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Star Health's Arogya Seva Kendra clinics cross 1.8+ lakh beneficiary visits within a year of their inception, bringing free primary healthcare to communities across 9 states
Star Health and Allied Insurance Company Limited (NSE: STARHEALTH) (BSE: 543412), India's leading standalone health insurer, has been safeguarding the health and well-being of millions of Indians for over 20 years through a strong focus on customer-centricity, transparency, and innovation. Reflecting its commitment to creating lasting social impact, Star Health's CSR initiatives focus on improving health outcomes through accessible healthcare, preventive interventions, and community wellness pro
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AFGHS co-signatory countries ask health care users to help fill the financing gap
Hundreds of thousands of Ugandans living with HIV on antiretrovirals could be targeted for user fees or community health insurance schemes requiring modest premium payments, according to the April 2026 version of the country’s America First Global Health Strategy implementation narrative.1 As part of the “sustainable financing for the private not for profit sector” strategy, 491 facilities will be targeted for a phased introduction of user fees and scale up of community health insurance programs.2 In the Ugandan context, PNFP facilities include faith-based hospitals and other health facilities, US missionary organizations and centers of excellence—services that are often co-located at government facilities but run with additional financial and technical resources. 402,000 people—or about 28 percent of the total Ugandan adult PLHIV population on treatment—get ART from the private not for profit sector. The selected facilities provide the majority of ART and prevention of mother to child transmission (PMTCT) services. The plan doesn’t give the total number of clients served by the 491 facilities, so it is not possible to give a precise number. But the majority of 402,000 is a figure in the hundreds of thousands—hence the estimate I’m using.3 The April draft of the Ugandan implementation plan narrative is the only one I’ve been able to review. But the government of Uganda is not alone in turning to health care users to help fill the financing gaps caused by the abrupt withdrawal of US funds. In July 2025, the Government of Liberia introduced user fees for previously free services including “registration, accommodation, patient feeding, hospitalization, and a wide range of surgical and diagnostic procedures.”4 Earlier that year, Liberia rolled out a revolving drug fund designed to stabilize drug supplies by “allowing patients to pay a small fee for standardized, quality medications,” according to a Ministry of Health press release.5 (Both of these approaches had been proposed in the National Health Policy 2022-2031; media coverage explicitly connects the launch with the US foreign aid cuts.) The health financing strategies proposed by Uganda and established in Liberia are qualitatively different from user fees officially adopted by specific health facilities to cover funding shortfalls caused by the new US approach.6 The latter is a stopgap, adhoc change. The former is a national governmental adoption of policies that pass costs on to health care users, despite evidence that such approaches can exacerbate inequities and leave deficits unfilled. Two countries does not make a pattern, but they do point to urgent questions: Have other countries, including Liberia, included user fees or community health insurance schemes in their implementation plans? If so, do any of these narratives have what Uganda’s lacks: a fall-back plan in place in case these strategies for sustainable health systems fail to deliver—as they have before? I wonder if you think about it Subscribe Predictable pitfalls Both community-based health insurance and user fees are as old as the hills. And after decades of people climbing up these hills, duking it out, climbing back down—neither strategy has shown the results the Ugandan implementation plan is counting on. This is, in fact, a hill some folks are willing to die on. (You knew I’d get there, right?) In November 2025, an African-led team of health system experts published a paper directed at low- and middle income country governments trying to figure out how to create self-sustaining health systems. The money wasn’t coming back. It had been more than nine months since the season of freezing, waivering and wood-chippering; two months since AFGHS tumbled into the world touting co-financing requirements and reductions in future US government health aid. Governments were looking for strategies for sustainable, self-financed health systems, the authors wrote. For countries considering user fees and community health insurance to fill the financing gaps, they had a simple message: Don’t. On user fees, the paper states: “Reliance on user fees is ultimately a regressive and inequitable approach. It places a disproportionate burden on the poor and undermines health system goals of equity and financial protection. […] There is overwhelming evidence that user fees mobilise very limited resources for the public health sector, making it an inefficient mechanism for revenue mobilisation.” On community health insurance: “Attempting to shift the burden of funding previously donor-funded services, such as HIV care and management, and TB treatment, onto contributory schemes would exacerbate their fragility and fail to protect the population.”7 The WHO says that community-based health insurance “cannot be expected to provide a major source of funding or coverage,” and noted that most schemes offer only moderate benefit to individuals paying into them, and exclude the poorest segment of the population.8 And yet, the US-Ugandan implementation plan says that community health insurance is “the central pillar of this [PNFP] sustainability strategy” and that this approach that will generate “pre-paid pooled funding at facility and community level [that] improves financial risk protection for households, reduces catastrophic out-of-pocket expenditure, and generates structured, transparent revenue streams that can progressively absorb recurrent costs including health worker salaries.” Unfortunately, Uganda’s own history suggests the pillar might not be able to bear this weight. Ugandans Have Been to this Rodeo Before—and Some Want Their Money Back Uganda introduced its first community health insurance scheme in 1996 with support from international donors.9 Thirty years later, somewhere between 0.2 and 0.3 percent of the population is covered by CHI; just over 1 percent has any kind of health insurance.10 User fees were universally introduced in 1993 as a condition of a World Bank loan.11 They were abandoned in 2001, and in 2004—the year I moved to Uganda to watch the free HIV program get underway—a definitive study found that the fees did not improve health systems and outcomes.12 In 2004, most clinics and hospitals had ‘free’ and ‘fee for service’ options for getting care.13 The fee for service, or “cash and carry” programs had often been established in the years prior to PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria. People who could afford to paid for the drugs, often at facilities in the private-not-for-profit (PNFP) sector. When free drugs arrived, some people who’d been paying kept on doing so, perhaps because of shorter wait times, greater confidentiality, convenience or other factors. But in the year that I spent visiting the same clinics around the country week after week—including a “center of excellence” that maintained separate days for cash and carry clients and those accessing free ARVs—lots of people who had been paying tried to switch to the free option. They’d paid because they had no other choice. They’d sold pieces of family land, begged family members for loans, bought pills by the week, and sometimes by the day. Or they were just cash-strapped, like most of us, and wanted the funds for other things. 