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Nov. 5 talk: Using chemical vapor deposition to improve battery materials
Jeffrey Elam, senior chemist and Argonne Distinguished Fellow at Argonne National Laboratory, will present “Chemical vapor fictionization of battery materials” at 3:05 p.m. on Thursday, Nov. 5, in 10 Sparks Building on the University Park campus.
San Jose Sharks Goaltending Struggles Could Derail a Playoff Run
Could San Jose make a Stanley Cup Playoff push this year? San Jose finished the 2025-26 season with 86 points, placing them fifth in the Pacific Division. This was San Jose’s highest finish since the 2018-19 season. Now, in our 2026-27 San Jose Sharks season preview, we did think that the Sharks would be playoff-bound. …
Business jet carrying 9 people crashed in a Florida neighborhood, erupting in flames
WOAI NBC News Channel 4 San Antonio provides local news, weather forecasts, traffic updates, investigations, and items of interest in the community, sports and entertainment programming for San Antonio and nearby towns and communities in South Central Texas, including Windcrest, Uvalde, Universal City, Somerset, Seguin, Schertz, San Marcos, Sabinal, Poth, Poteet, Pleasanton, Pearsall, New Braunfels, Live Oak, Kerrville, Hondo, Helotes, Goliad, Fredericksburg, Floresville, Eagle Pass, Devine, Del Rio, Cuero, Crystal City, Converse, Cibolo, Castroville, Carrizo Springs, Boerne, Bandera.
Korea opens its first AI humanoid data factory
– Dedicated Data Production Facility for Bipedal Humanoid Robots Established – – Supports AI Training and Performance Validation, Laying the Foundation for Korea’s Technological Self-Reliance in Humanoid Robotics –
All 9 people aboard a jet that crashed in Florida have died, transportation secretary says
WEST PALM BEACH, Fla. (AP) — All nine people died aboard a business jet that crashed into a Florida neighborhood, U.S. Transportation Secretary Sean Duffy said Sunday.
Dan’s Daily: Kraken Trade Wright; Edvinsson Offers; Penguins Limits
The NHL trade market stirred Sunday with a pair of trades, but the notable one featured the Seattle Kraken shedding […]
College football ratings are down; should networks be concerned?
A thoughtful college football viewership analysis by The Athletic’s Stewart Mandel, published Tuesday, has been circulating in sports media circles. The top-line figures don’t look great for the sport through the first eight weeks. Average viewership is down by 6% for games airing on ABC, NBC, CBS, Fox, and ESPN. Last season, games on those…
This vacuum easily cleans up after one shopper’s 3 shedding dogs and 2 cats — and now it’s 50% off
It works on hard wood, tile and carpet.
Scientists find a way to send smells online
Researchers have developed a system that can detect an odor, transmit information about it over the internet, and release a corresponding scent through a wearable device, Qazinform News Agency correspondent reports, citing a study published in Science Advances.
Elon Musk's 'vote red' post vanished after Election Day
Elon Musk's pre-election X post is no longer on his timeline after Democrats dominated Tuesday's midterms.
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.
WHO Global Preparedness and Response to El Niño-Related Public Health Risks and Emergencies - Strategic Preparedness and Response Plan
in English on World; published on 2 Nov 2026 by WHO
I finally finished this brilliant Apple TV show –it's unlike anything else I've watched
Widow's Bay was an absolute pleasure
Champions League: Sporting win before Fonseca, Galatasaray bounce back !
Two big early resultsThe first two matches of matchday four of the Champions League league phase have just finished.While awaiting Paulo Fonseca, Sporting returned to winning ways in the Champions Lea...
Bernstein maintains Flutter Entertainment at Market Perform, lowers price target to $100 from $110
Bernstein maintained Flutter Entertainment at Market Perform and lowered its price target to $100 from $110, a 9.1% decrease.The price target implies an upside of 14.1% from the Nov 2 close of $87.66.Recent analyst actions on Flutter EntertainmentAcross the five most recent analyst notes published…
Editorial: Should Oregon's universal health plan get more time?
