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Titans’ biggest problem to fix during 2026 bye week
The Tennessee Titans are approaching their 2026 bye week with more questions than answers. Sure, Cam Ward’s development remains central to the franchise’s long-term ambitions. However, Tennessee’s struggles extend well beyond the quarterback position. The offense has shown occasional flashes of explosiveness. The defense, though, has repeatedly […] The post Titans’ biggest problem to fix during 2026 bye week appeared first on ClutchPoints.
Storhäug Engineering expands beyond Spokane
Storhäug Engineering Inc. is experiencing high demand for its engineering, design, and consulting services in Spokane County, prompting the Spokane-based company to expand its geographic reach, says principal Austin Storhäug.
NASA Is Looking For Ways To Save The Hubble Space Telescope From An "Uncontrolled Reentry", And Extend Its Mission Beyond 2032
Without intervention, the iconic telescope will come crashing down to Earth.
Soule shines among Europe’s top Under 25s
Matias Soulé continues to shine for Gian Piero Gasperini’s Roma, and now the numbers confirm it. According to an analysis published by the statistics portal Beyond90, the Giallorossi striker is the...
Patrick Stewart’s 10 best movies and TV roles outside of ‘Star Trek’ and ‘X-Men,’ ranked
Patrick Stewart was best known for playing Captain Picard and Professor X, but his talents extended far beyond those iconic roles. We’re ranking 10 of the late actor’s greatest performances outside ‘Star Trek’ and ‘X-Men.’
Beyond QR Payments: The Politics of Economic Mobility in the Global South
A market vendor in Indonesia can spend an entire day receiving QR payments and still struggle to obtain a bank loan.
Eaton's Aerospace Business Broadens Growth Beyond Electrical
Eaton's Aerospace segment contributed 15.5% of 2025 sales and could fuel growth beyond Electrical, backed by aviation demand and recurring aftermarket revenues.
Okinawa’s politics move beyond the military base divide
Koja’s landslide victory reveals an Okinawan electorate increasingly shaped by economic priorities, generational change and more differentiated views of security.
B. lactis Lafti B94: documented science for gut health and beyond
Discover how B. lactis Lafti B94 combines documented probiotic science with prebiotic synergy to support gut health, digestive comfort and formulation flexibility
Real-World Weight Journeys: Exploring Health Experiences to Improve Care
(Feature Impact) A number on a scale tells only part of the story. Living well is also about having energy, feeling your best and enjoying a good quality of life. Yet each person’s path is different, and lifestyle changes, medicines and other approaches to managing weight can affect health in different ways. TNCMS.AdManager.render({region: 'fixed-big-ad-top-asset', slot: 1, fold: "above"}); No two weight-management journeys look the same. Some people are taking their first steps toward healthier habits. Others are balancing health conditions, caring for family members, coping with stress or exploring new treatment options. Along the way, they may find support that helps them succeed or encounter obstacles that make progress more difficult.These stories provide valuable insights into what it takes to improve health in everyday life.That’s the idea behind the American Heart Association’s Healthy Living BEYOND Weight Study. By learning directly from adults across the country, researchers aim to better understand the challenges, motivations and factors that shape weight and health outcomes over time. The goal is to generate insights that can help improve support, inform care and empower more people to live healthier lives.What Factors Influence WeightNearly 1 in 3 U.S. adults are overweight and 2 in 5 are obese, according to the National Institutes of Health. Weight is shaped by many factors, including:Genetics and hormonesAccess to healthy food, safe places to exercise and healthcareChronic stress and mental healthMedications and metabolismCommunity conditions, as where you live can influence your ability to live a healthy lifeHow Joining a Study Can Make a Difference Led by the American Heart Association, the Healthy Living BEYOND Weight Study is open to U.S. adults with a BMI of 25 or higher, including those who have tried lifestyle changes, weight-management medicines or weight-loss surgery. By sharing information about their health and daily lives, participants can help researchers better understand how to improve care.Interest in newer weight-loss medicines, such as GLP-1s, has grown rapidly. While these treatments are helping many people, researchers are still learning about their long-term effects and how they fit into everyday life. People who currently use or previously used a GLP-1 may be eligible to participate and help generate insights that could improve care for others.Reasons to Join This StudyBy joining this study, participants can help researchers better understand the long-term impact of treatments, identify what helps people succeed and uncover the challenges they face along the way. The information they share can help fill important gaps in research, shape better and more compassionate care and guide future health recommendations.According to the Pew Research Center, 31% of U.S. adults report they’re online “almost constantly.” The study is conducted entirely online, making participation convenient and easy. It can be completed from home on a schedule that works best for each participant.Consider these reasons to participate:Your story matters. By participating, you may help build knowledge that can improve care, guide health recommendations and help people live healthier lives.It’s easy. The study is conducted entirely online, making it simple to join and stay involved at your own pace.It’s safe and respectful. All data is collected with your informed consent, protected by privacy safeguards and handled according to rigorous ethical and scientific standards.You won’t be alone. Millions of people are navigating weight and health challenges. By sharing your journey, you can help researchers better understand what works, what support is needed and how to shape better and more compassionate care for others.Learn more and consider signing up at Heart.org/GoBeyond.Photo courtesy of Shutterstock
Beyond analysis: let’s teach business students to act
How to help postgraduate students interpret real-time data and system behaviour to detect early warning signals, identify emerging disruptions and guide decisions – rather than simply report after the fact
Strengthening Japan–India partnership for science and innovation
A recent international conference at Hokkaido University brought together researchers from Japan, India, and beyond to explore collaborations that can help tackle challenges in food, health, and materials science.
The latest Google Home update goes way beyond Gemini and fixes your Nest gear too
This is a big update!
