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In earlier incarnations, both Twitter and Instagram presented users with simple chronological feeds, and visible metrics also provided secondary sorting mechanics. These numbers — how many people liked something, or commented on something, or re-shared something, or followed someone — were a biased, ruthless and explicit value system. That these numbers were goals unto themselves was implied from the start. There was steady demand for treatment of fistula in Niger, a poverty-stricken nation with high rates of child marriage. The fistula facility we toured was near a leprosy clinic, a sign of just how stigmatized these patients are by society. It also treated girls who had been subjected to genital cutting, a practice that has been outlawed but still occurs in some places.

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Mr. Sanders has been running second to the former vice president in most early polls, but as the only one in the race, he has enjoyed significant attention from voters, local party officials and the news media. With Mr. Biden expected to declare his candidacy soon, Mr. Sanders now faces the prospect of greater competition for the spotlight. Where to watch: Stream it on Netflix.