Oregon’s Universal Health Plan Governance Board needs more time and more money to develop its plan for a single payer health plan in the state. The board has not finished […]
Conservative Judge O’Connor Laments Lack of ‘Reason’ in Politics
A prominent conservative federal trial judge in Texas bemoaned the lack of “reason” in civil institutions, according to a newly published speech.
Miami Dolphins’ Most Valuable Player | Week Eight
Chop Robinson finished game against Patriots with two sacks and eight QB pressures.
Business jet carrying 9 people crashed in a Florida neighborhood, erupting in a massive fireball
WEST PALM BEACH, Fla. (AP) — A business jet carrying nine people nose-dived into a South Florida neighborhood Sunday and erupted into a giant fireball that appeared to just miss homes before crashing near a busy roadway, creating a giant fiery crater in the pavement.
How a blue wave crushed the tech right
The Democratic wins that swept America on election night was a backlash against data centers, and a rebuke to Silicon Valley elites.
CBS Sports reporter clashed with Connor Stalions over doctored FSU HC candidate image
After an uninspiring 3-5 start to the football season, Florida State announced Sunday that it had fired head coach Mike Norvell. Speculation about who might replace Norvell began as early as September, but now that the move is official, more names are being linked to what is expected to be one of the most resource-heavy…
Trump’s billionaire-blue collar coalition has been smashed by class politics
As tech bosses get richer and ordinary Americans struggle, Democrats put the case against the US’s grotesque unfairness – and voters responded, says Guardian columnist Aditya Chakrabortty
New details emerge in the alleged murder of 'SNL' writer's sister Christina Downer
A series of restraining order petitions and documents shed light on the alleged murder of Christina Downer.
ESPN commentator Michael Wilbon takes indefinite leave of absence to address health issues
The veteran sports commentator says people close to him noticed “worrisome signs” in recent years that he largely brushed aside.
UVA Health Expands Gastroenterology Services in Northern Virginia with Addition of Three Established Practices
UVA Health Expands Gastroenterology Services in Northern Virginia with Addition of Three Established Practices
Unfinished Business: Harvard Women’s Basketball Sets Sights on Ivy League Title and Return to March Madness
Unfinished Business: Harvard Women’s Basketball Sets Sights on Ivy League Title and Return to March Madness
Trump Wrestles With New Reality: A Lame Duck With Two Years Left to Fight
After a decade at the center of American politics, President Trump is politically wounded, with diminished power. Those who know him say the next two years will be unpredictable.
Rivera-Mariani coauthors study on fungal exposure and asthma health care
Félix Rivera-Mariani, associate professor in the College of Arts and Sciences, is the senior co-author of a new study published in the journal Aerobiology…
The Revamped Villanova Wildcats Boast Greater Depth In 2026-27
In his first year at Villanova, Head Coach Kevin Willard went 24-9 and led the Wildcats back to the NCAA tournament for the first time since Jay Wright's final season in 2022. Nova finished third in the Big East last year. Even so, they were well behind back-to-back champion St. John's and the since-retooled UConn …
Swift, Simmons star as Bears maul Seahawks
D'Andre Swift rushed for three touchdowns as the Chicago Bears overpowered the Seattle Seahawks 34-17 in a statement road victory over the reigning Super Bowl champions on Monday.Seattle responded with a Cooper Kupp touchdown early in the fourth quarter but Chicago's defense took over and Swift bagged two touchdowns to seal victory. rcw/pst
Introducing HBJ's 'Best Places for Business' publication: Ranking Connecticut’s 169 municipalities
Connecticut’s 169 municipalities offer vastly different environments for businesses, developers and investors. Some benefit from large employment centers and established commercial districts, while others compete through lower taxes, streamlined permitting, […]
LIV Golf appears officially dead as PE firm drops investment after star players defect
LIV Golf, even in its diminished post-Saudi opulence form, is in dire straits as of Wednesday evening. A new report by Sujeet Indap in the Financial Times indicates that BC Partners, the private equity firm that was prepared to provide LIV with a league-saving capital investment after Saudi Arabia’s private investment fund (PIF) ceased financing the…
Business jet carrying 9 people crashed in a Florida neighborhood, erupting in a massive fireball
Penn State Women's Soccer Has 'Unfinished Business' Ahead Of Big Ten Tournament Matchup With Purdue
"If you ask this team who they wanted to play again, they would have said Purdue."