NBA Fans Outraged Over Adam Silver’s Latest Idea
The NBA fans are pushing back against Adam Silver’s interest in shorter games, and their objections go beyond simply resisting change. A post from NBACentral, citing Sports Illustrated’s Chris Mannix, revived discussion of the commissioner’s preference for 40-minute contests. Several responses challenged whether cutting basketball is the right solution to the league’s problems.The replies showed […] The post NBA Fans Outraged Over Adam Silver’s Latest Idea appeared first on HEAVY.
Bright object beyond Pluto may be the solar system's sixth dwarf planet
The Vera C. Rubin Observatory has found what might be a new dwarf planet in our solar system, orbiting the sun on an inclined plane past Pluto.
List of DVD release dates for Nov. 3 and beyond
Following is a partial schedule of coming movies on DVD. Release dates are subject to change: NOVEMBER 3: The End of Oak Street 3: KPop Demon Hunters 3: Mutiny 3:
NASA Voyager mission project scientist to deliver URI Honors Colloquium lecture on Nov. 10
KINGSTON, R.I. – Nov. 2, 2026 – Nearly a half century ago, NASA broke ground by reaching for the stars and beyond with its first Voyager missions when Voyager 1 and Voyager 2 were launched to explore Jupiter and Saturn. Since then, the two spacecraft have become the furthest-traveling, human-made objects in history, crossing the […]
Six games in, six ways these Sixers already feel different
Beyond the obvious star power, the 76ers have shown early signs of the depth, composure and defensive identity needed to pursue a title.
Beyond the Health Report: AsiaMedic and Eternami Launch a New Approach to Personalised Healthspan
What happens after a health screening report is delivered?
This Halloween, amateur astronomers may be in for a dwarf planet treat
The Vera Rubin Observatory is shedding new light on the faraway regions by Neptune and beyond, including possible solar system building blocks.
New Science Fiction and Fantasy
“The Subtle Art of Folding Space,” “Sublimation” and “Foundling Fathers” consider identity in worlds beyond our own.
West Virginia hemp business facing closure if new federal rules take effect
Over the past three and a half years, Moon Flower Hemp has become a staple of downtown Buckhannon, serving various cannabis products to adults from across West Virginia and beyond. However, decisio…
Climate Change Can Cause Small Business Displacement Beyond Major Disasters
Sponsored: The myriad effects of climate change compound challenges many Black, Brown, and immigrant-owned businesses already face.
Health Care: A Sleeper Issue for the 2026 Midterms and Beyond
Message from Karthick Ramakrishnan, Founder and Executive Director
How the fate of a Michigan data center hinges on Anthropic’s mega IPO
Wall Street’s scrutinizing eye is casting a long shadow beyond Silicon Valley — reaching straight into a development in Southeast Michigan.
Builders Movement may find their moment in an election full of ticket-splitters
Daniel Lubetzki and Ashley Phillips from the Builders Movement joins Lone Star Politics to talk about how ticket splitters likely will decide these close Texas elections. The Builders aim to get beyond “us vs. them” thinking and get people to vote for the individual not the party label.
B. lactis Lafti® B94: Documented science for gut health and beyond
Discover how B. lactis Lafti® B94 combines documented probiotic science with proven prebiotic synergy, supporting gut barrier function, microbiota activity, digestive comfort and formulation flexibility
Scaring Up Customers for Halloween Streaming
(Welcome to the Entertainment Strategy Guy, a newsletter on the entertainment industry and business strategy. I write a weekly Streaming Ratings Report and a bi-weekly strategy column, along with occasional deep dives into other topics, like today’s article. Please subscribe.) Way back in 2022, I did a deep dive into each streamer’s horror offerings, looking at the top horror film and TV shows, and which streamers had the best library titles and best Halloween landing pages. If you’d like to check out those articles... Way back in 2022, I ranked all the streamers’ Halloween landing pages. I updated my thoughts in 2023... ...and 2024. After taking last year off, I’m back at it again this year. My theory—then and now—is that Halloween landing pages provide a subtle but surprisingly valuable insight into how the streamers position themselves, and what they do well and what they don’t. They show who relies on libraries, whose libraries across TV and film have the most value, who understands how customers want to access those libraries, and, being blunt, which product teams actually put the time in to make a quality holiday user experience. Plus, three “horror” TV shows had big debuts this month! So today, I’ll answer the questions... What are the all-time biggest horror shows and films on streaming? What streamer has the best library? What streamer has the best landing page? And what does this say about the streaming wars today? But first, let’s look at three big new horror shows on streaming... Subscribe Horror TV Has Dominated October So Far In a fun twist this month, three different streamers released three different horror TV shows. Many scary stories come out every October, but the twist is that all three did well: Two of the shows got over 20 million hours, which is just good. You can see that Below is helping Netflix start October/Q4 off well: And that Carrie is a top seven show for Amazon through two weeks: But here’s the crazier note: even though it doesn’t look huge, Crystal Lake is Peacock’s biggest debut yet: Let’s discuss the streaming elephant in the room: two of these shows are based off classic horror IP: Jason and Carrie. So once again, IP works, in theaters and on streaming. It just does. Oddly enough, horror IP doesn’t draw a tenth of the ire that other IP does, even though, arguably, horror films are the original franchise films, starting in the 1930s and continuing on through the slasher film 80s. So horror TV shows are off to a great start. While I’ve written before that horror films do NOT over-perform on streaming, TV shows are a different story. The Top Horror Films and TV Shows on Streaming All Time To start, here are the top first seasons for all streaming TV shows since 2020 (the start of the Streaming Ratings Era): First take: yep, that’s some power laws at work right there. The biggest TV show hits aren’t just bigger than other hit shows, they’re orders of magnitude bigger. Wednesday dwarfs The Last of Us (a big hit!) and is ten times bigger than the next six most popular horror shows. Wow! So yes, horror or horror-adjacent shows can do as well as the top shows on streaming. Wednesday is proof of this. (Though, even Wednesday is more horror-adjacent than proper horror.) Also, note that Below, Carrie and _Crystal Lake_could/should keep moving up the charts. That said, there is some weakness in these numbers. Only eighteen horror first seasons made the charts, which is low. For context, 541 season ones have made the Nielsen originals charts since 2020. Eighteen out of 541 isn’t great! Plus, again, the IP issue. Wednesday and The Last of Us came from popular IP, and It: Welcome to Derry and Goosebumps are spinoffs. Next up, every horror show from season two on: The bad news here? Besides one iconic example, horror shows don’t last long i.e. generate very many seasons. While many straight-to-streaming horror shows were limited series, many weren’t and only four horror shows got to a second season or beyond. That’s a bad hit rate. And yeah, only one horror show made it to a fifth season! This genre is just not elite (on streaming). Okay, on to the top horror films all time (er, since 2020): 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… ...What streamers have the most horror films... ...And how FASTs have embraced horror films... ...How many elite horror films are on linear TV or aren’t on TV at all… ...How streamers make it very, very hard to find horror films… …And a lot more... ...please subscribe! We can only keep doing this great work with your support. If you’d like to read more about why you should subscribe, please read this article about the Streaming Ratings Report, why it matters, why you need it, and why we cover streaming ratings best.
