The New Wild West of Gold Mining Is West Africa
© Francis Kokoroko/Reuters
© Francis Kokoroko/Reuters


The debate about how to control AI and limit its potential for damage is healthy and necessary. It is also unavoidable and urgent.
But this is not the only vital debate. There are also vital questions about how the upsides of AI are shared fairly. Business as usual has left the world's poorest people behind, so far. And for those caught up in conflict—in places like Sudan, Ukraine, Gaza, and Afghanistan—AI can help meet urgent needs.
It is clear to me that the world has more resources to do good than at any time in human history, but too often, we don't distribute them where they are most needed. Now, AI stands to create even more resources in the form of free time, insights, and funds. And they need to be spent in the right places.
The AI revolution is going to mint a new generation of billionaires and millionaires—and with them, a new generation of philanthropists; a term stemming from the Ancient Greek philanthropia, meaning “love of humanity”. It’s a reminder that the act of giving begins with some of the most fundamentally human impulses: care, love, empathy, and selflessness.
Maybe this explains why Effective Altruism—the idea that generosity should be subjected to evidence and calculation—seemed counterintuitive. But I never understood why. After all, who wants ineffective altruism? We should all be asking where our money can do the most good.
Organizations working at the sharpest end of the world’s toughest problems—like the one I lead—need philanthropy to be the smart money: hard-headed as well as big-hearted, focused on outcomes not visibility, concerned to add value not just kudos. Results, not just responsibility, should be the watchword.
Fortunately, there’s been an evidence revolution over the last 20 years. We know a whole lot more about what actually works. This makes giving much easier. Distance no longer needs to be the enemy of confidence.
In fact, there is every reason to think globally, not just locally, about where to make a difference. As the world has become more and more connected, governments have retreated from global problems. For instance, official development assistance funds from Organisation for Economic Cooperation and Development (OECD) countries dropped by a historic 23.1% in 2025. Now, we need new philanthropy to provide some balance in a world that is clearly out of balance.
Around 94% of American philanthropy is spent in the U.S. But the rest of the world is not just where the needs are greatest—from acute childhood malnutrition to violence against women—but where the gains from philanthropy can be greatest.
The 20 countries at greatest risk of a worsening humanitarian crisis, ranked by the International Rescue Committee (IRC) annually in our Emergency Watchlist, represent just 12% of the global population, but 90% of those in humanitarian need. In these places, led by regions like Sudan, Gaza, and South Sudan, children are three times more likely to die before their fifth birthday and 10 times more likely to grow up in extreme poverty than children born elsewhere. The people living here have done the least to contribute to climate change, but face the combined pressures of climate change and conflict—and receive the least support to adapt.
If philanthropy and its “love of humanity” belong anywhere, it is these areas. And just in time, humanitarians have developed increasingly sophisticated tools to transform what we know about how to help people survive through and recover from crisis. Real-time data, randomized controlled trials, cost-effectiveness and cost-efficiency analysis, plus predictive analytics, have transformed the evidence base and the basis for action.
The IRC alone has conducted over 50 impact evaluations since 2020 as well as 500 cost analyses, allowing us to measure not simply whether an intervention works, but how much it costs and how much further each additional dollar can go. So we don't need to be daunted by the big numbers highlighting the 43 million children who are acutely malnourished, the 20 million kids without full immunization, over 300 million people hungry, and hundreds of thousands of women dying in childbirth in fragile states alone. These are problems that we actually know how to solve at manageable, in fact low, cost.
For example, we have learned how to deliver vaccine shots—40 million of them—at just $2 a shot in places like Somalia, South Sudan, and Yemen, negotiating with armed groups along the way to get access to populations otherwise cut off from healthcare. This offers lifelong benefit, not just a short-term palliative.
We’ve shown how local health workers can more simply diagnose and treat acute malnutrition directly in communities where crisis-affected children live. This approach offers a 92% recovery rate, and earlier interventions can catch malnutrition before it becomes severe. The result is that we are 20% more cost-effective, allowing us to help more kids for the same amount of money.
There are more examples. We've demonstrated that violence against women and violence against kids can be reduced by over 70% when they are tackled together. We have also proven the benefits of giving aid in advance of climate disasters, not just in reaction to them: in Afghanistan, our clients were three times less likely to fall further into poverty.
Of course, the contexts stricken by war and state failure are challenging. But that makes the philanthropic imperative towards the people who live there all the more urgent.
The same technology that is delivering fortunes in Silicon Valley can also deliver help to the least fortunate. IRC’s global digital helpdesk, Signpost, has reached 20 million people forced to flee crisis in 12 languages with timely, life-saving information. Leading tech companies helped us develop it. In Somalia, IRC teams employed anticipatory action ahead of last year’s devastating drought, a disaster that typically drives cholera outbreaks. Again, it took partnership of financial support, technical know-how, and NGO savvy.
In all these areas, the traditional aid system is falling short. Too often, climate and humanitarian systems work in separate silos. Despite the evidence, less than 1% of aid is invested in anticipatory action. Every government donor has its own bureaucracy, with different reporting systems, compliance requirements, and measurement metrics.
This is the syndrome that philanthropy can help break. By focusing on what works, measuring what counts, and investing in innovation. The risk does not lie in action; it lies in inertia.
We know more than ever about what works in humanitarian crises, and we have new tools capable of extending those gains. The opportunity for this generation of philanthropists is not simply to give more. It is to take what we have learned and apply it where the stakes are highest. The real test isn't how much they give. It’s where.

President Trump continues his efforts to remake Washington, D.C. He wants to turn an area used by the public into a world-class golf course.
(Image credit: J. Scott Applewhite)

Katie Zacharia's short time as White House press secretary has brought renewed attention to the high-profile role.
(Image credit: Julia Demaree Nikhinson)

In 2024, two Michigan high school students were sitting in the bleachers during a student-teacher basketball game when their physical education teacher collapsed from cardiac arrest. They had both recently learned cardiopulmonary resuscitation (CPR) at a career-focused technical nursing center and rushed to help, beginning chest compressions and using an automated external defibrillator (AED) before emergency responders arrived.
Thanks to their actions, their teacher survived, and is one of approximately 350,000 Americans who experience an out-of-hospital cardiac arrest each year. Roughly nine out of ten will not survive.
We often describe the difference between life and death as a matter of speed: how quickly emergency services arrive and how fast a hospital can intervene. But in reality, cardiac arrest outcomes often depend on whether someone nearby begins CPR in the first few minutes, which rarely belong to emergency responders, but instead to whomever is standing closest: a classmate, teacher, stranger at a basketball game, or someone waiting for a train. Every minute without CPR sharply reduces the chances the patient will live long enough to reach a hospital.
Schools occupy a special role in public health. As a location most Americans pass through and one of the only places they may ever encounter CPR training, a high school classroom may be the best opportunity to prepare the next generation of lifesavers.
Schools already rehearse fire drills and lockdown drills for dangers that are statistically rare. Cardiac arrest is the reverse: far more common, and far less rehearsed. CPR skills can save lives years down the road when a cardiac arrest occurs at home, in a gym, at an airport, or at a university. Harnessing that opportunity requires both the resources to teach CPR effectively and the policies to ensure every student has the chance to learn it.
In Europe, Belgium, Denmark, France, Italy, Norway, Portugal, and England implemented school CPR education through national requirements or curriculum standards. Denmark offers a clear example of the positive impact. From 2001 to 2010, as Denmark introduced nationwide resuscitation initiatives including mandatory school CPR education, bystander CPR rates more than doubled, while 30-day survival after out-of-hospital cardiac arrest more than tripled.
