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School business administrator resigns
Mark Friedman, school business administrator for Martha’s Vineyard Public Schools (MVYPS), announced his resignation at a Martha’s Vineyard Regional High School (MVRHS) committee meeting on Monday. Friedman, who has worked for MVYPS for 17 years, first as the accounts manager for MVRHS and then as school business administrator starting in 2020, will be the director […]
Luis Álvarez-Vallina’s STAb-T Research Takes the Spotlight in Advanced Science
Luis Álvarez-Vallina’s STAb-T Research Takes the Spotlight in Advanced Science / Anaïs Jiménez-Reinoso, Angel Ramirez-Fernandez, Antonio Tapia-Galisteo, Belén
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…
Montana Votes Overwhelmingly to Ban Corporate Cash From Political Campaigns
Supporters have billed the initiative as a way to strike a blow against the Supreme Court’s 2010 Citizens United ruling.
Mavs, Stars Exit: What It Means for Dallas Business
An economist’s analysis finds the teams generate just $5,000 in additional spending per game at businesses closest to the AAC. The bigger loss may be something Dallas can’t put a price on.
CrowdStrike and Dynatrace Want Security Teams to Search Data Where It Already Lives
CrowdStrike and Dynatrace have announced three new integrations aimed at helping companies cut the cost of managing security and observability data. This was announced at the Fal.Con Europe in Barcelona on November 2. The integrations connect CrowdStrike’s Falcon platform with Dynatrace’s observability and log management tools. According to the two companies, all three are available […]
LeTourneau political science professor analyzes historic Texas election shift
Shift in Latino and suburban voters drives Democratic victories statewide, he said.
LeTourneau political science professor analyzes historic Texas election shift
Shift in Latino and suburban voters drives Democratic victories statewide, he said.
Waystar touts bigger health system wins and growing AI pipeline
Healthcare payment software maker Waystar again outperformed analysts’ estimates in the third quarter as the company builds out new artificial intelligence capabilities and drives growth by adding | Waystar again outperformed analysts’ estimates in the third quarter as the company builds out new AI capabilities and drives growth by adding new customers and selling more of its platform to existing clients.
New Orleans company, Robinson Carbon, to invest $16M in biochar facility in central Louisiana
"Biochar has been around long time. We're not reinventing the wheel; we're just putting together a bigger wheel that spins more consistently as we develop commercial markets for these products."
Caitlin Clark announces historic brand partnership deal
Caitlin Clark has made history multiple times on and off the court during her WNBA career, and she did so again on Wednesday with the announcement of her latest brand deal. Clark is teaming up with DICK’S Sporting Goods on a new, multi-year partnership. which also includes Foot Locker. The Indiana Fever star is the…
Science Central: Mixology
Kristen Peck, Marketing Manager, Science Central, talks about Mixology, an event for people 21+ years old, featuring a Whiskey Experience.
Johnson won't seek reelection as House speaker after Republican wipeout
It's a swift rise and fall for Mike Johnson, often seen as an accidental speaker, who nevertheless drew close to President Donald Trump and led the House GOP during a tumultuous era, with one of the slimmest majorities in modern times.
Harrison Ford to be recognized at the Paley Honors Fall Gala
The Paley Center for Media will celebrate Harrison Ford at its fall gala, alongside previously announced honorees Greg Berlanti, Goldie Hawn and Melissa McCarthy.
Tippecanoe health officials voice concern for measles cases across Indiana
Rising measles cases in Indiana are causing Tippecanoe County health officials to sound the alarm on preventive vaccines before the holidays.
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.
CVS Health to split pharmacy chain from health insurance
CVS Pharmacy will be separate from CVS Health, housing major insurer Aetna and benefits manager Caremark
House Speaker Mike Johnson will not stay on as Republican leader after GOP losses
The Louisiana Republican told staff on a call Wednesday morning that he will not run to lead his party as House minority leader in the next Congress.
The daily habits that have the biggest impact on healthy aging
Fatty15 reports that healthy aging relies on consistent daily habits such as a nutritious diet, regular physical activity, sufficient sleep, stress management, and social connections.
