Category: Health

  • MIL-OSI: America First Healthcare Reviews: What Clients Are Saying About Their Coverage

    Source: GlobeNewswire (MIL-OSI)

    ORLANDO, Fla., May 22, 2025 (GLOBE NEWSWIRE) — Americans praise transparency, compassion, and real savings in a marketplace plagued by confusion and mistrust.

    More than ever, they’re turning to private health insurance solutions that prioritize honesty, affordability, and clarity as the U.S. healthcare landscape changes. One Florida-based company, America First Healthcare, is gaining traction for doing just that, and verified reviews from both the Better Business Bureau (BBB) and Trustpilot suggest that clients are noticing the difference.

    Founded by entrepreneur Jordan Sarmiento after a personal medical crisis left him with $95,000 in hospital bills, America First Healthcare was built to give Americans a straightforward, trustworthy path to health coverage. Sarmiento says, “I created this company so no one else would have to go through what I did. I used to feel helpless, overwhelmed, and unprotected.”

    And according to dozens of clients, that mission is succeeding.

    Customers have shared detailed accounts of exceptional service on the Better Business Bureau, where America First Healthcare is BBB-accredited with an A rating. In one verified five-star review, a customer wrote:

    “Daniel was extremely helpful and answered every question I had. He thoroughly explained my coverage options and was very pleasant. Would definitely recommend America First Healthcare.” – BBB Verified Reviewer, December 2024

    Based on verified reviews, America First Healthcare holds a TrustScore of over four stars with more than 90% positive reviews on Trustpilot. One recent reviewer enjoyed their experience with the company:

    I want to extend my sincere appreciation to Alejandro Ustariz for his outstanding service and support in helping me secure excellent dental insurance coverage. From the very beginning, he was knowledgeable, patient, and attentive to my specific needs. He spent ample amount of time to explain all the available options in a clear and understandable way, ensuring I made an informed decision. – Verified Trustpilot Review, May 1 2025

    Another client wrote:

    “I want to extend my sincere appreciation to Alejandro Ustariz for his outstanding service and support in helping me secure excellent dental insurance coverage. From the very beginning, he was knowledgeable, patient, and attentive to my specific needs. He spent ample amount of time to explain all the available options in a clear and understandable way, ensuring I made an informed decision.” – Verified Trustpilot Review, February 2024

    Sarmiento, who founded the company with a belief in small government and free-market healthcare solutions, has made it clear that America First Healthcare’s goal is not just to sell policies, but to rebuild trust in private insurance.

    The founder, Sarmiento, says “Our advisors aren’t taught to close deals, they’re taught to care,” said Sarmiento. “We listen before we recommend. We explain without jargon. And we serve people like they matter. Because they do.”

    With a growing footprint nationwide and a client base that includes families, small business owners, and independent contractors, the company is quickly becoming a voice for Americans seeking health insurance without the games.

    Jordan Sarmiento and America First Healthcare are changing the tone of health insurance, one honest conversation at a time.

    ABOUT AMERICA FIRST HEALTHCARE
    America First Healthcare is a private health insurance agency headquartered in Orlando, Florida. It is dedicated to helping Americans find honest, affordable healthcare coverage that works for their needs, not against them. Founded in 2021, the company believes in transparency, values-first service, and putting people over profits.

    MEDIA CONTACT
    Jordan Sarmiento
    Founder & CEO, America First Healthcare
    Email: info@americafirsthealthcare.com
    Address: 7700 Southland Blvd, Orlando, FL 32809
    Website: https://americafirsthealthcare.com

    Legal Disclaimer: This media platform provides the content of this article on an “as-is” basis, without any warranties or representations of any kind, express or implied. We assume no responsibility for any inaccuracies, errors, or omissions. We do not assume any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information presented herein. Any concerns, complaints, or copyright issues related to this article should be directed to the content provider mentioned above.

    The MIL Network

  • MIL-OSI United Kingdom: experts comment on the Enhanced Games

    Source: United Kingdom – Executive Government & Departments

    Scientists comment on the Enhanced Games and performance-enhancing drugs (PEDs).

    Dr Martin Chandler and Professor Ian Boardley from the University of Birmingham said:

    “The organisers of the Enhanced Games are promoting the idea that performance-enhancing drugs (PEDs) can be used safely, and that humanity has a duty to explore their potential to maximise human performance. To advance this agenda, they propose an alternative to the Olympic Games — the Enhanced Games — in which athletes will be actively encouraged to use substances and methods that are prohibited in the Olympics and most professional sports. They claim athlete safety can be ensured through health monitoring and other support measures, although details on these remain limited.

    “A major issue with implementing health safeguards for athletes using substances such as anabolic steroids or erythropoietin is the lack of a reliable evidence base to inform these measures. This includes insufficient data on the potential side effects of these drugs and how to mitigate them. In our recent paper (see below) we argue that such an evidence base does not currently exist, and that crucial information on the effects of commonly used PEDs is missing. For instance, it is known that anabolic steroid use can lead to heart enlargement, often accompanied by stiffening of the heart wall and thickening of the blood. These changes can impair heart function and increase the risk of heart attacks. However, we lack detailed knowledge about how different types of anabolic steroids, specific dosing regimens, and usage patterns relate to these cardiac effects.

