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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’

Navigating Agingfocuses on medical issues and advice associated with aging and end-of-life care, helping Americas 45 million seniors and their families navigate the health care system.

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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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World

Russia wants ‘quick peace’ in Ukraine and London is ‘head of those resisting it’, ambassador to UK tells Sky News

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Russia wants 'quick peace' in Ukraine and London is 'head of those resisting it', ambassador to UK tells Sky News

Russia wants “quick peace” in Ukraine and London is at the “head of those resisting” it, the Russian ambassador to the UK has told Sky News.

In an interview on The World With Yalda Hakim, Andrei Kelin accused the UK, France and other European nations of not wanting to end the war in Ukraine.

“We are prepared to negotiate and to talk,” he said. “We have our position. If we can strike a negotiated settlement… we need a very serious approach to that and a very serious agreement about all of that – and about security in Europe.”

Russian ambassador to the UK Andrei Kelin speaks to  Yalda Hakin
Image:
Russian ambassador Andrei Kelin speaks to Yalda Hakim

US President Donald Trump held a surprise phone call with his Russian counterpart Vladimir Putin last month, shocking America’s European allies. He went on to call Ukrainian President Volodymyr Zelenskyy a “dictator” and relations between the pair were left in tatters after a meeting in the Oval Office descended into a shouting match.

Days later, the US leader suspended military aid to Ukraine, though there were signs the relationship between the two leaders appeared to be on the mend following the contentious White House meeting last week, with Mr Trump saying he “appreciated” a letter from Mr Zelenskyy saying Kyiv was ready to sign a minerals agreement with Washington “at any time”.

In his interview with Sky News’ Yalda Hakim, Mr Kelin said he was “not surprised” the US has changed its position on Russia’s full-scale invasion of Ukraine, which began in 2022, claiming Mr Trump “knows the history of the conflict”.

“He knows history and is very different from European leaders,” he added.

No doubt Russia is welcoming shift in world order


 Yalda Hakim joined Sky News at the end of last year

Yalda Hakim

Lead world news presenter

@SkyYaldaHakim

I’ve interviewed the Russian ambassador to the UK, Andrei Kelin, on a number of occasions, at times the conversation has been tense and heated.

But today, I found a diplomat full of confidence and cautiously optimistic.

The optics of course have suddenly changed in Russia’s favour since Donald Trump was elected.

I asked him if Russia couldn’t believe its luck. “I would not exaggerate this too much,” he quipped.

Mr Kelin also “categorically” ruled out European troops on the ground and said the flurry of diplomatic activity and summits over the course of the past few weeks is not because Europeans want to talk to Moscow but because they want to present something to Mr Trump.

He appeared to relish the split the world is witnessing in transatlantic relations.

Of course the ambassador remained cagey about the conversations that have taken place between President Trump and Vladimir Putin.

There is no doubt however that Russia is welcoming what Mr Kelin says is a shift in the world order.

Peace deal ‘should recognise Russian advances’

The Russian ambassador said Moscow had told Washington it believed its territorial advances in Ukraine “should be recognised” as part of any peace deal.

“What we will need is a new Ukraine as a neutral, non-nuclear state,” he said. “The territorial situation should be recognised. These territories have been included in our constitution and we will continue to push that all forces of the Ukrainian government will leave these territories.”

Asked if he thought the Americans would agree to give occupied Ukrainian land to Russia, he said: “I don’t think we have discussed it seriously. [From] what I have read, the Americans actually understand the reality.”

Read more:
What you need to know from a monumental week in Ukraine
US ‘destroying’ world order by trying to meet Russia ‘halfway’

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In full: Russian ambassador’s interview with Sky’s Yalda Hakim

Moscow rules out NATO peacekeepers in Ukraine

He said Russia “categorically ruled out” the prospect of NATO peacekeepers on the ground in Ukraine – a proposal made by UK Prime Minister Sir Keir Starmer and French President Emmanuel Macron – saying “they have no rules of engagement” and so would just be “sitting in cities”.

“It’s senseless” and “not for reality,” Mr Kelin added.

He branded the temporary ceasefire raised by Mr Zelenskyy “a crazy idea”, and said: “We will never accept it and they perfectly are aware of that.

“We will only accept the final version, when we are going to sign it. Until then things are very shaky.”

He added: “We’re trying to find a resolution on the battlefield, until the US administration suggest something constructive.”