Tracking the House: See which races are still counting votes
Vote counting will continue well beyond Election Day, with several key House races still too close for CNN to project a winner. Counting procedures vary by state, meaning some races could be decided quickly while others may take days.
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Tamara Tunie earns Daytime Emmy lead actress honor in triumphant return to soaps
Tamara Tunie of “Beyond the Gates” has won lead actress honors at the Daytime Emmy Awards. She made her return to the soap opera genre after 17 years away.
Moving beyond weight loss to create truly inclusive healthcare environments
Have you ever gone to your GP to find out why you're always tired, only to be told to lose weight?
Grab the popcorn; it’s political
During election season, political debates and campaign ads are seemingly everywhere, and it can be hard to escape politics. But for those looking to explore politics beyond the headlines, movies can offer a different way to look at elections, journalism, government and political power. From investigative journalists uncovering scandals to fictional politicians navigating campaigns, these...
Business Beyond the Beach: The Miami Foundation & Give Miami Day
Getting your Trinity Audio player ready... Host Brittnie Bassant sits down with Jocelyn Noya Quintana, Chief Marketing Officer, and Laurel Woloszyn, Philanthropy Director, from The Miami Foundation to discuss their work strengthening the community and the impact of philanthropy across South Florida. They also highlight Give Miami Day, Miami’s biggest annual giving event, and how […]
Tamara Tunie wins Daytime Emmy lead actress honor in a triumphant return to soaps
Tamara Tunie of “Beyond the Gates” has won lead actress honors at the Daytime Emmy Awards | WBBM Newsradio 780 AM & 105.9 FM
Beyond cricket: can non-cricket sporting leagues add value to platforms' entertainment mix?
New Delhi, Nov. 3 -- Even as cricket remains the cornerstone of sports viewing in India, non-cricket properties are emerging as a way for broadcasters and streaming platforms to keep audiences engaged through the year and reach new viewer segments.The latest season of the Pro Kabaddi League (PKL…
Scientists discover potentially massive dwarf planet candidate hiding beyond Pluto
A powerful new telescope has discovered a dwarf planet candidate beyond Pluto — and scientists say it could be among the largest of its kind ever found in the reaches of our solar system.
How Troy Jackson’s campaign has been reaching voters beyond traditional political ads
Democratic U.S. Senate candidate Troy Jackson is turning to Maine social media creators to reach voters beyond traditional political advertisements. His campaign has been partnering with influencers whose audiences were built around everything from motherhood and mental health to gardening and everyday life. The campaign has cultivated relationships with creators who aren't primarily known for
Before the Gender Gap Had a Name, Ms. Saw Women’s Political Power Coming: Six Stories From the Archives on the Power of Women Voters
A record 590 women filed to run for the U.S. House during the 2026 election cycle. Women candidates are also poised to make history in gubernatorial races across the country: Deb Haaland could become the nation's first Native American woman governor in New Mexico, while Keisha Lance Bottoms could become the first Black woman governor in U.S. history if elected in Georgia. Yet women still hold only about 28 percent of seats in Congress. And the stakes of this election—from reproductive freedom and immigration enforcement, to voting rights and the future of constitutional equality—extend far beyond the number of women elected. For more than five decades, Ms. has documented the growing power of women voters, candidates and elected officials. We've tracked the gender gap, challenged the barriers facing women in politics and explored what it would mean to build a democracy that represents all of us. These six selections from the Ms. Archive trace that history—from the earliest predictions of women's political power, to today's calls to fundamentally remake American democracy. (Full access to these selections and the entirety of 50+ years of issues of Ms. is available via the Ms. Magazine Archive on ProQuest, from Clarivate.)
New Harris Poll Findings Highlight Persistent Gaps in Maternal Mental Health Care - Policy Center for Maternal Mental Health
New national survey findings reveal that maternal mental health challenges are common, yet many mothers receive inadequate support, information, and access to care. From gaps in postpartum follow-up to limited provider conversations and barriers to treatment, the findings underscore the need for a healthcare system that recognizes and responds to mothers’ mental health needs throughout pregnancy and beyond.
Scientists Discover How Dead Stars Could Break One of Physics’ Most Famous Limits
New simulations suggest that powerful internal magnetic fields could allow some white dwarfs to grow far beyond a long-established stellar mass limit. New research suggests that some white dwarfs, the incredibly dense remnants of dead stars, could grow far heavier than a fundamental limit in astrophysics predicts. Computer simulations show that powerful internal magnetic fields
Post-midterms, hospitals still face a long road to policy relief, advisers warn
Hospitals facing major policy headwinds won’t be able to sustain operations through cost cutting or revenue protections alone, and they shouldn’t bank on immediate political relief following this w | Regardless of where this week's midterms land, hospitals have their work cut out for them in navigating impending policy headwinds unlikely to vanish in 2027 and beyond, consultants and health system heads warn.
