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‘Lawyer up’: Democrats take the House, and warn Trump’s family businesses are first in line for subpoenas
Democrats can’t override Trump’s veto, but the incoming Oversight chair promised to probe the family’s crypto deals, and other family businesses.
NASA's Swift telescope on the verge of plunging back to Earth
A NASA telescope is barely clinging to space after a failed rescue effort left it tottering and sinking toward Earth. A few pieces that don't burn up in the atmosphere are expected to land in the ocean on or about Friday.
$2 Million Settlement Resolves Covenant Health Data Breach Lawsuit
Covenant Health, St. Joseph Healthcare Foundation, St. Joseph Hospital, St. Joseph Hospital Nashua, N.H., and other Covenant Health facilities were named Covenant Health, St. Joseph Healthcare Foundation, St. Joseph Hospital, St. Joseph Hospital Nashua, N.H., and other Covenant Health facilities have agreed to pay $2 million to settle a class action lawsuit stemming from a May 2025 security incident.
Nashville Predators Lineup Decision Before Clash Against Hurricanes
The Nashville Predators will conclude their five-game homestand tonight against the Carolina Hurricanes. It’s the first time the defending Stanley Cup Champions are in town.Head coach Andrew Brunette understands that tonight will be a tough task for his group against arguably the best team in the NHL.“I think they’ve got a lot of momentum after […] The post Nashville Predators Lineup Decision Before Clash Against Hurricanes appeared first on HEAVY.
NASA Voyager mission project scientist to deliver URI Honors Colloquium lecture on Nov. 10
KINGSTON, R.I. – Nov. 2, 2026 – Nearly a half century ago, NASA broke ground by reaching for the stars and beyond with its first Voyager missions when Voyager 1 and Voyager 2 were launched to explore Jupiter and Saturn. Since then, the two spacecraft have become the furthest-traveling, human-made objects in history, crossing the […]
Meet T-RAN, TN's Ambassador of Music and Entertainment
Tennessee music ambassador T-RAN Gilbert hosts a free concert to advocate for mental health and artist success.
Trust Stamp announces presentation on Company’s progress and 2027 Business Plan
ATLANTA, GA, Nov. 02, 2026 (GLOBE NEWSWIRE) -- Trust Stamp (NASDAQ:IDAI), a global provider of AI-powered software
AI could flag astronaut health issues on future Mars missions
Could AI help astronauts catch unexpected health issues? A former NASA chief scientist says the advancing tech could assist in Mars missions.
Voters on the left and right fear the America they've known is slipping away
Whether they’re from the left or the right, they’re worried that the America they’ve known is slipping away. They see the political class stirring up anger and hate and turning neighbors against each other.
NASA's Swift Observatory Is About to Die. It's Not the First Time NASA Has Said Goodbye to a Robot.
NASA's Swift Observatory will burn up this week. And while the agency has a lot of experience losing beloved hardware, it never gets easier.
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 […]
Hannover 96 sack Boldt as managing director for sport
Hannover 96 have confirmed the dismissal of Jonas Boldt as managing director for sport.The decision comes with Hannover sitting 16th in the 2. Bundesliga after nine games of the season.Having most rec...
California Science Center and NASA JPL Collaboration to Debut at Samuel Oschin Air and Space Center on Nov. 13
The California Science Center and NASA’s Jet Propulsion Laboratory are joining forces to showcase six decades of robotic space exploration at the new Samuel Oschin Air and Space Center in Los Angeles. Opening November 13, 2026, the Kent Kresa Space Gallery will feature spacecraft models, a restored Ranger lunar probe, Mars rover exhibits and hands-on activities exploring planetary science, exoplanets and future space missions.
Week Starts with Spacewalk Preps and Life Science
Preparations continue for the second in the final series of spacewalks to upgrade the International Space Station’s power generation system on Thursday. Meanwhile, the Expedition 75 crew focused its research efforts on life science at the beginning of the week.
Starz Entertainment Corp. (NASDAQ:STRZ) Just Released Its Third-Quarter Earnings: Here's What Analysts Think
It's been a good week for Starz Entertainment Corp. ( NASDAQ:STRZ ) shareholders, because the company has just released...
Nashville SC stage epic rally to tie MLS points record
By Ben WrightNASHVILLE, Tenn. – No Nashville SC fan will ever forget Nov. 1, 2026.The Coyotes staged an epic comeback to defeat Red Bull New York, 3-2, reversing a two-goal deficit to win the match ...
Farmer Music Center announces country star as first concert at new venue
Dust off your boots and grab your cowboy hat because it's official: The first show at Farmer Music Center has been announced.
