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Prince William Relishes Beating Prince Harry in ‘Hollywood Popularity Game’
Prince William is reportedly enjoying the attention Hollywood celebrities have given him as he increases his public engagement with the entertainment world. Although he primarily wants to promote his charitable work and modernize the monarchy, an insider claims the future king also enjoys showing his estranged brother, Prince Harry, that he has strong celebrity connections of his […] The post Prince William Relishes Beating Prince Harry in ‘Hollywood Popularity Game’ — Source appeared first on M
Kids Can’t Even Enjoy the Woods Anymore
Invasive insects are destroying America’s forests, and I don’t like what that means for our future.
The earliest Saints’ Jordyn Tyson could return from hamstring injury
The New Orleans Saints are currently enjoying a bye week as they gear up for next week’s clash against the Cleveland Browns. The Saints sit at 2-5 on the season, having played every game so far without first round draft pick wide receiver Jordyn Tyson , who has been dealing with a prolonged hamstring issue. Now, the team has gotten the latest […] The post The earliest Saints’ Jordyn Tyson could return from hamstring injury appeared first on ClutchPoints.
Disinformation videos, likely from Russia, are exploiting real people to malign Senate candidates
Social media videos believed to be linked to Russia are misusing real people’s names and photographs to spread disinformation about two Democratic Senate candidates
Dentists share oral health tips ahead of Halloween as National Brush Teeth Day approaches
With Halloween just days away and many children preparing to enjoy candy, local dentists are reminding families about the importance of proper brushing and oral health during National Dental Hygiene Month.
Why we like Halloween scares: The science of fear
Here's a look at how and why your brain processes fear — and why it can be enjoyable sometimes.
Justice Department makes a splash with politically sensitive cases and actions during midterm blitz
President Donald Trump’s Justice Department has been scrambling before the midterm election with a blitz of headline-making actions and cases that some critics say reeks of politics
CDs are back, but they come with a modern problem
With CD sales on the rise again, collectors are finding new challenges to enjoying their favorite tunes in the modern audio landscape.
Virginia Arts Festival brings Wynton Marsalis, Yo-Yo Ma and new Yorktown bluegrass event to region
HAMPTON ROADS — The Virginia Arts Festival will mark its 30th anniversary in 2027 with a season featuring jazz trumpeter Wynton Marsalis, cellist Yo-Yo Ma and vocalist Samara Joy, along with performances in Williamsburg and a new bluegrass event in Yorktown.
🗞️ Madrid flying high; Barça joy, Monday’s front pages
A new week kicks off with plenty of fixtures on the horizon. The first arrive this Tuesday: another round of Champions League action with plenty at stake and Spanish teams badly needing to keep pickin...
The greatest dynasties in Italian football
Much like other major sports, the history of professional football is littered with clubs that have enjoyed sustained periods of dominance.That point undoubtedly applies to Italian football, with nume...
Jam with The Darren Nicholson Band
Enjoy an evening of live music from one of Haywood’s most star-studded performers, then join in on the jam with The Darren Nicholson Band at 7 p.m. on Saturday, Nov.
Early rain doesn’t dampen 48th Valle Country Fair
Live mountain music performances by Avery Junior Appalachian Musicians and traditional dances by the Colombianitas troupe lifted spirits, while children participated in games and enjoyed face painting under improving weather.
Buffalo weather forecast for Bills vs Ravens game conditions
Bills Mafia should be able to enjoy a "great day to be outside" when the Baltimore Ravens come to town
Reusable Foodware Program launches in Hilo on Hawaiʻi Island, Nov. 9, 2026
The County of Hawaiʻi and its partners announce the launch of the Hoʻi Returnable Dish Program, a city-wide municipal reuse system, in Hilo on Nov. 9.
Corn Flakes: Are You Enjoying the College Football Chaos?
Plus, the volleyball team continues to dominate and we are approaching basketball season
The midterms could open a new chapter for Republicans and an old fight for Democrats
The midterm elections might be the final nail in the coffin of the Trump era of the Republican Party, while Democrats will likely continue battling under roughly the same Hillary Clinton-versus-Bernie Sanders construct they have been operating under for the past 11 years.
‘Bipolar Blonde’ Business Owner Opens Up About Finding Color in the Darkness
Kentucky native Morgan Hutchinson has always had a knack for bringing color and joy into women’s lives through her clothing label BURU. Now, she’s inviting them into a more personal side of that missi...
Health players backed Raul Ruiz’s campaign
Ruiz enjoyed more support from health trade organizations and industry groups than Castor, showcasing his existing relationships with the healthcare industry.
The Election-Denier Backpedal
The president is not getting the political cover he once enjoyed from Republicans.
Trump returning to Texas for a high-stakes push to keep the state in Republican hands
President Donald Trump is heading back to Texas to support Republican Ken Paxton’s U.S. Senate campaign against Democrat James Talarico
BTSC Monday Night Football thread: Cowboys at Eagles
Enjoy the NFL’s Week 7 finale here at Behind the Steel Curtain.
'Three's Company' star Joyce DeWitt recalls final hours with John Ritter
Joyce DeWitt believes she had "divine assistance" in spending time with her "Three's Company" costar John Ritter weeks before he unexpectedly died.
William Contreras is now one of coolest baseball players ever
The Milwaukee Brewers catcher is a joy to watch. This postseason put him into a special pantheon.
Could virtual reality speed up learning?
Does swinging a lightsaber help us learn? New research from Florida Atlantic University and Brown University found that movement dramatically helps with certain kinds of complex learning. The research was published in the journal Science Advances. Interested in more science involving video games? Email us your question at shortwave@npr.org.Support public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include sponsor-free listening. Learn more at plus.npr.org.
New York Giants Week 8 rooting guide: Go, Cardinals
The New York Giants enjoy a bye in Week 8, and here's a look at what they're rooting for across the NFL.
Real-World Weight Journeys: Exploring Health Experiences to Improve Care
(Feature Impact) A number on a scale tells only part of the story. Living well is also about having energy, feeling your best and enjoying a good quality of life. Yet each person's path is different, and lifestyle changes, medicines and other approaches to managing weight can affect health in different ways.
Elke Sommer, German-born star of ‘A Shot in the Dark’ and ‘The Prize,’ dies at 85
Elke Sommer, the German actor known for her roles in 1960s Hollywood comedies and espionage films, has died at 85
World of Warcraft: Forever – How Controller Support Reimagines the Way We Can Play in Azeroth
My approach to World of Warcraft has largely been one of logging in and enjoying a casual adventure in Azeroth. I’m not messing around with macros or On November 4, players can return to a nostalgic world many grew up with – now with the freedom to play wherever and whenever they choose with Gamepad (Alpha) support.
Ex-FBI officials accused of false statements about Hunter Biden press for dismissal of charges
Defense lawyers have urged a judge to dismiss a criminal complaint charging two former FBI counterintelligence officials with making false statements to Congress about Hunter Biden, calling the case an overtly political prosecution aimed at placating President Donald Trump
Halloween comes knocking at UVA Health Children’s, bringing joy to young patients
Halloween usually means putting on a costume, grabbing a bag and heading out to collect candy.