14 Twenty-two years later, this hasn’t changed. Ugandans pay out of pocket for 30-40 percent of their health care costs, leading one paper to declare that “falling ill is more than a health crisis. It is a financial emergency.”15 One recent study found that up to 48.5 percent of households dealing with tuberculosis sold something, took out a loan or dug into savings to defray the costs of TB care—which is supposed to be universally free.16 The Ugandan implementation plan does anticipate challenges. It proposes a phased approach, with 187 facilities introducing user contribution systems in Year 1, 152 in Year 2, and 153 in Year 3. Willingness to pay and feasibility studies will precede roll out; fees will be tiered by region, and a waiver system is proposed to ensure that no one has to pay who is unable to. Moreover, the plan provides for quarterly reviews of epidemiological data to “ensure that user contributions do not compromise epidemic control gains, ART continuity for the client cohort, TB case management, or PMTCT services.” Alt text: A screenshot of a table included in the implementation plan narrative that is the subject of this stack. It’s got a fetching pink bar at the top. It uses the abbreviation “CHI” which is Community Health Insurance, and FBO which is Faith Based Organizations, and it details the number of facilities that will implement user fees with waivers and community health insurance schemes over the five years of the agreement. As I said in the footnote, this is a super interesting document with a lot of other rich material. Tell me what you see—and what you would have focused on. And if you’ve seen something like this, or anything else that strikes you, in another implementation plan, tell me that too. You can use the Substack message platform or try me on Signal at @endaplague_again.25 (because @mercoonfan was, weirdly, taken). But the plan doesn’t fully explain what will happen if this approach doesn’t work out. Yes, progress will be monitored, and corrective action triggered. However, there is no specified funding replacement if premium and fee revenue prove inadequate. Instead, the authors write, “Currently, COEs serve a total client cohort of over 180,000 across 28 facilities. In the initial years, the U.S. Government (USG) will provide financial support for clients; over time, user fees generated by COEs will become the primary source of funding for sustaining their services.” Failure does not really seem to be an option. Health insurance schemes are more acceptable to the Ugandan population than user fees. Members of Parliament and civil society traveled to Ethiopia to see how that country’s scheme worked. In a follow up report, a veteran civil society group recommended allowing the “health insurance ecosystem to grow organically and [to] keep reviewing the law and regulations as this growth takes root.”17 One study found that more than three-quarters of Ugandans were willing to join a health insurance program.18 However, coverage of community-based health insurance is minimal, as is coverage of any kind of insurance—including private plans.19 A national health insurance scheme bill has been stalled for several years and presently sits with President Yoweri Museveni.20 Community-based health insurance scheme that do exist are expanding in number, but losing enrollees. Between 2022 and 2026, the number of community-based health financing schemes across the country increased by 42 percent, while the number of people enrolled decreased by nearly 11 percent.21 None of this means that community-based health insurance should not happen in Uganda—or that people do not want insurance. It doesn’t even mean that user fees and waivers won’t ever work. But there is highly relevant evidence from Uganda and the surrounding region that it is quite optimistic to describe community health insurance and user fees as central supports for sustainable financing in any sector of the health system. And now for the best-case scenario In the best-case scenario22, the Ugandan approach does exactly what it sets out to do, and so does the Liberian fee structure and revolving pharmacy fund—though I’ve not confirmed that these are in the MoU. In one best-case scenario, Uganda is an outlier, and user fees and community health insurance are not recurrent pillars of self-sustaining financing in other countries’ implementation plans. In another best-case scenario, all countries that include these strategies enjoy success beyond anyone’s evidence-informed wildest dreams: reliable funding generated by health care users fees, great health care outcomes for everyone, no exacerbation of inequities, no crippling household debt. No sold land, repurposed school tuition or high-interest loans. In the best-case scenario, not one of the hundreds of thousands of Ugandans living with HIV receiving antiretrovirals from 491 PNFP facilities misses a refill or leaves care because of user fees or community health insurance premiums. This is the best-case scenario for these people for their own health, and for their families. It is also the best-case scenario if Uganda wants to stay on the path to eliminating HIV as a public health threat. According to the country’s most recent data, 96.5 percent of people living with HIV on antiretrovirals are virologically suppressed. Epidemic control depends ensuring that 95% of people living with HIV know their status, 95 percent of those individuals are on ART, and 95% of those individuals are virologically suppressed. Uganda is still struggling with the first “95"—a frankly abysmal 85.3 percent. If HIV epidemic control and the attendant prevention of new infections, avoidable suffering and premature death matter, the country cannot afford to lose any clients who are currently in care.23 As I write this a couple hours before the polls close for the US elections in the city I live in, I say with soul-deep sincerity: I am rooting for the best-case scenario. I think it’s safe to say that we all are.24 I think it’s also safe to say that if the US and co-signatory governments have inked plans that lead to successful expansion of community health insurance and strategic use of user fees, we all would like to know, now, so that we don’t miss the opportunity to celebrate when success happens. The implementation plan narratives have to enter the public domain. They are the fullest expression of a strategy co-created by two governments. There are assumptions and details that people living in the US and co-signatory countries need to understand that are not available in the MoUs or, to date, in the Congressional Notifications. Some of these details can help other countries that are, as I write this, still working on implementation plans. Others, like a solid count of how many other countries have plans for expanding user fees or health insurance, are important for regional and global health architecture reform initiatives. No matter how this election night turns out, there will be a slew of new Congressional member orientations, briefings and talking points papers in the next few months. Release of implementation narratives should be a bullet point in every context that AFGHS is discussed. These documents can be redacted so that procurement sensitive information isn’t disclosed. There is much more historical precedent for sharing such documents than there is for relying on user fees to fill health financing gaps. Let’s look at the information together so we can hope for the best and prepare for, you know, the other thing. Alt text: A substack first: a bicep selfie! It’s my arm - peachy-white skin, black shirt (flannel, notch neck, too hot for this appallingly balmy November weather, if you’re wondering) and a sticker that says I VOTED 2026. Beige letters on red for I voted. Beige on blue for 2026. You bet I did.25 In your wildest dreams. Subscribe 1 This is a really, really rich 95 page document. There are fascinating ideas and detailed plans in it. It is all worth reading AND I have, in this post, highlighted an instance of content that could pose challenges and certainly posits success of strategies that haven’t worked before. I would love to hear what readers’ see that’s interesting and should be lifted up as something to check for in other implementation plans. I will also shortly be adding a static page to the substack site where implementation plan documents will live. I will put the url into this footnote and it will also be there on emilybass.substack.com by the end of the week. Uganda Implementation Narrative Section 4 April 22 2026 Draft 1.51MB ∙ PDF file Download Download 2 User fees are costs charged for visits, labs, medicines or other health services, usually at the time they are provided. Community health insurance, or community-based health insurance, is what the World Health Organization calls “micro insurance,” which is health insurance targeted at low-income people. 