    “The limited evidence available — mostly observational rather than experimental — suggests that while some individuals experience severe side effects, others do not, and we have little understanding of why. Similarly, some users develop long-term issues that progress slowly, while others experience short-term effects that resolve quickly. Again, we lack sufficient data to predict these outcomes. The situation is further complicated when athletes use novel substances with minimal human data (e.g., research peptides, selective androgen receptor modulators [SARMs]) or combine multiple PEDs — a common practice among users. As such, there is currently no robust evidence base to support the Enhanced Games’ proposed safety protocols.

    “Another concern is that the performance-enhancing effects of PEDs take time to develop, requiring use well in advance of competition. If the Enhanced Games are serious about athlete safety, they would need to provide comprehensive medical oversight starting now and continuing well beyond the conclusion of the Games. It is unclear how they plan to manage this, or how they intend to address serious side effects in athletes to whom they have provided PEDs. As it stands, the Enhanced Games resemble a poorly designed drug trial lacking ethical oversight, rather than a credible alternative to the Olympic Games.”

    Reference:

    Martin Chandler and Ian Boardley (2025) ‘Harm reduction in the Enhanced Games: Can performance enhancing drugs be ‘safe’?’ Performance Enhancement & Health

    https://doi.org/10.1016/j.peh.2025.100341

    https://www.enhanced.com/

    Declared interests

    Professor Ian Boardley has received funding for research from WADA, UKAD, and Dr Martin Chandler is on UKAD’s Innovation Commission.

    MIL OSI United Kingdom

  • MIL-OSI New Zealand: Budget 2025 – ProCare concerned by 12-month prescribing extension in Budget 2025

    Source: ProCare

    ProCare, Aotearoa New Zealand’s largest network of general practices, is concerned that the Government has chosen to disregard sector feedback by announcing a full 12-month repeat prescribing extension in Budget 2025, bypassing a more balanced 6-month approach recommended in formal submissions made in October 2024.

    ProCare’s submission to Manatū Hauora in October 2024 made a strong case for a staged approach, recommending a 6-month limit in the first instance, with potential for further extension once safety and equity impacts were evaluated.

    Bindi Norwell, Chief Executive at ProCare says: “While we acknowledge the Government’s intention to ease pressure on the health system and reduce costs for patients, we remain deeply concerned about the patient safety implications, equity risks, and unintended consequences for the primary care workforce.

    “We believe a 6-month prescribing model would have achieved a much better balance. It would have reduced unnecessary appointments and made access easier for patients, without undermining the crucial relationship between patients and their primary care teams,” continues Norwell.

    ProCare supports increased efficiency in repeat prescribing, but believes that 12-month prescriptions risk reducing proactive clinical oversight, particularly for patients with long-term or complex health conditions. We are particularly concerned for some of our vulnerable communities with limited health literacy or those with minimal engagement with general practice.

    Dr Allan Moffitt, Clinical Director at ProCare says: “General practices are already under significant pressure. This change risks creating longer and more complex consultations down the line, and may reduce opportunities to catch early signs of deterioration in a patient’s condition. We also have questions around the allocation of the $10 million allocated, and if it is going to mainly cover technical changes, rather than educating patients on the need to maintain strong relationships with their General Practice care teams.”

    ProCare warns it may destabilise continuity of care without clear guidelines and appropriate wraparound support like clinical pharmacist follow-up or nurse-led monitoring.

    Bindi Norwell says: “This isn’t about resisting change. It’s about making sure we get it right for patients – the devil will be in the details, and our priority will be ensuring high-quality, clinically appropriate care for patients. Primary care must remain the front door of the health system, not a check-out aisle.”

    ProCare remains committed to working with Government to ensure that patient safety, health equity, and system sustainability are protected as these changes roll out.

    About ProCare

    ProCare is a leading healthcare provider that aims to deliver the most progressive, pro-active and equitable health and wellbeing services in Aotearoa. We do this through our clinical support services, mental health and wellness services, virtual/tele health, mobile health, smoking cessation and by taking a population health and equity approach to our mahi. As New Zealand’s largest Primary Health Organisation, we represent a network of general practice teams and healthcare professionals who provide care to nearly 700,000 patients across Auckland. These practices serve the largest Pacific and South Asian populations enrolled in general practice and the largest Māori population in Tāmaki Makaurau. For more information go to www.procare.co.nz

    MIL OSI New Zealand News

  • MIL-OSI Russia: PISH Polytechnic is in the first group of the best Advanced Engineering Schools of Russia

    Translation. Region: Russian Federal

    Source: Peter the Great St Petersburg Polytechnic University – Peter the Great St Petersburg Polytechnic University –

    The Digital Engineering School of Peter the Great St. Petersburg Polytechnic University entered the first group ranking of leading engineering schools in Russia. It reflects the quality of educational programs, scientific research, the degree of development of the development program and the management system. The rating is a guideline for school teams and their technology partners, in which areas they need to improve and develop their activities.

