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Kirk Cousins sees return to Vikings, following trade from Raiders, as unfinished business

Cousins has overcome plenty of obstacles to find success as an NFL quarterback. Back with the Vikings, he's hoping to save their season.

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Nov 11 • 6:15 PM EST • Business • nytimes.com
New center at MHAST provides mental health and substance use crisis services for the community

The center had its ribbon-cutting ceremony on Tuesday, Oct. 20, and is fully open and accepting individuals experiencing mental health and/or substance use crises.

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Nov 5 • 10:37 AM EST • Health • wbng.com
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BayMark, Bradford and Deerfield Execs Talk M&A in 2027

This is an exclusive BHB+ story. Activity in the addiction treatment and substance use disorder markets has been trepidatious throughout 2026 as

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Nov 4 • 4:57 PM EST • Health • bhbusiness.com
Eulogy to the Colorado GOP

We are gathered here today at this Celebration of Life to remember, pay tribute and say goodbye to the Colorado Grand Old Party. May she rest in peace. The Colorado GOP had an adventurous and substantial life. She will live on in our memories, our history books and the many stories that made up her […]

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Nov 8 • 7:00 AM EST • Politics • coloradopolitics.com
UK HealthCare’s SMART Clinic offers support for addiction recovery

People seeking help for substance use disorders can access comprehensive addiction, mental health and primary care services through UK HealthCare’s SMART Clinic.

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Nov 9 • 4:00 AM EST • Health • uknow.uky.edu
Polluting Industries Swarm COP31, Outnumber Climate-Vulnerable Nations

More than 100 companies and industry groups with records of obstructing climate policy have sent delegations to the COP31 UN climate summit in Antalya that outnumber those of some of the world's most climate-vulnerable nations, an analysis released Friday found.

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Nov 13 • 12:36 PM EST • Health • healthpolicy-watch.news
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Tuesday Thoughts 11/10: Someone Got Fired

In which we discuss lobster rolls, Arkansas, and getting the boot.

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Nov 10 • 9:00 AM EST • Sports • sports.yahoo.com
White House faces unusual obstacle on confirming Trump judges: other Republicans

Republican senators are complicating a White House plan to influence the judiciary long after President Trump leaves office

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Nov 11 • 3:16 PM EST • Politics • washingtonpost.com
Dodgers’ perfect trade offer for Reds’ Elly De La Cruz

The Los Angeles Dodgers should pursue Elly De La Cruz with a package that gives the Cincinnati Reds help on two timelines. Emmet Sheehan, Mike Sirota and Emil Morales would combine immediate starting pitching with two substantial position-player prospects. The case begins with what Cincinnati would receive. Trading De La Cruz for distant upside […] The post Dodgers’ perfect trade offer for Reds’ Elly De La Cruz appeared first on ClutchPoints.

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Nov 10 • 12:21 AM EST • Sports • sports.yahoo.com
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‘Somebody stepped in and helped’: Advocates press to keep Oklahoma’s mental healthcare ‘safety net’

For nearly a decade, certified community behavioral health clinics have served as a lifeline for hundreds of thousands of Oklahomans who need access to mental health or substance use treatment.

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Nov 10 • 6:30 AM EST • Health • oklahomavoice.com
California Science Center Opens Space Shuttle's New Home

By Carolyn Giardina For the many members of our Creative + Tech Orbit family that are as inspired by space exploration as we are, we’re happy share that with this morning’s ceremony and ribbon cutting, the new Samuel Oschin Air and Space Center at the California Science Center in Los Angeles is now open to the public. It’s highlighted by Space Shuttle Endeavour, which is displayed in a remarkable 20-story-tall launch configuration with solid rocket boosters and an external tank. The flown orbiter can be viewed on multiple levels of the building—and a 140-foot ascent aboard an elevator leads to a glass floor observation platform hovering over the shuttle’s nose and the interior of the payload bay. Visitors will arrive in this gallery after viewing a short film produced by Bad Robot. The film concludes with a Shuttle launch and atmospheric effects as the screen is lifted to reveal Endeavour. California Science Center President and CEO Jeffrey N. Rudolph preceded over an opening ceremony just prior to the ribbon cutting. Guests and speakers included government officials and roughly 30 former NASA astronauts. “This ship is a testament and now a monument to American ingenuity,” said Senator Mark Kelly, former NASA astronaut who served as Commander for Endeavour’s final mission. Chairman of the Mr. and Mrs. Oschin Family Foundation Lynda Oschin noted that the massive effort is “about the children, and it’s about the future, and inspiration, curiosity and knowledge.” The ribbon-cutting was attended by hundreds of school children and guests. In all, the 200,000-square-foot expansion of the California Science Center has three galleries – the Samuel Oschin Shuttle Gallery, the Korean Air Aviation Gallery, and the Kent Kresa Space Gallery — and houses roughly 100 artifacts, in addition to interactive and immersive experiences focused on science and engineering. Artifacts includes a range of flown spacecraft, including the Mercury-Redstone 2 capsule, Gemini 11 capsule, and Apollo-Soyuz Command Module. If you plan to visit this weekend, you can catch astronaut and aerospace-related talks given by astronauts and experts from JPL and NASA Armstrong Flight Research Center. California Science Center’s IMAX Theater is showing themed movies today, including The Dream Is Alive, Journey to Space 3D, Hubble 3D, and A Beautiful Planet 3D. Also opening this weekend is “Endeavour’s Long Journey,” a photo exhibit documenting Endeavour’s final flight over California, its ambitious journey through the streets to the Science Center, along with the multi-phase process of stacking each of the space shuttle components in vertical configuration. The Center also features the short film that follows this national treasure’s journey to the Science Center, made by more than 150 volunteers and donors from the Hollywood community.

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Nov 13 • 2:39 PM EST • Science • creativetechorbit.substack.com
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Independent Talent to Rep Outernet London for Creative Commercial Strategy (EXCLUSIVE)

Independent Talent Group have been appointed creative commercial agency for immersive U.K. venue Outernet London. The partnership will unite Independent’s substantial client list – which includes arti...

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Nov 3 • 5:00 AM EST • Entertainment • yahoo.com
Grand Jury Rejects Trump Administration’s Effort to Charge Individual With Voter Fraud

The rejection demonstrates the department’s harried push to prove President Trump’s unsubstantiated claims of rampant voter fraud.

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Nov 2 • 5:50 PM EST • Politics • nytimes.com
Tennessee’s 29th Judicial District launches mental health court

The 29th Judicial District now has a mental health court after receiving grant funding from the Tennessee Department of Mental Health and Substance Abuse Services.

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Nov 9 • 3:54 PM EST • Health • actionnews5.com
Beyond Traditional Treatment: NEDHSA Redefines Maternal Behavioral Healthcare in Northeast Louisiana

For pregnant and parenting women experiencing substance use disorders, getting help can involve navigating an overwhelming collection of medical appointments, treatment providers, transportation challenges, and family responsibilities. Northeast Delta Human Services Authority (NEDHSA) is working to change that experience through a maternal health strategy that connects treatment with the broader needs of women and their families.

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Nov 9 • 1:02 PM EST • Health • finance.yahoo.com
Teacher of the Week: Adam Elliott, science, Hoopeston Area High School

The Watseka native has taught at Hoopeston Area High School since 2011, when he took on the role of long-term substitute.

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Nov 12 • 6:45 AM EST • Science • news-gazette.com
This gen’s top 10 PlayStation Studios games

As we near the six-year anniversary of the PS5, we thought we’d dive into our estimates for the top-grossing PlayStation Studios games since the start of the gen. Together, the 10 games we’re covering today have generated over $6.5 billion across PlayStation (84.7%), Steam (14.1%), and Xbox (1.2% via just Helldivers 2). Let’s have a look at the top 10. Spidey and Kratos sequels take the top two spots God of War Ragnarok takes the top spot with $1.4B in revenue via 21.6M copies – 20.1M on PlayStation (75.2% via PS5) and the rest on Steam. Around 27.5% of the copies sold on PlayStation were physical. It’s another PlayStation evergreen seller, too. This year, Ragnarok has already sold 1.1M copies, generating $60M (68% on PlayStation), outperforming new 2026 titles like Gears of War E-Day and Saros. Overall, our estimates show that Ragnarok has been accessed by 6.7M PlayStation Plus players (it was added to the Extra tier about two years ago). So it’s performed that well this year despite subscription cannibalisation. That’s the pull of God of War IP. And that Bautista series on Amazon is going to be massive - bigger than Fallout, I reckon. Next up is Spider-Man 2 with $1.3B across PS5 (over $1.2B) and Steam (nearly $70M). Spider-Man 2 has sold over 19.1M copies overall, so it should pass 20M early next year. Spider-Man 2 is an evergreen title that always spikes around the holidays (mostly concentrated around Christmas week): In December 2023, it sold 2.1M copies, up 20% from November 2023 (the month after release) In December 2024, Spider-Man 2 sold 460K copies (natural decay), up 60% from November 2024. Despite the Steam version launching in January 2025, it still sold more copies – and made more revenue – the month before. In December 2025, it sold 328K copies, up 30% from November 2025. This year’s December and Christmas will be somewhat limited by Spidey’s February 2026 addition to PS+ Extra, where 6.3M people accessed it for the first time. While subscription inclusions always cannibalise premium revenues to some extent, Spider-Man 2 did manage to sell 578K copies in August 2026 – the most its sold since Q1 2024, following hype from the Spider-Man Brand New Day movie. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe God of War Ragnarok and Spider-Man 2 continue to be huge evergreen tentpoles for Sony. Together, both titles have sold 3.4M this year (2.3M for Spidey and 1.1M for Ragnarok), generating a combined $172.9M ($115.8M for Spidey and $57.1M for Ragnarok). Again, some premium games would take a leaf out of Kratos’ book (not Spidey’s!) and would kill for these numbers in year 1. And we can see why Sony wants to take a leaf from Steam’s book, killing physical to get higher margins from catalogue sales, ensuring they get their cut, and having more control over supply and demand (and pricing for their first-party titles). Hot rods, hellpods, and horizons Gran Turismo 7 takes #3 this generation with $841.9M in revenue via 12.7M copies sold. For more info on GT7, you can check out our write-up from earlier this week. Around 1.1M people have already played GT7 this month, less than six days in. Next up – at #4 – is the first second-party game on this list. Helldivers 2 has generated $786.3M via 23M copies sold across Steam (66.1% of the copies), PS5 (25.7%), and the 1.5-year-later Xbox port (8.3%). And there are plenty of players very dedicated to the Super Earth cause, as over 4M folks have played Helldivers 2 for over 100 hours, while 462K played for over 500 hours. That dedication to democracy is pretty topical… Anyway, Helldivers 2 still attracts about 700K players per day (more if there’s a significant update), and its August addition to PlayStation Plus Extra has led to 1.6M new players overall. This year, Helldivers 2 has sold over 2.5M copies, generating $81.1M in revenue. It’s another evergreen hit for Sony, and draws in engagement numbers similar to Arc Raiders. The Helldivers 2 model, in my opinion, should be the way PlayStation approaches its live-service and second-party releases. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe Horizon Forbidden West rounds off the first half of the top 10, generating $485.8M. That said, PlayStation completely stifled Horizon Forbidden West’s revenue by adding it to PlayStation Plus way too early (one year after launch). You can see the revenue drop-off clearly in our platform: As you can see: Forbidden West was still a healthy catalogue earner right before it was added to PS+ Extra, making about $1.23M a week on PlayStation across late 2022 and into January 2023. After it was added to Extra_, Forbidden West_’s weekly revenue halved to around $610K, basically overnight. Excluding launch month, Horizon Forbidden West generated about $67.2M on PlayStation in the period before the PS Plus addition. In the same period after it joined the service, that fell to $28.1M, a 58% drop. So, PlayStation didn’t trade a little bit of premium revenue for subscriber value here. It gave up well over half of it, and it cut momentum instantly for one of its premier franchises. Could you imagine the kind of cannibalisation if it launched day in date on Extra? Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe And the cannibalisation wasn’t a temporary blip that bounced back once the game left the service in September 2024. By then, 19 months on PS Plus had already hoovered up most of the install base that would have bought it, so there was barely a premium audience left to monetise. PlayStation even added it back to PS Plus on October 21 this year, and sure enough, weekly revenue dropped again (by around a third); though, the numbers are small now that Forbidden West is nearly four years old. Worth the trade-off. The usual suspects, platformers, and an Asia-driven second-party hit As for the rest of the list: Ghost of Yotei has now generated $410.1M via 5.5M copies on PS5. Yotei popped off a bit a few weeks ago due to a content update, which we covered here. The Last of Part Us I, a remake that we covered here, has generated $341.3M in revenue (67.2% via PlayStation) via 6.4M copies. It was also added to PS+ Extra about two years after launch, where 7.8M people accessed it for the first time. Ratchet and Clank: Rift Apart has made $334.9M (93.6% via PlayStation 5). It’s now passed 5M copies sold overall. It’s sold 250K copies this year, generating $13.5M in revenue. Time for another Ratchet? Stellar Blade has generated $316.9M via PS5 (59.7%) and Steam (40.3%). However, the share of Stellar Blade’s 5.4M copies sold is far closer (50.4% on PlayStation, 49.6% on Steam) – despite the Steam version releasing a year later. China, Taiwan, and Hong Kong account for 48% of Steam copies and 35% of PlayStation copies (about 41% overall). These markets are regionally priced lower than others, hence the difference. Astro Bot rounds out the top 10 with $292.6M in revenue via over 4.7M copies sold. We covered Astro’s recent performance here, covering how Astro Bot is another evergreen seller and has been a hit with families. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe Even these bottom five games have generated a combined $281.7M this year in catalogue sales. PlayStation wants those numbers to be bigger in the coming years, which is one of the reasons it’s killing the disc (alongside the better margins it and publishers get through digital). No more used discs means more D2C revenue for PlayStation. On that note, we recently chatted to the New York Times again about PlayStation’s digital future, so keep your eyes peeled for that! The last word Reply to this email – or reach out here – if you have any feedback for the newsletter – or want to request a game for us to cover. Want to see why these companies (and many others) are subscribed to Alinea? Get a free platform trial! [Alinea Analytics boasts the most accurate PC and console estimates in the business. Game makers use our platform to understand their audience, keep an eye on the competition, monitor sales trends, and spot new opportunities. We equip game studios and financial institutions with accurate data and the confidence to make smarter, data-driven decisions. Want to talk about all things games market data? We’d love to chat!]

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Nov 6 • 10:43 AM EST • Technology • alineaanalytics.substack.com
Russia's Poorer Regions Facing Brunt Of Health-Care Cuts As Military Spending Soars

Russia plans to reduce funding for key federal health-care programs in its 2027 budget. With medical services already difficult to access in many regions, the proposed cuts are raising fears that patients will face greater obstacles in obtaining treatment and essential medicines.

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Nov 3 • 10:00 AM EST • Health • rferl.org
The NVIDIA story is a BFD

Jensen Huang, the CEO of Nvidia, one of the world’s most valuable companies and perhaps the most strategically important corporation to the future of the United States, resigned after admitting to an extramarital affair with a woman U.S. intelligence officials believe was a Chinese spy. This is a big fucking deal. Thanks, Captain Obvious. But my impression is that the political world is under-reacting to the Nvidia story. We’re overdue to have at least an initial newsletter covering it. I don’t expect this to become a Silver Bulletin obsession, but the overlap between politics and AI is well within our purview, and this story falls within those sightlines. I’m going to do this as one of those “13 thoughts” bullet-pointed lists that can make for a nice shortcut for these developing news stories. The usual ground rule is that I’m working through my thinking with you in real time, so treat this as provisional. To be clear, this is political analysis, not a scandal explainer. For more about the scandal itself, read Zvi or listen to these recent editions of Odd Lots or Search Engine: Basically, what those describe is that this story isn’t just about Jensen Huang having slept with an alleged Chinese agent, Alice Huang. As this New York Times graphic illustrates, there’s also a broader penumbra of suspicion related to a company called Megaspeed, which Alice Huang ran and which bought Nvidia chips through Nvidia’s hardware partners. U.S. authorities began investigating Megaspeed in 2024, during the Biden administration, over whether it diverted advanced Nvidia chips to China in violation of U.S. export controls. The Commerce Department’s work on the probe was paused in late 2025, and the case was “abruptly transferred” to the Justice Department, the Times reported. My 13 thoughts A canonically good bet is to “buy the rumor but sell the news.” In other words, to bet on people overreacting. That would have been good advice in the case of Haley Stevens’s endorsement of Mike Rogers, for instance. But I think there’s a case for buying the news when the news cycle is particularly busy. The political news world has been knee-deep in the midterms, which is an absolutely massive story given the magnitude of the Democratic sweep. I don’t think it’s an exaggeration to say it’s one of the bigger political earthquakes of the century. However, public attention spans and journalistic bandwidth are finite resources. The timing might lead one to downplay the magnitude of the Nvidia story. It will probably build. In terms of the magnitude, the comparison that comes to mind is the onset of the Iran War, which also dropped amid a busy news cycle1. Nvidia is not the same sort of story, but it is of roughly the same shape and size, because there are tripartite implications for the economy, for geopolitics and for domestic politics.

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Nov 13 • 3:08 PM EST • Politics • natesilver.net
Youth and Caregiver Reports of Mental Health Issues Differ, But Both Perspectives Needed

Psychiatric assessments of children and adolescents commonly incorporate reports from both youth and their caregivers. However, they may identify substantially different mental health problems, potentially influencing diagnosis, treatment planning, and estimates of psychiatric disorder prevalence. A new study by researchers at the University of California San Diego School of Medicine and their colleagues examined the extent to which youth and caregiver reports differed across a broad rang

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Nov 11 • 11:00 AM EST • Health • newswise.com
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).

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Nov 6 • 7:00 AM EST • Business • finance.yahoo.com
Major Changes to Hemp Regulation Are Taking Effect: Is Your Business Ready?

The hemp industry is preparing for significant federal restrictions that will change which hemp-derived products can legally remain on the market, with key provisions taking effect in November and December. At the same time, states continue to take different approaches to intoxicating hemp products, creating added complexity for manufacturers, retailers and consumer brands.

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Nov 4 • 7:00 AM EST • Business • dentons.com
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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Nov 3 • 11:57 PM EST • Health • emilysbass.substack.com
Cosmic Baseball at loanDepot park

Information about Cosmic Baseball at loanDepot park.

