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CVS Health plans to split in two. Here’s what is driving the massive healthcare breakup.
The healthcare giant surprised analysts with the decision to separate its business.
Vikings mentioned among 'dream trades' for new DL
The Vikings have been linked to an Eagles DL ahead of next week's trade deadline.
In Affluent San Francisco Suburb, Food Security and Health Care Topped Voters’ Concerns on Election Day
In affluent Fremont, California, hundreds of people each week get food support at the Tri-City Volunteers Food Bank.
Political consultant Mike Madrid discusses the Latino vote
NPR's Steve Inskeep speaks to political consultant Mike Madrid about Latino voters.
Caitlin Clark Makes Her Opinion Around Valkyries Winning WNBA Championship Against Dream Extremely Clear
The WNBA’s growth has been impossible to ignore over the past few seasons, with rising attendance, record viewership, and new franchises adding to the league’s momentum. The 2026 season took that progress another step forward, as the Golden State Valkyries delivered a historic championship run just two years after entering the league.
Bridge near Business 85/I-26 interchange to close Nov. 9
Repairs to the bridge over Fairforest Creek on Zimmerman Road/College Drive are expected to be complete by the end of the year.
FBI arrests Oklahoma man for mailing hundreds of threats to political officials ahead of midterms
FBI agents have arrested an Oklahoma man in connection to hundreds of threatening messages to political and public officials sent in the mail.
PAVS Subsidiary 2Lab3 Launches AniMano+, an AI-Native Digital Entertainment Streaming Platform, on the Apple App Store
NEW YORK, NY / ACCESS Newswire / November 4, 2026 / Paranovus Entertainment Technology Ltd. NASDAQ:PAVS ("PAVS" or the "Company") today announced that its subsidiary, 2Lab3, launched AniMano+, an AI-native, vertical-first short-form dramas and animation streaming app, on the Apple App Store on Octo…
CVS to split into two companies, in major breakup of its $117 billion healthcare empire
CVS Health said Wednesday it is splitting into two companies, marking one of the largest shakeups in the healthcare industry. It’s a major reversal of the mergers that brought together the nation’s largest drugstore retailer along with health insurance giant Aetna and pharmacy benefit manager Caremark.
macOS 27.3 includes cool-looking ‘Pro’ screensaver from new touchscreen MacBook Pro
Included in today’s macOS 27.3 beta 1 is a great-looking screensaver featuring an animated version of the new MacBook Pro with PROLED XDR Display wallpaper.
The Unlikeliest Democratic Win of All
Few thought South Carolina was really in play until it had already flipped.
Chernobyl’s Dogs May Be Evolving, but Scientists Don’t Know Why
A new study found evidence of natural selection in the dogs of Chernobyl, but it’s still unclear what drove these genetic differences and what evolutionary advantages they may provide.
How a scientist went from hero to traitor in a US water crisis
When the water in Flint, Michigan, became contaminated with dangerous levels of lead, Dr Siddhartha Roy, then a third year PhD student, was part of the team of scientists who publicly contradicted state and federal claims that it was safe. He became a local hero until a new piece of research challenged the idea that children in Flint had been left permanently brain damaged by the crisis. His adherence to the evidence, no matter who it offended, has earned him the 2026 Maddox prize, which recognises individuals who stand up for science and evidence, despite challenges or hostility. He tells Ian Sample how he reflects on his experience in Flint, and why he lost friends as a result of his work there
WATCH: New York Gov. Kathy Hochul speaks after winning reelection
This is Hochul's second time being elected governor. She was serving as lieutenant governor when Andrew Cuomo resigned in 2021, and she ascended to take his place.
Rafa Nadal joins Real Madrid's board of directors 🎾
Real Madrid has officially announced the appointment of Rafa Nadal to its board of directors. The club has thus formalized the arrival of one of Spanish sport’s greatest legends to its governing bod...
Decades-old tech gets new life from metro Detroit startup
A metro Detroit startup is looking to take tech developed in 1979 and modernize it for clinical use.
CVS Health to split in two, separating pharmacy business from insurance
Health insurers have grappled with higher medical costs recently, while drugstores face mounting competition from Amazon and a declining foot-traffic.
Health Plan Unlocks More Than $10M in Savings in Six Months Using Cohere Health's AI-Powered Pre-Payment Review
Cohere Health®, the leading clinical intelligence and operations platform for health plans, today announced that a Medicare Advantage client identified more than $10 million in savings in six months by finding complex clinical and coding errors in high-cost drug and durable medical equipment claims before payment.
Small fire found behind store sign in central Lincoln, LFR says
A fire at a business on O Street in central Lincoln has drawn an emergency response Tuesday evening.
‘Enraging’: WA residents despair as insurance premiums climb again
SEATTLE — Kate Neville is dreading the new year. As a freelance grant writer, Neville has to buy her own health insurance, and for years her premiums have been climbing.
Decades-old tech gets new life from metro Detroit startup
A metro Detroit startup is looking to take tech developed in 1979 and modernize it for clinical use.
Tennis legend Rafael Nadal joins Real Madrid board
Rafael Nadal won 22 grand slam titles in his tennis career before retiring in 2024
‘This might just be the biggest defeat for big money in politics’: Billionaires poured hundreds of millions into Tuesday’s races and still lost
Elon Musk’s pick lost in Texas and billionaires Vivek Ramaswamy and Rick Jackson lost their own races, though California’s wealth tax is trailing.