A central challenge is how to implement CPR training at scale. The international KIDS SAVE LIVES initiative offers a practical blueprint. Endorsed by the World Health Organization, it calls for recurring, age-appropriate basic life support education beginning in childhood. Research from the International Liaison Committee on Resuscitation shows children can learn the early links in the chain of survival from the young age of 4, perform effective chest compressions by age 12, and pass skills to family members and others.
Some may hesitate to perform CPR because of legal concerns over causing injury—like rib fractures—while administering CPR, but every state has Good Samaritan laws providing protections to people who render emergency aid in good faith. A 30-year review of U.S. litigation across all 50 states from 1989 to 2019 found no cases in which a layperson who provided CPR was held liable for causing harm.
The U.S. has also made significant progress in bringing CPR education into schools. In 1984, Alabama became the first state to require CPR instruction for high school graduation. Over the four decades since, communities have taken different approaches to bring CPR into the classroom. In West Virginia and Alaska, educators’ unions formally backed legislation requiring CPR education, while efforts in Washington and Illinois advanced in memory of students lost to cardiac arrest.
Today, 43 states require some form of CPR education before high school graduation. California, Colorado, Hawaii, Massachusetts, Nebraska, New Hampshire, and Wyoming are the seven that remain. Several are already taking steps to expand CPR education. Massachusetts invested $425,000 to expand CPR education in public schools, while Colorado includes hands-on CPR and AED instruction in its statewide health education guidelines but stops short of requiring schools to provide it. California Gov. Gavin Newsom recently signed a resolution directing the Instructional Quality Commission to include high school CPR in the state’s next health curriculum framework. San Francisco is taking an even broader approach, with paramedics and firefighters working to train 100,000 community members in CPR.
There is evidence that laws can translate into lifesaving action. A study of nearly 300,000 out-of-hospital cardiac arrests across 20 states found that patients had 12% higher odds of receiving bystander CPR in states with high school CPR education laws than those without them.
Other lifesaving education efforts can also offer a roadmap. In Georgia, Wesley’s Law, championed by Laura and Larry Gay after their son’s death, required public schools to stock overdose-reversal medication such as naloxone. In 2025, the state launched an opioid-settlement-funded initiative to provide overdose-reversal kits to public schools statewide, along with training resources for staff. In Indiana, emergency-response professionals helped expand Stop the Bleed training in schools, and the state’s Secured School Safety Grant program now offers funding for school bleeding-control programs and kits.
Both examples demonstrate how local champions and an existing source of funding can help turn a lifesaving idea into reality. Broadening collaboration among organizations such as the American Medical Association, American Red Cross, Project ADAM, and American Heart Association can also help expand CPR education nationwide.
After Buffalo Bills safety Damar Hamlin suffered cardiac arrest on the field in 2023, he became a leading advocate for the bipartisan HEARTS Act, which Congress passed unanimously in 2024. President Biden signed it into law later that year, supporting schools in expanding access to AEDs, CPR and AED education, and cardiac emergency response planning.
Cardiac arrest does not wait for emergency responders. The students who stepped forward when their teacher collapsed playing basketball in Michigan illustrate what becomes possible when CPR skills are taught before they are needed. Someday, every high school student in the U.S. could graduate prepared to step up and become a lifesaver.


The war in Iran, AI, and countries’ growing debt burden all sat at the top of the agenda as leaders of the world’s international financial institutions gathered in Bangkok this week for the fall meetings of the World Bank and International Monetary Fund (IMF).
Even with some bright spots, the picture is challenging. The war has driven up fuel prices, leading to inflation. Meanwhile, public debt is soaring, a development the IMF warns is unsustainable. And the enormous investment in AI is a positive development keeping the bottom from falling out—though only in certain economies.
At a first glance, climate change, once touted as a key priority by the two most influential international financial institutions, has fallen off the agenda. But take a closer look and it’s hard to miss how climate change—and the related deployment of clean energy—will play an important role in economic performance. Climate events have worsened the debt challenge in developing countries. Clean energy, on the other hand, has served as a critical defense mechanism that has kept the energy price crisis from getting worse in places where it has been deployed at scale.
A report from the United Nations Development Programme (UNDP) released this week alongside the fall meetings gets at the heart of this challenge while barely mentioning climate change at all—at least in those words. The report points to what it describes as a “triple shock”: high borrowing costs, the energy price spike, and extreme weather events driven by this year’s El Niño, which is on course to set records.
The policy responses aren’t coded climate policy—and in many cases they’re actively bad for climate efforts. The most common response cited by the report is fuel price support, think of subsidies or fuel tax reductions. An IEA survey cited by the report identified 95 countries with such policies. Explicit fuel subsidies could surpass $1 trillion this year globally, according to the UNDP. But, as the report notes, such an approach isn’t sustainable. Backlash to higher prices persists even as governments spend to keep citizens happy. In a smaller group of countries, mostly those most dependent on imports, longer-term, structural changes are emerging: investments in renewable energy, energy efficiency, and electrification. Think of subsidies for electric buses or cutting tariffs on solar panels.
But not every country can afford to remake its energy system with structural changes. Heavy indebtedness and high interest rates are key factors. So too is El Niño and broader climate shocks, which make it harder for countries to pay for new infrastructure that reduces exposure to fossil fuel volatility.
The IMF’s World Economic Outlook is similarly light on climate talk. But follow it to its logical conclusion, and it takes the UNDP argument even further. Indebtedness makes it more difficult to invest in AI infrastructure necessary to compete in the emerging economy. It plots countries’ AI preparedness alongside the non-fossil share of their energy supply, suggesting that energy security and the capacity to adopt AI may increasingly intersect. After all, dependence on volatile imported fossil fuels only compounds this challenge given AI’s energy needs.
This emergent growth dynamic comes with important implications. For one, it adds yet another layer to the argument for non-fossil energy in emerging markets. But it also shows how complicated achieving that end will be. Cheap clean tech hardware isn’t enough.



Canadian Prime Minister Mark Carney on Thursday warned that the United States is trying to sow discord as he urged Albertans not to vote for a separation referendum.
“The stakes are high. This referendum, it comes at the worst possible time. The world has become more dangerous and divided,” Carney said at a rally in Calgary ahead of Monday’s vote, which will see residents decide whether the oil-rich province should hold a referendum on independence. “There are some outside our borders who are working to break us, so they can own us.”
While Carney didn’t explicitly name the U.S., the remarks echoed his previous warnings of the dangers of American dominance. Carney's statement came a day after U.S. President Donald Trump revisited his ambitions to annex Canada, telling the crowd at a rally in Arizona that the country will “end up being the 51st state, because it's the only way it works.” Trump again accused Canada of treating the U.S. “very badly” and vowed he won’t allow it to happen anymore as “it’s a whole different ballgame now [that] Trump is in town.”
The U.S. and Canada remain in a contentious trade standoff after negotiations collapsed in August. Canada’s retaliatory tariffs came into effect last month, matching the economic pressure imposed by the U.S. Carney has encouraged Canadians to band together and take back their economic power by choosing Canadian products over those made in the U.S. The trade tussle comes after months of Trump repeatedly threatening Canada’s sovereignty—a move that has stoked tensions between the U.S. Administration and Canadian officials.
In light of Trump’s most recent remarks about possible annexation, Canada’s former deputy Prime Minister Chrystia Freeland said it would be dangerous to deepen or maintain close economic ties with a neighbor that “openly says they want to take you over.”
