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The Secret Ingredient Helping Milwaukee Businesses Succeed
Behind every successful Milwaukee business is someone who took a chance. An entrepreneur who turned an idea into a company, a family preparing to expand
Christian McCaffrey on health and wellness, 49ers' success early on
San Francisco 49ers star Christian McCaffrey discusses his health in his 10th NFL season at age 30 and his hopes for his Niners amid Super Bowl aspirations.
Patriots Defender Linked to Surprising Trade Price: Report
Rumors are swirling ahead of the November 10 trade deadline. The New England Patriots are in the middle of those rumors, and now we have a sense of what a key defensive player may be worth. Sports Illustrated’s Albert Breer spoke on Monday about the price tag that defensive tackle Christian Barmore could be worth.We […] The post Patriots Defender Linked to Surprising Trade Price: Report appeared first on HEAVY.
The Salvation Army’s Red Kettle Campaign Returns
The Salvation Army invites the community to Give With Joy this Christmas season as its iconic Red Kettle Campaign returns to McAllen. More than just a holiday tradition, the red kettle is a symbol of hope, compassion and generosity—supporting vital programs that serve thousands of individuals and families in need throughout the year.
Colorado Basketball Beats Abilene Christian in Season Opener
Jalin Holland’s career-high 18 points sparked a dominant second-half surge as the Buffaloes imposed their will defensively to secure a commanding 11th consecutive season-opening victory in Boulder.
Half-witted at best, a people-pleaser at worst: step forward, Chris Philp
Responding to Shabana Mahmood’s changes to indefinite leave to remain, the shadow home secretary was detached from reality
Canelo reclaims title with vintage win over Mbilli
Saul 'Canelo' Alvarez reclaims the WBC super-middleweight title with a vintage performance against Christian Mbilli in Riyadh.
Sen. Chris Murphy hospitalized following stroke
Democratic Sen. Chris Murphy of Connecticut was hospitalized on Saturday after experiencing a stroke, his office said.
Jack Lowden breaks silence on “Slow Horses” costar Gary Oldman’s James Bond comments: ‘Oh, Christ’
Hey, he didn’t say no.
CHRISTMAS AT THE KRINGLES Hopes To Bring Seasonal Scream Laughs
The other day I went to my local Walgreens and was horrified to see the Halloween section split in half, with Christmas decorations already out. So it seems fitting that Christmas at the Kringles, the new holiday horror-comedy film from director Kevin Lewis (Willy’s Wonderland), is in theaters today.
Sen. Chris Murphy had a stroke and is in the hospital, his office says
Sen. Chris Murphy's office says the Connecticut Democrat is in the hospital after having a stroke | Newsradio 1140 WRVA
Commentary: Was this America's last bipartisan moment in national politics?
Chris Christie says the last moment of bipartisan national unity was his Oct. 31, 2012, meeting with Barack Obama. Sadly, he’s probably right
TV Tinsel: Stand-up comics compare notes
Stand-up comedy can be serious business. Most comedians fret endlessly about their delivery and to them it’s no joking matter. Chris Rock says people often take his chatter the wrong
Ripple's Chris Larsen is spending tens of millions in the midterms
Even though he says there is far too much money in politics, Larsen has spent tens of millions in the midterm elections.
Gabby Shanahan, Jessica Dixon Heitman square off in suburban statehouse race spurred by scandal
The race for the 97th District House seat could have implications for Illinois House Speaker Emanuel "Chris" Welch.
Vikings injury update: Is Christian Darrisaw playing in Week 8?
The Vikings will have their star offensive tackle in their lineup in Week 8.
Todd Chrisley recalls becoming an escort at 18 after working at Cheesecake Factory: ‘I’m laying up getting my rent paid’
He kept his encounters a secret from his family.
Wanted: New Central Bank Chief. Expertise and Political Acumen Required.
The looming departure of the European Central Bank’s president, Christine Lagarde, has set in motion a high-stakes search for her successor.
Chris Rock says he was ‘not a great husband’ because he ‘watched a lot of porn’
He divorced from ex-wife Malaak Compton-Rock in 2016.
For King + Country musicians to introduce film screenings at Penn Cinema this weekend
Members of a popular contemporary Christian band will appear at Penn Cinema in Manheim Township this weekend to introduce screenings of a feature film.