What a blue wave means for North Carolina. Reporters, political watchers join Due South for post-election analysis
Due South’s Jeff Tiberii and a panel of reporters and political scientists dig into the election results and what they mean for our state and our country.
INTERVIEW: WEAU Political Analyst John Frank discusses results of midterm election
Hello Wisconsin’s Bob Gallaher sat down with WEAU Political Analyst John Frank.
CVS to split into two companies, in major breakup of its $117 billion healthcare empire
CVS Health said Wednesday it is splitting into two companies, marking one of the largest shakeups in the healthcare industry. It’s a major reversal of the mergers that brought together the nation’s largest drugstore retailer along with health insurance giant Aetna and pharmacy benefit manager Caremark.
CVS to split into two companies, in major breakup of its $117 billion healthcare empire
CVS Health said Wednesday it is splitting into two companies, marking one of the largest shakeups in the healthcare industry. It’s a major reversal of the mergers that brought together the nation’s largest drugstore retailer along with health insurance giant Aetna and pharmacy benefit manager Caremark.
Midterm Voters Give Democrats a Big Advantage to Handle Health Care
KFF's analysis of the 2026 Voter Poll by SSRS shows midterm voters gave Democrats a 19-percentage-point advantage on which party is better able to handle health care.
Can Meta’s Business Pay For Its Spending?
For questions about this article or underlying research, email help@trefis.com.Management said on its October 21, 2026 call that Meta Platforms (META) is spending heavily on servers, data centers and network infrastructure.
EXPO-SCÈNE 2027: Save The Date For Canada’s Leading Entertainment Technology Show
EXPO-SCÈNE 2027: Save the Date for Canada’s Leading Entertainment Technology ShowApril 7–8, 2027 | Palais des congrès de Montréal
Analysis-AI shopping agents could threaten Amazon and Walmart’s ad business
By Juveria Tabassum, Nicholas P. Brown and Arriana McLymore Nov 4 (Reuters) - The rise of AI-led shopping is posing a conundrum for retailers like Walmart and Amazon: how to enable AI agents to shop on their websites, without threatening their lucrativ...
Analysis-AI shopping agents could threaten Amazon and Walmart’s ad business
By Juveria Tabassum, Nicholas P. Brown and Arriana McLymore Nov 4 (Reuters) - The rise of AI-led shopping is posing a conundrum for retailers like Walmart and Amazon: how to enable AI agents to shop on their websites, without threatening their lucrativ...
Mizzou students contribute to MURR’s continued global expansion
Business students are using real-world research and data analysis to identify opportunities for MURR-produced radioisotopes worldwide.
Flutter Entertainment (NYSE:FLUT) reports sales below analyst estimates in Q3 2026 earnings
Global online betting company Flutter Entertainment (NASDAQ:FLUT) fell short of the market’s revenue expectations in Q3 2026 as revenue rose 2.1% year on year to $3.87 billion. Its non-GAAP loss of $0.18 per share was significantly below analysts’ consensus estimates.For more on Flutter Entertainme…
Flutter Entertainment (NYSE:FLUT) reports sales below analyst estimates in Q3 2026 earnings
Flutter Entertainment (NYSE:FLUT) reports sales below analyst estimates in Q3 2026 earnings
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.
CVS Health beats estimates, raises guidance amid split plans
Investing.com -- CVS Health Corporation (NYSE: CVS) reported third-quarter adjusted EPS of $2.09, beating analyst estimates of $1.65, as the healthcare giant announced plans to separate into two independent companies.
MSGE: Revenue rose 37% as live entertainment demand and adjusted operating income strengthened
Q1 revenue rose 37% YoY to $217.1M, with adjusted operating income reaching $34.3M. Management expects healthy live-entertainment demand and robust FY 2027 growth; quarterly share repurchases were approximately $25M.Original document: Madison Square Garden Entertainment Corp. [MSGE] SEC 8-K Current…
CVS Health's (NYSE:CVS) Q3 2026: strong sales
Diversified healthcare company CVS Health (NYSE:CVS) reported revenue ahead of Wall Street's expectations in Q3 2026, with revenue up 5.4% year on year to $108.4 billion. The company's full-year revenue guidance of $420 billion at the midpoint came in 0.5% above analysts' consensus estimates. Its non-GAAP profit of $2.09 per share was 26.6% above analysts' consensus estimates.