CVS Health CEO on splitting into two companies: ‘We’re doing it out of a position of strength’
CVS CEO David Joyner joins 'Squawk on the Street' to discuss the company splitting in two, Q3 earnings, and more.
Why scary movies, haunted houses scare some people more than others
Factors like upbringing and exposure to stress can contribute to whether people enjoy scary experiences.
Whoopi Goldberg collapses on ‘The View’ during Hot Topics segment
Whoopi Goldberg collapsed on ‘The View’ during a Hot Topics segment that led to jokes about Joy Behar having sex in a car.
Yankees 2026 Roster Report Cards: Cody Bellinger
Boring to some, Bellinger remains an all-around contributor who happened to enjoy a career-best year with the glove.
Australian public servants demand AI safeguards as politicians eye staff savings
One Nation’s Barnaby Joyce wants retiring public servants replaced with AI.
Tony Pollard enjoys another explosive effort in Week 8
Tony Pollard erupted for the second time in as many games, following up his 129-yard, three-TD rushing effort in Week 7 with 117 and two in Week 8.
Shenanigans abound in quirky comedy
Get ready for laughter, surprise, and plenty of neighborhood shenanigans! Art Center Theatre at the Art Center of Citrus County invites audiences to enjoy "Love Thy Neighbor," a comedy by
Susan Saint James, Emmy-winning actor of 'McMillan & Wife' and 'Kate & Allie,' dies at 80
Susan Saint James, known for her roles in “McMillan & Wife” and “Kate & Allie,” has died at 80
Hugh Jackman, William Shatner and George Takei among those paying tribute to Patrick Stewart
Patrick Stewart, the beloved actor known for his roles as Capt. Jean-Luc Picard in “Star Trek” and Professor Charles Xavier in “X-Men,” has died at 86
Politicians are afraid to fix taxes. So 100 citizens tried.
Connecticut’s property tax system has been broken for decades and the politicians have failed to fix the problem. So now, they’re trying something new: a citizens assembly. (Citizens assemblies are also old. They go back to Ancient Greece, when lawmakers were chosen not through elections, but through random lotteries.) Today on the show, Connecticut’s citizens assembly. It's like jury duty, but for taxes. About hundred random people from all around Connecticut come together to try to solve the state’s property tax problem. They wrestle with whether they should raise taxes, cut spending, find efficiencies, or a mix of everything. Will this alternative attempt to solve the unsolvable succeed, or will it be politics as usual?It’s a modern case study of what happens when politicians step aside to let citizens decide what’s best. Come along as we talk to the professor who helped put this assembly together, learn from the citizens involved how this experiment changed them, and meet the politician who agreed to take their proposals to the state legislature. Planet Money will be at Kilkenomics Festival 2026. Tickets here.Read: - Our book: Planet Money: A Guide to the Economic Forces That Shape Your Life - Our weekly longform Planet Money newsletter- Our weekly Indicator round-up newsletterFollow: - Instagram- TikTok- YouTube- FacebookSupport public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include bonus episodes and sponsor-free listening. Learn more at plus.npr.org.This episode of Planet Money was hosted by Erika Beras and Jeff Guo. It was produced by James Sneed with reporting help from Áine Pennello. It was edited by Jess Jiang, Sierra Juarez is our fact-checker, and Jimmy Keeley & Travis Hagen engineered the show. Alex Goldmark is the executive producer of Planet Money..
5 Dietitian-Recommended Recipes to Help Boost Brain Health All Day Long
TODAY contributor and dietitian Joy Bauer shares five easy recipes packed with brain-boosting ingredients.
New women’s sports bar set to bring joy in downtown Boston
Whitney Edwards, co-owner of the Sports Bra Boston, talks to GBH's All Things Considered Host Arun Rath about the joy surrounding a new business meant to bring community to the city.
“The Brady Bunch” almost had a very different mom, according to Joyce Bulifant, the actress who lost the role
The “Airplane!” actress says creator Sherwood Schwartz originally envisioned Carol Brady with a different comedic sensibility before Florence Henderson was cast.
Science Begins With Wonder and Sometimes With a Salamander.
The Bar Harbor Story is generously sponsored by the Don & Beth Straus Center at Birch Bay Village. BAR HARBOR—The children had come to see the axolotls, those odd little salamanders with pink frills around their heads and the remarkable ability to grow back what they lose. But also there were stickers. There were crafts. There was the kind of excitement that makes a roomful of kindergarteners forget, for a little while, that sitting still is ever a requirement. And then there were the animals themselves, alive in their clear cases at the MDI Biological Laboratory, where 12 children from Pemetic Elementary School got to meet the creatures they had been learning about in class. “Do you love them?” their teacher, Carol Null, asked. The answer came back in a chorus. “I do!” “I do!” “I do too,” Null said, smiling. “I love them even more now.” That was the thing about a day at the lab. Science was no longer a picture in a book, or a word on a classroom wall. It had a face, a tail, and a set of extraordinary powers. And for a child, sometimes that is where wonder begins. Sometimes learning about science is about stickers. Sometimes it’s about bright pink feathers and getting super excited about that glow in the dark. Sometimes learning about science is joy—pure and simple joy. That’s how it was October 28 at the MDI Bio Lab as Miss Hannah (known in the lab as Dr. Hannah Lust, director of STEM, undergraduate and graduate Training), other scientists, graduate students, and MDI Bio Lab staff, hosted 12 students from Carol Null’s Pemetic Elementary School’s kindergarten class. The 2.5-hour program created by Dr. Lust focused on axolotls, a species of mole salamanders, a superhero in the animal world: a superhero with some scientific-study worthy superpowers. One of those superpowers come from the axolotls’ ability to regenerate body parts, including entire limbs. But also, they’re cute. This fall, before coming to the internationally renowned lab nestled in Salsbury Cove, Null has been integrating axolotls into her class. They’ve been part of the kids’ vocabulary and their storytelling. They’ve been part of science. They’ve been part of the children’s learning about facts vs opinions. The Pemetic Elementary kindergarten students learn about invasive species and the impact on the ecology and one student related it to their dad, who lobsters, and his worries about green craps, an invasive species in Maine. “Are they bigger or smaller than you thought they’d be?” the children are asked after the scientists show them multiple see-through cases of axolotls, lined up on a table that they’re told not to jiggle. “Bigger!” “I think they’re bigger.” “Smaller!” The bio lab opening its doors to the collaborations and to students and families is a norm, but this is the first program of this kind. It’s meant to encourage kindergarten students about axolotls. But when the students come to the bio lab something else happens too—something beyond Null’s child-focused teaching—the students see science—and the regenerating creatures in real life. They do crafts. They speak with them. They meet people who know all about them: scientists and educators who talk to the kids like they’re equals. That’s a superhero power, too. Null speaks about meeting the kids where they’re at in her classroom, letting their interest and hearts lead her in their learning. That requires recognition of interests, of individuality, of empathy. Some would argue that’s a super power, too, but it’s also in those 12 students as they listen to the storybook, encounter those live axolotls, and hear about how axolotls might help advance society’s understanding of human health. As Eddie Seckeler (comparative animal models, CORE facility manager), carefully puts the axolotls on a cart and rolls them away, some of the children stop what they’re doing to watch. “Bye axolotls.” “Bye!” “Bye!” The axolotls are not just images in a book, Hello, I’m an axolotl by Hayley and John Rocco; they are real and cool. MDI Biological Laboratory scientists Dr. Prayag Murawala and Dr. James Godwin who both feature in the Roccos’ book. The kindergarteners get to meet them in real life, off the page, in the world, doing science. They learn from them, laugh with them. “The visit is about