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Nov 12 • 9:31 PM EST • Entertainment • mlb.com
Orchard’s First Fruit

Well, well, well - ask and ye shall receive. From a few weeks ago: I don’t see anything distinct for Orchard customers yet, so either they’re not live or not distinguished as easily as Garden Plot Eight days later, my wish was granted! Epic’s public FHIR endpoint directory added an organization called Enterprise Orchard Shared Services (Epic org ID 38769) managing an endpoint named “PA Health Center Technology Alliance,” along with 36 facilities under the same brand: The Alliance’s main office 18 Union Community Care sites 11 Delaware Valley Community Health sites Six Community Health and Dental Care sites Off to the races we go! As far as I can tell, no trade publication or Epic has covered this yet - the only public traces I see are a PACHC annual report plus a few patient FAQ pages. I’m not sure why - I think it deserves way more attention! We learn who’s actually buying (and it isn’t who Epic pitched at UGM) We get yet another entry in Epic’s playbook for reaching the low end of the market We get a census of who Epic is coming for next Grab a basket and let’s start picking. An Unexpected Harvest When Epic announced Orchard at UGM 2025, the pitch was a dedicated instance for practices of 80 to 180 providers while keeping the prewired third party applications that make Garden Plot appealing. But the first customer to surface is not that profile at all! Instead, we see something entirely different and arguably more valuable to Epic. The Alliance is a subsidiary of the Pennsylvania Association of Community Health Centers (PACHC). As I wasn’t totally familiar myself, let’s add some quick background for readers who operate outside the safety net: Federally qualified health centers (FQHCs) are community clinics funded under Section 330 of the Public Health Service Act t They serve patients regardless of ability to pay, which results in a payer mix heavy on Medicaid / the uninsured As you might expect, this often results in margins too thin to fund an enterprise EHR on their own (especially in the current very tough funding environment) Every state has a primary care association (PCA), funded in part by HRSA, that supports its FQHCs with advocacy and shared services PCAs have historically been trade associations, so this move is notable in that PACHC is morphing itself into something closer to a holding company. In October 2024, its board voted to form the Alliance to contract directly with Epic and run a statewide technology hub for health centers of any size. A second subsidiary, the Pennsylvania Community Care Collaborative (PC3), is a clinically integrated network of 28 health centers built for value-based contracting. CEO Shelley Riser runs both PACHC and the Alliance and calls the arrangement a “family of companies.” From the latest annual report: PACHC is the only Primary Care Association in the nation with a wholly owned subsidiary directly contracting with Epic. Why does this matter way more to Epic than a single 120-provider group ever could? One contract may only bring in three health centers and 35 sites on day one, but every other PACHC member sits in the pipeline. Moreover, the distributor is an organization those health centers already trust, funded to serve them and literally governed by a board of their own CEOs. And if that wasn’t enough, every state has one! Grafting onto the Safety Net

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Nov 9 • 4:46 AM EST • Health • healthapiguy.substack.com
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Rockstar says GTA 6 PS5 Pro build ran at 60 fps with major performance compromises

Rockstar may have experimented with a higher framerate mode on the PS5 Pro. In a leaked interview, the studio explained that Leonida traffic and realistic NPCs proved obstacles. As with the Xbox Series X and base PS5, GTA 6 won’t exceed 30 fps on the enhanced PlayStation console.

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Nov 12 • 8:58 PM EST • Technology • notebookcheck.net
The Last Disney+ Original?

(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) Before we get going, I wanted to remind readers about how I plan to keep your trust while I add advertising to this newsletter. As you’ve no doubt noticed, I’m running ads now, but the danger is that it could impact my analysis and writing. I have a list of sponsors on my About Page, so if you think I’m biased, you can check out who’s sponsored this newsletter! This is something that I’m not sure anyone else in digital media does (if you’re a writer or media outlet and you do this, let me know and I’ll shout you out!) but it’s something I’d love to see embraced by the entire industry. Sunlight, i.e. transparency, is often the best disinfectant. Okay, on to this week’s issue. We (finally) have another major Disney+ TV show to talk about, so that’s my main focus for today. Plus, we had a lot of new shows come out, including the fourth seasons of The Diplomat and Tulsa King! And Love is Blind! The Lowdown! Also, four (four!) straight-to-streaming films came out this week, featuring a lot of big names and celebrities, so I’m going to look at those. All that, mixed news for the WNBA, Reacher ends its run on the charts, Skydance does well in September viewership, NYU’s Sundance dominance, all the flops, bombs and misses, and a whole lot more. Let’s dive right in! (Reminder: The streaming ratings report focuses on the U.S. market and compiles data from Nielsen’s weekly top ten viewership ranks, Luminate’s Top Ten Data, JustWatch and Reelgood interest data, Samba TV household viewership, company datecdotes, Netflix hours viewed data, Google Trends, and IMDb to determine the most popular content. While most data points are current, Nielsen’s data covers the weeks of October 12th to October 18th, 2026. You can find a link to my terminology here.) Subscribe Television - Disney+’s Porridge Problem Listen, per my headline, VisionQuest isn’t the last Disney+ Original. At least, I’m pretty sure it’s not. They have other MCU shows in development. Well, maybe one: But it sure feels like the end of an era. I’d call it their “porridge too hot” era, to quote myself from The Ringer. I told Ben Lindbergh that Disney+ seemingly couldn’t figure out the right amount of content. In the heights of the Streaming Bubble Era (circa 2019 to 2022), they started releasing an insane amount of TV shows. After their growth slowed, they’re down to two or three shows a year, and that might be down to 1 by 2027. Here’s my TV shows by year chart: Even at the time, I thought Disney was making too many shows (that cost too much). Today? They’re definitely making too few shows (though the budgets are more in check, at least according to the reporting). Porridge too hot, porridge too cold; too many shows, now not enough. Which makes evaluating VisionQuest so interesting. This show didn’t have a great lead-in, whether it be a Marvel Cinematic Universe film (the last non-Sony-produced-Spider-Man flick came out The Fantastic Four from July of 2025) or Marvel Cinematic Universe TV show (the two this year were Wonder Man back in January and _Daredevil: Born Again_in May, both of which underwhelmed). And so far, VisionQuest hasn’t quite recaptured the MCU Originals glory, but it has some signs of sparks. First, it made Samba TV, though at a lowly ninth place. At least it made it, a feat some other Marvel shows didn’t accomplish. (Ironheart landed on the Samba TV charts one week at tenth place, but Wonder Man and Daredevil: Born Again both missed.) VisionQuest also made Luminate, though with only 3.0 and 7.6 million hours. But it missed Nielsen in its first week. The best news might be its 7.8 on IMDb, on 12K reviews so far, great numbers, even for a superhero show. Looking at those numbers, this show will really need to pick up in future weeks—and it may since it’s coming out weekly—or Disney will have another disappointment on its hands. Disney+ binge-released their last few shows to try to boost numbers, but that meant shows like Iron Heart and Wonder Man didn’t last long on the charts. _Daredevil: Born Again’s_last season missed entirely (though it came out weekly). Here’s the Disney+ Originals by totals: And for a fun new look, here are those same shows, rearranged by the years they came out: That really shows that, in addition to Disney+ releasing fewer shows, those shows just don’t hit like they once did. If I had to offer one main explanation, it’s that Marvel Studios moved away from characters who starred in the Avengersmovies (The Scarlett Witch, Vision, Hawkeye, Loki, Falcon, Winter Soldier) to characters who didn’t (Moon Knight, She-Hulk, Iron Heart, Wonder Man, Daredevil). It sounds trite, but more popular IP tends to do better than less popular IP. In Marvel’s case, beloved, decades-old characters trump newer ones. And yes, I think this is a problem for Disney. The failure of Marvel TV shows to linger for weeks on the charts, unlike in 2021 and 2022, explains why Disney’s share of the charts has plummeted: That’s a strategic issue. Yes, these shows are really expensive, but without them, Disney+ will struggle, especially if Disney+ keeps raising prices AND licenses out its shows non-exclusively. My recommendation? Return to the core value proposition, which is Disney+ as “genre HBO”. The goal is six shows a year, coming out weekly, spaced out throughout the year. When a show hits, keep it coming back. Make three to four of those shows Marvel or Star Wars, and fill out the rest with IP swings like Percy Jackson, Goosebumps or something like National Treasure. And make YA-skewing shows like Coven Academy to fill out the schedule. Disney, you can get this porridge just right, er, make the right number of shows. Quick Notes on TV Netflix’s sophomore, er, junior, er, senior season slump abated very, very slightly this week. I speak of The Diplomat, which returned for its fourth season on 15-Oct. Credit where credit is due, this show debuted in April of 2023, and has put out new seasons every year since. Has that helped the viewership? Not really. This season opened to 16.4 million hours, which is down significantly from the first season (21.7 million hours) and down somewhat from the second season (18.0 million hours), but it is up from last year’s 14.2 million hours opening. On Samba TV, it opened to third place; that’s also very good. On Luminate, it opened to 25.0 million hours, which is good, but over thirty million hours is a hit on that platform. Netflix wisely renewed it, since it’s steady and, frankly, Netflix needs hits.1 Paramount+ put out Tulsa King’s fourth season on a Friday. After putting out most of their big, usually-Taylor Sheridan-scripted shows out on Sundays last year, they’ve clearly moved to Fridays going forward. Was this a thought-out strategic change, Netflix mimicry, or a data-inspired move? Tough to say. Fridays are crowded with new movies, but so are Sundays with new shows. Anyways, this one is coming out weekly, and we haven’t seen it hit the Nielsen or Luminate charts yet. But it did make Samba TV at fifth place, which is a good opening. Still, if this doesn’t make Luminate or Nielsen next week, I’d call it a disappointment. Netflix had two unscripted shows hit the charts this week, one a docu-series and one a reality competition show. Tyson is a four-episode docu-series about one of boxing’s most popular fighters, and it made both the Samba TV and Luminate charts, but not Nielsen. That’s a solid run for only four episodes (assuming it didn’t cost an arm and a leg to produce). Netflix’s latest season of Love Is Blind also returned for its eleventh season, which opened to 10.0 million hours, down from previous seasons. It also had 11.0 million hours according to Luminate, roughly in line with the Nielsen numbers. Last issue, I analyzed the triple successes of Below, Carrie and Crystal Lake, noting that all three have done well. I mostly used Nielsen, but all three shows also made Samba TV (see above). Crystal Lake in particular did very well on Luminate, getting 35.0 million hours, top for Peacock among first seasons: The top “show” of the week would have been Thursday Night Football again, at 41.7 million hours. This is still above last year’s game, but it continues the season’s overall downward trend, which happens every year. (Though a big week is coming, based on the news stories I’ve seen.) As I said before, I’ll do a deeper dive on all the October games later this month, with comparisons to previous years. One company is quietly on a roll, when you consider the shows it makes and streams. I speak of Skydance—a point Variety made—noting that it produces Neagley and Reacher for Amazon, along with Paramount+’s Lioness, which means it produced three of the top four shows of September according to Nielsen. By the way, Neagley fell off the Nielsen charts after four weeks, which is a pinch short for how well it started, but it’s still a huge success. (Interestingly, it finished just 7.3 million hours ahead of the cancelled Ride or Die.) The point, though, which I’ve made before, is that Prime Video still has a problem with how many co-productions it buys, most notably _The Boys_from Sony and Reacher/Jack Ryan from Skydance. It’s not a critical flaw—everyone licenses shows—but Amazon still struggles to make its own hits. Reacher finally fell off the Nielsen charts, so here’s its final rank for season four: We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… ...An example of the algorithm NOT picking a film… …whether or not Netflix buys shows simply for the movie poster… ...if East of Eden is above the Obliterated Line... ...what four star-studded straight-to-streaming films didn’t chart... ...and a whole lot more... ...please subscribe! We can only keep doing this great work with your support. If you want an idea of just how much content you’d get in a full issue, check out this older issue.

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Nov 3 • 7:03 PM EST • Entertainment • entertainment.substack.com
BayMark, Bradford and Deerfield Execs Talk M&A in 2027

This is an exclusive BHB+ story. Activity in the addiction treatment and substance use disorder markets has been trepidatious throughout 2026 as

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Nov 4 • 4:57 PM EST • Business • bhbusiness.com
Science got a lifeline: Now comes the hard part.

One of the most maddening things that has happened in the last two years of Trump 2.0 has been the gutting of medical research. Since losing my husband to colon cancer and my sister to pancreatic cancer, as well as many friends to various cancers and other diseases, supporting science and scientists has become a mission for me. That’s one reason I co-founded Stand Up To Cancer in 2008 — to raise money and awareness for cancer research and encourage scientists to collaborate instead of compete, which was a novel idea back then. If two heads were better than one, we reckoned that ten heads were better than two. So we organized our scientists and researchers into “dream teams” where they could share ideas and approaches and move science forward faster. Our work has been fruitful — we have raised over $800 million, and our research has contributed to several new FDA-approved drugs, like Keytruda. But I know very well that we have miles to go before we sleep and so much work to do when it comes to all kinds of diseases that take the lives of far too many Americans every year — often in the prime of their lives. So when the Trump administration started cutting our scientific infrastructure, it made me crazy. Clinical trials were stopped midstream, labs were abandoned, Ph.D. programs were dismantled, and talented scientists with potentially lifesaving ideas were left unfunded and dejected. In fact, many left their fields altogether or moved to countries where their work would be more valued and supported, financially and otherwise. That’s why, amid all the post-election analysis, I’ve been especially interested in what the midterms could mean for the future of American science. With Democrats winning both chambers of Congress, there’s finally an opportunity to push back against the Trump administration’s attacks on scientific research and public health. Will anything change now that a whole slew of new sheriffs is in town? My friend Dr. Jeremy Faust recently posed this question to a group of physicians, researchers, and health policy experts for his newsletter, Inside Medicine: What could the new Congress realistically accomplish with President Trump still in the White House? Jeremy asked me, too.

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Nov 13 • 11:30 AM EST • Science • katiecouric.substack.com
Despite programs for firefighter health, most rural firefighters are left behind

In recent years, several organizations have recognized the firefighting profession's unique and substantial work-related health hazards, including cancers, heart disease, chronic respiratory illnesses ...

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Nov 13 • 7:40 AM EST • Health • medicalxpress.com
Uneven And Fragile Progress Against Neglected Tropical Diseases

While substantial progress has been made in driving down the global burden of neglected tropical diseases (NTDs), trends are “uneven and fragile”, and

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Nov 4 • 9:00 AM EST • Health • healthpolicy-watch.news
Eugene home hit while resident slept inside; Asian-American business owners report theft

Another targeted burglary has been reported, according to the Eugene police Department.At 10:05 p.m. October 30, Eugene police responded to a neighborhood near

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Nov 5 • 7:59 PM EST • Business • kval.com
Marathon Health Data Breach Reportedly Affects 5.7 Million Individuals

State attorneys general have been informed about a substantial Marathon Health data breach that reportedly involved the personal and protected health Marathon Health, an Indiana-based employer-sponsored healthcare provider serving employees across the country, is notifying 5.7 million individuals that their data was compromised in an August 2026 security incident.

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Nov 3 • 6:26 AM EST • Health • hipaajournal.com
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U.S. Supreme Court Midterm Health Impacts: 2026-2027 - Petrie-Flom Center

Since the inception of the COVID-19 pandemic, core decisions and interim actions of the U.S. Supreme Court (SCOTUS) have substantially impacted societal health.

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Nov 13 • 8:56 AM EST • Health • petrieflom.law.harvard.edu
Syracuse football: Orange add another obstacle to their path

Once again Syracuse suffers self-inflicted damage on the road to a bowl game

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Nov 8 • 9:00 AM EST • Sports • sports.yahoo.com
Race-Conscious Data: The New Political Taxonomy

Abstract Excerpted From: Shirley Lin, Race-Conscious Data: The New Political Taxonomy, 114 Geo. L.J. 1301 (June 2026) (Full Document) (334 Footnotes Omitted) Consider a possible near future at the close of the second Trump presidency: The Department of Justice (DOJ) announces that it will cease collecting data regarding our race...

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Nov 14 • 7:37 AM EST • Politics • racism.org
Communist Party Politics, Rockets and Komsomol Business in Soviet Dnipropetrovsk

