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Lions injury updates: Branch limited, Wonnum out with concussions
The Detroit Lions listed 4 players as out on their estimated practice report Wednesday: Jack Campbell, Cade Mays, D.J. Reed, DJ Wonnum.
East Ridge council winners to focus on stormwater, business and border region development
"I vote for who I like," said East Ridge resident Pamela Snelling. Snelling voted Nov. 3 at East Ridge United Methodist Church on Prater Road.
U Maine Political Science chair calls Jackson campaign “impressive” even with “blue wave” help
ABI spoke to University of Maine Political Science Chair Mark Brewer on Wednesday to get his take on how the national environment played a role in deciding Maine’s senate race.
Unveiling the science behind a beautiful singing voice
Expert listeners can often form an immediate impression of a singer's performance. But what exactly in the voice drives that judgment? In classical vocal competitions, performers are rated on an overall ...
Peter Schrager attempts best Steve Kornacki impression
News coverage in America now looks a lot like sports coverage with its focus on horse races, battlegrounds, numbers, and analytics. So it was only appropriate that Peter Schrager paid tribute to America’s leading elections expert, Steve Kornacki, on Election Day. Kornacki has become a cultural phenomenon on NBC’s election coverage, thanks to his touchscreen…
Students Are Flying the UAS Express to Business Aviation Careers
Find out how innovative high school drone programs are helping teenagers gain real-world experience so they can launch their professional careers in business aviation.
Kevin O'Connell Scrutiny Returns Amid Vikings QB Struggles
Despite high-profile roster upgrades, Minnesota’s offense remains stagnant. With Kyler Murray struggling to find his rhythm, pressure mounts on Kevin O’Connell to adapt his system before the season slips away.
Dan Hurley gives brutal reaction to being given game ball
Say what you will about Connecticut Huskies basketball coach Dan Hurley, but he is never going to win anyone over with a charm offensive. Hurley has been incredibly successful at UConn, but he’s also drawn criticism for his antics and outbursts, especially his treatment of referees. But when it comes to his press conference escapades, Hurley can sometimes…
CVS Health to spin off its retail pharmacies into new company after regulatory pressure
The big announcement was made on Wednesday, and many of the details are still being worked out ahead of the planned 2028 split of the company. For now, the plan is for CVS Health to retain its core Caremark and Aetna businesses, with the pharmacy company to take over prescription drug sales and urgent care services.
Multi-component nutritional supplement improves markers of vascular health
A multi-component nutritional supplement has been found to improve markers of vascular health, in a randomized controlled trial led by the University of Surrey.
Hockey’s Russia crisis deepens as major sponsors threaten to pull out of 2027 men’s World Championship
Car manufacturer Škoda and workwear brand Strauss have expressed opposition to Russian involvement at next year's World Championship.
Which Senate, governors races are still uncalled by The Associated Press
Just a handful of races for Senate and governor have not yet been called by The Associated Press as of noon on Wednesday. The narrow margins come as Democrats flipped
Pennsylvania Flips Senate, Secures Cannabis Legalization Trifecta
The state’s Democrats gained control of the upper chamber for the first time in more than three decades, paving the way to legalize adult-use cannabis.
Anti-Transgender Political Rhetoric Played an Outsized Role in the 2026 U.S. Midterm Elections
Your Support Saves LGBTQ+Youth's Lives Every DayDonate94% of transgender and nonbinary youth said recent anti-LGBTQ+ politics caused stress or anxiety, […]
ARCare triples nurse capacity by combining RPM and chronic care management
A redesigned nursing workflow connects home blood pressure readings with patient relationships – expanding remote monitoring across three states.
AIG pulls back growth target amid mounting pricing pressure
American International Group is backing away from its prior expectation of low- to mid-teens premium growth in 2026 amid rising competition and declining rates across several lines of business.
Health survey of local students shows encouraging trend
Hopkinton’s middle and high school students are feeling less anxious and depressed, but there still are areas of concern, particularly for students with
Fans Furious as The Chicks Cancel L.A. Show Moments Before Doors Were Set to Open
Fans expressed their outrage after country music icons The Chicks canceled their show in Los Angeles just moments before doors were set to open. The band announced on Monday, November 2, that “due to ...
Aroma Joe's now open in Bucksport
Aroma Joe's has opened its new location, its 58th in Maine, at 80 US-1 in Bucksport. The newly built, 1,170-square-foot coffeehouse and drive-thru features coffee and espresso drinks, flavor infusions,
Business Beat : Thurston Woods offers financial incentives to fill multiple positions
STURGIS, MI (WTVB) - Thurston Woods Village, a faith-based retirement community in Sturgis, has launched a maj...