    The first group consists of:

    Moscow Institute of Physics and Technology (Moscow) National Research University ITMO (Saint Petersburg) Bauman Moscow State Technical University (Moscow) Peter the Great St. Petersburg Polytechnic University (Saint Petersburg) National University of Science and Technology MISIS (Moscow) Samara State Medical University (Samara) Southern Federal University (Rostov-on-Don) Ural Federal University named after the first President of Russia B.N. Yeltsin (Ekaterinburg) Kazan (Volga Region) Federal University (Kazan) National Research Tomsk State University (Tomsk)

    Along with the universities of the Ministry of Education and Science, the first wave of the project included universities of the Ministry of Health, the Ministry of Agriculture, and the Ministry of Digital Development, which already at the start of the project allowed for more comprehensive coverage of key sectors of the economy. The focus of the leading engineering schools and their technology partners was on strategically important areas, including automation and artificial intelligence, digital twins and new materials, optimization of technological processes, and unmanned aircraft systems. It is important that working with leading engineering schools has greatly interested businesses, so while the volume of state funding for the first wave of schools over three years amounted to 25.1 billion rubles, extra-budgetary investments amounted to 33.3 billion rubles, noted the head of the Russian Ministry of Education and Science, Valery Falkov.

    The PISH rating, formed based on the results of defenses, will allow us to further monitor the dynamics of the development of leading engineering schools.

    Let us recall that on May 15, 2025, the Advanced Engineering School of SPbPU at the Council for the consideration of issues and coordination of the activities of the Advanced Engineering School presented the results of its work and development plans for two and a half years.

    The program of the SPbPU PIS “Digital Engineering” allowed us to open many new modern laboratories and scientific and educational spaces at our university, develop and launch new master’s and additional professional education programs in relevant engineering areas. I would like to note that the SPbPU PIS also expanded its effective and systematic interaction with industrial partners – high-tech companies and corporations. In addition, it was in the “Digital Engineering” PIS that the qualified partnership model was successfully tested, which formed the basis of the SPbPU development program until 2030 and in the long term until 2036. Formed teams with competencies and experience in solving breakthrough scientific and technological problems, the created scientific and scientific-technological reserve and the established effective qualified partnership with industry will help us make a breakthrough in the scientific and technological sphere, aimed at ensuring the technological leadership of our country, – commented the rector of Peter the Great St. Petersburg Polytechnic University, chairman of the St. Petersburg branch of the Russian Academy of Sciences Andrey Rudskoy.

    As a representative of the company – industrial partner of the SPbPU PISh, Director of the Department of Scientific and Technical Activities of JSC TVEL Alexey Shishkin noted: Fuel Company TVEL has been a strategic partner of the SPbPU PISh “Digital Engineering” since the beginning of the federal project Advanced Engineering Schools. Two and a half years of our joint activities have convincingly proven that the synergy of the competencies of the country’s leading polytechnic university and a high-tech company yields outstanding results, both in the field of training engineering personnel and in terms of R & D implementation. Already in 2024, graduates of the Master’s program of the Advanced Engineering School “Digital Engineering” were employed by the company “Centrotech-Engineering”, which is part of the management circuit of Fuel Company TVEL. Training at the SPbPU PISh gives young engineers a unique opportunity to use and implement the latest technologies in their activities, influencing the development of the nuclear industry. We are especially pleased that it was with the specialists of the Advanced Engineering School of SPbPU that at the end of 2024 we successfully completed a three-year project that was significant for TVEL Fuel Company and the entire nuclear industry – the development of digital twins of fuel assemblies for water-moderated nuclear reactors – TVS-K PWR and TVS WWER.

    The implementation of the strategic initiative of the Government of the Russian Federation “Advanced Engineering Schools” in the period from 2022 to 2024 was carried out within the framework of the federal project “Advanced Engineering Schools” of the state program “Scientific and Technological Development of the Russian Federation”. Since 2025, the continuity of the activities of the project “Advanced Engineering Schools” has been ensured by including them in the federal project “Universities for the Generation of Leaders” of the national project “Youth and Children”.

    Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.

    MIL OSI Russia News

  • MIL-OSI USA: Republican Tax Plan Fails in Budget Committee as Rep. Peters Urges Fiscal Sanity

    Source: United States House of Representatives – Congressman Scott Peters (52nd District of California)

    Washington, D.C — Today, the House Budget Committee rejected the Republican tax plan, which will kick 13.7 million Americans off of their healthcare, by a vote of 21-16, with all Democrats and five Republicans voting against. During the committee’s consideration of the bill, Representative Peters urged his colleagues who have traditionally preached fiscal conservatism to reject the bill because it adds to the massive government debt and annual deficits. Many of the Republicans who voted no echoed Rep. Peters’ fiscal concerns. The Budget Committee is expected to reconsider the legislation on Sunday evening.