3 As usual (by which I mean always), please prove me wrong. 4 https://smartnewsliberia.com/liberias-ministry-of-health-announces-2025-hospital-service-fees-for-public-facilities/?utm 5 https://moh.gov.lr/news/2025/grand-cape-mount-leaders-residents-embrace-new-community-pharmacy-program/?utm 6 https://www.christianitytoday.com/2026/09/hiv-usaid-pepfar-africa-foreign-aid-cuts-mission-hospitals/?utm 7 https://gh.bmj.com/content/10/11/e021270 8 https://www.who.int/news-room/fact-sheets/detail/community-based-health-insurance-CBHI 9 https://pmc.ncbi.nlm.nih.gov/articles/PMC2827475/ 10 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 11 https://pmc.ncbi.nlm.nih.gov/articles/PMC527704/ 12 Same citation as the footnote 2 - the article is called “Learning from failed health care reform in Uganda.” To which I say: If only. If. Only. 13 There is a whole taxonomy of user fees to be aware of, if not commit to memory. Out of pocket costs are everything that someone pays for themselves. In this Stack, user fees are planned and policy-supported out of pocket costs. There are also out of pocket costs that people pay to buy drugs or receive tests or health care assessments that would be free if the drugs were on the shelves, or the machines or kits were available, or the staff were on site. A user fee is usually designed to be modest, pegged to willingness to pay, and may be waiveable at the point of care for anyone who is unable to do so. The costs for things that would otherwise be free are whatever the market will bear and people either have to pay them or go without. Out of pocket costs for services and stuff that aren’t available in public facilities are different again from bribes or unofficial fees that some health workers may impose, even though most are indefatigable, tireless and tired, and devoted to their clients. 14 For the record—which really is these footnotes—I would give a whole stack of fridge magnets for a systematic analysis of the economic and social impact of the Mass Unemployment Event in AFGHS countries among the very people who used to be able to afford and cover user fees, both for themselves and vast family networks. Locally employed USAID technical staff, house cleaners, caregivers, drivers and technicians were financial anchors for cousins, friends, friends’ children, friends’ childrens’ cousins, teachers, pastors, neighbors and so many other kinds of kin. Aid recipients lost direct funding; many other people who had not been aid recipients, but parts of the elaborate care webs that function as safety nets for so many people, lost crucial support too. And that’s even before we get to the people who worked at the hotels and restaurants and bars where people employed by the US and its implementing partners used to spend disposable income. Those businesses have lost revenue; those folks have lost jobs. It will be some time coming—and someone will have to fund this work—but I do hope it happens. And I hope, as usual, to be proven wrong. 15 https://eprcug.org/blog/how-out-of-pocket-healthcare-costs-keep-driving-ugandans-into-poverty/ 16 Another straight-to-the-point journal article title. Households experiencing catastrophic costs due to tuberculosis in Uganda: magnitude and cost drivers. https://pubmed.ncbi.nlm.nih.gov/32938411 17 https://www.cehurd.org/download/technical-policy-brief-on-community-health-insurance-scheme/?wpdmdl=13661&refresh=6ae9122f5d4ed1793659439 18 https://pmc.ncbi.nlm.nih.gov/articles/PMC10125197/ 19 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 20 https://ugandapost.news/uganda-to-make-health-insurance-mandatory-by-2026/ 21 https://shu.org.ug/download/235 22 With a nod, tip of the stack hat, and wag of the Mercoon tail to a deeply valued reader who told me that I have a tendency to speculate about the worst-case scenarios a little too much of the time. 23 https://news.mak.ac.ug/2026/10/uphia-2025-shows-ugandas-hiv-status-awareness-gap-despite-strong-treatment-outcomes/ As you’ll see in the next footnote, I’ve already written a subSubstack on another topic, so I will be brief with regard to the study referenced in this article. The Uganda Population-Based HIV Impact Assessment, or UPHIA, will never happen in this way again. For more than a decade, PHIAs have been supported by the US government as a way to generate accurate estimates of country progress on key HIV indicators. They are a holdover from the PEPFAR program that was laser focused on ensuring US taxpayer dollars subsidized progress in pandemic control. There may be other population-level surveys and the data may even be publicly released, as the entire set of FY2026 MER data have not. But PHIAs will never happen again. If you’re wondering whether the estimates of HIV progress at country level might get less reliable….you’re not alone. 24 Ooh baby, I hate “we” in almost all forms. But sometimes I go there, when I am looking for company, which I am. Because this Stack moves into the somewhat-uncharted territory of assessing what the implementation plan narratives may suggest about co-signatory countries’ roles and responsibilities to the people living within their borders. The MoUs, specimen and data sharing agreements were templates. Countries’ answers fit into pre-specified questions that did not include, “how are you going to fill financing gaps and stabilize your health system as this plan unfolds?” In contrast, the implementation narratives are open form—the product of co-creation between the two governments. Co-creation can mean lots of things, but nothing leads me to believe that implementation plans are ghost-written by the US government, or that contents were imposed by the US counterparts. Instead, I think the parts of the plans that read like country government initiatives are endorsed, if not initiated by, those governments. For instance, the Ugandan implementation plan narrative describes plans for revenue-generation through fees charged for equipment calibration, repair and maintenance provided through Uganda’s National Equipment Calibration Laboratory, and laboratory accreditation through the Uganda National Accreditation Service (UGANAS), targeting private sector, PNFP, research and academic clients. That’s super specific and also quite ambitious. It doesn’t read like an American idea. There’s also a provision for solar panels, and other stuff that feels country owned and driven. This is where it gets interesting. If co-creation is the case, then both the US and co-signatory governments are accountable for the contents and the outcomes. Most discourse about AFGHS to date has focused on the decisions that America has made, or demanded that other countries make. The AFGHS architects have monopolized the hot seat. As they should, in so many ways. America absolutely created the conditions under which countries needed to come up with health financing strategies to fill unanticipated, catastrophic funding gaps. And with not-too-long a lens, we can look back and see that America is also on the hook for its role in the Bretton Woods institutions that made user fees and health system fiscal austerity conditions of loans during the era of structural adjustment. But in the here and now, it is not at all clear to me that the US is requiring Uganda or any other country to implement specific approaches to sustainable financing. Instead, it is as the authors of that paper up in footnote 6 suggest: African governments have agency. As implementation plans roll out—whether or not the narratives are shared—it will be important to understand what this agency looks like and what it means for people, including the poorest of the poor. And it will be important to figure out how to talk about it safely, respectfully and critically in places other than the literal and metaphorical footnotes. 25 This week’s song is “Once upon a time” by the Moody Blues. (I know, this is gonna be a weird, largely banger-free end of 2026 playlist. HMU with requests.) AND please do watch the video and appreciate the truly amazing opening sequence—a drum kit wasteland, a coupla plastic bags, a bit of sand. Sort of like the hill where fiscal austerity policies that put costs on health care users might go to perish. But then there’s a lady with amazing hair. It’s worth it.
