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5 revealing analyst questions from Clover Health’s Q3 2026 earnings call
Clover Health delivered results ahead of Wall Street expectations in the third quarter, driven by robust membership growth and improved operational performance. Management credited its clinically focused AI technology, Clover Assistant, for enhancing care quality and enabling more efficient cost management across its physician network. CEO Andrew Toy highlighted that increased Clover Assistant engagement and a disciplined growth strategy contributed to higher gross profit and operating margin ex
Frank and Dyche on standby! - Crystal Palace consider managerial alternatives as Pierre Sage fights to save his job
Pierre Sage’s tenure at Selhurst Park is hanging by a thread following a bruising 3-1 home defeat to Liverpool. The result leaves Crystal Palace rooted to the bottom of the Premier League table as the club enters the final international break of the calendar year.
School politics class: Americans deliver stunning rebuke to Donald Trump as blue wave sweeps country
US Congress
Mayra Flores Delivers a Blunt Warning to the GOP After Midterm Wipeout: “Stop Blaming Voters”
Rep. Mayra Flores, the first woman born in Mexico to serve in Congress, told fellow Republicans to stop blaming voters after the November 3 midterm elections and to address South… The post Mayra Flore...
Alessia Russo inspires struggling Arsenal to rare WSL win
England international Russo earned Arsenal just a third WSL win of the season against Liverpool, while Charlton remain without a point and London City Lionesses bounced back from last week’s disappointment.
Who was back to his best? Player ratings for Crystal Palace v Liverpool
How Crystal Palace and Liverpool's players rated following their Premier League match.
Apple aiming to make Siri 'more like an agent' as soon as next year: report
Apple finally shipped its long awaited personalized Siri with iOS 27. The company lived up to its promises, and delivered...
UCLA won’t let idiotic CFP selection committee leave it behind 8 ball
MINNEAPOLIS — Take that, you inattentive dolts. Eat this, you SEC apologists. Get lost, you power-hungry losers. With its majestic triumph over Minnesota on Saturday, UCLA delivered the only statement...
'Weekend Update' Turns Trump's Midterm Blame Game Into A Devastating Epstein Reminder
The “Weekend Update” host delivered a wild take on the president’s recruitment strategy following the red wipeout.
Big spending, little change: Why Portland voters rejected a shakeup, except in one key way
Tuesday’s election leaves Portland's political landscape largely intact but delivers a milestone for Multnomah County.
Voters demanded economic relief. Trump and Democrats face tough choices on how to deliver
Voters have sent a strong election-year message to President Donald Trump and the new Democratic congressional majority to repair the U.S. economy damaged by inflation.
Marcus Freeman made his point without saying a word. Notre Dame believes
Marcus Freeman trusted Notre Dame, and the Irish delivered against No. 1 Miami. Now a return to the CFP is within reach.
Midterm results deliver ‘youth quake’ to American politics
The 2026 midterm elections delivered a solid blue wave for Democrats along with a new class of noticeably younger candidates across the board, beating out both new and incumbent senior opponents. …
How Democrats reshaped the Senate, in charts and maps
Two years after President Donald Trump carried much of the country’s political map, voters in some of his strongest states delivered a dramatic reversal. Democrats flipped seven Republican-held Senate seats, including in states Trump won by double digits in 2024. These charts and maps show the geographic shifts.
Digital Foundry Delivers Its Tech Verdict On Stellar Blade's Switch 2 Port
"Better than expected"
Notre Dame Delivers Message on Lou Holtz After Miami Upset
Notre Dame took down the top-ranked Miami Hurricanes on Saturday, then dedicated the win to their longtime coach. The Fighting Irish used a strong defense to take down the unbeaten Miami team, winning 31-24. After the game, the team sent a two-word message to legendary coach Lou Holtz. The post Notre Dame Delivers Message on Lou Holtz After Miami Upset appeared first on HEAVY.