A Bull and a Male Donkey Kept Having Sex. Scientists Say Their Relationship Was About More Than Mating
This is making biologists question what they know about evolution.
University of Toledo to launch online master’s degree in data science and AI in spring 2027
According to UToledo, graduates will be prepared for jobs that use advanced analytics, machine learning and AI to drive better decisions, inform strategy and advance innovation.
Jackson Hole Mountain Resort drops afternoon pass
New pass caters to fans of groomers, free parking, fewer crowds.
Reports: CVS Health plans breakup that would separate Hartford-based Aetna from drugstore chain
The CVS Health Aetna breakup would separate its drugstore chain from Hartford-based Aetna and Caremark, creating two public companies by early 2028.
A tiny squeeze dramatically changes the magnetism of exotic materials
Scientists have discovered that a simple mechanical squeeze can dramatically alter the magnetic properties and electrical behavior of exotic materials called altermagnets. The surprising breakthrough could open the door to faster, more energy-efficient electronics and new technologies for quantum computing.
Billy Evans discusses full frontal nudity in 'You Can See Everything'
Billy Evans, the partner of former Theranos CEO Elizabeth Holmes and 'You Can See Everything' antagonist, addresses hot topics from Nathan Fielder and Lance Oppenheim’s new documentary in a candid AMA.
Dragon's Dogma 2 gets a timed collaboration with beloved anime and manga series Delicious in Dungeon, and it's out right now on PC, PlayStation and Xbox
The Dragon's Dogma 2: Dark Arisen collaboration brings in new allies and equipment for a limited time.
Michigan voters pass 'Money out of Politics' proposal, reports say
Michigan voters approved a ballot initiative banning utility companies and other state contractors from making political donations.
CVS to split into two companies, in major breakup of its $117 billion healthcare empire
CVS Health said Wednesday it is splitting into two companies, marking one of the largest shakeups in the healthcare industry. It’s a major reversal of the mergers that brought together the nation’s largest drugstore retailer along with health insurance giant Aetna and pharmacy benefit manager Caremark.
Analysis-AI shopping agents could threaten Amazon and Walmart’s ad business
By Juveria Tabassum, Nicholas P. Brown and Arriana McLymore Nov 4 (Reuters) - The rise of AI-led shopping is posing a conundrum for retailers like Walmart and Amazon: how to enable AI agents to shop on their websites, without threatening their lucrativ...
USC Back in the Spotlight After Win Over Ohio State Produces Top-Tier Ratings
USC's 30-18 victory over Ohio State drew a massive 7.1 million viewers. Discover what this national exposure means for the Trojans and coach Lincoln Riley. The post USC Back in the Spotlight After Win Over Ohio State Produces Top-Tier Ratings appeared first on LA Sports Report.
Real Madrid confident of signing Man Utd's Gabriel
Real Madrid head the list of clubs trying to sign 16-year-old Manchester United forward JJ Gabriel.
Maryland voters pass Democratic-backed redistricting amendment
A constitutional amendment passed Tuesday could pave the way for Democratic lawmakers to redraw Maryland’s congressional districts ahead of the 2028 election.
Why big mergers aren’t in Inova’s playbook
Inova President and CEO Dr. J. Stephen Jones outlined the system's growth plans and capital project strategy.
Dragon’s Dogma II: Dark Arisen x Delicious in Dungeon collaboration announced
Capcom has announced a collaboration with manga series Delicious in Dungeon for Dragon’s Dogma II: Dark Arisen, which brings Official Pawns and special collaboration outfits inspired by chara…
CVS to split off drugstore business in major breakup of healthcare giant
The move would reverse the company's $78 billion acquisition of Aetna, and dismantle the vertically integrated healthcare conglomerate it created in 2018.
Texas Democrats pull off the breakthrough they’ve chased for decades
For decades, Texas Democrats have dreamt of turning the state blue, rallying around exciting candidates who drew big crowds and big money but could not ultimately overcome the state’s stubborn conservative majority.
Mobile medical clinics keep mothers and babies healthy
World Vision’s support of a mobile medical outreach clinic in Malawi ensures that more mothers and children receive the healthcare they need.
Business-friendly Texas flips: Democrats end nearly 40-year drought, winning Senate seat and governor’s mansion
James Talarico and Gina Hinojosa turned Elon Musk’s $190 million campaign blitz into their closing arguments.
NFl draft order: Arizona Cardinals fall out of top 10
The Cardinals won on Sunday. Now they aren't in the playoff picture and don't have a top-10 pick in the draft.
Florida Democrat defies gerrymandering in bad sign for GOP
Rep. Jared Moskowitz won a district that was redrawn to favor Republicans.
Analysis-AI shopping agents could threaten Amazon and Walmart’s ad business
By Juveria Tabassum, Nicholas P. Brown and Arriana McLymore Nov 4 (Reuters) - The rise of AI-led shopping is posing a conundrum for retailers like Walmart and Amazon: how to enable AI agents to shop on their websites, without threatening their lucrativ...