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The Last Disney+ Original?
(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) Before we get going, I wanted to remind readers about how I plan to keep your trust while I add advertising to this newsletter. As you’ve no doubt noticed, I’m running ads now, but the danger is that it could impact my analysis and writing. I have a list of sponsors on my About Page, so if you think I’m biased, you can check out who’s sponsored this newsletter! This is something that I’m not sure anyone else in digital media does (if you’re a writer or media outlet and you do this, let me know and I’ll shout you out!) but it’s something I’d love to see embraced by the entire industry. Sunlight, i.e. transparency, is often the best disinfectant. Okay, on to this week’s issue. We (finally) have another major Disney+ TV show to talk about, so that’s my main focus for today. Plus, we had a lot of new shows come out, including the fourth seasons of The Diplomat and Tulsa King! And Love is Blind! The Lowdown! Also, four (four!) straight-to-streaming films came out this week, featuring a lot of big names and celebrities, so I’m going to look at those. All that, mixed news for the WNBA, Reacher ends its run on the charts, Skydance does well in September viewership, NYU’s Sundance dominance, all the flops, bombs and misses, and a whole lot more. Let’s dive right in! (Reminder: The streaming ratings report focuses on the U.S. market and compiles data from Nielsen’s weekly top ten viewership ranks, Luminate’s Top Ten Data, JustWatch and Reelgood interest data, Samba TV household viewership, company datecdotes, Netflix hours viewed data, Google Trends, and IMDb to determine the most popular content. While most data points are current, Nielsen’s data covers the weeks of October 12th to October 18th, 2026. You can find a link to my terminology here.) Subscribe Television - Disney+’s Porridge Problem Listen, per my headline, VisionQuest isn’t the last Disney+ Original. At least, I’m pretty sure it’s not. They have other MCU shows in development. Well, maybe one: But it sure feels like the end of an era. I’d call it their “porridge too hot” era, to quote myself from The Ringer. I told Ben Lindbergh that Disney+ seemingly couldn’t figure out the right amount of content. In the heights of the Streaming Bubble Era (circa 2019 to 2022), they started releasing an insane amount of TV shows. After their growth slowed, they’re down to two or three shows a year, and that might be down to 1 by 2027. Here’s my TV shows by year chart: Even at the time, I thought Disney was making too many shows (that cost too much). Today? They’re definitely making too few shows (though the budgets are more in check, at least according to the reporting). Porridge too hot, porridge too cold; too many shows, now not enough. Which makes evaluating VisionQuest so interesting. This show didn’t have a great lead-in, whether it be a Marvel Cinematic Universe film (the last non-Sony-produced-Spider-Man flick came out The Fantastic Four from July of 2025) or Marvel Cinematic Universe TV show (the two this year were Wonder Man back in January and _Daredevil: Born Again_in May, both of which underwhelmed). And so far, VisionQuest hasn’t quite recaptured the MCU Originals glory, but it has some signs of sparks. First, it made Samba TV, though at a lowly ninth place. At least it made it, a feat some other Marvel shows didn’t accomplish. (Ironheart landed on the Samba TV charts one week at tenth place, but Wonder Man and Daredevil: Born Again both missed.) VisionQuest also made Luminate, though with only 3.0 and 7.6 million hours. But it missed Nielsen in its first week. The best news might be its 7.8 on IMDb, on 12K reviews so far, great numbers, even for a superhero show. Looking at those numbers, this show will really need to pick up in future weeks—and it may since it’s coming out weekly—or Disney will have another disappointment on its hands. Disney+ binge-released their last few shows to try to boost numbers, but that meant shows like Iron Heart and Wonder Man didn’t last long on the charts. _Daredevil: Born Again’s_last season missed entirely (though it came out weekly). Here’s the Disney+ Originals by totals: And for a fun new look, here are those same shows, rearranged by the years they came out: That really shows that, in addition to Disney+ releasing fewer shows, those shows just don’t hit like they once did. If I had to offer one main explanation, it’s that Marvel Studios moved away from characters who starred in the Avengersmovies (The Scarlett Witch, Vision, Hawkeye, Loki, Falcon, Winter Soldier) to characters who didn’t (Moon Knight, She-Hulk, Iron Heart, Wonder Man, Daredevil). It sounds trite, but more popular IP tends to do better than less popular IP. In Marvel’s case, beloved, decades-old characters trump newer ones. And yes, I think this is a problem for Disney. The failure of Marvel TV shows to linger for weeks on the charts, unlike in 2021 and 2022, explains why Disney’s share of the charts has plummeted: That’s a strategic issue. Yes, these shows are really expensive, but without them, Disney+ will struggle, especially if Disney+ keeps raising prices AND licenses out its shows non-exclusively. My recommendation? Return to the core value proposition, which is Disney+ as “genre HBO”. The goal is six shows a year, coming out weekly, spaced out throughout the year. When a show hits, keep it coming back. Make three to four of those shows Marvel or Star Wars, and fill out the rest with IP swings like Percy Jackson, Goosebumps or something like National Treasure. And make YA-skewing shows like Coven Academy to fill out the schedule. Disney, you can get this porridge just right, er, make the right number of shows. Quick Notes on TV Netflix’s sophomore, er, junior, er, senior season slump abated very, very slightly this week. I speak of The Diplomat, which returned for its fourth season on 15-Oct. Credit where credit is due, this show debuted in April of 2023, and has put out new