Hinge Health revenue jumps 52% in Q3 as it expands beyond MSK, eyes hardware acquisitions
Hinge Health is seeing early traction with its migraine and gastrointestinal care programs as it pushes beyond musculoskeletal care and builds a broader, multi-condition platform. | Hinge Health is seeing early traction with its migraine and gastrointestinal care programs as it pushes beyond musculoskeletal care and builds a broader, multi-condition platform.
Science Begins With Wonder and Sometimes With a Salamander.
The Bar Harbor Story is generously sponsored by the Don & Beth Straus Center at Birch Bay Village. BAR HARBOR—The children had come to see the axolotls, those odd little salamanders with pink frills around their heads and the remarkable ability to grow back what they lose. But also there were stickers. There were crafts. There was the kind of excitement that makes a roomful of kindergarteners forget, for a little while, that sitting still is ever a requirement. And then there were the animals themselves, alive in their clear cases at the MDI Biological Laboratory, where 12 children from Pemetic Elementary School got to meet the creatures they had been learning about in class. “Do you love them?” their teacher, Carol Null, asked. The answer came back in a chorus. “I do!” “I do!” “I do too,” Null said, smiling. “I love them even more now.” That was the thing about a day at the lab. Science was no longer a picture in a book, or a word on a classroom wall. It had a face, a tail, and a set of extraordinary powers. And for a child, sometimes that is where wonder begins. Sometimes learning about science is about stickers. Sometimes it’s about bright pink feathers and getting super excited about that glow in the dark. Sometimes learning about science is joy—pure and simple joy. That’s how it was October 28 at the MDI Bio Lab as Miss Hannah (known in the lab as Dr. Hannah Lust, director of STEM, undergraduate and graduate Training), other scientists, graduate students, and MDI Bio Lab staff, hosted 12 students from Carol Null’s Pemetic Elementary School’s kindergarten class. The 2.5-hour program created by Dr. Lust focused on axolotls, a species of mole salamanders, a superhero in the animal world: a superhero with some scientific-study worthy superpowers. One of those superpowers come from the axolotls’ ability to regenerate body parts, including entire limbs. But also, they’re cute. This fall, before coming to the internationally renowned lab nestled in Salsbury Cove, Null has been integrating axolotls into her class. They’ve been part of the kids’ vocabulary and their storytelling. They’ve been part of science. They’ve been part of the children’s learning about facts vs opinions. The Pemetic Elementary kindergarten students learn about invasive species and the impact on the ecology and one student related it to their dad, who lobsters, and his worries about green craps, an invasive species in Maine. “Are they bigger or smaller than you thought they’d be?” the children are asked after the scientists show them multiple see-through cases of axolotls, lined up on a table that they’re told not to jiggle. “Bigger!” “I think they’re bigger.” “Smaller!” The bio lab opening its doors to the collaborations and to students and families is a norm, but this is the first program of this kind. It’s meant to encourage kindergarten students about axolotls. But when the students come to the bio lab something else happens too—something beyond Null’s child-focused teaching—the students see science—and the regenerating creatures in real life. They do crafts. They speak with them. They meet people who know all about them: scientists and educators who talk to the kids like they’re equals. That’s a superhero power, too. Null speaks about meeting the kids where they’re at in her classroom, letting their interest and hearts lead her in their learning. That requires recognition of interests, of individuality, of empathy. Some would argue that’s a super power, too, but it’s also in those 12 students as they listen to the storybook, encounter those live axolotls, and hear about how axolotls might help advance society’s understanding of human health. As Eddie Seckeler (comparative animal models, CORE facility manager), carefully puts the axolotls on a cart and rolls them away, some of the children stop what they’re doing to watch. “Bye axolotls.” “Bye!” “Bye!” The axolotls are not just images in a book, Hello, I’m an axolotl by Hayley and John Rocco; they are real and cool. MDI Biological Laboratory scientists Dr. Prayag Murawala and Dr. James Godwin who both feature in the Roccos’ book. The kindergarteners get to meet them in real life, off the page, in the world, doing science. They learn from them, laugh with them. “The visit is about more than meeting an unusual animal. By introducing children to scientists working in their own community, the experience helps make science tangible and accessible. Students can see that science is not just something they read about in books or learn about at school. It is something real people do every day by asking questions, making observations and working to understand how the world works,” explains MDI Biological Laboratory Director of Communications Rebecca Woods. While the students make axolotl-related crafts around tables, graduate students and staff help out. Ryan holds up his construction paper setting and axolotl to show Omar Maged, a graduate student. “Do you like it?” Ryan asks, eyes wide, turning from his axolotl to look up at Omar. Omar studies the construction paper for a moment, smiles and says definitively, each word important. “It is beautiful.” Null says that she’s so thankful for all the “amazing” community partners that her school and her students get to interact with as they learn and grow and live, but emphasized how the MDI Bio Lab goes out of its way to create something meaningful, something that allows her young students to build their own agency, to know that they can be impactful in their community, to show them how how things they learn about in text is connected to themselves and their community. Woods explains, “Axolotls have an extraordinary ability to regenerate, or regrow, certain body parts, including limbs. Scientists study these animals to understand how regeneration works and what their biology might teach us about tissue repair and healing in humans.” The children enter the space for “a memorable introduction to a big scientific question,” Woods said. “How can some animals regrow body parts? The encounter encourages children to look closely, wonder about what they see and begin to understand how scientists use observations and experiments to investigate questions.” “For the students, the visit is an opportunity to explore a fascinating animal and meet scientists in their own community,” Woods explains. “For MDI Biological Laboratory, it is a chance to share the excitement of research, nurture curiosity, and help young learners discover that science begins with asking questions.