw the link. It was the moment she had been waiting for after becoming frustrated with Labour. But she told me she found the ordeal “very unprofessional, very dishonest and messy”, and said she doesn’t want to be in a disorganised party and has lost trust in where her money will end up. She’s now thinking about the Greens. She said their leader, Zack Polanski “seemed like such a strong politician” with “a lot of charisma”.
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30:06
Jeremy Corbyn’s back – with Zarah Sultana and a new party. But is it a real threat to Labour, or just political theatre?
Since Polanski’s rise to power as leader, the Green Party has surged in popularity. According to a recent poll, they went up four points in just one week (following their conference). Voters, particularly on the left, seem to like his brand of “eco populism”.
While he has politely declined formally working in conjunction with Your Party publicly, he has said the “door is always open” to collaboration especially as he sees common goals between the two parties. Zarah Sultana said this weekend though that the Greens don’t describe themselves as socialists and that they support NATO which she has dubbed an “imperialist war machine”.
While newer coalitions may not be the problem for now, internal fissures might come sooner than they expect. Voters at the rally this weekend came with pretty clear concerns about some of the other independent MPs involved in Your Party.

The two heroes of the left fell out over a row over their party’s paid membership system
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AI ‘distorting women online’
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I asked Ayoub Khan if he considered himself left-wing. A question that would solicit a simple answer in a crowd like this. But he said his view was very simple, that he is interested in fighting for equality, fairness and justice: ‘We all know that different wards, different constituencies have different priorities and MPs should be allowed to represent the views of the communities they serve.” To him, that can sometimes mean voting against the private school tax and against decriminalising abortion.
The Your Party rally on Thursday night was packed, but the tone was subdued. People came full of optimism but they also wanted to make up their mind about the credibility of the new offering and to see the renewed reconciliation up close.
The organisers closed the evening off with John Lennon’s song, Imagine. That was apt, because until the party can get their act together, that’s all they’ll be doing.
Sports
M’s punch ALCS ticket in 15-inning instant classic
Published
6 hours agoon
October 11, 2025By
admin
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ESPN News Services
Oct 11, 2025, 01:19 AM ET
SEATTLE — Jorge Polanco hit a game-ending single in the 15th inning, and the Seattle Mariners advanced to the American League Championship Series by outlasting the Detroit Tigers for a 3-2 victory Friday night.
At 4 hours, 58 minutes, it was the longest winner-take-all postseason game in baseball history and featured 15 pitchers — eight for the Mariners and seven for the Tigers.
With one out and the bases loaded, Polanco drove in J.P. Crawford with a liner to right off Tommy Kahnle. Crawford hit a leadoff single, Randy Arozarena was hit by a pitch and Julio Rodriguez was intentionally walked before Polanco’s big swing on the 472nd pitch of an epic Game 5 in a tightly contested division series.
The Mariners left 12 runners on base and still advanced to the ALCS for the first time since 2001. Next up is a matchup with the AL East champion Blue Jays, beginning Sunday night in Toronto.
“We never give up,” Polanco said. “We just keep fighting. It doesn’t matter how many innings we play. We just stay ready and wait for the moment. It’s going to come. It was my time.”
Luis Castillo pitched 1⅓ innings for the win in his first major league relief appearance. Logan Gilbert, another member of Seattle’s rotation, worked two scoreless innings in his first relief outing since his college days at Stetson University in 2017.
“It was such a tough night,” Seattle catcher Cal Raleigh said. “Everyone put their other stuff aside and did everything for the team, including Logan and Luis.”
Detroit wasted a stellar performance by Tarik Skubal, who struck out 13 while pitching six innings of one-run ball. The Tigers went 1-for-9 with runners in scoring position and left 10 on base.
“We had an incredible game today that — unfortunately, somebody had to lose, and that somebody was us, and it hurts,” manager A.J. Hinch said.
Kerry Carpenter put Detroit in front when he hit a two-run homer off Gabe Speier in the sixth inning. Carpenter had four hits and walked twice, becoming the first player to reach five times and hit a home run in a winner-take-all postseason game since Babe Ruth in 1926.
The Mariners tied it at 2 on Leo Rivas‘ pinch-hit single off Tyler Holton in the seventh. Rivas celebrated his 28th birthday with his first postseason hit.
“He was up to the task tonight,” Seattle manager Dan Wilson said. “It was a huge hit.”
Friday’s win was the Mariners’ first series-clinching victory in extra innings since Game 5 of the 1995 ALDS, a 6-5 victory in 11 innings over the Yankees.
The Associated Press and ESPN Research contributed to this report.
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