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Outfielders headline Dodgers top prospects at Baseball Prospectus
Josue De Paula ended the 2026 season as the top prospect in the Dodgers organization, while also playing briefly in the major league postseason after his September debut. So it’s no surprise that De Paula tops the list of top Dodgers prospects heading into 2027, as rated by the fine folks at Baseball Prospectus. But […]
Meet the Doctors and Scientists Who Won in the Midterms
These midterm winners know the health-care system from the inside—and want to help fix it.
Pennsylvania Dept. of Health confirms 6th measles-associated death in Jefferson County
Pennsylvania Department of Health (DOH) confirmed the 6th measles-associated death on Wednesday in Jefferson County.
Cooper Flagg drops rave review on early Dusty May pairing
The Dallas Mavericks opted for a coaching change this season, parting ways with Jason Kidd and replacing him with longtime college coach Dusty May . With a budding superstar on their hands in Cooper Flagg, the Mavericks did what they thought was best in terms of a coach getting the most out of the former No. 1 pick. And so far, the pairing between […] The post Cooper Flagg drops rave review on early Dusty May pairing appeared first on ClutchPoints.
Accendra Health could be delisted by NYSE
Accendra Health is at risk of being delisted from the New York Stock Exchange after failing to meet the exchange’s financial requirements.
Accendra Health could be delisted by NYSE
Accendra Health is at risk of being delisted from the New York Stock Exchange after failing to meet the exchange’s financial requirements.
Apple disables Siri AI waitlist in iOS 27, with one exception
A newly updated Apple support document says Siri AI no longer uses a waitlist to enable it, except in “high demand” times.
How a blue wave crushed the tech right
The Democratic wins that swept America on election night was a backlash against data centers, and a rebuke to Silicon Valley elites.
Women, science, and why The Love Hypothesis is the hit Rom-Com of the year
These are times of chaos, these are times of change, but they are definitely times for readers — and now it’s The Love Hypothesis’s turn. When I read this book by Ali Hazelwood a few years ago, it wasn’t that popular to adapt romantic comedies, but major streaming platforms are now treating us to a healthy
Trump’s political career crashed last night. So did his crypto.
Enriching the president no longer seems like a solid investment.
Trump-backed redistricting sought a midterm edge for Republicans. It didn't work
Republicans lost most of the Democratic-held seats they had targeted to flip, lost others they had banked on retaining and got swept out of power by a Democratic surge fueled by voter dissatisfaction with Trump, the economy and the war with Iran.
NBC’s Steve Kornacki explains why he walked off set during live election coverage
NBC News personality Steve Kornacki explained why he abruptly walked off set during the network’s live midterm election coverage.
Phillies Could Target Slugger In Attempt to Improve Offense
The Phillies need more consistency from their offense next season.
Peter Schrager attempts best Steve Kornacki impression
News coverage in America now looks a lot like sports coverage with its focus on horse races, battlegrounds, numbers, and analytics. So it was only appropriate that Peter Schrager paid tribute to America’s leading elections expert, Steve Kornacki, on Election Day. Kornacki has become a cultural phenomenon on NBC’s election coverage, thanks to his touchscreen…
Chinese scientists make toothbrush that uses electric shocks to reduce plaque
The self-charging devices can generate tiny currents designed to disrupt the spread of bacteria in the mouth.
Business Aviation Pilot Shares His Inspiring Journey From Line Tech to Learjet Captain
Read the remarkable story of a teen who quickly moved from a job fueling aircraft to a Learjet captain, thanks to hard work, determination and professional relationships.
Kraft Heinz to sell coffee business that includes Jacksonville Maxwell House plant for $650M
Kraft Heinz has agreed to sell its North American coffee business to an affiliate of One Rock Capital Partners for an enterprise value of $650 million, while keeping a 30% stake in the business.
Campbell has full lower body movement after neck injury
Detroit Lions' Jack Campbell says he is optimistic about his recovery after being taken to hospital for a neck injury.
Ryan Jeffers Facing Decision After Minnesota Twins Offer
The Minnesota Twins are attempting to bring back Ryan Jeffers.
Kevin O'Connell Scrutiny Returns Amid Vikings QB Struggles
Despite high-profile roster upgrades, Minnesota’s offense remains stagnant. With Kyler Murray struggling to find his rhythm, pressure mounts on Kevin O’Connell to adapt his system before the season slips away.