Browns Could Trade Shedeur Sanders for Paltry Return
The Cleveland Browns could accept a bargain trade return for Shedeur Sanders. The post Browns Could Trade Shedeur Sanders for Paltry Return appeared first on HEAVY.
Phoenix business owner hosts shed giveaway for tornado victim
As residents in Heber-Overgaard continue cleanup, a local business owner is donating a storage shed to someone impacted by the tornado.
Boys And Girls Club of Benton County launches scholarship
Boys & Girls Club of Benton County recently established the Mark and Rachel Malo Scholarship Fund. The Bentonville-based organization has about $85,000 invested in the fund and is working to...
Business jet carrying 9 people crashed in a Florida neighborhood, erupting in a massive fireball
WEST PALM BEACH, Fla. (AP) — A business jet carrying nine people nose-dived into a South Florida neighborhood Sunday and erupted into a giant fireball that appeared to just miss homes before crashing near a busy roadway, creating a giant fiery crater in the pavement.
Kyler Murray Gets Concerning Take Amid Vikings’ Offensive Woes
Whether the Minnesota Vikings have to make a change at QB due to Kyler Murray’s hamstring soreness that he suffered during the Week 8 loss to the Detroit Lions or due to his play, one former player believes that it could be time to make a switch at center. Murray finished 17-of-29 on his pass […] The post Kyler Murray Gets Concerning Take Amid Vikings’ Offensive Woes appeared first on HEAVY.
Public Health Situation Analysis (PHSA) - Impact of El Niño in the Eastern Mediterranean Region (EMRO)
in English on World; published on 3 Nov 2026 by WHO
A drug-free diabetes treatment? An implant lowers blood sugar in mice
The wireless implant rids mice's bodies of excess sugar on demand, and helps them shed weight. It could one day help treat diabetes and obesity.
Macquarie maintains Flutter Entertainment at Outperform, lowers price target to $120 from $128
Macquarie maintained Flutter Entertainment at Outperform and lowered its price target to $120 from $128, a 6.2% decrease.The price target implies an upside of 46.7% from the Nov 4 close of $81.79.Recent analyst actions on Flutter EntertainmentAcross the five most recent analyst notes published on F…
Could virtual reality speed up learning?
Does swinging a lightsaber help us learn? New research from Florida Atlantic University and Brown University found that movement dramatically helps with certain kinds of complex learning. The research was published in the journal Science Advances. Interested in more science involving video games? Email us your question at shortwave@npr.org.Support public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include sponsor-free listening. Learn more at plus.npr.org.
Mark Gurman: Apple Initially Aimed to Release iPhone Duo in November
Apple initially aimed to "wait until November" to release the iPhone Duo in the U.S. and China only, according to Bloomberg's Mark Gurman, but it ultimately launched the device in more than 70 countries on Friday, October 23. "Apple rushed the Duo to market without enough inventory to meet demand," he said. "Apple rushed the Duo to market without enough inventory to meet demand," he said.
“Instead, He Never Gets To Play”: Nick Wright Takes Shot at Shedeur Sanders for Ditching Ravens in 2025 As Lamar Jackson’s Injury Opens Room for QB2
According to the Baltimore Ravens’ website, they planned to draft Shedeur Sanders in the fifth round of the 2025 NFL Draft. However, the former Colorado quarterback refused because he didn’t want to be Lamar Jackson’s backup.
Phoenix business owner hosts shed giveaway for tornado victim
The owner of Shed Gal felt compelled to help out after seeing the devastation.