No. 15 Texas Tech Faces Must-Win Test Against West Virginia
No. 15 Texas Tech hosts West Virginia Saturday with its College Football Playoff hopes on the line. Injuries and quarterback questions add to the pressure.
Post-Election Analysis: The Annihilation of the Trump Coalition
Ten years ago, Donald Trump shocked the political world with an Electoral College victory that hurled defiance at the polls, the pundits, and the traditional tenets of the Republican Party. On Tuesday night, Republicans in Congress received a rebuke from voters that was equally earth-shattering.The sheer size of the Democratic wave — they are on track to flip at least 40 seats in the House and seven in the Senate — is even more impressive given how many of those seats Trump carried by double digits just two years ago.
Fabian Bredlow raises suspicion about Galatasaray whistling
Speaking after VfB Stuttgart’s 2-0 defeat against Galatasaray on Matchday 4 of the 2026/27 UEFA Champions League, Fabian Bredlow expressed a suspicion regarding the whistling coming from the stands....
Happening in Boise: The Blues, Cell Block Tango and Cinema
Here’s a look at what’s happening around Boise from November 6 through November 8.
Uncovering the Human Side of Muhammad Ali in Prime’s ‘The Greatest’
Actor Jaalen Best and creator Ben Watkins discuss the immense pressure of portraying the iconic boxer in the new Prime series.
CVS Health Stock Leads Defensive U.S. Dividend Value Picks
Washington has just handed investors a plot twist. A Democratic sweep of Congress, fresh worries over debt ceiling fights and pressure on Treasury yields are shaking sentiment, yet pockets of dividend-paying value stocks may quietly benefit from the reset in expectations. This article walks through three U.S. dividend payers from our value-focused screener that appear closely tied to these political crosswinds and explains why each could deserve a second look now. The three stocks below are...
Hinge Health (HNGE) Stock Looks Stretched On Its 156% YTD Run
Hinge Health has been one of the stronger movers in digital health this year, and the stock’s sharp climb now puts a spotlight on a simple question for investors: Is the current share price adequately supported by the company’s earnings power? The stock is up 156.5% year to date, which puts a lot of pressure on its earnings profile to justify the enthusiasm baked into today’s valuation. Recent earnings news highlighted stronger profitability and an expanded client base, which can support...
CVS Health To Split Into Two Companies As Pressure Mounts On Vertical Integration
CVS Health will split into two companies, putting the more than 9,000 drugstores under one business and its Aetna health insurance and pharmacy benefit operations into another.
Letters: Credit card change could hurt small businesses
I recently read an op-ed in this newspaper arguing that the Durbin-Marshall credit card mandates would ease pressure on Louisiana businesses and keep our economy growing. As an entrepreneur, I
PJHS Halloween
Students and staff at Pleasanton Junior High shared their Halloween spirit, dressing up in spooky and fun costumes and characters.
Cannabis Legalization Prevails in Massachusetts; Repeal Question Soundly Defeated
Ten years after legalizing adult-use cannabis, the Bay State voters rejected a prohibitionist proposal, Question 8, which aimed to wipe out the industry.
Circadian depression: Body clock disruptions take mental health toll
About one in four depression cases follow disruptions to the sleep-wake cycle in what scientists say is a circadian subtype of the condition. After assessing data for more than 10,000 patients, resear...
Iconic country music act cancels LA show just hours before showtime: 'Flew in from Oklahoma for this!'
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.
Constitutional convention fails, Money Out of Politics approved
LANSING, MI (WKZO AM/FM) - Michigan voters have said a loud "no" to Proposal 1 to hold a constitutional conven...
Michigan approves Proposal 2, citizen-lead effort to limit corporate influence in politics
Michigan voters passed Proposal 2 during the Nov. 3 midterm election. The Associated Press called the race at 9.38 p.m on Nov.3, 80.9 % of voters cast their ballot in favor of the proposal, 19.1% with more than 24% of the vote in.
Democrats flip New Jersey House seat held by Republican Tom Kean
Democrat Rebecca Bennett, a former Navy helicopter pilot, on Tuesday defeated two-term Rep. Tom Kean, who missed four months of votes in Washington this year as he underwent treatment for depression, a diagnosis he did not disclose until his return.