Browns Suffer Major Blow after Loss to Steelers
Cleveland Browns quarterback Deshaun Watson has been placed in the NFL concussion protocol after reporting symptoms from Sunday’s loss to […]
Prepping for business at The Honey Baked Ham Company
The Honey Baked Ham Company has options to help you prepare for holiday gatherings.
Steve Kornacki explains 'abrupt ending' to epic midterm marathon stream
Steve Kornacki is back to give viewers some closure after his epic midterms marathon.
ChatGPT will now make you animated GIFs
OpenAI is making ChatGPT image generation faster, too.
Square Enix Producer Yoshinori Kitase Teases Life After Final Fantasy VII, Future Movies, and Why He Wants to Create New IP Over Remakes
Final Fantasy producer Yoshinori Kitase reveals Square Enix will prioritize new games over remakes, discussing future film adaptations and what he wants to make next.
CVS Health to spin off its retail pharmacies into new company after regulatory pressure
The big announcement was made on Wednesday, and many of the details are still being worked out ahead of the planned 2028 split of the company. For now, the plan is for CVS Health to retain its core Caremark and Aetna businesses, with the pharmacy company to take over prescription drug sales and urgent care services.
South Carolina Stunner: Annie Andrews Explains How She Won
In a pre-election interview, she made clear that a Senate victory was in her grasp.
SIUC to host resource workshop for military veteran small business owners
Southern Illinois University Carbondale will host a resource workshop for military veteran small business owners and those wanting to start a small business.
FSU Partners With Special Olympics Florida to Expand Access to Health Screenings
Florida State University students and faculty partnered with Special Olympics Northwest Florida to provide accessible health and wellness screenings for individuals with intellectual and developmental disabilities at The Arc Big Bend in Madison, Fla. on Sept. 23. The Healthy Hearing and Strong Mind event brought together audiologists and students from the School of Communication Science…
Incumbent DA reelected by 3 to 1 margin in Hancock County
Incumbent District 7 top prosecutor Bob Granger of East Blue Hill swept up nearly three times as many Hancock County votes as his challenger, Steven Juskewitch, a Dedham attorney, on
BC vs FSU: Seminoles Offense/Defense Preview
Boston College returns home and welcomes a Florida State state team in turmoil. The Seminoles are 3-5, having lost three straight games, and just fired head coach Mike Norvell. Their lone conference win came against UVA, though they’ve kept things close in a couple of tough matchups, losing in overtime at Miami and in the […]
Katseye's 'last-minute' concert cancellation draws criticism, fan concern
The show must go on, but even Katseye needs a break. The Grammy-nominated girl group shocked fans after abruptly canceling their concert at Little Caesars Arena in Detroit on Tuesday,
Earnings call transcript: Madison Square Garden Entertainment beats Q1 2026 forecasts
Earnings call transcript: Madison Square Garden Entertainment beats Q1 2026 forecasts
Science Central: Mixology
Kristen Peck, Marketing Manager, Science Central, talks about Mixology, an event for people 21+ years old, featuring a Whiskey Experience.
Leading the Health Care Workforce Through Change: Leadership, Policy, and Innovation in Action
On Sept. 17, human resources (HR) and employee relations leaders from seven essential hospitals gathered in Washington, D.C., for “Leading the Health Care Workforce Through Change: Leadership, Policy, and Innovation in Action.” Hosted by America’s Essential Hospitals and Essential Hospitals Institute with support from the Robert Wood Johnson Foundation, the convening focused on strategies for […]
Anti-Transgender Political Rhetoric Played an Outsized Role in the 2026 U.S. Midterm Elections
Your Support Saves LGBTQ+Youth's Lives Every DayDonate94% of transgender and nonbinary youth said recent anti-LGBTQ+ politics caused stress or anxiety, […]
Trump’s midterm drubbing could give trade partners room to resist
Us midterm election results could ease trade tensions with Asia and Europe, impacting investment commitments and trade talks with China and India.
Earnings call transcript: Flutter Entertainment posts Q3 2026 loss, cuts guidance
Earnings call transcript: Flutter Entertainment posts Q3 2026 loss, cuts guidance
Fitness studio Swoot with nightclub-inspired classes to open second location Uptown
The upbeat, boutique fitness studio Swoot plans to open a second location this weekend in Uptown New Orleans, near Loyola and Tulane universities.
I was afraid of layoffs. So I started my own company.