Sudan: Humanitarian Health and Nutrition Bulletin: Blue Nile Under Strain: Displacement, Malaria and Attacks on Civilians Drive an Acute Health Emergency
Situation Report in English on Sudan about Health and Protection and Human Rights; published on 2 Nov 2026 by SAPA
Notre Dame Opponent Preview: Miami Hurricanes
The top-ranked Hurricanes bring an unblemished record and a high-octane passing attack to South Bend. Mario Cristobal’s squad faces its ultimate test against the Irish under the lights.
China's AI trade has crashed; Beijing is trying to stop the stock rout
China's AI-stock rout adds to pressure from weak consumer spending, a property slump, and sluggish growth.
God of War Laufey Delayed to May 2027
God of War Laufey will no longer be released in February, as Sony Santa Monica has pushed it back to May 2027.
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
El Niño Is Warming Monterey Bay, Causing Trouble for Ocean Life
El Niño has pushed Monterey Bay’s ocean water temperatures to historic highs. One clear sign: warm-water species that are rarely seen offshore of the Central California Coast.
Iowa opens applications for federal education tax credit program
Gov. Kim Reynolds announced that nonprofit organizations can now apply to serve as scholarship granting organizations under the new federal Education Freedom Tax Credit program, which is set to begin in 2027. Established under the One Big Beautiful Bill Act signed in July 2025, the program provides federal income tax credits for contributions to approved…
Yankees 2026 Roster Report Cards: Angel Chivilli
Angel Chivilli flashed some potential, but struggled with injuries all season.
New iPad mini hands-on: Refreshed design, OLED display, more
Apple’s smallest iPad has gotten its biggest update in years. The new iPad mini features a much thinner and lighter...
“He’s Driving Aaron Rodgers Nuts” “He’s Washed”: Colin Cowherd Delivers Brutal Verdict On DK Metcalf After Steelers’ Win
The Pittsburgh Steelers extended their winning streak to four games with a 27-6 win over the Cleveland Browns. However, wide receiver DK Metcalf’s disappointing performance became a major talking point after the game.
Aye, Aye, Captain! A Weekly Catch of 25 ‘SpongeBob’ Memes Fished Directly From Bikini Bottom (November 2, 2026)
No, Patrick, mayonnaise isn't a meme. These are!
Josh Downs scores touchdown in Week 8 vs. Jaguars
Indianapolis Colts wide receiver Josh Downs finished with four receptions for 23 yards and a touchdown on five targets in Week 8
Exploring the Nexus between Climate Change, Migration and Sexual and Reproductive Health and Rights–HIV in Southern Africa
Analysis in English on Namibia and 4 other countries about Climate Change and Environment, HIV/Aids and more; published on 3 Nov 2026 by IOM
Schlegel Receives Distinguished Animal Science Alumnus Award
UNIVERSITY PARK, Pa. — The Department of Animal Science in Penn State’s College of Agricultural Sciences recently presented Michael Schlegel, of Wildwood, Missouri, with the 2026 Distinguished Animal Science...
Nine people killed after jet from Austin crashes in Florida, transportation secretary says
At least 9 people are dead after a business jet flying out of Austin crashed in a Florida neighborhood, U.S. Transportation Secretary Sean Duffy said.The Federa
Rotary 5K goes the distance for students’ mental health
About 200 runners and walkers, ages 6 to 85, laced up their sneakers for the sixth annual Marblehead Rotary 5K, raising money for mental health programs in local public schools. Participants gathered at Crocker Park on a bright Sunday morning before setting off through the Old and Historic District. The race finished back at Crocker
‘We locked the door’: Business owners pull dozens to safety during Magic City Classic shooting
Business owners near Legion Field rushed dozens of people inside their restaurant Saturday night to protect them after gunfire erupted during the Magic City Classic, killing one person and injuring eight others.
Accel Entertainment, Inc. 2026 Q3 - Results
2026-11-04. The following slide deck was published by Accel Entertainment, Inc.