BREAKING: CVS to Split Into Two Companies
GoLocalProv.com is the “go to” local Web experience that breaks the biggest local stories – sports, news, business, weather, news, politics, arts,…
Juliana Stratton makes history with Black women in the Senate
Democrat Juliana Stratton won election Tuesday to the U.S. Senate representing Illinois, defeating Republican Don Tracy. Currently lieutenant governor, Stratton will succeed Sen. Dick Durbin, a Democrat who is retiring after five terms. Stand with free and independent journalism. Join Press Pass from PBS News Stratton will be the second Black woman to serve Illinois in the Senate. She was twice elected lieutenant governor as Gov. JB Pritzker’s running mate and had Pritzker’s endorsement in
Agri science key climate change tool, say experts
Agricultural science and technology is expected to play a greater role in international cooperation as countries face mounting pressures from climate change, resource constraints and disruptions to food supply chains, experts said on Monday at a global forum in Hainan province.
Black voter turnout appears high on Election Day, according to voter coalition
LaTosha Brown, co-founder of the voting rights group Black Voters Matter, said turnout in some states seemed to rival that of 2008, when Democrat Barack Obama was running for president for the first time. Stand with free and independent journalism. Join Press Pass from PBS News She and others said turnout appeared particularly high in Michigan and Mississippi. Brown, speaking during a media briefing organized by the National Coalition on Black Civic Participation, said her
Compounds that give citrus fruits their scent may affect gut health
A review published in Food & Function found that dietary terpenoids, naturally occurring compounds in fruits, herbs, and vegetables, can suppress inflammatory signalling and improve intestinal barrier function in laboratory and animal studies. However, human evidence remains limited to two small studies of geraniol-based interventions for irritable bowel syndrome, with further research needed to establish clinical efficacy, appropriate dosing, and long-term safety.
Samsung's sleep apnea upgrade is rolling out to Galaxy Watch 9 and Galaxy Ring
Coming to the Galaxy Watch 8 and 7
It’s not Rocket science | Kingfisher Times & Free Press
As Kingfisher coach Reagan Roof rewatched the game film and then showed it to his players, an old football adage came to mind. “It truly is a game of inches,” Roof said.
AP Voter Poll: The economy and the state of democracy are voters’ top issues
About 4 in 10 U.S. voters nationally say the economy is the most important issue facing the country, as most express concern about gas prices and the cost of groceries. About 3 in 10 say the state of democracy is the top issue.
The Xbox Nano Controller is here, and it's incredibly cute (and hides a surprise)
The Xbox Nano Controller drops on November 4, 2026 for the United States, UK, and other select markets. Here's some early impressions ahead of the full review.
CVS Health moves to dismantle $117bn healthcare empire
Potential spin-off of drugstore business comes as political pressure mounts on pharmacy benefit managers and health insurers
From Classroom To Farm-To-Fork: How Bellevue University Alums Tony and Amber Ellsworth are Building a Thriving Business
Bellevue University alumni Tony and Amber Ellsworth transformed a small pandemic-era farm store into Ellsworth Crossing, a thriving farm-to-fork marketplace that connects customers with products from more than 100 local farmers and producers.While balancing military service, demanding careers, family responsibilities and entrepreneurship, both T...
Benefis Health System to restructure services, citing financial pressure
Benefis Health System is preparing to restructure several services in Great Falls beginning December 19 and continuing into the new year.
Newman Regional Health Board of Trustees welcomes state and national representatives during recent monthly meeting
The Newman Regional Health Board of Trustees had some special guests in attendance for their regular monthly m...
Ex-Amex CEO shares when business leaders need to speak up about politics: 'You should care about what happens in our society'
Ken Chenault, who served 17 years as American Express CEO, says some political situations call for a firm stance from business leaders.
Ex-Amex CEO shares when business leaders need to speak up about politics: 'You should care about what happens in our society'
Ken Chenault, who served 17 years as American Express CEO, says some political situations call for a firm stance from business leaders.
Overwatch Mid-Season 5 Patch Notes Released With Big Tweaks
Jetpack Cat is weaker, Doctrine's cooldowns are longer, and Illari gets some welcome buffs
Whitehall Man Brings Heart to the Dance Floor After Care at Intermountain Health St. James Hospital
After farming for decades, David Brown, 85, of Whitehall, Mont. leaves much of the heavy lifting and hard work to others. Though, he admits that he still “keeps an eye on the farm” and still jumps in, moving sprinklers and other chores when needed. But that doesn’t mean he isn’t active. Three nights a week you will see him out on the dan...
Intermountain Health St. James Hospital Upgrades Hyperbaric Chamber to Offer Latest Treatment Options for Patients
“It felt like someone was pulling a curtain over my eye,” said Carol Barney, of Butte. What was happening to Barney is called an eye stroke, or retinal artery occlusion, which occurs when blood flow to the retina is blocked. Symptoms can include sudden vision loss or blurred vision in one eye. Like a stroke affecting the brain, eye stroke i...
