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The US Senate Republican leader, Mitch McConnell, appeared to freeze mid-sentence and stare into space for around 20 seconds during a press conference.

The 81-year-old approached the podium for his weekly press conference and began speaking about the annual defence funding bill before appearing to lose his train of thought and trailing off with a drawn-out “uh”.

He then appeared to stare vacantly into space for around 20 seconds, before his Republican colleagues grabbed his elbows and asked if he wanted to go back to his office.

He did not answer but slowly walked back to his office with an aide and the senator for Wyoming, John Barrasso.

Mr McConnell was out of the Senate – the upper chamber of Congress – for almost six weeks earlier this year after he fell and hit his head after a dinner event at a hotel.

He was in hospital for several days and his officer later said he suffered a concussion and fractured a rib.

His speech has sounded more halting in recent weeks, prompting questions about his health.

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Mr McConnell returned to the press conference 12 minutes later to take questions and said he was “fine”.

When asked if he is still able to do his job, he said: “Yeah.”

Mr McConnell’s office declined to say whether he was seen by a doctor after the episode.

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Mitch McConnell and President Joe Biden in January
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Mitch McConnell and President Biden in January

Colleagues ‘continue to be concerned’

After the press conference, Mr Barrasso told reporters he “wanted to make sure everything was fine” and so walked Mr McConnell down the hall to his office.

He said he has been concerned since Mr McConnell was injured earlier this year, adding “and I continue to be concerned.”

Later on Wednesday Mr McConnell again told reporters he was fine and said President Joe Biden had called him.

“The president called to check up on me, and I told him I got sandbagged,” Mr McConnell joked, referring to a quote from Mr Biden after he tripped over a sandbag and fell while onstage at the US Air Force Academy graduation in June.

Trips and falls

Mr McConnell is the longest-serving Senate party leader and was first elected to the Senate in 1984.

He had polio in his childhood and has long acknowledged some difficulty as an adult in climbing stairs.

In addition to his fall in March he also tripped and fell four years ago at his home in Kentucky, causing a shoulder fracture that required surgery.

Many of the top figures in Washington are elderly, with the average age in the Senate above 64 and Mr Biden running for re-election at 80.

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Day 34: Why Trump really flipped the script on Ukraine

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Day 34: Why Trump really flipped the script on Ukraine

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As President Trump claims he is “close” to signing a mining deal with Ukraine, and his secretary of state Marco Rubio talks about a lack of “gratitude” from President Zelenskyy for US military assistance, our US correspondents Mark Stone, Martha Kelner and James Matthews discuss if this is the real reason Trump’s administration appears to have turned its back on Ukraine.

And, why Canada is taking its feud with Donald Trump on to the ice.

You can email James, Mark and Martha on trump100@sky.uk

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Trump fires top US military officers – including America’s most senior commander

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Trump fires top US military officers - including America's most senior commander

Donald Trump has purged top military figures in the Pentagon, including firing America’s most senior commander.

He also pushed out five other admirals and generals in an unprecedented shake-up of US military leadership.

The Pentagon had been bracing for mass firings of civilian staff as well as a dramatic overhaul of its budget and a shift in military deployments.

Chairman of the Joint Chiefs of Staff, Air Force General Charles ‘CQ’ Brown – America’s highest-ranking general and only the second black general to serve as chairman – was fired with immediate effect.

The president will also replace the head of the US Navy, a position held by Admiral Lisa Franchetti, the first woman to lead a military service, and the Air Force vice chief of staff, the Pentagon said.

He is also removing the judge advocates general for the Army, Navy and Air Force, critical positions that ensure enforcement of military justice.

The campaign to rid the military of leaders who support diversity and equity in the ranks has been condemned by Democrats.

There is nothing apolitical about Trump

By David Blevins, Sky News correspondent

The purge of America’s top military officials, carried out by President Trump and his Defence Secretary Pete Hegseth, is unprecedented, writes Sky News correspondent David Blevins, in Washington.

Their dismissal late on Friday sent shockwaves through the defence establishment and raised concerns about the direction of military leadership.

General Charles Q Brown, chairman of the Joint Chiefs of Staff, was abruptly removed two years into his four-year term.