more than meeting an unusual animal. By introducing children to scientists working in their own community, the experience helps make science tangible and accessible. Students can see that science is not just something they read about in books or learn about at school. It is something real people do every day by asking questions, making observations and working to understand how the world works,” explains MDI Biological Laboratory Director of Communications Rebecca Woods. While the students make axolotl-related crafts around tables, graduate students and staff help out. Ryan holds up his construction paper setting and axolotl to show Omar Maged, a graduate student. “Do you like it?” Ryan asks, eyes wide, turning from his axolotl to look up at Omar. Omar studies the construction paper for a moment, smiles and says definitively, each word important. “It is beautiful.” Null says that she’s so thankful for all the “amazing” community partners that her school and her students get to interact with as they learn and grow and live, but emphasized how the MDI Bio Lab goes out of its way to create something meaningful, something that allows her young students to build their own agency, to know that they can be impactful in their community, to show them how how things they learn about in text is connected to themselves and their community. Woods explains, “Axolotls have an extraordinary ability to regenerate, or regrow, certain body parts, including limbs. Scientists study these animals to understand how regeneration works and what their biology might teach us about tissue repair and healing in humans.” The children enter the space for “a memorable introduction to a big scientific question,” Woods said. “How can some animals regrow body parts? The encounter encourages children to look closely, wonder about what they see and begin to understand how scientists use observations and experiments to investigate questions.” “For the students, the visit is an opportunity to explore a fascinating animal and meet scientists in their own community,” Woods explains. “For MDI Biological Laboratory, it is a chance to share the excitement of research, nurture curiosity, and help young learners discover that science begins with asking questions.“ At the beginning of the school year, Pemetic kindergarteners didn’t know what the axolotl was—at least not exactly—now they know all about the axolotl’s life cycle. “It’s different than a butterfly,” one student told Mrs. Null. It is. The change and knowledge might seem small**,** but it offers a glimpse of what happens when a subject moves beyond the pages of a book and into a child’s world. The children have been learning about butterflies at the Charlotte Rhoades Park and Butterfly Garden. At both the garden and the MDI Bio Lab, the children see the animals, meet the scientists who study them and at the lab encounter a question that researchers are still working to answer: how can some creatures regenerate body parts, and what might that teach us about healing in humans? They leave with gift bags, paper-plate salamanders, new things to wonder about and a connection between the science they learn in school and the work happening in their own community. The axolotls may be remarkable for their ability to grow back what they have lost. For these young students, the day offers something different: a chance to discover how much there is to ask, observe, and imagine. When Null’s students had time to use chalk and draw whatever they want, in the beginning of the year, they drew rainbows. Now? They’re using that chalk and choosing to draw axolotls instead. About MDI Bio Laboratory For more than 125 years, MDI Bio Lab has been a center for training and research in comparative biology. In the last two decades its biomedical research has focused on aging, regeneration, and environmental toxins. The Laboratory houses 11 research groups staffed by an international team of world-class scientists and graduate students. It also leads a statewide network of colleges, universities and research institutions that collaborate to provide training, research experiences and financial support to help young Mainers play a bigger role in today’s biomedical revolution. Located on Maine’s rugged coast, the Laboratory’s 100+ acre campus houses research facilities, cottages and dorms that house visiting scientists and students. It is also home to MDI Bioscience, a subsidiary working to design innovative techniques to speed the drug discovery process. The Bar Harbor Story is generously sponsored by Rick Osann Art. LINKS TO LEARN MORE NIH INBRE MDI BIOLOGICAL LABORATORY Pemetic Elementary School Hello, I’m an Axolotl Photos: Carrie Jones/Bar Harbor Story HELP SUPPORT THE BAR HARBOR STORY When we started The Bar Harbor Story, we didn’t know if anyone would read it. But you showed up. You shared. You sent tips. Now—over 400,000 views every month later—it’s clear: people here care about their community and each other. We’ve kept everything free because news should never be out of reach, but every one of our stories takes time to write, and your support keeps The Bar Harbor Story going. If you value our work, please consider a paid subscription, a founding membership, or a sponsorship. It truly helps us cover one more meeting, tell one more story, shine one more light. Even $5 a month makes a difference. Click here to become a one-time supporter now. Thank you so much for being here. Founding member information can be found here. Have questions about sponsorships? Just send Shaun an email at sfarrar86@gmail.com, he’d love to hear from you. Subscribe Share Bar Harbor Story Share Leave a comment
Business briefs, Oct, 27
The data-related changes needed for senior living to attract capital, consumer trust … JoyThriveCare introduces voice-enabled smart home solution designed for senior living … Fitch rates Presbyterian Retirement Communities at A-; outlook stable … Fitch Ratings downgrades Willow Valley Communities to A-; outlook stable
Netanyahu alleges stolen election as he seeks political survival amid uncertainty
Accusations by Israeli Prime Minister Benjamin Netanyahu that Tuesday’s election was “stolen by Arab parties,” and an official investigation into the matter, have cast a shadow over the vote.
Real-World Weight Journeys: Exploring Health Experiences to Improve Care
(Feature Impact) A number on a scale tells only part of the story. Living well is also about having energy, feeling your best and enjoying a good quality of life. Yet each person's path is different, and lifestyle changes, medicines and other approaches to managing weight can affect health in different ways.
Immaculate Conception Parish Center hosts annual health fair
The community was also able to enjoy and even participate in Tai Chai and line dancing demonstrations throughout the duration of the health fair.
Milwaukee Brewers World Series win highlight of baseball life
The Milwaukee Brewers championship came at time of darkness and division that brought fans together to see team win and enjoy experiencing it together
MAHA’s midterm report card
It’s been just over two years since the rise of Make America Great Again, or MAHA. The movement united a coalition of moms, wellness influencers and voters across the political spectrum over concerns about chronic illness and childhood diseases. And when Robert F. Kennedy Jr. took over as Secretary of Health and Human Services, it seemed like MAHA would be front and center in Washington.But as we approach the midterm elections, has the Trump administration made good on the MAHA agenda? On today’s episode, we dig into what’s changed, what hasn’t and what that means for your health.Interested in more health science? Email us your question at shortwave@npr.org.Support public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include sponsor-free listening. Learn more at plus.npr.org.
CDPH Weekly Media Brief, 10/29/2026
Weekly Media Briefing from the Chicago Department of Public Health, 10/29/2026: Infant Safe Sleep Awareness Event in Daley Plaza; Enjoy a Spooky and Safe Halloween; Healthy Chicago Podcast
Asking Eric: GLP-1 use disrupts friend group
Letter writer wants dinners with her friends to be enjoyable again.
‘Nocturne’ review: Series with strong cast weighed down by plot choices
The degree to which you enjoy “Nocturne” may depend significantly on your ability to suspend disbelief. Debuting with the first two of its 10 episodes this week on Apple TV,
NFL Week 8 fan discussion
Enjoy the Bills’ Week 8 win and a heavy dose of rooting against football rivals with the crew at Buffalo Rumblings!