Phibro Animal Health (PAHC) Stock May Be Below Fair Value Following Revenue Beat
Phibro Animal Health has delivered a very strong share price return over the past few years, even as the stock has recently pulled back. With that kind of history on the chart, the key issue for you now is whether the current price can be explained by the earnings the business is generating. Over the last 3 years, Phibro Animal Health has gained about 2.6x. That puts a lot of weight on whether its profit power really supports that move. Recent reports show higher revenue and reaffirmed...
Crystal Palace vs Liverpool – Match preview and team news
Crystal Palace face Liverpool in their Premier League gameweek 10 fixture on Sunday at Selhurst Park, as Pierre Sage’s men aim for a positive result in their final game before the international brea...
Crystal Palace vs Liverpool – Predicted lineup and team news
Crystal Palace host Liverpool in their Premier League matchday 10 meeting on Sunday at Selhurst Park, with Pierre Sage’s side hoping to end the first part of their season on a better note before the...
Lane Kiffin was supposed to change everything at LSU. Instead, Alabama delivered a familiar nightmare
Liverpool XI vs Crystal Palace – Predicted lineup and team news
Liverpool travel to Selhurst Park looking to respond immediately after suffering back-to-back defeats for the first time this season.Andoni Iraola’s reign at Liverpool has been largely positive, but...
Player Ratings: Valencia 0–3 Real Madrid
Thibaut Courtois: 8. Had relatively little to do, but delivered when called upon. Made two good saves to help secure the clean sheet. Fede Valverde: 8.5. A thoroughly professional performance, highlighted by an incredible goal to open the scoring. Was rarely tested defensively, with almost all of Valencia’s attacks coming down the opposite flank. Ibrahima […]
MIT scientists turn immune cells into cancer killers inside the body
MIT scientists have developed nanoparticles that reprogram immune cells directly inside the body to attack cancer and harmful immune cells, eliminating tumors and reversing liver damage in mouse experiments. The breakthrough could make powerful immune therapies dramatically simpler and less expensive while opening new possibilities for treating cancer and autoimmune diseases.
CVS Health (CVS) Stock Could Be Cheap On Earnings Alone
CVS Health has delivered a solid share price gain over the past few years, yet the stock has recently pulled back and is now heading into a major breakup of the business. This puts fresh focus on whether the current price makes sense relative to its earnings power. With the shares closing at US$83.85, investors are asking if the recent news and the longer term performance leave the earnings story fully reflected in the valuation or not. Over the past 3 years, CVS Health has returned 38.7%,...
Slotkin won't rule out challenging Schumer for Senate majority leader
While newly elected Senate Dems weigh whether Chuck Schumer is the right leader to deliver on campaign promises, Elissa Slotkin is not ruling herself out.
UVA Center for Politics breaks down 2026 midterm results calling it a ‘political tsunami’
VIRGINIA (CBS19 NEWS) -- Democrats exceeded expectations in the 2026 midterm elections, delivering what political analyst Larry Sabato describes as an “absolute tsunami” that sent a clear message to President
Farmer receives $100 million donation, Crawford announces in State of the University address
Miami University President Gregory Crawford delivered his 11th State of the University address on Thursday, Nov. 5. Crawford touted the university’s accomplishments and announced the Farmer School of Business received the largest donation in Miami’s history.
Quercus Quire brings science and song to Sonoma County elementary students
For 40 years, the all-volunteer Quercus Quire has visited elementary school classrooms in Sonoma County to deliver age-appropriate science and nature lessons through song and dance.
Bradley Barcola explains why he left PSG to join Liverpool
Bradley Barcola says it was the “right time” to leave Paris Saint-Germain when he joined Liverpool in the summer transfer window. The Reds shelled out an initial £106 million to sign the winger, ...
The Healthcare ETF Showdown: Broad Global Health or Targeted Pharma Power?
PJP delivered 32.8% returns over one year with concentrated U.S. pharma exposure, while IXJ offers broader global healthcare diversification and a higher dividend yield.
Health Care Disparities Persist Across Liver Diseases
Liver disease disparities tied to insurance and race spanned HCC surveillance, transplant listing, and drug access in data at The Liver Meeting 2026.