This is an excerpt from Ukraine’s Outpost: Dnipropetrovsk and the Russian-Ukrainian War (2022). Free to download from E-International Relations. The Ukrainian city of Dnipropetrovsk (in 2016 the city was renamed Dnipro) was shown on a movie screen in the Soviet Union for the first time in 1981 as a ‘Russian-speaking’ city in Nikita Mikhalkov’s feature film Rodnia. A story of a Russian peasant woman who visited her daughter in the big industrial city was used by Mikhalkov in his movie to emphasise a growing crisis in Soviet family life during the Brezhnev era when former Russian peasants lost their Orthodox Christian identity during the process of socialist industrialisation and modernisation. Paradoxically, Mikhalkov completely ignored the real social and national problems of the city; instead choosing as the setting for his movie Russian peasants’ adjustment to Soviet modernisation. Even now many Russians use this film as evidence of the ‘Russian character’ of Dnipropetrovsk ignoring the real demographic and social history of this Ukrainian region (Elberg-Wilson 2016).[1] Despite Mikhalkov’s picture, the city of Dnipro and the Dnipropetrovsk region had a multi-national and multi-cultural character coupled with the strong influence of Ukrainian and Jewish culture. Get E-International Relations delivered to your inbox, free. As you sign up, consider becoming a paid subscriber, or make a donation, to support our work. Subscribe Using various archival and published documents, this chapter will cover the social, economic and cultural development of the city and the region of Dnipropetrovsk through the period of late socialism after Stalin, showing the ties between the multi-national Komsomol members and business ventures during perestroika and how this influenced the rise of oligarchic clans in post-Soviet Ukraine. Emergence of Soviet Dnipropetrovsk Paradoxically, from the early beginning, the founding of the ‘city of Catherine’s glory’ (Ekaterinoslav in Russian) and its province in 1776 by the Russian imperial administration of the Catherine the Second involved non-Russian ethnic groups, which shaped a historical demography of this region in Southern Ukraine. These ethnic groups included the local Ukrainian Orthodox Christian peasants and Cossacks, Jewish traders and artisans, Armenian Christians, and Tatar Muslim settlers. By the middle of the nineteenth century, thousands of German Protestant and Mennonite colonists also settled in the province. Moreover, by attracting foreign capital, the Russian imperial administration transformed this multi-ethnic and multi-religious region in the booming industrial centre of the Russian Empire by the beginning of twentieth century (Zhuk 2004, 33–96). After the Russian Revolution and civil war, the province of Ekaterinoslav continued to play an important role in the industrial development of the Ukrainian Soviet Socialist Republic. In 1926 the Soviet administration decided to change the name of Ekaterinoslav which sounded too ‘old fashioned’ and ‘imperial Russian.’ The new name was a combination of the name of the Dnipro River with the last name of Grigorii Petrovskii, head of the All-Ukrainian Executive Committee of the Soviets, and well-known organiser of the working-class movement in the region of Ekaterinoslav before the Revolution. ‘Dnipro-Petrovske’ was later transformed into ‘Dnipropetrovsk’ (Bolebrukh 2001, 156). Both the city and region of Dnipropetrovsk lived through the New Economic Policy (N.E.P.), industrialisation and the Stakhanovite movement. The region lost millions of human lives during collectivisation and the dekulakisation campaign, and especially during the Holodomor of 1932–33. During industrialisation, the Soviet government restored the industrial base of the region. Former metallurgical giants such as the Petrovskii (formerly Brianskii)plant, the Chodoir (formerly Vladimir Lenin) plant and others resumed production of pig iron and steel. During the 1930s, Dnipropetrovsk became an important centre for Soviet heavy industry. In 1932, Dnipropetrovsk regional metallurgical plants produced 20 per cent of the entire cast iron and 25 per cent of the steel manufactured in the Soviet Ukrainian Republic. After the beginning of the campaign of ‘Ukrainianisation’ in 1923, the number of those who spoke Ukrainian grew, reaching 38.5 per cent in the city by the end of the 1920s. Between 1932 and 1939, the number of city dwellers in Dnipropetrovsk increased to over 500,662. The Dnipropetrovsk region became the most urbanised of Soviet Ukraine with more than 2,273,000 people living in the region (Vasiliev 1977, 55; Bolebrukh 2001, 159–164). Dnipropetrovsk also became the cultural and educational centre of Soviet Ukraine. There were ten colleges, including the State University, 97 secondary schools and 19 vocational schools. The Soviet administration restored local drama and music theatres. During the 1930s, Dnipropetrovsk had 120 libraries, five museums, six movie-theatres, 30 clubs and palaces of culture (Bolebrukh 2001_,_159–164). The Leonid Brezhnev Clan Post-war Soviet modernisation influenced the careers of many young and ambitious Komsomol members in the region. One of them, Leonid Brezhnev, was born in 1906 in Kamenskoe, joined the Kommunystycheskaya Partyya Sovetskoho Soyuza (Communist party of the Soviet Union - KPSS) in 1931 and, after graduation from Dniprodzerzhinsk Metallurgical Institute was elected as a council deputy of the city of Dniprodzerzhinsk. The Stalinist purges of the 1930s removed many old Soviet and Communist officials from government positions who perished in prisons and the labour camps of GULAG. Young people such as Brezhnev filled the void created by Stalinist repressions in the region. In 1938, the young Brezhnev was elected as a member of the regional committee of the Soviet Communist party of Ukraine (KPU) and head of the Department of Agitation and Propaganda. By the young age of 32, Brezhnev had become secretary of the KPU committee of the most important industrial region of Soviet Ukraine. His career was interrupted by the Great Patriotic War when Brezhnev joined the army as an ideological officer (see Mlechin 2005). From August 1941 to October 1943, the Dnipropetrovsk region was occupied by the Nazis, and Soviet troops liberated the entire region by February 1944 (Berkhoff 2004, 11, 36, 49, 149–150, 152–153, 248–249). The Soviet administration restored the industrial base of Dnipropetrovsk, and by 1950 the main metallurgical and machine-building factories had reached their pre-war levels of industrial production and productivity. During this period, Brezhnev began his political career as a talented and ambitious organizer of the industrial re-birth of Dnipropetrovsk. He was an experienced young army ideologist who had proved his loyalty to the Stalinist leadership during the war and was familiar with Dnipropetrovsk before 1941. The Central Committee of the KPSS sent Brezhnev to Dnipropetrovsk in November 1947 when he was elected first secretary of the Dnipropetrovsk regional committee of the KPU, and he ruled the oblast until June 1950 (Vosstanovlenie). His successors were Andrei Kirilenko and Volodymyr Shcherbitskyy, both close friends. Two other young comrades of Brezhnev, Oleksiy Vatchenko and Yevhen Kachalovskii led the region respectively in 1965–1976 and 1976–1983 (Vasiliev 1977, 72; Bolebrukh 2001_,_ 233; Mlechin 2005). Brezhnev promoted the political career of his old friends, many of whom became prominent political figures in Kyiv and Moscow during his leadership of the KPSS. Both contemporaries and scholars who study the ‘Brezhnev period’ call this phenomenon the ‘Dnipropetrovsk mafia’ or rule of the ‘Dnipropetrovsk Family’ (Nahaylo 1999, 36, 69; Wilson 2000, 162). Since the rise of Brezhnev to the pinnacle of Soviet power, the ruling elites of Dnipropetrovsk influenced not only regional, but also republican and All-Union politics. Dnipropetrovsk’s transformation into an important centre of the Soviet military industrial complex was directly related to the sudden rise of Brezhnev to the pinnacle of Soviet power in October of 1964. Brezhnev promoted the political career of his compatriots from the Dnipropetrovsk military industrial complex. Brezhnev’s friends and close colleagues from his post-war years in the Dnipropetrovsk region went to Moscow and became prominent political figures in the Soviet nomenklatura hierarchy during the 1960s and 1970s. Two main industries of the Soviet military industrial complex – metallurgy and missile-building – had important factories in Dnipropetrovsk and therefore provided the Brezhnev clan with new members from 1964 until 1982. Even after the downfall of the Brezhnev clan in Moscow in 1983, when Yurii Andropov began his struggle ‘against corruption and nepotism’ in the Soviet nomenklatura, members of this clan continued to play a prominent role in the political life of Soviet Ukraine. Besides the Physical-Technical Department of Dnipropetrovsk State University, the Dnipropetrovsk Metallurgical Institute also assisted the political careers of many of Brezhnev’s close friends who in the 1970s and 1980s became important members of the Kremlin nomenklatura. Nikolai Tikhonov, former head of Dnipropetrovsk Sovnarkhoz during the 1950s, was one of the deputies of the Soviet Prime Minister between 1966 and 1976, First Deputy of the Prime Minister from 1976 to 1980 and head of the USSR Council of Ministers from 1980 to 1985.[2] Nikolai Shcholokov was the Soviet Minister of Public Order in 1966–1968 and from 1968 to 1982 he was Soviet Minister of Interior. Georgii Tsynev was during 1971–1976 a member of the Central Revision Committee of the KPSS and a deputy head of the KGB from 1970 to 1982. In the KGB he was the 1st Deputy Chairman in 1982–1985 as well as he was a Candidate Member of CPSU Central Committee in 1976–1981 and accordingly was a full Member of the said body in 1981–1986. Victor Chebrikov, who graduated from Dnipropetrovsk Metallurgical Institute in 1950, was one of the leaders of the city party organisation in Dnipropetrovsk from 1961 to 1971. In 1971 he became the head of the personnel department of the USSR KGB, First Deputy of the Head of this organization and from 1982 to 1988 a chairman of the KGB (Pikhovshek 1996, 11–12, 272–274). Another of Brezhnev’s close friends, Volodymyr Shcherbytskyy, promoted the careers of other people from the region of Dnipropetrovsk. With his support, Oleksii Vatchenko became the head of the Presidium of the Ukrainian Soviet Supreme Soviet from 1976 until 1984 with the assistance of another politician from Dnipropetrovsk, Valentyna Shevchenko. Aleksandr Kapto, who worked as a secretary of both the Dnipropetrovsk Komsomol organization and the Soviet Ukrainian Komsomol in Kyiv in the 1960s, oversaw the Department of Culture in the Central Committee of the KPU; in 1979–1986 he was a Secretary of the Central Committee and accordingly was the main ideologist of the Soviet Ukraine. Many other members of the ‘Kyiv ruling class’ under Shcherbytskyy were also linked to the Dnipropetrovsk metallurgical and military lobby. Shcherbytskyy’s assistant from 1972 to 1984 was Konstantin Prodan who began his career in the Komsomol organisation of the city of Dnipropetrovsk (Pikhovshek 1996, 48–103). As a contemporary political analyst noted, ‘Officially Prodan was put in charge of industrial production, though, according to insiders of the former KPU Central Committee, his principal function was ‘maintaining’ contact with Brezhnev’s assistant Georgii Tsukanov in Moscow’ (Pikhovshek 1996, 33–34). Another important reason for the rise of the ‘Brezhnev Clan’ was the relative independence of Dnipropetrovsk’s local administration from Kyiv. Because of the status of Dnipropetrovsk as a ‘strategically important centre for military industry,’ different branches of the local administration were under the direct supervision of Moscow, rather than Kyiv (Interviews with Tihipko, Markov and Bocharova). The Military Industrial Complex and Ruling Elite of Dnipropetrovsk The city of Dnipropetrovsk was the location of famous metallurgical and machine-building factories in pre-revolutionary Russia and the Soviet Union. Before 1941, Dnipropetrovsk became the most urbanised region of the Soviet Ukraine. Almost 53 per cent of this region’s population lived in 16 cities and towns of the region (Vasiliev 1977, 55; Bolebrukh 2001, 159–164). In 1980, the industrial enterprises of Dnipropetrovsk manufactured a significant part of the industrial products and customer goods for the Soviet Ukrainian Republic. A total of 5.4 per cent of steel, 9 per cent of rolled iron, 28 per cent of pipes, 62 per cent of combine beet-harvesters, 27.9 per cent of television sets, and 8.5 per cent of knitted wear in Ukraine were produced in the city of Dnipropetrovsk (Bolebrukh 2001, 219). After 1945, the main centre of economic and financial activities of the region and the city of Dnipropetrovsk became neither metallurgy nor mining. The new centre which changed the status of the region and of the city was a secret military factory in Dnipropetrovsk. The entire ideological and cultural situation in the region, and especially the city, depended on this one industrial plant which became the most important part of the Soviet military industrial complex. In July 1944, the State Committee of Defence in Moscow decided to build a large military machine-building factory in Dnipropetrovsk on the location of the pre-war aircraft plant. In December 1945, thousands of German prisoners of war began construction and built the first sections and shops of the new Dnipropetrovsk Automobile Factory (Markov, 1995). In 1947–1948 this factory produced its first cars and special military vehicles. However, on 9 May 1951 the USSR Council of Ministers decided to transform the main shops and sectors of this factory into ‘secret production’ which included not only special military vehicles, but also powerful rocket engines and different types of modern military aircraft. The former Dnipropetrovsk Automobile Factory was transferred to the Ministry of Armament of the USSR and received a new name – the State Union Plant #586 (Lukanov 1996, 12). Stalin introduced the organisation of special secret training of highly qualified engineers and scientists who were to become rocket construction specialists. He recommended the introduction of a new college degree at Dnipropetrovsk State University which would be a Master of Sciences in rocket construction. In 1952 the university administration formed a new department with the name ‘physical-technical faculty’ which was the largest department at the university, admitting on average four hundred students each year. These students received better accommodation and a higher stipend payment than students from other departments and colleges; the lowest stipend for this department was 450 roubles, while the highest stipend at another prestigious school, the Dnipropetrovsk Medical Institute, was only 180 roubles. A special commission from Moscow selected talented undergraduate students studying physics from engineering schools all over the USSR and sent them to the physical-technical department at Dnipropetrovsk State University, where they resumed their studies as rocket engineers. Simultaneously, the university administration announced the admission of new freshmen students in this department. The promise of a good stipend and a ‘romantic’ career of rocket engineer attracted thousands of talented young people to this ‘secret’ department, which provided training specialists for only the Dnipropetrovsk Automobile Factory (Horbulin 1998, 9, 62–63). In accordance with another decision of the Soviet government, in 1954 the administration of this automobile factory opened a secret design office with the name ‘Southern Construction Bureau’ (konstruktorskoe biuro Yuzhnoe). The main assignment of this office was to construct military missiles and rocket engines. Hundreds of talented physicists, engineers and machine designers moved from Moscow and other big cities in the Soviet Union to Dnipropetrovsk where they joined the konstruktorskoe biuro Yuzhnoe (KBYu). In 1965, the secret Plant #586 was transferred to the Ministry of General Machine-Building of the USSR and the next year it changed its name into the ‘Southern Machine-building Factory’ (Yuzhnyi mashino-stroitelnyi zavod) or simply Yuzhmash (in Ukrainian Pivdenmash). The first ‘General Constructor’ and head of the ‘Southern’ design office was Mikhail Yangel, a prominent scientist and outstanding designer of space rockets who led the design office and factory from 1954 to 1971. Yangel designed the first powerful rockets and space military equipment for the Soviet Ministry of Defence. Yangel worked with talented engineers who later became the leaders of military production in Dnipropetrovsk and the official directors of Pivdenmash. Two close collaborators of Yangel were the Pivdenmash directors Leonid Smirnov (1952–1961) and Aleksandr Makarov (1961–1986). Makarov’s successor was Leonid Kuchma, the Director General of the Pivdenmash in 1986–1992, who later became one of the most prominent political leaders in independent Ukraine and was and still is the only President of Ukraine (1994–2005) elected twice (Strazheva; Platonov and Horbulin; Romanov and Gubarev; Baikonur; Baikonur, Korolev, Yangel). In 1951 the Southern Machine-building Factory began manufacturing and testing new military rockets with an initial range of only 270 kilometres. By 1959 Soviet scientists and engineers developed new technologies, and as a result, the KBYu launched a new machine-building project producing ballistic missiles. Under Yangel, KBYu produced very powerful rocket engines which dramatically increased the range of ballistic missiles and from the 1960s, began to be used as launch vehicles for Soviet spaceships. Pivdenmash designed and manufactured four generations of missile complexes which included space launch vehicles Kosmos, Interkosmos, Tsyklon-2, Tsyklon-3 and Zenith. The KBYu created a unique space-rocket system called Energia-Buran and manufactured 400 technical devices which were launched as artificial satellites (Sputniks). For the first time in the world space industry, the Dnipropetrovsk missile plant produced space Sputniks. By the 1980s, Pivdenmash manufactured 67 different types of spaceships, 12 space research complexes and four defence space rocket systems. These systems were used not only for purely military purposes by the Ministry of Defence, but also for astronomical research, for global radio and television and for environmental monitoring. Pivdenmash initiated and sponsored the international space programme of Eastern European socialist countries, called Interkosmos. Twenty-two of the 25 automatic space Sputniks of this programme were designed, manufactured, and launched by engineers and workers from Dnipropetrovsk. Pivdenmash and KBYu became not only an important centre of the Soviet space industry and Soviet military industrial complex, but also the main rocket producer for the entire Soviet bloc. (Hall and Shayler 2001, 316ff; Siddiqi 2003, 97, 113, 114, 164, 177, 285) The military rocket systems manufactured in Dnipropetrovsk created the base for the Soviet Strategic Missile Forces (Dnepropetrovskii raketno 1994; Bolebrukh 2001_,_ 209–211, 229; Lukanov 1996, 13). On the eve of the disintegration of the Soviet Union, KBYu had nine regular and corresponding members of the Soviet Academy of Sciences, 33 full professors and 290 scientists holding a Ph.D. More than 50,000 people worked at Pivdenmash. Pivdenmash was ‘a state’ inside the Soviet state. In 1969, after a long competition with Moscow’s V. Chelomei Centre of Rocket Construction, Pivdenmash rocket designs won, and from then leaders of the Soviet military industrial complex preferred only Pivdenmash models. The Soviet state provided billions of Soviet roubles to finance Pivdenmash projects (Horbulin 1998, 6, 24–31). Officially, Pivdenmash also manufactured agricultural tractors and special kitchen equipment for everyday needs, such as mincing machines or juicers for Soviet households. In official reports and public information there were no details given about its production of rockets or spaceships. However, hundreds of thousands of workers and engineers in the city of Dnipropetrovsk were employees of this plant, and members of their families and therefore most local people knew about the ‘real production’ of Pivdenmash. Dnipropetrovsk as a KGB “Testing Ground” The Soviet government approved the KGB’s proposal to introduce the highest level of secrecy over Pivdenmash and its products. According to the Soviet government’s decision, the city of Dnipropetrovsk was officially closed to foreign visitors in 1959. No citizen of a foreign country (even Eastern European socialist) was allowed to visit the city or district of Dnipropetrovsk. From the late 1950s, Soviet people called Dnipropetrovsk ‘the rocket city’ or ‘closed city.’ (Bolebrukh 2001, 211). Members of the Brezhnev clan in the Moscow offices of the KGB and Ministry of Interior also contributed to centralised ideological control in Dnipropetrovsk, which especially influenced the KGB and security operations in the closed city. The local KGB office was always more Moscow-oriented, ignoring the interests of the authorities in Kyiv. At the same time, for Moscow officials who began their careers in Dnipropetrovsk, the city became the testing ground for many All-Union KGB campaigns which they attempted to initiate. Dnipropetrovsk KGB officers were ‘pioneers’ in the organisation of ideological campaigns which became ‘models’ for other ‘closed’ industrial Soviet cities. [This phrase – ‘pioneers of ideological campaigns’ – belongs to a local retired KGB officer. According to the KGB documents, Moscow’s representatives in the Dnipropetrovsk clan always interfered in local KGB business, imposing their own practices on the local officers.] (Igor T.; DADO, f. 19, op. 52, spr. 72, ark. 1–18) As a result, the inhabitants of Dnipropetrovsk experienced more ideological limitations and more brutal anti-Western campaigns than people in many other Soviet cities. Facing direct Kremlin supervision, the local KGB and KPSS ideologists sought to prove their ideological reliability and occasionally exaggerated the ‘threat from the capitalist West.’ KGB officers transformed one building in the Dnipropetrovsk Special Psychiatric Hospital (psikhushka), located in a town of Ihren (now a suburban district of Dnipro), into a special police facility for ‘political dissidents.’ All over the Soviet Union, Ihren psikhushka (especially its Section 9) became notorious and known as the worst incarceration for political prisoners. The Dnipropetrovsk KGB tested various drugs on prisoners and performed different medical experiments, treating the most ‘opinionated’ political dissidents as mentally sick patients. Many religious and civil rights activists and ‘bourgeois nationalists,’ such as national communist dissident Leonid Plyushch, described the Dnipropetrovsk Psychiatric Hospital as ‘mental hell’ because of its police system of harsh treatment and everyday humiliation (Plyushch 1979, 304–326, 340–349). Meanwhile, local KGB officers explained their harsh treatment of dissidents such as Plyushch as an ideological necessity to protect a strategically important centre of the Soviet military industrial complex (Igor T). Growth of the Population and Standards of Living in the Region The new status of the city brought more state investments and contributed to the overall improvement of the standard of living of its inhabitants. During the 1950s, the main sponsor of city improvements and renovations was the metallurgical industry. During the 1960s and 1970s, the space rocket industry and its biggest factory, Pivdenmash, sponsored all major city programmes, renovations and new architectural projects which included the sports palace Meteor with a large indoor pool, football team Dnipro, city airport, city theatre of opera and ballet, historical museum of Yavornitskii, department store ‘Children’s World,’ construction of thousands of modern apartments, libraries and movie-theatres, and celebrations of the 200th anniversary of the city of Dnipropetrovsk in 1976. (Bolebrukh 2001_,_ 211–212). Even the expansion and renovation of the Dnipropetrovsk Central Farmer Market (known as Oziorka) was supported by Pivdenmash as part of its improvement of the city’s life, and a reflection of the growth and strategic importance of the city. From 1958 to 1965 the city administration invested money in building a new covered location for the market and by 1970 they had re-built the entire neighbourhood transforming it into a modern and convenient place for the ‘socialist consumption of goods and services.’ (Lazebnik 2001, 167–185) As a result, the missile factory, the centre of the Soviet military industrial complex, contributed to a new level of cultural consumption among not only the city’s dwellers, but also among all guests of Dnipropetrovsk. Consequently, the pioneering efforts in the popularisation of new modern forms of Western music such as jazz and rock-n-roll also began among engineers and workers of Pivdenmash who contributed to the spread of new cultural forms and activities among those who lived in the city and region of Dnipropetrovsk. The improving living conditions in Dnipropetrovsk led to an increase of the regional population from 2,339,800 people (with a 56 per cent urban population) in 1951 to 2,850,700 (with a 72 per cent urban population) in 1961. The larger salaries and better distribution of food and industrial goods also attracted young people from other regions of the Soviet Union to Dnipropetrovsk. From the 1950s onward, most of the Dnipropetrovsk population were people younger than 30 years old. In 1970 there were 3,343,000 people in the region (76 per cent of who lived in cities) which by 1984 had increased to 3,771,200 people (with 83 per cent urban population). The population of the city of Dnipropetrovsk grew from 660,800 people in 1959 to 1,066,000 in 1979 and more than 1,153,400 people in 1985 when Gorbachev came to power (Glushkina 1985, 10, 11). The Dnipropetrovsk region had a young multinational, predominantly Russian speaking population. Three major ethnic groups shaped the cultural development of the region – Ukrainians, Russians, and Jews. During the peak of ‘international harmony and prosperity of developed socialism’ in 1979, Ukrainians made up the overwhelming majority of the regional (72.8 per cent) and urban (68.5 per cent) population. Due to massive emigration from the Soviet Union, the Jewish population decreased from 2.7 per cent in 1959 to 1.7 per cent in 1979 and 1.3 per cent in 1989. The number of Russians in the region’s population grew rapidly from 17.2 per cent in 1959, 20.9 per cent in 1970, 23 per cent in 1979 and 24.2 per cent in 1989 (O vozrastnoi structure 1971; Goskomstat USSR 1991, 100, 102). By 1985, more than a third of the population in the city of Dnipropetrovsk was ethnically Russian. If we add to this number the 3.2 per cent of Russian-speaking Jews and more than 33 per cent of Ukrainians who considered Russian their native language, we will have more than two thirds of the city’s population who associated themselves with Russian rather than with Ukrainian culture. According to contemporaries, the high salaries and better conditions of living attracted representatives of various nationalities from different republics who also spoke Russian rather than the Ukrainian language in Dnipropetrovsk (Goskomstat USSR 1991, 106, 108, 119, 122; Prudchenko and Smolenska 2007). Komsomol ‘Business’ During the Late Soviet Era The regional economic activities of local ‘businessmen and women’ from the Komsomol during perestroika had their roots in the pre-perestroika era. They also strengthened trends for independence from Moscow which had earlier existed in Dnipropetrovsk. All the elements of their initial business had already been developed during the Brezhnev era when the cultural consumption of late socialism combined the structures of Soviet international tourism with the ideological efforts of Komsomol activists into one business network. Mass rock and discotheque music consumption among Soviet youth was delivered by Komsomol and trade union apparatchiks. International tourism and discotheque enthusiasts provided these apparatchiks with music and video material for their entertainment business. Without these relations it would be impossible to imagine the development of post-Soviet capitalism. The first pioneers of organizing Komsomol business in the region were two graduates of Dnipropetrovsk Metallurgical Institute, the Ukrainian-Moldovan Sergiy Tihipko, the First Secretary of the Dnipropetrovsk Komsomol regional organization in 1986–91, and the Ukrainian Oleksandr Turchynov, who worked with Tihipko as head of the agitation and propaganda division in the same Komsomol regional organisation in 1987–90. Tihipko and Turchynov initiated and ‘ideologically justified’ the first Komsomol businesses in the region. Two other Komsomol members, who also graduated from the same institute as Tihipko and Turchynov, Kolomoyskyy and Viktor Pinchuk, both of Jewish origin, started their careers not in the official Komsomol business, but on the black market of Dnipropetrovsk, trading various goods, and using their financial and engineering skills for their own survival in the conditions of economic collapse of late socialism. Kolomoyskyy used his financial skills and connections with Tihipko to organize its own financial corporation Privatbank, which became the most successful bank in post-Soviet Ukraine. Pinchuk, using his engineering and managerial skills, founded his own metallurgical venture, entitled Interpipe Company. It is noteworthy that all four of those Komsomol members, two Ukrainian and two Jewish, used their personal connections through their friends and partners from Pivdenmash, including through its last director Leonid Kuchma, to start their first businesses in Dnipropetrovsk (see Golovko 2012). In the mid-1980s, when perestroika created favourable conditions for the managerial skills of Komsomol activists, this system produced new activities for cultural consumption, such as video salons which brought their organisers more profits than traditional discotheque clubs. The video business used the same infrastructure and network of the discotheque movement; namely international tourism, Komsomol activists, trade union leaders and the ‘discotheque mafia.’ This network contributed to the business career of two fans of Western popular music, Yulia Tymoshenko and her husband, Oleksandr (Popov, Milshtein, 55; Ponamarchuk). Yulia Grigian (Telegina) was the daughter of Armenian taxi-driver Grigian and Russian technical worker Telegina, a fan of British rock music. Yulia Grigian married Oleksandr Tymoshenko, son of a member of the city KPU committee in the Pivdenmash administration. In 1978, Yulia Tymoshenko joined the student Komsomol organization in the Department of Economy at Dnipropetrovsk State University. This department was opened on the initiative of the Pivdenmash administration in 1977 to provide training for qualified economists in Dnipropetrovsk’s growing military industrial complex. Yulia Tymoshenko graduated with honours from the Department of Economy in 1984 and began her first job as an engineer-economist through the connections of her father-in-law, Hennadii Tymoshenko. For five years, she worked at the Lenin machine building plant, another factory which belonged to the Soviet military industrial complex. In 1979, she gave birth to her daughter Yevhenia, and until 1988 she and her husband enjoyed a typical Soviet upper-middle class life in their one-bedroom cooperative apartment. They continued to watch movies, listen to Western pop music, and occasionally visited and danced in well-known discotheque clubs in downtown Dnipropetrovsk (Popov and Milshtein 2006, 64–67; Suvorov 1991). Perestroika changed the young Tymoshenko family. Hennadii Tymoshenko recommended his son and daughter-in-law to join the co-operative movement and promised his support through the city’s KPU and Soviet administration. In 1988, the young Tymoshenkos used their old connections in the Komsomol discothèque world to open a public service enterprise, a video-rental shop in Dnipropetrovsk, with 5,000 borrowed Soviet roubles. The profits made from this first venture were used to open a chain of video rental stores. They used the experience of Komsomol apparatchiks, who brought their first VCRs in Dnipropetrovsk through Sputnik. Contacts in the discotheque movement helped provide these apparatchiks with Western video tapes and an audience which was ready to consume new Western cultural products. Former discotheque enthusiasts tested these new business practices and proposed the idea of video salons, which had already become the most popular and fashionable form of entertainment Moscow and the three Baltic republics. As a result, during perestroika both the Komsomol and ‘discotheque mafia’ provided infrastructure for these salons in Dnipropetrovsk. When in 1987the KGB opened the city of Dnipropetrovsk to foreigners, Pivdenmash imported thousands of VCRs using barter agreements with South Korean businessmen. As a regional KPU apparatchik who oversaw the distribution of movies throughout the Dnipropetrovsk region (kinoprokat), Yulia Tymoshenko’s father-in-law had access not only to these Korean VCRs but also to local movie theatres which provided the first mass audience for video films. The main base of a Tymoshenko’s ‘video enterprise’ was the location of the former central Komsomol discotheque club of Dnipropetrovsk oblast– the Student Palace in the Taras Shevchenko Park of Culture and Relaxation in downtown Dnipropetrovsk (Popov and Milshtein 2006, 52–89; Ponamarchuk 2007). In 1989, she quit her old engineer-economist job and became the head of the Terminal co-operative. The same year, another participant in the ‘discotheque mafia,’ Serhiy Tihipko, was elected as the first secretary of the Komsomol organization of Dnipropetrovsk oblast. He not only supported Tymoshenko’s enterprise, but also brought his additional discotheque and Sputnik connections into Terminal. In this way, discotheque activists and Komsomol apparatchiks contributed to the growth and popularity of Tymoshenko’s business (Tihipko). In 1991 after the disintegration of the Soviet Union and Soviet state tourism, the representatives of the Brezhnev era Komsomol elite, such as Tymoshenko demonstrated again that a skilful adjustment of this network to the new economic situation was an important foundation for success in post-Soviet business activities. The initial capital of Terminal, the music and video Komsomol enterprise which Tymoshenko had launched during ‘the discotheque era’ of late socialism, became the foundation of her business and political career in post-Soviet Ukraine. Epilogue: Dnipropetrovsk Komsomol Entrepreneurs and the Formation of Post-Soviet Oligarchs Political corruption in the post-Soviet geopolitical space is rooted in cultural consumption during the Brezhnev era, especially in the so-called ‘discotheque effect’ on society during the era of ‘mature socialism.’ During this period of late socialism in the USSR, millions of Soviet young people, loyal members of Komsomol, fell in love with the catchy sound of ‘beat music’ by the Beatles and hard rock by Deep Purple. Even ten years after dissolution of the Soviet Union, the post-Soviet space was ruled by former Soviet hard rock fans, representatives of the so-called ‘Deep Purple generation,’ new post-Soviet politicians, such as Russian Prime-Minister Dmitri Medvedev, twice Ukrainian Prime Minister Yulia Tymoshenko, President Petro Poroshenko and former Georgian President Mikheil Saakashvili. Paradoxically, détente in the 1970s led to the influx of Western cultural products into the USSR, such as popular music and feature films. As a result, Soviet ideologists, including the Komsomol, attempted to control Soviet consumption of cultural products from the West using ‘Komsomol discothèques’ where Soviet young people could dance to ‘ideologically permitted’ Soviet and Western music. Contemporaries called these organizers ‘disco mafia’ in the industrial cities of Eastern Ukraine. By the end of perestroika in 1991, more than 100 Komsomol businesses had emerged in industrial cities in Eastern Soviet Ukraine, of which more than ninety originated in the city of Dnipropetrovsk (Zhuk 2010, 301). Only a few of the most successful enterprises survived post-Soviet competition during the 1990s and created ‘new business corporations’ such as Yulia Tymoshenko’s ‘Gas Empire,’ Kolomoyskyy’s and Tihipko’s Privatbank, Aleksandr Balashov’s ‘Trade Corporation’ and Rinat Akhmetov’s Liuks. The overwhelming majority of these post-Soviet successful businesses were organised by or directly connected to the ‘disco mafia.’ At the same time, the first Dnipropetrovsk ‘capitalists’ demonstrated a wide range of ethnic backgrounds, from the Ukrainian Tihipko, Armenian-Russian Tymoshenko, Russian Balashov and Jewish Kolomoyskyy contributing to the multi-national identity of the city of Dnipropetrovsk and Dnipro. Some contemporaries noted how the business activities of Komsomol ‘entrepreneurs’ in the 1980s contributed to regional identity in Eastern Ukraine. Many of these ‘entrepreneurs’ who were not ethnic Ukrainians became active participants in the Ukrainian independence movement in 1988–1991 to protect their regional business interests rather than defending Ukrainian culture and language. In the 1990s, former members of the Soviet ‘discotheque mafia’ and their former KPU supervisors became an integral part of the business and political life of independent Ukraine. As leaders of oligarchic clans in Ukraine they have resisted Russian expansion into their ‘spheres of influence.’ The case of Volodymyr Zelenskyy, elected in April 2019, whose entire career was generated inside the Soviet-based system of television entertainment, continues to demonstrate the connection between ‘post-Komsomol‘ business and political careers. Zelenskyy began his acting career in 95-yi Kvartal, which was a reference to a neighbourhood in Kryvyy Rih, where he had grown up and was inspired by the 1960s Soviet television show KVN. As we see, the Dnipropetrovsk and Dnipro elites, who are still rooted in their Soviet past, play a significant role in the development of independent Ukraine. References Berkhoff, Karel C., (2004). Harvest of Despair: Life and Death in Ukraine under Nazi Rule. Cambridge, MA: Harvard University Press. Bolebrukh, Anatolii G. et al., eds., (2001). Dnipropetrovsk: vikhy istorii. Dnipropetrovsk: Grani. Derzhavnyy arkhiv Dnipropetrovskoyi oblasti (hereafter – DADO), f. 19, op. 52, spr. 72. Dnepropetrovskii raketno-kosmicheskii tsentr: Kratkii ocherk stanovlenia i razvitia. (1994). DAZ-YuMZ-KBYu: Khronika dat i sobytii. Dnipropetrovsk: YUMZ. Glushkina, Liudmila G. ed. (1985). Tsentral’noe Statisticheskoe Upravlenie Dnepropetrovskoi oblasti. Dnepropetrovshchina v tsifrakh. (K 40-letiu pobedy v Velikoi Otechestvennoi voine). Dnipropetrovsk: Gosstat. Golovko, Volodymyr. (2012). Ukrainski finasovo-promyslovi grupy v modernizatsiinykh protsesakh 1991-2009. Kyiv: Instytut istorii Ukrainy NAN Ukrainy. Goskomstat USSR. Dnepropetrovskoe oblatnoe upravlenie statistiki. (1991). Naselenie Dnepropetrovskoi oblasti po dannym Vsesoiuznoi perepisi naseleniia 1989 goda. Dnepropetrovsk: Gosstat. Hall, Rex, Shayler, David J. (2001). The Rocket Men: Vostok and Voskhod, the First Soviet Manned Spaceflights. Chichester, NJ: Springer. Horbulin, Volodymyr P. et al. eds. (1998). Zemni shlyakhy i zoryani orbity. Shtrykhy do portreta Leonida Kuchmy. Kyiv: DrUk. Kuznetskii, Mikhail I., Stazheva, Irina V. eds. (1995). Baikonur – chudo XX veka: Vospominania vevteranov Baikonura ob akademike Mikhaile Kuzmiche Yangele. Moscow: Kosmos. Kuznetskii, Mikhail I. ed. (1997). Baikonur, Korolev, Yangel. Voronezh: Kosmos. Lazebnik, Valentina I. (2001). G. A. Efimenko ed., Oziorka nasha: Istoricheskii ocherk o Dnepropetrovskom Tsentralnom rynke. Dnipropetrovsk: Grani. Lukanov, Yuriy. (1996). Tretii president: Politychnyi portret Leonida Kuchmy. Kyiv: Taki Spravy. Markov, Karlo A. (1995). Uchastie nemetskikh voennoplennykh i internirovannykh v vosstanovlenii narodnogo khoziaistva Dnepropetrovskoi oblastiv pervye polevoennye gody. Voprosy Germanskoi istorii: Ukrainsko-nemetskie sviazi v novoe i noveishee vremia. Mezhvuzovskii sbornik nauchnykh trudov, In: Svetlana Bobyliova, ed., Dnipropetrovsk: DDU, 158–172. Mlechin, Leonid M. (2005). Brezhnev. Moscow: Molodaia gvardia. Nahaylo, Bohdan. (1999). The Ukrainian Resurgence. Toronto: Hurst. O vozrastnoi structure, urovne obrazovania, natsional’nom sostave, iazykakh i istochnikakh sredstv sushchestvovania naselenia Dnepropetrovskoi oblasti po dannym Vsessoiuznoi perepisis naselenia na 15 ianvaria 1970 goda. (1971). Dneprovskaia Pravda, June 26. Pikhovshek, Vyacheslav, et al., eds. (1996). ‘Dnipropetrovska simya’: Informatsia stanom na 25 lystopada 1996 roku. Kyiv: Ukrainian Centre for Independent Political Research. Pikhovshek, Vyacheslav et al. Eds. (1996). Dnipropetrovsk vs. Security Service. Kyiv: Lybed. Platonov, Vitalii P. and Horbulin, Volodymyr.P. (1979). Mykhaylo K. Yangel. Kyiv: Nauka. Plyushch, Leonid. (1979). History’s Carnival: A Dissident’s Autobiography. New York: Harcourt Brace Jovanovich. Ponamarchuk, Dmytro. (2007). Prosto Yulia. Izvestia, September 20. Popov, Dmitrii, and Milshtein, Ilia. (2006). Oranzhevaia printsessa. Zagadka Yulii Timoshenko. Moscow: Izdatel’stvo Ol’gi Morozovoi. Romanov, Aleksandr P., Gubarev, Vladimir S. (1989). Konstruktory. Moscow: Molodaia gvardia. Siddiqi, Asif A. (2003). Sputnik and the Soviet Space Challenge. Gainesville: University Press of Florida. Elberg-Wilson, Eliot. (2016). ‘Eduard Artem’iev and the Sonics of National Identity,’ Slovo, 28, 2: 2–25. Strazheva, Irina V. (1978). Tiulpany s kosmodroma. Moscow: Molodaia gvardia. Vasiliev, I. V. et al. eds. (1977). Istoria gorodov i siol Ukrainskoi SSR v 26-ti tomakh: Dnepropetrovskaia oblast. Kyiv: Glavnaia redaktsia Ukrainskoi Sovestskoi Entsiklopedii. Vosstanovlenie Pridneprovia (1946–1950). (1980). Dokumenty i materially. Kyiv: Nauka. Wilson, Andrew. (2000). The Ukrainians: Unexpected Nation. New Haven, CT: Yale University Press Zhuk, Sergei. (2004). Russia’s Lost Reformation: Peasants, Millennialism and Radical Sects in Southern Russia and Ukraine, 1830–1917. Baltimore, MD & Washington D.C: Johns Hopkins University Press and Woodrow Wilson Centre Press. Zhuk, Sergei (2010). Rock and Roll in the Rocket City: The West, Identity, and Ideology in Soviet Dniepropetrovsk, 1960–1985. Baltimore, MD & Washington D.C: Johns Hopkins University Press and Woodrow Wilson Centre Press. **Interviews**Igor T., KGB officer, 15 May 1991, Dnipropetrovsk. Karlo A. Markov, 12 April 1992, Dnipropetrovsk State University. Mikhail Suvorov, 1 June 1991, Dnipropetrovsk. Natalia V. Bocharova, 15 March 1993, Dnipropetrovsk State University. Sergiy Tihipko, director of Privatbank in Dnipropetrovsk, 12 October 1993, Dnipropetrovsk. Yevhen D. Prudchenko and Halyna V. Smolenska, 18 July 2007, Central Library of Dnipropetrovsk oblast, Dnipropetrovsk. Notes [1] I used also numerous interviews conducted with my relatives, who are ethnic Ukrainians, but live in Moscow, Russia, who still support Russian President Vladimir Putin’s anti-Ukrainian politics. [2] Sovnarkhoz is abbreviated from Russian Sovet narodnogo khoziaistva, an economic department in the Soviet government during the early Stalin era and during Khrushchev’s reforms.