AFGHS co-signatory countries ask health care users to help fill the financing gap
Hundreds of thousands of Ugandans living with HIV on antiretrovirals could be targeted for user fees or community health insurance schemes requiring modest premium payments, according to the April 2026 version of the country’s America First Global Health Strategy implementation narrative.1 As part of the “sustainable financing for the private not for profit sector” strategy, 491 facilities will be targeted for a phased introduction of user fees and scale up of community health insurance programs.2 In the Ugandan context, PNFP facilities include faith-based hospitals and other health facilities, US missionary organizations and centers of excellence—services that are often co-located at government facilities but run with additional financial and technical resources. 402,000 people—or about 28 percent of the total Ugandan adult PLHIV population on treatment—get ART from the private not for profit sector. The selected facilities provide the majority of ART and prevention of mother to child transmission (PMTCT) services. The plan doesn’t give the total number of clients served by the 491 facilities, so it is not possible to give a precise number. But the majority of 402,000 is a figure in the hundreds of thousands—hence the estimate I’m using.3 The April draft of the Ugandan implementation plan narrative is the only one I’ve been able to review. But the government of Uganda is not alone in turning to health care users to help fill the financing gaps caused by the abrupt withdrawal of US funds. In July 2025, the Government of Liberia introduced user fees for previously free services including “registration, accommodation, patient feeding, hospitalization, and a wide range of surgical and diagnostic procedures.”4 Earlier that year, Liberia rolled out a revolving drug fund designed to stabilize drug supplies by “allowing patients to pay a small fee for standardized, quality medications,” according to a Ministry of Health press release.5 (Both of these approaches had been proposed in the National Health Policy 2022-2031; media coverage explicitly connects the launch with the US foreign aid cuts.) The health financing strategies proposed by Uganda and established in Liberia are qualitatively different from user fees officially adopted by specific health facilities to cover funding shortfalls caused by the new US approach.6 The latter is a stopgap, adhoc change. The former is a national governmental adoption of policies that pass costs on to health care users, despite evidence that such approaches can exacerbate inequities and leave deficits unfilled. Two countries does not make a pattern, but they do point to urgent questions: Have other countries, including Liberia, included user fees or community health insurance schemes in their implementation plans? If so, do any of these narratives have what Uganda’s lacks: a fall-back plan in place in case these strategies for sustainable health systems fail to deliver—as they have before? I wonder if you think about it Subscribe Predictable pitfalls Both community-based health insurance and user fees are as old as the hills. And after decades of people climbing up these hills, duking it out, climbing back down—neither strategy has shown the results the Ugandan implementation plan is counting on. This is, in fact, a hill some folks are willing to die on. (You knew I’d get there, right?) In November 2025, an African-led team of health system experts published a paper directed at low- and middle income country governments trying to figure out how to create self-sustaining health systems. The money wasn’t coming back. It had been more than nine months since the season of freezing, waivering and wood-chippering; two months since AFGHS tumbled into the world touting co-financing requirements and reductions in future US government health aid. Governments were looking for strategies for sustainable, self-financed health systems, the authors wrote. For countries considering user fees and community health insurance to fill the financing gaps, they had a simple message: Don’t. On user fees, the paper states: “Reliance on user fees is ultimately a regressive and inequitable approach. It places a disproportionate burden on the poor and undermines health system goals of equity and financial protection. […] There is overwhelming evidence that user fees mobilise very limited resources for the public health sector, making it an inefficient mechanism for revenue mobilisation.” On community health insurance: “Attempting to shift the burden of funding previously donor-funded services, such as HIV care and management, and TB treatment, onto contributory schemes would exacerbate their fragility and fail to protect the population.”7 The WHO says that community-based health insurance “cannot be expected to provide a major source of funding or coverage,” and noted that most schemes offer only moderate benefit to individuals paying into them, and exclude the poorest segment of the population.8 And yet, the US-Ugandan implementation plan says that community health insurance is “the central pillar of this [PNFP] sustainability strategy” and that this approach that will generate “pre-paid pooled funding at facility and community level [that] improves financial risk protection for households, reduces catastrophic out-of-pocket expenditure, and generates structured, transparent revenue streams that can progressively absorb recurrent costs including health worker salaries.” Unfortunately, Uganda’s own history suggests the pillar might not be able to bear this weight. Ugandans Have Been to this Rodeo Before—and Some Want Their Money Back Uganda introduced its first community health insurance scheme in 1996 with support from international donors.9 Thirty years later, somewhere between 0.2 and 0.3 percent of the population is covered by CHI; just over 1 percent has any kind of health insurance.10 User fees were universally introduced in 1993 as a condition of a World Bank loan.11 They were abandoned in 2001, and in 2004—the year I moved to Uganda to watch the free HIV program get underway—a definitive study found that the fees did not improve health systems and outcomes.12 In 2004, most clinics and hospitals had ‘free’ and ‘fee for service’ options for getting care.13 The fee for service, or “cash and carry” programs had often been established in the years prior to PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria. People who could afford to paid for the drugs, often at facilities in the private-not-for-profit (PNFP) sector. When free drugs arrived, some people who’d been paying kept on doing so, perhaps because of shorter wait times, greater confidentiality, convenience or other factors. But in the year that I spent visiting the same clinics around the country week after week—including a “center of excellence” that maintained separate days for cash and carry clients and those accessing free ARVs—lots of people who had been paying tried to switch to the free option. They’d paid because they had no other choice. They’d sold pieces of family land, begged family members for loans, bought pills by the week, and sometimes by the day. Or they were just cash-strapped, like most of us, and wanted the funds for other things. 