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100 million Americans suffer from chronic pain, and an unknown number of them have no diagnosed physical cause. It’s not that their pain is “in their heads” — it’s that all pain can have both physical and psychological components, but the latter is often dismissed or never acknowledged.

The go-to treatment has long been opioids. Cognitive behavioral therapy shows meaningful benefits but psychologists remain hard to find and hard to pay for — and most patients don’t even know they exist.
How do we shift our understanding of pain so that psychology is the opposite of a last resort? Read Brian Resnick’s exploration of this question at the link in our bio. (Illustrations: Javier Zarracina) #pain #opioids #psychology


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It’s #RoyalWedding day! Meghan Markle and Prince Harry have officially married at St. George’s Chapel. 💍❤️ Now, some details you’ve been waiting for: the new Duchess of Sussex walked down the aisle wearing a three-quarter sleeved minimalist gown, designed by British-born designer Clare Waight Keller for Givenchy. She paired the dress with Queen Mary’s diamond bandeau tiara.

The bouquet was designed by florist Philippa Craddock, with the help of some blooms hand-picked from the royal family’s private garden by Prince Harry. In included Forget-Me-Nots, Princess Diana’s favorite flower.

After a few days of conflicting reports, Markle’s father ultimately did not attend the wedding. (Her mother, Doria Ragland, did). She instead asked her father-in-law, Prince Charles, to escort her down the aisle.
The couple was not shy to make the point that she just became one of the first mixed-race members of the British royal family. Bishop Michael Curry — a black American Episcopal from Chicago — gave a memorable address on the redemptive power of love that quoted liberally from the black spiritual tradition.

Visit Vox.com for our ongoing coverage of the day. #MeghanMarkle #PrinceHarry #RoyalCouple #Windsor


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On Friday morning, a gunman opened fired on Sante Fe High School in Texas, killing several. It happened just three months and four days after the shooting at Marjory Stoneman Douglas High School in Parkland, Florida.

In an extraordinary interview with local station ABC-13, Santa Fe student Paige Curry, on the verge of tears, is asked by a reporter whether she felt like the shooting couldn’t happen at her school. Her profoundly sad answer was that one day, she was expecting it to.
Curry has a point: Though school shootings are rare events, they are becoming more and more common. In the past 18 years alone, we have seen more deaths from school shootings than in the entire 20th century, said Clemson University’s Antonis Katsiyannis.
We’re publishing updates on the situation as we receive them. Visit Vox.com for our ongoing coverage. #SantaFe #SantaFeShooting #gunviolence


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It’s tempting to draw comparisons between Richard Nixon and Donald Trump. Both presidents were dogged by major FBI investigations and accused of obstructing justice, and both lashed out at the media for covering those investigations.

But while the Watergate investigation led to Nixon’s resignation, Trump has support from a source that Nixon could never have dreamed of: a powerful conservative media ecosystem. Carlos Maza (@gaywonk) explains in the latest episode of #Strikethrough. Watch the full video at the link in our bio. #Trump #Nixon #Watergate #politics #FoxNews


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A crater in the summit of Hawaii’s Kilauea volcano exploded on Thursday morning, shooting ash 30,000 feet into the air and creating a large cloud that scientists say could drift up to 30 miles away.
It’s just the latest development in the ongoing eruption of the volcano, which shows no signs of slowing.

With lava oozing through forests, cracking roads, destroying dozens of homes, and engulfing cars, thousands have been forced to evacuate while others are still going about their lives as normal. Health officials are also warning that toxic volcanic gases also accumulating, posing an invisible threat.
We’re keeping an eye on the volcano’s activity. Check the link in our bio for Umair Irfan’s full report. #Kilauea #KilaueaVolcano #Hawaii #volcano


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If you like our videos, then you’ll love this: from @Netflix and Vox, get ready for Explained — a new show launching on May 23rd. New episodes will drop every Wednesday. 📺

To make sure you don’t miss it, go to netflix.com/explained and click the “+My List” button.