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Nov 14 • 7:58 AM EST • Politics • e-ir.org
Xenetic Biosciences Reports Third Quarter 2026 Financial Results and Highlights Strategic Business Updates

"This is a defining period for Xenetic as we work toward completing a transaction that we believe has the potential to fundamentally transform the Company's clinical development profile and long-term value proposition," said James Parslow, Interim Chief Executive Officer and Chief Financial Officer of Xenetic Biosciences. "Santersus is expected to bring an established clinical-stage platform, two FDA Breakthrough Device Designations and a pipeline targeting serious diseases with substantial unme

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Nov 13 • 8:30 AM EST • Business • finance.yahoo.com
Business Weekly Agenda for November 8

Events for the Greater Berks business community.

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Nov 8 • 2:45 PM EST • Business • readingeagle.com
Deep dive
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Einstein Was Right Again: Scientists Discover Chemical Bonds That Defy Textbook Rules

Scientists have uncovered direct evidence that Einstein’s theory of relativity changes how atoms form triple chemical bonds in heavy elements. A fundamental rule of chemical bonding begins to break down when atoms become sufficiently heavy. Chemists at Brown University have found direct experimental evidence that Einstein’s theory of relativity changes the structure of triple bonds,

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Nov 8 • 2:42 PM EST • Science • scitechdaily.com
Exclusive | Top US business leaders including Elon Musk set to join Trump at Apec in China

But Nvidia chief Jensen Huang’s attendance in doubt amid foreign intelligence investigation, as Beijing calls allegation ‘unsubstantiated’.

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Nov 10 • 1:16 AM EST • Business • scmp.com
Lions Coach Gives Troubling Update on Two Starters

The Detroit Lions were without starters Cade Mays, D.J. Reed, and D.J. Wonnum in Week 9. Head coach Dan Campbell admitted that while he expects Wonnum to return after passing concussion protocol, he does not expect Reed to return from his hip injury or Mays from his ankle. “Wonnum, he’s cleared his first obstacle,” said […] The post Lions Coach Gives Troubling Update on Two Starters appeared first on HEAVY.

