
Eren Öztürk’ün “Kara Kutu” ile ilgili Soner Yalçın eleştirisini okuyunca insanın zayıflamış umutları depreşiyor. Bilimsel ve sosyal konularda pek çok akademisyenin ilgi ve bilgi düzeyini gördükçe, bir tıp öğrencisinden böyle nitelikli bir yazı okumak sevindirici bir şey. Yalnızca ilgi, bilgi ve duyarlılık yok, aynı zamanda dili ve kurgusuyla da iyi bir makale.
Aşılar konusundan başlarsak: Önce son 100-120 yıldır insanın yaşam süresi neden bu kadar devrimsel oranda uzadı sorusunu sormak gerekir. Bunu birçok başka kitap dışında özellikle Dr. Akif Akalın’ın çevirdiği ve yazdığı “toplumcu tıp” kitaplarından öğreniyoruz. İnsan yaşamının uzamasında ilk büyük sıçramayı yaratan şey, tıpla doğrudan bağlı görülmeyecek, ama göbekten bağlı bir gelişmedir. İngiltere ve Batı Avrupa’da geniş yoksul kesimlerin yaşadığı semtlere temiz su ve kanalizasyon götürülmesi! O mahallerin ve o evlerin en temel düzeyde sağlıklı hale getirilmesi…
İnsanın ortalama yaşamında devrimsel oranda sıçrama yaratan öteki iki şey ise 1- Antibiyotikler, 2- Aşılardır. İşte Soner Yalçın’ın bilerek ya da bilmeden saldırdığı iki şey sosyal tıbbın ya da halk sağlığının en büyük iki silahıdır.
Soner Yalçın’ın antibiyotikler hakkında söylediği birçok şey gerçi doğru. Son elli yıldır leblebi çekirdek gibi tüketilmesi, gerek vatandaşın, gerekse doktor ve eczacıların aşırı ve kötüye kullanımları ciddi sorunlar yaratmakta. Ancak zaten o konuda, beğenmediğimiz devlet bile ciddi önlemler alıyor. Sayın Soner Yalçın her konuda olduğu gibi bu konuda da bazı temel doğrularla birtakım kulaktan dolma yanlış bilgileri ve şehir efsanelerini harmanlayarak ilgi uyandırmayı seçiyor. Ne var ki bu taktik o bahsettiği doğruları itibarsızlaştırıyor. Birtakım ilaçların yan etkilerinden dolayı sonradan yasaklanması, ilaç şirketlerinin aşırı kâr hırsıyla insan sağlığını riske atması, yaşanan gerçekler. Fakat tüm bunlar uyanıklığı, sorguyu, sosyalist bir tıp anlayışını doğurmalı. İlaçlara karşı genel bir güvensizliğe, tüm antibiyotiklerin “tu-kaka” ilan edilmesine yol açmamalı. Bilimin sorunları o bilim ne kadar yolundan sapsa da bilim içinde çözülmeli.
Eren Öztürk’ün “modern tıbbın sorunlarının” “modern tıp dışı yöntemlerle” nasıl çözüldüğüne, daha doğrusu çözülemediğine dair yaklaşımı ve örnekleri gayet yerinde.
Aşı muhalifliği ise bu çözümsüzlüğün en uç, en sorumsuz noktası. Fakat elbette aşılar da bilimsel anlamda tartışılmalı, onun da aşırı ve kötüye kullanımları önlenmeli. Ne var ki özellikle bizim gibi ülkelerde bu konu kişisel inisiyatiflere asla bırakılmamalı. Çünkü salgın hastalıklar kişisel ve özel karar alanları değildir. Öztürk’ün belirttiği gibi aşıları daha önce yapabildiğimiz gibi kendimiz üretmeliyiz. Sadece aşıları değil mevcut ilaçları ve yeni bulacağımız ilaçları da ülke olarak kendimiz üretebilmeliyiz. Soner Yalçın’ın da uyarısı doğrultusunda ilaç kalitelerini sürekli denetleyebilmeliyiz. Tüm bunlar hem doğrudan ölüm-kalım meselesidir, hem maliyet hesapları, ilaca ulaşılabilirlik ve ülke bağımsızlığı ile ilgili temel sorunlardır.