On the advantages of health system-owned health plan, what Medicaid cuts might mean and the future of U.S. health insurance: A conversation with Geisinger's Jeremy Gaskill
Jeremy Gaskill took the reins at the Geisinger Health Plan earlier this year after a long career at Humana. He discusses the similarities and differences between Geisinger and Humana and the advantages of a health plan that is part of a health system.
Scott Parker 'very confident' of promotion after West Ham appointment
Scott Parker has said he is delighted to return to West Ham after being appointed as the club's new manager.Parker replaces Nuno Espirito Santo as manager at the London Stadium, followingthe latter's ...
Scientists call on Ecuador to stop the rising trafficking of Galápagos iguanas
Ecuadorian authorities said they caught a Russian woman at the airport in Quito, the capital city, trying to smuggle 32 live marine iguanas, endemic to the Galápagos Islands. The iguanas — bound and stuffed in eight plastic boxes — were headed to Iceland. The dehydrated lizards were transferred to a conservation center in Pichincha for […]
Scientists may have finally explained why our brains and bodies are cross-wired
Scientists propose that the brain’s mysterious cross-wiring, which connects each hemisphere to the opposite side of the body, may have originated more than 500 million years ago in the visual systems of ancient fish. Rather than evolving for a specific advantage, this unusual arrangement may simply be a legacy of evolution building new brain circuits on an ancient foundation.
Lobo football to health care leadership, Brad Cook finds purpose in building better systems
For Brad Cook, leadership began long before he entered the healthcare industry. As a student at The University of New Mexico, Cook received a full ride scholarship to serve as the head equipment manager for the Lobo football team. This experience gave...
CVS Health plans to split in two. Here’s what is driving the massive healthcare breakup.
The healthcare giant surprised analysts with the decision to separate its business.
Official | Portuguese manager Paulo Fonseca leaves Lyon
Olympique Lyonnais have confirmed the departure of manager Paulo Fonseca. Sporting CP, the club that he is expected to join, have yet to officialise the Portuguese manager’s arrival at the club. In ...
This weekend's Granada-Tenerife match postponed ❌
The match between Granada Club de Fútbol and Club Deportivo Tenerife, scheduled for this Saturday, November 7, at the Estadio Nuevo Los Cármenes, has been officially postponed following confirmation...
Cava CEO Brett Schulman discusses his daily routine
Brett Schulman, the CEO of Cava, describes a day in his life, from early workouts to balancing work and family with efficient time management.
“I Think You Need An Enforcer”: Emmanuel Acho Disagrees With Bills, Points Out Issue With Releasing C.J. Gardner-Johnson
NFL analyst Emmanuel Acho didn’t like the Buffalo Bills’ decision to release veteran safety C. J.
DAZN Pulse: Miami wins college football's bizarre Midterm Elections
Miami Hurricanes take center stage in college football’s bizarre midterm elections, with the latest headlines, analysis and reaction. Read more at DAZN News.
No catastrophic financial hit required to fight climate change, scientists say in landmark court case
Canada does not need to shut down its industries or take a catastrophic financial hit to effectively fight climate change, one of the country's leading climate scientists testified during a landmark trial in a Vancouver courtroom this week.
Manatee farm develops patent-pending new strain of grass
Bayside Sod is diversifying, developing a new type of grass and offering turf care service.
Jets Make NHL History With Stunning Comeback Win Against Habs
The Winnipeg Jets appeared destined for what would have been a 10th straight loss, finding themselves trailing by a 4-0 score against the Montreal Canadiens at Bell Centre on Tuesday night.But then, suddenly, everything clicked and resulted in a stunning and historic turnaround, not only ending their miserable losing skid but also setting a new […] The post Jets Make NHL History With Stunning Comeback Win Against Habs appeared first on HEAVY.
Canada bars Russia & Belarus from junior tournament
Canada will not let ice hockey players from Russia or Belarus take part in the World Junior Championships next month.
Russell Wilson takes first step towards NC State coaching job after CBS move
Russell Wilson has interviewed for the vacant NC State head coaching job, just months after retiring from the NFL and joining CBS Sports as an analyst. The former Seattle Seahawks quarterback is now one of two high-profile candidates linked with the role, alongside Philip Rivers, who also played college football for the Wolfpack.