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UK

Kyle Clifford: Violent misogyny of kind promoted by Andrew Tate ‘fuelled rape and triple murder’, prosecution says

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Kyle Clifford: Violent misogyny of kind promoted by Andrew Tate 'fuelled rape and triple murder', prosecution says

The violent misogyny promoted by the likes of Andrew Tate fuelled a former soldier’s rape of his ex-girlfriend and the murder of her along with her mother and sister, the prosecution argued in court.

Warning: This article contains distressing details.

Kyle Clifford, 26, had been searching YouTube for the 38-year-old controversial influencer’s podcast the day before he carried out the four-hour attack, it was said in legal argument ahead of his trial.

It can only now be reported because Judge Mr Justice Bennathan excluded the evidence from the trial, saying that it was of “limited relevance” and too prejudicial.

But he added that anyone who takes a close interest in Tate, a “poster boy for misogynists”, could also be seen as a misogynist.

Clifford tricked his way inside the family home in Bushey, Hertfordshire, on 9 July last year on the pretext of returning a bag of 25-year-old Louise Hunt’s clothes 13 days after she dumped him.

He made sure her father, the BBC and Sky Sports racing commentator John Hunt, wasn’t home before stabbing her mother Carol Hunt, 61, to death with a 10-inch butchering knife.

Clifford laid in wait for more than an hour until Louise returned from work at the dog grooming business she ran from a pod in the garden, tied her arms and ankles with duct tape, gagged her and raped her.

Carol Hunt and her daughters Hannah and Louise.
Pic: Facebook
Image:
Carol Hunt and her daughters Hannah and Louise.
Pic: Facebook

He held her captive for hours before shooting her through the chest with a crossbow, using the same weapon to kill her sister Hannah Hunt, a 28-year-old beauty therapist, when she returned home minutes later.

Clifford pleaded guilty to three counts of murder, false imprisonment, and two counts of possession of offensive weapons but denied raping Louise – claiming the DNA found on her body was from 16 days earlier.

He has now been found guilty of the charge by a jury at Cambridge Crown Court.

Interest in Andrew Tate

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CCTV shows Clifford’s movements

Clifford had been searching YouTube for Tate’s podcast the day before the murders and is believed to have watched up to 10 of the influencer’s videos.

One of Louise Hunt’s friends had previously asked why he was watching one of Tate’s videos involving drugged animals and he said: “Because it’s funny,” it was said during legal argument before the trial.

Prosecutors argued the “violent misogyny promoted by Tate” was the same kind that “fuelled both the murders” and the rape” committed by Clifford.

Alison Morgan KC said his interest in the “widely known misogynist” helped to explain why he became so “incandescent with rage” after she ended the relationship.

Andrew Tate speaks to reporters after arriving in Florida. Pic: AP
Image:
Andrew Tate. File pic: AP

In throwing out the evidence, the judge said that there was likely to be ongoing reporting about Tate after he and his brother Tristan, 36, flew to the US from Romania on Thursday after travel restrictions imposed on the pair were lifted.

A criminal investigation has since been launched into the British-American pair – who are already subject to an ongoing probe into alleged people trafficking in Romania – in Florida.

They are also due to be extradited to the UK after that case to face separate accusations of rape and trafficking dating back to between 2012 and 2015.

The brothers deny any wrongdoing.

‘Misogynistic and sexualised’ comments

Clifford had recently been sacked from his job at a catering supply firm in Waltham Cross.

It also emerged in legal argument that he was said to have made “misogynistic and sexualised comments” about female colleagues in the workplace.

He hid two relationships with women he knew through work from Louise during their 18-month relationship, which started after they met on a dating website.

It can now be reported Clifford went on dating apps Hinge and Tinder moments after Louise ended their 18-month relationship in a message on 26 June last year.

Clifford planned attack over 13 days

  • 26 June 2024: Louise Hunt ends 18-month relationship.
  • 28 June: Kyle Clifford buys a 30cm length of rope from Toolstation in Enfield.
  • 30 June: He searches for crossbows and pornography online.
  • 3 July: Clifford buys a crossbow, six bolts and a cocking device online for £357 for delivery to his home. He also buys a Glock air pistol, which was not delivered before the murders.
  • 4 July: Clifford buys two petrol cans from Halfords in Enfield, which are later found by police in the boot of his car, and two rolls of duct tape from a branch of B&Q.
  • 5 July: He visits the gym and goes for a night out in central London, staying overnight in a hotel.
  • 7 July: A 10-inch steel butchering knife he bought through Amazon for £89 is delivered to his home.
  • 8 July: He searches YouTube for Andrew Tate’s podcast

Clifford then started planning his attack, buying a length of rope just two days later, and on 30 June he researched crossbows before searching for a pornographic video of a Wandsworth prison officer having sex with an inmate.