seasons every year since. Has that helped the viewership? Not really. This season opened to 16.4 million hours, which is down significantly from the first season (21.7 million hours) and down somewhat from the second season (18.0 million hours), but it is up from last year’s 14.2 million hours opening. On Samba TV, it opened to third place; that’s also very good. On Luminate, it opened to 25.0 million hours, which is good, but over thirty million hours is a hit on that platform. Netflix wisely renewed it, since it’s steady and, frankly, Netflix needs hits.1 Paramount+ put out Tulsa King’s fourth season on a Friday. After putting out most of their big, usually-Taylor Sheridan-scripted shows out on Sundays last year, they’ve clearly moved to Fridays going forward. Was this a thought-out strategic change, Netflix mimicry, or a data-inspired move? Tough to say. Fridays are crowded with new movies, but so are Sundays with new shows. Anyways, this one is coming out weekly, and we haven’t seen it hit the Nielsen or Luminate charts yet. But it did make Samba TV at fifth place, which is a good opening. Still, if this doesn’t make Luminate or Nielsen next week, I’d call it a disappointment. Netflix had two unscripted shows hit the charts this week, one a docu-series and one a reality competition show. Tyson is a four-episode docu-series about one of boxing’s most popular fighters, and it made both the Samba TV and Luminate charts, but not Nielsen. That’s a solid run for only four episodes (assuming it didn’t cost an arm and a leg to produce). Netflix’s latest season of Love Is Blind also returned for its eleventh season, which opened to 10.0 million hours, down from previous seasons. It also had 11.0 million hours according to Luminate, roughly in line with the Nielsen numbers. Last issue, I analyzed the triple successes of Below, Carrie and Crystal Lake, noting that all three have done well. I mostly used Nielsen, but all three shows also made Samba TV (see above). Crystal Lake in particular did very well on Luminate, getting 35.0 million hours, top for Peacock among first seasons: The top “show” of the week would have been Thursday Night Football again, at 41.7 million hours. This is still above last year’s game, but it continues the season’s overall downward trend, which happens every year. (Though a big week is coming, based on the news stories I’ve seen.) As I said before, I’ll do a deeper dive on all the October games later this month, with comparisons to previous years. One company is quietly on a roll, when you consider the shows it makes and streams. I speak of Skydance—a point Variety made—noting that it produces Neagley and Reacher for Amazon, along with Paramount+’s Lioness, which means it produced three of the top four shows of September according to Nielsen. By the way, Neagley fell off the Nielsen charts after four weeks, which is a pinch short for how well it started, but it’s still a huge success. (Interestingly, it finished just 7.3 million hours ahead of the cancelled Ride or Die.) The point, though, which I’ve made before, is that Prime Video still has a problem with how many co-productions it buys, most notably _The Boys_from Sony and Reacher/Jack Ryan from Skydance. It’s not a critical flaw—everyone licenses shows—but Amazon still struggles to make its own hits. Reacher finally fell off the Nielsen charts, so here’s its final rank for season four: We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… ...An example of the algorithm NOT picking a film… …whether or not Netflix buys shows simply for the movie poster… ...if East of Eden is above the Obliterated Line... ...what four star-studded straight-to-streaming films didn’t chart... ...and a whole lot more... ...please subscribe! We can only keep doing this great work with your support. If you want an idea of just how much content you’d get in a full issue, check out this older issue.
Mental health evaluation ordered for man accused of assaulting police officer
On Monday afternoon, the man was allegedly involved in a violent encounter with police near Armory and Cleveland streets
NASCAR Issues Big Penalties Over Brake-Checking at Martinsville
NASCAR issued big penalties to Carson Hocevar and Josh Berry over "brake-checking" incidents in Sunday's Cup Series race at Martinsville Speedway.
Detroit Lions Place LB On Injured Reserve, Waive DB Following Devastating Injury News
The Detroit Lions waive Bishop Fitzgerald and place Jimmy Rolder on injured reserve as Brad Holmes addresses the team's growing defensive injuries.
Elizabeth Holmes' partner addresses 'You Can See Everything' nude scene
Billy Evans is ready to say everything.
Elizabeth Holmes’ partner denies ‘You Can See Everything’ director’s story about full-frontal nudity: ‘False narrative’
Elizabeth Holmes’ partner Billy Evans answered numerous questions about ‘You Can See Everything,’ including claims about how his full-frontal nudity scene came about.
The Toronto lab using new science to unlock the secrets of old books
Inside this medieval studies laboratory at the University of Toronto, researchers use high-tech tools to discover hidden text, invisible ink and centuries of human history.
Seasonal Health Reminder
As we enter the colder months, seasonal illnesses such as influenza, pertussis (whooping cough), strep throat, and other common viruses tend to become more prevalent. We want to take this opportunity to share a few reminders to help keep our students, staff, and school community healthy.
Targetron Reports Rising Demand for Local Business Intelligence as Organizations Refine B2B Growth Strategies
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Looser Health IT Certification Requirements Shift Oversight to Health Systems
The U.S. Department of Health and Human Services (HHS) is rolling back several health IT certification requirements that could reduce certification costs for technology developers. But they may leave hospitals and health systems holding more responsibility for evaluating the safety and performance of the AI tools they purchase.