     

    During his remarks, Rep. Peters stated, “Unfortunately, this is from a budget perspective, a disaster for the United States, despite the flowery language you hear. Every year this country has been racking up $2 trillion of debt because we don’t pay our expenses. And that means, the national debt, unless we do something about that, will grow from 36 to 38 to 40 to 42 trillion. And despite all the cuts you hear about, none of them are applied to lowering that annual deficit number that adds to our national debt, not any of them.” 

     

    He continued, “Scott Besant, the Treasury Secretary, says we need to get our deficits down to 3% of GDP to dig out of this hole. Today, without this law, that’s going to take about $7 trillion of savings and revenues over the next 10 years. But when you add in the cost of this bill, this budget busting bill, that number goes to $11 to $12 trillion, we’re going to have to save over the next 10 years. This is not going in the right direction at all. 

     

    And he concluded, “The tax gap, the difference between what is owed and what we collect, is $697 billion. And what are we doing about that? We see DOGE cutting the IRS’s ability to collect taxes. This is irresponsible. It’s the wrong thing to do budget. We need a bipartisan process that deals with this honestly, with revenues and cuts. We don’t have it. Please vote this down.” 

     

    Representative Peters is the co-author of the Fiscal Commission Act, legislation to create a bicameral, and open-doored commission to tackle our nation’s long-term debt, help us avoid automatic and across-the-board cuts to Social Security and Medicare, and secure a more prosperous future for our children. 

     

    CA-50 Medicaid Facts:  

    1.       156,100 people in the district rely on Medicaid for health coverage—that’s 20 percent of all district residents. 

    a.       34,700 children in the district are covered by Medicaid. 

    b.       17,700 seniors in the district are covered by Medicaid. 

    c.       64,900 adults in the district have Medicaid coverage through Medicaid expansion—that includes pregnant women who are able to access prenatal care sooner because of Medicaid expansion, parents, caretakers, veterans, people with substance use disorder and mental health treatment needs, and people with chronic conditions and disabilities. 

    2.       At least five hospitals in the district had negative operating margins in 2022. These hospitals would be especially hard-hit by cuts to Medicaid. For example: 

    a.       Scripps Mercy Hospital had a negative 25.3 percent operating margin—and nearly 22 percent of its revenue came from Medicaid. 

    b.       Sharp Coronado Hospital had a negative 3.5 percent operating margin—and over 36 percent of its revenue came from Medicaid. 

    c.       University of California San Diego Medical Center had a negative 2.4 percent operating margin—and nearly 19 percent of its revenue came from Medicaid. 

    3.       There are 54 health center delivery sites in the district that serve 529,944 patients. 

    4.       Those health centers and patients rely on Medicaid—statewide, 69 percent of health center patients rely on Medicaid for coverage. 

    5.       Health centers will not be able to stay open and provide the same care that they do today, with more uninsured and underinsured patients. They are already operating on thin margins—in 2023, nationally, nearly half of health centers had negative operating margins. 

    6.       Medicaid cuts put health centers at risk, including: 

    a.       Family Health Centers of San Diego 

    b.       Neighborhood Healthcare 

    c.       North County Health Project 

    d.       San Diego American Indian Health Centers 

    e.       St. Vincent De Paul Village 

      

    ### 

    MIL OSI USA News

  • MIL-Evening Report: Floods, fires and even terrorist attacks: how ready are our hospitals to cope when disaster strikes?

    Source: The Conversation (Au and NZ) – By Mitchell Sarkies, Senior Lecturer, Horizon Fellow and NHMRC Emerging Leadership Fellow at the Sydney School of Health Sciences, University of Sydney

    Floodwaters have engulfed large parts of New South Wales, with at least one person dead and almost 50,000 evacuated after days of heavy rainfall in a “one-in-500-year” flood event. The scale of the disaster is still unfolding and affected communities will be recovering for some time to come.

    One question worth asking is: how ready are our hospitals to cope when disaster strikes?

    A growing body of research, including our own, has looked at how hospitals might contend with disasters like floods, bushfires, heatwaves, cyclones or even mass injury events such as a stadium collapse. The answer? There’s room for improvement.

    Australia is already prone to natural disasters, which are expected to become more frequent and severe as the climate changes.

    Research around the world shows hospital administrators can better plan for how they’d cope if a disaster or terrorist attack wiped out their hospital’s capacity to function normally.

    When flood strikes, large parts of the hospital stop working

    In March 2022, rapidly rising floodwaters on Australia’s east coast posed an imminent threat to Ballina Hospital, on the NSW far north coast.

    With a few hours’ notice, staff safely evacuated the whole hospital to a nearby high school. This included 55 patients, essential equipment, supplies and medications.

    Our study documented this remarkable achievement via seven interviews with doctors and nurses integral to the evacuation.