“Sad To Hear What Jorge Posada Had To Say” – Alexandria Ocasio-Cortez Takes Shots at Aaron Boone and Yankees Management
U. S. Representative Alexandria Ocasio-Cortez has questioned the New York Yankees’ decision to retain manager Aaron Boone, calling for changes within the organization after another disappointing season.
Democrat J.D. Ford wins election to U.S. House in Indiana's 5th Congressional District
In an upset that many analysts did not see coming, Democratic nominee J.D. Ford defeated three-term Rep. Victoria Spartz in Indiana’s 5th Congressional District in Tuesday's election.
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
Nebraska football’s special teams search for consistency as kicking woes persist
A major talking point with Nebraska football is a lack of consistency on special teams. These failures have led to Matt Rhule replacing Kyle Cunanan with Matt Hohl for all field goals and points after touchdowns.
Political analysts discuss Wisconsin governor's race results
Democrat David Crowley defeated a Republican with close ties to President Donald Trump on Tuesday, rising from a childhood in one of the nation’s poorest neighborhoods to become the first Black person to lead the battleground state.
Michele Tafoya Loses Senate Race Amid Nationwide Democratic Rout
Tafoya came up short against Democratic Lt. Gov Peggy Flanagan.
Hal E. Kovert, Architect, Business Leader, Crothersville Native Succumbs
Hal E. Kovert, founder of Kovert Hawkins Architects in Jeffersonville and a longtime contributor to the civic and philanthropic life of Southern Indiana and Kentucky, died Saturday, Oct. 24, 2026, at the age of 73. He was a native of Crothersville. Kovert co-founded Kovert Hawkins Architects with longtime business partner and friend John Hawkins in […]
Starman thriving while juggling Rangers broadcasts, family business
Living busy life as radio analyst, COO of beverage company
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.
Political analyst digs into Election Night in Wisconsin as results come in
Political analyst digs into Election Night in Wisconsin as results come in
JB Pritzker and Juliana Stratton declared winners
Juliana Stratton becomes only the second Black woman to represent Illinois in the U.S. Senate. Meanwhile, Pritzker returns for a third term.
Canada Regulates Health-Product Claims. But What Does ‘Science-Backed’ Actually Mean?
Phrases like “science-backed” can sound reassuring, but consumers deserve to see what kind of evidence actually stands behind health-product claims.
Bruins Among Teams Talking To Red Wings About Blockbuster Trade
Reports say the Boston Bruins aren’t among the six to eight teams on Dylan Larkin’s list. That said, they want to be, and general manager Don Sweeney is kicking tires.Pierre LeBrun of TSN reports that the Bruins have called the Detroit Red Wings about a Larkin trade. Unfortunately, of the ten teams Larkin’s camp has […] The post Bruins Among Teams Talking To Red Wings About Blockbuster Trade appeared first on HEAVY.
‘Money Out of Politics’ ballot measure passes, constitutional convention fails
Proposal 2 on Michigan ballots, the “Michiganders for Money Out of Politics” initiative, has passed. The initiative will alter state campaign finance law to ban campaign spending from “regulated electric and gas utilities, contractors with over $250,000 annually in government contracts, and people and organizations with substantial connections to those utilities or contractors.”
Political science professor sees signs of increased competition in Indiana races
By Sydney Byerly The Indiana Citizen November 3, 2026 As election results began to come in Tuesday night, Laura Merrifield Wilson, a professor of political science at Indiana University Indianapolis, said some of Indiana's traditionally Republican districts were showing signs of increased competition, potentially reflecting a broader shift in Democratic momentum. One of the biggest
Political science professor sees signs of increased competition in Indiana races
By Sydney Byerly The Indiana Citizen November 3, 2026 As election results began to come in Tuesday night, Laura Merrifield Wilson, a professor of political science at Indiana University Indianapolis, said some of Indiana's traditionally Republican districts were showing signs of increased competition, potentially reflecting a broader shift in Democratic momentum. One of the biggest
Tennessee embarrassed Alabama. CFP committee embarrassed itself
The CFP committee ranked Alabama eight spots ahead of Tennessee, the team that crushed the Tide. The explanation only makes it worse.