A record number of health professionals are running for office. Could they help heal US politics?
By Jen Christensen, CNN (CNN) — At least 125 doctors, nurses and public health experts are on the ballot for Tuesday’s midterm elections — an
Houston Rockets jersey history No. 35 - Christian Wood (2020-22)
During his time suiting up for the Rockets, Wood wore only jersey No. 35 and put up 19.1 points, 9.9 rebounds, 2.1 assists, and 1.0 blocks per game.
Republicans were hoping to flip this New Hampshire Senate seat – will Trump get in the way?
Republican John Sununu tries to distance himself from unpopular president in race against Chris Pappas that has gone from ‘toss-up to ‘lean Democrat’
Democratic Senator Murphy hospitalized after stroke, chief of staff says
WASHINGTON, Nov 1 (Reuters) - Democratic US Senator Chris Murphy was hospitalized after suffering a stroke, the senator's chief of staff said on Sunday.
The dachshund is the muse in an exhibition showcasing the sausage dog’s history in art
Museum director Christoph Grunenberg believes it's the world's first exhibition dedicated to the dachshund in art, rather than dogs in general.
Chris Godwin Jr. should be available for Week 8
Buccaneers WR Chris Godwin Jr. on track to play after returning to practice Friday
Legion Auxiliary in Rome to host annual Christmas Craft Fair
The Henry P. Smith American Legion Auxiliary will host its 21st Annual Christmas Craft Fair from 9 a.m. to 3 p.m. on Saturday Nov., 7 at the American Legion at 325 Erie Blvd. West, according to organizers.
New Career High For The Former Kansas Jayhawks Christian Braun
Former Kansas Jayhawk Christian Braun Delivers Career Night Against Phoenix Suns
WATCH: Democrat Chris Pappas speaks after winning New Hampshire Senate seat
Pappas, a four-term House member, said his U.S. Senate victory is proof that Washington needs a "new generation at the table to fix things."
Brattleboro Christian Science lecture on effective prayer set for Nov. 6
A free Christian Science lecture on prayer, healing and spiritual wholeness is set for Nov. 6 in Brattleboro.
Senate candidates rally for support on Halloween in Derry
Chris Pappas and John Sununu rallied supporters in Derry days before Election Day, as a recent poll showed Pappas leading the closely watched U.S. Senate race.
Todd Chrisley was initially not on board with daughter Savannah’s age-gap relationship
Savannah announced earlier this week that she and Jason Galanis are expecting their first baby together.
Jake Paul reveals opponent for boxing return on Christmas Eve
Jake Paul will box knockout artist Cedric Doumbe in Dubai
The hero it was OK to meet
A chance encounter after Chris Isaak’s recent show in Park City, Utah, gave Deseret News entertainment reporter Lottie Johnson the chance to thank the singer for a kind interaction 21 years earlier
Christopher Lloyd says he and Michael J. Fox didn’t become friends until after ‘Back to the Future’ films
Christopher Lloyd shared that he and Michael J. Fox’s friendship took a while to grow as they didn’t become close until after the ‘Back to the Future’ films.
Boyfriend of 'SNL' writer's missing sister charged with murder
The boyfriend of "Saturday Night Live" writer Jimmy Fowlie's sister, Christina Downer, has been charged with her murder, nearly a year after she first went missing.
Christal Jordan has the latest in entertainment headlines
Usher teases new music, and the 2026 Council of Fashion Designers of America Fashion Awards.
Canelo Alvarez has plenty of big boxing nights left — his performance against Christian M'billi proved it
Heading into Saturday night's main event in Riyadh, Saudi Arabia, and live on DAZN PPV, questions swi...
RiverPark Center’s Christmas pop-up bar returning Nov. 21 with festive beverages, foods, entertainment
The RiverPark Center’s annual Christmas pop-up bar is returning with a new theme inspired by traditional Christmas villages.