    Several key themes emerged:

    • communication was disrupted: there was no mobile phone reception. Field hospital staff requested a satellite phone, but it was sent without any battery charge or a charging device
    • staff shortages: flooded roads prevented doctors and nurses from reaching the hospital. However, they could get to the high school field hospital, which still had road access
    • managing volunteers was tricky: community support was praised. However, there were so many volunteers, security was called to ensure volunteers didn’t get into spaces that would compromise the patient confidentiality, privacy and safety
    • patient tracking was a challenge: it was hard to keep track of vulnerable evacuated patients with cognitive decline or behavioural impairment
    • transport had to be improvised: cars, buses and taxis were used to transport equipment, medication and supplies
    • triage for patient transfers and discharging was crucial: health professionals prioritised less critical patients first, as they often make up the majority. By swiftly addressing their needs, staff could then concentrate on the smaller group of patients requiring intensive care.

    Some workers, dealing with their own personal losses during the evacuation, had to be sent home. One staff member told us:

    There were a couple of nursing staff who also lived within the flood risk area, and they had children at home, so we needed to let them go home.

    Another said:

    We did end up with almost too many people wanting to help, which is lovely, but it becomes a problem because we don’t need this many people.

    A third staff member said:

    Everybody was accounted for. We had a list of patients at one end and then when they got there, they put a new list of who was there and who was coming; that was all written on a big whiteboard.

    Disaster simulation: when a semi-trailer crash causes a stadium collapse

    Natural disasters aren’t the only kind of catastrophe for which hospitals must prepare.

    Our research has also looked at how hospitals might contend with a human-made disaster such as a mass casualty or injury event.

    Our team studied a mass casualty simulation exercise at one of Australia’s largest public hospitals.

    More than 200 hospital staff participated in the three‐hour long exercise, which simulated a semi‐trailer crashing into a stadium grandstand. Some 120 “patients” were taken to the hospital with crush, burn, smoke inhalation and other injuries.

    In the simulation, clinicians had to adapt quickly. New patients were continuously coming via the ambulance ramp and private cars.

    Participants had to make rapid collective decisions on treatment and transfers based on patient conditions and severity.

    During the exercise, additional random disruptive scenarios were introduced to test the clinicians’ ongoing responses. This included the city mayor repeatedly calling the Hospital Emergency Operations Centre for updates.

    Some key challenges included:

    • some of the hypothetical patients died from a lack of critical care equipment
    • an overwhelming number of minor injuries had to be managed
    • clinicians were uncertain about how many casualties were en route to the hospital and how many beds to make available for them
    • a shortage of orderlies to accompany transfers from the emergency department to surgical theatres or for scans
    • difficulties in keeping track of patients and bed allocations.

    We also observed hospital staff adapting to the situation. This included:

    • paediatricians treating adult patients with minor injuries
    • staff fast‐tracking triage
    • staff manually ventilating patients using a specialised resuscitation balloon when mechanical ventilation equipment was unavailable
    • running scans and imaging in batches instead of individually, due to the limited number of orderlies.

    A growing body of research

    Research shows that despite many hospitals having excellent, longstanding hospital disaster management plans, things can still go wrong. After the Fukushima nuclear accident in Japan, nearly half of evacuated stroke and renal failure patients died in vehicles or on arrival to another hospital.

    Learning from hospital responses to disasters can help hospitals prepare for the future.

    Overall, our research shows many Australian hospitals have excellent disaster preparedness planning. However, some areas require improvement well before disaster strikes. Adapting on-the-fly as your hospital is inundated with floodwater or struck by another disaster means things have been left too late.

    Faran Naru is the recipient of a Macquarie University Research Excellence Scholarship (20203593). He works for the Australian government’s National Emergency Management Agency. This article reflects his work as a researcher, not the views of his employer.

    Janet Long, Jeffrey Braithwaite, Kate Churruca, and Mitchell Sarkies do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. Floods, fires and even terrorist attacks: how ready are our hospitals to cope when disaster strikes? – https://theconversation.com/floods-fires-and-even-terrorist-attacks-how-ready-are-our-hospitals-to-cope-when-disaster-strikes-257318

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: Too many people with back pain call ambulances or visit the ED. Here’s why that’s a problem

    Source: The Conversation (Au and NZ) – By Simon Vella, Postdoctoral Research Fellow, Institute for Musculoskeletal Health, University of Sydney

    Rose Marinelli/Shutterstock

    Around 4 million Australians experience back problems and people are increasingly calling ambulances and presenting to emergency departments to manage back pain.

    Yet most of these cases of back pain don’t require emergency care. Back pain is a symptom rather than a disease. When symptoms last more than 12 weeks it is referred to as chronic back pain. The most common form of back pain is non-specific back pain – this term is given when no tissue or structure can be identified as the cause.

    Non-specific back pain usually best managed in primary care, by GPs and allied health professionals.

    Once people with non-serious back pain contact emergency health services, they are more likely to receive care that isn’t recommended and is considered low-value and, sometimes, harmful.

    This may include unnecessary laboratory investigations, such as blood tests, and imaging, such as x-rays, CT scans or MRIs. One-third of imaging requests for back pain in emergency departments aren’t clinically warranted and are judged as inappropriate.

    However, in some instances it is recommended that people with back pain contact an ambulance or present to the emergency department. This includes when back pain is a result of trauma, when people live alone without access to carers, when people have other complex presentations, and when people show signs of potentially serious conditions.