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Nov 11 • 6:41 PM EST • Sports • sports.yahoo.com
Why ‘Star Trek’ isn’t the ultimate in optimistic, Up Wing science fiction

Right there in the first season of Star Trek: The Next Generation—episode 17, “When the Bough Breaks,” to be specific—we get a classic Up Wing line from Captain Jean-Luc Picard, played by Patrick Stewart, who died last week at age 86. When Lieutenant Commander Data (Brent Spiner) says breaching a planetary force field might be “impossible,” Picard curtl…

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Nov 3 • 11:42 AM EST • Science • fasterplease.substack.com
Phantom Blade Zero made $223M on Steam and PS5 in five days

Phantom Blade Zero was always going to be a hit. We’ve been banging on about it for months now. Well, the results are in, and Phantom Blade Zero has indeed been a hit. Yesterday, S-Game reported that Phantom Blade Zero has sold 4M copies. As of this morning, our estimates show that Phantom Blade Zero has generated $223M via 4.3M copies sold across Steam (3.1M) and PlayStation (1.2M). This instantly makes Phantom Blade Zero this year’s #10 new 2026 game by premium revenue across Steam, Xbox, and PlayStation – and without an Xbox release to boot. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe Combined, China, Taiwan, and Hong Kong account for 55% of Phantom Blade Zero’s copies sold – 56% of copies on Steam and 50% on PlayStation. But revenue is slightly different. Phantom Blade Zero actually made more revenue outside of China However, due to regional pricing, China, Taiwan, and Hong Kong account for a lower share of revenue, 45%. The three countries account for 40% of Phantom Blade Zero’s revenue on PlayStation, and 47% on Steam. This is due to regional pricing, which you can easily check in our platform: Using the $59.99 USD base price as a starting point, we can see that Phantom Blade Zero costs the equivalent of $40.31 in China (-32.8% of the US price) and $41.80 in Hong Kong (-30.3%). So while Chinese culture is at the heart of Phantom Blade Zero (in terms of theme and player base), it’s actually making more money in non-China markets. In fact, markets outside of China, Hong Kong, and Taiwan account for $123M in Phantom Blade Zero revenues via 2M copies. Even when we remove revenues from these markets from the analysis, Phantom Blade Zero remains a top 20 new 2026 title by revenue across Steam, Xbox, and PlayStation. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe In other words, Phantom Blade Zero is a global hit. It’s not all China – or even majority China, when it comes to revenues. The China spring board helped, but a successful State of Play and – more importantly – positive reviews helped this one land in other markets. Quality sells. China was hyped from the start, but Western players needed more convincing As we wrote back in August, China was always going to show up early for Phantom Blade Zero. Our daily Steam revenue data shows just that, and we can see when S-Game’s banging RPG won over players outside of China: On the day Phantom Blade Zero’s Steam pre-order button went live in mid-August, China accounted for nearly 70% of Phantom Blade Zero’s Steam revenue. The shares hovered around 68% throughout August. This is the hometown-hero effect we’ve covered in the past, with the home market committing first – almost sight unseen – on national pride and a lush-looking trailer alone. Then things get even more interesting. Following the State of Play on August 18, US daily revenue more than doubled (from $72K to $146K), China’s daily take nearly quadrupled ($237K to $892K), and the rest of the world’s revenues also more than doubled. As China spiked so much harder than the others, its share of revenue hardly moved, holding at around 68%. So the by-all-counts-awesome State of Play got non-China markets and the West interested (you can see daily spend jump), but it didn’t move the needle for overall revenue shares. Positive reviews were the Western tipping point. US daily revenue went from $106K on October 25 to $230K when the embargo lifted on the 26th, to $463K on the 27th, to $899K on the 28th. So nearly 8.5x more revenue in four days, boosted by the positive reviews and subsequent word of mouth. When Phantom Blade Zero launched on the 29th, things hit critical mass. On launch day, the US and the rest of the world combined out-earned China for the first time in Phantom Blade Zero’s whole pre-order history. You can see this unfolding pretty nicely in the revenue shifting shares, too. China’s lifetime revenue share sat at 68% in August and was still 65% as late as October 25th, but it dropped to 45% by November 2. Over that same period, the US nearly doubled its share from 10% to 18%, and the rest of the world climbed from 25% to 38%. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe That’s not to say that China sold less – far from it. The West and non-China markets just showed up later, won over by the reviews and word of mouth. However you look at it, Phantom Blade Zero has become one of this year’s highest-grossing premium games. Daily volume seems to be decelerating a bit (which is natural), so subscribe below for more updates on performance. Speaking of performance and deceleration… Gran Turismo 7 is one of PlayStation’s biggest earners While games like Ghost of Yotei, Helldivers 2, Astro Bot, Wolverine (2.7M now, by the way), and even Marathon and Saros tend to get all the headlines (we hold our hand up there, too!), there’s one PlayStation game from the past five years that’s earned more than all of these games: and it’s one that’s rarely talked about in enthusiast circles. Gran Turismo 7, which launched in March 2022, has sold 12.7M copies. This amounts to $840M in revenue, second only to Spider-Man 2’s $1.3B – if we’re talking PlayStation first-party for this generation. Gran Turismo 7 still brings in around 3M players every month (and between 400K and 700K active players per day). It’s also an evergreen seller every year. For example, Gran Turismo 7 generated: $189.7M in 2023 via 2.9M copies $161.3M in 2024 via 2.7M copies $119.1M in 2025 via 1.7M copies This year, Gran Turismo 7 has already sold 1.3M copies, generating $74.7M And there’s more laps to come Every December is comfortably GT7’s biggest month of the year (except launch), and the gap is widening there. December generated 2.1x a normal month in 2023, and by 2025 that had grown to 2.8x. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe As the typical months cool off with age, Christmas always holds strong, so the holiday period is becoming a bigger slice of Gran Turismo 7 yearly revenue. For Gran Turismo 7, the week around Christmas does 3x to 5x a typical week – three years running: Christmas week 2023: $14.7M (4.6x the year’s median week) Christmas week 2024: $9.3M (3.3x) Christmas week 2025: $8.5M (4.6x) These Christmas peaks happened at the full $59.99 (Gran Turismo 7 wasn’t discounted at all in December 2023 or December 2025). And although there was a discount late in December 2024, GT7’s peak week that year still happened at full price. You can really see why PlayStation hasn’t added this one to PlayStation Plus, eh? Say it after me: Subscriptions cannibalise premium revenue! On that note… Let’s take a quick look at how Gran Turismo 7 is doing versus its nearest competitor, Xbox console exclusive and long-running sim racer Forza Motorsport (released in 2023 as a reboot for the franchise, about 19 months after GT7). Forza Motorsport has sold around 1.3M copies across Xbox (75.4% for Xbox console and PC) and Steam (24.6%), grossing $89.9M across those platforms. Launch aligned, and on just PlayStation, Gran Turismo 7 had sold 10.2M copies, generating $676.1M, by that point. In other words, Gran Turismo 7 has sold the same number of copies this year as Forza Motorsport has sold since launch. When all is said and done, Gran Turismo 7’s 2026 revenues will have lapped Motorsport’s lifetime, too. It’s worth noting that Forza Motorsport was not released on last-gen consoles, and under a quarter of Gran Turismo 7’s revenue has come from PS4 consoles. Critically, Forza Motorsport is also on Game Pass, where nearly 7M players have accessed it. Meanwhile, the Forza Horizon series has been performing incredibly in terms of revenue. This year’s Forza Horizon 6 has generated $583.7M across Xbox and Steam despite Game Pass cannibalisation, and last year’s Forza Horizon 5 PlayStation port has generated $383.5M on PS5 alone. So two questions, then: How well is Forza Horizon 6 going to do when it launches on PS5 in January? Hit subscribe to get that in your inbox in January (which is in two months somehow!?) Subscribe 2. Open-world arcade Gran Turismo when? Also, if you like arcade racers, go and play Star Wars Galactic Racer. It rules. Like GOTY material, seriously. The last word Reply to this email – or reach out here – if you have any feedback for the newsletter – or want to request a game for us to cover. [Alinea Analytics boasts the most accurate PC and console estimates in the business. Game makers use our platform to understand their audience, keep an eye on the competition, monitor sales trends, and spot new opportunities. We equip game studios and financial institutions with accurate data and the confidence to make smarter, data-driven decisions. Want to talk about all things games market data? We’d love to chat!]

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Nov 3 • 12:39 PM EST • Technology • alineaanalytics.substack.com
11/10/2026: Supervisory Status and Health Care Rule Quirks

Union Electric Company D/B/a Ameren Missouri, 14-RM-394835 (Regional Election Decision) A Regional Director dismissed the Employer's petition after finding that Distribution System Operating Supervisors (DSOS) II are statutory supervisors under Section 2(11) of the NLRA, but not managerial employees. The Employer, an electric and gas utility, filed the petition after the Union demanded recognition for DSOS I and II positions. Because the DSOS II are supervisors excluded from the NLRA's protection, no election was ordered. The DSOS I position was not decided, since no one currently holds it, and ordering an election for a unit with zero employees would be contrary to Board policy. As a preliminary matter, the Union was precluded from litigating supervisory or managerial status because it filed its Statement of Position with the Region but did not serve it on the Employer by the deadline. The Regional Director still took evidence sufficient to decide unit appropriateness, as the Board's rules require. Supervisory status rested on the authority to assign. The DSOS prioritize work tickets, choose which Line Troubleman or Traveling Operator to send, pull employees off lower-priority jobs, hold employees past shift end, decide whether to call in crews and how large they should be, and handle sick call-outs, all without consulting anyone. Relying on Oakwood Healthcare and Entergy Mississippi, the Regional Director found this resembled utility dispatchers who used independent judgment in assigning employees to places. It did not matter that the record did not show who selects the specific employees who respond to a call-out. The Employer failed to prove responsible direction because nothing showed DSOS face adverse consequences for field employees' performance. The one Performance Improvement Plan involved a DSOS's own errors. The Employer also failed to prove discipline authority, since switching error forms merely report incidents and upper management decides whether discipline follows. The managerial claim failed because there was no evidence the DSOS formulate high-level employer policy. They exercise technical discretion, sit below Superintendents and a Manager, and are first-level supervisors. Significant Cases Cited Oakwood Healthcare, Inc., 348 NLRB 686 (2006): Defined "assign" and "responsibly direct" under Section 2(11) and placed the burden of proving supervisory status on the party asserting it. Entergy Mississippi, Inc., 367 NLRB No. 109 (2019): Held utility dispatchers were supervisors because they used independent judgment in prioritizing outages and assigning field employees. NLRB v. Kentucky River Community Care, Inc., 532 U.S. 706 (2001): Established the three-part test for supervisory status under Section 2(11). NLRB v. Yeshiva University, 444 U.S. 672 (1980): Described managerial employees as those who formulate and effectuate management policies and are aligned with management. Ikea Distribution Services, Inc., 370 NLRB No. 109 (2021): Affirmed preclusion of issues for a late-served Statement of Position while confirming the Regional Director must still determine unit appropriateness. NLRB Edge is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe Prime Healthcare Services – St. Michael’s, LLC D/B/a Saint Michael’s Medical Center, 22-RC-392696 (Regional Election Decision) The Regional Director dismissed a petition seeking an Armour-Globe self-determination election for two full-time radiation therapists at a Newark hospital. The union wanted the therapists to vote on joining its existing nonconforming unit of registered nurses, nurse anesthetists, and technical employees. The Regional Director found the union had not shown the therapists could appropriately be added to that unit under the Board's Health Care Rule and the community-of-interest factors. The Regional Director first explained that the Health Care Rule does not categorically bar an Armour-Globe election in a partially organized hospital with existing nonconforming units. Under St. Vincent Charity Medical Center, such an election does not create a new unit and so does not offend the Rule's concern with unit proliferation. The petitioner still bears the burden of showing the group is identifiable and distinct and shares a community of interest with the existing unit. The therapists were an identifiable, distinct group because they do identical work in the same department under the same managers. On community of interest, the evidence was mostly unfavorable to the union. The therapists work in the Cancer Center alongside unit nurses but have separate supervision (apart from occasional coverage), separate break areas, and distinct equipment and functions. Their contact with nurses is limited to routine patient handoffs, and they do not interact with or fill in for technical employees such as radiology technicians. The Regional Director found some overlap in certifications and training, which might tip the scale on those factors, but the union did not establish common terms and conditions. The Regional Director added that shared benefits or work rules would not suffice given separate supervision, no interchange, and physical separation. The decisive problem was the Health Care Rule's classifications. The therapists are professionals who fall within the Rule's "all other professionals" category. The parties' contract expressly excludes "all other professionals," and the union's attempt at hearing to classify some respiratory therapists as professionals contradicted that contract. Adding the therapists would create yet another nonconforming grouping and leave other unrepresented professionals in that category. A separate therapist-only unit would also be inappropriate because the record shows other unrepresented professional employees. A unit of all unrepresented employees in that category may be appropriate. Significant Cases Cited St. Vincent Charity Medical Center, 357 NLRB 854 (2011): An Armour-Globe election in an acute care hospital does not violate the Health Care Rule because it adds employees to an existing unit rather than creating a new one. Rush University Medical Center v. NLRB, 833 F.3d 202 (D.C. Cir. 2016): Section 103.30(c) of the Health Care Rule applies only to petitions for additional units, not to Armour-Globe elections adding employees to an existing unit. Warner-Lambert Co., 298 NLRB 993 (1990): A self-determination election requires that the employees share a community of interest with the existing unit and form an identifiable, distinct segment constituting an appropriate voting group. United Operations, Inc., 338 NLRB 123 (2002): Sets out the community-of-interest factors, and common supervision alone does not require inclusion in one unit absent interchange, contact, or functional integration. Wheatland Electric Cooperative, Inc., 375 NLRB No. 16 (2026): Functional integration requires that positions depend on one another to accomplish their tasks, and minor differences between groups should not be given too much weight.

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Nov 10 • 7:37 AM EST • Health • nlrbedge.com
Anchoring Maternal Mental Health in Obstetric Care: Key Takeaways from New York’s Historic Hearing - Policy Center for Maternal Mental Health

Advocates in New York, facilitated by the Postpartum Resource Center and others, worked with the legislature to host the state’s first Maternal Mental Health Hearing on Monday, November 9. The hearing featured over 40 speakers, including our CEO, Joy Burkhard. Joy’s testimony centered around opportunities to improve screening and diagnosis.

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Nov 13 • 6:14 PM EST • Health • policycentermmh.org
DR Congo Ebola outbreak: armed groups unrest hold back response

The Ebola outbreak in the Democratic Republic of the Congo (DRC) continues to spread amid repeated and ongoing deadly attacks on civilians and frontline health workers by armed groups that are obstructing efforts to stop transmission, UN responders said on Friday.

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Nov 13 • 5:54 AM EST • Health • news.un.org
Moana, The Invite and “What Customers Want”

(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) Before we get going, I wanted to acknowledge that two of the most important figures in sports media (at least to me and my team) are stepping back from two of the best sports shows of all time. First off, Ernie Johnson will no longer host possibly the greatest studio show in the history of all sports, Inside the NBA. (Charles Barkley has said in the past that he’s retiring when Ernie does, which would be even worse!) EJ is one of the greatest to ever do it, and the NBA won’t be the same without him. Next, Michael Wilbon is taking a leave of absence from PTI, my favorite sports news show. I’ve been listening to the podcast for this show since the 2010s, if not earlier, treating it as my daily sports page. Wilbon, along with his co-host Tony Kornheiser, is also one of the greatest to ever do it. The sports media landscape will be worse without these two in it! Wishing all the best to Wilbon and EJ. Okay, on to this week’s issue. We’ve got two big shows—the second season of Prime Video’s The Terminal List and the third season of Netflix’s _Nobody Wants This—_but both were bested by an acquired title landing on Netflix. All that, plus an Original film from Mexico makes the charts but a formerly huge foreign TV show does not, a notable creator’s latest standup special flops, Ted Lasso finishes as a top season four series of all time, big numbers for the NBA’s new season (finally), the top animated shows on linear and streaming, movie budgets, and all the flops, bombs and misses, and a whole lot more. But first, on the film side, I’m taking a look at Moana and A24’s buzzy film from last summer. Let’s dive right in! (Reminder: The streaming ratings report focuses on the U.S. market and compiles data from Nielsen’s weekly top ten viewership ranks, Luminate’s Top Ten Data, JustWatch and Reelgood interest data, Samba TV household viewership, company datecdotes, Netflix hours viewed data, Google Trends, and IMDb to determine the most popular content. While most data points are current, Nielsen’s data covers the weeks of October 19th to October 25th, 2026. You can find a link to my terminology here.) Subscribe Film - What Do Customers Want? If I could remove one phrase from entertainment journalism, it would be “what customers want”. It’s not that it’s not wrong per se, but I read a lot of articles that use that phrase, but then don’t provide evidence of what customers actually want.1 For example, look at the bar chart below. It shows customer interest as measured by how much customers actually spent at the American box office, comparing four films to four others. Which films would you say represent “interest” the most? The one on the left certainly seems bigger, right? So it seems like “customers” wanted to see those films more. So here’s that chart with names attached: That’s right, four very buzzy films—The Invite, You Can See Everything, Teenage Sex and Death at Camp Miasma and Primetime—went up against four notable “flops” or underperformers—Moana, Disclosure Day, Minions and Monsters, and Supergirl—and the latter clearly had more interest. That doesn’t mean they’re more profitable2 or well-liked by critics, but if you’re asking what customers want to spend their money on, it’s those movies. I’d especially argue that You Can See Everything had about as much media coverage as a film can get—I saw/read about it constantly; whenever random NBA podcasts are talking about it, you know it’s everywhere—and yet Moana will likely best it. I bring this up, because this week features a showdown between a notable box office flop, Moana on Disney+, and a buzzy dramedy, The Invite on HBO Max. Moana was widely considered to be a flop, and it was a disappointment at the box office, only earning $126 million domestically (and $323 million globally). For the budget, that’s a big miss, down from Moana 2’s heights of $1 billion globally. But as I’ve written a few times this summer, we often confuse “this film is profitable” with “more customers want to watch this film”, which is not the same thing. But that’s the box office. Let’s look at the streaming numbers, starting with the Moana live-action reboot. Where, yes, Moana (2026) also disappointed. It made Nielsen, but under 10 million hours, which is low for kid-skewing Disney+ films: It did make Samba TV, but at tenth place for only one week: Those numbers stand in stark contrast to some of Moana’s previous superlatives on streaming. Moana (the original animated film) has made the Nielsen charts 130 times since 2021. Moana 2 opened to 33.3 million hours on Nielsen. Moana was the biggest film on streaming in 2023 and 2024, second in 2020 and 2021, and top six in 2022 and 2025. Moana 2 was second overall in 2025. To be clear, the Moana live-action reboot didn’t work, given how much it cost to make. It’s absolutely a disappointment. But more families paid to see it than people paid to see most of A24’s buzzy films this year, with one notable (horror film) exception. Okay, on to The Invite, A24’s buzzy summer release, which just came to HBO Max. Mainly, I’m curious: Who made money from this film? Or who lost money: the stars of The Invite or A24? No, seriously, read this Deadline article for the details. The Invite’s budget was allegedly “under $15 million” (so...$14 million?) then A24 bought it for “a sum north of $10 million”, which I saw elsewhere as over $12 million (so...$13 million?), but then it just made $26 million in the US. So basically, The Invite’s investors only made money after they sold foreign territories—it made $33 million overseas—but A24 might just make its money back in the US in the theatrical window, assuming it had $0 in marketing. I read one article analyzing this film’s marketing campaign which assumed no marketing spend, even though that article went on to detail how much marketing and PR and ads this film had. For what it’s worth, I saw a lot of marketing for it. A24 will likely just break even after factoring in other windows, but no matter what, this isn’t a hugely profitable juggernaut from Hollywood’s most-heralded film studio. (And, I’d note, most coverage of IP or superhero failures doesn’t account for profitability in future windows.) Really, I’m guessing that the stars—Olivia Wilde, Seth Rogen, Ed Norton and Penelope Cruz—had or kept their backend, hence why they did so much press for this film, which brings me to my actual takeaway, which I just mentioned two weeks ago about Backrooms: I don’t trust A24’s reported film budgets anymore. Either A24 is strategically releasing low numbers to get good press or they’ve really cracked the code on how to make movies at prices no one else can approach. But I’m skeptical about that last point. You don’t keep elite talent happy by keeping budgets in check—see: Dan Lin getting fired—and by all accounts, A24 keeps talent very happy. There’s another option: not paying big name actors their actual quotes upfront by giving away back end/profit participation. Offering backend is one great way to keep the reported budget lower than it actually is, but it makes the film less profitable for A24. (By the way, I’m still running down the numbers on Backrooms’ budget. If you know its actual budget—not the reported $10 million number—reach out to me on my contact page. I’ve heard rumblings I’m on to something, but would love something more concrete.) Okay, enough asking questions about A24’s business model. To the streaming ratings! The Invite came to HBO Max on 23-Oct, so we could look at the streaming numbers now… …and I don’t have any for you since it didn’t make any of the charts I track. And that’s pretty much the moral of the streaming story. Even though it disappointed on streaming, Moana wins this round, too. Quick Notes on Film The only other notable new straight-to-streaming film was S_urviving Hurricane Otis_, a Mexican Original on Netflix. It made Nielsen with 3.4 million hours and Luminate with 4.8 million hours. Overall, I’d call that very solid for a foreign-language title, but still far from a hit. Overall, the Luminate and Nielsen charts felt very light this week. Gladiator II also came to Netflix non-exclusively (it’s still streaming on Paramount+) and had 5.0 million hours according to Nielsen. That’s up from the 3.7 million hours it had when it premiered on Paramount+ a year and a half ago. Netflix’s Animals fell to 4.9 million hours according to Nielsen and fell off the Samba TV charts. Peacock/Universal’s Disclosure Day actually made it for a third week, but only at 2.8 million hours. Apple TV’s Sacrifice was down to 2.7 million from 3.2 million. Still, for an Apple TV film to make two weeks is solid (for them). Toy Story 5 made a fifth week on the charts. We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… ...how The Terminal List did after a four-year break... ...what acquired surprising title topped the charts… …where Ted Lasso finished in the all-time charts… ...big NBA opening week ratings... …a controversial new reality show that missed the charts... ...what very notable foreign TV show flopped... ...all the flops, bombs and misses... ...and a whole lot more... ...please subscribe! We can only keep doing this great work with your support. If you want an idea of just how much content you’d get in a full issue, check out this older issue.