14 Twenty-two years later, this hasn’t changed. Ugandans pay out of pocket for 30-40 percent of their health care costs, leading one paper to declare that “falling ill is more than a health crisis. It is a financial emergency.”15 One recent study found that up to 48.5 percent of households dealing with tuberculosis sold something, took out a loan or dug into savings to defray the costs of TB care—which is supposed to be universally free.16 The Ugandan implementation plan does anticipate challenges. It proposes a phased approach, with 187 facilities introducing user contribution systems in Year 1, 152 in Year 2, and 153 in Year 3. Willingness to pay and feasibility studies will precede roll out; fees will be tiered by region, and a waiver system is proposed to ensure that no one has to pay who is unable to. Moreover, the plan provides for quarterly reviews of epidemiological data to “ensure that user contributions do not compromise epidemic control gains, ART continuity for the client cohort, TB case management, or PMTCT services.” Alt text: A screenshot of a table included in the implementation plan narrative that is the subject of this stack. It’s got a fetching pink bar at the top. It uses the abbreviation “CHI” which is Community Health Insurance, and FBO which is Faith Based Organizations, and it details the number of facilities that will implement user fees with waivers and community health insurance schemes over the five years of the agreement. As I said in the footnote, this is a super interesting document with a lot of other rich material. Tell me what you see—and what you would have focused on. And if you’ve seen something like this, or anything else that strikes you, in another implementation plan, tell me that too. You can use the Substack message platform or try me on Signal at @endaplague_again.25 (because @mercoonfan was, weirdly, taken). But the plan doesn’t fully explain what will happen if this approach doesn’t work out. Yes, progress will be monitored, and corrective action triggered. However, there is no specified funding replacement if premium and fee revenue prove inadequate. Instead, the authors write, “Currently, COEs serve a total client cohort of over 180,000 across 28 facilities. In the initial years, the U.S. Government (USG) will provide financial support for clients; over time, user fees generated by COEs will become the primary source of funding for sustaining their services.” Failure does not really seem to be an option. Health insurance schemes are more acceptable to the Ugandan population than user fees. Members of Parliament and civil society traveled to Ethiopia to see how that country’s scheme worked. In a follow up report, a veteran civil society group recommended allowing the “health insurance ecosystem to grow organically and [to] keep reviewing the law and regulations as this growth takes root.”17 One study found that more than three-quarters of Ugandans were willing to join a health insurance program.18 However, coverage of community-based health insurance is minimal, as is coverage of any kind of insurance—including private plans.19 A national health insurance scheme bill has been stalled for several years and presently sits with President Yoweri Museveni.20 Community-based health insurance scheme that do exist are expanding in number, but losing enrollees. Between 2022 and 2026, the number of community-based health financing schemes across the country increased by 42 percent, while the number of people enrolled decreased by nearly 11 percent.21 None of this means that community-based health insurance should not happen in Uganda—or that people do not want insurance. It doesn’t even mean that user fees and waivers won’t ever work. But there is highly relevant evidence from Uganda and the surrounding region that it is quite optimistic to describe community health insurance and user fees as central supports for sustainable financing in any sector of the health system. And now for the best-case scenario In the best-case scenario22, the Ugandan approach does exactly what it sets out to do, and so does the Liberian fee structure and revolving pharmacy fund—though I’ve not confirmed that these are in the MoU. In one best-case scenario, Uganda is an outlier, and user fees and community health insurance are not recurrent pillars of self-sustaining financing in other countries’ implementation plans. In another best-case scenario, all countries that include these strategies enjoy success beyond anyone’s evidence-informed wildest dreams: reliable funding generated by health care users fees, great health care outcomes for everyone, no exacerbation of inequities, no crippling household debt. No sold land, repurposed school tuition or high-interest loans. In the best-case scenario, not one of the hundreds of thousands of Ugandans living with HIV receiving antiretrovirals from 491 PNFP facilities misses a refill or leaves care because of user fees or community health insurance premiums. This is the best-case scenario for these people for their own health, and for their families. It is also the best-case scenario if Uganda wants to stay on the path to eliminating HIV as a public health threat. According to the country’s most recent data, 96.5 percent of people living with HIV on antiretrovirals are virologically suppressed. Epidemic control depends ensuring that 95% of people living with HIV know their status, 95 percent of those individuals are on ART, and 95% of those individuals are virologically suppressed. Uganda is still struggling with the first “95"—a frankly abysmal 85.3 percent. If HIV epidemic control and the attendant prevention of new infections, avoidable suffering and premature death matter, the country cannot afford to lose any clients who are currently in care.23 As I write this a couple hours before the polls close for the US elections in the city I live in, I say with soul-deep sincerity: I am rooting for the best-case scenario. I think it’s safe to say that we all are.24 I think it’s also safe to say that if the US and co-signatory governments have inked plans that