Carney admitted in an interview with the New York Times last month that he had studied the risk of a U.S. invasion, given Trump’s charged rhetoric. “I think you have a responsibility in these roles to look at extreme tail risk,” he said. “That’s just risk management. That’s not a base case, but it would be irresponsible not to [prepare].”
Amid the U.S.-Canada tensions, Carney is desperately trying to promote his “Canada Strong” strategy—one that he hopes will very much include Alberta. Polling conducted by 338Canada suggests that as of Oct. 11, 75% of Albertans would vote to remain part of Canada. But Carney’s resolve is being tested on more than one front, after the separatist Parti Québécois won Quebec's provincial election earlier this month. Incoming Premier Paul St-Pierre Plamondon has already stated his intention to hold a referendum on Quebec independence. While he has vowed not to initiate a vote so long as Trump is in office, the looming presence of a separatist movement undoubtedly complicates matters for Carney at a time when he is striving to show that Canada is strong enough to prosper without relying on the American market.
With the U.S. and Canada locked in a trade stalemate, and with annexation threats once again dominating the conversation, here’s a look at the reality Carney is facing as he deals with both domestic and international pressures.
Trump’s accusations that Canada has taken advantage of the U.S. on matters of trade and security date back to before Carney became Prime Minister in March 2025, meaning the friction we’re currently seeing goes deeper than a simple clash between Trump and Carney. Trump would often refer to Carney's predecessor Justin Trudeau as the "governor" of the "great state of Canada."
In terms of any physical threat facing Canada, Patrick Leblond, a professor of public and international affairs at the University of Ottawa, says that Carney “put it best when he talked about tail risk” in his interview with the Times. “It’s the financial term for something that has potentially high impact, but low probability,” Leblond explains.
Trump’s economic actions and threats have proven to be far more damaging than his annexation remarks, experts note.
“He has weaponized market access to the U.S.,” says Leblond. “What we can expect is more economic pressure from the White House in the coming months. Trump and his acolytes certainly [appear to] see Canada as a small, weak country that the United States should try to squeeze further.”
The U.S. is Canada’s largest trading partner, with almost $2.6 billion worth of goods and services passing across the border daily in 2024. According to the Office for the U.S. Trade Representative, trade between the two was down 4.6% from 2024 to 2025, but still saw $872.3 billion worth of goods and services cross the border.
Still, there are concerns that any suggestion of annexation, however unlikely it may be, could damage Carney’s high-stakes domestic campaign to unite the country.
On the home front, the success of a separatist party in Quebec is another threat to the unity that Carney is striving for. However, despite the Parti Québécois' victory (they fell five seats short of securing a majority government), the desire for separatism among Quebec residents remains low—with only 31% in favor of sovereignty for the province, according to data from 338 Canada released on Oct. 11.
“If Quebec is on a path to separation or not, it would never be because they were looking for further alignment with the United States,” argues Lori Turnbull, a professor in political science at Dalhousie University. “Quebec has a variety of cultural protections in the Canadian federation. They would have none of that in the United States.”
The more immediate risk for Carney lies in Alberta, with residents preparing to vote on whether the province should hold a referendum on independence.
Carney, who was raised in Edmonton, Alberta, on Thursday framed the referendum as an opportunity for voters to “stand up for Alberta, the heart of Canada” and “recognize that we're all responsible for each other.”

The pressure and rhetoric from the U.S. could actually work in Carney’s favor, experts tell TIME.
“The effect of Trump's comments has been unifying,” says Turnbull. Despite discussions of independence in Alberta and Quebec, she says “there isn't widespread panic that the country is coming apart.”
In fact, research conducted by the Environics Institute for Survey Research in 2025 found that “in almost every province, the proportion of residents who are very attached to Canada is greater than the proportion who are very attached to their province.”
Between Trudeau’s resignation on Jan. 6, 2025, and a federal election in Canada months later on April 28, Carney’s Liberal Party went from 20% to 42.8% in the polls, according to CBC, with Carney’s message of defiance in the face of Trump proving to be a rallying point.
This falls in line with depleting favorable views of the U.S. among Canadians. In July, 44% of Canadians had a favorable opinion of China compared to 33% of Canadians who held the same view of the U.S., according to a Pew Research Center survey. “When China is more popular than the U.S. in a country like Canada, you have to ask yourself: ‘What's going on?’” says Leblond.
Continued annexation threats could bring Canadians even closer together. “Already, trust is very low, and [more threats] would confirm even more that the United States is [perhaps] not a trustworthy partner at this time,” Leblond argues.
Since the U.S.-Canada trade war reignited in August, Carney has seen his domestic approval rating bounce back up. On Oct. 15, it stood at 62% according to Poliwave, compared to 56% in mid-July. Carney’s resistance against American economic pressures could help his cause, particularly in possible separatist provinces.
“In August, when Carney walked out of the negotiations with the U.S., the highest levels of support for him were found in Quebec,” says Leblond. Indeed, Carney’s approval rating in Quebec grew from 76% to 80% between Aug. 17, and Sep. 7, the highest in any province, according to Liaison Strategies.
Turnbull says the support behind Carney’s decision to walk away from negotiations prompted a strong sense of “patriotism and loyalty.”
That attitude among Canadians has been reflected in the burgeoning “Buy Canadian” movement, in which consumers across the country have joined a boycott of U.S. products in an effort to feed back into the Canadian economy.
In September, European Commission president Ursula von der Leyen invited Canada to work toward becoming the bloc’s first “associate member,” in what she described as an “urgent” reimagining of partnerships.
While addressing the European Parliament as a guest of honor in Strasbourg, France, Carney insisted “Europe and Canada are stronger together” and said “Canada and the European Union can anchor our ground to hold our values while forming a protective canopy under which our citizens can thrive.”
Trump called the unique membership proposal “laughable” and has threatened economic punishments if the E.U. moves forward with von der Leyen’s plan.
Carney’s shift towards other partnerships “doesn't mean that Canada is not going to do business with the U.S., but it's no longer a preferred partner,” says Leblond, noting that Carney wants to build relations with partners that “share the same values in terms of rules-based trade and investment.”
In January, after meeting with Chinese President Xi Jinping, Carney announced a new strategic partnership with China, focused on “energy, agri-food, and trade.” Carney agreed to cut his country’s 100% tariff on Chinese electric cars in return for lower tariffs on Canadian farm products, including canola seeds, a major Canadian export.
These stronger international ties that diversify trade and security away from the U.S. are proving popular on the homefront, according to data.
According to Abacus Data, a survey conducted in September found that 49% of Canadians would support Canada joining the E.U. An Ipsos poll conducted in January, in light of Carney’s visit to China, found that 54% of Canadians also said they support stronger trade ties with China.
Katie Zacharia is exiting her job as White House Press Secretary after just five days in the position, according to a person familiar with the situation. President Donald Trump on Friday said to reporters that he told Zacharia to reconsider her role, amid reports that she had already been relieved of the job.
“I said to her honestly, if I were you, I'd reconsider,” Trump said outside of the White House, adding, “Katie, do you need this? I don’t think you need this.”
Trump said that the decision was ultimately hers, and that he would speak with Zacharia following a trip to Georgia. “I just want her to be happy,” he said.
Zacharia’s brief stint as press secretary is bound to draw comparisons to Anthony Scaramucci’s 11-day run as Trump's White House communications director in 2017. Then-White House Chief of Staff John Kelly fired Scaramucci after he had given a fiery interview to The New Yorker in which he attacked his colleagues. In Washington parlance, the tenures of prominent White House officials have since been jokingly measured in “Scaramuccis.”