WBNS 10TV
From its founding in 1949, WBNS-10TV has strived to bring to central Ohio the highest quality news and entertainment programming, while utilizing the best in television technology. WBNS is the most-watched news channel in central Ohio, delivering 24-hour news, CBS programming and sports, top-rated syndicated programs and award-winning local programming. WBNS stands on the cutting edge of television broadcasting as it has since its inception. On television, online and on the go, 10TV News is Central Ohio's News Leader. WBNS is part of TEGNA, a publicly traded local media company dedicated to serving the greater good of our communities.
From 'Carolina Caroline' to 'The Invite,' 10 movies to stream now
Love movies? Live for TV? USA TODAY's Watch Party newsletter has all the best recommendations, delivered right to your inbox. Sign up now and be one of the cool kids.
Dion Dawkins Delivers Positive Playing Status Update Despite Not Practicing
Buffalo Bills offensive tackle Dion Dawkins is confident that he will play on Monday night despite not having practiced yet this week. The post Dion Dawkins Delivers Positive Playing Status Update Despite Not Practicing appeared first on HEAVY.
“Black Doves” season 2 ending explained: Does Wallace discover Helen’s secret?
The Netflix hit’s season finale delivers a shocking revelation and ends on a tantalizing cliffhanger.
Unfinished Business: The Lame Duck To-Do List for Hunters and Anglers
Bipartisan bills are within reach in the lame duck session, and each would deliver for fish, wildlife and the places we hunt and fish.
Science 37 Named 2026 “BioTechnology Innovation of the Year” for its Direct-to-Patient Clinical Trial Delivery Model
[Announcement text for desktop] [Shorter announcement text for mobile] Learn more
Amazon ditches Grubhub for Uber Eats partnership
Amazon has swapped its partnership with Grubhub, a distant third in the food delivery marketplace, for a similar arrangement with Uber Eats in a deal announced Thursday. Amazon Prime members
Pamela Abdy feels rage after Warner Bros. exit, she says at WIF Honors
Pamela Abdy received the inaugural Vanguard Award at the Women in Film Honors gala and delivered a powerful, 15-minute speech about the treatment of women in Hollywood.
In brief: Putting the squeeze on gene-editing techniques
Xiaojun “Lance” Lian, associate professor of biomedical engineering and of biology at Penn State, alongside biomedical engineering doctoral candidate Tahir Haideri contributed to a paper recently published in Matter. The research, led by scientists at the University of California, Los Angeles (UCLA), introduced a physical system that squeezes cells, temporarily loosening the DNA inside and making space for gene-editing tools to reach the target genes. The team said this is an improvement upon previous approaches because it enables a better yield of cell reprogramming, when researchers can coax one cell type to turn into another cell type. Lian and Haideri supported the research by guiding the molecular engineering of reprogramming cells from one type to another, building on their prior work improving how gene-editing tools are delivered to the cell’s genetic material. Editor’s note: The full article describing this work can be found on the UCLA news site.
Democrats won big in Ohio on working-class issues. Can they deliver?
Historians and political scientists say that framing the wins as ‘Ohio’s working class has come home’ is too simple
Bill Hader forgot he played the Cat in the Hat on ‘SNL’ before reprising role for animated movie
Bill Hader forgot that he delivered a dark take on ‘The Cat in the Hat’ in an ‘SNL’ sketch, years before voicing the chaotic feline in an animated kids movie.
Building a stronger behavioral health system for Ohio
The Ohio Education Research Center (OERC) in the John Glenn College of Public Affairs and the College of Social Work at The Ohio State University have partnered with the Ohio Department of Behavioral Health to support the state’s behavioral health professionals in selecting and delivering prevention and early intervention strategies that are b...
Red Wings Rookie Delivers Mature Message After Heartbreaking Loss to Vegas
Red Wings rookie Anton Johansson scored Detroit's only goal against Vegas, then delivered a mature message after the heartbreaking 2-1 loss.
Bausch Health's Gastroenterology Business, Salix, to Present New Data on Cirrhosis Trends and Severe Alcohol-Associated Hepatitis at The Liver Meeting® 2026
Bausch Health Companies Inc. (NYSE: BHC)(TSX: BHC) and its gastroenterology (GI) business, Salix Pharmaceuticals, will present a research poster at the American Association for the Study of Liver Diseases' The Liver Meeting® 2026, November 5–9 in Denver, Colorado. The study highlights the substantial mortality and rehospitalization among patients hospitalized with severe alcohol-associated hepatitis (AH).