    Unnecessary hospital admissions are costly to the health system and can cause patients harm. Almost one in four (24%) of those admitted to hospital for back pain acquire infections or experience falls.

    Medications prescribed in hospital can also have negative consequences for the patient. Nearly one in ten patients with back pain are still taking opioids after discharge, with risk of dependency and overdose. One in three patients continue to use opioids one month after their emergency department visit.




    Read more:
    Opioids don’t relieve acute low back or neck pain – and can result in worse pain, new study finds


    The influx of back pain presentations to emergency health services also has ramifications for emergency department overcrowding and ambulance ramping. This means other ambulance patients cannot enter the emergency department and results in longer waiting times.

    Why is this happening?

    In primary health care, the management of back pain is well established in clinical practice guidelines. But emergency health services don’t have guidelines specific to low back pain. This is likely due to the lack of evidence from these settings (though the evidence-base has increased over the past five years).

    The lack of specific guidance means there is a high likelihood of people both missing out on the right care and receiving the wrong care.

    A key challenge for emergency clinicians is discriminating between patients with back pain that require emergency care from those who do not.

    One Australian study found 38% of patients in the emergency department who were initially diagnosed with non-serious back pain were later found to have a specific pathology, such as an infection, during hospital admission. In cases such as these, further diagnostic investigation and emergency care is necessary.

    But nearly half of ambulance and emergency department patients without serious pathology receive unnecessary care. Our recent study found 81% of people who presented to ambulance service with non-traumatic back pain were transferred to the emergency department.

    If you call an ambulance or go to an emergency department for non-specific back pain, you’re more likely to receive unnecessary care.
    Shutterstock

    Once in the emergency department, 46% of ambulance patients received opioids, 59% received imaging and 50% were admitted. However, it’s unclear what proportion actually required emergency department care.

    Clinicians are required to make quick decisions about patient care. For paramedics, limited scope of medications and access to community health services, particularly outside of business hours, ultimately leaves them with no other option but to transport the patient to hospital.

    Emergency department clinicians have to manage people with complex presentations and multiple conditions and address patient expectations about opioids and imaging. This can influence their decisions about care.

    How can emergency back pain care be improved?

    A key area for improvement is reducing the use of opioids. An New South Wales trial reduced opioid use for back pain in emergency departments by 43% by introducing a new model of care. The model involved clinician education, implementation of non-opioid provisions such as heat packs, and timely referrals to outpatient services such as specialist back clinics.

    This approach will now be scaled up to include 44 emergency departments across NSW. If successful, it could be rolled out across the country.

    Virtual hospitals have also been implemented to reduce in-person presentations to emergency departments for back pain, which often means people with back pain can receive care while remaining in their home. However, the effectiveness and safety of this new service has not yet been established, though research is underway.

    The Australian government has promised to open more Urgent Care Clinics, where people with urgent but not life-threatening complaints can be managed by a doctor, nurse, or in some cases, a physiotherapist. The service allows people with back pain to still receive in-person care while diverting them away from the emergency department. But while they seem like a good idea, we have little or no evidence on their value.

    To reduce the burden that back pain places on emergency health services, changes need to be made across all health system-levels. But these changes must be backed by reliable research evidence.

    Better information for patients and clinicians

    The general public needs to be aware when and where to seek appropriate care for back pain. This can be achieved through successful health promotion initiatives.

    For clinicians, specific guidelines for back pain need to be developed and implemented into ambulance and hospital emergency departments to improve decision-making and reduce unnecessary care escalation. Policymakers, health service managers and stakeholders need to revise current policy to align with the most recent evidence.

    Additionally, easy-to-access referral pathways need to be developed between emergency health and community health services to keep people with non-serious back pain out of hospital, to reduce their risk of receiving unnecessary and costly care.

    Simon Vella receives grant funding from HCF Research Foundation, Health Service Research Grant Scheme and the Australian Chiropractors Education Research Foundation. Simon is a board member of Chiropractic Australia Research Foundation.

    Christopher Maher has a research fellowship from National Health and Medical Research Council, grants from National Health and Medical Research Council, Medical Research Future Fund, New South Wales Health, Ramsay Hospital Research Foundation, HCF Research Foundation, ArthritisAustralia, Australian Rheumatology Association, Royal Prince Alfred Hospital, and Sao Paulo Research Foundation.

    Gustavo Machado has an investigator grant from the National Health and Medical Research Council. He also holds research grants from the National Health and Medical Research Council, Medical Research Future Fund, and HCF Research Foundation.

    ref. Too many people with back pain call ambulances or visit the ED. Here’s why that’s a problem – https://theconversation.com/too-many-people-with-back-pain-call-ambulances-or-visit-the-ed-heres-why-thats-a-problem-255776

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: As the Million Paws Walk takes its last lap, other charity fundraising events face serious challenges

    Source: The Conversation (Au and NZ) – By Matthew Wade, Lecturer in Social Inquiry, La Trobe University

    The RSPCA has announced this Sunday’s Million Paws Walk will be their last. The event has been celebrated across Australia since 1994, with more than 765,000 people and their 410,000 dogs having “laced up and leashed up” to raise money for animal welfare.