Trump said that Zacharia has been treated “pretty nastily” and “very unfairly” by the media since taking over for former Press Secretary Karoline Leavitt.
“I said you should reconsider because you don't want to go through this,” he said in reference to the critical media response Zacharia received following her first press briefing on Tuesday.
Trump called Zacharia “an attorney” in his Truth Social post announcing her position, and Zacharia has described herself as a lawyer. But when asked by a reporter where she had passed the bar, Zacharia responded “when I moved to China.” She later said that she had misheard the question. Zacharia then acknowledged while speaking on Fox that she had failed the bar exam.
"You went to Pepperdine law school but you did not pass the bar exam, correct?" Fox host Sean Hannity asked Zacharia on Thursday.
"Correct," Zacharia replied.
When asked whether she regretted never having told the White House that she failed the bar, Zacharia responded “those questions weren’t asked,” and “I’m being hired as White House press secretary, not White House counsel.”
Zacharia previously worked as a general counsel at a the conservative non-profit Fix California. She also has experience working as a communications adviser at Trump Media and Technology Group, which houses the President’s social media platform Truth Social. She previously worked as a spokesperson for former Homeland Security Secretary Kristi Noem, and is a regular on conservative media outlets like Fox News and Newsmax.
Zacharia received a wave of criticism following her first press briefing, which lasted just 14 minutes and during which she only took questions from three reporters.
Leavitt, the youngest press secretary in White House history, stepped down in August after returning from maternity leave. She recently joined Fox News as an on-air contributor.
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Twelve years ago, Vermont Democrats tried to make their state the first in the nation to have a single-payer government-financed healthcare system — a bold experiment to push the limits of American health coverage when Obamacare was just being launched.
Their plan failed, and rebooting it became politically impossible, even in Vermont: The Democrats lost the governorship to Republican Phil Scott for what turned out to be a decade.
This year, that could finally change. A progressive political newcomer named Amanda Janoo is taking on Scott in what polls show is a tight governor’s race.
And if she wins, the state could be poised to try a whole new national experiment: One of Janoo’s central campaign promises is to create a pioneering health system where the state pays the full tab for primary and preventive care, while leaving the rest to the existing system.
Janoo’s candidacy is an example of the policy experiments that are becoming possible nationwide in a projected “blue wave” year, when Democrats could sweep into power in a number of states. But in the healthcare universe, her plan is also an example of how even progressive policy idealists are trying to learn from past failures and focus on what they think can actually be achieved.
Compared to the sweeping ambition of Vermont’s 2014 effort, or Bernie Sanders’s signature “Medicare-for-all” idea, Janoo’s proposal for single-payer has very specific limits. Under Janoo’s proposal for “universal primary and preventive care” (she typically avoids the term “single-payer”), the state government would pay for Vermonters seeing primary care providers such as doctors and nurse practitioners. This government coverage would be universal and free for patients, and insurance companies would be cut out.
However, other parts of the health system — such as hospitals, specialists, and prescription drug companies — would remain under the existing insurance system, for now.
Every effort so far to enact full single-payer at the state level has failed — even in blue states, bills and ballot initiatives have regularly gone down to defeat. Vermont’s previous single-payer experiment made it the furthest — it was signed into law but abandoned before being implemented, when the governor concluded it was unworkable. Wherever it’s gained steam, politicians and voters have blanched at the high costs of moving their health systems onto state budgets, and the high taxes that would be necessary to fund them.
Now, Janoo is making an attempt to refurbish single-payer as something more achievable, by cutting off a smaller slice of it.
“I think it’s clear at this point that a profit-oriented healthcare system is a terrible idea,” Janoo told me in an interview on Monday. But after assessing that the state budget made it “unrealistic” to do single-payer immediately, she concluded, “we could do universal primary and preventive care,” financed by a tax on the wealthiest.
Indeed, single-payer for primary care seems more achievable precisely because primary care is a relatively less expensive part of the healthcare system. But Janoo hopes it will pay major dividends — that better preventive care will improve Vermonters’ health, reducing costs elsewhere in the system by, for instance, making some hospital visits unnecessary.
In speaking to health policy experts about this idea, I heard much sympathy for the goal of universal primary care, but many questions about the details. Would Janoo’s plan be sufficient to bring more primary care doctors to Vermont — and, not unrelatedly, would it pay them more? Would her hoped-for cost savings from preventive care actually materialize? Is picking up the tab for a relatively less expensive part of the healthcare system the best use of sparse state funding?
These questions are becoming national ones, as healthcare gains traction as a political issue again. It isn’t just Vermont where primary care reform ideas are gaining steam: Democrats in Minnesota, Washington state, and elsewhere have discussed them. “There is growing interest in a number of states across the country in doing a universal primary care for all program,” Kevin Grumbach, a family physician and a professor of family and community medicine at the University of California San Francisco, told me. Even Scott, Janoo’s opponent, signed a law calling for a study of universal primary care.
One dividing line emerging, though, is whether to keep insurers involved, or to clear them out with a single-payer system, as Janoo wants. Insurers are unpopular with the public, but they can be a formidable political opponent when they argue that the benefits voters currently enjoy might be lost. Scott has said that the idea of universal primary care is appealing — but that if universal is “just code for single payer, I’m not interested. We’ve already been through that.”
Yet Janoo is hoping that single-payer for primary care will be a stepping stone — a trial run for eventually making the rest of the state’s health system single-payer down the road.
“I think about this often,” Janoo told me. “How do you build the new system as you transition the old — or hospice the old?”
Janoo has long been an unorthodox economic policy thinker. Her rise is part of a broader trend in which progressives and leftists are winning primaries and gaining influence in the Democratic Party — but she doesn’t fit the prototype of the democratic socialist candidates in New York City, Colorado, and elsewhere who’ve gotten much attention this year. Instead, she comes from a different strand of the left, a movement based on a dissident strain of economics and openly skeptical of the benefits of economic growth.
Dating back to when she graduated from college in 2010, in the aftermath of the financial crisis, she was part of a younger cohort rebelling against what seemed the glaring failures of the economic establishment. “The one thing coming out of university I was clear on was that neoliberalism was the worst,” Janoo said on a podcast last year. “This whole idea that governments should just take a hands-off approach to the economy and trust in sort of the disciplinary powers of the global free market to lead them to infinite growth seemed highly problematic and very anti-democratic.”
So for graduate school, Janoo attended Cambridge to study development economics under the “heterodox” economist Ha-Joon Chang. She then spent several years working abroad in international development for the United Nations and other organizations, before moving back to Vermont and working as an economic policy consultant.
In recent years, Janoo became deeply involved with the “well-being economy” movement: an international group of advocates, academics, and experts who criticize what they deem modern capitalism’s obsession with economic growth, and say the “well-being” of humans and the environment should be prioritized instead. They overlap with the “degrowth” movement, which outright argues economic growth should be reduced; last year, Janoo led a workshop at a DeGrowth Institute event on “Degrowth Policy Design.”
Trump’s return to power horrified Janoo. “I’m feeling angry about the rise of fascism and the growing threat of world war, because I feel like we don’t have time for this shit,” she said in a speech at an environmental event last year. ”The planet is on fire and ecosystems are collapsing, and that should really be the focus of all of our attention.” But, she said, “I believe I was born in this moment of history for a reason” and vowed “to fight for democracy — for life.”
So Janoo decided to jump in the race for governor of Vermont. While she is not running on a degrowth platform, her campaign is deeply informed by aspects of the movement’s thought: skepticism about growth’s benefits, a sense that untrammeled capitalism is leading the world to disaster, and that localism provides a better way. For instance, candidates for governor typically pledge that they’d help bring business investment in, but Janoo said in a July debate: “A lot of the problems we’re facing is because we focus so much on attracting external business.”