“ At the beginning of the school year, Pemetic kindergarteners didn’t know what the axolotl was—at least not exactly—now they know all about the axolotl’s life cycle. “It’s different than a butterfly,” one student told Mrs. Null. It is. The change and knowledge might seem small**,** but it offers a glimpse of what happens when a subject moves beyond the pages of a book and into a child’s world. The children have been learning about butterflies at the Charlotte Rhoades Park and Butterfly Garden. At both the garden and the MDI Bio Lab, the children see the animals, meet the scientists who study them and at the lab encounter a question that researchers are still working to answer: how can some creatures regenerate body parts, and what might that teach us about healing in humans? They leave with gift bags, paper-plate salamanders, new things to wonder about and a connection between the science they learn in school and the work happening in their own community. The axolotls may be remarkable for their ability to grow back what they have lost. For these young students, the day offers something different: a chance to discover how much there is to ask, observe, and imagine. When Null’s students had time to use chalk and draw whatever they want, in the beginning of the year, they drew rainbows. Now? They’re using that chalk and choosing to draw axolotls instead. About MDI Bio Laboratory For more than 125 years, MDI Bio Lab has been a center for training and research in comparative biology. In the last two decades its biomedical research has focused on aging, regeneration, and environmental toxins. The Laboratory houses 11 research groups staffed by an international team of world-class scientists and graduate students. It also leads a statewide network of colleges, universities and research institutions that collaborate to provide training, research experiences and financial support to help young Mainers play a bigger role in today’s biomedical revolution. Located on Maine’s rugged coast, the Laboratory’s 100+ acre campus houses research facilities, cottages and dorms that house visiting scientists and students. It is also home to MDI Bioscience, a subsidiary working to design innovative techniques to speed the drug discovery process. The Bar Harbor Story is generously sponsored by Rick Osann Art. LINKS TO LEARN MORE NIH INBRE MDI BIOLOGICAL LABORATORY Pemetic Elementary School Hello, I’m an Axolotl Photos: Carrie Jones/Bar Harbor Story HELP SUPPORT THE BAR HARBOR STORY When we started The Bar Harbor Story, we didn’t know if anyone would read it. But you showed up. You shared. You sent tips. Now—over 400,000 views every month later—it’s clear: people here care about their community and each other. We’ve kept everything free because news should never be out of reach, but every one of our stories takes time to write, and your support keeps The Bar Harbor Story going. If you value our work, please consider a paid subscription, a founding membership, or a sponsorship. It truly helps us cover one more meeting, tell one more story, shine one more light. Even $5 a month makes a difference. Click here to become a one-time supporter now. Thank you so much for being here. Founding member information can be found here. Have questions about sponsorships? Just send Shaun an email at sfarrar86@gmail.com, he’d love to hear from you. Subscribe Share Bar Harbor Story Share Leave a comment
Scientists build whole-Earth simulation to help find life on other planets
It's a dizzyingly busy time for scientists searching for life on distant planets. To date, astronomers have cataloged more than 6,000 planets beyond our solar system and are searching the atmospheres ...
Beyond the Following: Building the Next Entertainment Franchise
Discover how creator-led entertainment franchises are built through audience growth, content strategy, brand partnerships and media innovation.
Former OnlyFans Star Camilla Araújo Sets 'Plot Twist' Podcast Debut
Former OnlyFans creator Camilla Araújo is set to launch her first podcast, "Plot Twist," a weekly interview series featuring guests from pop culture and beyond.
B. lactis Lafti B94: documented science for gut health and beyond
Discover how B. lactis Lafti B94 combines documented probiotic science with prebiotic synergy to support gut health, digestive comfort and formulation flexibility
How officials are preparing for Election Day disruptions
Election officials have spent months preparing to run the 2026 vote — and bracing for what could disrupt it. They’re training workers, tightening security and readying legal challenges for threats that could stretch well beyond Election Day.
Beyond the Forecast: The science behind rainbows
Meteorologist Paul Williams shows us how rainbows form after rainy days.
Scientists discover potentially massive dwarf planet candidate hiding beyond Pluto
A powerful new telescope has discovered a dwarf planet candidate beyond Pluto — and scientists say it could be among the largest of its kind ever found in the reaches of our solar system.
Boones Mill family farm closes doors after decades of business
A family-owned Boones Mill farm officially closed its doors after decades of serving the Roanoke Valley and beyond.
Remembering Gerry Fischbach, ‘orchestra conductor’ who brought scientists together
Fischbach, who died 25 October, elucidated the dynamic changes in neuromuscular junctions. Beyond the lab, he shaped careers, academic departments and scientific societies.
Sabres Reached A Rare Defensive Feat In Win Over Kings
The Sabres have needed to help their goaltenders often in 2026-27. They went above and beyond in their win over the Los Angeles Kings.On Saturday, the Sabres defeated the Kings 3-2 and blocked 30 shots in the process. What’s more impressive? Buffalo came into the game with only 11.9 blocked shots per game. That number […] The post Sabres Reached A Rare Defensive Feat In Win Over Kings appeared first on HEAVY.
In Virginia and beyond, Democratic candidates increasingly embrace Medicare For All
Rep. Don Byer was among 118 co-sponsors of last year’s Medicare For All Act, a measure that didn’t advance after its introduction.
Where is Elvira now? Inside Cassandra Peterson’s life beyond the Mistress of the Dark
The real Elvira is even more interesting than her macabre alter-ego.
A new HIV-prevention drug is showing promising signs, but it's difficult to find in Africa and beyond
Demand for lenacapavir is far outstripping supply in Uganda, other parts of Africa and all over the world. U.S. regulators on Monday approved a generic version for sale in low-income countries.