Born to a science dynasty, he broke away and made a photosynthesis breakthrough
French biologist Pierre Joliot helped answer how photosynthetic organisms split water to produce the oxygen that sustains life on Earth. He died Oct. 10 at 94.
NASA telescope on verge of plunging back to Earth after failed rescue mission
Most of the 1 ½-ton telescope is expected to burn up in the atmosphere
New X-Plane To Be Announced At Max Power Airshow: NASA Administrator Isaacman
NASA's boss insists it is "not the one you're thinking about" and has deflected a new question about a 'missing' SR-71.
Cineverse Nominates Dr. Samrat Ganguly for Election to Board of Directors
/PRNewswire/ -- Cineverse Corp. (Nasdaq: CNVS) ("Cineverse" or the "Company"), an entertainment technology company and studio, announced the nomination for...
More Than 100 HCA Healthcare Hospitals Recognized by Healthgrades for Excellence in Specialty Care - Florida Hospital News and Healthcare Report
HCA Healthcare hospitals earned more 2027 specialty care recognitions than any other health system, including national distinctions for surgical care, emergency medicine and orthopedic surgery October 29, 2026 – NASHVILLE, […]
NASA's 3,200-pound Swift telescope could fall to Earth as soon as tonight, agency says
NASA's Swift Observatory is about to make a fiery reentry through Earth's atmosphere after a private mission to save it failed. Most of the spacecraft will burn up in orbit.
Nashville Predators trade Matthew Wood to Seattle Kraken for Shane Wright
The Nashville Predators made a trade on Nov. 1, sending center Matthew Wood to the Seattle Kraken for center Shane Wright.
Cardinals elevate defensive lineman to active roster
The Arizona Cardinals elevated defensive lineman Jared Harrison-Hunte to their active roster, the team announced Saturday.
Cristiano Ronaldo’s son earns Portugal U-17 call-up
Like father, like son. Portugal legend and captain Cristiano Ronaldo’s son, Cristiano Jr. has earned himself a call-up to the country’s under-17 squad. The Al-Nassr superstar’s eldest son, Cristiano Ronaldo Júnior, has been selected to play for Portugal’s Under-17 side for the first time. Ronaldo Jr., 16, was included in Filipe Ramos’ 23-man squad […] The post Cristiano Ronaldo’s son earns Portugal U-17 call-up appeared first on ClutchPoints.
Before the Dawn in America’s Heartland
With hardly a cloud in sight, astronauts had a sweeping view of nighttime lights in the U.S. Midwest.
Louisiana health officials warn against amoeba infections from tap water
Louisiana health officials are warning the public not to use tap water for nasal rinses or contact lenses after two serious amoebic infections have been reported this year. Although the patients reported using tap water for sinus irrigation, the state health department said it has not established tap water as the source of their infections
Watch Live Sports Online & Stream FOX Sports
Watch live sports online with FOX One. Stream NFL, college football, MLB, NASCAR, INDYCAR and more, plus FOX Sports shows. Start your 3-day free trial.
Diamondbacks key free agents receive contract projections
The Diamondbacks' rotation and bullpen could look a lot different next season with several key players hitting the open market.
Selected Shots Sunday: Gym & Women’s Hoops returns
This week’s photos feature cross country, women’s hoops and my personal fave… GYMNASTICS!
Utah flips commitment of in-state offensive tackle Manase Brown
Brown, who preps at Corner Canyon, previously was committed to Fresno State.
Boston Symphony Orchestra's grand AI experiment is a boon to democracy
In this year’s election season orchestras have been practicing the call for democratic thinking on a global scale, including in Los Angeles, Leipzig, Germany and Boston, where the Boston Symphony Orchestra is experimenting with AI —to great effect.
Kraken acquire Predators’ Matthew Wood, trade Shane Wright
The Kraken are looking to keep the positive momentum going this season by acquiring right winger Matthew Wood from the Nashville Predators.
Pennsylvania’s Grand Canyon
Amid the warm hues of fall foliage, Pine Creek Gorge forms a deep scar in the Allegheny Plateau.
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.
Flutter Entertainment (NYSE:FLUT) reports sales below analyst estimates in Q3 2026 earnings
Global online betting company Flutter Entertainment (NASDAQ:FLUT) fell short of the market’s revenue expectations in Q3 2026 as revenue rose 2.1% year on year to $3.87 billion. Its non-GAAP loss of $0.18 per share was significantly below analysts’ consensus estimates.For more on Flutter Entertainme…
X-Ray Timing Science Analysis Group (XR Timing SAG)
X-Ray Timing Science Analysis Group (XR Timing SAG)
NASA’s Mission to Study Sunlight Completes Vacuum, Vibration Testing
Bright white lights reflect off the metallic hardware of a satellite poised for inspection. Engineers outfitted with bunny suits traverse the clean room, past
NASCAR Issues Big Penalties Over Brake-Checking at Martinsville
NASCAR issued big penalties to Carson Hocevar and Josh Berry over "brake-checking" incidents in Sunday's Cup Series race at Martinsville Speedway.