Thousands of pregnant women at risk in Yemeni city of Taiz, UN agency says
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Live Results: Nevada governor midterm election
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Chinese AI models fall behind Anthropic, OpenAI in new AI rankings
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Watch unbelievable catches and vote for Section V's top receiver
Who do you think has had the best season in 2026?
Siena men's basketball loses at Bryant in Nevada Smith's debut
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Detroit Lions Sign Linebacker Following Devastating Injury News
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UNC Basketball Prevails in Tight Season Opener vs. Western Carolina
Matt Able’s 17 points sparked the Michael Malone era as the Tar Heels withstood a late Catamount surge.
Brevard County HS Sports Weekly Results, Week of Nov. 2-7
Brevard County HS Sports Weekly Results, Week of Nov. 2-7
Afrika Konnect Las Vegas 2026 to Welcome International Business Delegation November 18
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Jaguars’ Defense Must Overcome Devastating Loss of DaVon Hamilton
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DeAngelo Hall Returns To Panthers With A Thin Secondary
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Research roundup: 6 cool science stories we almost missed
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Neighbors helping families, businesses impacted by devastating fire in Blue Island
Do political polls mean anything anymore?
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Daviess County students learn from mobile science center
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'The Chosen' cast opens up about 'brutal' Season 6, portraying Jesus' final hours: 'A painful watch'
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The Revamped Villanova Wildcats Boast Greater Depth In 2026-27
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Open enrollment for Nevada Health Link begins for 2027
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Hamstring issue for Kyler Murray
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Model Indya Moore Goes After Martha Stewart's Deeply Insensitive Halloween Costume
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What’s Up: November 2026 Skywatching Tips from NASA
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Smyth in contention as Saints evaluate kicker slot
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Perrigo’s infant formula business bought by MeridianMade; Georgia facility to be evaluated
GEORGIA — Perrigo’s infant-formula business, including its Georgia facility, will be purchased and evaluated by MeridianMade.
Grading The Miami Heat's Offseason After Start To Season
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CSO of Napo Pharmaceuticals, a Jaguar Health Family Company, and Clinical Investigators Evaluating Crofelemer Conduct Panel Discussion at Pediatric Gastroenterology Conference in Dubai (UAE)
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Meet the Notable Leaders in Communications for 2026
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Viktar Babaryka’s return and the limits of managerial politics
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Knox Community Hospital to join Kettering Health
KCH said the decision followed months of evaluation, including more than 800 hours of onsite and virtual meetings.
Learning to LEAP: Building business confidence for nature-related assessment and disclosure
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Unveiling Oscar Health (OSCR) Q3 Outlook: Wall Street Estimates for Key Metrics
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Xtalks Announces its Life Science Webinar Calendar for November 2026
Stay on top of current hot topics through free webinars presented by leading experts in the pharma, biotech, medical device and healthcare industries. Access to all webinars is free, so be sure to register today to save your place! Participate in the discussion and stay relevant in your field!
Federation of State Physician Health Programs (FSPHP) Confers FSPHP Evaluation and Treatment Accreditation (FSPHP-ETA™) upon Palmetto Addiction Recovery Center
The Federation of State Physician Health Programs (FSPHP) is proud to announce that Palmetto Addiction Recovery Center has been awarded the prestigious FSPHP-ETA™ Accreditation, recognizing its commitment to excellence in evaluation and treatment services for medical trainees, physicians, and other healthcare workers in safety-sensitive occupational roles.
Lucinda Williams ready for Iowa City Songwriters Festival
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Ravens reportedly interested in trading for veteran quarterback
The Baltimore Ravens’ season took a devastating turn on Sunday, when star quarterback Lamar Jackson injured his throwing thumb on the first play of a 36-10 loss to the Buffalo Bills. Now, with backup Tyler Huntley also banged up, the Ravens could reportedly turn to the trade market for help. According to one report, the…
A busy southern Dallas health clinic gets a revamp
Parkland is finalizing plans to build an outpatient-focused center in needy area of Dallas County.
Florida Department of Health considers dropping 4 school vaccine requirements – here’s what that could mean for kids
Most parents of young children today haven’t experienced the devastating childhood diseases that used to be common before vaccines were developed.
Seahawks Receive Compelling Trade Message on Raiders’ Ashton Jeanty
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Jayden Daniels snaps unbelievable drought with Commanders' win over Eagles
For the first time in more than a year, Jayden Daniels has a win.
Wailuku First Friday returns Nov. 6 with ‘Wailuku Gives’
Wailuku First Friday returns to the heart of historic Wailuku Town on Friday, Nov. 6, 2026, from 6 to 9 p.m., bringing an evening of live entertainment, local shopping, food, and community celebration.
Evacuation at Blaisdell Hall shopping event after apparent chemical incident
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Yakima Co. health officials confirm person infected with bird flu has died
YAKIMA CO., Wash. - The Yakima County Health District confirmed Sunday a person in the county has died due to complications of the bird flu.According to the YCHD, the person was hospitalized after becoming severely sick and was diagnosed with avian influenza. They said the person came into contact with infected cattle and that's how they got the illness.At this time, the YCHD is not releasing the identity of the person who died, their gender or their age. They confirmed the person did have underlying health conditions, but did not release what those were.This comes as a third confirmed human case of bird flu was reported Sunday. This person also became infected after being exposed to sick cattle at a Yakima County dairy. YCHD officials said this person is not experience severe illness and is not hospitalized.The YCHD is working with the person to identify and contact people who may have come into contact with those who are infected in an effort to monitor the illness.Officials with the YCHD said the risk of being infected with bird flu in the general public is low. Those who are at greater risk are those who have close or prolonged contact with infected animals or are in an environment that is contaminated with the virus. As of this writing, no documented case of human to human transmission has ever been recorded in the United States but it is not impossible. COPYRIGHT 2026 BY APPLE VALLEY NEWS NOW. ALL RIGHTS RESERVED. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED. News Suspected DUI crash in Walla Walla Co. kills Umatilla woman Erin Wencl News Man dead after early morning shooting in Yakima Erin Wencl News Pasco police asking for video of Saturday's fatal shooting near Don Rubio's Erin Wencl News Trick-or-treating wins popular vote at Yakama Nation trunk-or-treat Tyler Wargo News Justin Krumbah's family fights on after judge denies Kelly's request Dan Hanson, Apple Valley News Now News Toppenish gets nearly $1.5 million to improve traffic safety on State Route 22 Robert Desaulniers
Evaluating Travis Hunter's playing time in Jaguars Week 8 win
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TCU Basketball Opens New Season With Big Expectations Against Lindenwood
TCU basketball opens its 2026-27 season against Lindenwood on Monday as Jamie Dixon, Xavier Edmonds and a revamped roster chase another NCAA Tournament run.