Assort Health Adds Digital Intake and Payments to Its Patient Journey Platform
As athenahealth's THRIVE Summit 2026 opens, Assort Health today announced digital intake and patient payment solutions on its Patient Journey Platform. The additions extend Assort's AI agents beyond scheduling, referrals, and proactive outreach. MDCS Dermatology and Watauga Orthopaedics are among the organizations extending their Assort agents across multiple touchpoints in the patient journey. Since its first deployment in 2023, Assort has grown to support more than 200 healthcare organizations
Georgia’s Connor Tomlinson goes beyond ‘Love on the Spectrum’ with new girlfriend
Breakout star, and Cumming resident, Connor Tomlinson has left "Love on the Spectrum." But he has a new podcast, "What the Fact," and found love again, this time "naturally."
See all the winners at the 2026 Daytime Emmy Awards
From the first potential Daytime Emmys for ‘Beyond the Gates’ to major competition in the talk show and culinary series categories, here are all the winners at the 2026 Daytime Emmys.
Tamara Tunie wins first Emmy after nearly 40 years in television, dedicates award to her 92-year-old mother
The “Beyond the Gates” star celebrated her return to daytime television while honoring the Black actresses who paved the way.
When papers become currency: a Chinese debate about trust in science
Last Saturday, 31 October, I went to the University of Hong Kong’s Beijing Centre for its Talent Forum. It was the fourth stop in the series this year, following events in Shanghai’s Zhangjiang, Shenzhen’s Qianhai, and on HKU’s main campus. The programme covered a remarkable distance in one afternoon. HKU’s Xiao-Jing Wang discussed computational neuroscience, intelligence, and the prefrontal cortex—before even delivering his inaugural public lecture to students back in Hong Kong. His colleague Bing Zhang took us from the Big Bang to artificial intelligence. Tsinghua’s Xue Lan asked how AI might reshape the institutional infrastructure underpinning higher education. There were lively panels featuring industry leaders from JD.com, Xiaomi, Haier—and Kaiser Y Kuo on the closing panel discussing innovation and international connections. I cannot pretend to have followed every detail of the brain models or the astrophysics. The talk that stayed with me was closer to something we have covered before: Zhou Zhonghe 周忠和 on papers, evaluation, and scientific trust. Zhou is a palaeontologist, an Academician of the Chinese Academy of Sciences, and an international member of the US National Academy of Sciences. He is also editor-in-chief of The Intellectual (知识分子), China’s leading science commentary platform. His subject was uncomfortable enough for a room full of successful academics: what happens when the system for recognising good science starts rewarding something else? Part of my interest came from our sister newsletter, The East is Read, which covered the controversy around “Geng Tongxue” in May. A PhD dropout from Beihang University, Geng has publicly challenged papers by prominent researchers through detailed online allegations of manipulated images and fabricated data. At Tongji University, an investigation into a challenged Nature paper found academic misconduct, and the dean of its life sciences school was removed. The affair brought doubts about academic integrity well beyond laboratories and university committees. How could someone outside the established hierarchy spot problems in papers that had passed through prestigious journals and institutions? And what, exactly, had all that prestige guaranteed? Zhou approached these questions through two essays published in July by The Intellectual: one by Wang Xiaodong, director of the National Institute of Biological Sciences, Beijing, and a response by Wang Liming, of Shanghai’s Shangsi Institute of Natural Sciences. Both began with the controversy over Geng. Their arguments deserve a wider audience, so I want to put parts of them alongside what Zhou said on Saturday. Wang Xiaodong’s starting point is evolution. A research system selects for the behaviour it rewards. Grants, jobs, journals, talent programmes, and prizes collectively determine which scientists prosper and which practices get passed down from advisors to students. “Whatever the system rewards is what it will evolve to produce,” he writes, citing the ancient Chinese saying: The King of Chu loved slender waists, and many in the palace starved to death. That is a more demanding diagnosis than saying there are dishonest people in science. Punishing a fraudster does not change the selective environment that made a particular kind of research profitable. His account also gives scientific success an awkward role in the story. As Zhou put it on Saturday, science became a victim of its own success. Once research became central to industry, national power, and economic growth, universities and laboratories expanded, and public money followed. That created an administrative need for rapid decisions: who should get the next grant, the next laboratory, the next appointment? The difficulty is that the true value of a discovery may take years or decades of testing and building to become clear. Resource allocation cannot wait that long. Publication counts, journal prestige, impact factors, and citations therefore become convenient ways to make an instant judgement. “The real problem is not that these indicators have no value,” Wang Xiaodong writes, “but that they are trying to answer a question that only time can answer.” Telling administrators simply to stop counting papers will never be enough. They still have budgets to distribute and appointments to make. Something has to replace the shortcut. Zhou described the consequences inside publishing. Papers acquire ever more requirements: a complete story, polished presentation, extensive datasets, and accessibility to readers beyond the immediate field. Individually, those demands sound reasonable. Together, he warned, they produce formulaic “eight-legged” papers 八股文 and rigid reviewing, while genuinely original or non-consensus work struggles to get past journal editors—some of whom wield immense gatekeeping power despite having limited laboratory experience themselves. Meanwhile, the demands for sprawling, “complete” narratives have fuelled a wider replication crisis. Wang Xiaodong uses a mahjong metaphor to describe the result: put the complex papers published by the exact same lab over several years side by side, and they often look like “Thirteen Orphans” (十三不靠)—every tile completely unrelated to the next, and none of them reproducible by outsiders. Zhou also spoke frankly as an editor who has trouble finding reviewers. Everyone wants someone else to review their work; qualified senior researchers have little time to return the favour. The labour is anonymous, unpaid, and brings almost no institutional recognition, so it increasingly gets passed down to postdocs and graduate students. And while anonymity protects reviewers from rank and personal favours, hyper-specialisation means an author’s most qualified reviewer is often a direct competitor, shielded from accountability. The protection and the problem coexist. Wang Liming takes the argument a step further. The decisive change, in his essay, is the instant conversion of academic honour into material resources. Once a paper can be cashed in for funding, a job, students, commercial investment, or even a company valuation, scientists are alienated from their work: they must keep minting this “research currency” to keep their teams alive. He is careful not to romanticise the past. The old world of gentleman scientists—financially independent figures like Boyle and Darwin who needed nothing from external funders—was also a closed club that excluded people without inherited wealth, women, and much of humanity outside the West. Professional science allowed ordinary people, himself included, to become researchers. Nobody should want to undo that. The problem, in his account, is an exchange system that