“Bill Belichick Is a Convicted Cheater”: Rob Parker Delivers Brutal Verdict on Patriots Legend’s HoF Snub
Bill Belichick’s exclusion from the Pro Football Hall of Fame in his first year of eligibility remains a topic of conversation in the NFL world. Although the legendary coach has been nominated for the 2027 class after being overlooked on the first ballot, sports commentator Rob Parker believes Belichick’s involvement in multiple controversies should permanently disqualify him.
Exclusive: US is 'playing politics' with Patriots
Finnish Defence Minister Antti Häkkänen tells Euronews that European allies have already paid for the Patriot interceptor missiles, but Washington has yet to approve their delivery as Ukraine braces for further Russian attacks on its energy infrastructure.
AMC Entertainment Is Finally Back (Rating Upgrade)
AMC Entertainment delivered record Q3 revenues, driven by a robust domestic box office and higher ticket prices. Learn more about AMC stock here.
Jaguars Overwhelm Lamar Jackson-Less Ravens: 3 Takeaways From Jacksonville's Win
Joe Fagnano never got going against the Jaguars, who delivered a blowout win over the Ravens.
Voters approve measures barring transgender athletes from women’s sports
The measures in Arizona, Colorado and Washington state would restrict transgender students from participating on sports teams that align with their gender identity.
WHO at COP31: Health Day opens two weeks of activities to deliver on climate change and health
On Monday, 9 November, health takes centre stage as the thirty-first session of the Conference of the Parties (COP31) to the UN Framework Convention on Climate Change (UNFCCC) opens with a dedicated Health Day.
Vandalia Health, osteopathic school to reopen labor, delivery services at Greenbrier Medical Center
Greenbrier County families will again have access to labor and delivery services through an agreement between Vandalia Health and the West Virginia School of Osteopathic Medicine.
Jay Feely's Congressional Dreams Have Doinked Off The Uprights
Tuesday sure delivered. The blue wave—a bluenami—is a great relief to people with brains and functioning moral senses, but much of the strongest juice produced Tuesday night was drawn from a few individual races. Some of those were incredibly stirring. It feels amazing to wake up in a world where Susan Collins is out in…
Moment of Science: Rattlesnake personalities can determine bite venom injection, new study finds
Call it a "repeat performance" from riled-up rattlers! Here's the latest research on how a rattlesnake's personality can determine how much -- and how often -- they deliver a venomous bite. 🐍
Quin Snyder Praises Corey Kispert’s ‘Incredible’ Mental Toughness
Quin Snyder praised Corey Kispert’s mental toughness after the Hawks wing delivered 9 points off the bench in a 120-105 win over Washington.
Amazon Prime members are getting a new perk
Prime members can order Uber Eats through Amazon without paying a delivery fee on $25+ orders.
Sen. Gillibrand says Democrats must end Iran war, hold Trump accountable. But how?
Sen. Kirsten Gillibrand spoke with Morning Edition about Democrats' priorities, from lowering costs to ending the Iran war. But questions remain about how they'll deliver.
PENN Entertainment (PENN) Q3 Earnings and Revenues Top Estimates
PENN Entertainment (PENN) delivered earnings and revenue surprises of +52.38% and +0.33%, respectively, for the quarter ended September 2026. Do the numbers hold clues to what lies ahead for the stock?
Medicare delays controversial RPM rule update
Despite widespread opposition, Medicare will finalize a controversial proposal that will prevent providers, such as hospitals, from using third parties to deliver remote patient monitoring services.
‘Revenge of the nerds’: US midterms deliver a win for science – and a rebuke of Maha
The wins for Democrats come after years of cuts and upheaval to US health and science infrastructure
‘Revenge of the nerds’: US midterms deliver a win for science – and a rebuke of Maha
The wins for Democrats come after years of cuts and upheaval to US health and science infrastructure
Tiny Chihuahuas Hold a Big Surprise: A Sliver of Coyote DNA
The breed is descended from indigenous canines, which may have been intentionally mixed with wild coyotes long before Europeans arrived in the Americas.
