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Keir Starmer’s difficult choices

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Keir Starmer’s difficult choices

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Sir Keir Starmer has won a huge parliamentary majority on strikingly thin support. Labour won only 34 per cent of the vote. The shift in support for the Conservatives since its big victory in 2019 also underlines the electorate’s extreme fickleness.

Perhaps most disturbing, a new report, Damaged Politics? from the National Centre for Social Research, argues that “Trust and confidence in governments are as low as they have ever been.” The details are sobering: “45 per cent would ‘almost never’ trust British governments of any party to place the needs of the nation above the interests of their own political party”; “58 per cent would ‘almost never’ trust politicians of any party in Britain to tell the truth when they are in a tight corner”; and 71 per cent think the economy is worse off because of Brexit, the flagship policy of the Tory government.

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The challenge for Labour is not just to govern well, but also to restore trust in doing so. If it fails to do both, there has to be a good chance that it will be swept out of power next time. When trust in respectable policy and conventional politics collapses a large proportion of the electorate will embrace promises from mendacious demagogues. Yet the dangers of that form of politics have been perfectly revealed in the fate of the last government.

Thus, curtailing trade with the UK’s closest neighbour and biggest market could never have made it richer. An interesting recent paper, “Levelling Up by Levelling Down”, reaches three sobering conclusions: first, the overall output losses of Brexit (relative to a synthetic counterfactual) are at least 5 percentage points of GDP; second, Brexit did reduce regional inequality, but did so by “levelling down” — that is, damaging — prosperous regions more than less prosperous ones; and, third, support for right-wing populist parties rose in regions that experienced Brexit-related output losses. Thus, the losses caused by populist lies can benefit the politicians who propound them.

Column chart of Perceptions of how well democracy works in Britain (%) showing The proportion of people who think democracy works poorly has jumped

Yet this has not helped the Conservatives, because they cannot play the populist card as well as a Nigel Farage can. They also need the support of people who expect a governing party to show decency, sobriety, seriousness, reliability and competence.

Now comes Starmer. The big question is whether he can restore trust by delivering results, the only way likely to work in the long run. He has gained power not only because of the evident failures of the previous government, but also because of the exceptionally poor performance of the economy since the 2007-09 financial crisis, followed by the losses caused by Brexit, the pandemic and the “cost of living crisis”. The Conservatives had no answer to the former and were battered brutally by the latter three.

Starmer’s challenge, and that of his chancellor Rachel Reeves, is quite simple: he has promised to make things better while also changing very little. This caution was self-evidently excessive and will now make it far harder to govern.

One immediate problem caused by such caution arises from the imperative to improve public services, especially the National Health Service and local government. How will this be possible in an idling economy without borrowing more or raising more than a trivial amount in extra taxes? Yes, Labour might be lucky. Maybe the passing of all the recent shocks and the appearance of a stable government will be enough to reignite growth. But what if it is not?

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Column chart of Perceived impact of leaving the EU on the economy (%) showing The great majority are now unhappy with the economic results of Brexit

My colleague, Robert Shrimsley, has argued that this may be the last chance for “centrism” in the UK. Alternatively, it might be the last chance for any government that tries to deliver results, rather than just channel anger. This government then must actually deliver those results.

As former Bank of England chief economist Andy Haldane argues, they will need to take some bold steps. I would stress coming much closer to the EU, radically liberalising planning, relaxing regulations, supporting innovation, decentralising power, reforming taxation, strengthening the pension system, enabling life-long learning, rationalising immigration, and improving the efficiency and effectiveness of public services and administration. They are also going to have to raise taxes, including by reforming the taxation of land and replacing fuel duty with a tax on emissions of greenhouse gases.