America’s most senior military officer comes into office two years into a presidential term, meaning they serve under two presidents.

The role is intended to be apolitical but there is no such thing as non-partisan politics in the Trump playbook.

Brown’s tenure had been marked by a focus on diversity, equity and inclusion, putting him at odds with the administration.

Prior to his appointment as defence secretary, Hegseth questioned Brown’s promotion, hinting that it had been influenced by race.

In his book, The War on Warriors, Hegseth wrote: “The military standards, once the hallmark for competency, professionalism, and ‘mission first’ outcomes, have officially been subsumed by woke priorities.”

Supporters of the administration argue the changes are necessary to refocus military priorities in line with the president’s objectives.

But critics contend that such a sweeping overhaul of leadership undermines the apolitical nature of the military and unsettles the rank and file.

Rhode Island’s senator Jack Reed, the top Democrat on the Senate Armed Services Committee, said: “Firing uniformed officers as a type of political loyalty test… erodes the trust and professionalism that our servicemembers require to achieve their missions.”

Representative Seth Moulton, a Massachusetts Democrat, said the firings were “un-American, unpatriotic, and dangerous for our troops and our national security.”

“This is the definition of politicising our military,” he said.

Senator Jack Reed of Rhode Island, the top Democrat on the Senate Armed Services Committee, said: “Firing uniformed leaders as a type of political loyalty test, or for reasons relating to diversity and gender that have nothing to do with performance, erodes the trust and professionalism that our servicemembers require to achieve their missions.”

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During the election, Mr Trump spoke of firing “woke” generals and those he saw as responsible for the withdrawal from Afghanistan.

Defence secretary and former Fox News personality Pete Hegseth has questioned whether General Brown would have got the job if he were not black.

There is no indication his appointment was not based on merit.

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On Friday, Mr Trump said: “I want to thank General Charles ‘CQ’ Brown for his over 40 years of service to our country, including as our current Chairman of the Joint Chiefs of Staff.

“He is a fine gentleman and an outstanding leader, and I wish a great future for him and his family.”

It’s unclear who Mr Trump will choose to replace the judge advocates. Mr Hegseth previously criticised military lawyers, saying most “spend more time prosecuting our troops than putting away bad guys”.

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Dozens turn out in support of Luigi Mangione over killing of US healthcare boss Brian Thompson

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Dozens turn out in support of Luigi Mangione over killing of US healthcare boss Brian Thompson

Dozens of supporters were outside court as the man accused of fatally shooting the chief executive of UnitedHealthcare made his first appearance.

Luigi Mangione has pleaded not guilty to multiple counts of murder following the 4 December killing of Brian Thompson, 50, outside a midtown Manhattan hotel.

The 26-year-old is accused of ambushing and shooting the executive as he walked to an investor conference.

Luigi Mangione supporters stand outside the Supreme Court. Pic: AP Photo/Stefan Jeremiah
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Luigi Mangione supporters stand outside the Supreme Court. Pic: AP Photo/Stefan Jeremiah

Dozens of people who showed up in court to support the suspect including former army intelligence analyst Chelsea Manning who was jailed for stealing classified diplomatic cables.

Dozens more queued in the hallway.

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Mangione is also facing federal charges that could carry the possibility of the death penalty.

The judge set a deadline of 9 April to submit pre-trial motions.

Luigi Mangione is accused of fatally shooting Brian Thompson. Pic: Steven Hirsch/New York Post via AP
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Luigi Mangione is accused of fatally shooting Brian Thompson. Pic: Steven Hirsch/New York Post via AP

In addition to the New York cases, Mr Mangione also faces charges of forgery, carrying firearms without a licence, and other counts in Pennsylvania, where authorities arrested him at a McDonald’s.

Police say he was in possession of a gun, bullets, multiple fake IDs and a handwritten document that expressed “ill will” towards corporate America.

He is being held in a Brooklyn jail alongside several other high-profile defendants, including music mogul and rapper Sean “Diddy” Combs, and disgraced crypto entrepreneur Sam Bankman-Fried.

The killing prompted some to voice their resentment at US health insurers, with Mangione attracting a cult following.

A poll taken in the wake of the shooting showed most Americans believe health insurance profits and coverage denials were partly to blame for the incident.

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