When papers become currency: a Chinese debate about trust in science
Last Saturday, 31 October, I went to the University of Hong Kong’s Beijing Centre for its Talent Forum. It was the fourth stop in the series this year, following events in Shanghai’s Zhangjiang, Shenzhen’s Qianhai, and on HKU’s main campus. The programme covered a remarkable distance in one afternoon. HKU’s Xiao-Jing Wang discussed computational neuroscience, intelligence, and the prefrontal cortex—before even delivering his inaugural public lecture to students back in Hong Kong. His colleague Bing Zhang took us from the Big Bang to artificial intelligence. Tsinghua’s Xue Lan asked how AI might reshape the institutional infrastructure underpinning higher education. There were lively panels featuring industry leaders from JD.com, Xiaomi, Haier—and Kaiser Y Kuo on the closing panel discussing innovation and international connections. I cannot pretend to have followed every detail of the brain models or the astrophysics. The talk that stayed with me was closer to something we have covered before: Zhou Zhonghe 周忠和 on papers, evaluation, and scientific trust. Zhou is a palaeontologist, an Academician of the Chinese Academy of Sciences, and an international member of the US National Academy of Sciences. He is also editor-in-chief of The Intellectual (知识分子), China’s leading science commentary platform. His subject was uncomfortable enough for a room full of successful academics: what happens when the system for recognising good science starts rewarding something else? Part of my interest came from our sister newsletter, The East is Read, which covered the controversy around “Geng Tongxue” in May. A PhD dropout from Beihang University, Geng has publicly challenged papers by prominent researchers through detailed online allegations of manipulated images and fabricated data. At Tongji University, an investigation into a challenged Nature paper found academic misconduct, and the dean of its life sciences school was removed. The affair brought doubts about academic integrity well beyond laboratories and university committees. How could someone outside the established hierarchy spot problems in papers that had passed through prestigious journals and institutions? And what, exactly, had all that prestige guaranteed? Zhou approached these questions through two essays published in July by The Intellectual: one by Wang Xiaodong, director of the National Institute of Biological Sciences, Beijing, and a response by Wang Liming, of Shanghai’s Shangsi Institute of Natural Sciences. Both began with the controversy over Geng. Their arguments deserve a wider audience, so I want to put parts of them alongside what Zhou said on Saturday. Wang Xiaodong’s starting point is evolution. A research system selects for the behaviour it rewards. Grants, jobs, journals, talent programmes, and prizes collectively determine which scientists prosper and which practices get passed down from advisors to students. “Whatever the system rewards is what it will evolve to produce,” he writes, citing the ancient Chinese saying: The King of Chu loved slender waists, and many in the palace starved to death. That is a more demanding diagnosis than saying there are dishonest people in science. Punishing a fraudster does not change the selective environment that made a particular kind of research profitable. His account also gives scientific success an awkward role in the story. As Zhou put it on Saturday, science became a victim of its own success. Once research became central to industry, national power, and economic growth, universities and laboratories expanded, and public money followed. That created an administrative need for rapid decisions: who should get the next grant, the next laboratory, the next appointment? The difficulty is that the true value of a discovery may take years or decades of testing and building to become clear. Resource allocation cannot wait that long. Publication counts, journal prestige, impact factors, and citations therefore become convenient ways to make an instant judgement. “The real problem is not that these indicators have no value,” Wang Xiaodong writes, “but that they are trying to answer a question that only time can answer.” Telling administrators simply to stop counting papers will never be enough. They still have budgets to distribute and appointments to make. Something has to replace the shortcut. Zhou described the consequences inside publishing. Papers acquire ever more requirements: a complete story, polished presentation, extensive datasets, and accessibility to readers beyond the immediate field. Individually, those demands sound reasonable. Together, he warned, they produce formulaic “eight-legged” papers 八股文 and rigid reviewing, while genuinely original or non-consensus work struggles to get past journal editors—some of whom wield immense gatekeeping power despite having limited laboratory experience themselves. Meanwhile, the demands for sprawling, “complete” narratives have