The science of fear: Why some love to be scared, while others hate it
Do you enjoy the thrill of scary movies, haunted houses, and Halloween decorations that jump out at you? Why do some people love to be scared and others simply hate it? Experts say part of the answer begins deep in our brain.
Indy’s first designated outdoor refreshment area debuts at Irvington Halloween Festival
INDIANAPOLIS — For the first time, people attending the Irvington Halloween Festival can buy a drink at a bar and enjoy it outdoors, thanks to Indianapolis’ first designated outdoor refreshment area. The city approved the DORA, which launched in October. The program gives festivalgoers another way to enjoy the event and creates more opportunities for […]
NICU babies at USA Health Children’s and Women’s Hospital wear their first Halloween costumes
Video above: ‘News 5 Now’ — Top Stories from Nov. 2, 2026 MOBILE, Ala. (WKRG) — Nurses in the NICU wing of USA Health Children’s and Women’s Hospital brought some joy to families whose babies are havi...
Clemson Basketball Season Preview: Getting to Know This Year’s Tigers
It has been a while since I was this excited for a Clemson basketball season. It’s not that I expect this team to be significantly better than the last few, I just trust the staff to maximize their resources and deliver the best possible product for us to enjoy. After two years of completely unenjoyable […]
Man United mock Roma with brutal tweet after comeback victory
Safe to say Manchester United enjoyed their comeback win against Roma on and off the field as the Red Devils mocked the Giallorossi with a brutal tweet at full-time.Roma wasted a two-goal lead at Old ...
Come enjoy some picking with the Nature Coast Ukulele Friends
Nature Coast Ukulele Friends invite the public to enjoy some time with good, fun music during the next few months. The group will also help celebrate the holiday season by
Looking for bats after dark can help science – and change how we see them
A new study into microbats used so-called bat detectors to help track them down.
I finished Christmas shopping in October for a stress-free December
Holiday shopping usually takes over my December. This year, I finished in October so I can enjoy more time with my family.
You Can See Everything and the science of spotting liars
It feels like everyone we know is talking about the new documentary You Can See Everything. It tracks the effort of comedian and documentarian Nathan Fielder to suss out how deceptive Elizabeth Holmes, disgraced founder of the company Theranos, is. And after watching the film, we all left the theater wondering -- what could we see? How possible is it to ever really spot someone lying? So we of course called up an expert in deception and counter-deception research, Maria Hartwig, a professor of psychology at CUNY, the City University of New York. For more on sussing out a liar, check out our episode about what's wrong with the polygraph. Interested in more deep dives on the science behind pop culture blockbusters? Email us your question at shortwave@npr.org.Support public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include sponsor-free listening. Learn more at plus.npr.org.
Global cyberscams bilk Americans out of billions. A fragmented US response means few get money back
A U.S. congressional investigation has found that the U.S. government’s response to surging cyberscams remains fragmented and leaves victims struggling to recover losses
Georgia's Keisha Lance Bottoms navigates the challenges of Black women battling political barriers
Georgia Democrat Keisha Lance Bottoms is trying to make history as the first woman to be elected governor in the United States
Jenna Dewan reacts to ‘DWTS’ ‘intense’ double elimination, previews ‘joyful’ Disney Night dance
Jenna Dewan is still reeling from Horror Movie Night’s double elimination, but is eager for ‘DWTS’ fans to see her and partner Val Chmerkovskiy’s ‘joyful’ Disney Night choreography, the ‘Rookie’ star tells EW.
Arsenal 29yo very keen to return to England squad
Ben White is keen to return to the England squad next month, and he’s enjoying finally being able to share his minutes with Jurrien Timber.Photo by Maurizio Lagana/Getty ImagesFor a long time at Ars...
The Latest: Trump pushing to keep red-state Senate seats in GOP hands
President Donald Trump told Texans they’d better accept data centers in their communities and floated making Venezuela the 51st state as he stumped for Republican Ken Paxton, while Democratic Senate candidate James Talarico said a “corruption crisis” plagues U.S. politics
Joy Behar finally returns to “The View” after nearly 1 month, shares painful details of shoulder injury
The 84-year-old first missed the Oct. 1 episode of the show, and hasn’t appeared back at the Hot Topics table since dislocating her shoulder.
Hybrids coming to GM plant in Michigan, automaker says
General Motors Co. will produce hybrids at its Lansing Delta Township Assembly plant near Michigan's capital, as it seeks to catch up in an electrified vehicle segment that has enjoyed
Back in training on Tuesday
Following the home win over Monza, Palladino’s side will enjoy two days off before returning to training on Tuesday at the Niccolò Galli Training Centre.
Golden Joystick's "Ultimate Game of the Year" nominees are revealed, and votes for the winner are open until October 30
007 First Light, Resident Evil Requiem, Forza Horizon 6, and more titles have been revealed as candidates for Golden Joystick's 2026 "Ultimate Game of the Year", and votes for the winner are open
Remedy revenue soars by 226% following release of Control Resonant, the developer's fastest-selling game ever
Nearly half of Control Resonant were first time series enjoyers, which made CEO Jean-Charles Gaudechon very happy indeed.
Best Foods for Brain Health: Cocoa Powder, Sardines, More
New research shows diet is an essential way to boost brain health, but which foods are the most effective? TODAY nutrition and health expert Joy Bauer stops by Studio 1A to share the best foods to improve cognitive health, mental resilience and memory function — and some of them may surprise you.
Democratic official says she won’t vote for Iowa Senate candidate over trans ad
Iowa Democratic Senate candidate Josh Turek faces criticism after ad opposing "taxpayers paying for sex changes."