Erika Sinner grew up in poverty in Missouri before starting as a receptionist and building a $13 million pharmaceutical marketing firm.
HRS: Careers in business and information technology
Hampton Roads Virginia and Northeastern North Carolina News, Weather, Traffic and Sports.
CAIR, CAIR-MI Congratulate Sen-Elect Abdul El-Sayed on Defeating the ‘Politics of Hate’ to Become First Muslim Senator
Muslim civil rights and advocacy groups praise people of Michigan for rejecting hate and Muslim voters for record turnout The Council on American-Islamic Relations (CAIR), the nation’s largest Muslim civil rights and advocacy organization, and its Michigan chapter, CAIR-Michigan, today congratula
Old Forge Library to host Social Security workshop
Old Forge Library will host a free Social Security planning workshop Nov. 10, covering retirement benefits, claiming ages, taxes and options for couples.
Back to the Future with Jean-Baptiste Lamarck
Lamarck believed that “all living beings are constantly transforming themselves” and thus life forms shape their own evolution.
BitGo Launches Institutional Trading Business
Cryptocurrency infrastructure firm BitGo Holdings (NYSE: $BTGO) has launched a new institutional trading and financ...
Madison Square Garden Entertainment Corp reports results for the quarter ended September 30
FORECAST CHANGESRECOMMENDATIONSThis summary was machine generated from LSEG data November 4 at 02:32 p.m. UTC. All figures in US dollars unless otherwise stated. (For questions concerning the data in this report, contact Estimates.Support@lseg.com. For any other questions or feedback, contact Refi…
New UND non-thesis biomedical graduate program adds to number of programs offering alternative experiences
The Department of Biomedical Sciences at the UND School of Medicine and Health Sciences is offering a non-thesis option of its Master of Science graduate program.
Farm acres the top recent property deal in Craighead County
Bane Land Farm and Cattle and Tebo Land LLC made the most significant residential and commercial property transfer in Craighead County from Sept. 15 to Oct. 15, according to the...
AI in Life Sciences Market to Worth USD 69.34 Billion by 2031, at a CAGR of 26.3%
Delray Beach, FL , Nov. 04, 2026 (GLOBE NEWSWIRE) -- MarketsandMarkets™ projects the global AI in life sciences market to grow from USD 21.58 billion in 2026 to USD 69.34 billion by 2031, at a CAGR of 26.3% during the forecast period. Market growth is fueled by accelerating adoption of AI in drug discovery, clinical research, diagnostics, and precision medicine, along with increasing investments in AI-powered life sciences solutions and the growing availability of real-world and genomic data. Ge
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.
Giants Should Target Senzatela for More Bullpen Depth
Antonio Senzatela offers a versatile solution, bringing starter experience and proven relief stability to stabilize the San Francisco Giants’ taxed pitching staff.
Essentia Health supports new playground at Clinton-Graceville-Beardsley elementary school
Clinton-Graceville-Beardsley (CGB) Schools was excited to show off the new playground at its elementary school during a Sept. 21 open house, and is grateful for a $20,000 contribution from Essentia Health that went toward the purchase of new equipment, supporting a safe and active space for the district’s youngest students.
Skye chef pledges health before wealth at 'pay what you can' cafe
Araich has been set up in a former woollen mill in Portree and offers healthy food options.
Brewing up brilliance with the Clinical and Diagnostic Sciences Society
On Friday, Oct. 30, the Clinical and Diagnostic Sciences Society (CDSS) held a Potion Making event in the Lake Erie room of the Oakland Center, combining clinical concepts with Halloween fun. The event ran from 2 to 3 p.m., allowing new students to learn dilution skills while experienced students gained practice. Attendees experimented with dilution...
Breaking Down Penn State Offense Improvement
The Penn State offense has struggled since the beginning of Big Ten play at the end of September. The Nittany Lions didn't score more than 23 points in their last four games; that was until Saturday's 31-17 victory over Purdue. It was a refreshing showing from Taylor Mouser's group. The ground game looked competent, the …
The Universe Should Be Empty. A Single Trapped Antiparticle Might Finally Reveal Why It Isn’t.
Scientists chilled a single positron to its quantum ground state, chasing physics’ biggest mystery.
Experts criticise clubs' rhetoric on ending betting sponsorships
The tone adopted by representatives of Brazilian clubs during Tuesday’s (3) public hearing at the Supreme Federal Court (STF) on the ban on betting companies drew criticism from football marketing a...