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
University of Toledo to launch online master’s degree in data science and AI in spring 2027
According to UToledo, graduates will be prepared for jobs that use advanced analytics, machine learning and AI to drive better decisions, inform strategy and advance innovation.
Adam Schefter Reveals Strong Bengals Trade Pivot
The Cincinnati Bengals are reportedly one of the six teams that have made an aggressive offer to the Indianapolis Colts for running back Jonathan Taylor. However, Adam Schefter mentioned that if the Colts do trade Taylor, there will be five teams that are looking to pivot, and the Bengals would be one of those teams. […] The post Adam Schefter Reveals Strong Bengals Trade Pivot appeared first on HEAVY.
Yes, 'Ramayana’s' Ranbir Kapoor Went All In On His Rama Training (An Olympian Is Even Involved)
Pacers News: Indiana Finds Bright Spot Amidst Injury Woes
The Indiana Pacers' news cycle lately has consisted of injuries; however, following the contest against the Hawks, Indiana may have found a diamond in the rough. The Pacers' main story for the start of the season has been their injury-plagued roster, including Tyrese Haliburton, missing at least two weeks due to a hamstring strain. In …
Trump Crashes Out Over Fox News’ Pre-Election Results Coverage, Singles Out ‘Dumb’ Jessica Tarlov
Donald Trump tore into Fox News’ pre-election results coverage, taking particular umbrage with political analyst Jessica Tarlov, whom he called a “loser.”
The Last Disney+ Original?
(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) Before we get going, I wanted to remind readers about how I plan to keep your trust while I add advertising to this newsletter. As you’ve no doubt noticed, I’m running ads now, but the danger is that it could impact my analysis and writing. I have a list of sponsors on my About Page, so if you think I’m biased, you can check out who’s sponsored this newsletter! This is something that I’m not sure anyone else in digital media does (if you’re a writer or media outlet and you do this, let me know and I’ll shout you out!) but it’s something I’d love to see embraced by the entire industry. Sunlight, i.e. transparency, is often the best disinfectant. Okay, on to this week’s issue. We (finally) have another major Disney+ TV show to talk about, so that’s my main focus for today. Plus, we had a lot of new shows come out, including the fourth seasons of The Diplomat and Tulsa King! And Love is Blind! The Lowdown! Also, four (four!) straight-to-streaming films came out this week, featuring a lot of big names and celebrities, so I’m going to look at those. All that, mixed news for the WNBA, Reacher ends its run on the charts, Skydance does well in September viewership, NYU’s Sundance dominance, all the flops, bombs and misses, and a whole lot more. Let’s dive right in! (Reminder: The streaming ratings report focuses on the U.S. market and compiles data from Nielsen’s weekly top ten viewership ranks, Luminate’s Top Ten Data, JustWatch and Reelgood interest data, Samba TV household viewership, company datecdotes, Netflix hours viewed data, Google Trends, and IMDb to determine the most popular content. While most data points are current, Nielsen’s data covers the weeks of October 12th to October 18th, 2026. You can find a link to my terminology here.) Subscribe Television - Disney+’s Porridge Problem Listen, per my headline, VisionQuest isn’t the last Disney+ Original. At least, I’m pretty sure it’s not. They have other MCU shows in development. Well, maybe one: But it sure feels like the end of an era. I’d call it their “porridge too hot” era, to quote myself from The Ringer. I told Ben Lindbergh that Disney+ seemingly couldn’t figure out the right amount of content. In the heights of the Streaming Bubble Era (circa 2019 to 2022), they started releasing an insane amount of TV shows. After their growth slowed, they’re down to two or three shows a year, and that might be down to 1 by 2027. Here’s my TV shows by year chart: Even at the time, I thought Disney was making too many shows (that cost too much). Today? They’re definitely making too few shows (though the budgets are more in check, at least according to the reporting). Porridge too hot, porridge too cold; too many shows, now not enough. Which makes evaluating VisionQuest so interesting. This show didn’t have a great lead-in, whether it be a Marvel Cinematic Universe film (the last non-Sony-produced-Spider-Man flick came out The Fantastic Four from July of 2025) or Marvel Cinematic Universe TV show (the two this year were Wonder Man back in January and _Daredevil: Born Again_in