lead to successful expansion of community health insurance and strategic use of user fees, we all would like to know, now, so that we don’t miss the opportunity to celebrate when success happens. The implementation plan narratives have to enter the public domain. They are the fullest expression of a strategy co-created by two governments. There are assumptions and details that people living in the US and co-signatory countries need to understand that are not available in the MoUs or, to date, in the Congressional Notifications. Some of these details can help other countries that are, as I write this, still working on implementation plans. Others, like a solid count of how many other countries have plans for expanding user fees or health insurance, are important for regional and global health architecture reform initiatives. No matter how this election night turns out, there will be a slew of new Congressional member orientations, briefings and talking points papers in the next few months. Release of implementation narratives should be a bullet point in every context that AFGHS is discussed. These documents can be redacted so that procurement sensitive information isn’t disclosed. There is much more historical precedent for sharing such documents than there is for relying on user fees to fill health financing gaps. Let’s look at the information together so we can hope for the best and prepare for, you know, the other thing. Alt text: A substack first: a bicep selfie! It’s my arm - peachy-white skin, black shirt (flannel, notch neck, too hot for this appallingly balmy November weather, if you’re wondering) and a sticker that says I VOTED 2026. Beige letters on red for I voted. Beige on blue for 2026. You bet I did.25 In your wildest dreams. Subscribe 1 This is a really, really rich 95 page document. There are fascinating ideas and detailed plans in it. It is all worth reading AND I have, in this post, highlighted an instance of content that could pose challenges and certainly posits success of strategies that haven’t worked before. I would love to hear what readers’ see that’s interesting and should be lifted up as something to check for in other implementation plans. I will also shortly be adding a static page to the substack site where implementation plan documents will live. I will put the url into this footnote and it will also be there on emilybass.substack.com by the end of the week. Uganda Implementation Narrative Section 4 April 22 2026 Draft 1.51MB ∙ PDF file Download Download 2 User fees are costs charged for visits, labs, medicines or other health services, usually at the time they are provided. Community health insurance, or community-based health insurance, is what the World Health Organization calls “micro insurance,” which is health insurance targeted at low-income people. 3 As usual (by which I mean always), please prove me wrong. 4 https://smartnewsliberia.com/liberias-ministry-of-health-announces-2025-hospital-service-fees-for-public-facilities/?utm 5 https://moh.gov.lr/news/2025/grand-cape-mount-leaders-residents-embrace-new-community-pharmacy-program/?utm 6 https://www.christianitytoday.com/2026/09/hiv-usaid-pepfar-africa-foreign-aid-cuts-mission-hospitals/?utm 7 https://gh.bmj.com/content/10/11/e021270 8 https://www.who.int/news-room/fact-sheets/detail/community-based-health-insurance-CBHI 9 https://pmc.ncbi.nlm.nih.gov/articles/PMC2827475/ 10 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 11 https://pmc.ncbi.nlm.nih.gov/articles/PMC527704/ 12 Same citation as the footnote 2 - the article is called “Learning from failed health care reform in Uganda.” To which I say: If only. If. Only. 13 There is a whole taxonomy of user fees to be aware of, if not commit to memory. Out of pocket costs are everything that someone pays for themselves. In this Stack, user fees are planned and policy-supported out of pocket costs. There are also out of pocket costs that people pay to buy drugs or receive tests or health care assessments that would be free if the drugs were on the shelves, or the machines or kits were available, or the staff were on site. A user fee is usually designed to be modest, pegged to willingness to pay, and may be waiveable at the point of care for anyone who is unable to do so. The costs for things that would otherwise be free are whatever the market will bear and people either have to pay them or go without. Out of pocket costs for services and stuff that aren’t available in public facilities are different again from bribes or unofficial fees that some health workers may impose, even though most are indefatigable, tireless and tired, and devoted to their clients. 14 For the record—which really is these footnotes—I would give a whole stack of fridge magnets for a systematic analysis of the economic and social impact of the Mass Unemployment Event in AFGHS countries among the very people who used to be able to afford and cover user fees, both for themselves and vast family networks. Locally employed USAID technical staff, house cleaners, caregivers, drivers and technicians were financial anchors for cousins, friends, friends’ children, friends’ childrens’ cousins, teachers, pastors, neighbors and so many other kinds of kin. Aid recipients lost direct funding; many other people who had not been aid recipients, but parts of the elaborate care webs that function as safety nets for so many people, lost crucial support too. And that’s even before we get to the people who worked at the hotels and restaurants and bars where people employed by the US and its implementing partners used to spend disposable income. Those businesses have lost revenue; those folks have lost jobs. It will be some time coming—and someone will have to fund this work—but I do hope it happens. And I hope, as usual, to be proven wrong. 