İKİ İTİRAZIM VAR
Fakat değerli Öztürk’e iki noktada itirazım var. Biri gebelerde şeker yükleme testi ile ilgili. Epey bir süredir bu konuyu tartışıyoruz, “şeker yüklemeci” doktor arkadaşlar henüz beni ikna edebilmiş, sorularıma tatmin edici bir cevap vermiş değiller. Bilimsel iddiadaki argümanları şu: Gebelerde diyabet ortaya çıkacaksa kritik bir 5-6 haftalık dönemde çıkma olasılığı yüksekmiş. İşte o dönemde yapılan şeker yükleme testi ile erken tanı sağlanabiliyormuş. Gebenin ve ceninin sağlığı bu şekilde korunuyormuş. Peki bu kritik 5-6 haftalık dönemin son gününü nasıl saptayıp o günde test yapıyorlar? Hiç de öyle bir şey yapmıyor, herhangi bir günde yapıyorlar. O halde test yapıldıktan sonraki günlerde, haftalarda diyabet ortaya çıkarsa ne olacak? Üstelik diyabet illa o en yüksek olasılıklı dönemde çıkmayabilir, sonraki haftalarda da çıkabilir. Şeker yüklemesi negatif çıkan gebe bu yöntemle demek ki kendini sağlıklı sayacak ve aylarca diyabetle birlikte yaşayacak. Oysa bunun yerine önerdiğimiz şey son derece ucuz bir seçenek olarak açlık kan şekeri düzeyi ölçümünün gebelik boyunca birkaç haftada bir yinelenmesi. Ayda bir de hemoglobin A-1c ölçümü yapılırsa iş taçlanır. Ancak sadece şeker ölçümü bile yeterli. Uygulanırsa çok daha iyi sonuçlar alınabilir.
Testte verilen ve o “az” denen şeker miktarı hiç de az değil ve kadın doğum uzmanlarının vermeyi pek sevdiği “bir dilim pasta” örneği yanıltıcı. Miktar hem fazla ve hem de bir dilim pastadan çok farklı bir içerik söz konusu. Üstelik bu test sıkça gördüğümüz gibi bir kez değil, birçok kez de yapılabiliyor. Yüklemeyle diyabeti gösteren miktar neden kendi başına diyabeti tetiklemesin? Modern tıbbın başta radyolojik tetkikler olmak üzere sıklıkla kötüye kullandığı tüm agresif tetkik yöntemleri sorgulanmalı.
Bazı ülkeler bu yöntemi uygulamıyor. Örneğin toplum sağlığında örnek ülke Küba’da sadece riskli gebelere uygulanıyor ve o bile tartışılıyor.
İkinci itiraz noktam ise değerli Öztürk’ün şu sözüne: “Emin olun, ilaç endüstrisi en çok sağlık camiasında eleştiriliyor.” Keşke öyle olsaydı. Bizler “Tıp Bu Değil” kitaplarının yazarları olarak bu konuları yıllardır gündeme getirmeye çalıştığımız halde üstünü en çok örten, en çok görmezden gelen, gargaraya getirmeye çalışan doktorlar ve sağlıkçılar oldu. Doğrudur, birtakım siyasi bildirilerde, TTB’nin kimi söylemlerinde yoğun bir anti-kapitalizm var gibi… Ama sadece “gibi”. Biz on yıllardır mücadele ediyoruz, hekimler hem de “muhalif” hekimler arasında ne aşırı tetkike, ne aşırı teşhise, ne aşırı tedaviye hevesi önleyebildik ne de koruyucu hekimliğe, sosyal tıbba bir eğilim yaratabildik.
Çok ağır ve neredeyse hakarete varan eleştirilerimize karşın hala medikal şirketler sponsorluğunda kongreler dışında “bilimsel kongre” yok gibi… Ve hekimler bireysel olarak ve de örgütsel anlamda uzmanlık dernekleri ve onlardan aidat alan TTB vasıtasıyla bundan nemalanmaya devam ediyorlar. Böyle bir ortamda bilim ve bilimsel tartışma ne derece güçlenebilir?
Hüsnüniyetin (iyiye yorma ve yorumlamanın) karşılığını gerçekte bulmasını elbette tüm kalbimizle dileriz. Konuya bu yaşta Eren Öztürk gibi nitelikli bakanların sayısı arttıkça belki o günleri göreceğiz. O konuda genç sağlıkçılara, doktorlara büyük iş düşüyor.
Yine de tıp ve sağlık işleri sadece doktorların konuşacağı bir tabu değildir. Öztürk belirtmiş: Toplum da bilinçlenmeli ve bilinçli hastalar istiyoruz. Akalın’ın sık yinelediği gibi: “Sağlık sadece doktorlara bırakılamayacak kadar ciddi bir konudur.” Toplum, halk bilinçlenmeli, örgütlenmeli, kendi sağlığı için baskı gücü oluşturmalı. Devlete karşı, politikacılara karşı ve tabii doktorlara karşı da bir baskı gücü oluşturmalı. Örneğin güçlü biçimde şu sesi yükseltebilmeli: “Sigaraya karşı büyük kampanyalar ve devamlı bir karşı propaganda yapıyorsunuz. Güzel ve doğru. Ama o konuda gerçekten samimiyseniz fabrikaların baca filtresiz çalışmasına nasıl izin veriyorsunuz?”
Bunu diyecek kitle Soner Yalçın kitaplarıyla oluşmaz. Aksine oluşacağı varsa da oluşmaz.
Kaan Arslanoğlu
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“I would look for something with a good fat composition in which saturated fat is less than a third of the total fat,” Willett said. “Some vegetable burgers made from peas and legumes can be quite starchy, which the body breaks down similarly to sugar, so I would prefer to see alternatives with more healthy fat, more nuts, more soy.”
