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"I think the U.S. spends too much money helping out other countries when we clearly have a sh*t ton of problems being ignored in our own," said a dear friend of mine.

I was asking for her thoughts on how the United States goes about helping other countries through foreign assistance. It can be a confusing and controversial topic.

As it turns out, her response is a common one.


So if the general sentiment is that we're spending too much helping other countries on things like health, economic development, and humanitarian assistance ... just how much are we actually spending?

Americans believe we spend an average of 26% of our entire U.S. budget on foreign aid.

I'm not going to go all math class on you, but to put it into perspective, our entire fiscal year 2016 budget (as it stands) is around $4 trillion. So the thinking is that over a fourth of that is being used toward other countries — or is it?

The reality is America spends less than 1% on foreign aid.

According to ForeignAssistance.gov, America spends approximately 0.8% of its entire budget on foreign aid.

Considering foreign aid is such a tiny, tiny, tinyyyyy fraction of our spending, America is really making huge strides.

Think about these five ways the U.S. has been able to improve other countries while spending less than 1% of its budget:

1. 8 million people have received life-saving HIV treatment, and 56.7 million people have received HIV counseling and testing.

Just to put that into perspective there are about 8.4 million people living in New York City. A whole New York City got saved. Cool.

And that's not all. According to USAID, more than 14.2 million pregnant women have been supported with HIV testing and counseling and provided prevention of mother-to-child HIV transmission to more than 749,000 HIV-positive women. 95% of those babies were born HIV-free, which is great news for future generations.

2. Agricultural programs have helped 1 billion people in 20 years.

What's cooler than helping a million people? Helping A BILLION PEOPLE.

Malnutrition contributes up to 45% of all childhood deaths. Oof. Agricultural programs like Feed the Future are working to cut that in various, sustainable ways.

In just 2014, Feed the Future reached more than 12 million children with nutrition interventions and helped nearly 7 million farmers gain access to new tools or technologies such as high-yielding seeds, fertilizer application, soil conservation, and water management. It's teaching them how to help themselves.

3. Deaths caused by malaria in African children have dropped by 51%.

THAT IS HALF!

Foreign aid programs have helped bring malaria rates down in a historic way. A 51% drop between the years of 2000-2012 has meant that 500,000 African kids under the age of 5 have been saved each year and otherwise wouldn't have, Foreign Policy and a 2013 report from the World Health Organization explain.

4. More moms and babies are staying alive. Millions more of them.

Moms used to die in childbirth. That number has been halved. HALF! We halved it with 1% of the budget.

Deaths of children under 5 worldwide have declined from 10.8 million in 2000 to 6.3 million in 2013. That's a huge drop! And there's more reason to celebrate too. Between 1990 and 2013, maternal mortality has dropped by almost 50% worldwide.

Many of these deaths can be easily prevented or treated with simple and affordable interventions, which makes me very hopeful we can help decrease these numbers even more.

5. Mobile banking is GIVING people a future ... and it is the future. And it's happening now!

No bank? No problem. We're putting banks in cell phones! Next thing you know, women are taking out loans and opening up businesses.

There are 1.8 billion people in the world with access to a phone but not to a bank. That's beginning to change. A big shift in foreign assistance is to focus on effective ways to expand poor people's access to formal financial services, and phones are proving a great way to do it.

A great example lies in Nepal. According to USAID, over 300 mobile financial services agents in 30 of 75 districts are now operating in Nepal. In 2013, banks serving Nepalese clients were expected to reach more than 19,000 new clients, with more than $2.3 million in rural loans disbursed to almost 8,000 borrowers — most of them women. That's how businesses are started and people become able to contribute to the economy. Bam! Progress.

We do have problems in our own country that need addressing. But we're also not exactly using up all our resources on other countries either!

How do you feel knowing how effective America has been with it's 1% of the budget?

If you're like these folks, you start seeing things a little differently.

Some even start to think that maybe we should could even do more.

I'm happy to know that America's budget is getting used in this way. It's a tiny sliver of money, prioritizing helpfulness, and the result is billions of safer earthlings. Oh, the possibilities!

ONE set out to ask for various thoughts about our contributions overseas. How would you answer?

Joy

Nurse turns inappropriate things men say in the delivery room into ‘inspirational’ art

"Can you move to the birthing ball so I can sleep in the bed?"

Holly the delivery nurse.

After working six years as a labor and delivery nurse Holly, 30, has heard a lot of inappropriate remarks made by men while their partners are in labor. “Sometimes the moms think it’s funny—and if they think it’s funny, then I’ll laugh with them,” Holly told TODAY Parents. “But if they get upset, I’ll try to be the buffer. I’ll change the subject.”

Some of the comments are so wrong that she did something creative with them by turning them into “inspirational” quotes and setting them to “A Thousand Miles” by Vanessa Carlton on TikTok.

“Some partners are hard to live up to!” she jokingly captioned the video.

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All images provided by Adewole Adamson

It begins with more inclusive conversations at a patient level

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Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.

Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.

melanoma,  melanoma for dark skin Avery Smith (left) and Adamson (sidenote)

This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.

To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.

This process, known as supervised learning, could lead to huge benefits in preventive care.

After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”

“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”

Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).

As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.

Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.

“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”

american cancer society, skin cacner treatment"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/

The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.

The mesmerizing lost art of darning knit fabric.

For most of human history, people had to make their own clothing by hand, and sewing skills were subsequently passed down from generation to generation. Because clothing was so time-consuming and labor-intensive to make, people also had to know how to repair clothing items that got torn or damaged in some way.

The invention of sewing and knitting machines changed the way we acquire clothing, and the skills people used to possess have largely gone by the wayside. If we get a hole in a sock nowadays, we toss it and replace it. Most of us have no idea how to darn a sock or fix a hole in any knit fabric. It's far easier for us to replace than to repair.

But there are still some among us who do have the skills to repair clothing in a way that makes it look like the rip, tear or hole never happened, and to watch them do it is mesmerizing.

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Pop Culture

Artist uses AI to create ultra realistic portraits of celebrities who left us too soon

What would certain icons look like if nothing had happened to them?

Mercury would be 76 today.

Some icons have truly left this world too early. It’s a tragedy when anyone doesn’t make it to see old age, but when it happens to a well-known public figure, it’s like a bit of their art and legacy dies with them. What might Freddie Mercury have created if he were granted the gift of long life? Bruce Lee? Princess Diana?

Their futures might be mere musings of our imagination, but thanks to a lot of creativity (and a little tech) we can now get a glimpse into what these celebrities might have looked like when they were older.

Alper Yesiltas, an Istanbul-based lawyer and photographer, created a photography series titled “As If Nothing Happened,” which features eerily realistic portraits of long gone celebrities in their golden years. To make the images as real looking as possible, Yesiltas incorporated various photo editing programs such as Adobe Lightroom and VSCO, as well as the AI photo-enhancing software Remini.

“The hardest part of the creative process for me is making the image feel ‘real’ to me,” Yesiltas wrote about his passion project. “The moment I like the most is when I think the image in front of me looks as if it was taken by a photographer.”

Yesiltas’ meticulousness paid off, because the results are uncanny.

Along with each photo, Yesiltas writes a bittersweet message “wishing” how things might have gone differently … as if nothing happened.
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