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Nov 10 • 7:58 PM EST • Entertainment • entertainment.substack.com
OpenAI: ChatGPT Search Is About 20% of Google’s, 250 Million People Speak With ChatGPT, and Chat Is Merging With Work

OpenAI says ChatGPT growth is accelerating. The company added 200 million users over just the past two months, jumping from 1 billion to 1.2 billion weekly active users in 60 days. Its search volume, it says, is approximately 20% of Google’s. Its users create 1.5 billion images with it per week. And its voice mode, between dictation and speaking with ChatGPT, now has 250 million combined weekly active users. ChatGPT consumer product lead Adam Fry told me this during a brief fireside chat at an OpenAI-hosted dinner in New York City on Monday night. “The growth is just going big,” he said. During our conversation, Fry also revealed plans to merge ChatGPT’s Chat and Work modes (so that confusing toggle up top will soon go away), agreed with feedback that ChatGPT-created restaurant signage looks too uniform, and addressed the cost to serve its personal assistant Dots. Here’s a look at our full conversation, lightly edited for clarity and length. We also cover image generation, interactive interfaces, advertising, education, and public unease about AI: Alex Kantrowitz: OpenAI has analyzed ChatGPT’s search volume and compared it with Google’s. What did you find? Adam Fry: ChatGPT has been growing quite quickly. ChatGPT’s volume of search-like queries is now roughly one-fifth the volume of queries of Google. It’s a pretty amazing statistic when you think about it, mainly because we started just about a year and a half ago. It’s hard to remember this, but ChatGPT at a time didn’t have any up-to-date information. You’d ask a question, it would say something like, “It’s past my training date,” and nobody had any idea what that meant. You’re saying ChatGPT’s search volume is one-fifth of Google’s. Bing’s share of the search market is around 5%. Does that make you multiple times larger than Bing? To say that more directly, ChatGPT has gone from one billion to 1.2 in just the last two months. That’s roughly 100 million users in 30 days, and another 100 million in another 30 days. The growth is just going big, and we’re staying very focused on how fast ChatGPT is growing. What counts as a search? I might have 20 prompts back and forth in a ChatGPT conversation. Does each one count as a query? Story continues below… A MESSAGE FROM OUR SPONSOR Move upmarket without a rebuild Moving upmarket means saying yes to what enterprise buyers ask for first: SSO, directory sync, and audit logs. WorkOS gives you all three, so your team keeps building the product instead of the checklist. Get enterprise-ready. Continued from above…. Adam Fry: What people came to ChatGPT for to start, if you go back about two years, is really writing help and coding help. Those wouldn’t be things that you really search for. What we’ve seen over the last year is people have grown into all these other topics. Things like you’re looking up a person or people or a place or a thing, and it requires up-to-date information. That’s a key element. Another big part is finance questions or health questions, where you really want to make sure it’s up-to-date information that’s quite factual, and we’ll do a web search for those questions. It’s basically anything that a user would have traditionally gone to a traditional search engine for, but is now deciding to go to ChatGPT for. Does each conversation with a search embedded count as one search, or does every question that requires a web search count? Every time you ask a question and go search the web, that’s a search. You used to work at Google. How would you say the nature of search is changing? One of the things that people really love about ChatGPT is this personalization and this understanding of the broader journey. If you look in the past, people would go for a Q&A box, and you’d ask a one-off question, like how tall is the Eiffel Tower. But there’s so much context in our lives around, “Maybe I’m taking a trip to Paris.” It’s actually helpful for ChatGPT to respond, “Here’s how tall the Eiffel Tower is, but I know you’re going on a trip to Paris.” It’s that ability for people to actually maintain context over time that has led them to start using ChatGPT in this way. You’ve also announced 250 million weekly active users of voice input, including dictation and conversations with voice mode. We are at 250 million weekly active users. What’s amazing about this is, if you look at those 250 million, what we’re seeing is it’s actually also incremental to the product. It’s no longer just a novelty. People aren’t just trying out voice. We’re seeing them use voice input day to day in their daily life, and it’s grown so quickly. Those 250 million users are using voice input, and that could just be a quick question or a long conversation. We’re seeing both behaviors. We’re seeing people just not want to type. You just hold it and start talking to it, or it turns into a longer conversation where people just sit with it. The big reason for this is the frontier capabilities of our models that we’ve shipped. We shipped what we call GPT Live 1, and then we shipped GPT Live 1.1. The big change with this is that it’s much more natural to speak with. It’s something we call backchanneling and interruptibility. Mhhhm… What you just did there is what the model does, because it’s really good at having a bidirectional conversation. That push to the frontier—we were the first to really release this at scale—has made it so much more natural for people to chat. That’s still only about 20% of the user base. From the outside, that looks small. Why is it exciting from the inside? It’s very exciting for a few reasons. We see from the data that when people start using voice, they stay around using voice. One of the things, transparently, we can do a better job of is bringing more people into discovering it. We see that the number of people who discover it could be a lot higher. But once they do, it’s a really new way for people to interact with AI. We’ve made a lot of improvements to it too, where we’re just going to see the number go up. You have background mode, so now by default, if you close the app, it’ll show, “Hey, the conversation’s still going.” If you want to walk around the house or you’re putting away the groceries, you can still have a chat. That kind of continuity has also changed how much people use it. Dots launched on September 29 and is about a month old. How’s it doing? It’s doing great. We talk to people about their Dot, and the first thing that everyone says is, “I love my Dot.” One of the reasons we’re seeing this is the proactivity, its ability to reach out to you and figure out things. The biggest use case I see all the time is, “Did I forget something today that I was supposed to do?” You can just say to your Dot, “Remind me of things at the end of the day that I may have forgotten. Somebody emailed me or messaged me,” and it’ll do that. This Dot changes the paradigm of the relationship with AI, where it’s actually helping you and giving you time back. You’re more conservative with permissions than some competitors. I tried to give my Dot my credit card, and it wouldn’t take it. With the creator of OpenClaw in-house, why are Dots’ permissions more limited? This is a space where we want to be very thoughtful and conservative because it’s a new space where you’re entrusting your Dot to take care of things on behalf of you that matter and are meaningful. We’ve just talked about how you go to this 1.2 billion user growth and asking questions. Now we’re asking people, “Can you ask ChatGPT or your Dot to help get things done?” But when you ask it to help get things done, it’s a whole new level of trust. We’ve built up a tremendous amount of trust in giving the right answers to your questions, and we want to make sure that when we build this new product, it has a high degree of trust. It’s a long game. We think this is going to be a new market for a very long time, and we want to make sure that we’re being this trusted player in the market to start. I initially thought Dots would be available on my $20 plan, then realized I had to spend $100 a month to get it. I upgraded, but I’d like to downgrade at some point…. We hope to keep earning your business and make the value good enough. It’s a really good point. ChatGPT’s goal more broadly, which I think is unique for us in the market, is we are focused on bringing intelligence to everyone safely across the entire world. For Dots in particular, there’s no difference. We don’t have anything to share tonight about the date of when Dots will go to a broader set of users. But you can rest assured we’re working very hard, and there are a couple things we have to get right. Over time we’re going to work on more efficient, agentic models that are able and capable of doing things for you. The first one is, right now we wanted to make sure that your Dot is actually really helpful. We started with some of our best models, but over time we’re going to work on more efficient, agentic models that are able and capable of doing things for you. The second thing is around proactivity. We’re still dialing in: How much do I message you to help you get things done? We can always play around with that to understand how much usage should a user use to have a successful Dot. We’re going to work on both, and our goal and ambition is to bring it out to all users. How much background computing does a Dot require? I’ve read estimates that serving a $100 subscriber might cost OpenAI $3,000 in compute, and mine seems to read every email that arrives. How often is it checking connected data sources? Right now, Dots are on the compute-heavier side, and this is one of the things we want to make sure that we can dial back over time. But the goal is to give you the best product. This is our premium, always-on personal assistant. Once we nail that, we’ll figure out how to dial back the compute needs. The thing we’re seeing also from our models, as we train frontier models, is just how—I can’t even keep up with how quickly we have a new model, and each new model is more efficient. If you looked at 6.1 Sol when it came out relative to Astra, much more efficient. I’m very excited about the next set of models we have coming too that’ll be even more efficient that we can use. Elon Musk said the cost of serving Grok Bot was unsustainably high relative to revenue. Is efficiency the key to winning against competitors, or is there more to it? There are a couple of factors that go into it. One is the cost side, but the other is the revenue side. On ChatGPT and on our consumer business, we’ve been extremely proud of our ability to diversify different revenue streams in a way that’s growing really fast. To give you another stat, we announced several months back that we had passed 50 million subscriptions, and the number has grown considerably since then. On ads, within 200 days, we reached more than a billion in ARR, and that business is growing extremely quickly. We also have credits. Rather than paying for subscriptions, users can buy more credits. Between credits, subscriptions, and ads, I’m confident that the value of a Dot is going to be able to pay for itself. Elon has subscriptions too. This is clearly an expensive product to serve. One thing we continue to bet on at OpenAI and ChatGPT more broadly is that the models will continue to get much better and much cheaper, way faster than any of us think. If you look back at the historicals on it, it continues to be true. From what I’ve seen, I see no slowing down of that. What is Meta doing right with Muse? It has spent a lot of time atop the App Store charts. There are a couple of things they’ve done well. The first is people have been craving simplicity in their products. One of the things we have stated publicly as well is, at times AI products can be too complex. We’ve announced we’re merging ChatGPT’s Chat and Work. We’re making it much more simple in the products. You don’t have as many toggles or sliders between efforts and different model pickers. One of the things they’ve done well is this simplicity. You just go in and you can ask a question. You don’t have to think too much about what you’re doing. That’s one thing that seems to have resonated with users, which we also believe in. Second, there’s something really nice about being able to access your agent across many different channels. We just announced and launched Dots on iMessage. Whether you talk to your Dot on email or iMessage or within the ChatGPT app, the ubiquity in getting your assistant out there is going to be key. Those are two things that, if I had to be nice to our competitors, I would say were two big ones. So Alexandr Wang’s meme-tweeting strategy isn’t something you’re going to emulate? I have a different tweeting style. ChatGPT still asks me to choose between Chat and Work, even though some people call this technology AGI. Will that distinction go away? Couldn’t agree more. We have to solve this. Asking users to choose — we’ve heard repeatedly from all of our users it’s too much to understand. When should you go to Chat? When should you go to Work? It’s solvable. There’s real research to solve to make sure the models can understand what your intent is. Are you asking for a fast, quick reply? Are you asking me to go do a long agentic task? We’re going to solve it, and the plan is to bring Chat and Work together. So one interface will work out whether I’m asking for a conversation or a task. When? Coming soon. You told me the majority of ChatGPT’s 1.2 billion users are using image functionality. What are they doing? Today, 1.5 billion images are created per week. It’s hard to even wrap my head around that number. They’re doing a wide range of things. One of the most interesting things they’ve started to do is really use it for productivity use cases. The first thing it started with—I don’t know if you saw the ’80s trend, but it was quite fun. You could take a photo of yourself and say, “Put me and my family in ’80s outfits.” I did this for my family, and it was a really fun poster. But what we’re also seeing is businesses for their menus, or posters for birthdays. People are using it almost in a productivity-like fashion to create visual diagrams of what they would like to see. We’ve actually brought the latency down on images as well, so it’s gotten a lot faster. It went from a very high number of seconds to getting much faster. As it comes down even further, the number of images people are creating and the number of use cases is going to grow a lot. My feature request: When a restaurant makes a menu or sign, prompt it for more specificity so it doesn’t look like every other AI-generated restaurant sign. Or offer a shuffle button for a different style. I agree with the feedback, and we’ll take it to the team. I’m seeing ChatGPT generate little interactive interfaces within its answers. What’s the direction for Intelligent UI, and how are people using it? I am extremely excited about Intelligent UI. If you go back a couple years, these chat apps were all text, and now that’s changing. They’re going to be visuals. Intelligent UI and our first attempt at this with GPT-6 Intelligent UI is really just the beginning. As you go to the extreme, what you can imagine is, let’s say you’re using voice mode, and you just say, “Show me how offside works.” Immediately it should show you a visual diagram, and you say, “No, I don’t quite understand it.” It should just repopulate. That’s where the future of this technology goes. It’s almost like you’re talking to a canvas that will update and change. People are finding it helpful for a lot of things. My favorite one is—it’s hard to admit that I had no idea how hearts work. The last biology course I took was in high school. I just asked it, “How does the heart work?” and it instantly gave me a beautiful interactive diagram of where blood flows and how it goes through. I’m really, really bullish on this for learning in particular. You’ve described useful applications in finance, health, and learning, and ChatGPT has 1.2 billion users. If people are getting so much value, why is public polling on AI so negative? The reality with AI is it is going to change the nature of how work gets done. For a lot of people, that is something that can feel scary at times, and we’ve all felt that. But I remain confident that when people actually use the product and they use AI, it very quickly changes how they perceive it. We’re at 1.2 billion, but there are still a lot of people who haven’t used it. The more people use it, get familiar with it, how it can actually help you in your life, it’s going to feel a lot less scary. Big Technology is a reader-supported publication. To receive new posts and support our work, please consider becoming a paid subscriber. Thanks!! Subscribe

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Nov 3 • 10:00 AM EST • Technology • bigtechnology.com
Bangladesh and India ban toxic pesticide to boost suicide prevention and brain health

Regulatory action on an acutely toxic pesticide will save thousands of lives and protect brain health worldwideGlobally it is estimated 1 in 5 suicides are attributable to the ingestion of acutely toxic pesticides. Many of these deaths are easily preventable and occur in rural communities across Africa, Asia, Eastern Mediterranean, Latin America and the Caribbean, and the Pacific Islands. Long-term exposure to toxic pesticides has also been linked to brain health and neurological risks among agricultural workers, and neurodevelopmental disorders among children. In September 2026, Bangladesh and India declared national bans on paraquat, regarded as one of the most dangerous agricultural chemicals due to its severe toxicity and links with suicide, Parkinson disease, and risk to farmer occupational safety. With this historic public health decision, Bangladesh and India join over 70 countries that have prohibited paraquat.Suicidal thoughts and behaviors can be impulsive and often occur during moments of acute distress. In these critical moments, easy access to a highly lethal means like paraquat can make the difference between life and death. Restricting access to lethal means of suicide is highly effective because it allows crucial time for suicidal thoughts to pass and the opportunity to intervene, preventing numerous potentially fatal actions. Evidence from a number of countries including the Republic of Korea, Malaysia and Sri Lanka demonstrate that national bans on paraquat and other acutely toxic pesticides have resulted in substantial reductions in pesticide-related suicides and overall suicide rates, without harming agricultural productivity. Based on international evidence, national regulatory action on paraquat in Bangladesh and India is anticipated to save thousands of lives and protect brain health. These momentous actions build on years of tireless work across government, civil society, academia, community, and the health sector, including WHO. WHO, in collaboration with the Food and Agriculture Organization of the United Nations, have produced critical resources to support pesticide regulators in phasing out the use of acutely toxic pesticides linked to suicide, including the International code of conduct on pesticide management: guidance on pesticide regulation to prevent suicide, the brochure Preventing suicide by phasing out highly hazardous pesticide, as well as a resource booklet Preventing suicide: a resource for pesticide registrars and regulators. In addition, a WHO study demonstrated that national bans on acutely toxic pesticides are among the most cost-effective interventions for mental health and have been included in WHO’s Menu of cost-effective interventions for mental health.Global momentum to phase out highly hazardous pesticidesOver the last decade, the phasing out of highly hazardous pesticides (HHPs) from agriculture has gained increasing momentum in several international fora. HHPs refer to a small number of pesticides that cause disproportionate harm to human health and the environment. In 2023, a resolution on chemicals was adopted which included to address HHPs at the Seventy-sixth World Health Assembly, and in 2026, official and external side events at the Seventy-ninth World Health Assembly were held highlighting the need to take action on acutely toxic HHPs for suicide prevention. In November 2026, the First International Conference of the Global Framework on Chemicals will take place to advance key global targets on chemicals including the phasing out of HHPs from agriculture. The regulatory actions taken by Bangladesh and India represent a significant step towards this target and sets an important precedent for the rest of the world. Removing acutely toxic pesticides from circulation protects agricultural workers, children, and individuals in distress, advancing brain health and preventing suicide.