becomes too uniform and too difficult to correct. His most pointed Chinese example is the “hat” (帽子): the prestigious talent designation that brings continuing access to money, laboratory space, students, and institutional influence. “If papers are the circulating currency of the research system, then a ‘hat’ is a bond that pays interest over the long term,” he writes. A paper at least requires another round of peer review. A title in the Chinese context can lock in a judgement made years ago and turn it into permanent status rent, regardless of whether its holder is still doing good science. Here, official institutions hire, organise, and evaluate scientists. Unlike honours awarded by autonomous academic communities in the West, a Chinese “hat” blends non-scientist administrative power with state authority. Once granted, it turns a past judgement into permanent status rent that is nearly impossible to revoke—because taking a hat off would imply that official authority erred in putting it on. Both Wangs see China as experiencing, at compressed speed, pressures present across global science. Research expansion, rising investment, publication growth, and elaborate evaluation metrics arrived in China within two or three decades rather than two or three centuries. Zhou agreed with that international framing—noting that recent US White House science policy documents and the new president of the US National Academy of Sciences, a fellow palaeontologist who recently visited Zhou’s institute in Beijing, have raised strikingly similar warnings about consensus-bound peer review, short-term project grants, and the replication crisis. Still, Zhou emphasised that China’s traditional hierarchy, personal networks (guanxi), and the ethos that “a good scholar becomes an official” (学而优则仕) amplify those pressures at home. So what would change things? Here Zhou’s tone differed from the call for a revolution in scientific trust in Wang Xiaodong’s essay. As an evolutionary biologist, Zhou favoured patchwork repair (修修补补). Living systems survive through accumulated adjustments; dramatic mutations are usually fatal. Science cannot return to a small, slow-moving pastoral era, especially after the successive accelerations of professionalisation after the Second World War, the internet, and now artificial intelligence. But it can alter the local environment in which researchers work. He pointed to domestic experiments designed to support unconventional research and diversify funding, including Tencent’s New Cornerstone Investigator Program, the Xplorer Prize, and the Future Science Prize. He also mentioned participating in reviews for “major non-consensus projects” under the National Natural Science Foundation of China. One guiding principle he recalled was wonderfully direct: “Failure is allowed; corruption is not” (允许失败，不允许腐败). That distinction would mean quite a lot if taken seriously. An honest attempt that fails should not have to disguise itself as a success to survive an assessment. Wang Liming’s essay adds a sharp caveat to the optimism about new domestic funders. Multiple organisations do not automatically produce multiple ways of judging science. If the same pool of senior domestic scientists makes the decisions through the same two-round review procedures, it is still “fake diversity.” He argues for three distinct kinds of money: broad baseline funding governed by fair procedures; patient funding for questions that take ten years; and non-consensus funding based on individual taste, deliberately empowering a few genuine experts to make biased, contrarian bets on eccentric ideas that would inevitably be averaged out by a committee. Replacing one monopoly with another achieves little; a healthy ecosystem needs variance. Zhou’s proposals for publishing were similarly concrete: strip papers of their resource-allocation burden and return them to recording discoveries and establishing priority; separate dissemination from evaluation, as eLife and Peer Community In do; adopt more modular “micro-publications” and real-name endorsements; recognize the labour of editors and reviewers; and give replication work proper credit rather than treating it as an unpublishable dead end. AI makes every part of this debate more urgent—and Zhou wove it throughout his talk. In his own preparation, he used AI to survey the declining influence of academic monographs, noting how tools are already changing how scholars gather information. More fundamentally, he placed AI as the latest great acceleration in scientific history: just as the internet sped up the pace of research and tightened external resource pressures, AI is compressing the cycle again. In the essays Zhou cited, AI cuts both ways. Wang Xiaodong expects large language models to erase much of the English-writing disadvantage long faced by Chinese scientists, further swelling the flood of papers coming out of Chinese labs. Wang Liming sees AI accelerating both ends of the trust crisis: it lowers the cost of paper mills and fabricated images just as quickly as it lowers the cost of automated image forensics, data auditing, and code reproduction. “Whoever builds the verification layer wins,” Wang Liming writes. His proposed alternative to the static, packaged “story paper” is a continuously versioned “unit of discovery” containing a falsifiable claim, raw data, analysis code, experimental parameters, and an ongoing log of independent checks—where negative results and failed replications are recorded rather than buried. Zhou ended his keynote by bringing AI back to the question of scientific honour and credit. Citing a recent Intellectual discussion on “What AI Means for Mathematics” featuring Fields Medalist Deng Yu 邓煜—at a moment when AI is already batch-solving mathematical conjectures, as HKU Vice-President Lin Chen noted in his opening remarks—Zhou agreed that human researchers must remain the principal agents: AI is a tool that frees scientists from tedious calculation to think about deeper, messier real-world problems. Yet that partnership creates a thorny new evaluation problem. When a breakthrough is made with AI, what is the human contribution and what is the machine’s? And since AI models distil centuries of accumulated human scholarship, is it right that the credit and value flow so heavily to the private AI companies building the tools? The old struggle over how to assign scientific honour is acquiring a whole new layer. What I took away was a serious discussion of how science can remain trustworthy as its scale, incentives, and tools change. These were scientists with real standing inside China’s system questioning how that standing is produced, and proposing changes that would affect their own institutions and peers. That made the afternoon at HKU’s Beijing Centre worthwhile. At the close, Wang Feng, Director of Communications and Public Affairs at HKU, said the value of the forum series—which heads to Hangzhou in December and cities like Chengdu early next year—would lie in the real cooperation it helped bring about. The university has plenty to celebrate: this week it topped the QS Asia rankings for a second consecutive year, alongside its 11th-place position in the QS World University Rankings 2027. For me, bringing this debate to an audience beyond the people who review papers and allocate grants was a useful contribution. Share [ The East is Read PhD dropout’s exposé forces an academic fraud reckoning in China A former doctoral student turned blogger has shaken China’s academic establishment by publicly accusing prominent university scholars of fabricating data and manipulating papers, triggering investigations at several leading institutions and drawing rare attention from state media… Read more 5 months ago · 43 likes · 8 comments · Yuxuan JIA ](https://www.eastisread.com/p/phd-dropouts-expose-forces-an-academic?utm_source=substack&utm_campaign=post_embed&utm_medium=web&embedding_publication_id=47580)
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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.