Brother serving life sentence for murder

He also discussed crossbows with his brother Bradley Clifford, who he would visit in prison every other week, where he is serving a life sentence for murdering a teenager in 2017.

Bradley Clifford drunkenly mowed down 19-year-old Jahshua Francis, who was riding a moped, and his pillion passenger Sobhan Khan, 18, after his “prized” red Mustang was damaged.

Bradley Clifford. Pic: Met Police
Image:
Bradley Clifford. Pic: Met Police

Police said Kyle Clifford had plenty of opportunities to back out of the 9 July attack but was “absolutely cold-blooded and calculated in his actions”.

In legal argument not before the jury, Ms Morgan said “highly sexualised violence played a part in what took place” and that Clifford was trying to “misogynistically control Louise Hunt for one more time”.

‘Sense of entitlement’

She described him as a man whose identity was based on “whether he has the right number of women and the admiration of women” and “doesn’t like to be told, ‘No,’ by women”.

Ms Morgan said his “sense of entitlement” and the “spite and the sleight” of being dumped fuelled the sexualised violence.

The day of the murders – 9 July 2024

  • 9.54am: Clifford goes to a garden centre with his mother, father and niece.
  • 1.07pm: He leaves his home in Enfield to drive to Bushey, parking near the Hunt family home 30 minutes later.
  • 1.39pm: Police believe he gets out of his car to check which cars are parked outside the house – there were three family vehicles parked that day.
  • 1.48pm: Clifford has returned to his car and searches on his phone for “horse racing today” to check if John Hunt was at home.
  • 2.30pm: Having parked his car closer, he takes a rucksack from the boot, believed to contain the knife, and carries a white plastic bag containing Louise’s clothes.
  • 2.32pm: He knocks at the door, appearing calm when Carol Hunt answers.
  • 2.39pm: Clifford enters the home on the pretext of handing back Louise’s belongings and leaving a “thank you” card for her parents, attacking Carol with the knife less than a minute later.
  • 3.07pm: He goes back to his car to get the crossbow, which is hidden under a blanket before returning to the house.
  • 4.12pm: Louise, who has been working in her dog grooming business in a pod in the garden, enters her home where Clifford is waiting. She is restrained with duct tape, gagged, and raped.
  • 5.52pm: He uses Louise’s phone to send a text message to her father asking what time he will be home and he replies to say late.
  • 5.57pm: Her phone is used to search whether unplugging a smoke detector stops it from sounding an alarm and if alcohol is flammable.
  • 6.50pm: Clifford kills Louise with the crossbow moments before her sister Hannah Hunt returns home.
  • 6.54pm: Hannah is shot by Clifford with the crossbow before he leaves. Four minutes later, while injured, she calls 999.
  • 7.10pm: Emergency services arrive but Hannah dies soon after.

After the murders, CCTV footage shows Clifford calmly leaving the Hunt family home in the quiet cul-de-sac of Ashlyn Close carrying a backpack and holding the crossbow hidden under a blanket.

He drove to a cemetery near his home in Enfield, north London, where he shot himself in the chest with the weapon as armed police descended the next day following a manhunt.

A makeshift noose was found in a nearby tree, but police and prosecutors don’t believe he made a genuine attempt to end his life, although he was left paralysed from the chest down.

The trial was held in Cambridge to accommodate him as a wheelchair user, but he refused to attend.

Kyle Clifford when he was working for a fire and security installation company in 2023
Image:
Kyle Clifford in 2023

‘Underwhelming individual’

His victims’ friends and family, including John Hunt – who has one surviving daughter Amy – sat in the public gallery to hear the harrowing details of the case.

Detective Chief Inspector Nick Gardner described Clifford, who served in the army from 2019 for around three years, as an “entirely underwhelming individual” with a failed military career who couldn’t hold down a job.

He worked as a private security guard for a few months in 2023, then was sacked from his job at Reynolds shortly before the murders.

Louise had told a friend Clifford had a “nasty temper”, while friends and family members described him as “odd” or “disrespectful, rude and arrogant”.

Clifford came to the attention of police in London in relation to alleged offences of possession of cannabis, assault without injury and theft when he was a juvenile between 2012 and 2013, but they didn’t result in charges or convictions.

Police say there were no obvious red flags that he would go on to commit such a crime.

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Politics

US lawmaker reintroduces CBDC bill after Trump EO bans digital dollar

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US lawmaker reintroduces CBDC bill after Trump EO bans digital dollar

Majority Whip Tom Emmer first proposed banning Federal Reserve banks from using or issuing a digital dollar in 2022.

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