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If you or someone you know is in crisis, please call the National Suicide Prevention Lifeline at 988 or contact the Crisis Text Line by texting HOME to 741741.

The GoFundMe request jumped out at me as I was scrolling through posts on LinkedIn.

Nora Super, executive director of the 2015 White House Conference on Aging and former director of the Milken Institute’s Center for the Future of Aging, was seeking contributions after suffering a severe spinal cord injury.

This story also ran on The Washington Post. It can be republished for free. About ‘Navigating Aging’

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Right now, I have no feeling below the waist. I need lots of equipment to go home from the hospital and live safely and independently, she wrote in her appeal.

Since coping with disability and the cost of coping with disability is an enormously important issue for older adults, I wondered if Super would discuss her experiences and try to put them in perspective.

The Institute on Disability at the University of New Hampshire ran the numbers for me: About 19 million people 65 and older in the U.S. a third of that age group had some type of disability in 2021, the latest year for which data is available. This includes difficulty with hearing, vision, cognition, mobility, or activities such as bathing, dressing, or shopping.

Super agreed to talk to me, but her story was more complicated than I anticipated.

First, some context. Super, 59, has been open about her struggle with major depression, an issue shes written about. In mid-June, after being fired from the Milken Institute, she began slipping into another depression her fifth episode since 2005.

Supers psychiatric medications werent working, she said, and she sought electroconvulsive therapy (ECT), which had been effective for her in the past. But mental health services are difficult to get in a timely way, and Super couldnt get an ECT appointment until Aug. 7.

On July 30, convinced that her life had no value, she attempted to end it. This was the event that led to her injury.

After two weeks in intensive care and a recovery unit, Super was ready to leave the hospital. But no rehabilitation facility would take her because of her mental health crisis. Without psychiatrists on staff, they claimed they couldnt ensure her safety, said Len Nichols, her husband.

Nichols, 70, has held several high-level health policy positions during his career, among them senior adviser for health policy at the Office of Management and Budget during the Clinton administration and director of the Center for Health Policy Research and Ethics at George Mason University. 

Using every contact he could, Nichols searched for a facility in New Orleans where Super could get intensive rehab services. During the pandemic, the couple had moved there from their longtime home in Arlington, Virginia. New Orleans is where Super grew up and three of her sisters live.

It took six days to get Super admitted to rehab. And that was just one of the challenges Nichols faced. Email Sign-Up

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Over the next month, he prepared for Supers return home, at considerable expense. An elevator was installed in the couples three-story home (their bedroom is on the second floor) for $38,000. A metal ramp at the homes entry cost $4,000. A lift for their Jeep cost $6,500. A bathroom renovation came to $4,000. An electronic wheelchair-style device that can be used in the shower was another $4,000.

Supers privately purchased insurance policy covered a wheelchair, bedside commode, hospital bed, and a Hoyer lift (a device that helps people transfer in and out of bed) with a small monthly copayment.

Its been surprising how much stuff Ive needed and how much all of it costs, Super admitted when we spoke on the phone.

Even with all our education, resources, and connections, we have had a hard time making all the arrangements weve needed to make, Nichols said. I cannot imagine how people do this with none of those three things.

He showered praise on the physical and occupational therapists who worked with Super at the rehab facility and taught him essential skills, such as how to move her from bed to her wheelchair without straining his back or damaging her skin.

I dont think I ever appreciated how essential their work is before this, he told me. They explain what youll be able to do for yourself and then they help you do it. They show you a pathway back to dignity and independence.

Still, the transition home has been difficult. In the hospital, nothing was expected of me, everything was done for me. In rehab, youre very goal-oriented and there are still people to take care of you, Super told me. Then, you come home, and that structure is gone and things are harder than you thought.

Fortunately, Nichols is healthy and able to handle hands-on caregiving. But he soon needed a break and the couple hired home-care workers for four hours a day, five days a week. That costs $120 daily, and Supers long-term care insurance pays $100.

Theyre lucky they can afford it. Medicare typically doesnt pay for chronic help of this kind, and only about 7% of people 50 or older have long-term care insurance.

What does Supers future look like? She isnt sure. Physicians have said it could take a year to know whether she can recover function below her waist.