fuelled a wider replication crisis. Wang Xiaodong uses a mahjong metaphor to describe the result: put the complex papers published by the exact same lab over several years side by side, and they often look like “Thirteen Orphans” (十三不靠)—every tile completely unrelated to the next, and none of them reproducible by outsiders. Zhou also spoke frankly as an editor who has trouble finding reviewers. Everyone wants someone else to review their work; qualified senior researchers have little time to return the favour. The labour is anonymous, unpaid, and brings almost no institutional recognition, so it increasingly gets passed down to postdocs and graduate students. And while anonymity protects reviewers from rank and personal favours, hyper-specialisation means an author’s most qualified reviewer is often a direct competitor, shielded from accountability. The protection and the problem coexist. Wang Liming takes the argument a step further. The decisive change, in his essay, is the instant conversion of academic honour into material resources. Once a paper can be cashed in for funding, a job, students, commercial investment, or even a company valuation, scientists are alienated from their work: they must keep minting this “research currency” to keep their teams alive. He is careful not to romanticise the past. The old world of gentleman scientists—financially independent figures like Boyle and Darwin who needed nothing from external funders—was also a closed club that excluded people without inherited wealth, women, and much of humanity outside the West. Professional science allowed ordinary people, himself included, to become researchers. Nobody should want to undo that. The problem, in his account, is an exchange system that becomes too uniform and too difficult to correct. His most pointed Chinese example is the “hat” (帽子): the prestigious talent designation that brings continuing access to money, laboratory space, students, and institutional influence. “If papers are the circulating currency of the research system, then a ‘hat’ is a bond that pays interest over the long term,” he writes. A paper at least requires another round of peer review. A title in the Chinese context can lock in a judgement made years ago and turn it into permanent status rent, regardless of whether its holder is still doing good science. Here, official institutions hire, organise, and evaluate scientists. Unlike honours awarded by autonomous academic communities in the West, a Chinese “hat” blends non-scientist administrative power with state authority. Once granted, it turns a past judgement into permanent status rent that is nearly impossible to revoke—because taking a hat off would imply that official authority erred in putting it on. Both Wangs see China as experiencing, at compressed speed, pressures present across global science. Research expansion, rising investment, publication growth, and elaborate evaluation metrics arrived in China within two or three decades rather than two or three centuries. Zhou agreed with that international framing—noting that recent US White House science policy documents and the new president of the US National Academy of Sciences, a fellow palaeontologist who recently visited Zhou’s institute in Beijing, have raised strikingly similar warnings about consensus-bound peer review, short-term project grants, and the replication crisis. Still, Zhou emphasised that China’s traditional hierarchy, personal networks (guanxi), and the ethos that “a good scholar becomes an official” (学而优则仕) amplify those pressures at home. So what would change things? Here Zhou’s tone differed from the call for a revolution in scientific trust in Wang Xiaodong’s essay. As an evolutionary biologist, Zhou favoured patchwork repair (修修补补). Living systems survive through accumulated adjustments; dramatic mutations are usually fatal. Science cannot return to a small, slow-moving pastoral era, especially after the successive accelerations of professionalisation after the Second World War, the internet, and now artificial intelligence. But it can alter the local environment in which researchers work. He pointed to domestic experiments designed to support unconventional research and diversify funding, including Tencent’s New Cornerstone Investigator Program, the Xplorer Prize, and the Future Science Prize. He also mentioned participating in reviews for “major non-consensus projects” under the National Natural Science Foundation of China. One guiding principle he recalled was wonderfully direct: “Failure is allowed; corruption is not” (允许失败，不允许腐败). That distinction would mean quite a lot if taken seriously. An honest attempt that fails should not have to disguise itself as a success to survive an assessment. Wang Liming’s essay adds a sharp caveat to the optimism about new domestic funders. Multiple organisations do not automatically produce multiple ways of judging science. If the same pool of senior domestic scientists makes the decisions through the same two-round review