Real-World Weight Journeys: Exploring Health Experiences to Improve Care
(Feature Impact) A number on a scale tells only part of the story. Living well is also about having energy, feeling your best and enjoying a good quality of life. Yet each person’s path is different, and lifestyle changes, medicines and other approaches to managing weight can affect health in different ways. TNCMS.AdManager.render({region: 'fixed-big-ad-top-asset', slot: 1, fold: "above"}); No two weight-management journeys look the same. Some people are taking their first steps toward healthier habits. Others are balancing health conditions, caring for family members, coping with stress or exploring new treatment options. Along the way, they may find support that helps them succeed or encounter obstacles that make progress more difficult.These stories provide valuable insights into what it takes to improve health in everyday life.That’s the idea behind the American Heart Association’s Healthy Living BEYOND Weight Study. By learning directly from adults across the country, researchers aim to better understand the challenges, motivations and factors that shape weight and health outcomes over time. The goal is to generate insights that can help improve support, inform care and empower more people to live healthier lives.What Factors Influence WeightNearly 1 in 3 U.S. adults are overweight and 2 in 5 are obese, according to the National Institutes of Health. Weight is shaped by many factors, including:Genetics and hormonesAccess to healthy food, safe places to exercise and healthcareChronic stress and mental healthMedications and metabolismCommunity conditions, as where you live can influence your ability to live a healthy lifeHow Joining a Study Can Make a Difference Led by the American Heart Association, the Healthy Living BEYOND Weight Study is open to U.S. adults with a BMI of 25 or higher, including those who have tried lifestyle changes, weight-management medicines or weight-loss surgery. By sharing information about their health and daily lives, participants can help researchers better understand how to improve care.Interest in newer weight-loss medicines, such as GLP-1s, has grown rapidly. While these treatments are helping many people, researchers are still learning about their long-term effects and how they fit into everyday life. People who currently use or previously used a GLP-1 may be eligible to participate and help generate insights that could improve care for others.Reasons to Join This StudyBy joining this study, participants can help researchers better understand the long-term impact of treatments, identify what helps people succeed and uncover the challenges they face along the way. The information they share can help fill important gaps in research, shape better and more compassionate care and guide future health recommendations.According to the Pew Research Center, 31% of U.S. adults report they’re online “almost constantly.” The study is conducted entirely online, making participation convenient and easy. It can be completed from home on a schedule that works best for each participant.Consider these reasons to participate:Your story matters. By participating, you may help build knowledge that can improve care, guide health recommendations and help people live healthier lives.It’s easy. The study is conducted entirely online, making it simple to join and stay involved at your own pace.It’s safe and respectful. All data is collected with your informed consent, protected by privacy safeguards and handled according to rigorous ethical and scientific standards.You won’t be alone. Millions of people are navigating weight and health challenges. By sharing your journey, you can help researchers better understand what works, what support is needed and how to shape better and more compassionate care for others.Learn more and consider signing up at Heart.org/GoBeyond.Photo courtesy of Shutterstock
2026-2027 Audree V. Fowler Fellows in Protein Science
Graduate students Lenka Milojević (Zhou group), Akshaya Narayanasamy (Lindert group), Sarah Singleton (Conway group), and Janet Zhong (Feigon group) have been selected as 2026–27 Fowler Fellows and shared their research at a special event on Oct. 13, 2026. 2026-27 Fowler Fellows – Sarah Singleton, Lenka Milojević, Janet Zhong, and Akshaya Narayanasamy. Akshaya Narayanasamy and Prof. Steffen Lindert. Sarah Singleton and Prof. Stuart Conway. Janet Zhong and Prof. Juli Feigon. About the 2026-27 Audree Fowler Fellows in Protein Science Lenka Milojević is a fifth-year Biophysics Ph.D. candidate in the lab of Professor Z. Hong Zhou at UCLA. As an undergraduate at Maastricht University, she studied the structural basis of Mycobacterium tuberculosis virulence and amyloid-β fibril nucleation in the lab of Professor Peter Peters. She completed her bachelor’s thesis research at UCLA in the lab of Professor David Eisenberg, focusing on amyloid disaggregation, before beginning her doctoral studies. In the Zhou lab, Lenka uses cryo-electron tomography to visualize and characterize membrane-associated protein assemblies across a range of viral and cellular systems. Akshaya Narayanasamy is a fifth-year Ph.D. student in the Department of Chemistry and Biochemistry at UCLA, mentored by Professor Steffen Lindert. She earned her B.S.-M.S. in Chemistry from the Indian Institute of Science Education and Research, Thiruvananthapuram, where she worked in Professor Mahesh Hariharan’s lab investigating how single-atom substitutions influence crystal packing and charge transport behavior. She received her M.S. in Physical Chemistry from The Ohio State University before moving with the Lindert lab to UCLA. At UCLA, Akshaya develops integrative modeling methods that combine deep learning and Rosetta with experimental data, such as ion mobility mass spectrometry and cryo-EM, to improve protein structure prediction. Her current work focuses on developing an experimentally guided diffusion model and designing de novo protein binders with potential antibacterial activity. Ultimately, she aims to bridge AI-based structure prediction and experimental data to make computational protein models more reliable for drug discovery and therapeutic design. Sarah Singleton is a 4th year BMSB student, working in Professor Stuart Conway’s lab. She earned her B.S. in Biochemistry at Simmon University (Fenway, MA). Her research is centered on drugging the previously undruggable class of proteins—transcription factors. Zinc finger (ZF)-containing transcription factor proteins typically contain multiple ZF motifs, but little is known about the principles that govern the recognition of multi-ZF arrays by immunomodulatory imide drugs (IMiDs). In a multi-ZF array that contains several potentially targetable ZFs, which will be accessible and why? How does the surrounding protein architecture inform IMiD recognition? Sarah’s research aims to utilize her findings on the fundamental principles of ZF recognition to design IMiD therapeutics for transcription factors involved in health and disease. Janet Zhong is a fourth-year BMSB student, working in Professor Juli Feigon’s laboratory. She received her BSc and MRes from Imperial College London. At UCLA, Janet combines cryo-electron microscopy (cryo-EM) and biochemical approaches to investigate how proteins and RNAs assemble into ribonucleoprotein structures. Her research focuses on telomerase, the enzyme that maintains chromosome ends, with interests in its structure, assembly, and mechanisms. She has also worked on capturing the cryo-EM structure of a small bacterial non-coding RNA called raiA motif RNA. About Dr. Audree Fowler A strong supporter of the basic sciences and medicine at UCLA, alumna Dr. Audree Fowler (B.S. ’56 chemistry, Ph.D. ’63 biochemistry) established the Audree V. Fowler Fellows in Protein Science in 2008. Fowler was Director UCLA Protein Microsequencing Facility from 1984-1999 and is a Researcher Emeritus of the UCLA Department of Biological Chemistry. She is one of the first four women to receive a Ph.D. from the UCLA Department of Chemistry & Biochemistry. In 2018, the women were awarded the department’s 2018 Alumni Legacy Awards in recognition of their achievements in life, and generous support and service to UCLA. “The sciences gave me a great life. Now I want to help others have access to the same opportunities I enjoyed,” Fowler explained when she established the Fowler Fellowships endowment. Applications for the fellowships are solicited from graduate students in the Molecular Biology Interdepartmental (MBI) Ph.D. Program, Biological Chemistry, and Chemistry & Biochemistry Departments. In addition to presenting their research at a special seminar, the recipients each receive a $5,000 award. Previous Fowler Fellows from the UCLA Department of Chemistry & Biochemistry 2025-26 – Nikki Cheung (Clubb Group), Jonathan Jih (Zhou Group), Eileen Olivares (Loo Group), and Lily Taylor (Rodriguez Group) 2024-25 – Andrew Goring (Clubb lab), Eric Pang (S. Clarke and Rodriguez labs), and Miranda Villanueva (Backus lab) 2023-24 – Alexandra Turmon (Backus lab), Cindy Wang (S. Clarke and C. Clarke labs) 2022-23 – Cody Gillman (Gonen lab), Declan Evans (Houk lab), Troy Lowe (S. Clarke lab), Ashley Julio (Backus lab), and Alex Stevens (Hong Zhou lab) 2021-22 – Weixian Deng (Wohlschlegel/Plath labs), Yi Xiao “Sean” Jiang (Eisenberg lab), Maria Flores (Rodriguez lab), Carter Lantz (Loo lab), and Logan Richards (Rodriguez lab). 2020-21 – Janine Fu (Loo lab), Calina Glynn (Rodriguez lab), and Jiahui Lu (Eisenberg lab) 2019-20 – David Boyer (Eisenberg lab), Orlando Martinez (Clubb lab) and John Muroski (Loo lab) 2018-19 – Scott McConnell (Clubb lab), Kevin Murray (Eisenberg lab), Rebeccah Warmack (S. Clarke lab) 2017-18 – Michael Hughes (Eisenberg lab), Yuxi Liu (Yeates lab), Kanishk Jain (S. Clarke lab) 2016-17 – Brendan Amer (Clubb Lab) and Jeff Vinokur (Bowie Lab) 2015-16 – Henry Chan (Feigon lab), Smriti Sangwan (Eisenberg lab), Nicholas Woodall (Bowie lab) 2014-15 – Dan McNamara (Yeates lab) 2013-14 – Alex Jacobitz (Clubb lab), Alexander Patananan (S. Clarke lab), Carly Ferguson (Loo lab) 2012-13 – Letian Xie (C. Clarke lab), Anni Zhao (Eisenberg lab) 2011-12 – Timothy Anderson (Clubb lab), Soohong Kim (Weiss lab) 2010-11 – Zeynep Durer (Reiser lab), Cecilia Zurita-Lopez (S. Clarke lab) 2009-10 – Luki Goldschmidt (Eisenberg lab), Kristofer Webb (S. Clarke lab), Sheng Yin (Loo lab) 2008-09 – Nathan Joh (Bowie lab), Neil King (Yeates lab) Photos courtesy of Helen Houldsworth, the Molecular Biology Institute.