“Our economy is not super-diversified, and it is not really centered in the most essential kinds of goods and services you want to make sure people have access to no matter what happens — because honestly, things are bad now and they’re going to get worse,” Janoo told me. “I feel a little bit like a collective prepper right now. My motto is, protect what we love, produce what we need.”
In the Democratic primary, Janoo’s opponent, Aly Richards, had closer ties to the party establishment and led in fundraising. But Janoo ran as a progressive outsider; she promised to advance a “more economically populist vision” instead of “corporate neoliberal bullshit.” Her health plan became a point of contrast with Richards, who said she wouldn’t run on “magical thinking,” and that she wanted a version of universal primary care that would keep insurance companies involved. Janoo won the primary by 2.5 percentage points.
Now, she’s facing Governor Scott, who’s long been viewed as politically untouchable in the state — in 2024, he won his fifth two-year term by a margin of 52 points. But polls show a much closer race this time around, and Janoo could have a national blue wave at her back. If that wave helps carry her into the governor’s mansion. And if she makes it there, Vermont will have its first Democratic trifecta in a decade — and with it, the opportunity for major progressive policy change.
Advocates for primary care reform argue that it should be at the top of Democrats’ agenda, in Vermont and elsewhere, because the system is in crisis.
Primary care providers are overwhelmed and underfunded, they say — and, as a result, there aren’t enough. Grumbach, the family physician and UCSF professor, said “the workload, the lack of resources, and the gap in compensation” — as compared to more highly paid specialists — “has made it very hard to recruit people coming out of medical school to want to be family doctors like me.”
Patients, then, are having trouble finding doctors they like, and aren’t getting sufficient access to preventive care that could help them be healthier. “The emergency rooms are functioning and doing a lot of the work that normally primary care would do,” Janoo told me. “People are waiting a really long time to see anyone, and so often health issues that could have been caught sooner become more serious and dangerous.”
Finally, both providers and patients complain that insurance companies make the preceding problems worse, by adding administrative burdens and bureaucratic hassle.
So what would Janoo’s plan do?
First, her plan would guarantee free, government-paid primary and preventive healthcare for all in the state, by cutting insurers out of that part of the system.
Second, she wants to phase out the “fee-for-service” model of care, where primary care providers are paid based on specific services. She’s suggested, instead, either government-paid annual salaries, or per-patient per-month payments.
Third, she wants to try and try and make sure there are more primary care providers in the state, via more spending. “We would need some relocation incentives, so maybe $100 grand if you want to move here, or a student loan repayment program,” she told me. “My hope would also be that we could be a place for foreign-trained medical professionals to come here and be safe and accepted and to bring some cultural diversity,” she added.
As for how it would be paid for, Janoo proposes an income tax increase on the wealthiest Vermonters that, she said, would be comparable to the tax break they got in President Trump’s One Big Beautiful Bill Act last year. Though she hasn’t settled on a final amount, she hopes these new taxes would raise hundreds of millions of dollars.
In speaking with health policy experts both inside and outside Vermont, though, I heard various questions and doubts about Janoo’s plan.
Some of the problems mix the practical and political. For instance, under this plan, primary care visits would be free, but tests such as MRIs would likely still require the existing insurance system, as would most prescription drugs. Janoo acknowledged to me that deciding how many things the government should pay for would “always be a challenge,” but said her first priority was access to getting people at least some healthcare.
There are also questions about whether this primary spending is really targeted at patients’ most urgent problems. Erasing the copay for your doctor visit might be nice, but those copays weren’t driving people into medical bankruptcy. Janoo’s reform plan leaves the bulk of hefty health spending from hospitals and treatments for very sick people untouched.
The core challenge to Janoo’s reform will be the one that has dogged single-payer reform attempts everywhere: money.
Other questions are about whether Janoo’s hoped-for benefits from better preventive care — she’s said the state could save as much as $300 million a year — will materialize.
“There’s no question that better access to primary and preventive care makes people healthier in the end,” Larry Levitt, executive vice president of the health policy nonprofit KFF, told me. “But advocates have long tried to sell prevention as saving money. I think it’s more likely that it costs money, but keeps people healthier.” One reason for this, he said, is that better preventive care could help identify more underlying illnesses and conditions in patients, and spur more spending to try and address them.
The shift to a salaried model for providers could bring other practical challenges. Though Janoo hopes that ditching fee-for-service will free up providers to see more patients, others suspect a guaranteed salary might incentivize them to see fewer, and wonder what role the government would play in trying to hold such providers accountable.
Finally, I also heard some disconnect between what providers said they wanted, and what Janoo thought they wanted. When we talked, she told me her impression was that primary care providers were most eager for changes in their work environment. “I’ve asked them, ‘If you could get paid a good annual salary — like, average for the nation — and you didn’t have to deal with insurance and the fee-for-service structure, would you do that?’ They say, ‘Absolutely.’”
Yet Grumbach told me that, for the primary care system, “Problem number one is not enough money, problem two is not enough money, and problem three is not enough money.” In his telling, it’s more money that’s the real key to incentivize more new doctors to practice primary care, and help pay other staff and health workers who could actually deliver good preventive care.
If so, the core challenge to Janoo’s reform will be the one that has dogged single-payer reform attempts everywhere: money.
If the government takes on the responsibility of paying primary care providers and setting salaries for them, providers will want those salaries to be high. If they aren’t high enough, the shortfall in primary care providers will worsen. But the higher such salaries are, the higher the taxes the state would need to raise to pay them. Essentially, taxpayers would be asked to shore up doctors’ salaries to keep them in the state — turning the healthcare argument from one kind of difficult political issue to another.
Getting the balance right would be a challenge for the government, with much at stake. But Janoo says her background in industrial policy has convinced her that it’s possible. Furthermore, she hopes, it will be just a starting point for the full single-payer system she still thinks is urgently needed.
“My hope is, when I’m governor, that I can start to work with some of our neighboring states,” Janoo said. “Because if we could create a New England-wide system, we could move to universal healthcare really quickly. “I think it’s a moment where people recognize we need a universal healthcare system.”
And, she added, “If we had done it previously, it would be much cheaper than it is now.”

Ukrainian forces said Wednesday its battlefield efforts had been hampered overnight after losing some access to SpaceX’s military-grade satellite Internet service, which has become a lifeline as Kyiv weathers Moscow's attacks.
Starlink offers Internet connectivity from satellites in low-Earth orbit. Its sister service Starshield, a military version developed for the Pentagon, relies on the Starlink network and has recently been used by Ukrainian forces to strengthen its far-reaching drone strike missions and air defenses.
Serhiy Beskrestnov, a military technology expert who advises Ukrainian President Volodymyr Zelensky, said speed restrictions had been imposed on the "military package" of Starshield services, leading to the “failure” of several military missions. “Our defense forces have not received any warnings about this restriction,” he said. Beskrestnov claimed the restrictions, which he said applied to devices traveling over 100 miles per hour and using Starshield, were “related to the current political situation.” He did not offer further details.
Tensions are high between the U.S. and Ukraine, as Zelensky has been vocal in his disapproval of U.S. President Donald Trump’s plan to import diesel from Russia, despite previous sanctions prohibiting it. The move has also caused a split in Trump’s own party, with several Republican lawmakers urging him to reverse course. After making the deal with Russian President Vladimir Putin last week, Trump announced an “energy cease-fire” between Russia and Ukraine—but Zelensky swiftly accused Moscow of violating any such agreement and Ukraine has, in turn, resumed strikes on Russian oil refineries, despite pressure from Washington. Trump called Ukraine's fresh wave of strikes on Russian refineries a "disgrace" in an interview that aired Thursday.