Business jet crashes in Florida, killing all nine on board
The aircraft was en route from Texas to the Bahamas when it crashed in a West Palm Beach, Florida, neighborhood, the FAA said.
Oppenheimer maintains Flutter Entertainment at Outperform, lowers price target to $110 from $120
Oppenheimer maintained Flutter Entertainment at Outperform and lowered its price target to $110 from $120, an 8.3% decrease.The price target implies an upside of 33.2% from the Oct 30 close of $82.59.Recent analyst actions on Flutter EntertainmentAcross the five most recent analyst notes published…
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
Three new iPad models are reportedly launching early next year, here's what's coming
After debuting the refreshed iPad mini with OLED this past week, Apple still has more in the pipeline for the...
Longer reproductive lifespan and hormonal history may influence brain vascular health
A longer reproductive lifespan and a history of using birth control pills or menopausal hormone therapy were associated with certain signs of blood vessel health in the brain, according to a study published November 4, 2026, in Neurology, the medical journal of the American Academy of Neurology.
Yakima Co. health officials confirm person infected with bird flu has died
YAKIMA CO., Wash. - The Yakima County Health District confirmed Sunday a person in the county has died due to complications of the bird flu.According to the YCHD, the person was hospitalized after becoming severely sick and was diagnosed with avian influenza. They said the person came into contact with infected cattle and that's how they got the illness.At this time, the YCHD is not releasing the identity of the person who died, their gender or their age. They confirmed the person did have underlying health conditions, but did not release what those were.This comes as a third confirmed human case of bird flu was reported Sunday. This person also became infected after being exposed to sick cattle at a Yakima County dairy. YCHD officials said this person is not experience severe illness and is not hospitalized.The YCHD is working with the person to identify and contact people who may have come into contact with those who are infected in an effort to monitor the illness.Officials with the YCHD said the risk of being infected with bird flu in the general public is low. Those who are at greater risk are those who have close or prolonged contact with infected animals or are in an environment that is contaminated with the virus. As of this writing, no documented case of human to human transmission has ever been recorded in the United States but it is not impossible. COPYRIGHT 2026 BY APPLE VALLEY NEWS NOW. ALL RIGHTS RESERVED. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED. News Suspected DUI crash in Walla Walla Co. kills Umatilla woman Erin Wencl News Man dead after early morning shooting in Yakima Erin Wencl News Pasco police asking for video of Saturday's fatal shooting near Don Rubio's Erin Wencl News Trick-or-treating wins popular vote at Yakama Nation trunk-or-treat Tyler Wargo News Justin Krumbah's family fights on after judge denies Kelly's request Dan Hanson, Apple Valley News Now News Toppenish gets nearly $1.5 million to improve traffic safety on State Route 22 Robert Desaulniers
Kumukahi Health + Wellness expands healthcare access across Hawaiʻi Island with grants, donations
New funding has enabled the organization supporting people living with HIV to create a Community Response Hui, a disaster response initiative established following Hurricane Lala.
‘It’s really, really unusual’: tender bond between male donkey and bull baffles scientists
Patroclo and Achille’s interspecies affair sheds new light on social and sexual relations between animals, scientists say
Two bucks go viral tossing each other around in the woods during brawl at Redwood National Park
Part of getting out in nature is witnessing it up close, as hikers at Redwood National Park learned when rutting bucks crashed onto their boardwalk.
The Forces Trump Unleashed Are Now Working Against Him
He build a movement on grievance. The anti-Trump wave should look familiar.
Trump’s political career crashed last night. So did his crypto.
Enriching the president no longer seems like a solid investment.
Today’s Papers
La Gazzetta dello SportReal InterThe Nerazzurri restart in style: Feyenoord crushedBisseck opens the account, then Pio and Zielinski score. Chivu keeps climbing the table: ‘Our best version.’Roma ...
Kurtley Beale's 'unfinished business' 17 years after Test debut
Kurtley Beale is honoured and humbled to be back in the Wallabies squad, 17 years after his Test debut, but the veteran utility back isn't there to hold pads -- he is adamant he can still add value.