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Nov 11 • 7:00 PM EST • Health • who.int
Kaweah Health pushes for more OBs - The Sun-Gazette Newspaper

Kaweah Health works to recruit more obstetricians and expand maternity care services during nationwide doctor shortage

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Nov 7 • 10:00 AM EST • Health • thesungazette.com
‘Money Out of Politics’ ballot measure passes, constitutional convention fails

Proposal 2 on Michigan ballots, the “Michiganders for Money Out of Politics” initiative, has passed. The initiative will alter state campaign finance law to ban campaign spending from “regulated electric and gas utilities, contractors with over $250,000 annually in government contracts, and people and organizations with substantial connections to those utilities or contractors.”

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Nov 3 • 9:58 PM EST • Politics • michiganadvance.com
Heichal HaTorah Talmidim Experiment in the Science Lab

This past week, Heichal HaTorah’s ninth-grade biology students learned how to use indicators to test the pH levels of common household solutions. Students observed a wide range of colors as natural plant-based pigments (anthocyanins) in red cabbage juice reacted with acids and bases in everyday substances. Students made predictions and determined whether a substance was […]

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Nov 5 • 7:49 AM EST • Science • jewishlink.news
😐 Neutral (10%)
UT Health Sciences Advisory Board to Hold Fall Meeting Friday, Nov. 13

The UT Health Sciences Advisory Board will meet Friday, Nov. 13, at 11 a.m., in the Mooney Library, 875 Monroe Ave., on the Memphis campus.

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Nov 4 • 3:00 PM EST • Health • news.uthsc.edu
Imaging Science Thesis Defense: A Step Towards Developing Digital Twins of Forest Environments with Terrestrial Laser Scanning | Events

Imaging Science MS Thesis Defense A Step Towards Developing Digital Twins of Forest Environments with Terrestrial Laser Scanning Zoom Link here Aisha Co Imaging Science MS Candidate Rochester Institute of Technology Abstract: Digital twins have become an increasingly relevant topic as we pursue accurate representations of the real world for planning, research, and even design purposes. This study focuses on the steps for creating digital twins of forest environments using sparse points from terrestrial light detection and ranging (LiDAR). Specifically, we developed geometric models of structural digital twins (SDTs) from leaf-off terrestrial laser scanning of real-world forests. Three algorithms were used to develop an approach to handle individual tree reconstructions for sparse point clouds, and they were tested and validated with a two-sample Kolmogorov-Smirnov statistic against an existing inventory of the RIT Nature Trail to evaluate the reconstruction’s fidelity. The key evaluation metrics included diameter at breast height (DBH) and height. The limited nature of available ground truth necessitated the use of an additional validation method using a PANGAEA open dataset, based on comparing DBH, height, and crown diameter against the dataset’s calculated measurements. Reconstructions were compared against per-tree reference values at two-point spacings for sixteen trees from the open BR07 dataset (PANGAEA); these specifications matched the collected RIT Nature Trail data and the scanner’s nominal spacing. On BR07, the proposed method had the lowest median DBH error among the methods that modeled every tree (1.28cm, 4.1%), and this error was nearly unchanged at the coarser spacing, while TreeQSM’s rose from 4.2% to 6.5% and AdTree overestimated DBH by 30% to 40%. Results show the proposed method understates the tree heights by 0.2m to 1.4m but contains the least error when estimating DBH. The proposed method was able to produce all 69 trees, while SimpleTree produced 49 and none at the 4.35 cm BR07 spacing. We concluded that the developed geometric model (digital) twins have significant potential to serve as both simulation and prediction tools. We recommend that future efforts focus on collecting per-tree ground truth measurements within the scanned plot and incorporating leaf-on scans. Leaf-on scans include representative foliage, which would add realism to the model and ecological function of the trees. Intended Audience: Beginners, undergraduates, graduates. Those with interest in the topic. To request an interpreter, please visit myaccess.rit.edu

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Nov 5 • 1:50 AM EST • Science • rit.edu
Whoa, I Missed It! Disney Starts Licensing the Household Silver, When IP Backfires, and More Big Content Moves

(Welcome to the “Most Important Story of the Week”, my bi-weekly strategy column analyzing the most important (but often not buzziest) news story of the last two weeks. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. Please subscribe.) Over these last few months, the entertainment business story landscape revolved around Skydance (and their merger) and Netflix (and their leadership shakeup). I don’t even want to scan my archives to see how many times I wrote about just those two companies over the last six months or so, let alone how many times they demanded their own article. Oh, how I long for June, when I could avoid them and write about other mergers and acquisitions (Comcast and NBCUniversal; Fox buying Roku). Well, not really, but you know what I mean. That focus on just two companies meant I ignored a lot of fun and, more importantly, important stories. So, it’s also time for another “Whoa, I Missed It” article. These are stories I wish I had written about, but aren’t exactly current events anymore. And there are a lot of them! Fifteen stories in all, including a very important merger that I didn’t write about, my word of warning about the IP deluge, how “genre” TV is making a big comeback, Netflix’s latest smart acquisition (and a licensing divorce), Disney and HBO’s recent TV show buys (and what they say about reboots on TV), a big cable merger, Amazon’s new bundle, social media censorship, and a lot more. Subscribe Most Important Story of the Week - Buy, Sell or Hold the Latest Content Development and Licensing in 2026!!! Content is king. I’ve written that before, and I believe in it now more than ever. If I had to quantify it, and I have, I put it at about 50% of the fate of any given media company, be they streamer, network, bundler, studio or social platform. This is a hits-driven business, and, as I like to do about every so often, it’s time to check in on the latest content moves. These content shifts on their own aren’t usually enough to be the “most important story” of a week, but if you add them up, you can see the content landscape shifting. The stories also fell into two natural buckets: licensing deals and IP moves. Plus, I’ll offer my “buy, sell or hold” rating for whether I think the deal is smart for a given side. Let’s dive right in. Disney Starts Licensing the Household Silver Disney is starting to license their core brands to Netflix. Quietly, over the last couple of years, Disney had rented some 20th Century [Fox] shows and films to Netflix, but until now, the core brands had escaped that fate. Now? At least some Pixar films will make it to Disney (including Elio) and some Disney+ Originals (like Percy Jackson and the Olympians). Here’s my rating for each company: Disney: Sell. One is tempted to say Disney has started licensing the “crown jewels”, but I don’t think we see that yet. I’d call this the “family silver” instead, which isn’t quite as valuable. That said, Disney’s new CEO clearly is focused on shoring up the company’s profitability, and that means licensing deals, even at the expense of Disney+ exclusivity. This could also help bring eyeballs to Percy Jackson for the upcoming season, a similar benefit to “dual casting” this show, which I also think Disney should do. Still, in the long run, I’d protect the core brands more. Netflix: Buy. This is a smart move, assuming the price is right, and I’d bet it is. (Netflix’s content licensing teams are some of the best in the industry.) Of course, this is another data point that Netflix is moving away from making their own films and relying on licensing instead. That has downsides—they’ll always end up renting—but if you’re buying Disney content, that’s a good move. Prime Video Buys More Live Events Amazon’s Prime Video/MGM Studios keeps purchasing live events, including the Emmys (which I wrote about here) and some regional sporting rights. These bolster their NFL, NBA and Academy of Country Music Awards licensing deals. My theory here is that Prime Video knows that they can sell the advertising for more on live events than on their massive acquired/original inventory of shows and films. (As I’ve been showing with Reelgood’s data, they have a LOT more shows and films than other streamers.) Advertisers want live, engaged viewers, since they’re a lot more likely to be real. Prime Video: Hold. I like Amazon’s focus on live events, but it remains tough to evaluate this company, er, business unit, since we don’t know anything about their financials. Yes, Amazon’s CEO recently released a very carefully worded statement about Prime Video, claiming profitability, but we don’t know by how much by when. (It’s also not audited by third parties, so we have to take it with another grain of salt.) Plus, given that Amazon increased the price of the Emmys by about a third, they also likely overpaid. (Maybe that’s why they’re barely profitable, allegedly.) But also, I think they know they need to dominate live TV, and that’s a smart strategy! So I’m torn, but lean towards calling this a smart move. The Emmys: Definitely sell! I mentioned this in my “Streaming Bonus Content” article, but I really, really, really, really do NOT like this move for the Emmys. Chasing short term dollars over long term awareness is not a smart move. To reach the widest audience, the “dual-cast” format—meaning broadcast and streaming—just reaches more people. Skydance Takes Its Animation Back This is the story that made me want to write a “let’s catch up on content” column in the first place. Specifically, Skydance and Netflix have ended their animated film output deal. It’s not huge, since really, what film has Skydance Animation made that’s broken out? But strategically, it shows you how Skydance is positioning their company. Skydance Animation: Hold. Again, I still need to see Skydance Animation put out a hit or two before I can judge this as a smart move. The other worry for Skydance is they have a lot of overlapping animation houses now, and that’s going to end at some point. Still, if John Lasseter can regain his animation mojo—and his track record has been mixed at Skydance, ignoring his other issues—this could be a powerful point for Paramount. Netflix: Hold (put your films in theaters). Right now, with the Dan Lin upheaval and Peter Rice coming in, we don’t really know what Netflix’s plans for theaters versus straight-to-streaming films are. So I need to see what new films (if any) they buy/rent/produce to replace the Skydance flicks, but it will probably be a smarter investment of capital, since the straight-to-streaming films have just failed to break out, outside of one major example. Theaters: Buy! They do look like they’re gonna end up with more inventory based on the Skydance move, and now Netflix putting four to five films in theaters per year. For example, Netflix confirmed that KPop Demon Hunters 2 will come to theaters, and that’s going to be a smash. Disney+’s Reboot Future So those were the major licensing news stories, and now we get to the IP-related updates. Obviously, I’m generally pro-IP in content development. But that’s not some iron law; not all IP hits equally. Get ready for Entertainment Nuance Guy. And let’s start with a big worry. Scanning the news stories, Disney has three reboots on their lineup between ABC, Hulu and Disney+: Coach (on ABC), The X-Files and Glee. So are reboots as immune to failure as IP? We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out about… Why I’m skeptical about some upcoming genre and IP plays… How Skydance’s merger closing unlocked Paramount and HBO… The focus on “genre” across the streamers and studios… Some big creators leave Netflix… Netflix’s horror TV show licensing play (and what they should have done instead)… A huge merger that I didn’t write about... Whether or not we’ll see a major film tax credit… Amazon’s new megabundle of streamers… And (somehow) more… ...please subscribe! We can only keep doing this great work with your support.

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Nov 6 • 2:02 PM EST • Entertainment • entertainment.substack.com
Discord is about to get way, way faster on your Android phone

A new Discord update built on Rust is substantially reducing the amount of RAM it uses, leading to significantly faster loading times

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Nov 6 • 1:13 PM EST • Technology • 9to5google.com
Losing the Endangerment Finding: Air-Quality and Health Impacts of Recent and Proposed Regulatory Rollbacks

The repeal of standards for light-duty vehicles and power plants will increase air pollution that contributes to death and disease, adding to the already substantial forgone climate-related benefits of these regulations by about $780 billion.

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Nov 3 • 7:00 AM EST • Health • resources.org
Political deadlock? Eisenkot opens coalition talks as Liberman rejects minority government

Yashar leader meets Naftali Bennett after receiving mandate to form government, with Liberman emerging as his biggest obstacle; Yisrael Beytenu chief warns reliance on Arab parties would return Netanyahu to power, while allies suspect he is positioning himself for the premiership

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Nov 8 • 1:22 PM EST • Politics • ynetnews.com
New Gastonia youth behavioral center to offer mental health support, substance-use prevention

Facility to offer mental, emotional help to children & adolescents

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Nov 5 • 6:30 PM EST • Health • wbtv.com
Salt Substitutes Can Soon Replace Sodium in Everyday Foods—and Help Lower Blood Pressure

The FDA recently ruled that salt substitutes can replace salt in certain foods. Here’s how that will impact your health.

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Nov 6 • 7:00 AM EST • Health • verywellhealth.com
Political ads surged in Georgia during the midterms. Here’s who benefited.

Georgia television stations enjoyed a substantial boost from the flood of campaign cash.

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Nov 10 • 5:00 AM EST • Politics • ajc.com
HOMETOWN HEALTH: Cannabis involved in most substance-related ER visits for teens, study finds

Cannabis-related emergency room visits also are rising among adults ages 19 to 24.

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Nov 4 • 8:09 AM EST • Health • wdbj7.com
Las Cruces seeks public input on homelessness, substance abuse and mental health Nov. 17

Las Cruces will host a Nov. 17 community listening session on homelessness, substance abuse and mental health at Central Elementary. Recording consent is required.

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Nov 7 • 9:44 PM EST • Health • organmountainnews.com
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Traditional Korean paper becomes breathable patch for future wearable health care

Wearable health-monitoring devices are becoming increasingly important for personalized health care, but conventional patches often rely on substrates that restrict airflow, trap sweat and cause skin ...

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Nov 4 • 5:00 PM EST • Health • phys.org
New York health officials report 1st measles death in 3 decades

The New York State Department of Health and Lewis County Public Health yesterday reported the first known measles-associated death in New York State in more than 30 years. State health officials state: “The Department has offered resources to Lewis County to assist with community outreach and support local vaccination efforts – both in response to this c…

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Nov 3 • 6:41 AM EST • Health • outbreaknewstoday.substack.com
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‘RHTP Funds the Setup, Not Ongoing Operations’: Bridging the Gap in Rural Behavioral Health

This is an exclusive BHB+ story. The federal Rural Health Transformation Program (RHTP) promised substantial monetary support for behavioral

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Nov 9 • 2:44 PM EST • Business • bhbusiness.com
The Real Story of the Polar Bear in a UVM Science Hall Starts With Two Montpelier Agents Undercover in the Arctic

A polar bear has been hanging out in a UVM science hall for decades. Subscribe He’s a full-grown male, standing behind glass on an artificial iceberg in the lobby of the University of Vermont’s Marsh Life Science Building in Burlington. Most Vermonters have no idea he’s there. Students who asked about him heard he came from Canada. A poacher killed him, the story went, federal officers seized the hide at the Vermont border, and the government gave him to UVM on “indefinite loan.” A UVM biology professor told it that way in 2012. The university’s own news office repeated it in 2021. That story was wrong. The bear was evidence. In 1972, two federal wildlife officers from Montpelier posed as trophy hunters, bought their way into an illegal hunt run by a poaching ring, and followed it all the way to the frozen Arctic Ocean north of Alaska. One of them shot this bear. Sonia DeYoung, who works with UVM’s natural history collections, pieced the real story together from a half-remembered campus rumor, a case file buried in Anchorage and one stripped claw. She told it Nov. 6 in UVM Magazine. The Undercover Buy Early in 1972, Paul Bagalio and Bruce Parker walked into a Seattle taxidermy shop. Both lived in Montpelier. The case file lists Parker as a U.S. Fish and Wildlife Service agent and Bagalio as a deputy game warden for the service. On paper, Bagalio was an unlikely undercover man. Born in Northfield and raised in Montpelier, he served in the Marines after high school, graduated from Norwich University in 1957, taught at Vermont Technical College and worked as an engineer at Rock of Ages, according to his obituary in the Times Argus. He founded Ramchem, a company that made epoxies for the Barre granite industry. He was also a hunter. His obituary passes along his advice: “Don’t ever miss an opportunity to hunt.” And it says he worked undercover for the U.S. Department of the Interior, helping expose what his family calls one of the largest poaching rings in U.S. history. In the Seattle shop, Bagalio and Parker posed as unscrupulous trophy hunters who wanted a polar bear and didn’t care how they got one. They came away with a scribbled note: a phone number and a hefty price. The Seattle Times later reported the number. In a May 1972 story, later reprinted in the Congressional Record, the paper said the two-man hunt cost $6,500, more than $50,000 in today’s money. The Times cited a federal search-warrant affidavit alleging that the ring paid two men who held valid Alaska permits so the hides and skulls could be shipped and processed under their names. Bagalio and Parker traveled to Barrow, on Alaska’s Arctic coast, with guides working with the taxidermist. These were not men to cross. The case file describes a man taking a 12-gauge automatic shotgun from his plane and telling Parker it was “the persuader.” One photo in the file shows a mustached accomplice peering out from beneath a heavy fur hood. On March 8, 1972, on the pack ice about 100 miles north of Point Barrow, the northernmost point in the United States, Bagalio shot a male polar bear. Parker shot a second. Bagalio had no legal permit to kill it, and that was the point. The bears were hard evidence of what the ring was selling. Back in Fairbanks, a Fish and Wildlife agent marked Bagalio’s bear so it could be identified later. He smeared fluorescent dye around its nose and ripped the dark outer sheath off one of its front claws. Bagalio and Parker went on to run several more undercover hunts against poachers in the West. The danger was real. Bagalio later told the Bennington Banner, according to DeYoung’s account, “My guide made it perfectly clear that he would leave me dead in the mountains if he thought I was an investigator.” Subscribe The Faded Rumor The bear came to UVM in 1975. How the government handed him over is still unknown. A rumor came with him. A student named in the UVM Magazine article simply as Carol helped catalog the university’s specimens in those years, and she heard it: an undercover federal agent had killed the bear in Alaska because he feared his cover would be blown and his life was in danger. Over the years the rumor faded. In the 1980s, the bear was put away in storage long enough for mice to chew the fur off his ankles, and several of his front claws went missing. He was later brought back out and set up on his iceberg in the Marsh Life Science lobby, where he has stood for decades since. Somewhere along the way, the Canada story took over. The Case File Decades later, DeYoung met Carol at an open house for UVM’s zoological collections. Carol told DeYoung’s research partner, Dave Moroney, what she remembered. They were delighted, and skeptical. At DeYoung’s request, David Rippeto, a UVM graduate who is now a Fish and Wildlife special agent in Anchorage, went through a mountain of old case files stashed in cardboard boxes and found the right one. It ran more than 80 pages: photographs, letters, permit records and a typewritten account of the case. Carol’s rumor had the core of it right. A federal officer had shot the bear in Alaska while undercover. But the file showed it wasn’t a desperate move to save his own skin. The shooting was part of the plan. The Stripped Claw One question remained. Was the bear in Burlington really Bagalio’s? DeYoung and Moroney shone a black light on the bear’s snout, looking for the dye. Nothing glowed. They already had the answer. The year before, a conservator repairing the mouse damage had found that one of the bear’s supposedly missing front claws was still there, minus its dark outer sheath, just as the agent in Fairbanks had left it in 1972. “Fifty years later, the marker originally meant for law enforcement told us we had our bear,” DeYoung wrote. Paul Bagalio didn’t live to see it. He spent the rest of his life in Vermont, most of it at Horn of the Moon in East Montpelier, and died Dec. 11, 2022, at 90, a few months before DeYoung first opened the case file. His family remembered the bear differently. The obituary says he took a record-class polar bear in Siberia, across the international date line. The federal case file puts the bear in this story about 100 miles north of Point Barrow. The obituary doesn’t say whether it’s the same animal. His bear is still on the iceberg. Go see him: The polar bear stands in the entrance to Benedict Auditorium, between the Marsh Life Science and Hills buildings on UVM’s Burlington campus. Compass Vermont is reader-supported. To receive new posts and support our work, consider becoming a free or paid subscriber. Subscribe

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Nov 9 • 5:45 AM EST • Science • compassvermont.com
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Ohio likely won’t pass AI regulations before year ends

Ohio has no substantial artificial intelligence regulations, but lawmakers from both sides of the aisle are trying to change that before their December deadline.