The difficulty is that none of this will be easy and parts of it have been ruled out in advance. But breaking promises would further worsen the lack of trust they have inherited. This then is the trap that past failures and Labour’s promises have created. It is of huge importance that Starmer finds a way out of it.

martin.wolf@ft.com

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BBC Verify: Satellite image shows tanker seized by US near Venezuela is now off Texas

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BBC Verify: Satellite image shows tanker seized by US near Venezuela is now off Texas

Trump was listed as a passenger on eight flights on Epstein’s private jet, according to emailpublished at 11:58 GMT

Anthony Reuben
BBC Verify senior journalist

One of the Epstein documents, external is an email saying that “Donald Trump traveled on Epstein’s private jet many more times than previously has been reported (or that we were aware)”.

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The email was sent on 7 January 2020 and is part of an email chain which includes the subject heading ‘RE: Epstein flight records’.

The sender and recipient are redacted but at the bottom of the email is a signature for an assistant US attorney in the Southern District of New York – with the name redacted.

The email states: “He is listed as a passenger on at least eight flights between 1993 and 1996, including at least four flights on which Maxwell was also present. He is listed as having traveled with, among others and at various times, Marla Maples, his daughter Tiffany, and his son Eric”.

“On one flight in 1993, he and Epstein are the only two listed passengers; on another, the only three passengers are Epstein, Trump, and then-20-year-old” – with the person’s name redacted.

It goes on: “On two other flights, two of the passengers, respectively, were women who would be possible witnesses in a Maxwell case”.

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In 2022, Ghislaine Maxwell was sentenced to 20 years in prison, external for crimes including conspiracy to entice minors to travel to engage in illegal sex acts and sex trafficking of a minor.

Trump was a friend of Epstein’s for years, but the president has said they fell out in about 2004, years before Epstein was first arrested. Trump has consistently denied any wrongdoing in relation to Epstein and his presence on the flights does not indicate wrongdoing.

We have contacted the White House for a response to this particular file.

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‘Music makes everything better’: A Texas doctor spins vinyl to give patients relief

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‘Music makes everything better’: A Texas doctor spins vinyl to give patients relief

Dr. Tyler Jorgensen sets “A Charlie Brown Christmas” on a record player at Dell Seton Medical Center in Austin Texas. He uses vinyl records as a form of music therapy for palliative care patients.

Lorianne Willett/KUT News


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Lorianne Willett/KUT News

AUSTIN, TEXAS — Lying in her bed at Dell Seton Medical Center at the University of Texas at Austin, 64-year-old Pamela Mansfield sways her feet to the rhythm of George Jones’ “She Thinks I Still Care.” Mansfield is still recovering much of her mobility after a recent neck surgery, but she finds a way to move to the music floating from a record player that was wheeled into her room.

“Seems to be the worst part is the stiffness in my ankles and the no feeling in the hands,” she says. “But music makes everything better.”

The record player is courtesy of the ATX-VINyL program, a project dreamed up by Dr. Tyler Jorgensen to bring music to the bedside of patients dealing with difficult diagnoses and treatments. He collaborates with a team of volunteers who wheel the player on a cart to patients’ rooms, along with a selection of records in their favorite genres.

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“I think of this record player as a time machine,” he said. “You know, something starts spinning — an old, familiar song on a record player — and now you’re back at home, you’re out of the hospital, you’re with your family, you’re with your loved ones.”

UT Public Health Sophomore Daniela Vargas pushes a cart through Dell Seton Medical Center on December 9, 2025. The ATX VINyL program is designed to bring volunteers in to play music for patients in the hospital, and Vargas participates as the head volunteer. Lorianne Willett/KUT News

Daniela Vargas, a volunteer for the ATX-VINyL program, wheels a record player to the hospital room of a palliative care patient in Austin, Texas.

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The healing power of Country music… and Thin Lizzy

Mansfield wanted to hear country music: Willie Nelson, Merle Haggard, George Jones. That genre reminds her of listening to records with her parents, who helped form her taste in music. Almost as soon as the first record spins, she starts cracking jokes.

“I have great taste in music. Men, on the other hand … ehhh. I think my picker’s broken,” she says.

Other patients ask for jazz, R&B or holiday records.