May, both of which underwhelmed). And so far, VisionQuest hasn’t quite recaptured the MCU Originals glory, but it has some signs of sparks. First, it made Samba TV, though at a lowly ninth place. At least it made it, a feat some other Marvel shows didn’t accomplish. (Ironheart landed on the Samba TV charts one week at tenth place, but Wonder Man and Daredevil: Born Again both missed.) VisionQuest also made Luminate, though with only 3.0 and 7.6 million hours. But it missed Nielsen in its first week. The best news might be its 7.8 on IMDb, on 12K reviews so far, great numbers, even for a superhero show. Looking at those numbers, this show will really need to pick up in future weeks—and it may since it’s coming out weekly—or Disney will have another disappointment on its hands. Disney+ binge-released their last few shows to try to boost numbers, but that meant shows like Iron Heart and Wonder Man didn’t last long on the charts. _Daredevil: Born Again’s_last season missed entirely (though it came out weekly). Here’s the Disney+ Originals by totals: And for a fun new look, here are those same shows, rearranged by the years they came out: That really shows that, in addition to Disney+ releasing fewer shows, those shows just don’t hit like they once did. If I had to offer one main explanation, it’s that Marvel Studios moved away from characters who starred in the Avengersmovies (The Scarlett Witch, Vision, Hawkeye, Loki, Falcon, Winter Soldier) to characters who didn’t (Moon Knight, She-Hulk, Iron Heart, Wonder Man, Daredevil). It sounds trite, but more popular IP tends to do better than less popular IP. In Marvel’s case, beloved, decades-old characters trump newer ones. And yes, I think this is a problem for Disney. The failure of Marvel TV shows to linger for weeks on the charts, unlike in 2021 and 2022, explains why Disney’s share of the charts has plummeted: That’s a strategic issue. Yes, these shows are really expensive, but without them, Disney+ will struggle, especially if Disney+ keeps raising prices AND licenses out its shows non-exclusively. My recommendation? Return to the core value proposition, which is Disney+ as “genre HBO”. The goal is six shows a year, coming out weekly, spaced out throughout the year. When a show hits, keep it coming back. Make three to four of those shows Marvel or Star Wars, and fill out the rest with IP swings like Percy Jackson, Goosebumps or something like National Treasure. And make YA-skewing shows like Coven Academy to fill out the schedule. Disney, you can get this porridge just right, er, make the right number of shows. Quick Notes on TV Netflix’s sophomore, er, junior, er, senior season slump abated very, very slightly this week. I speak of The Diplomat, which returned for its fourth season on 15-Oct. Credit where credit is due, this show debuted in April of 2023, and has put out new seasons every year since. Has that helped the viewership? Not really. This season opened to 16.4 million hours, which is down significantly from the first season (21.7 million hours) and down somewhat from the second season (18.0 million hours), but it is up from last year’s 14.2 million hours opening. On Samba TV, it opened to third place; that’s also very good. On Luminate, it opened to 25.0 million hours, which is good, but over thirty million hours is a hit on that platform. Netflix wisely renewed it, since it’s steady and, frankly, Netflix needs hits.1 Paramount+ put out Tulsa King’s fourth season on a Friday. After putting out most of their big, usually-Taylor Sheridan-scripted shows out on Sundays last year, they’ve clearly moved to Fridays going forward. Was this a thought-out strategic change, Netflix mimicry, or a data-inspired move? Tough to say. Fridays are crowded with new movies, but so are Sundays with new shows. Anyways, this one is coming out weekly, and we haven’t seen it hit the Nielsen or Luminate charts yet. But it did make Samba TV at fifth place, which is a good opening. Still, if this doesn’t make Luminate or Nielsen next week, I’d call it a disappointment. Netflix had two unscripted shows hit the charts this week, one a docu-series and one a reality competition show. Tyson is a four-episode docu-series about one of boxing’s most popular fighters, and it made both the Samba TV and Luminate charts, but not Nielsen. That’s a solid run for only four episodes (assuming it didn’t cost an arm and a leg to produce). Netflix’s latest season of Love Is Blind also returned for its eleventh season, which opened to 10.0 million hours, down from previous seasons. It also had 11.0 million hours according to Luminate, roughly in line with the Nielsen numbers. Last