Democrats sweep Pulaski County House, Senate races
With one exception, Democrats won legislative seats across Pulaski County adding two House seats and one Senate position to their column in the Arkansas legislature. Democrats held onto four of...
Democrats sweep Pulaski County House, Senate races
With one exception, Democrats won legislative seats across Pulaski County adding two House seats and one Senate position to their column in the Arkansas legislature. Democrats held onto four of...
Analysis-AI shopping agents could threaten Amazon and Walmart’s ad business
By Juveria Tabassum, Nicholas P. Brown and Arriana McLymore Nov 4 (Reuters) - The rise of AI-led shopping is posing a conundrum for retailers like Walmart and Amazon: how to enable AI agents to shop on their websites, without threatening their lucrativ...
Analysis-AI shopping agents could threaten Amazon and Walmart’s ad business
By Juveria Tabassum, Nicholas P. Brown and Arriana McLymore Nov 4 (Reuters) - The rise of AI-led shopping is posing a conundrum for retailers like Walmart and Amazon: how to enable AI agents to shop on their websites, without threatening their lucrativ...
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?
Scientists spot elusive particle decay in search for 'Zeptoverse'
Scientists have found evidence for a rare particle decay occurring once in 10 billion particles at the LHCb experiment at CERN.
Michigan votes in favor of Proposal 2 to get ‘Money Out of Politics,’ AP projects
Michigan voters have voted in favor of Proposal 2, which aims to “get money out of politics.”
Madison Square Garden Entertainment Corp. Reports Fiscal 2027 First Quarter Results
NEW YORK, November 04, 2026--Madison Square Garden Entertainment Corp. (NYSE: MSGE) ("MSG Entertainment" or the "Company") today reported financial results for the fiscal first quarter ended September 30, 2026.
Hackers tried to boil blood in the latest European fridge attacks
A cyberattack attempted to raise the temperature of refrigeration systems at blood storage facilities in France.
‘A mandate for change’: Democrats remake Texas politics in election rout
By Brad Brooks Nov 4 (Reuters) - Texas Democrats, shut out of every statewide office for more than three decades, have toppled Republicans from the top of the ballot to the bottom, remaking the political landscape of the nation’s largest conservative s...
'A Mandate for Change': Democrats Remake Texas Politics in Election Rout
By Brad Brooks Nov 4 (Reuters) - Texas Democrats, shut out of every statewide office for more than three decades, have toppled Republicans from the top of the ballot to the bottom, remaking the political landscape of the nation’s largest conservative state in a single earth-shattering night.
A surprising discovery could help aging muscles repair themselves
Scientists have discovered a compound that transforms a natural muscle-repair protein into a more powerful version dubbed "Super HGF," more than doubling its ability to bind to a key receptor while protecting it from age-related chemical damage. The breakthrough, supported by early mouse experiments, could eventually help combat muscle loss and preserve strength as people age.
HCPSS Teams Up with Student Group to Drive Student Interest in and Understanding of Coding, Computer Science, and Artificial Intelligence
Several years ago, Julie Wray and Carrie Trudden, Howard County Public School System’s (HCPSS) then- and current coordinators of Instructional Technology, began receiving emails from a group called Howard County Hour of Code (HocoHOC). At the time, Wray and Trudden were unfamiliar with the group and skeptical about its offer to partner with the district […]
Permanent daylight saving time has a dark side, scientists warn
A new study warns that permanent daylight saving time could force American children to make at least 2 billion additional school commutes in darkness, potentially increasing safety risks and disrupting their biological clocks. Researchers found that fatal crashes involving school-aged pedestrians were roughly twice as likely during dark mornings as after sunrise.
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?
Democrats seize Congress in sweeping midterm repudiation of Trump
Democrats seized control of both the Senate and House of Representatives on Tuesday, scoring sweeping victories in Republican strongholds for the first time in generations.
Nintendo Joins The Accessible Games Initiative, Adopting A Bunch Of New eShop Game Tags
Tag, you're it!
CVS Health to split in two, separating pharmacy business from insurance
Nov 4 (Reuters) - CVS Health said on Wednesday it will split into two companies, separating retail pharmacy from its insurance and pharmacy-benefit operations in a major unwinding of the healthcare conglomerate it spent years building through acquisiti...