Business Beat : MCCU welcomes back Michelle Kappen as Lending Manager
MARSHALL,MI (WTVB) - A home is more than a place to live. It's where families grow, new chapters begin, and pe...
Movie Review: 'The Cat in the Hat' ridiculously builds the stakes so high, the universe could die
The new animated “The Cat in the Hat” has plenty of tricks up its sleeve, says Associated Press critic Mark Kennedy. Directed by Erica Rivinoja and Alessandro Carloni, the film
As Michigan students struggle with literacy, teachers head back to school for science of reading training
Only 38% of third graders scored proficient on the state’s reading exam.
Ko A-sung Reveals Early Start in Entertainment via Baby Model Contest
Ko A-sung Reveals Early Start in Entertainment via Baby Model Contest Actors street casting at four led to entertainment career; Park Jeong-min calls it impressive
Aaron Glenn on job security: I understand the business, but only think about the team
The Jets' loss to the Raiders in Week 8 dropped them to 2-6 and it left their record since hiring head coach Aaron Glenn at an unimpressive 5-20.
Shelby business owner presses City Council on proposed electric rate hikes
City Council proposed new electricity rate hikes, looking to make up a deficit. A local business owner wants a workaround.
'Cloud of confusion.' State Health Plan changes leave participants dazed during open enrollment.
Provider tiers were meant to be a tourniquet for NC State Health Plan that was bleeding money. Status of Atrium has created major headaches.
Watch: Warriors' Draymond Green ejected after shove, fight vs. Suns
Golden State Warriors veteran forward Draymond Green earned his first ejection of the season after altercations with two Phoenix Suns players.
Who was eliminated from 'Disney Night' on DWTS. See scores
"Disney Night" on "Dancing with the Stars" showcased eight dances and a team dance-off. Here's who went home.
Miami Dolphins’ Most Valuable Player | Week Eight
Chop Robinson finished game against Patriots with two sacks and eight QB pressures.
Matt Rhule reveals Nebraska fan verbally attacked his daughter
The Nebraska Cornhuskers lost their third straight game, falling 17-10 to Washington on Saturday, and head coach Matt Rhule dedicated his Monday press conference to defending his program. Rhule spoke uninterrupted for 19 minutes before opening his presser to questions. In that time, he analyzed what went wrong against Washington, credited individual coaches and players,…
Worried about uncertainty? Science has answers.
It’s not clear why blood pressure medicine works. Don’t let that stop you from taking it.
HHMI Opens Competition Providing Long-Term Support to Early-Career Scientists
Combined competition for Freeman Hrabowski Scholars and Hanna Gray Fellows will support future scientific leaders with funding worth up to $10 million over 10 years.
Exclusive | The $7K-a-week wellness resort where coffee is banned, doctors give laxatives and even chewing has rules — but your gut will thank you
Vext Science Q3 revenue rises 18% year-over-year
OverviewOutlookResult DriversCompany press release:Key DetailsAnalyst CoverageReuters Recommended ReadsFor questions concerning the data in this report, contact Estimates.Support@lseg.com. For any other questions or feedback, contact reuters.support@thomsonreuters.com.(This story was created using…
Humbird explores the stars — and mental health recovery — on new album and tour
Singer-songwriter Siri Undlin and her band Humbird emerged from a dark period with songs that bring self-deprecating grace to her experience.
‘Lot of Us Concerned About You,’ ‘Sending You Love’ — NFL World Reacts As ESPN Reporter Announces She’s Stepping Away Due to Health Issues
Jenna Laine has been a familiar face on the Tampa Bay Buccaneers beat for years, so her absence from the press room did not go unnoticed. The ESPN reporter has now explained that she needs time away to deal with medical issues, though she has not said when she will return.
🚨 BREAKING: Nuno Espirito Santo 'sacked' by West Ham
West Ham have reportedly parted company with head coach Nuno Espírito Santo, following their disappointing start to the season.The Portuguese coach has come under increasing pressure following a poor...
German Digital Health: Structural Crisis, Structural Opportunity
Our Digital Health report analyses healthcare market pressures, EU regulation, AI adoption and M&A valuations across European healthcare.
‘I’ve been chased and shot at’: Denzel Bentley on trauma, street violence and brutal boxing politics
Stripped of his WBO world title and numbed by violent deaths of friends in Battersea, the middleweight tells Donald McRae he is determined to press on in pursuit of fights and titles
Walt Disney layoffs: Thousands of job cuts likely; company asks managers to target 20% savings
Cost reduction: Walt Disney is considering cutting thousands of jobs and has directed managers to target 20% annual savings to reinvest in films and theme parks.