Im happy to be alive and to see how I can take where Ive ended up and do something positive with it, she said. I still have a voice, and I can help people understand what it is to live with physical limitations in a way that Ive never really understood before.

Hopefully, this sense of purpose will sustain her. But it wont be easy. After we spoke, Super became discouraged with her prospects for recovery and her mood turned dark again, her husband said.

Knowing her, I believe that she will make it her mission to help others better understand the enormous and multiple challenges associated with the onset of a disability, and she will press for changes in our health system to improve the lives of families who have to deal with disabilities, said Stuart Butler, a senior fellow at the Brookings Institution who has worked with Super in the past.

Persistent accessibility problems for people with disabilities are part of what Super wants to speak out about. I live in an old city with sidewalks that are very uneven, and just getting down the street in my chair is a big hassle, she said. Finding parking where we can open the door fully and get me out is a challenge. 

Nichols has been surprised by how many medical offices have no way of lifting Super from her wheelchair to the exam table. The default is, they ask me, Can you pick her up? Its stunning how poorly prepared they are to help someone like Nora.

Then, there are reactions Super encounters when she leaves the house. Going down the street, people look at me and then they look away. It definitely feels different than when I was able-bodied. It makes me feel diminished, Super said.

Nichols finds himself thinking back to something a neurosurgeon said on the day Super was injured and had her first operation. He told me, Look, theres more damage than we thought, and she wont be what she was. Youre not going to know for six to 12 months whats possible. But I can tell you to do as much as you can as soon as you can to move on to a new normal. Millions of people have done it, and you can too.

Were eager to hear from readers about questions youd like answered, problems youve been having with your care, and advice you need in dealing with the health care system. Visitkffhealthnews.org/columniststo submit your requests or tips.

Judith Graham: khn.navigatingaging@gmail.com, @judith_graham Related Topics Aging Health Care Costs Mental Health Navigating Aging Disabilities Louisiana Virginia Contact Us Submit a Story Tip

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Trump says Ukraine will have to accept peace plan – but critics warn it has ‘real problems’

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Trump says Ukraine will have to accept peace plan - but critics warn it has 'real problems'

Donald Trump has said Volodymyr Zelenskyy will have to approve a proposed peace plan to end the war in Ukraine.

The controversial 28-point proposal – which would hand swathes of land to Russia and limit the size of Kyiv’s military – closely resembles the Kremlin’s demands.

Mr Zelenskyy has warned he has reservations about the plan, telling Ukrainians in a solemn speech: “Now is one of the most difficult days in our history.”

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Russia-Ukraine peace proposal explained

But Russian President Vladimir Putin has cautiously welcomed the US proposals – and said they “could form the basis for a final peace settlement”.

Speaking to reporters at the White House, Mr Trump appeared to dismiss Mr Zelenskyy’s concerns: “He’ll have to like it… at some point, he’s going to have to accept something.”

The US president went on to reference their now-infamous Oval Office meeting back in February, where he told Ukraine‘s leader “you don’t have the cards”.

Kyiv has been given until Thursday to accept the peace plan – but this deadline could be extended to finalise the terms.

Ukraine war – latest updates

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We face losing major partner or dignity, says Zelenskyy

‘I am highly sceptical it will achieve peace’

Mr Trump has received pushback from members of his own party, with a prominent Republican warning the plan “has real problems”.

Senator Roger Wicker, who chairs the Senate Committee on Armed Services, expressed doubt that the White House proposals would achieve peace.

“Ukraine should not be forced to give up its lands to one of the world’s most flagrant war criminals in Vladimir Putin,” he warned.

Tim Ash from the Chatham House think tank added: “Russia gets everything it wants and Ukraine gets not very much.

“If Zelenskyy accepts this, I anticipate huge political, social and economic instability in Ukraine.”

Analysis: We could all pay if Europe doesn’t step up


Dominic Waghorn

Dominic Waghorn

International affairs editor

@DominicWaghorn

The Trump peace plan is nothing of the sort. It takes Russian demands and presents them as peace proposals, in what is effectively a surrender ultimatum for Ukraine.