Roxie Nafousi’s 5 Biggest Business Lessons From Closing Her Fragrance Brand
The manifestation expert thought her established following and personal development business would provide the foundations for a successful fragrance line. The reality of building a consumer business was far more complicated.
How a high school science teacher stumbled upon the 1st known T. Rex trackway
A teacher has discovered the first known trackway of an adult T. Rex, which could shed new light on how the iconic dinos moved around the planet more than 66.5 million years ago.
Across Southwest Ohio, voters pushed back against data centers — and politicians who support them
The backlash against data centers can be seen in the election results in Urbana, Piqua and Wilmington.
Inside White Dwarf 530 – The forces of the Ten Thousand unleashed
Get your first look inside November’s issue of the official Warhammer magazine.
Ian Wright Stunned Liverpool Were Not Awarded Spot Kick
The Arsenal legend admits the Gunners escaped punishment at Anfield after Jurriën Timber’s controversial challenge on Alexander Isak went unpunished during a historic defensive masterclass.
Here's the Food Named the Healthiest in the World by Science, and You Can Grow It on Your Windowsill
Not kale, not blueberries: the peppery green that topped a CDC-published ranking, and how to grow it at home. Every few years, a new superfood takes over grocery aisles and social feeds. Kale had its moment, then blueberries, then avocado. But when a researcher ranked fruits and vegetables by how many nutrients they deliver per calorie,...
Mississippi prison health vendor fell short of contract requirements, watchdog finds
Mississippi’s prison healthcare provider has not met the requirements of its contract, according a report published Monday by the state’s legislative watchdog committee.
Flutter Entertainment plc 2026 Q3 - Results
2026-11-04. The following slide deck was published by Flutter Entertainment plc in conjunction with their 2026 Q3 earnings call.
Speech Delivered at the 8th Global Forum of Leaders for Agricultural Science and Technology (GLAST 2026) Theme: Shaping Future Agriculture with Science & Innovation; How can technology and global partnerships enable future agriculture, By H.E. Ambassador Alhaji Sarjoh Bah, PhD Permanent Representative of the AU to the People's Republic of China, Sanya— 2 November 2026-African Union
Distinguished President Huang Sanwen, President of the Chinese Academy of Agricultural Sciences; My Brother Professor Felix Dapare Dakora, Excellencies, Distinguished Heads of Agricultural Academies and Research Institutions, Representatives of the Food and Agriculture Organization, the CGIAR and IAEA Ladies and Gentlemen. Good morning. It is my great honour to be with you in this majestic city of Sanya, in Hainan Province to participate in the 8th Global Forum of Leaders for Agricultural Science and Technology, hosted by the Chinese Academy of Agricultural Sciences. I thank the Chinese Academy of Agricultural Sciences for the invitation, and for having kept this forum going since 2006. Few gatherings bring together so many agricultural institutions from so many regions like GLAST. Let me, from the outset, on behalf of H.E. Mahmoud Ali Youssouf, Chairperson of the AU Commission, commend H.E. President Xi Jinping for his strong and clear leadership, which continues to deepen China-Africa relations. As we meet here today, China, under the able leadership of President Xi, is celebrating its two miracles of rapid economic growth and long-term social stability.
The Last Disney+ Original?