issue, I analyzed the triple successes of Below, Carrie and Crystal Lake, noting that all three have done well. I mostly used Nielsen, but all three shows also made Samba TV (see above). Crystal Lake in particular did very well on Luminate, getting 35.0 million hours, top for Peacock among first seasons: The top “show” of the week would have been Thursday Night Football again, at 41.7 million hours. This is still above last year’s game, but it continues the season’s overall downward trend, which happens every year. (Though a big week is coming, based on the news stories I’ve seen.) As I said before, I’ll do a deeper dive on all the October games later this month, with comparisons to previous years. One company is quietly on a roll, when you consider the shows it makes and streams. I speak of Skydance—a point Variety made—noting that it produces Neagley and Reacher for Amazon, along with Paramount+’s Lioness, which means it produced three of the top four shows of September according to Nielsen. By the way, Neagley fell off the Nielsen charts after four weeks, which is a pinch short for how well it started, but it’s still a huge success. (Interestingly, it finished just 7.3 million hours ahead of the cancelled Ride or Die.) The point, though, which I’ve made before, is that Prime Video still has a problem with how many co-productions it buys, most notably _The Boys_from Sony and Reacher/Jack Ryan from Skydance. It’s not a critical flaw—everyone licenses shows—but Amazon still struggles to make its own hits. Reacher finally fell off the Nielsen charts, so here’s its final rank for season four: We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… ...An example of the algorithm NOT picking a film… …whether or not Netflix buys shows simply for the movie poster… ...if East of Eden is above the Obliterated Line... ...what four star-studded straight-to-streaming films didn’t chart... ...and a whole lot more... ...please subscribe! We can only keep doing this great work with your support. If you want an idea of just how much content you’d get in a full issue, check out this older issue.
I look up as I walk, my healthcare costs look down
An Osaka Metropolitan University researcher analyzed 338,706 person-months of data linking objective smartphone step counts from Osaka Prefecture’s official health app with health-insurance claims for 20,950 adults aged 40 and over. Generalized additive models revealed that the non-linear association between daily steps and subsequent 6-month healthcare expenditures transforms with age. Predicted costs were largely insensitive to steps among middle-aged adults but fell steeply with increasing steps among older adults.
IUP, IRMC announce plans for fifth annual Rural Health Conference at KCAC
Plans announced for fifth annual Rural Health Conference at KCAC.
Wake Forest political science professor John Dinan stops by WXII to analyze midterm election success means for Democrats and Republicans
Election results: Indiana secretary of state race tests GOP dominance
This competitive and expensive four-way race has been Democrats' best shot at winning a statewide seat in over a decade. Republicans aren't taking it for granted.
Monarch butterflies get tiny trackers to help scientists follow their mysterious migration
Every August, monarch butterflies east of the Rocky Mountains begin their migration from southern Canada and the northern United States to central Mexico to hibernate. In the spring, when temperatures warm, they awaken, mate and begin their migration north again to lay their eggs. In Texas, scientists with the National Wildlife Federation are now tracking monarchs during their migration to understand where they roost and protect the habitats they rely on.
Brewers manager Pat Murphy says he called Yankees GM Brian Cashman to 'explain' profane comment after World Series
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
LIVE SCORE UPDATES & ANALYSIS: Arkansas basketball vs. UAPB
Follow along as the Razorbacks play the Golden Lions at Bud Walton Arena.
Accel Entertainment (NYSE:ACEL) posts better-than-expected sales in Q3 2026
Slot machine and terminal operator Accel Entertainment NYSE:ACELreported revenue ahead of Wall Street’s expectations in Q3 2026, with revenue up 10.3% year on year to $363.6 million. Its GAAP profit of $0.25 per share was 39.4% above analysts’ consensus estimates.For more on Accel Entertainment, re…
AIG beats profit estimates on premium growth, investment income
American International Group swept past analysts’ estimates for third-quarter profit on Tuesday, as higher investment income and premium growth helped offset a jump in catastrophe losses.