Neil Garg named recipient of the 2026 Science and Education Pioneer Award
Distinguished Professor Neil Garg has been named the recipient of the UCLA College, Division of Physical Sciences’ 2026 Science and Education Pioneer Award for his contributions to science and education. He will be honored at Exploring Your Universe, UCLA’s free science festival, on Sunday, Nov. 8, in the Court of Sciences. The ceremony and Garg’s remarks will take place at noon in Young Hall CS50, and will be livestreamed here. He will also give a family-friendly lecture, “Organic Chemistry in the Movies”, at 3 pm in Young Hall CS76. The Pioneer Award recognizes individuals who have made significant contributions to science and inspired public engagement with science education, particularly among young people. Previous award recipients include astronaut and UCLA alumna Dr. Anna Lee Fisher (2017), mathematician and UCLA alumna Danica McKellar (2018), actress, author and neuroscientist Dr. Mayim Bialik (2019), Nobel Prize-winning astrophysicist Andrea Ghez (2020) and UCLA mathematics professor and Fields Medalist Terence Tao (2025). Garg is the Distinguished Kenneth N. Trueblood Professor of Chemistry and Biochemistry at UCLA. He received his B.S. from New York University and Ph.D. from Caltech, and completed postdoctoral studies at UC Irvine before joining the UCLA faculty in 2007. Garg is an internationally recognized organic chemist whose research focuses on developing new chemical reactions, often challenging long-standing rules in chemistry. He has published more than 200 scientific papers. Beyond his research accomplishments and award-winning classroom teaching, Garg is passionate about making chemistry accessible and engaging for students and the broader public. He has developed innovative websites, apps, and games used in more than 175 countries, authored The Organic Coloring Book series, and created outreach programs that introduce children to chemistry, including his popular Chem Kids camp. His honors include the Royal Society of Chemistry’s Horizon Prizes for both research and education, the Cherry Award for Great Teaching, the California Professor of the Year Award, and the AAAS Mani L. Bhaumik Award for Public Engagement with Science. In 2026, he received the Royal Society of Chemistry’s prestigious Centenary Prize.
SESAME Symposium Places Science Diplomacy at the Heart of Regional Cooperation, Peace and Human Responsibility
The role of science in a world increasingly shaped by conflict, technological rivalry and deepening political divisions was at the heart of an international symposium held at the Synchrotron-light for Experimental Science and Applications in the Middle East (SESAME) in Allan, Jordan, on 28 October 2026. Bringing together senior scientific leaders, diplomats, policymakers and researchers from across the region and beyond, the symposium examined how major research and technology infrastructures can advance international cooperation, strengthen scientific capacity and contribute to peacebuilding.
B. lactis Lafti® B94: Documented science for gut health and beyond
Discover how B. lactis Lafti® B94 combines documented probiotic science with proven prebiotic synergy, supporting gut barrier function, microbiota activity, digestive comfort and formulation flexibility
Marc Maron is figuring out what to do with all his free time
After ending ‘WTF With Marc Maron,’ the comedian is embracing privacy, pursuing new projects and figuring out life beyond the microphone.
Amazon Thinks AWS Could Become a $1 Trillion Business. Here's Why.
CEO Andy Jassy believes Amazon Web Services' opportunity goes well beyond AI.
Good Times
For more information about upcoming events in Citrus County this weekend and beyond, go to the events calendar at www.chronicleonline.com, events, event calendar. Also, read the daily Local section of
BUSINESS BRIEFS November 2, 2026: Business news in the Berkshires and beyond
Business news from Berkshire Art Center, Westside Legends, Bard College, Berkshire Money Management, and more
In Michigan, Haley Stevens Did a Lot More Damage Than She Expected—to Herself
"I was like, ‘I can't even believe that I'm reading that.’ I was absolutely beyond stunned."
Beyond Programming: Students Explore Research and Build Connections at Faculty Roundtable
What should computer science (CS) students learn in the age of AI? How does philosophy intersect with computing? And what does CS research look like beyond programming? Those were among the topics students explored at Stony Brook University’s Computer Science Faculty Roundtable on September 30. Organized by the Department of Computer Science, the event brought
KMI expands beyond health screenings with new vision
The Korea Medical Institute is expanding beyond traditional health screenings into long-term health management, unveiling a new corporate identity to mark its 4
Ashley Graham says fundraising for her new wine brand was 'humbling'
Speaking at Business Insider's The Long Play, Ashley Graham shared how she has built an impactful, lasting brand beyond modeling.
Health Care: A Sleeper Issue for the 2026 Midterms and Beyond
Message from Karthick Ramakrishnan, Founder and Executive Director
Mid-Michigan entertainment for the weekend of Oct. 30 to Nov. 1 and beyond
Check out what’s going on around the area.