Most citizens of democratic nations expect their governments to do their very best to make society more egalitarian, productive, adaptive, and resilient. To do so requires governments to track not just today’s headlines but grapple with long-term underlying trends, like globalization and demographic change. Governments must also make assumptions about the future course of these trends and examine how they might collide or build on one another.

The first baby conceived through in vitro fertilization (IVF) was born in 1978 and revolutionized alternative family building strategies. As IVF has become more widely available in the years since, the focus of many families who cannot conceive or carry a baby to term – the Centers for Disease Control and Prevention estimates there are 6.7 million such women in the United States alone – has shifted from adoption to surrogacy. However, this endeavor remains very expensive; prohibitively so for many. Commercial surrogacy can cost up to $70,000 in the United States, except in the seven states where it is illegal. Yet if couples are willing to outsource to another country, surrogacy can cost much less.

More often than not in the discourse around gender and climate change, the word “gender” is used primarily to refer to women. There is no disputing that women are acutely vulnerable to the effects of climate change in ways that are different than men and sometimes hidden. However, this interchangeable use of words neglects other dimensions of gender, sexual orientation, and sexual identity. As a result, we are missing important ways gender impacts people’s experiences with climate change.

Near the corner of Broadwick and Lexington in London’s Soho neighborhood, a single spot on the ground has influenced more than 150 years of urban development. It’s the location of a water pump that in 1854 physician John Snow pinpointed as the source of contamination leading to a widespread outbreak of cholera in the neighborhood that killed more than 600 people.

Times are good for Fey Wei Dong. A genial, middle-aged businessman based in Hangzhou, Fey says he is raking in the equivalent of $225,000 a year from trading in the humblest of commodities: sand.

The eye catching headlines are familiar. “Water Wars” are imminent or already underway in the latest drought or dam-building hotspot. Such “wars” often extend to farmers battling over irrigation diversions, but at times countries are the players. Senior leaders are often quoted suggesting transboundary water theft constitutes a casus belli. Security officials are obliged to investigate.

“There are truly global-scale environmental challenges, and they need to be dealt with by thinking of solutions at the same scale,” said Thomas Lovejoy, a senior fellow at the United Nations Foundation, at the Wilson Center on June 29. The interaction between human population and environmental degradation is one of these challenges. [Video Below]

At USAID we recognize the threat poor sanitation combined with rapid urbanization presents to human health, dignity, and prosperity. This is why we have made urban sanitation a global priority for the Agency. During a recent visit to India, I was able to see some of the work being done to bring sanitation services to urban areas, and had the good fortune to meet some inspiring women who are advancing these efforts in their communities.