Healthcare Network Receives $20,500 Grant from Christ Child Society of Naples to Support Early Childhood Literacy - Florida Hospital News and Healthcare Report
Nov. 2, 2026 – Healthcare Network, a nonprofit organization dedicated to providing comprehensive, accessible healthcare services to underserved communities, has received a $20,500 grant from the Christ Child Society of Naples […]
Chris Murphy: A timeline of the Connecticut senator's life and political career
As U.S. Sen. Chris Murphy recovers after suffering a stroke, here’s a look at the major moments that have shaped his life and career, including his rise through Connecticut politics, election to Congress and more than a decade in the U.S. Senate. Aug. 3, 1973: Chris Murphy is born in White Plains, New York. He later grows up in Connecticut…
Penn State Women's Soccer Has 'Unfinished Business' Ahead Of Big Ten Tournament Matchup With Purdue
"If you ask this team who they wanted to play again, they would have said Purdue."
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.
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.
Democrat Chris Pappas will win New Hampshire Senate race, CNN projects
Democratic Rep. Chris Pappas will win New Hampshire’s open Senate seat, CNN’s Decision Desk projects, making history as the first out gay man to be elected to the chamber.
‘Don’t be afraid of pumpkins’: SLO County health official gives E. coli update
"We can’t pinpoint the pumpkins as the source of the outbreak right now,” public health officer Dr. Christy Mulkerin said.
HEALTH INSURERS AND PHARMACY BENEFIT MANAGERS URGED TO ASSIST FAMILIES AFFECTED BY LULU M. ROSS ELEMENTARY SCHOOL FIRE
State calls for swift, flexible action to help affected families replace essential medications DOVER, Del. (October 30, 2026) – This week, the Delaware Department of Insurance was notified by Secretary of Health and Social Services, Christen Linke Young and Secretary of Education Cindy Marten that the October 25 fire at Lulu M. Ross Elementary School […]
Christian voters in Washington state divided by common religion: ‘I don’t think the US is God’s kingdom on Earth’
Christians in the south of the state seek to vote their values – but a common faith does not mean a common politics
Coaching friends become foes when Siena basketball opens at Bryant
Smith visited a Siena practice during Christian's lone season in Loudonville. At the time, Smith was the head coach for the NBA G League's Sioux Falls Skyforce.
Mariah Carey defrosts for this year’s ‘It’s time’ Christmas video
“All I Want For Christmas is You” singer Mariah Carey continued her tradition of kicking off the holiday season with a new video that features one of her ’90s deep cuts.
Senator Chris Murphy Is ‘Awake and Alert’ After Suffering a Stroke
The Connecticut senator, who has been campaigning for fellow Democrats, has been viewed as a potential candidate for president in 2028.
Opinion: Don’t wait for political leaders to save us
Pastor Derwin L. Gray reminds Christians that Jesus Is King and no political party can claim his throne.
ESPN honors Chris Spatola with tribute during Army-Duke broadcast
The death of Chris Spatola was felt across sports media when the tragic news broke in late September. Spatola, a beloved college basketball analyst at ESPN, passed away unexpectedly on Sept. 21, according to his obituary, and is survived by his wife, Jamie, and their three children. He was 47. The lasting grief permeated ESPN’s…
Eyewitness News Extra: Connecticut Business & Industry Association (Part 1)
Brian talks to Chris Dipentima, President and CEO of CBIA.
High-ranking US Democratic senator suffers stroke
Senator Chris Murphy, a fierce Trump critic who is not up for re-election in the midterms, is 'alert' after a stroke.
Inbox: That night belonged to Wisconsin sports fans
Christian Watson is cut from a different cloth
Christ Hospital Health Network drops donations to elementary school
Twenty boxes were donated at William H. Taft Elementary
Registration open for Light Up Montrose contest
MONTROSE — A very popular part of Christmas in Montrose will once again be the Holiday Light Decorating Contest. The contest is open to all businesses and residential homes within
Your Weekly Michigan Political Brief
State Rep. Sean McCann (D-Kalamazoo), who is seeking to unseat U.S. Rep. Bill Huizenga in Michigan’s 4th Congressional District, has been endorsed by six former Republican members of Congress, including former U.S. Senator Gordon Humphrey (R-New Hampshire) and former U.S. Reps. Jim Greenwood (R-Pennsylvania), Claudine Schneider (R-Rhode Island), Chris Shays (R-Connecticut), Peter Smith (R-Vermont), and Steve […]
Christina Lambert is turning 14 roundtable topics into a policy plan for West Palm Beach
Christina Lambert turns community roundtables into West Palm Beach priorities.