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The political turmoil follows a parliamentary election that was won by the ruling Georgian Dream party, although its opponents allege the vote was rigged.
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Its outcome pushed Georgia further into Russia's orbit of influence. Georgia aspired to join the European Union, but the party suspended accession talks with the bloc after the election.
As it sought to cement its grip on power, Georgian Dream has cracked down on freedom of assembly and expression in what the opposition says is similar to President Vladimir Putin's actions in neighboring Russia, its former imperial ruler.
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The political turmoil follows a parliamentary election that was won by the ruling Georgian Dream party, although its opponents allege the vote was rigged.
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Its outcome pushed Georgia further into Russia's orbit of influence. Georgia aspired to join the European Union, but the party suspended accession talks with the bloc after the election.
As it sought to cement its grip on power, Georgian Dream has cracked down on freedom of assembly and expression in what the opposition says is similar to President Vladimir Putin's actions in neighboring Russia, its former imperial ruler.
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The political turmoil follows a parliamentary election that was won by the ruling Georgian Dream party, although its opponents allege the vote was rigged.
Protests highlight battle over Georgia's future. Here's why it matters.
Its outcome pushed Georgia further into Russia's orbit of influence. Georgia aspired to join the European Union, but the party suspended accession talks with the bloc after the election.
As it sought to cement its grip on power, Georgian Dream has cracked down on freedom of assembly and expression in what the opposition says is similar to President Vladimir Putin's actions in neighboring Russia, its former imperial ruler.
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It’s no secret how President…
It’s no secret how President Donald Trump feels about sports teams turning away from Native American mascots. He’s repeatedly called for the return of the Washington Redskins and Cleveland Indians, claiming their recent rebrands were part of a “woke” agenda designed to erase history.
But one surprising team has really gotten the president’s attention: the Massapequa Chiefs.
The Long Island school district has refused to change its logo and name under a mandate from New York state banning schools from using team mascots appropriating Indigenous culture. Schools were given two years to rebrand, but Massapequa is the lone holdout, having missed the June 30 deadline to debut a new logo.
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The district lost an initial lawsuit it filed against the state but now has the federal government on its side. In May, Trump’s Department of Education intervened on the district’s behalf, claiming the state’s mascot ban is itself discriminatory.
Massapequa’s Chiefs logo — an American Indian wearing a yellow feathered headdress — is expected to still be prominently displayed when the fall sports season kicks off soon, putting the quiet Long Island hamlet at the center of a political firestorm.
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The district is now a key “battleground,” said Oliver Roberts, a Massapequa alum and the lawyer representing the school board in its fresh lawsuit against New York claiming that the ban is unconstitutional and discriminatory.
The Trump administration claims New York’s mascot ban violates Title VI of the Civil Rights Act of 1964, which prohibits recipients of federal funds from engaging in discriminatory behavior based on race, color or national origin — teeing up a potentially precedent-setting fight.
The intervention on behalf of Massapequa follows a pattern for a White House that has aggressively applied civil rights protections to police “reverse discrimination” and coerced schools and universities into policy concessions by withholding federal funds.
“Our goal is to assist nationally,” Roberts said. “It’s us putting forward our time and effort to try and assist with this national movement and push back against the woke bureaucrats trying to cancel our country’s history and tradition.”
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What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
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• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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It’s no secret how President…
It’s no secret how President Donald Trump feels about sports teams turning away from Native American mascots. He’s repeatedly called for the return of the Washington Redskins and Cleveland Indians, claiming their recent rebrands were part of a “woke” agenda designed to erase history.
But one surprising team has really gotten the president’s attention: the Massapequa Chiefs.
The Long Island school district has refused to change its logo and name under a mandate from New York state banning schools from using team mascots appropriating Indigenous culture. Schools were given two years to rebrand, but Massapequa is the lone holdout, having missed the June 30 deadline to debut a new logo.
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The district lost an initial lawsuit it filed against the state but now has the federal government on its side. In May, Trump’s Department of Education intervened on the district’s behalf, claiming the state’s mascot ban is itself discriminatory.
Massapequa’s Chiefs logo — an American Indian wearing a yellow feathered headdress — is expected to still be prominently displayed when the fall sports season kicks off soon, putting the quiet Long Island hamlet at the center of a political firestorm.
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The district is now a key “battleground,” said Oliver Roberts, a Massapequa alum and the lawyer representing the school board in its fresh lawsuit against New York claiming that the ban is unconstitutional and discriminatory.
The Trump administration claims New York’s mascot ban violates Title VI of the Civil Rights Act of 1964, which prohibits recipients of federal funds from engaging in discriminatory behavior based on race, color or national origin — teeing up a potentially precedent-setting fight.
The intervention on behalf of Massapequa follows a pattern for a White House that has aggressively applied civil rights protections to police “reverse discrimination” and coerced schools and universities into policy concessions by withholding federal funds.
“Our goal is to assist nationally,” Roberts said. “It’s us putting forward our time and effort to try and assist with this national movement and push back against the woke bureaucrats trying to cancel our country’s history and tradition.”
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What we're covering •…
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• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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