Speaking from the U.K., Zelensky said Wednesday it was a “pity” Ukrainian forces had experienced “difficulties” with Starlink services and intelligence, adding that he was surprised by the developments in Ukraine’s partnership with the U.S. In an interview on Piers Morgan Uncensored, Zelensky suggested he believed Starlink had been slowed down to damage him, and warned “people will die, if attacks will continue and if Starlink will not work … it’s not helpful.” He said he hoped the restriction was only a “mistake,” suggesting it was perhaps "a huge technical problem” at SpaceX.
However, in another interview, Zelensky said: "It was not a technical problem, it was the will.”
SpaceX founder and CEO Elon Musk addressed the matter, insisting that Starlink and Starshield are different. He cited the U.S. authorities as being in control of the latter’s usage determinations.
“Starshield systems are owned and controlled by the U.S. government. Any limits on speed or usage are decided by the U.S. military and ultimately POTUS,” he said on X. “Starlink is a commercial service owned and controlled by SpaceX. Usage of Starlink is limited to civilian or defensive activities and cannot be used for offensive military action, as doing so would be inappropriate for a commercial company.”
When approached for comment, a senior U.S. official told TIME: “No such request was ever made by the President.”
Reuters, citing three U.S. officials, later reported that the decision came from inside the White House.
TIME has reached out to the White House for further comment.
Meanwhile, Ukrainian national news agency Ukrinform reported Thursday, citing sources within the Ministry of Defense, that the Starshield service had resumed. TIME has reached out to Ukraine’s Ministry of Defense for comment.
The discourse has raised questions about what Starshield is and how uniquely important it has become on the Ukrainian battlefield.
Starshield is a program developed by Musk’s SpaceX that draws on the satellite and launch capability behind Starlink, its commercial satellite Internet network, to support national security operations.
According to SpaceX, Starshield is designed for government use, with an initial focus on three areas: Earth observation, communications, and hosted payloads.
“Starlink is basic interconnectivity, it's like the Internet. Starshield essentially grows out of the experience of Starlink,” Mark Hilborne, a senior lecturer in defense studies at King’s College London, tells TIME.
But the military value of that connectivity extends far beyond access to the Internet, Hilborne adds.
“In and of itself, satellite communications are not military technology, but it enables the military to communicate and amass a real-time, multi-domain picture of the battlefield, which some argue nobody else actually has at this stage,” he says.
Both systems also offer high-speed connectivity because of the satellite technology underpinning them.
“Starlink and Starshield are low on the Earth’s orbit, and they have a very high bandwidth, so lots of information can pass through those satellites, with virtually no delay on the signal,” Hilborne says.
There are more than 10,000 satellites in the Starlink network, while Hilborne says Starshield uses “a much smaller number of satellites.” However, the exact number of satellites associated with Starshield remains unknown, with experts telling TIME that such details are closely guarded due to national security considerations.
“They keep the contracting details on these things classified,” says Todd Harrison, a senior fellow at the American Enterprise Institute.
SpaceX, on its website, says Starshield is “designed to support U.S. National Defense use cases for the Department of Defense and other government partners.”
While both systems rely on closely related satellite technology, they differ in the services they provide and how they are intended to be used.
“Starshield refers to military services that actually operate through Starlink,” Harrison explains, comparing the services to “two different brands of a cell phone provider, even though your phone calls are going through the same towers.”
Starshield offers additional capabilities designed for military operations, including more advanced encryption and satellite imaging, experts tell TIME.
“It's got another extra set of capabilities over and above Starlink,” Hilborne says. “They use some of the same technologies, but it would be highly encrypted, and they have different sensors that allow them to image what they call ‘Earth observation.’ That can give a radar imaging of the Earth [which] has advantages over optical pictures.”
Yet experts say the distinction between the two systems is not always clear, particularly given how closely their underlying technology and operations are connected.
Starshield and the satellite communications technology underpinning it have become vital to Ukraine’s military operations against Russia.
Hilborne describes the technology as “highly critical” to Ukraine, explaining that any restrictions could cut communications with military equipment traveling above that speed, leaving operators without the information needed to guide their missions, as once that speed threshold is exceeded, the connection “suddenly cuts off and it's flying blind,” he says.
The consequences are particularly serious for Ukrainian drone operations, which rely on communications for both strikes against Russian targets and defensive missions against incoming attacks.
“It's really critical for drones, both the offensive medium range strikes, but also affects Ukraine's ability to fly defensive drones against the incoming Russian drones,” says Hilborne.
Beyond its role in drone missions, experts say satellite communications also offer important advantages over other forms of battlefield connectivity.
Harrison notes that “the big benefit of using satellite-based communications is that you can communicate over longer distances in a variety of terrain, and it does have some jam-resistant features to overcome electronic forms of attack.”

The European Union and Gulf Cooperation Council on Thursday announced the postponement of a joint summit set to take place in Saudi Arabia next week, amid safety concerns prompted by Houthi attacks on airports in the kingdom.
Citing the “continued attempts by the terrorist Houthi militia to target the Kingdom of Saudi Arabia and its civilian infrastructure, which threatens the security and safety of innocent civilians,” the council said the Gulf-European Summit will be rescheduled.
The postponement comes after Yemen’s Houthi rebels on Wednesday vowed to forge ahead with the attacks on Saudi Arabia’s airports and oil facilities, just hours after striking oil giant Saudi Aramco’s headquarters.
“Operations toward Saudi depths will continue in the coming days,” said Houthi military spokesman Yahya Saree, describing the locations as “legitimate targets” and framing their attacks as a direct response to Saudi strikes on Yemen. Saudi-led forces said they had intercepted a ballistic missile fired by the Houthis towards Riyadh on Wednesday and local journalists reported hearing “loud blasts” in the Saudi capital.
The escalation follows weeks of fighting between the Iran-backed Houthis and the Saudi-backed government of Yemen, shattering a four-year informal cease-fire in the country's civil war. The conflict reignited amid the widespread fallout of the U.S.-Iran war, bringing further instability to the Gulf region. In September, the Houthis said they had captured the strategic Perim Island that sits in the Bab el-Mandeb Strait, a critical maritime chokepoint. They also seized other islands in a bid to tighten their grip on the Red Sea coastline. Amid fears that a stronger Houthi position along the coast could further constrain global energy supplies, Saudi-backed forces recaptured key areas around the strait in early October. The Houthis have since ramped up their focus on Saudi Arabia’s airports and energy infrastructure.
Tuesday night’s attack on Aramco’s executive offices in the eastern city of Dhahran caused a limited fire, Saudi’s Ministry of Energy confirmed. No injuries were reported. TIME has reached out to Aramco and the Saudi government’s media office for further information. Saudi authorities said several missiles and drones had been intercepted elsewhere, and that falling debris injured four people in the capital of Riyadh. Saudi Arabia launched strikes on an oil depot on the outskirts of Yemen’s capital Sanaa on Tuesday, as the tit-for-tat attacks escalated.
The Saudi strike on the oil depot appeared to be in response to the Houthis’ attack on King Khalid International Airport in Riyadh on Saturday that killed 13 people and left over 300 injured. A projectile hit that same airport on Sunday, killing one person, Saudi Arabia's General Authority of Civil Aviation (GACA) confirmed. The week before, an attack on Abha International Airport killed two people and wounded 28, said GACA.