(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) Before we get going, I wanted to remind readers about how I plan to keep your trust while I add advertising to this newsletter. As you’ve no doubt noticed, I’m running ads now, but the danger is that it could impact my analysis and writing. I have a list of sponsors on my About Page, so if you think I’m biased, you can check out who’s sponsored this newsletter! This is something that I’m not sure anyone else in digital media does (if you’re a writer or media outlet and you do this, let me know and I’ll shout you out!) but it’s something I’d love to see embraced by the entire industry. Sunlight, i.e. transparency, is often the best disinfectant. Okay, on to this week’s issue. We (finally) have another major Disney+ TV show to talk about, so that’s my main focus for today. Plus, we had a lot of new shows come out, including the fourth seasons of The Diplomat and Tulsa King! And Love is Blind! The Lowdown! Also, four (four!) straight-to-streaming films came out this week, featuring a lot of big names and celebrities, so I’m going to look at those. All that, mixed news for the WNBA, Reacher ends its run on the charts, Skydance does well in September viewership, NYU’s Sundance dominance, all the flops, bombs and misses, and a whole lot more. Let’s dive right in! (Reminder: The streaming ratings report focuses on the U.S. market and compiles data from Nielsen’s weekly top ten viewership ranks, Luminate’s Top Ten Data, JustWatch and Reelgood interest data, Samba TV household viewership, company datecdotes, Netflix hours viewed data, Google Trends, and IMDb to determine the most popular content. While most data points are current, Nielsen’s data covers the weeks of October 12th to October 18th, 2026. You can find a link to my terminology here.) Subscribe Television - Disney+’s Porridge Problem Listen, per my headline, VisionQuest isn’t the last Disney+ Original. At least, I’m pretty sure it’s not. They have other MCU shows in development. Well, maybe one: But it sure feels like the end of an era. I’d call it their “porridge too hot” era, to quote myself from The Ringer. I told Ben Lindbergh that Disney+ seemingly couldn’t figure out the right amount of content. In the heights of the Streaming Bubble Era (circa 2019 to 2022), they started releasing an insane amount of TV shows. After their growth slowed, they’re down to two or three shows a year, and that might be down to 1 by 2027. Here’s my TV shows by year chart: Even at the time, I thought Disney was making too many shows (that cost too much). Today? They’re definitely making too few shows (though the budgets are more in check, at least according to the reporting). Porridge too hot, porridge too cold; too many shows, now not enough. Which makes evaluating VisionQuest so interesting. This show didn’t have a great lead-in, whether it be a Marvel Cinematic Universe film (the last non-Sony-produced-Spider-Man flick came out The Fantastic Four from July of 2025) or Marvel Cinematic Universe TV show (the two this year were Wonder Man back in January and _Daredevil: Born Again_in May, both of which underwhelmed). And so far, VisionQuest hasn’t quite recaptured the MCU Originals glory, but it has some signs of sparks. First, it made Samba TV, though at a lowly ninth place. At least it made it, a feat some other Marvel shows didn’t accomplish. (Ironheart landed on the Samba TV charts one week at tenth place, but Wonder Man and Daredevil: Born Again both missed.) VisionQuest also made Luminate, though with only 3.0 and 7.6 million hours. But it missed Nielsen in its first week. The best news might be its 7.8 on IMDb, on 12K reviews so far, great numbers, even for a superhero show. Looking at those numbers, this show will really need to pick up in future weeks—and it may since it’s coming out weekly—or Disney will have another disappointment on its hands. Disney+ binge-released their last few shows to try to boost numbers, but that meant shows like Iron Heart and Wonder Man didn’t last long on the charts. _Daredevil: Born Again’s_last season missed entirely (though it came out weekly). Here’s the Disney+ Originals by totals: And for a fun new look, here are those same shows, rearranged by the years they came out: That really shows that, in addition to Disney+ releasing fewer shows, those shows just don’t hit like they once did. If I had to offer one main explanation, it’s that Marvel Studios moved away from characters who starred in the Avengersmovies (The Scarlett Witch, Vision, Hawkeye, Loki, Falcon, Winter Soldier) to characters who didn’t (Moon Knight, She-Hulk, Iron Heart, Wonder Man, Daredevil). It sounds trite, but more popular IP tends to do better than less popular IP. In Marvel’s case, beloved, decades-old characters trump newer ones. And yes, I think this is a problem for Disney. The failure of Marvel TV shows to linger for weeks on the charts, unlike in 2021 and 2022, explains why Disney’s share of the charts has plummeted: That’s a strategic