The Salvation Army’s Red Kettle Campaign Returns
The Salvation Army invites the community to Give With Joy this Christmas season as its iconic Red Kettle Campaign returns to McAllen. More than just a holiday tradition, the red kettle is a symbol of hope, compassion and generosity—supporting vital programs that serve thousands of individuals and families in need throughout the year.
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When Dave Siljestrom retired as an electrician from the City of Billings after 30 years, he was ready for a slower pace. Having a stroke at age 71, wasn’t part of the plan. It was early May when his symptoms came on suddenly while he was at home. “I was sitting up watching TV on the couch and something just came over me,” he said. �...
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AFGHS co-signatory countries ask health care users to help fill the financing gap
Hundreds of thousands of Ugandans living with HIV on antiretrovirals could be targeted for user fees or community health insurance schemes requiring modest premium payments, according to the April 2026 version of the country’s America First Global Health Strategy implementation narrative.1 As part of the “sustainable financing for the private not for profit sector” strategy, 491 facilities will be targeted for a phased introduction of user fees and scale up of community health insurance programs.2 In the Ugandan context, PNFP facilities include faith-based hospitals and other health facilities, US missionary organizations and centers of excellence—services that are often co-located at government facilities but run with additional financial and technical resources. 402,000 people—or about 28 percent of the total Ugandan adult PLHIV population on treatment—get ART from the private not for profit sector. The selected facilities provide the majority of ART and prevention of mother to child transmission (PMTCT) services. The plan doesn’t give the total number of clients served by the 491 facilities, so it is not possible to give a precise number. But the majority of 402,000 is a figure in the hundreds of thousands—hence the estimate I’m using.3 The April draft of the Ugandan implementation plan narrative is the only one I’ve been able to review. But the government of Uganda is not alone in turning to health care users to help fill the financing gaps caused by the abrupt withdrawal of US funds. In July 2025, the Government of Liberia introduced user fees for previously free services including “registration, accommodation, patient feeding, hospitalization, and a wide range of surgical and diagnostic procedures.”4 Earlier that year, Liberia rolled out a revolving drug fund designed to stabilize drug supplies by “allowing patients to pay a small fee for standardized, quality medications,” according to a Ministry of Health press release.5 (Both of these approaches had been proposed in the National Health Policy 2022-2031; media coverage explicitly connects the launch with the US foreign aid cuts.) The health financing strategies proposed by Uganda and established in Liberia are qualitatively different from user fees officially adopted by specific health facilities to cover funding shortfalls caused by the new US approach.6 The latter is a stopgap, adhoc change. The former is a national governmental adoption of policies that pass costs on to health care users, despite evidence that such approaches can exacerbate inequities and leave deficits unfilled. Two countries does not make a pattern, but they do point to urgent questions: Have other countries, including Liberia, included user fees or community health insurance schemes in their implementation plans? If so, do any of these narratives have what Uganda’s lacks: a fall-back plan in place in case these strategies for sustainable health systems fail to deliver—as they have before? I wonder if you think about it Subscribe Predictable pitfalls Both community-based health insurance and user fees are as old as the hills. And after decades of people climbing up these hills, duking it out, climbing back down—neither strategy has shown the results the Ugandan implementation plan is counting on. This is, in fact, a hill some folks are willing to die on. (You knew I’d get there, right?) In November 2025, an African-led team of health system experts published a paper directed at low- and middle income country governments trying to figure out how to create self-sustaining health systems. The money wasn’t coming back. It had been more than nine months since the season of freezing, waivering and wood-chippering; two months since AFGHS tumbled into the world touting co-financing requirements and reductions in future US government health aid. Governments were looking for strategies for sustainable, self-financed health systems, the authors wrote. For countries considering user fees and community health insurance to fill the financing gaps, they had a simple message: Don’t. On user fees, the paper states: “Reliance on user fees is ultimately a regressive and inequitable approach. It places a disproportionate burden on the poor and undermines health system goals of equity and financial protection. […] There is overwhelming evidence that user fees mobilise very limited resources for the public health sector, making it an inefficient mechanism for revenue mobilisation.” On community health insurance: “Attempting to shift the burden of funding previously donor-funded services, such as HIV care and management, and TB treatment, onto contributory schemes would exacerbate their fragility and fail to protect the population.”7 The WHO says that community-based health insurance “cannot be expected to provide a major source of funding or coverage,” and noted that most schemes offer only moderate benefit to individuals paying into them, and exclude the poorest segment of the population.8 And yet, the US-Ugandan implementation plan says that community health insurance is “the central pillar of this [PNFP] sustainability strategy” and that this approach that will generate “pre-paid pooled funding at facility and community level [that] improves financial risk protection for households, reduces catastrophic out-of-pocket expenditure, and generates structured, transparent revenue streams that can progressively absorb recurrent costs including health worker salaries.” Unfortunately, Uganda’s own history suggests the pillar might not be able to bear this weight. Ugandans Have Been to this Rodeo Before—and Some Want Their Money Back Uganda introduced its first community health insurance scheme in 1996 with support from international donors.9 Thirty years later, somewhere between 0.2 and 0.3 percent of the population is covered by CHI; just over 1 percent has any kind of health insurance.10 User fees were universally introduced in 1993 as a condition of a World Bank loan.11 They were abandoned in 2001, and in 2004—the year I moved to Uganda to watch the free HIV program get underway—a definitive study found that the fees did not improve health systems and outcomes.12 In 2004, most clinics and hospitals had ‘free’ and ‘fee for service’ options for getting care.13 The fee for service, or “cash and carry” programs had often been established in the years prior to PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria. People who could afford to paid for the drugs, often at facilities in the private-not-for-profit (PNFP) sector. When free drugs arrived, some people who’d been paying kept on doing so, perhaps because of shorter wait times, greater confidentiality, convenience or other factors. But in the year that I spent visiting the same clinics around the country week after week—including a “center of excellence” that maintained separate days for cash and carry clients and those accessing free ARVs—lots of people who had been paying tried to switch to the free option. They’d paid because they had no other choice. They’d sold pieces of family land, begged family members for loans, bought pills by the week, and sometimes by the day. Or they were just cash-strapped, like most of us, and wanted the funds for other things. 