Saudi Arabia is the world’s top purchaser of American weapons, according to the Stockholm International Peace Research Institute. However, it is struggling to defend itself against the Houthis, who are positioned to strike deep into the kingdom. The Saudis are currently investigating how their defense systems failed to stop the deadly attacks. Experts cite the vast mass of Saudi land as one reason why defensive measures may have failed. The Saudi border with Yemen stretches more than 800 miles. “Expecting a country the size of Saudi Arabia to intercept every missile is simply unrealistic. No defense can guarantee complete protection,” said Ali Shihabi, a Saudi analyst, in an online post.
Operations at King Khalid remain suspended in the wake of the attacks. Etihad Airways, Qatar Airways, and Philippine Airlines are among the carriers to announce a suspension of flights to Riyadh.
The U.S. embassy in Riyadh has warned Americans in the country of “potential flight cancelations, airspace closures, and travel disruptions,” stipulating that U.S. government employees now require “special authorization” to use any airport in the country.
President Donald Trump on Tuesday said the Houthis “are behaving very badly.” In a Truth Social post, he continued, “I thought they learned their lesson a year ago when we bombed the hell out of them and, at their request, stopped,” seemingly referencing the U.S. strikes between March and May last year, which came in response to the Houthis attacking vessels in the Red Sea and disrupting global trade. Weeks after the strikes began, a cease-fire between the U.S. and the Houthis was reached via Omani mediations.
On Saturday, Trump suggested that the U.S. may join Saudi strikes on the Houthis. Asked about the possibility of U.S. strikes, a senior U.S. official told TIME that Washington is “in continuous dialogue with Saudi Arabia and the Republic of Yemen Government regarding regional stability and we will always fulfill our commitments to our partners.”
As tensions in the region continue to escalate, here’s what to know about the Houthis, their history with Saudi Arabia, and why they are attacking airports.
The Houthis are a political and armed group in Yemen that first emerged in the 1990s and have been fighting the country’s internationally recognized government for around two decades. The group is a revivalist movement for Zaidism, a branch of Shi‘ite Islam. The Zaidi muslim population in the country represents around 35% of the Yemeni population.
The Houthi movement was largely born from a transformation of the Believing Youth Forum (BYF), according to the Carnegie Endowment for International Peace. The group became known as the Houthis in honor of their founder and leader, Hussein al-Houthi. Before he was killed by Yemeni forces in 2004, al-Houthi had developed the group into a more militarized movement. The group is now led by his brother, Abdul-Malik al-Houthi.
Civil war broke out in 2014 after the Houthis seized Sanaa, forcing the government to flee to the southern city of Aden. Since then, the group has been engaged in fighting against a Saudi-led coalition supporting Yemen’s government. The Houthis currently have control of most of the country’s west, including Sanaa.
Experts compare the Houthis to authoritarian regimes on account of the social restrictions imposed in areas under the group’s control and alleged human rights abuses.
“The Houthis are dominated with very ideological and radical ideas, like a Zaidi ISIS. They have similarities also with the Taliban in terms of social control," says Mahmoud Shehrah, a Yemeni political analyst at London-based think tank Chatham House.
The Houthis hold strong ties to Iran, often taking action in line with Tehran’s objectives.
“Since 2009, Iran [has] started to speed up weapons supplies, training, but also a lot of funding to the Houthis,” says Farea Al-Muslimi, a Yemeni research fellow at Chatham House, noting that links between the two began as early as the 1990s.
The Houthis are often considered part of Iran’s proxy network, known as the “Axis of Resistance,” which also includes Hezbollah in Lebanon, the Islamic Resistance network in Iraq, and previously the Assad regime in Syria, until its collapse in December 2024.
In response to the Israel-Hamas war, the Yemeni militia launched several strikes on shipping vessels in the Red Sea, disrupting global trade in late 2023 and the early months of 2024. The U.S. and U.K. joined forces in January 2024 for a series of strikes on Houthi targets across Yemen in retaliation for the attacks on unarmed vessels. The U.S. carried out an additional campaign against Houthi targets later that year.
The Houthis entered the Iran war in March by firing a barrage of ballistic missiles at southern Israel. In the months since, the group’s advances along the Red Sea are widely considered to serve the interests of Iran. A Houthi blockade in the region against Saudi Arabia was declared in July, and several vessels have been attacked. The threat that the Houthis could bring another critical maritime chokepoint to a standstill, much like Iran has done with the Strait of Hormuz, could give Tehran significant leverage in its negotiations with Washington.
However, experts say it’s not entirely accurate to call the Houthis a direct proxy.
"The Houthis are one of the more independent regional allies of Iran in the Middle East. They have their own independent interests, even though their interests converge regionally and globally,” says Fawaz Gerges, a professor of international relations at the London School of Economics.
Even so, the Houthis have become increasingly vital for Iran. “With the fall of Assad, with the weakening of Hezbollah, the Houthis became the most important regional ally Iran has,” says Al Muslimi, pointing specifically toward the Houthis' ability to disrupt trade in the Red Sea.

The group’s goals have changed over time, as regional developments have unfolded, experts note.
“The Houthi's ultimate goal is to be a regional power,” says Al-Muslimi. With regard to the reignited civil war, the Houthis ultimately want an end to what they call a Saudi blockade of ports and airports in their territory.
“The Houthis want to have the skies and the ports of the country open for trade, for goods and services,” says Gerges. “They want money to flow into the coffers of the Houthis.”
The civil war has had a disastrous effect on Yemen, with nearly half of the population in government-controlled areas facing high levels of acute food insecurity, according to the United Nations. “The current situation is very dire for the Yemeni population, but also for the ability of the Houthis to rule Yemen effectively,” says Gerges.
“The Houthis want to consolidate rule and regime. They want to be recognized as the legitimate government in Sanaa, as opposed to being considered a non-state actor,” he adds.
A cease-fire brokered by the United Nations in April 2022 largely held for over four years, before collapsing in July. The Houthis claimed Saudi Arabia had launched strikes on Sanaa Airport, targeting a Houthi delegation returning from Iran. In a move they framed as retaliatory, the Houthi rebels launched ballistic missiles toward Saudi Arabia.
“The Houthis saw this as a golden opportunity to change the balance of power against Saudi Arabia and Yemen itself and launch a lightning offensive,” says Gerges.
Following further strikes on Houthi targets later that month, the militia group began striking oil refineries in Saudi Arabia, belonging to the state-owned petroleum company Aramco.
In September, strikes on oil refineries and other related facilities ramped up, and Saudi Arabia’s airports became a target.

Prior to the 2022 cease-fire, attacks on airports were largely considered a signature move of the Houthis.
In a highly-publicized attack, the group struck Abha International Airport in June 2019, injuring at least 26 people, Saudi authorities said. The strike earned international condemnation and was deemed a possible war crime by Human Rights Watch.
Now, after fatal strikes on Riyadh’s King Khalid International Airport, the Houthis have threatened to keep targeting airports. The main motivation behind these attacks is the economic and geopolitical pressure they apply to Saudi Arabia, experts say.
“The Houthis want to put severe pressure on the Saudi Arabia economy, airport infrastructure, and security,” says Shehrah. “They want to squeeze Saudi Arabia's arms to push them to a political settlement.”
The unrest threatens to have a strong economic and political impact on Saudi Crown Prince Mohammed Bin Salman's governance. The disruption is “costly” to him, says Al-Muslimi, who notes that Bin Salman is eager for Saudi Arabia to be seen as a “safe harbor.”