CVS Health to split in two, separating pharmacy business from insurance
Nov 4 (Reuters) - CVS Health said on Wednesday it will split into two companies, separating retail pharmacy from its insurance and pharmacy-benefit operations in a major unwinding of the healthcare conglomerate it spent years building through acquisiti...
CVS Health to split in two, separating pharmacy business from insurance
Nov 4 (Reuters) - CVS Health said on Wednesday it will split into two companies, separating retail pharmacy from its insurance and pharmacy-benefit operations in a major unwinding of the healthcare conglomerate it spent years building through acquisiti...
Outback franchisee files for bankruptcy, citing California labor costs
San Diego-based Cerca Trova Restaurant Group, which once operated nearly 100 Outback Steakhouse restaurants, filed for Chapter 11 bankruptcy on Monday.
ASUS announces ROG XG Station 3 with Thunderbolt 5 and RTX 5090 BTF support
ASUS ROG XG Station 3 supports up to 80 Gbps Thunderbolt 5 bandwidth and 140W laptop charging. The external GPU dock requires a separate SFX or SFX-L power supply.
Reports: CVS Health plans breakup that would separate Hartford-based Aetna from drugstore chain
The CVS Health Aetna breakup would separate its drugstore chain from Hartford-based Aetna and Caremark, creating two public companies by early 2028.
Bobby Brown Returns to CSA to Drive Defense Business Growth
The former Astrion and Cubic executive brings Navy, missile defense and space capture experience back to the company.
International Politicians React to Democrats Winning US Midterms
Nov 4 (Reuters) - Governments and politicians around the world reacted to the Democrats winning the US midterm elections, a result that could have major implications for global trade, security and energy prices. Here is a selection of the reaction: SPAIN PRIME MINISTER PEDRO SANCHEZ ON X
Benefits Can Help Older Adults Stretch Their Budgets and Protect Their Health
Every year, older adults leave $58 billion in benefits unused, money that could help cover groceries and prescriptions.
Disney has fought AI firms over copyright. Now it’s testing AI lyric videos
Walt Disney Co. is experimenting with using artificial intelligence to test out different concepts for music videos showcasing the lyrics to its songs, starting with “Go the Distance” from its
Raphinha to sign new Barcelona contract until 2030 on Thursday
Barcelona captain Raphinha is expected to formalise his contract renewal on Thursday, November 5, signing a new agreement that will keep him at the club until 2030. According to SPORT, the agreement ...
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
G5 Entertainment: Established-game declines weighed on revenue as G5 Store growth lifted margins
Revenue fell 20% YoY as established games weakened, while gross margin hit 74.1% and adjusted EBIT rose YoY. G5 Store distribution, cost savings and a soft-launched new game are key growth levers, with new-game scalability still uncertain.Based on G5 Entertainment AB [G5EN] Q3 2026 Audio Transcript…
AI boosts operational efficiency but not systemic climate action, global study finds
Artificial intelligence (AI) is widely promoted as a tool for sustainable development, but whether its operational gains translate into deeper ecological transformation remains uncertain. A new global assessment examines how AI diffusion relates to seven core United Nations Sustainable Development Goals (SDGs), covering health, education, clean energy, industry and infrastructure, sustainable cities, responsible consumption and production, and climate action. It also explores the channels behind
Colorado measure banning transgender athletes from gendered sports is too close to call
Proposition 134 would prohibit athletes it defines as male from playing on female sports teams, though it provides exceptions for athletes it defined as female who want to play on boys teams
Death is big business in I.Coast, where funerals cost fortunes
Valerie Bli Lou is a shopkeeper from a modest family, but she is determined to give her late father the sumptuous funeral that Ivorian tradition demands -- whether she can afford it or not.- Tears and...
Amy Acton reflects on her childhood in acceptance speech
Democrat Amy Acton reflected on her journey from childhood homelessness to becoming a doctor and now projected as Ohio’s next governor as she celebrated her win over Republican Vivek Ramaswamy. The former state health director will become the first woman elected governor of Ohio and the first Democrat to win the office since 2006.
Circadian depression: Body clock disruptions take mental health toll
About one in four depression cases follow disruptions to the sleep-wake cycle in what scientists say is a circadian subtype of the condition. After assessing data for more than 10,000 patients, resear...
Asking Eric: GLP-1 use disrupts friend group
Letter writer wants dinners with her friends to be enjoyable again.
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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