15 https://eprcug.org/blog/how-out-of-pocket-healthcare-costs-keep-driving-ugandans-into-poverty/ 16 Another straight-to-the-point journal article title. Households experiencing catastrophic costs due to tuberculosis in Uganda: magnitude and cost drivers. https://pubmed.ncbi.nlm.nih.gov/32938411 17 https://www.cehurd.org/download/technical-policy-brief-on-community-health-insurance-scheme/?wpdmdl=13661&refresh=6ae9122f5d4ed1793659439 18 https://pmc.ncbi.nlm.nih.gov/articles/PMC10125197/ 19 https://pmc.ncbi.nlm.nih.gov/articles/PMC10861328/#b3-jpmph-23-110 20 https://ugandapost.news/uganda-to-make-health-insurance-mandatory-by-2026/ 21 https://shu.org.ug/download/235 22 With a nod, tip of the stack hat, and wag of the Mercoon tail to a deeply valued reader who told me that I have a tendency to speculate about the worst-case scenarios a little too much of the time. 23 https://news.mak.ac.ug/2026/10/uphia-2025-shows-ugandas-hiv-status-awareness-gap-despite-strong-treatment-outcomes/ As you’ll see in the next footnote, I’ve already written a subSubstack on another topic, so I will be brief with regard to the study referenced in this article. The Uganda Population-Based HIV Impact Assessment, or UPHIA, will never happen in this way again. For more than a decade, PHIAs have been supported by the US government as a way to generate accurate estimates of country progress on key HIV indicators. They are a holdover from the PEPFAR program that was laser focused on ensuring US taxpayer dollars subsidized progress in pandemic control. There may be other population-level surveys and the data may even be publicly released, as the entire set of FY2026 MER data have not. But PHIAs will never happen again. If you’re wondering whether the estimates of HIV progress at country level might get less reliable….you’re not alone. 24 Ooh baby, I hate “we” in almost all forms. But sometimes I go there, when I am looking for company, which I am. Because this Stack moves into the somewhat-uncharted territory of assessing what the implementation plan narratives may suggest about co-signatory countries’ roles and responsibilities to the people living within their borders. The MoUs, specimen and data sharing agreements were templates. Countries’ answers fit into pre-specified questions that did not include, “how are you going to fill financing gaps and stabilize your health system as this plan unfolds?” In contrast, the implementation narratives are open form—the product of co-creation between the two governments. Co-creation can mean lots of things, but nothing leads me to believe that implementation plans are ghost-written by the US government, or that contents were imposed by the US counterparts. Instead, I think the parts of the plans that read like country government initiatives are endorsed, if not initiated by, those governments. For instance, the Ugandan implementation plan narrative describes plans for revenue-generation through fees charged for equipment calibration, repair and maintenance provided through Uganda’s National Equipment Calibration Laboratory, and laboratory accreditation through the Uganda National Accreditation Service (UGANAS), targeting private sector, PNFP, research and academic clients. That’s super specific and also quite ambitious. It doesn’t read like an American idea. There’s also a provision for solar panels, and other stuff that feels country owned and driven. This is where it gets interesting. If co-creation is the case, then both the US and co-signatory governments are accountable for the contents and the outcomes. Most discourse about AFGHS to date has focused on the decisions that America has made, or demanded that other countries make. The AFGHS architects have monopolized the hot seat. As they should, in so many ways. America absolutely created the conditions under which countries needed to come up with health financing strategies to fill unanticipated, catastrophic funding gaps. And with not-too-long a lens, we can look back and see that America is also on the hook for its role in the Bretton Woods institutions that made user fees and health system fiscal austerity conditions of loans during the era of structural adjustment. But in the here and now, it is not at all clear to me that the US is requiring Uganda or any other country to implement specific approaches to sustainable financing. Instead, it is as the authors of that paper up in footnote 6 suggest: African governments have agency. As implementation plans roll out—whether or not the narratives are shared—it will be important to understand what this agency looks like and what it means for people, including the poorest of the poor. And it will be important to figure out how to talk about it safely, respectfully and critically in places other than the literal and metaphorical footnotes. 25 This week’s song is “Once upon a time” by the Moody Blues. (I know, this is gonna be a weird, largely banger-free end of 2026 playlist. HMU with requests.) AND please do watch the video and appreciate the truly amazing opening sequence—a drum kit wasteland, a coupla plastic bags, a bit of sand. Sort of like the hill where fiscal austerity policies that put costs on health care users might go to perish. But then there’s a lady with amazing hair. It’s worth it.
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Plan family movie nights with November 2026 kids' releases, featuring animated films, holiday stories and familiar characters.
NBA makes Draymond Green decision after ejection vs Suns
Another Draymond Green ejection, another familiar wave of fans waiting to see if the league will actually punish him. Draymond Green found another way to lose his cool, getting ejected after taking Khaman Maluach down and getting into an altercation with Dillon Brooks in the aftermath.
Moderate drinking carries health risks even within UK alcohol guidelines
A new study estimates the lifetime risks of drinking alcohol and explains why staying within the UK’s 14-unit weekly limit doesn’t guarantee safety.
Schmaltz scores game-winner in Mammoth 3-2 win
TORONTO (ABC4 Sports) – Nick Schmaltz scored the winner on a power play with 6:48 left in regulation and the Utah Mammoth beat the Toronto Maple Leafs 3-2 on Tuesday night. Dylan Guenther and Andrew Peeke also scored for Utah. Sebastian Cossa made 27 saves. Clayton Keller added three assists and Mikail Sergachev had a […]
NIH joins Open Source for Science Fund partnership | ETIH EdTech News
The NIH Office of Data Science Strategy joins the Open Source for Science Fund to identify research software needs and guide future investment. ETIH EdTech News explores the partnership’s focus on maintainers, reproducible biomedical research and tools supporting AI-driven science.
WSU Regent Howard Wright honored for longstanding commitment to improving public health in Guatemala
Later this month, the vice-chair of the WSU Board of Regents will receive an honorary doctorate from the Universidad del Valle de Guatemala and deliver its commencement address to graduating students.
PAVS Subsidiary 2Lab3 Launches AniMano+, an AI-Native Digital Entertainment Streaming Platform, on the Apple App Store
NEW YORK, NY / ACCESS Newswire / November 4, 2026 / (NASDAQ:PAVS) ("PAVS" or the "Company") today announced that its subsidiary, 2Lab3, launched AniMano+, an AI-native, vertical-first short-form dramas and animation streaming app, on the Apple App Store on October 23, 2026.AniMano+ combines storytelling and creative expertise with AI-enabled content production capabilities to develop entertainment for global audiences.