Benedict Cumberbatch's Forgotten Sci-Fi Series Is More Relevant Now Than Ever
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Taika Waititi slams bad reviews of latest movie as ‘irrelevant,’ out of touch,’ ‘obsolete’
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Taika Waititi slams bad reviews of ‘Klara and the Sun’ as ‘irrelevant’ and ‘out of touch’
Taika Waititi is taking aim at critics after ‘Klara and the Sun’ arrived to poor reviews and bleak box office numbers: ‘Irrelevant. Out of touch. Obsolete.’
FSU Terminates Defensive Coordinator Tony White Amid Norvell Firing
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Trump signals he’ll give closing election pitch at the Reflecting Pool, a revamp plagued by problems
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FSU Leadership Meeting to Determine Mike Norvell’s Future Following Clemson Loss
Florida State is reportedly evaluating Mike Norvell’s future following another disappointing loss to Clemson amid mounting pressure for change.
Bob Chesney’s Blunt Reaction to UCLA Attendance Questions Turns Heads
UCLA head coach Bob Chesney has guided the No. 7 Bruins to a stellar 8-0 Start and a top-10 national ranking. The historic program is thriving on the field under his leadership, following a dominant 27-0 shutout victory over Nevada on Saturday. Yet the newly appointed leader faced a quiet reality at home stadium. Addressing […] The post Bob Chesney’s Blunt Reaction to UCLA Attendance Questions Turns Heads appeared first on Gridiron Heroics.
Savannah Guthrie makes devastating plea to public 9 months after mom’s disappearance: ‘Please help us’
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Buzzy Holmes doc wins slow Halloween box office in N. America
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More than 200 defendants awaiting pre-trial mental health, competency evaluations in Georgia
Fulton County leads when it comes to how many defendants are waiting for pre-trial mental health evaluations.
More than 200 defendants awaiting pre-trial mental health, competency evaluations in Georgia
State officials said wait times have improved significantly, but defendants still wait an average of 72 days for pre-trial assessments.
Opinion | ‘Responsibility’ in an Age of Political Evasion
The system today provides strong incentives not to accept responsibility for anything bad.
DiCastro's Brick Oven in Rome to close
DiCastro's Brick Oven Restaurant will close its doors at the end of the month after 16 years of slinging pizzas along Erie Boulevard West in Rome, according to owners Jim and Lisa DiCastro.
The Top 20 Most Played Steam Deck Games of October 2026
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Industry Focus
Nevada legal executives examine AI integration, attorney recruitment, support staff shortages, the new Nevada Plan licensing model, and commercial dispute resolution.
Balancing Risk and Rate
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Entitlements
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Eagles elevate running back, linebacker, downgrade cornerback for Commanders clash
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No. 7 UCLA turns Rose Bowl into House of Horrors in monstrous win over Nevada
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A shooting that injured a woman early Saturday morning has renewed concerns among Southside business owners who say large late-night gatherings along Atlantic Boulevard have become a recurring problem.
The Best Time to Fix Your Business Is When Things Are Going Well by Nathan Tayloe
There's a pattern I've noticed working with growing businesses over the years. Conversations about what needs to change rarely happen when things are going well. They tend to happen when growth slows, a competitor starts winning business, or something that used to work stops producing the same results. By then, the decisions are often harder, more expensive, and more urgent than they needed to be. It's understandable. When revenue is growing, customers are coming in, and employees are busy, there's little incentive to question what's working. Leaders have plenty to manage without creating new challenges for themselves. Running my own business has taught me that it's easy to get caught up in what's happening today and put off improvements you know will matter tomorrow. Those periods of success may actually be the best opportunity a business has to make meaningful improvements. When Success Makes Change Less Urgent Most businesses have things they know could be better. The challenge is finding a compelling reason to address them when everything appears to be working. Maybe the company has outgrown its original positioning. Perhaps internal processes haven't kept pace with growth, or the customer experience has become inconsistent as the organization has expanded. These issues don't necessarily prevent a business from growing. Strong demand can make them easier to overlook, especially when teams are focused on keeping up with the work already coming in. Over time, small inefficiencies become accepted ways of operating. Outdated processes remain in place because they've always worked well enough, and opportunities to improve get pushed aside in favor of more immediate demands. The business continues moving forward, but some of the things supporting that growth aren't getting stronger along with it. The Advantage of Acting Early When a business is performing well, leadership has something valuable: options. There's more flexibility to invest, experiment, develop people, and make thoughtful decisions without the pressure of an immediate problem that needs solving. Compare that with trying to make the same changes when revenue is declining, or the market has shifted. Investments become harder to justify, timelines get compressed, and decisions that could have been made strategically become urgent responses to circumstances. I've seen businesses postpone improvements for years because there was never a particularly good time to address them. Eventually, circumstances decide for them, often when they have fewer resources and less flexibility to respond. Growth Changes What a Business Needs This is especially relevant in a growing market like Wilmington, where new businesses, new residents, and continued investment are creating opportunities across the region. As organizations grow, the expectations placed on them change. Customers expect greater consistency, employees need clearer processes and opportunities, and leadership has to make decisions that support a larger, more complex business. What worked when a company was smaller may still work today, but that doesn't necessarily mean it will support where the organization wants to go next. Sometimes the most valuable improvements are the ones that prepare a business for demands it hasn't experienced yet. That might mean: Strengthening internal processes before they become bottlenecks Developing leaders before the organization depends on them Improving the customer experience before inconsistencies affect retention Revisiting positioning before the market outgrows the company's story None of these changes requires a crisis. They require recognizing that a growing business needs to keep evolving, even when current performance gives leadership little reason to worry. Use the Good Years Wisely Successful businesses don't need to constantly reinvent themselves. There's value in knowing what works and having the discipline to build on it. There's also value in occasionally asking whether the business is as strong as its current performance suggests. Are there problems we've learned to work around instead of solving? Are we still operating the way we did several years ago, even though the business has changed? What would we improve today if we weren't waiting for something to go wrong? Success creates the freedom to ask those questions and act on the answers. The businesses that make the most of that opportunity are often better prepared for whatever comes next. The strongest businesses don't need a crisis to recognize an opportunity to improve. They use the good years to prepare for the years ahead. — Learn more about how we help organizations strengthen their positioning, align their strategy, and prepare for what's next at tayloegray.com, or reach out directly at nathan@tayloegray.com.