    Participation and fundraising have declined in recent years, with the RSPCA conceding

    The community fundraising landscape has changed dramatically since 2020, with rising costs and current cost of living pressures making it increasingly hard to sustain the event.

    They aren’t alone. A number of charitable events – and for-profit events such as music festivals – have been struggling to stay afloat.

    Regional charity events have been particularly impacted. For example, the Cancer Council’s popular Relay for Life was once a mainstay of regional towns. But while there were 194 Relay for Life events across Australia in 2015, this year there will only be 44.

    Unfortunately, our research indicates many events haven’t recovered from the triple whammy of COVID disruptions, rising costs and falling returns.

    Savvy strategy amid mounting challenges

    Contrary to any hasty assumptions about “wasteful” charities, our interviews with leaders from across 16 Australian charities suggest these organisations are relentlessly pragmatic.

    While advocacy and community engagement are important, almost all our participants made clear that fundraising is the top priority, with success measured “purely in dollars”.

    This single-minded focus is necessary to serve a charity’s core purpose.

    According to one charity event operations manager, their most impactful mental health programs “won’t run unless we’re providing that money for them”. Any unsuccessful event is thus quickly overhauled or jettisoned entirely.

    Charities also try to “gamify” fundraising to make it more exciting for participants. Public leaderboards, virtual badges and physical rewards can incentivise participants to fundraise. However, adopting these strategies can present technical and logistical hurdles, especially for smaller charities.

    Increasing burnout and trouble reaching youth

    Mass participation fundraising events are facing compounding challenges that ingenuity can’t resolve. The proportion of Australians donating to charities has steadily declined since 2011.

    And although overall numbers are gradually recovering, there are still fewer people formally volunteering today than at the peak in 2018.

    One charity CEO told us staff and volunteers were facing “a lot of burnout, because progress is slow, getting money in the door is hard”.

    Adding to these woes are difficulties in recruiting younger people as participants and volunteers. Even reaching them can be tricky. While many charities rely on Facebook, younger people are gravitating to platforms such as TikTok. Resource-limited charities can struggle to make the leap to build new audiences.

    While expressing immense gratitude, a fundraising manager at one of Australia’s biggest charities noted their volunteers “tend to skew quite older”.

    A CEO of a health-based charity likewise observed difficulty in finding long-term volunteers for future event planning, as people “aren’t necessarily wanting to give that high level of commitment”.

    Volunteer support is essential in making mass participation fundraisers feasible. One event fundraising coordinator told us, “There would be a lot more that would be going ahead if we had the volunteers to run them.”

    Some charities partner with schools to get young people more involved. Well-known examples include the Heart Foundation’s Jump Rope for Heart and World Vision’s 40 Hour Famine. Others, such as Kids in Philanthropy, are wholly dedicated to giving children the opportunity to perform acts of service.

    Rising costs and compliance hurdles

    While far from begrudging small businesses, our interviewees said key suppliers, such as food vendors and stage hire, are declining, raising prices, and sometimes proving less reliable. Only occasionally do charities receive “special treatment” via discounts or other favours.

    One event manager said, “Every year we have to make sacrifices and cuts.” This can impact participants’ experience, and therefore fundraising outcomes.

    Our respondents spoke mostly favourably about their relationships with local councils. But some lamented councils were less willing to provide small grants or in-kind support, such as waiving permit fees, compared to the past. And unpredictable concessions can make it hard to budget and plan for the long term.

    A number of interviewees highlighted traffic-related costs as a major and volatile drain on event budgets.

    An event manager from a youth-focused charity bemoaned that, due to regulation changes, their traffic control quote “went from $30,000 to $45,000 a month before the event”.

    Such fees can prevent events from growing to accommodate more participants, as moving locations and routes can drastically increase compliance costs.

    Similarly, one respondent noted how the cost of first aid “went through the roof post-COVID”.

    Another suggested popular fundraisers should be categorised as “hallmark” events in which state governments partially cover risk-management costs, such as police and ambulance services.

    Of course, participants’ wellbeing is non-negotiable for charities, and any reputational damage can have severe long-term consequences.

    This can even mean cancelling entire events due to risky weather conditions, with devastating impacts on fundraising outcomes.

    What will we lose if events disappear?

    The end of the iconic Million Paws Walk rings alarm bells for mass participation fundraising. The loss of these joyous occasions doesn’t just impact charities.

    These events offer social benefits, health benefits, and a profound therapeutic effect for participants directly affected by the cause.

    They are also an entry point for people to support charitable causes. For the time-poor and cash-strapped, a fun run is often more manageable than regular donations or volunteering commitments.

    The Million Paws Walk will be sorely missed, but let’s hope it isn’t the first of many. Events such as the Mother’s Day Classic, MS Australia’s Gong Ride, the Mito Foundation’s Bloody Long Walk and Neuroblastoma Australia’s Run2Cure, among others, serve vital fundraising and advocacy purposes.

    Catherine Palmer receives funding from the Australian Research Council.