Tenerife to hold memorial service for De Miguel on Saturday
Spain's CD Tenerife will hold a memorial service to bid farewell to their late forward Jesús de Miguel on Saturday, the second division club said in a statement. All fans are invited to attend a mass, which will be held at the Heliodoro Rodríguez López stadium.
International Politicians React to Democrats Winning US Midterms
Nov 4 (Reuters) - Governments and politicians around the world reacted to the Democrats winning the US midterm elections, a result that could have major implications for global trade, security and energy prices. Here is a selection of the reaction: SPAIN PRIME MINISTER PEDRO SANCHEZ ON X
This Week In Politics: G20 Foreign Ministers’ Meeting
Amid national divides over the upcoming midterm elections, international friction also surfaced at the Group of Twenty’s (G20) foreign ministers’ meeting in Atlanta, Georgia, on Friday, Oct. 30, and Saturday, Oct. 31. Top diplomats from the G20, an international forum comprising the world’s largest economies that convene to address global economic policy and development, gathered...
Star Health's Arogya Seva Kendra clinics cross 1.8+ lakh beneficiary visits within a year of their inception, bringing free primary healthcare to communities across 9 states
Star Health and Allied Insurance Company Limited (NSE: STARHEALTH) (BSE: 543412), India's leading standalone health insurer, has been safeguarding the health and well-being of millions of Indians for over 20 years through a strong focus on customer-centricity, transparency, and innovation. Reflecting its commitment to creating lasting social impact, Star Health's CSR initiatives focus on improving health outcomes through accessible healthcare, preventive interventions, and community wellness pro
‘One Tree Hill’ star Bethany Joy Lenz recalls ‘worst audition of my life’ for Broadway role
‘One Tree Hill’ star Bethany Joy Lenz was so close to landing the starring role of Satine in Broadway’s ‘Moulin Rouge,’ until the ‘worst audition’ of her life dashed those dreams.
Texas just went blue, and the tech bros are sad
Texas, with its limited red tape and vast resources, drew in the tech crowds. Now, it's politics turned bluer, and the execs are a little upset.
CVS Health to split in two, separating pharmacy business from insurance
Health insurers have grappled with higher medical costs recently, while drugstores face mounting competition from Amazon and a declining foot-traffic.
Experts criticise clubs' rhetoric on ending betting sponsorships
The tone adopted by representatives of Brazilian clubs during Tuesday’s (3) public hearing at the Supreme Federal Court (STF) on the ban on betting companies drew criticism from football marketing a...
Apple's first touchscreen MacBook comes at a price
Apple's first touchscreen MacBook Pro starts at $2,899 with a PROLED XDR OLED display, but the non-touch M6 model costs $900 less at $1,999.
Compounds that give citrus fruits their scent may affect gut health
A review published in Food & Function found that dietary terpenoids, naturally occurring compounds in fruits, herbs, and vegetables, can suppress inflammatory signalling and improve intestinal barrier function in laboratory and animal studies. However, human evidence remains limited to two small studies of geraniol-based interventions for irritable bowel syndrome, with further research needed to establish clinical efficacy, appropriate dosing, and long-term safety.
CVS Health To Split Into Two Companies As Pressure Mounts On Vertical Integration
CVS Health will split into two companies, putting the more than 9,000 drugstores under one business and its Aetna health insurance and pharmacy benefit operations into another.
PJHS Halloween
Students and staff at Pleasanton Junior High shared their Halloween spirit, dressing up in spooky and fun costumes and characters.
Stanislav Kondrashov on Carbon: Exploring Its Essential Role in Science, Technology, and Modern Life
Stanislav Kondrashov on the modern role of carbon
Hochul beats Blakeman to win another term as NY governor
NEW YORK — Gov. Kathy Hochul beat Republican Bruce Blakeman Tuesday to win reelection for a second full term as governor as New York Democrats turned out in droves in
Hackers use n-day exploits in zero-click attacks on iOS, Android devices
A large-scale watering hole attack associated with Russian hackers has been targeting iOS and Android users visiting compromised sites or fake ones impersonating legitimate portals.
Cook County Public Health: Vaccinate Now Before the Holidays - Cook County Department of Public Health
As families make plans for holiday gatherings, health officials say now is a good time to get vaccinated against flu, COVID-19 and RSV. "It takes two to three weeks for respiratory vaccinations to provide maximum protection in vaccinated individuals. So, this is a perfect time to get vaccinated before gathering with family and friends for Thanksgiving," said Dr. Kiran Joshi, chief operating officer of Cook County Department of Public Health.
The political map is anyone's guess after a Democratic wave in the midterm elections
Voters have dramatically shifted the political landscape by electing Democrats in traditionally Republican states.
Xeris adds longtime biotech exec to its board
The move to bring Menassie Taddese on comes amid reports that the Chicago-based rare disease and endocrinology drug company is being considered for acquisition.
Fit Tips: The science of recalling your forgotten glutes
To fix gluteal amnesia (or “dead butt syndrome”), you need to stretch tight hip flexors and retrain your brain to fire your glute muscles using targeted activation exercises. Movement is how you remind your glutes what they’re capable of doing.
“Sad To Hear What Jorge Posada Had To Say” – Alexandria Ocasio-Cortez Takes Shots at Aaron Boone and Yankees Management
U. S. Representative Alexandria Ocasio-Cortez has questioned the New York Yankees’ decision to retain manager Aaron Boone, calling for changes within the organization after another disappointing season.