If accepted, it would reward armed aggression. The principle that even de facto borders cannot be changed by force – sacrosanct since World War Two for very good reasons – will have been trampled on at the behest of the leader of the free world.

Read Dominic’s full analysis here.

According to Reuters, European nations including the UK, France and Germany are now working on a counterproposal with Kyiv.

EU leaders, who were not consulted about the plan, will hold a meeting on the sidelines of the G20 summit in South Africa on Saturday.

Sir Keir Starmer, who spoke to Mr Zelenskyy by phone on Friday, has warned “Russia pretends to be serious about peace, but their actions never live up to their words”.

Ahead of the talks, the prime minister said: “Ukraine has been ready to negotiate for months, while Russia has stalled and continued its murderous rampage. That is why we must all work together, with both the US and Ukraine, to secure a just and lasting peace once and for all. We will continue to coordinate closely with Washington and Kyiv to achieve that.

“However, we cannot simply wait for peace, we must strain every sinew to secure it. We must cut off Putin’s finance flows by ending our reliance on Russian gas. It won’t be easy, but it’s the right thing to do.”

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Inside the Ukraine peace plan

The EU’s foreign policy chief, Kaja Kallas, said: “We all want this war to end, but how it ends matters. Russia has no legal right whatsoever to any concessions from the country it invaded. This is a very dangerous moment for us all.”

Read more from Sky News:
Starmer refuses to rule out manifesto-breaking tax rises
BBC board member resigns – and criticises ‘governance issues’

‘Ukraine may be facing an extremely difficult decision’

During his address, Mr Zelenskyy said he would not betray Ukraine’s national interest – but warned dilemmas lie ahead.

He added: “Either a loss of dignity or the risk of losing a key partner. Either accepting a complicated list of 28 demands or enduring an extremely harsh winter, the harshest yet, with all the risks that follow.

“A life without freedom, without dignity, without justice. And all while being asked to trust someone who has already attacked us twice.”

Pics: Reuters
Image:
Pics: Reuters

Washington has reportedly threatened to cut off intelligence sharing and weapons supplies if Kyiv refuses to accept the deal.

The US-backed proposal would require Ukraine to withdraw from territory it still controls in eastern provinces that Russia claims to have annexed – with Russia giving up smaller amounts of land it holds in other regions.

Ukraine would also be permanently barred from joining NATO, and its armed forces would be capped at 600,000 troops.

Sanctions against Russia would also be gradually lifted, with Moscow invited back into the G8 and frozen assets pooled into an investment fund.

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Grooming gang victims being denied compensation because of criminal records

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Grooming gang victims being denied compensation because of criminal records

Victims of grooming gangs and modern slavery are being denied compensation by a government scheme because of their criminal records, Sky News has learned.

Analysis of official figures by Sky News’ Data & Forensics team shows more than 11,000 victims of crime over the last decade have been denied payouts because of their unspent convictions, including children.

The Criminal Injuries Compensation Authority can award money to victims of violent crime, including sexual abuse.

It is the only government compensation scheme for victims – for those unable to work due to injuries, the money can be vital.

But, if an applicant has a criminal record, they are automatically refused compensation with limited exceptions.

Those with unspent convictions sometimes receive reduced sums.

Sky News has found that at least 130 children with criminal records have received reduced awards over the last 10 years, including 50 victims of sex abuse, four victims of brain damage, and one child who lost sight in an eye.

This rule on unspent convictions is based on the idea that public funds should only compensate blameless victims of crime and not, for example, a gang member who was injured in a fight.

But many argue the policy punishes those who have been forced to offend by exploiters, as well as victims of child sexual abuse.

‘I was frustrated that I wasn’t being believed’

Arthur Sherry, 43, from Perranporth in Cornwall was regularly abused by his babysitter from the age of five, including suffering rape.

In 2008, he reported it to Devon and Cornwall Police, alongside two other victims. He alleges the police did not believe him, and charges were not brought against his abuser.

Arthur Sherry, who was abused as a child, says he was denied compensation because of his criminal record
Image:
Arthur Sherry, who was abused as a child, says he was denied compensation because of his criminal record

Arthur became angry and descended into addiction as a “coping mechanism”, becoming suicidal, and was repeatedly arrested for minor offences, such as making false calls to the emergency services.

