Pope Francis Has Double Pneumonia, Vatican Says His Condition Is “Complex”

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On Feb. 6, before he was hospitalized, he extended the term of the Italian cardinal Giovanni Battista Re as dean of the College of Cardinals, a role that will oversee some preparations for a potential conclave, the secretive gathering that determines the selection of a new pope. The move, which controversially sidestepped a scheduled vote on the next dean by top cardinals, was intended to ensure that the process plays out according to Francis’s wishes, the people said. Re, a longtime Vatican operator, is too old to participate in the conclave himself. Nevertheless, he will be a pivotal figure in the behind-closed-doors discussions that often take place before the conclave. That Francis selected him as dean instead of a younger candidate suggests he wanted to keep a friendly face in the role who would defend his legacy, said one of the people.

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As his health has deteriorated over the last month, Francis has also moved to complete key initiatives and appoint sympathetic figures to key posts, following a progressive-tinted papacy marked by bitter ideological divisions. Since he became pope in 2013, Francis has aimed to make the Church more inclusive, opening up key roles to women and LGBT+ people. While that has provoked furious reaction from many conservatives, liberals complain that the reforms have been insufficient. Meanwhile, the pope’s efforts to put an end to rampant child abuse by clerics have produced mixed results.

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According to two people familiar with the matter, Francis has been suffering from intense pain and has privately expressed certainty he won’t make it this time. On Sunday, doctors at Gemelli distressed the pope by barring him from delivering his regular morning Angelus sermon, which he has rarely missed, even when hospitalized, said one of the people and a third person. He is now acting entirely on “doctors’ orders,” said one of them.

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