procedures, it is still “fake diversity.” He argues for three distinct kinds of money: broad baseline funding governed by fair procedures; patient funding for questions that take ten years; and non-consensus funding based on individual taste, deliberately empowering a few genuine experts to make biased, contrarian bets on eccentric ideas that would inevitably be averaged out by a committee. Replacing one monopoly with another achieves little; a healthy ecosystem needs variance. Zhou’s proposals for publishing were similarly concrete: strip papers of their resource-allocation burden and return them to recording discoveries and establishing priority; separate dissemination from evaluation, as eLife and Peer Community In do; adopt more modular “micro-publications” and real-name endorsements; recognize the labour of editors and reviewers; and give replication work proper credit rather than treating it as an unpublishable dead end. AI makes every part of this debate more urgent—and Zhou wove it throughout his talk. In his own preparation, he used AI to survey the declining influence of academic monographs, noting how tools are already changing how scholars gather information. More fundamentally, he placed AI as the latest great acceleration in scientific history: just as the internet sped up the pace of research and tightened external resource pressures, AI is compressing the cycle again. In the essays Zhou cited, AI cuts both ways. Wang Xiaodong expects large language models to erase much of the English-writing disadvantage long faced by Chinese scientists, further swelling the flood of papers coming out of Chinese labs. Wang Liming sees AI accelerating both ends of the trust crisis: it lowers the cost of paper mills and fabricated images just as quickly as it lowers the cost of automated image forensics, data auditing, and code reproduction. “Whoever builds the verification layer wins,” Wang Liming writes. His proposed alternative to the static, packaged “story paper” is a continuously versioned “unit of discovery” containing a falsifiable claim, raw data, analysis code, experimental parameters, and an ongoing log of independent checks—where negative results and failed replications are recorded rather than buried. Zhou ended his keynote by bringing AI back to the question of scientific honour and credit. Citing a recent Intellectual discussion on “What AI Means for Mathematics” featuring Fields Medalist Deng Yu 邓煜—at a moment when AI is already batch-solving mathematical conjectures, as HKU Vice-President Lin Chen noted in his opening remarks—Zhou agreed that human researchers must remain the principal agents: AI is a tool that frees scientists from tedious calculation to think about deeper, messier real-world problems. Yet that partnership creates a thorny new evaluation problem. When a breakthrough is made with AI, what is the human contribution and what is the machine’s? And since AI models distil centuries of accumulated human scholarship, is it right that the credit and value flow so heavily to the private AI companies building the tools? The old struggle over how to assign scientific honour is acquiring a whole new layer. What I took away was a serious discussion of how science can remain trustworthy as its scale, incentives, and tools change. These were scientists with real standing inside China’s system questioning how that standing is produced, and proposing changes that would affect their own institutions and peers. That made the afternoon at HKU’s Beijing Centre worthwhile. At the close, Wang Feng, Director of Communications and Public Affairs at HKU, said the value of the forum series—which heads to Hangzhou in December and cities like Chengdu early next year—would lie in the real cooperation it helped bring about. The university has plenty to celebrate: this week it topped the QS Asia rankings for a second consecutive year, alongside its 11th-place position in the QS World University Rankings 2027. For me, bringing this debate to an audience beyond the people who review papers and allocate grants was a useful contribution. Share [ The East is Read PhD dropout’s exposé forces an academic fraud reckoning in China A former doctoral student turned blogger has shaken China’s academic establishment by publicly accusing prominent university scholars of fabricating data and manipulating papers, triggering investigations at several leading institutions and drawing rare attention from state media… Read more 5 months ago · 43 likes · 8 comments · Yuxuan JIA ](https://www.eastisread.com/p/phd-dropouts-expose-forces-an-academic?utm_source=substack&utm_campaign=post_embed&utm_medium=web&embedding_publication_id=47580)
'Spider-Man: Brand New Day' Spins Up Massive Numbers for Sony's September Quarter Earnings
"Spider-Man: Brand New Day" delivered a major boost to Sony's September quarterly earnings.
Democrats won on affordability. Can they deliver it?
Democrats will hold Congress but President Donald Trump still has the power to block their plans.