The financial and reputational damage of these strikes has also put the Saudi public on the frontline of the conflict. It’s a “shock, because it's the first time in years that such major attacks have targeted deep inside Saudi Arabia,” says Gerges.
“The Houthis are trying to exert tremendous pressure on the leaders of Saudi Arabia to force them to accept conditions for lifting the blockade on Yemen and recognizing their legitimacy,” he continues. “Although, I doubt that the Saudi leadership will concede to Houthi demands… this would be seen as a surrender and humiliation."
No, Rome was not built in a day, but it was built at breathtaking speed, its temples, amphitheaters, and aqueducts rising with the help of a magical blend of volcanic ash and lime. Today, that miraculous mortar has a less than enchanting name: concrete.
“Romans lived through a true architectural revolution, and at the foundation of this revolution, literally, was a concrete discovery,” said Admir Masic, a materials science professor at MIT who made waves a few years ago for unearthing the fast-hardening secret sauce for why Roman concrete is so durable. “They were able to take a pile of dirt and mix it together, add water, and turn it into solid rock of any arbitrary size. It literally changed everything.”

And yet, for a millennia after the fall of Rome, the world largely forgot about concrete, until, in the 18th century, an English mason found that mixing limestone and clay could form a paste that hardened underwater. Another few decades later, concrete as we now know it was reborn, and once again, it changed everything.
In the centuries since, concrete has come to reshape our way of life, with disastrous results for the climate. What early concrete evangelists didn’t realize was that the modern way of producing the substance released giant amounts of carbon dioxide into the atmosphere. As it has become increasingly central to modernity, it has helped fuel environmental catastrophe.
Today, however, a new generation of concretophiles like Masic have pored over the poured mixture in search of another miracle, a greener, more durable kind of concrete. And they’ve found multiple answers, from concrete that can heal its own cracks — as the Pantheon has for millennia — to electroconductive concrete capable of storing energy to a blend that allows concrete to soak up more CO2 than it emits.
Together, they suggest that in a not-so-distant future, concrete — yes, concrete — one of the dirtiest substances ever concocted, could help save the planet, transforming our built environment while actually intervening in the climate for the better.
It’s no wonder that luminaries of the neo-concrete age, Thomas Edison among them, marveled at the stuff just as their Roman predecessors had. They saw it as a harbinger of utopia, of a world in which anything and everything — a home, an interstate highway, a water pipe, a subway system, or a grand piano — could be molded and poured for a fraction of ordinary costs.
“As to concrete dogs to stand warningly in the front yard and concrete cats to purr stonily under a concrete kitchen range,” the New York Times teased Edison in 1911 when he described his plans for a concrete home finished with concrete furnishings, “he made no announcement.”
The beguiled inventor’s utopian vision of a world remade by concrete would come true in more ways than he realized. Yes, it changed the way we build forever. Muddy roads and rotting wooden sidewalks gave way to smooth gray pavement, and newly cast sewer systems saved millions of lives in the deathly dirty cities of the early industrial era. Concrete, when poured over rods of steel, proved strong enough to prop up colossal skyscrapers that Julius Caesar could only have dreamed of.
But there was a trade-off: Every time Edison fired up his trademark 150-foot kilns, scorching the limestone inside into blistering pebbles of cement clinker, he released hundreds of tons of carbon dioxide into the atmosphere.
Yankee Stadium was built not by Babe Ruth’s swing alone, but with around 30,000 cubic yards of Edison concrete, whose creation released at least 5,400 tons of CO2, the equivalent of driving a gas-powered car 12.5 million miles, or to the moon and back more than two dozen times. But this is nothing compared with the roughly 30 billion tons of concrete the world now uses each year, enough to have turned the gluey gray goo into the second-most used material on Earth. (The first is water. Glug glug.)
The Anthropocene has been built atop a foundation of concrete, its weight eclipsing the biomass of all living things, and its annual carbon tab responsible for up to 8 percent of global emissions, the equivalent of the entire country of India. Critically, unlike the astonishingly enduring remnants of Rome, our modern concrete decays quickly, so it must be repoured time and time again, which only makes it more environmentally catastrophic.
But it doesn’t have to be this way, not anymore.
“The future of concrete is to think differently, to go away from claiming that cement is bad,” Masic told me. “Our goal is to turn this around and make concrete part of the solution instead of being a problem.”
Per ton, concrete actually emits far less CO2 by volume than other materials like aluminum, steel, plastic, or glass.
The problem is that we use so much of it, even a slightly negative footprint can quickly become enormous. But “the upside is,” said Sabbie Miller, a professor at UC Davis who focuses on sustainable concrete, “if you’re able to come up with some small change, then those small changes will also scale” in ways “that could have a huge effect on modern society and its burdens on the environment.”
One of those solutions takes a cue from the Romans, who made concrete differently than we do today. Their once-mysterious method ensured that hulking structures like the Colosseum or the Aqua Virgo, an aqueduct built during Augustus’ reign and still in use today, could survive for millennia while New York City’s Brooklyn-Queens Expressway or the Washington Bridge crumble after just a few decades of use.
It’s not just that we drive cars over our concrete freeways while the Colosseum has been mostly free of even the bulkiest chariot wheels for millennia. The answer, according to Masic’s research, lies in the Romans’ ingenious recipe for cement, the glue that binds concrete together. When the ancients brewed a batch of cement, they left big white chunks of dormant lime in the final mixture. Later, if a crack formed, any water would react with the idle lime, filling the fissure with new stone. Our modern concrete has no such lime clasts, meaning that if water seeps into a crack, it degrades the structure from within, rusting the rebar that made our big towers possible, leading to a grim condition known as “concrete cancer.”
Masic has recently turned his research into a startup called DMAT that reserves unreacted lime in concrete, giving it self-healing properties he says could extend a structure’s lifespan by about 50 percent, which in and of itself would reduce its carbon footprint by 40 percent. If the construction industry normalized such concrete or other mixtures that emit, say, half as much CO2 as usual, it would keep hundreds of millions of tons of it out of the atmosphere each year.
But why stop there? Some startups have gotten much better in recent years at producing concrete capable of quite literally breathing in more CO2 than it emits in a process that takes advantage of concrete’s natural porousness. It could, in theory, turn our cities into concrete rainforests by turning the material into a storage reservoir. As Miller put it, “what if we can use our concrete to undo some of our environmental damages that we’ve already caused?”
In the Bahamas, the startup Partanna has already built what it’s called the world’s first carbon net-negative home, an unassuming 1,250-square-foot abode that the company claims will sequester 182.6 tons of CO2 in its lifetime, the equivalent of hundreds of trees. Meanwhile, Masic’s lab has been piloting ways to turn concrete into a giant battery, capable of storing solar power during the day and releasing it at night, a green innovation that could cancel out its own carbon footprint within a few years of use.
Masic believes that electroconductivity could be key to catalyzing a new era of concrete — more so even than his neo-Roman ventures. “It might hold the secret,” he said, “for turning a bad guy into something amazing.”
But as promising as these innovations are, it will take time for them to ripple out from model homes and into the concrete that actually surrounds us. American concrete startups have lost billions of dollars in federal funding and expected procurement contracts under the Trump administration. Some states, most notably California, are helping to pick up the slack, but investment still lags behind potential. There’s also the challenge of convincing builders running on paper thin margins that their old ways of doing things might fit better in a new mould.
But concrete’s staggering scale means that we can’t afford to keep pouring it without considering its ugly trade-offs. More importantly, perhaps, we can’t afford to miss out on the opportunity that such a mammoth, transformative material presents to change everything yet again.