14 Twenty-two years later, this hasn’t changed. Ugandans pay out of pocket for 30-40 percent of their health care costs, leading one paper to declare that “falling ill is more than a health crisis. It is a financial emergency.”15 One recent study found that up to 48.5 percent of households dealing with tuberculosis sold something, took out a loan or dug into savings to defray the costs of TB care—which is supposed to be universally free.16 The Ugandan implementation plan does anticipate challenges. It proposes a phased approach, with 187 facilities introducing user contribution systems in Year 1, 152 in Year 2, and 153 in Year 3. Willingness to pay and feasibility studies will precede roll out; fees will be tiered by region, and a waiver system is proposed to ensure that no one has to pay who is unable to. Moreover, the plan provides for quarterly reviews of epidemiological data to “ensure that user contributions do not compromise epidemic control gains, ART continuity for the client cohort, TB case management, or PMTCT services.” Alt text: A screenshot of a table included in the implementation plan narrative that is the subject of this stack. It’s got a fetching pink bar at the top. It uses the abbreviation “CHI” which is Community Health Insurance, and FBO which is Faith Based Organizations, and it details the number of facilities that will implement user fees with waivers and community health insurance schemes over the five years of the agreement. As I said in the footnote, this is a super interesting document with a lot of other rich material. Tell me what you see—and what you would have focused on. And if you’ve seen something like this, or anything else that strikes you, in another implementation plan, tell me that too. You can use the Substack message platform or try me on Signal at @endaplague_again.25 (because @mercoonfan was, weirdly, taken). But the plan doesn’t fully explain what will happen if this approach doesn’t work out. Yes, progress will be monitored, and corrective action triggered. However, there is no specified funding replacement if premium and fee revenue prove inadequate. Instead, the authors write, “Currently, COEs serve a total client cohort of over 180,000 across 28 facilities. In the initial years, the U.S. Government (USG) will provide financial support for clients; over time, user fees generated by COEs will become the primary source of funding for sustaining their services.” Failure does not really seem to be an option. Health insurance schemes are more acceptable to the Ugandan population than user fees. Members of Parliament and civil society traveled to Ethiopia to see how that country’s scheme worked. In a follow up report, a veteran civil society group recommended allowing the “health insurance ecosystem to grow organically and [to] keep reviewing the law and regulations as this growth takes root.”17 One study found that more than three-quarters of Ugandans were willing to join a health insurance program.18 However, coverage of community-based health insurance is minimal, as is coverage of any kind of insurance—including private plans.19 A national health insurance scheme bill has been stalled for several years and presently sits with President Yoweri Museveni.20 Community-based health insurance scheme that do exist are expanding in number, but losing enrollees. Between 2022 and 2026, the number of community-based health financing schemes across the country increased by 42 percent, while the number of people enrolled decreased by nearly 11 percent.21 None of this means that community-based health insurance should not happen in Uganda—or that people do not want insurance. It doesn’t even mean that user fees and waivers won’t ever work. But there is highly relevant evidence from Uganda and the surrounding region that it is quite optimistic to describe community health insurance and user fees as central supports for sustainable financing in any sector of the health system. And now for the best-case scenario In the best-case scenario22, the Ugandan approach does exactly what it sets out to do, and so does the Liberian fee structure and revolving pharmacy fund—though I’ve not confirmed that these are in the MoU. In one best-case scenario, Uganda is an outlier, and user fees and community health insurance are not recurrent pillars of self-sustaining financing in other countries’ implementation plans. In another best-case scenario, all countries that include these strategies enjoy success beyond anyone’s evidence-informed wildest dreams: reliable funding generated by health care users fees, great health care outcomes for everyone, no exacerbation of inequities, no crippling household debt. No sold land, repurposed school tuition or high-interest loans. In the best-case scenario, not one of the hundreds of thousands of Ugandans living with HIV receiving antiretrovirals from 491 PNFP facilities misses a refill or leaves care because of user fees or community health insurance premiums. This is the best-case scenario for these people for their own health, and for their families. It is also the best-case scenario if Uganda wants to stay on the path to eliminating HIV as a public health threat. According to the country’s most recent data, 96.5 percent of people living with HIV on antiretrovirals are virologically suppressed. Epidemic control depends ensuring that 95% of people living with HIV know their status, 95 percent of those individuals are on ART, and 95% of those individuals are virologically suppressed. Uganda is still struggling with the first “95"—a frankly abysmal 85.3 percent. If HIV epidemic control and the attendant prevention of new infections, avoidable suffering and premature death matter, the country cannot afford to lose any clients who are currently in care.23 As I write this a couple hours before the polls close for the US elections in the city I live in, I say with soul-deep sincerity: I am rooting for the best-case scenario. I think it’s safe to say that we all are.24 I think it’s also safe to say that if the US and co-signatory governments have inked plans that lead to successful expansion of community health insurance and strategic use of user fees, we all would like to know, now, so that we don’t miss the opportunity to celebrate when success happens. The implementation plan narratives have to enter the public domain. They are the fullest expression of a strategy co-created by two governments. There are assumptions and details that people living in the US and co-signatory countries need to understand that are not available in the MoUs or, to date, in the Congressional Notifications. Some of these details can help other countries that are, as I write this, still working on implementation plans. Others, like a solid count of how many other countries have plans for expanding user fees or health insurance, are important for regional and global health architecture reform initiatives. No matter how this election night turns out, there will be a slew of new Congressional member orientations, briefings and talking points papers in the next few months. Release of implementation narratives should be a bullet point in every context that AFGHS is discussed. These documents can be redacted so that procurement sensitive information isn’t disclosed. There is much more historical precedent for sharing such documents than there is for relying on user fees to fill health financing gaps. Let’s look at the information together so we can hope for the best and prepare for, you know, the other thing. Alt text: A substack first: a bicep selfie! It’s my arm - peachy-white skin, black shirt (flannel, notch neck, too hot for this appallingly balmy November weather, if you’re wondering) and a sticker that says I VOTED 2026. Beige letters on red for I voted. Beige on blue for 2026. You bet I did.25 In your wildest dreams. Subscribe 1 This is a really, really rich 95 page document. There are fascinating ideas and detailed plans in it. It is all worth reading AND I have, in this post, highlighted an instance of content that could pose challenges and certainly posits success of strategies that haven’t worked before. I would love to hear what readers’ see that’s interesting and should be lifted up as something to check for in other implementation plans. I will also shortly be adding a static page to the substack site where implementation plan documents will live. I will put the url into this footnote and it will also be there on emilybass.substack.com by the end of the week. Uganda Implementation Narrative Section 4 April 22 2026 Draft 1.51MB ∙ PDF file Download Download 2 User fees are costs charged for visits, labs, medicines or other health services, usually at the time they are provided. Community health insurance, or community-based health insurance, is what the World Health Organization calls “micro insurance,” which is health insurance targeted at low-income people. 