“I wasn’t getting support from any agencies, and no one asked me, ‘Why is this man ringing the emergency services all the time?'”

“It was a cry for help. I was frustrated that I wasn’t being believed.”

Eventually, Arthur’s abuser, Shaun Burton, was convicted of multiple offences against children, including 11 counts of indecency with a child in relation to Mr Sherry.

But when Arthur, who suffers from complex PTSD, subsequently tried to make a claim through the Criminal Injuries Compensation Authority in 2013, it was rejected because of his criminal record and because he submitted his application beyond CICA’s time limit.

He was not allowed to appeal the decision.

Arthur, aged 12 in the picture, was regularly abused by his babysitter, Shaun Burton, from the age of five
Image:
Arthur, aged 12 in the picture, was regularly abused by his babysitter, Shaun Burton, from the age of five

Many survivors of grooming gangs have criminal records due to being exploited and coerced.

While the government recently announced plans to disregard child prostitution convictions for these victims, many are urging authorities to go further and pardon all related offences.

Former victims’ commissioner Dame Vera Baird said: “They were not exercising their own free will and voluntarily committing crime, so there should be a discretion to look at that and say, ‘No, that wasn’t their fault’.

“They should get compensation for all the evil that was done to them by that gang.”

In 2022, the Independent Inquiry into Child Sexual Abuse recommended that the government amend the Criminal Injuries Compensation Scheme so that “applicants with unspent convictions are not automatically excluded where offences are likely to be linked to the circumstances of their sexual abuse as a child”.

The government has refused to act on this recommendation.

However, Labour MP Sarah Champion has tabled an amendment to the upcoming Victims and Courts Bill, hoping to implement it, as well as widen eligibility to the scheme.

“Victims are seen as running a cannabis farm and get a conviction, before it actually turns out that they were a victim of modern slavery.

“These people, who are very clearly recognised as victims and survivors, aren’t getting the money that’s owed to them. The system is broken and the ministers need to get rid of it.”

'I was frustrated that I wasn't being believed,' Arthur tells Sky News' Alice Porter
Image:
‘I was frustrated that I wasn’t being believed,’ Arthur tells Sky News’ Alice Porter

Read more from Sky News:
Wintry blast ‘could be a dry run for a cold December’
What does Trump’s Gaza peace plan look like?

A government spokesperson said: “Last year, more than £164m was paid out under the Criminal Injuries Compensation Scheme to victims, and we are going further by removing the time limit for civil personal injury claims and doubling Home Office funding for services supporting adult victims and survivors of child sexual abuse.

“Changes to the way we compensate victims have been considered by successive governments, and our priority must always be to treat all victims of violence equally.”

Devon and Cornwall Police said: “Tackling sexual offending is a key priority for Devon & Cornwall Police and we are working hard to bring offenders to justice.

“We take reports of all sexual offences seriously and will carry out thorough investigations into reports, looking at all viable lines of enquiry.”

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UK

From ‘Xmas gifts’ to piles of cash: How ex-Reform MEP was caught doing Russia’s bidding

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From 'Xmas gifts' to piles of cash: How ex-Reform MEP was caught doing Russia's bidding

Nathan Gill was at Manchester airport, about to board a flight to Russia, when accepting bribes finally caught up with him.

Gill, the former leader of Reform UK Wales and a one-time member of the European Parliament, who on Friday was jailed for 10-a-half-years, was stopped by police before boarding and had his phone seized in 2021.

While they interrogated him, his home in Anglesey was raided, with detectives discovering more electronics and cash piles of €5,000 (£4,400) and $5,000 (£3,800) respectively.

Nathan Gill being questioned. Pic: Met Police
Image:
Nathan Gill being questioned. Pic: Met Police


The evidence on Gill’s phone would damn him – he was in contact with a pro-Russian politician in Ukraine, Oleg Voloshyn, and had agreed to boost pro-Russia viewpoints in exchange for money.

Voloshyn would dictate the statement, and Gill would repeat it – in some cases, almost word for word – in the media or the European Parliament.

In one instance, Gill appeared on the now-banned Ukrainian TV channel, 112 Ukraine, which was known for its pro-Russian stance.

