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But given the logistical difficulty of direct rule by millions of citizens, it is nearly inevitable that some charismatic demagogue will claim to embody the crowd’s general will.

A teenage boy has died after getting into difficulty while swimming in a lake in south-east London.

The difficulties facing the canal were first outlined in a letter sent to local businesses by Glandŵr Cymru, the Canal and River Trust in Wales, in February.

"I'm concerned that if some people can't swallow because of their disease process, and if they're not able to take the entire quantity of medication because of breathing difficulties or swallowing difficulties, what will happen?"

The difficulty of finding medical treatment prompted Dressen to co-found REACT19, a tax-exempt organization that provides grants to patients and providers; Hertz is listed on its website as a research advisor.