3 As usual (by which I mean always), please prove me wrong. 4 https://smartnewsliberia.com/liberias-ministry-of-health-announces-2025-hospital-service-fees-for-public-facilities/?utm 5 https://moh.gov.lr/news/2025/grand-cape-mount-leaders-residents-embrace-new-community-pharmacy-program/?utm 6 https://www.christianitytoday.com/2026/09/hiv-usaid-pepfar-africa-foreign-aid-cuts-mission-hospitals/?utm 7 https://gh.bmj.com/content/10/11/e021270 8 https://www.who.int/news-room/fact-sheets/detail/community-based-health-insurance-CBHI 9 https://pmc.ncbi.nlm.nih.gov/articles/PMC2827475/ 10 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 11 https://pmc.ncbi.nlm.nih.gov/articles/PMC527704/ 12 Same citation as the footnote 2 - the article is called “Learning from failed health care reform in Uganda.” To which I say: If only. If. Only. 13 There is a whole taxonomy of user fees to be aware of, if not commit to memory. Out of pocket costs are everything that someone pays for themselves. In this Stack, user fees are planned and policy-supported out of pocket costs. There are also out of pocket costs that people pay to buy drugs or receive tests or health care assessments that would be free if the drugs were on the shelves, or the machines or kits were available, or the staff were on site. A user fee is usually designed to be modest, pegged to willingness to pay, and may be waiveable at the point of care for anyone who is unable to do so. The costs for things that would otherwise be free are whatever the market will bear and people either have to pay them or go without. Out of pocket costs for services and stuff that aren’t available in public facilities are different again from bribes or unofficial fees that some health workers may impose, even though most are indefatigable, tireless and tired, and devoted to their clients. 14 For the record—which really is these footnotes—I would give a whole stack of fridge magnets for a systematic analysis of the economic and social impact of the Mass Unemployment Event in AFGHS countries among the very people who used to be able to afford and cover user fees, both for themselves and vast family networks. Locally employed USAID technical staff, house cleaners, caregivers, drivers and technicians were financial anchors for cousins, friends, friends’ children, friends’ childrens’ cousins, teachers, pastors, neighbors and so many other kinds of kin. Aid recipients lost direct funding; many other people who had not been aid recipients, but parts of the elaborate care webs that function as safety nets for so many people, lost crucial support too. And that’s even before we get to the people who worked at the hotels and restaurants and bars where people employed by the US and its implementing partners used to spend disposable income. Those businesses have lost revenue; those folks have lost jobs. It will be some time coming—and someone will have to fund this work—but I do hope it happens. And I hope, as usual, to be proven wrong. 15 https://eprcug.org/blog/how-out-of-pocket-healthcare-costs-keep-driving-ugandans-into-poverty/ 16 Another straight-to-the-point journal article title. Households experiencing catastrophic costs due to tuberculosis in Uganda: magnitude and cost drivers. https://pubmed.ncbi.nlm.nih.gov/32938411 17 https://www.cehurd.org/download/technical-policy-brief-on-community-health-insurance-scheme/?wpdmdl=13661&refresh=6ae9122f5d4ed1793659439 18 https://pmc.ncbi.nlm.nih.gov/articles/PMC10125197/ 19 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 20 https://ugandapost.news/uganda-to-make-health-insurance-mandatory-by-2026/ 21 https://shu.org.ug/download/235 22 With a nod, tip of the stack hat, and wag of the Mercoon tail to a deeply valued reader who told me that I have a tendency to speculate about the worst-case scenarios a little too much of the time. 23 https://news.mak.ac.ug/2026/10/uphia-2025-shows-ugandas-hiv-status-awareness-gap-despite-strong-treatment-outcomes/ As you’ll see in the next footnote, I’ve already written a subSubstack on another topic, so I will be brief with regard to the study referenced in this article. The Uganda Population-Based HIV Impact Assessment, or UPHIA, will never happen in this way again. For more than a decade, PHIAs have been supported by the US government as a way to generate accurate estimates of country progress on key HIV indicators. They are a holdover from the PEPFAR program that was laser focused on ensuring US taxpayer dollars subsidized progress in pandemic control. There may be other population-level surveys and the data may even be publicly released, as the entire set of FY2026 MER data have not. But PHIAs will never happen again. If you’re wondering whether the estimates of HIV progress at country level might get less reliable….you’re not alone. 24 Ooh baby, I hate “we” in almost all forms. But sometimes I go there, when I am looking for company, which I am. Because this Stack moves into the somewhat-uncharted territory of assessing what the implementation plan narratives may suggest about co-signatory countries’ roles and responsibilities to the people living within their borders. The MoUs, specimen and data sharing agreements were templates. Countries’ answers fit into pre-specified questions that did not include, “how are you going to fill financing gaps and stabilize your health system as this plan unfolds?” In contrast, the implementation narratives are open form—the product of co-creation between the two governments. Co-creation can mean lots of things, but nothing leads me to believe that implementation plans are ghost-written by the US government, or that contents were imposed by the US counterparts. Instead, I think the parts of the plans that read like country government initiatives are endorsed, if not initiated by, those governments. For instance, the Ugandan implementation plan narrative describes plans for revenue-generation through fees charged for equipment calibration, repair and maintenance provided through Uganda’s National Equipment Calibration Laboratory, and laboratory accreditation through the Uganda National Accreditation Service (UGANAS), targeting private sector, PNFP, research and academic clients. That’s super specific and also quite ambitious. It doesn’t read like an American idea. There’s also a provision for solar panels, and other stuff that feels country owned and driven. This is where it gets interesting. If co-creation is the case, then both the US and co-signatory governments are accountable for the contents and the outcomes. Most discourse about AFGHS to date has focused on the decisions that America has made, or demanded that other countries make. The AFGHS architects have monopolized the hot seat. As they should, in so many ways. America absolutely created the conditions under which countries needed to come up with health financing strategies to fill unanticipated, catastrophic funding gaps. And with not-too-long a lens, we can look back and see that America is also on the hook for its role in the Bretton Woods institutions that made user fees and health system fiscal austerity conditions of loans during the era of structural adjustment. But in the here and now, it is not at all clear to me that the US is requiring Uganda or any other country to implement specific approaches to sustainable financing. Instead, it is as the authors of that paper up in footnote 6 suggest: African governments have agency. As implementation plans roll out—whether or not the narratives are shared—it will be important to understand what this agency looks like and what it means for people, including the poorest of the poor. And it will be important to figure out how to talk about it safely, respectfully and critically in places other than the literal and metaphorical footnotes. 25 This week’s song is “Once upon a time” by the Moody Blues. (I know, this is gonna be a weird, largely banger-free end of 2026 playlist. HMU with requests.) AND please do watch the video and appreciate the truly amazing opening sequence—a drum kit wasteland, a coupla plastic bags, a bit of sand. Sort of like the hill where fiscal austerity policies that put costs on health care users might go to perish. But then there’s a lady with amazing hair. It’s worth it.
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Uniform Report: Georgia Tech
I enjoy this look. Let’s make it four in a row on Saturday night.
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