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Nov 9 • 4:51 PM EST • Politics • news5cleveland.com
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Study highlights healthcare barriers facing volunteer firefighters in Texas

In recent years, several organizations have recognized the firefighting profession's unique and substantial work-related health hazards, including cancers, heart disease, chronic respiratory illnesses and post-traumatic stress disorder (PTSD).

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Nov 12 • 11:31 PM EST • Health • news-medical.net
Trump Effort to Prove Rampant Noncitizen Voting Leads to Few Charges So Far

Just 236 people have been charged with voting-fraud-related offenses by the Trump administration, despite its unsubstantiated claims that fraud is widespread.

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Nov 3 • 5:03 AM EST • Politics • nytimes.com
Hart Urges U.S. Oil Companies to Withdraw from Libya

Forty-Five Years Ago This Week: Colorado Sen. Gary Hart’s amendment to the Senate’s Foreign Assistance Act, which would have ended the purchase of Libyan oil, was defeated 47-44 on the Senate floor in favor of a substitute amendment, which urged the President “to examine concrete steps” the U.S. could take to help curtail Libyan terrorism.

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Nov 14 • 7:00 AM EST • Politics • coloradopolitics.com
Potential impacts Democratic health care proposals on employer-sponsored health care

Summary: Democratic state and federal wins in the midterm elections could lead to Medicaid expansion in some states, and focuses attention on the House Democrats’ memo on health care priorities in the new Congress. Few of these proposals are likely to become law before 2029, but they could form the foundation for Democratic health care reform efforts after the 2028 Presidential election. Portion of total newly eligible for Medicaid if non-expansion states expanded Source: Cervantes, S et al How Many Uninsured Are in the Coverage Gap and How Many Could be Eligible if All States Adopted the Medicaid Expansion? KFF, July 27, 2026 It’s been almost a week since the midterm elections, and the Democrats will have large majorities in both the House of Representatives and the Senate, although not large enough to overcome Senate filibusters or Presidential vetoes. I reviewed some of what I thought these midterm results could mean in a post last week. In retrospect, I might have understated the elections’ impact on health care due to changes in governorship and majorities in many state legislatures. A Democratic trifecta (governorship and both houses) could mean expansion of Medicaid in Wisconsin, and a Democratic governor and House in Texas and Georgia could increase pressure in both states to expand Medicaid. That’s especially important, because Texas currently represents almost half of those who would be newly eligible for insurance from Medicaid expansions. Medicaid expansions matter to employers because they have been shown to decrease the risk of closure of rural hospitals and support workers’ ability to stay employed and productive. The House Democrats’ Cost of Living Healthcare Working Group published an 84-page memo in September with recommendations for the first hundred hours, the first hundred days, and the first year. The midterm results make this document more important. Here’s a review of what some of these recommendations could mean for employer-sponsored health insurance. Elements that could lower employer health care spending Restore the expanded advance premium tax credit for ACA plans. This could bring healthier enrollees back to the marketplace plans, which would improve the risk status of these plans and decrease the rate of uninsurance. Fewer people with insurance puts higher pressures on provider rates of employer plans. More stable ACA plans could encourage employers to consider transitioning from employer-sponsored plans to ICHRA/Choice, providing a fund for employers to purchase their own insurance on an exchange. Repeal Medicaid work requirements and other administrative rules of the One Big Beautiful Bill Act which as written will lead to a large increase in the uninsured rate. Fewer people with insurance leads to more pressures from hospitals for commercial rate increases. Extend Inflation Reduction Act negotiated drug prices to commercial health plans. These are now only applicable to Medicare Parts D (outpatient drugs) and B (drugs administered by providers. The Medicare negotiated prices are lower than net prices negotiated by PBMs. Hospital price limits. Some of the Democratic House proposals would institute site neutral payment and limit outlier hospital prices to 200% of Medicare. The average commercial health plan pays about 247% Medicare rates for inpatient hospital care, and many commercial health plans currently pay over 300% of Medicare for hospital services. PBM regulations. The proposals would mandate more transparency and prevent PBMs from paying subsidiaries more than market rates. Antitrust enforcement. The plan would break up vertically integrated health care monopolies which could lower prices through competition. Ban on non-compete contractual clauses could increase competition by increasing flexibility and supply of clinicians, although it could also increase physician leverage and lead to higher wages which could raise prices. Lower the Medicare eligibility age, which could take older, more expensive, workers off employer sponsored plans. Create a Medi-Kids plan to insure all children and potentially young adults up to age 26. These plan members have low non-preventive utilization and cost less per person than older plan members, but removing children from employer plans would decrease volatility because a few children have very high medical costs. Elements that could increase employer spending (in many instances for high value services) Mandate three primary care and three mental health visits without cost sharing Eliminate cost sharing for mental health care and substance use care during pregnancy and in the year after delivery Require coverage of infertility services Cap cost sharing for insulin, epipen and respiratory inhalers Count copay coupons and assistance toward member deductibles and cost sharing Cap total health care costs (premium and out-of-pocket costs) at 8% of household income Leave a comment Elements that could improve the market Increased price transparency Tightening enforcement of short-term plans, fixed indemnity plans, and cost-sharing ministries. These skimpy health plans skim off healthier people, leaving sicker people on marketplace exchanges and employer-sponsored health plans. Here’s a past post on the perils of cheap insurance. Most of these proposals are likely not to become law in the next two years, but could form the foundation of a Democratic proposal for health care reform in 2029 and beyond. The document does not provide cost estimates for these proposals. Share Thanks for reading! If you found this useful, please share, subscribe, like, and restack. You can find previous posts at this link. Views expressed in Employer Coverage are purely my own. Thanks for reading Employer Coverage ! Subscribe for free to receive new posts and support my work. Subscribe

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Nov 9 • 5:11 AM EST • Health • employercoverage.substack.com
Sailing toward its 10th year in business, Pa. winery ‘finally’ shipping to its club members

Pray Tell Wines, the producer with Philly roots that debuted in Oregon and then moved back home several years ago, had some good news to share in an email earlier this week. Founder Tom Caruso said that he was writing to tell his customers that the winery was “finally” shipping its wine club across 38 states. “I've had the privilege of working with some amazing wineries prior to starting Pray Tell and I've always work-shopped ways I would build our own club,” he wrote. “Seeing it come to fruition at our cellar door in Philadelphia these past two years has been a remarkable privilege. A local community of folks, many of whom come by weekly for a glass of wine and a conversation, has been what I've always dreamt of -- A Cheers bar for the wine fan. “But the gifts of proximity,” the email continued, “have also left us fully incommunicado with so many who have supported us over the years. You’ve likely realized by now, as the shelves of Pray Tell at your local shop have run dry, that we stopped all distribution. As a winery producing less than two thousand cases a year, we wanted to be able to keep up with the demands close to home. But we’ve been working hard to build a cellar and club that we think is something particularly special - Wines for our club. Just for our club. It’s some of our best work to date.” Club members get six different bottles of wine in each of the May and November shipments, and also access to purchase more from it club exclusive list (featuring library wines and past club-only wines). The winery, located on the border of the Olde Kensington and Fishtown neighborhoods at 1615 N. Hancock St. and operating inside a renovated warehouse space, is open to the public Thursdays through Saturdays from 3 to 8 p.m. as well as by appointment or for special events. There is a free private parking lot for guests. Caruso operates the winery with Sydney Adams, who among other things assists with the winemaking. For inquiries about private tastings or events, send an email to sydney@praytellwines.com.

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Nov 13 • 8:56 AM EST • Business • wineclassroom.substack.com
Thomas Blake (@havinggoodhealth)

The science of grief reveals a shocking truth: when someone disappears from your life, your brain does not simply “move on.” It begins rebuilding your entire internal world.

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Nov 14 • 11:00 AM EST • Science • substack.com
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Understanding the hidden wounds of military service

University of South Florida

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Nov 9 • 10:38 AM EST • Health • usf.edu
Webster delivers 2026 Hibbert R. Roberts Lecture

Steven W. Webster, associate professor and director of the Center on American Politics at Indiana University, for the annual Hibbert R. Roberts Lecture in Public Policy on October 27, 2026.

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Nov 12 • 9:27 AM EST • Politics • news.illinoisstate.edu
A sweeter future? AI helps scientists discover new sugar substitutes

Researchers Dr. Shayma El-Atawneh and professor Amiram Goldblum at the Hebrew University of Jerusalem have developed a new computational framework that identified 92 promising candidates for future sugar ...

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Nov 5 • 12:40 PM EST • Science • phys.org
Home health worker crisis hurts Sarasota, Florida seniors

Tamara Bailey of Bradenton is among the dedicated Suncoast home health care workers who pursue their passion despite numerous obstacles.

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Nov 8 • 4:00 AM EST • Health • heraldtribune.com
Six Months Into Ebola Bundibugyo Outbreak, Conflict Is Biggest Obstacle To Response

Armed conflict is one of the biggest obstacles to containing the Ebola Bundibugyo in the Democratic Republic of Congo (DRC), warns the World Health

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Nov 12 • 12:42 PM EST • Health • healthpolicy-watch.news
Still searching for a Zelda 40th Anniversary Switch 2? Nintendo has good news

🥳 Nintendo confirmed Zelda 40th anniversary celebrations will continue into next year, suggesting ongoing Switch 2 restocks 🚨 Want the Zelda Switch 2? Follow our Zelda Switch 2 restock tracker @mattswider on X and we’ll send out an alert when stock appears 🙏 Unlike other limited editions, the console is not expected to have a restricted production run 💰 The special edition costs $519.99 for its ornate design, but does not include the Ocarina of Time remake 🙌 Nintendo President Shuntaro Furukawa ruled out future console price increases due to secured memory supply Walmart: Zelda Switch 2 console Best Buy: Zelda Switch 2 console GameStop: Zelda Switch 2 console Nintendo: Zelda Switch 2 console 🚨 Restock Dashboard: Get our live, audible siren alerts The Legend of Zelda 40th Anniversary Switch 2 is hard to find right now, though we’re doing our best to help people get one using our exclusive restock tracker. However, there is some good news to share. 🚨 We’re tracking Zelda Switch 2 stock updates. If you’d like to know when more stock arrives, follow Matt Swider on X and turn on notifications. You can also become a free or paid subscriber to The Shortcut to help support our work. 🚨 Subscribe Nintendo has provided an update that suggests the console will be easier to obtain in the future. Speaking during Nintendo’s financial results, president Shuntaro Furukawa said that The Legend of Zelda’s 40th anniversary celebrations will continue into next year (thanks, Stealth40k). That strongly suggests that the Zelda Switch 2 console will continue to be restocked, and that it won’t be constrained by a limited production run. Unlike the Xbox Series X25 limited edition – where only 25,000 units have been produced – the Zelda 40th anniversary Switch 2 should be more obtainable once the initial demand from buyers dies down. Of course, whether you can wait as long as next year to get hold of the Zelda Switch 2 is one thing, but knowing that the console will eventually become more widely available should please those who are worried about missing out. The Legend of Zelda 40th anniversary special edition Switch 2 costs $519.99, but doesn’t include a copy of The Legend of Zelda: Ocarina of Time remake. You’re basically paying a $20 premium over the standard Switch 2 for the beautiful ornate design. Luckily, it sounds like the price of the Switch 2 will remain at $499.99 for the foreseeable. Furukawa ruled out any future price increases as Nintendo has managed to secure sufficient quantities of memory. That also means the price of the Zelda Switch 2 won’t be affected. Up next: Zelda 40th anniversary Switch 2 restock: here’s when Target should have stock Subscribe Adam Vjestica is The Shortcut’s Senior Editor. Formerly TechRadar’s Gaming Hardware Editor, Adam has also worked at Nintendo of Europe as a Content Marketing Editor, where he helped launch the Nintendo Switch. He also runs a retro gaming YouTube channel called Game on, boy! Follow him on X @ItsMrProducts.

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Nov 6 • 8:43 AM EST • Technology • theshortcut.com
Scientists finally see hydrogen hiding between metal atoms

University of Sydney researchers have directly observed hydrogen dissolved between metal atoms in alloys for the first time, using cryogenic atom probe tomography with deuterium substitution.

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Nov 8 • 3:22 AM EST • Science • bioengineer.org
Mental health care may not keep pace with needs of women veterans, study finds

Nearly half of the post-9/11 veterans surveyed in a new study showed signs of depression, anxiety or post-traumatic stress disorder. But women veterans, who reported substantially more mental health and substance use problems than men, did not see an increase in mental health appointments, finds a new study from the Brown School at Washington University in St. Louis.

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Nov 11 • 5:30 PM EST • Health • newswise.com
Hattiesburg receives $361,000 federal grant to expand Behavioral Health Court

Hattiesburg Behavioral Health Court connects people facing misdemeanor charges with mental health and substance use treatment through Pine Belt Mental Healthcare Resources.

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Nov 9 • 11:13 PM EST • Health • wdam.com
Influence Media Wraps Its $600M+ Anthem Entertainment Deal

Influence Media Partners has officially wrapped its more than $600 million deal for 'substantially all' the assets of Anthem Entertainment.

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Nov 5 • 7:43 PM EST • Entertainment • digitalmusicnews.com
Shopping center near Foundry Park sells for $67.8M after healthcare revamp

Chicago-based Novak Development sold the Webster Place shopping center for nearly $68 million after landing an Advocate Health facility as a major tenant.

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Nov 5 • 6:26 PM EST • Business • chicagobusiness.com
What many get wrong about Amish or Plain Anabaptist communities, measles, and health

The U.S. has reported three measles deaths this week in three different states. All the affected were unvaccinated, and some were too young to get vaccinated, relying on herd immunity. Many states haven’t seen a measles death in more than 30 years. Measles is highly contagious, but it mainly spreads among those without immunity. Social factors typically shape these unvaccinated pockets. Many states describe these deaths as occurring among “under-immunized, rural communities.” (In the future, it could be among other tight-knit groups.) Small signals in the news point to many outbreaks right now among the Plain Anabaptists (APA), which include communities like the Amish and Mennonite. Many know APA communities from a distance through their bakeries, furniture, and roadside buggies. But most of us don’t know enough about them, their traditions, or how those traditions actually interact with health and disease. Rumors, misconceptions, and frustration fill those voids. Tristan Sharratt, a family nurse practitioner and rural health researcher who grew up near and works with these communities in Central New York (and a YLE reader who reached out!), says misconceptions continue to create major problems. If the U.S. wants to stop a tsunami of measles coming down the pipeline, or even support health in those communities proactively beyond measles (which is ideal), we must understand how specific communities protect themselves, their values, and the role broader society plays. This starts with a conversation and some self-reflection. Here are the top five lessons I learned from my conversation with Tristan.

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Nov 6 • 8:34 AM EST • Health • yourlocalepidemiologist.substack.com
Gut microbe-made metabolite UDP-GlcNAc hijacks the host "sugar-switch" (O-GlcNAcylation) to fuel breast tumour progression and chemotherapy resistance

Graphical Abstract: Ruminococcus lactaris in the gut synthesizes UDP-GlcNAc, which enters the circulation and activates the host enzyme OGT. OGT-mediated O-GlcNAcylation stabilizes transcription factor NFIB, which upregulates OGT and the proto-oncogene KIT, forming a positive-feedback loop that drives breast cancer proliferation, invasion, migration, and paclitaxel resistance. Inhibition of OGT blocks this pro-tumor axis.

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Nov 6 • 12:46 PM EST • Science • eurekalert.org
The dangerous myth of the well-meaning health guru

In healthcare, a warm heart is no substitute for a trained mind. Banned Australian naturopath Barbara O’Neill built a global empire on the defense that she "just wants to help," but good intentions mean nothing when uncredentialed health advice causes real-world harm.

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Nov 4 • 12:00 AM EST • Health • acsh.org
Youth and caregiver reports of mental health issues differ, but both perspectives needed

Psychiatric assessments of children and adolescents commonly incorporate reports from both youth and their caregivers. However, they may identify substantially different mental health problems, potentially ...

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Nov 11 • 1:00 PM EST • Health • medicalxpress.com
Marine and energy insurers set for steep reinsurance rate cuts

Asia-Pacific marine and energy insurers face substantial reinsurance price cuts at upcoming renewals after a prolonged period of benign losses and with ample capacity in the market…

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Nov 6 • 9:04 AM EST • Business • businessinsurance.com
A single AI model simulates the behavior of many substances, from sliding sand to folding proteins

WorldParticle is a physical world model that simulates many different physical processes — from flowing water to folding proteins — in one unified system, instead of using a separate, hand-coded simulator for each one.

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Nov 9 • 12:00 AM EST • Science • news.mit.edu
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)

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Nov 5 • 4:21 AM EST • Science • pekingnology.com
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UMass Chan, New England Rural Health Association partner to address rural substance use crisis

UMass Chan Medical School and the New England Rural Health Association are partnering on a $650,000 federally funded initiative to strengthen substance use prevention, treatment and recovery services in rural New England.

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Nov 12 • 12:13 AM EST • Health • umassmed.edu
How Landslides Renew American Politics

The ideological and policy implications of this month’s massive Democratic midterm victory remain far from clear. The public roundly rejected Republicans but still has a very low opinion of Democrats. And since congressional Democrats won’t have the numbers to routinely override presidential vetoes and did not even run on any shared agenda, they aren’t likely to chart any aggressive new direction in governing over the next two years. But in the long run, it may be the sheer scale and breadth of the Democrats’ win that matters most, and that may signal the dawning of a new phase of American political life. Either party could plausibly dominate that next phase, or power could continue to swing back and forth. But simply by making large majorities imaginable again, and so focusing political competition on the median voter and the challenge of building broad coalitions, this election could allow for some renewal in our constitutional system.

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Nov 13 • 10:27 AM EST • Politics • thefp.com
Balancing two-way play with health top of mind for Ohtani, Dodgers

LOS ANGELES -- For the first time since 2022, Shohei Ohtani was not crowned his league's Most Valuable Player. But at the same time, the season he had -- and his runner-up finish to NL MVP Pete Crow-Armstrong -- was still no small feat. Ohtani was worth a 143 OPS+

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Nov 14 • 11:20 AM EST • Health • mlb.com
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UK HealthCare’s SMART Clinic offers support for addiction recovery, psychiatric treatment

By Dr. Danielle Anderson and Dr. Gopalkumar Rakesh University of Kentucky Asking for help with substance use can be difficult but figuring out where to turn for that help shouldn’t be.

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Nov 8 • 12:34 AM EST • Health • nkytribune.com
Traditional mulberry paper used to develop breathable health patch

Wearable health-monitoring devices are becoming increasingly important for personalized health care, but conventional patches often rely on substrates that restrict airflow, trap sweat, and cause skin discomfort during prolonged use.

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Nov 4 • 1:14 PM EST • Health • news-medical.net
Entertainment 360 Buys Influencer Firm Brigade

The talent management firm's acquisition of the Max Stein-run boutique adds a client roster of Substackers and podcast players.

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Nov 11 • 10:04 AM EST • Entertainment • hollywoodreporter.com
Health experts warn of preventable deaths and infections after vote to restrict syringe services

Public health advocates say new restrictions on syringe service programs could increase the spread of infectious diseases, lead to more overdose deaths and make it harder for people struggling with substance use disorder to access critical care. The comments come after voters in Lewiston passed Question 1, which requires a strict one-for-one syringe exchange, limits

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Nov 12 • 1:07 PM EST • Health • mainebeacon.com