Hackers Exploit Patched Apple Flaw to Deliver Info-Stealing Malware, CISA Says
CISA adds Apple CVE-2024-27834 to its KEV catalog after reports of active exploitation involving a pointer authentication bypass.
Moore talks Maryland budget, redistricting, Democrats’ future after reelection
Gov. Wes Moore is heading into a second term promising to make Maryland more affordable, but a projected $2.5 billion budget shortfall will test how he delivers on that pledge.
How Pittsburgh's 3 sports teams help keep neighbors fed during holiday season
From the gridiron to the ice to the diamond, Pittsburgh's three major professional sports teams deliver.
UnitedHealthcare delivers proposal to Lee Health that could maintain network access
UnitedHealthcare said it delivered a proposal to Lee Health on Oct. 30 that could maintain long-term network access.
Dan and deliver: Lurie wins another round with voters
The mayor's political agenda has been given another major boost.
Grand Canyon Development Partners Delivers New Entertainment Experience to Sunset Station in Henderson
Grand Canyon Development Partners (GCDP), a Southwest U.S.-based full-service real estate development and project management firm, recently helped deliver a new Stoney’s entertainment venue at Sunset Station in Henderson. GCDP provided development and construction management
Artemis II geologist talks historic lunar science mission
Megan Borel, a geologist for the National Aeronautics and Space Administration (NASA)’s Artemis II lunar science team, delivered a talk titled “The Moon Joy of Artemis” hosted by the departments of geology and physics Oct. 29 in Fowler Hall. Geology professor Nikki Seymour said she knew Borel previously and organized the talk. Seymour said her […]
Vance: ‘The reason we lost is the war’
The morning after voters delivered a blistering midterm rebuke of President Donald Trump, with Democrats flipping both chambers of Congress and racking up victories even in deep-red bastions, Vice President
Just six climate actions could save 1.6 million lives a year, WHO says
The WHO is urging governments to scale up six measures to tackle the health impacts of climate change, saying they could save millions of lives while delivering major economic benefits.
Kensing develops plant sterol-enriched cream cheese for heart health
The firm has unveiled a prototype light cream cheese containing its sunflower-derived Sunvasterol EST phytosterols, designed to deliver cholesterol-lowering benefits without compromising taste or texture
APT29-Linked Hackers Hijack Web Analytics Script to Deliver iOS and Android Exploits
APT29-linked attackers use compromised sites and Plerdy analytics to deliver iOS and Android exploits that steal browser and device data.
WSU Regent Howard Wright honored for longstanding commitment to improving public health in Guatemala
Later this month, the vice-chair of the WSU Board of Regents will receive an honorary doctorate from the Universidad del Valle de Guatemala and deliver its commencement address to graduating students.
Elon Musk's millions fail to deliver Texas for the Republicans
The billionaire's political action committee (Pac) contributed $47m (£35m) to Ken Paxton's campaign.
Madison Square Garden Entertainment (MSGE) Q1 Earnings and Revenues Surpass Estimates
MSG Entertainment (MSGE) delivered earnings and revenue surprises of +1,050.00% and +5.03%, respectively, for the quarter ended September 2026. Do the numbers hold clues to what lies ahead for the stock?
Democrats win governorships in Texas and other GOP-controlled states in rebuke to Republicans
The wins delivered a majority of governorships to Democrats for the first time in two decades, allowing them to put up a stronger defense against Trump's second-term agenda.
CVS Health (CVS) Beats Q3 Earnings and Revenue Estimates
CVS Health (CVS) delivered earnings and revenue surprises of +29.01% and +3.20%, respectively, for the quarter ended September 2026. Do the numbers hold clues to what lies ahead for the stock?
Channing Tatum debuts new Gambit accent for ‘Avengers: Doomsday’
Channing Tatum delivers new Gambit accent for ‘Avengers: Doomsday’ in Dunkin’ Donuts ad: ‘Doomsday is here, mon ami’
Democrats win control of the U.S. House
Democrats win the U.S. House and take unified control of Congress as voters deliver resounding rebuke to Trump.
Trump says Democrats 'did a good job,' blames Republican candidates for midterm losses
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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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