Live Results: New Hampshire Senate midterm election
Democratic Rep. Chris Pappas and former Republican Sen. John E. Sununu compete Tuesday to succeed New Hampshire’s retiring Sen. Jeanne Shaheen.
I finished Christmas shopping in October for a stress-free December
Holiday shopping usually takes over my December. This year, I finished in October so I can enjoy more time with my family.
Chris Pratt went from living in a van to Hollywood stardom after chance encounter changed everything
Chris Pratt recalls the moment Rae Dawn Chong walked into Bubba Gump Shrimp Company and offered him a role that launched his Hollywood career.
New details emerge in the alleged murder of 'SNL' writer's sister Christina Downer
A series of restraining order petitions and documents shed light on the alleged murder of Christina Downer.
BBC Sport pundit predicts more misery ahead for Newcastle United
Interesting comments from this BBC Sport pundit on Newcastle United. Chris Sutton speaking as United prepare to play their twelfth match of the 2026-27 season.
'The Chosen' cast opens up about 'brutal' Season 6, portraying Jesus' final hours: 'A painful watch'
The cast of The Chosen reflects on the emotional and spiritual weight of Season 6 as the hit biblical drama portrays Jesus final hours, His crucifixion and the disciples devastating grief, while
Olivia Rodrigo announces first holiday song 'take me home (4 christmas)'
The artwork for Olivia Rodrigo's new holiday single 'take me home (4 christmas).' (Lizzie Klein)
Russell Wilson And Ciara Cover Town & Country
The couple reveals the Christmas rule helping their four children stay humble as they prepare to welcome "Baby Cinco."
Nashville artist Chris Hennessee to perform at Balsam Mountain Apartments
Balsam Mountain Apartments welcomes Nashville recording artist and songwriter Chris Hennessee back to the Balsam Mountain Clubhouse at 5:30 p.m. Friday, Nov. 6, as part of their Season of Gratitude.
Boyfriend charged with murder of Christina Downer, missing sister of “SNL” writer
A co-defendant charged with accessory after the fact. Downer’s body has still not been found.
Democrat Christina Bohannan wins election to U.S. House in Iowa's 1st Congressional District
The third time was the charm for Bohannan, who lost by just 799 votes in her second race against Miller-Meeks two years ago.
Suk Hyun: Science Introduces a New Approach to Protein Degradation
Suk Hyun: Science Introduces a New Approach to Protein Degradation / Andrew G. Manford, Baris Bingol, BD2, BEX Protein, Caitlyn Miller, cancer, Christine L.
True crime, live trials and why we can't look away
True crime is arresting. In September, the movie "Primetime," based on behind-the-scenes stories of Chris Hansen and Dateline NBC's "To Catch a Predator," earned $19.2 million at the box office.
Christian Pulisic celebrates extension with Milan derby opener 🇺🇸
It's been a wonderful 48 hours for United States Men's National Team captain Christian Pulisic. The day after extending his Milan contract to July of 2031, the 28-year-old has gone and delivered hi...
Vote! Who should be Maps Credit Union girls Athlete of the Week?
This week's girls Athlete of the Week nominees are from Dallas, Regis, Scio, Western Christian, West Salem and Silverton. Vote!
Inside The Loop with Christian Perry: Perspectives on Power, Politics, and Progress in Chicago
Op-Ed: Black Political Leadership is The Key to Success for the Left’s Longterm Electoral Project Christian Perry is a community organizer, leadership strategist, and political operative from the Southside of Chicago who serves as Campaign Manager for Mayor Brandon Johnson’s re-election campaign Photo/Associated Press Democrats have spent decades asking Black voters to save the party. […]
New on Netflix: The 8 best new movies and shows in November, including a Christmas film and 'The Hunting Wives' Season 2
There's something for everyone in November, from new "Black Doves" to the "Gabby's Dollhouse" spinoff.
Christina Applegate details new medical testing after MS misdiagnosis
Christina Applegate is continuing to search for answers in her ongoing health battle.
Chris Sutton Slams Mistake Martin O'Neill Keeps Making
Chris Sutton has slammed a mistake that Martin O'Neill constantly keeps making, which is hurting Celtic.