Martinsville Is Everything That Makes NASCAR Great. America’s Short Track.
Martinsville Speedway Remains NASCAR’s True Short-Track Treasure, From Grandfather Clocks to All-the-Way Hot Dogs MARTINSVILLE, Va. — NASCAR has changed dramatically since its earliest days. The cars are faster, the technology is more advanced and the sport’s schedule looks considerably different. But Martinsville Speedway still feels like Martinsville. The Virginia short track has been part…
NASA’s Hubble Uncovers Case of Missing Oxygen in Nearby Dwarf Galaxies
NASA’s Hubble studied 37 nearby dwarf galaxies and found that much of the oxygen they expected to see is missing.
Joey Logano reveals health status after major flip at Talladega
Joey Logano reveals his health status after a major NASCAR flip at Talladega Superspeedway last weekend.
Salina Science Event to Feature Astronaut
A NASAS Astronaut who piloted the Space Shuttle Columbia will host an event in Salina. Students, families, and community members are invited to experience the excitement of science, technology, engineering, arts, and mathematics at Liftoff to STEAM, a free community event taking place Saturday, November 14, from 10 a.m. to 2 p.m. on the campus […]
Who is Riley Green? 'The Voice' judge to headline new Riverbend venue
Riley Green is the first artist to be announced to perform at the new Farmer Music Center. So, who is he?
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…
Nine killed as business jet crashes into South Florida neighbourhood
A business jet plunged into a South Florida neighbourhood on Sunday, killing all nine people aboard and exploding into a fireball near homes and a busy road. The pilot had reported icing, precipitation…
NASA is racing against time to save the Hubble Space Telescope
NASA is exploring a daring plan to save the legendary Hubble Space Telescope from its eventual fiery plunge into Earth's atmosphere. After more than 35 years of groundbreaking discoveries, Hubble is slowly losing altitude, and without intervention, it could fall back to Earth as early as 2033 or 2034. To keep the iconic observatory operating, NASA is asking private space companies to propose innovative ways to boost Hubble into a higher orbit, upgrade its capabilities, or safely dispose of it when its mission finally ends.
See 7 Hollywood Families Who All Look Like One Another
These Hollywood families — including the Wayans, the Baldwins and more — have become true entertainment dynasties
Brad Keselowski to speak about future NASCAR plans at Martinsville
Brad Keselowski will speak about his future plans in NASCAR during the 2026 fall weekend at Martinsville Speedway.
A NASA Telescope Is Predicted to Crash Back to Earth Within Hours
The space agency estimates that there is a one-in-2,100 chance that debris from the Neil Gehrels Swift Observatory could injure someone on the ground.
NASA telescope on verge of plunging back to Earth after failed rescue mission
Most of the 1 ½-ton telescope is expected to burn up in the atmosphere
OSR Health Board Authorizes Management to Engage with Potential Acquirer of OSRK for Reverse Takeover
Potential reverse takeover is a key pillar of plan to return portfolio to a national exchange; OSR Health also pursuing OTCQB uplistingBELLEVUE, WA / ACCESS Newswire / November 2, 2026 / (OTC PINK:OSRH) ("OSR Health" or the "Company") today announced that its Board of Directors has authorized management to pursue a sale of the Company's controlling interest in OSR Holdings Co. ("OSRK") to an undisclosed Nasdaq-listed counterparty ("Acquirer") for a potential reverse takeover.
How big and powerful is SpaceX's Starship rocket?
At 407 feet, SpaceX's Starship is one-third taller than the Statue of Liberty and has roughly twice the liftoff thrust of NASA's Space Launch System.
Fiserv Small Business Index Shows Sales Momentum Heading into Holiday Season
Index rises to 146 as sales increase +2.3% year over year and +0.3% month over monthMILWAUKEE, Nov. 03, 2026 (GLOBE NEWSWIRE) -- Fiserv, Inc. (NASDAQ: FISV), a leading global provider of payments and financial services technology, today published the Fiserv Small Business Index for October 2026, showing encouraging momentum for small businesses as the holiday season gets underway. Sales rose +2.3% year over year, the strongest year-over-year gain since July 2025, and +0.3% month over month. The
Sphere Entertainment tops communications services stocks in short interest; Alphabet sees the lowest exposure
Within the communications services sector AMEX:XLC, media and advertising stocks remain the most shorted ones as of end-October, with Sphere Entertainment NYSE:SPHR taking the lead.Sphere Entertainment has a short interest of 25.49%, while Fox NASDAQ:FOXA at 24.25% is the second-highest-shorted com…
A NASA telescope will likely plummet to Earth on Friday
The decommissioned Swift Observatory turned a two-year mission into more than two decades of science.