Eagles Make Roster Move for Former 1,000 Yard RB
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Casa Grande shooting leaves 1 dead, 1 injured after fight outside businesses
A 49-year-old man died and another was injured following a three-man altercation along East Florence Boulevard in Casa Grande. A 40-year-old suspect is in custody.
Cardinals elevate defensive lineman to active roster
The Arizona Cardinals elevated defensive lineman Jared Harrison-Hunte to their active roster, the team announced Saturday.
Fire ‘extensively damages’ two Sacramento County businesses, Metro Fire says
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Carsen Ryan elevated for Week 8
Browns TE Carsen Ryan called up from practice squad before Week 8 game
Has Kyle Smith Built an NCAA Tournament Team at Stanford?
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Mental health fair supports community, offers activities
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Windows 11 tries new shortcuts for Xbox gaming mode and search
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Drake Equation: The "Second Most-Famous Equation In Science" Turns 65 This Week. Is It Still Relevant Today?
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Florida education chief defends science plan
Education Commissioner Henry Mack pushed back Tuesday against criticism that Florida is de-emphasizing evolution in its new plan for teaching science, insisting the state is still covering a subject he agreed was a bedrock of biological science.“Evolutionary biology and the theory of evolution is in the standards,” Mack said. But several parents and teachers who attended an evening forum on the state’s proposed science standards criticized the proposal by the Florida Department of Education, which Mack runs, specifically the handling of evolutionary science.Joshua Garrett, a teacher in Orange County Public Schools, said the state’s proposed standards “danced around” evolution.State standards are benchmarks for what students should learn in their classes kindergarten through 12th grade, guiding what lessons are taught, what subjects are in state-approved textbooks and what concepts are tested on state exams.Florida’s current science standards call evolution a “big idea” and “the fundamental concept underlying all of biology.”The proposed ones barely mention evolution — a scientific theory explaining change in living species over time from natural selection that has been a cornerstone of biology for more than a century. The term “evolution,” in fact, is never defined in the new high school life sciences standards, though the concepts are sprinkled across several units.The education department has made revisions to its proposal, officials said, but it was not immediately clear at the Tuesday forum, held at Lake Buena Vista High School in southwest Orange County, what those changes were.Mack interjected during Garrett’s comments asking him where specifically he wanted the state to mention evolution more prominently. Then he said, “Consider it done.”Mack also asked Garrett to join the state’s faculty committee on the standards.The state released the new standards in September, and several experts quickly criticized them, saying they lacked depth and skirted around both evolution and climate change, important topics for Florida students to learn.The state has since hosted a “listening tour,” including a virtual forum and two other in-person meetings in Walton and Hillsborough counties. Tuesday’s meeting drew a small crowd of about 30 people, six of whom spoke.Mack described the state’s public forums as a chance for “myth busting” and to make clear Florida’s position.He wants to students to learn “above ideology,” he said, and added that evolution isn’t settled science. TNCMS.AdManager.render({region: 'fixed-big-ad-middle-asset', slot: 1, fold: "span"}); “I want to cultivate skeptics in the healthy sense of that term. As a result of these standards, students should not be walking away convinced of anything other than the rigor of the scientific method,” Mack said.The new standards would replace the current set, adopted after a monthslong, statewide fight over the inclusion of evolution as a required subject of study. Those who opposed the 2008 standards argued creationism, or the biblical story that God created all living things, should be taught alongside evolution.Thomas Simon, a Winter Park parent, compared Florida adopting the new standards to Nazi Germany ignoring the findings of Jewish scientists — which in part lost them World War II.“If this board could explicitly name communism in the history standards last year — because words matter — you must explicitly name the foundations of modern medicine, agriculture, and energy,” Simon said.Florida last year adopted new standards that require students learn about the “dangers and evil of communism.”Teri O’Connor, an elementary science teacher in Orange County, urged Mack to curtail the total number of standards, as they list more than 1,000 benchmarks teachers are to cover during their classes.“It’s only 180 days of school. That right there is an issue, especially if you want to dive in. If we need to teach the rigor of it and to critically think about each one, that’s difficult,” she said.Kathleen Murray, who spoke on behalf of the conservative political group Citizens Defending Freedom, said she was in “strong support” of the proposed standards. Science should teach children how to think, not what to think, she said.“When teaching the origins of life and the universe, the curriculum owes it to the Florida students to be honest about the limits of what scientific models can actually prove,” Murray said.State education officials said they’d received about 1,800 comments on the benchmarks, and they have updated them based on that criticism.With Tuesday the state’s final scheduled public forum, Mack said his biggest takeaway was that the standards needed to be more explicit about teaching students how to evaluate scientific studies and evidence and how to understand the scientific method.“We might have to do a better job of helping students question more as a result of these standards,” he said.In his original statement when the standards were announced in September, Mack wrote in a social media post that “science begins in wonder, not in ideology,” and “the classical tradition taught that nature is intelligible because it is ordered — that the book of creation can be read by reason.”Some read that to mean he was trying to interject religion into public school education. 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