In the interview, he was critical of the Ukrainian decision to open criminal proceedings against Viktor Medvedchuk, the owner of the television channel and a personal friend of Vladimir Putin.

Nathan Gill. Pic: Met Police
Image:
Nathan Gill. Pic: Met Police

Speaking to the outlet, he said he was “very concerned” about the investigation, and wondered whether it was meant to silence “opposition politicians”.

Prosecutors said messages on Gill’s phone showed that this was at his paymaster’s instruction, with Voloshyn offering a “reward” if he would say that it was unacceptable to persecute a person for their political convictions.

Read more:
Reform UK’s former Wales leader jailed
Trump’s 28-point Ukraine peace plan in full

Voloshyn also offered the MEP €2,000 (£1,750) if he would express concern that Mr Medvedchuk could no longer mediate with Russia on Ukraine’s behalf, the court heard.

He added that “V” – understood to be Mr Medvedchuk – did not believe Ukrainian President Volodymyr Zelenskyy had “true intentions to pursue a peace agenda”, prosecutors said.

Bundles of cash were recovered from Gill's home. Pic: Met Police
Image:
Bundles of cash were recovered from Gill’s home. Pic: Met Police

Sure enough, Gill appeared on 112 Ukraine saying it was “very sad” that Mr Medvedchuk felt he no longer had Mr Zelensky’s backing to act as a mediator with Russia, and suggested that using him “would be a sensible thing to do”.

The messages traded in innuendo, referring to the exchange of “Xmas gifts” or “postcards” instead of money.

But as the pair grew more comfortable with each other, they bargained more explicitly, with the sum of “£5k” quoted for Gill’s work.

Dominic Murphy, head of Counter Terrorism Command at the Met Police, said Gill had also offered access to other MEPs.

“This is where we get into that slightly odd situation where it feels very much like a real effort to undermine democracy here,” he said.

“This is Nathan Gill reaching out to individuals that he knows, who are Brits, who might be willing to be paid to go and make speeches.”

Commander Murphy declined to name names, but said there was an ongoing investigation and that other people had been spoken to.

None of the pro-Brexit MEPs Gill allegedly approached have been interviewed under caution.

Pic: Met Police
Image:
Pic: Met Police

Police confirmed there was no evidence to suggest Reform UK leader Nigel Farage was involved.

Gill was stopped at Manchester Airport on 13 September 2021, under schedule 3 of the Counter Terrorism and Borders Security Act 2019.

He offered police no explanation for his actions and answered no comment in a March 2022 police interview.

But the 52-year-old is believed to have had financial problems.

Mr Murphy added that while Gill appeared to have pro-Russian sympathies, he was primarily motivated by money.

The ex-MEP has been jailed for 10-and-a-half years after pleading guilty to eight counts of bribery between December 2018 and July 2019.

Following an investigation by counter-terrorism police, officers said they believe Gill likely took a minimum of £40,000 in cash and was offering to introduce other British MEPs so they could be bribed.

Voloshyn was picked up by the authorities on a trip to the US in 2021, which enabled the FBI to discover his end of the conversation.

He is now believed to be in Russia, but has been sanctioned by the UK government over allegations of trying to destabilise Ukraine.

Nathan Gill pleaded guilty to eight counts of bribery over pro-Russian statements. Including to media outlet 112 Ukraine. Pic: Met Police
Image:
Nathan Gill pleaded guilty to eight counts of bribery over pro-Russian statements. Including to media outlet 112 Ukraine. Pic: Met Police

He remains wanted in both Britain and Ukraine.

A Reform UK spokesman said: “Mr Gill’s actions were reprehensible, treasonous and unforgivable.

“We are glad that justice has been served and fully welcome the sentence Nathan Gill has received.”

Mr Farage, the Reform UK leader, said: “An investigation into Russian and Chinese influence over British politics would be welcome.”

The MP for Clacton previously described his former colleague as a “bad apple” and said he was “shocked” after Gill pleaded guilty to eight counts of bribery.

He said: “Any political party can find in their midst all sorts of terrible people.

“You can never, ever guarantee 100% that everyone you meet in your life, you shake hands with in the pub, is a good person.”

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