issue. Yes, these shows are really expensive, but without them, Disney+ will struggle, especially if Disney+ keeps raising prices AND licenses out its shows non-exclusively. My recommendation? Return to the core value proposition, which is Disney+ as “genre HBO”. The goal is six shows a year, coming out weekly, spaced out throughout the year. When a show hits, keep it coming back. Make three to four of those shows Marvel or Star Wars, and fill out the rest with IP swings like Percy Jackson, Goosebumps or something like National Treasure. And make YA-skewing shows like Coven Academy to fill out the schedule. Disney, you can get this porridge just right, er, make the right number of shows. Quick Notes on TV Netflix’s sophomore, er, junior, er, senior season slump abated very, very slightly this week. I speak of The Diplomat, which returned for its fourth season on 15-Oct. Credit where credit is due, this show debuted in April of 2023, and has put out new seasons every year since. Has that helped the viewership? Not really. This season opened to 16.4 million hours, which is down significantly from the first season (21.7 million hours) and down somewhat from the second season (18.0 million hours), but it is up from last year’s 14.2 million hours opening. On Samba TV, it opened to third place; that’s also very good. On Luminate, it opened to 25.0 million hours, which is good, but over thirty million hours is a hit on that platform. Netflix wisely renewed it, since it’s steady and, frankly, Netflix needs hits.1 Paramount+ put out Tulsa King’s fourth season on a Friday. After putting out most of their big, usually-Taylor Sheridan-scripted shows out on Sundays last year, they’ve clearly moved to Fridays going forward. Was this a thought-out strategic change, Netflix mimicry, or a data-inspired move? Tough to say. Fridays are crowded with new movies, but so are Sundays with new shows. Anyways, this one is coming out weekly, and we haven’t seen it hit the Nielsen or Luminate charts yet. But it did make Samba TV at fifth place, which is a good opening. Still, if this doesn’t make Luminate or Nielsen next week, I’d call it a disappointment. Netflix had two unscripted shows hit the charts this week, one a docu-series and one a reality competition show. Tyson is a four-episode docu-series about one of boxing’s most popular fighters, and it made both the Samba TV and Luminate charts, but not Nielsen. That’s a solid run for only four episodes (assuming it didn’t cost an arm and a leg to produce). Netflix’s latest season of Love Is Blind also returned for its eleventh season, which opened to 10.0 million hours, down from previous seasons. It also had 11.0 million hours according to Luminate, roughly in line with the Nielsen numbers. Last issue, I analyzed the triple successes of Below, Carrie and Crystal Lake, noting that all three have done well. I mostly used Nielsen, but all three shows also made Samba TV (see above). Crystal Lake in particular did very well on Luminate, getting 35.0 million hours, top for Peacock among first seasons: The top “show” of the week would have been Thursday Night Football again, at 41.7 million hours. This is still above last year’s game, but it continues the season’s overall downward trend, which happens every year. (Though a big week is coming, based on the news stories I’ve seen.) As I said before, I’ll do a deeper dive on all the October games later this month, with comparisons to previous years. One company is quietly on a roll, when you consider the shows it makes and streams. I speak of Skydance—a point Variety made—noting that it produces Neagley and Reacher for Amazon, along with Paramount+’s Lioness, which means it produced three of the top four shows of September according to Nielsen. By the way, Neagley fell off the Nielsen charts after four weeks, which is a pinch short for how well it started, but it’s still a huge success. (Interestingly, it finished just 7.3 million hours ahead of the cancelled Ride or Die.) The point, though, which I’ve made before, is that Prime Video still has a problem with how many co-productions it buys, most notably _The Boys_from Sony and Reacher/Jack Ryan from Skydance. It’s not a critical flaw—everyone licenses shows—but Amazon still struggles to make its own hits. Reacher finally fell off the Nielsen charts, so here’s its final rank for season four: We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… ...An example of the algorithm NOT picking a film… …whether or not Netflix buys shows simply for the movie poster… ...if East of Eden is above the Obliterated Line... ...what four star-studded straight-to-streaming films didn’t chart... ...and a whole lot more... ...please subscribe! We can only keep doing this great work with your support. If you want an idea of just how much content you’d get in a full issue, check out this older issue.
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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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