China's AI trade has crashed; Beijing is trying to stop the stock rout
China's AI-stock rout adds to pressure from weak consumer spending, a property slump, and sluggish growth.
From Detroit to Warsaw: Was NATO enlargement driven by US electoral politics?
In October 1996, Bill Clinton announced in Detroit his commitment to expanding NATO into Central and Eastern Europe. With its large Polish-American community, the city was no accidental choice. In this conversation with Marc López Plana, Yale political scientist Ian Shapiro explains to the editor and director of 'Agenda Pública' how US electoral calculations helped shape a decision that would transform European security.
Crawford’s profits rise but cash flow drops as debt climbs
Technology costs compress Broadspire margins as UK high-value TPA volumes fall in Crawford’s Q3 result
Seton Hall basketball locks down Saint Peter's in season opener
5 takeaways as Seton Hall and Saint Peter's squared off in the 2026-27 college basketball season opener
UTSA opens season with lopsided loss at San Jose State
The Roadrunners were dominated on the interior, tipping off the 2026-27 season with a blowout loss on the road against San Jose State.
Today In Science: Tuesday, November 3, 2026
Drawing a stick figure with a whiteboard marker on aluminum foil and making it swim.....
Mercury in retrograde: Bar owner who fought for businesses hurt by streetcar work to close up shop
The owner of Mercury in downtown Omaha led the fight for businesses suffering because of streetcar construction. Now, he’s closing. Photo by Lily Smith/Flatwater Free Press
One UI 9 is finally on the Galaxy S24 Ultra, but Samsung held back the best features
7 years of updates, but you only get a select few features
Portion of Business Loop 70 in Columbia to close overnight this week
COLUMBIA, Mo. (KMIZ) A portion of Business Loop 70 in Columbia will close overnight each night this week through Thursday, according to a Monday press release from the Missouri Department of Transportation. Crews will remove a bridge at Exit 125 that goes over the Business Loop, the release says. Crews will work 7 p.m.-6 a.m.
Medora entertainment legend, former Bismarck Mayor Bill Sorensen dies at 76
Sorensen, who entertained millions of visitors in Medora over five decades, also served as Bismarck mayor, state legislator and manager of world champion boxer Virgil Hill.
With advanced stroke treatment at Intermountain Health St. Vincent Regional Hospital, Billings man looks forward to ‘enjoying life’ again
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. �...
Michigan football vs Oregon game time, TV channel announced
Michigan is 3-3 all time against Oregon but has lost the last three matchups, including 38-17 at home in 2024.
Gifford Health Care raises rates and reduces hours on its employee daycare center
“We're entering a period of hard trade-offs in healthcare, and this is one of them,” the hospital CEO said, as the organization navigates the joint pressures of workforce retention and keeping expenses low.
Business groups mount fresh campaign for long-term renewal of information sharing law
Major business groups are pressing Congress to include a 10-year renewal of the 2015 cyber threat information sharing law in the annual defense policy bill.
Spurs' Mitch Johnson, Jazz's Will Hardy formed friendship as assistants
The two young coaches bonded while serving on Gregg Popovich's staff.
Ohio State hosts researchers, business leaders to share AI strategies
Students, scholars and business leaders from across the country recently gathered at The Ohio State University to discuss how academic institutions and companies are implementing AI.Ohio State’s Fisher College of Business convened the AI in Business Conference at The Blackwell Inn and Pfahl Conference Center on the Columbus campus. The confere...
Clemens' McKenna Gobin selected E-N volleyball Player of the Week
Clemens senior McKenna Gobin selected Express-News volleyball Player of the Week.
Before You Head to the Polls, Read This
There are a few things you should know before you head to the polls this Election Day. Read our coverage of the important candidates and races to watch.
Six Key Charts Show That Health Care Is The Most Pressing Issue For Americans Headed To The Ballot Box
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What’s Behind The Memphis Grizzlies’ Surprising, Impressive 6-0 Start?
The Grizzlies have been one of the NBA's best teams so far, just a year after being in the lottery. What's fueling the drastic improvement?
Majorities in Both Parties Say Media Criticism Keeps Politicians in Check
Overall, 80% of Americans express this view, up from 75% in September 2025. Another 16% say such criticism keeps political leaders from doing their job.
Miami Marlins, Robinson Cano Jr. reach $1M pre-agreement
The Miami Marlins reached a $1 million pre-agreement with Robinson Cano Jr., the son of ex-MLB star Robinson Cano, a league source told UPI on Monday.
Arvada stakeholders encourage shopping local during uncertain economic times
In the wake of recent high-profile business closures in Arvada, stakeholders within the city are ramping up efforts to support local businesses this November.