NASA satellite to plunge back to Earth after 22 years in space
The Swift Observatory's mission is over after 22 years in orbit. NASA expects the satellite to re-enter Earth's atmosphere soon.
Nashville small businesses question whether city Legacy Business program offers any relief
Nashville Mayor Freddie O'Connell and the Metro Council have approved a Legacy Business Program intended to help longtime small businesses facing rising costs.
Bickley: Minshew Mania breathes new life into Cardinals' season
Gardner Minshew made the Cardinals look like a completely different team, Dan Bickley writes.
Stefano Pioli: “Roma called me before going to Al-Nassr.”
Before Gasperini, Roma changed managers four times in just two seasons (2023-2025): Mourinho, De Rossi, Juric, and Ranieri. The Grugliasco-born coach is restoring a stability lost due to poor decision...
Bath find their feet to keep Sale out
AFTER suffering three consecutive defeats, Bath showed much improved form to record a bonus-point victory over a battling Sale before a sold-out Rec. ■By ROGER PANTING Bath .................................... 36pts Tries: Arundell 3, de Glanville 22, Cokanasiga 30, 42; Hennessey 64 Conversions: Russell 3, 22, 42, 64 Penalty: Russell 58 Sale Sharks ..................... 28pts Tries: Jibulu […] The post Bath find their feet to keep Sale out appeared first on The Rugby Paper .
GOG Explains How One Of The Most Important PC Games Ever Made Is Trapped In Licensing Hell
Dune 2: The Building of a Dynasty was a very influential RTS that is owned by at least four different companies
BrainsWay Announces Strategic Collaboration with Mindful Health Solutions
Latest Collaboration Comes Amid Progress in Other Strategic Initiatives, Including Follow-on Investment in Earlier Minority Stake Investment TargetBURLINGTON, Mass. and JERUSALEM, Nov. 02, 2026 (GLOBE NEWSWIRE) -- BrainsWay Ltd. (NASDAQ & TASE: BWAY) (“BrainsWay” or the “Company”), a global leader in advanced noninvasive neurostimulation treatments for mental health disorders, announced a strategic collaboration with Mindful Health Solutions (“MHS”), an established provider of comprehensive beha
North Atlantic’s ‘cold blob’ may contain climate nuance
Climate observers have long tied the strength of a major ocean current to water temperatures in the so-called “cold blob” in the North Atlantic Ocean. New models signal that the relationship between the "blob" and the major ocean current driving its colder temperatures is more dynamic than previously understood.
BBSI Opens Pittsburgh Branch, Expanding Business Services in Pennsylvania
VANCOUVER, Wash., Nov. 02, 2026 (GLOBE NEWSWIRE) -- Barrett Business Services, Inc. (BBSI) (NASDAQ: BBSI), a leading provider of business management solutions and one of the largest professional employer organizations (PEO) in the U.S., announced the opening of its BBSI Pittsburgh branch in Canonsburg, Pennsylvania. The Pittsburgh branch expands BBSI’s local presence in western Pennsylvania and provides small and mid-sized businesses in the Pittsburgh market with local access to BBSI’s payroll,
How Artist Museums May Expand Business Opportunities In Nashville
How artist museums may expand business opportunities in downtown Nashville.
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.
The greatest dynasties in Italian football
Much like other major sports, the history of professional football is littered with clubs that have enjoyed sustained periods of dominance.That point undoubtedly applies to Italian football, with nume...
Video: McKennie joins Juventus group training before AZ Alkmaar clash
Juventus midfielder Weston McKennie trained with his teammates at Continassa this morning, on the eve of a Europa League game against AZ Alkmaar.Juventus are preparing for Thursday’s away Europa Lea...
'Cloud of confusion.' State Health Plan changes leave participants dazed during open enrollment.
Provider tiers were meant to be a tourniquet for NC State Health Plan that was bleeding money. Status of Atrium has created major headaches.
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.
Arizona Sports' John Gambadoro taking Suns pregame free throw: 'I don't get nervous in stuff like this'
The confident co-host of the Burns & Gambo show is not worried about whether or not he will make the shot.
Halloween party brings crowds and business to Palm Springs
PALM SPRINGS, Calif. (KESQ) — Halloween celebrations are bringing thousands of people to downtown Palm Springs this weekend, giving local businesses a chance to bring in more customers. The annual Halloween party on Arenas Road is taking place Friday and Saturday, with music, dancing, entertainment and costume contests. The free event runs from 4 p.m.
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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