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Fawn Ricciuti started using opioids a decade ago while enrolled in a New Jersey pain management program. What followed is the kind of story that’s been told thousands of times as America’s opioid epidemic grows: Her casual use of opioid painkillers over time turned into full-blown addiction.

But last year, she got on buprenorphine (also known as Suboxone), which doesn’t produce a euphoric high when taken as prescribed. She said that the drug paired with therapy helps her treat the withdrawal; she’s also seeing a chiropractor to treat the pain that led her to use opioid painkillers in the first place. Her treatment is paid for through Medicaid.

Ricciuti’s story show that the opioid crisis and addiction are not insurmountable. But America hasn’t fully embraced the solutions, like this one, that we know can work. How do we fix this — and build up addiction treatment in the US? Ricciuti’s home state of Virgnia offers an example. Read German Lopez’s full report via the link in our bio. #opioids #painkillers #medicaid #virginia


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Two very different scenes played out in Israel on Monday.
Israelis and Americans celebrated the opening of a new US embassy in Jerusalem with a festive event that boasted an 800-person guest list — including Jared Kushner and Ivanka Trump — and a televised speech by the president. “The United States will always be a great friend of Israel and a partner in the cause of freedom and peace,” Trump said. Israeli Prime Minister Benjamin Netanyahu called it a “great” day.
60 miles away, Israeli soldiers were firing on Palestinian protesters at the Gaza border. They’ve so far killed more than 50 people and wounded thousands of others. Many of the protesters were unarmed, though some hurled rocks and Molotov cocktails. No Israelis so far have been injured.
The contrast between these two events is perhaps best conveyed by photographs. Click the link in our bio to see more. #Israel #Jerusalem #Gaza #Palestine #politics #Netanyahu #Trump


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Has American politics ever been this bad?
The answer, writes Ezra Klein, is that it clearly has been much worse. We had a Civil War, after all. Congress worked out proposals to eradicate and subjugate Native American tribes. We interned families of Japanese descent. We pitched into the Iraq War based on lies. But the fact that the university was posing the question, and seriously, speaks to the anxiety of this age.

In a new essay on our site, Ezra explains how Trump is an upheaval in a pattern of progress and backlash — and that it's our job to write a better next chapter. Read it in full via the link in our bio. #politics #democracy #Trump


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Tony Kim, Kim Hak-song, and Kim Dong-chul — Americans who have been held hostage in North Korea and subject to brutal labor camps — have safely arrived back in the US.
They touched down around 2am Friday at Joint Base Andrews, where they were greeted by President Trump and First Lady Melania Trump. Their release was months in the making and is considered a diplomatic gesture in advance of talks between Trump and North Korean leader Kim Jong Un.

It’s a huge win for Trump — but things haven’t always gone as well as they did this time. We spoke to New Mexico Gov. Bill Richardson, who has spent decades negotiating hostage releases with North Korea, to learn about how the complicated process works. Read our interview via the link in our bio. #NorthKorea #Trump #politics


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President Trump has been saying he wants to exit the Iran nuclear deal —  one that has successfully prevented Iran from developing nuclear weapons — for a long time.
And now that he has, decades of negotiations with the world could unravel. And it could have far-reaching consequences for critical US foreign policy — including upcoming historic meetings with North Korea.
So, why exactly did Trump do it? Check out our YouTube channel for the full explainer video. #Iran #IranDeal #Trump #NorthKorea #politics


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It’s official: President Trump is pulling the United States out of the Iran nuclear deal.

Trump announced at the White House Tuesday that he would reimpose sanctions on Iran’s oil sector that had been lifted as part of the agreement. That put the US in violation of its obligations, and essentially results in a unilateral American withdrawal.
The problem, though, is that the deal wasn’t “rotten,” as the president described it. The best evidence we have suggests Iran was actually complying with the deal — and that it’s significantly further from a nuclear weapon than it was before. Read Zack Beauchamp’s full explainer via the link in our bio. #Iran #IranDeal #IranNuclearDeal #politics #Trump


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