Phoebe Bridgers, My Chemical Romance and all your Halloween club needs
Halloween in Los Angeles is not just Gay Christmas — it's become a pretty exceptional weekend for music, with top touring acts planning blowout stands around the occasion.
Christopher Lloyd recalls John Belushi ‘flying backwards’ into a piano in ‘Goin’ South’
Christopher Lloyd recounted his experience watching ‘Saturday Night Live’ alum John Belushi put his all into physical stunts during the making of ‘Goin’ South’ in 1978.
Sen. Chris Murphy hospitalized with stroke and expected to make full recovery, his team says
Democratic Sen. Chris Murphy has been hospitalized after experiencing a stroke and is expected to make a full recovery, his team announced Sunday.
Mariah Carey defrosts for this year’s ‘It’s time’ Christmas video
The “All I Want for Christmas Is You” singer has made a creative tradition of kicking off the holiday season.
ABC Holiday Filming Brings Temporary Entertainment Changes to Magic Kingdom
Several entertainment offerings at Magic Kingdom will have modified schedules on November 10 and 11, 2026, as filming takes place for ABC's annual Disney holiday specials.
LIVE! Canelo Vs Mbilli Weigh Ins Results!
Saul “Canelo” Alvarez will fight Christian Mbilli for the WBC Super Middleweight title on Sat. night (Oct. 31, 2026) at Kingdom Arena in Riyadh, Saudi Arabia. Before they can throw leather inside the squared circle, both combatants will need to make weight to prove themselves worthy. The Canelo vs. Mbilli weigh ins stream gets underway LIVE at […]
Belief in ghosts and magic linked to faith and trust in science, study finds
A new study suggests that Americans who believe in God while placing strong trust in science and reason may be more likely to believe in ghosts, curses and other supernatural phenomena.
This Kansas City mom may have to leave the US to afford life-saving health care for her daughter
Now that Children’s Mercy hospital is out of network for her family, Christy Moreno may have to seek specialty treatment in Mexico or Canada. She says the cancellation of the family’s insurance has put her child in a life-or-death situation.
Predators’ Chris MacFarland breaks silence on Shane Wright trade
The Nashville Predators acquired Shane Wright in a trade with the Seattle Kraken on Sunday. This ends a bit of a saga within the Kraken. Wright has preferred a trade out of Seattle for a while now. He finally got his wish with this move. The newest Predators forward has had a rollercoaster of a career to this point. He was never able to establish […] The post Predators’ Chris MacFarland breaks silence on Shane Wright trade appeared first on ClutchPoints.
Do you know signs of a stroke? BE FAST are the words to remember
Sen. Chris Murphy is expected to fully recover from his stroke. The acronym BE FAST can help you remember the symptoms of stroke and what to do when it happens: Call 911 quickly.
Washington scores late, rallies past Nebraska
Demond Williams Jr.came off the bench in the fourth quarter and threw a 25-yard touchdown pass to Chris Lawson with 1:30 remaining as Washington rallied to beat Nebraska 17-10 in a Big Ten Conference game Saturday night in Lincoln, Neb.
Chris Murphy’s rise in CT politics: From teen volunteer to US senator
Chris Murphy, who had a stroke over the weekend, has steadily climbed the political ladder in the past three decades.
Confirmed: Mikel Arteta Announces Arsenal Lineup For Liverpool Clash
Mikel Arteta rings the changes at Anfield as Declan Rice returns and Christos Tzolis starts, with the Gunners chasing their first away win over Liverpool since 2012.
Connecticut Sen. Chris Murphy is in the hospital after having a stroke, his office says
Murphy's chief of staff, Allison Herwitt, said in a statement the 53-year-old senator “started experiencing numbness in his arm while at his son’s hockey game” on Saturday.
A record number of health professionals are running for office. Could they help heal US politics?
By Jen Christensen, CNN (CNN) — At least 125 doctors, nurses and public health experts are on the ballot for Tuesday’s midterm elections — an
‘Take a Bite Out of Christmas’ Tours return
MONTROSE — The annual “Take a Bite Out of Christmas” tours began three years ago as a Friday night addition to the Christmas in Montrose weekend. The thought behind it
5 festive movies and shows on Netflix UK to get you in the holiday spirit
November is here, which means the time for holiday cheer begins. Here are five movies and shows on Netflix UK to give you some Christmas cheer.