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The man who gave Jorgensen the idea for ATX-VINyL loved classic rock. That was around three years ago, when Jorgensen, a long-time emergency medicine physician, began a fellowship in palliative care — a specialty aimed at improving quality of life for people with serious conditions, including terminal illnesses.

Shortly after he began the fellowship, he says he struggled to connect with a particular patient.

“I couldn’t draw this man out, and I felt like he was really struggling and suffering,” Jorgensen said.

He had the idea to try playing the patient some music.

He went with “The Boys Are Back in Town,” by the 1970s Irish rock group Thin Lizzy, and saw an immediate change in the patient.

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“He was telling me old stories about his life. He was getting more honest and vulnerable about the health challenges he was facing,” Jorgensen said. “And it just struck me that all this time I’ve been practicing medicine, there’s such a powerful tool that is almost universal to the human experience, which is music, and I’ve never tapped into it.”

Dr. Tyler Jorgensen, a palliative care doctor at Dell Seton Medical Center, holds a Willie Nelson album in an office on December 9, 2025. Ferguson said patients have been increasingly requesting country music and they had to source that genre specifically.

Dr. Tyler Jorgensen plays vinyl records as a form of music therapy for palliative care patients in Austin, Texas. Willie Nelson’s albums are a perennial hit.

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Creating new memories

Jorgensen realized records could lift the spirits of patients dealing with heavy circumstances in hospital spaces that are often aesthetically bare. And he thought vinyl would offer a more personal touch than streaming a digital track through a smartphone or speaker.

“There’s just something inherently warm about the friction of a record — the pops, the scratches,” he said. “It sort of resonates through the wooden record player, and it just feels different.”

Since then, he has built up a collection of 60 records and counting at the hospital. The most-requested album, by a landslide, is Fleetwood Mac’s Rumours from 1977. Willie is also popular, along with Etta James and John Denver. And around the holidays, the Vince Guaraldi Trio’s A Charlie Brown Christmas gets a lot of spins.

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These days, it’s often a volunteer who rolls the record player from room to room after consulting nursing staff about patients and family members who are struggling and could use a visit.

Daniela Vargas, the UT Austin pre-med undergraduate who heads up the volunteer cohort, became passionate about music therapy years ago when she and her sister began playing violin for isolated patients during the COVID-19 pandemic. She said she sees similar benefits when she curates a collection of records for a patient today.

“We are usually not in the room for the entire time, so it’s a more intimate experience for the patient or family, but being able to interact with the patient in the beginning and at the end can be really transformative,” Vargas said.

Often, the palliative care patients visited by ATX-VINyL are near the end of life.

Jorgensen feels that the record player provides an interruption of the heaviness those patients and their families are experiencing. Suddenly, it’s possible to create a new, positive shared experience at a profoundly difficult time.

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“Now you’re sort of looking at it together and thinking, ‘What are we going to do with this thing? Let’s play something for Mom, let’s play something for Dad.’” he said. “And you are creating a new, positive, shared experience in the setting of something that can otherwise be very sad, very heavy.”

Other patients, like Pamela Mansfield, are working painstakingly toward recovery.

She has had six neck surgeries since April, when she had a serious fall. But on the day she listened to the George Jones album, she had a small victory to celebrate: She stood up for three minutes, a record since her most recent surgery.

With the record spinning, she couldn’t help but think about the victories she’s still pursuing.

“It’s motivating,” she said. “Me and my broom could dance really well to some of this stuff.”

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Video: Who Is Trying to Replace Planned Parenthood?

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Video: Who Is Trying to Replace Planned Parenthood?

new video loaded: Who Is Trying to Replace Planned Parenthood?

As efforts to defund Planned Parenthood lead to the closure of some of its locations, Christian-based clinics that try to dissuade abortions are aiming to fill the gap in women‘s health care. Our reporter Caroline Kitchener describes how this change is playing out in Ames, Iowa.

By Caroline Kitchener, Melanie Bencosme, Karen Hanley, June Kim and Pierre Kattar

December 22, 2025

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