Exclusive: YouTube is cooking up something new called 'Tamba,' and it looks pretty social
YouTube's latest Android app reveals a mysterious 'Tamba' project with followers, DMs, group chats, and other social features.
Permanent daylight saving time has a dark side, scientists warn
A new study warns that permanent daylight saving time could force American children to make at least 2 billion additional school commutes in darkness, potentially increasing safety risks and disrupting their biological clocks. Researchers found that fatal crashes involving school-aged pedestrians were roughly twice as likely during dark mornings as after sunrise.
'Full-time job to keep up with it': Drug pricing program changes worry WV clinic
Beginning in 2027, Trump administration changes to the federal 340B drug pricing program will increase the purchasing and administrative costs for eligible clinics, including in West Virginia, which will have to pay up front for the drugs and seek rebates from drug manufacturers.
CVS to split off drugstore business in major breakup of healthcare giant
The move would reverse the company's $78 billion acquisition of Aetna, and dismantle the vertically integrated healthcare conglomerate it created in 2018.
Scientists call on Ecuador to stop the rising trafficking of Galápagos iguanas
Ecuadorian authorities said they caught a Russian woman at the airport in Quito, the capital city, trying to smuggle 32 live marine iguanas, endemic to the Galápagos Islands. The iguanas — bound and stuffed in eight plastic boxes — were headed to Iceland. The dehydrated lizards were transferred to a conservation center in Pichincha for […]
Uneven And Fragile Progress Against Neglected Tropical Diseases
While substantial progress has been made in driving down the global burden of neglected tropical diseases (NTDs), trends are “uneven and fragile”, and
Breaking down the midterm results with Radford University political science professor Dr. Chapman Rackaway
WATCH: Democrat Annie Andrews' full victory speech after flipping South Carolina Senate seat
Andrews' victory in a state President Donald Trump won three times by double digits is a stark defeat for the Republican Party.
TCA Health Nutrition and Wellness Center celebrates ribbon cutting
TCA Health was recently joined by DPD Commissioner Boatright and 10th Ward Alderman Chico to celebrate the ribbon cutting for the TCA Health Nutrition and Wellness Center at 1029 E. 130th. Located in Altgeld Gardens, the center is planned by TCA Health to help address the longstanding food desert that was created when the area lost its only full-service grocery store in 2018.
Nadal set to join Real Madrid board of directors
Tennis great Rafael Nadal is set to join the board of Spanish football giants Real Madrid.
Here are the results from the sports wagering ballot measures
Two ballot measures are seeking a constitutional amendment to legalize online sports betting in the state and to create the regulatory framework to tax the wagers.
Silicon Valley‘s political spending spree meets a blue wave — and a data center revolt
Tech billionaires poured hundreds of millions into the midterms, but it didn’t buy them much.
49ers Get Strong Message After Brandon Aiyuk Hires Drew Rosenhaus
After being away from the news cycle for a few months, San Francisco 49ers wideout Brandon Aiyuk is back after he hired Drew Rosenhaus to represent him. As a result, Aiyuk looks ready to return to playing football, but will that be with the Niners?Aiyuk will need to apply for reinstatement, given that he’s on […] The post 49ers Get Strong Message After Brandon Aiyuk Hires Drew Rosenhaus appeared first on HEAVY.
‘This is not about politics. This is about people’: UN warns of impact of deadly drone strikes in Sudan
Intensifying drone attacks on civilian infrastructure across Sudan are disrupting electricity, water and fuel supplies, putting lives at risk and hampering the delivery of humanitarian aid, the UN’s top official in the country has warned.
HCPSS Teams Up with Student Group to Drive Student Interest in and Understanding of Coding, Computer Science, and Artificial Intelligence
Several years ago, Julie Wray and Carrie Trudden, Howard County Public School System’s (HCPSS) then- and current coordinators of Instructional Technology, began receiving emails from a group called Howard County Hour of Code (HocoHOC). At the time, Wray and Trudden were unfamiliar with the group and skeptical about its offer to partner with the district […]
Drake women's basketball wins season opener
Drake women's basketball wins season opener at Knapp Center on Tuesday.
Scientists find evidence of rarest particle decay after 42-years | Science and Technology Facilities Council
UK physicists have found the first evidence of an extremely rare particle decay at CERN's Large Hadron Collider (LHC), after a 42-year hunt.
The political map is anyone's guess after a Democratic wave in the midterm elections
Voters have dramatically shifted the political landscape by electing Democrats in traditionally Republican states.
Digitizing health campaigns: lessons from Benin, DRC, Kenya, and Nigeria
Digitizing health campaigns in four African countries reached 24 million people. See the results, five lessons, and webinar dates.
Aroma Joe's now open in Bucksport
Aroma Joe's has opened its new location, its 58th in Maine, at 80 US-1 in Bucksport. The newly built, 1,170-square-foot coffeehouse and drive-thru features coffee and espresso drinks, flavor infusions,
The political map is anyone's guess after a Democratic wave in the midterm elections
Voters have dramatically shifted the political landscape by electing Democrats in traditionally Republican states.
Halloween-themed event aims to get youngsters 'excited about science'
GOSHEN — Children in Halloween costumes spent Saturday driving robots, meeting animals and watching chemistry demonstrations at E3 Robotics Center’s sixth annual Science Spooktacular.