    Kevin Filo, Matthew Wade, and Nicholas Hookway do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. As the Million Paws Walk takes its last lap, other charity fundraising events face serious challenges – https://theconversation.com/as-the-million-paws-walk-takes-its-last-lap-other-charity-fundraising-events-face-serious-challenges-257125

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: Could cold sores increase the risk of Alzheimer’s disease? A new study is no cause for panic

    Source: The Conversation (Au and NZ) – By Joyce Siette, Associate Professor | Deputy Director, The MARCS Institute for Brain, Behaviour, and Development, Western Sydney University

    And-One/Shutterstock

    A new study has found the herpes simplex virus type 1 (HSV-1), which causes cold sores, may be linked to the development of Alzheimer’s disease.

    This idea is not entirely new. Previous research has suggested there may be an association between HSV-1 and Alzheimer’s disease, the most common form of dementia.

    So what can we make of these new findings? And how strong is this link? Let’s take a look at the evidence.

    First, what is HSV-1?

    HSV-1 is a neurotropic virus, meaning it can infect nerve cells, which send and receive messages to and from the brain. It’s an extremely common virus. The World Health Organization estimates nearly two-thirds of the global population aged under 50 carries this virus, often unknowingly.

    An initial infection can cause mild to severe symptoms including fever, headache and muscle aches, and may manifest as blisters and ulcers around the mouth or lips.

    After this, HSV-1 typically lies dormant in the body’s nervous system, sometimes reactivating due to stress or illness. During reactivation, it can cause symptoms such as cold sores, although in many people it doesn’t cause any symptoms.

    What did the new research look at?

    In a study published this week in BMJ Open, researchers analysed data from hundreds of thousands of people drawn from a large United States health insurance dataset.

    They conducted a matched “case-control” analysis involving more than 340,000 adults aged 50 and older diagnosed with Alzheimer’s disease between 2006 and 2021. Each Alzheimer’s disease patient (a “case”) was matched to a control without a diagnosis of Alzheimer’s disease based on factors such as age, sex and geographic region, a method designed to reduce statistical bias.

    The team then examined how many of these people had a prior diagnosis of HSV-1 and whether they had been prescribed antiviral treatment for the infection.

    Alzheimer’s disease is the most common form of dementia.
    Nadino/Shutterstock

    Among people with Alzheimer’s disease, 0.44% had a previous HSV-1 diagnosis, compared to 0.24% of controls. This translates to an 80% increased relative risk of Alzheimer’s disease in those diagnosed with HSV-1, however the absolute numbers are small.

    The researchers also found people who received antiviral treatment for HSV-1 had roughly a 17% lower risk of developing Alzheimer’s disease compared to those who were untreated.

    Not a new hypothesis

    This isn’t the first time researchers have speculated about a viral role in Alzheimer’s disease. Earlier studies have detected HSV-1 DNA in postmortem brain tissues from people who had Alzheimer’s disease.

    Laboratory research has also shown HSV-1 can trigger amyloid-beta plaque accumulation in nerve cells and mouse brains. Amyloid-beta plaques are one of the defining features of Alzheimer’s disease pathology, so this has led to speculation that reactivation of the virus may contribute to brain inflammation or damage.

    But importantly, previous research and the current study show associations, not proof HSV-1 causes Alzheimer’s disease. These links do not confirm the virus initiates or drives disease progression.

    Some other important caveats

    The study relied on insurance claim data, which may not always reflect accurate or timely clinical diagnoses. HSV-1 is also frequently underdiagnosed, especially when symptoms are mild or absent. These points could explain why both the Alzheimer’s group and the control group saw such low rates of HSV-1, when population rates of this virus are estimated to be far higher.

    This means many carriers of HSV-1 in the study may have gone unrecorded and therefore makes the link harder to interpret clearly. The dataset also doesn’t capture how often people had recurring symptoms, or the severity or duration of infections – conditions which might influence risk more directly.

    Another complicating factor is people with HSV-1 might differ in other ways from those without it. Differences in health-care access, the health of a person’s immune system, lifestyle, genetics, or even education – could all influence Alzheimer’s disease risk.

    A variety of factors can influence a person’s risk of Alzheimer’s disease.
    sfam_photo/Shutterstock

    So should you be concerned if you have cold sores?

    The short answer is no – at least not based on current evidence. Most people with HSV-1 will never develop Alzheimer’s disease. The vast majority live with the virus without any serious neurological issues.

    The “herpes hypothesis” of Alzheimer’s disease is an interesting area for further research, but far from settled science. This study adds weight to the conversation but doesn’t offer a definitive answer.

    Alzheimer’s disease is a complex condition with multiple risk factors, including age, genetics, heart health, education, lifestyle and environmental exposures.

    Infections such as HSV-1 may be one part of a larger, interconnected puzzle, but they are highly unlikely to be the sole cause.

    With this in mind, the best thing to do is to focus on what we already know can help keep your brain healthy as you age. Regular physical activity, good quality sleep, social engagement, a balanced diet and managing stress can all support long-term brain health.

    Joyce Siette receives funding from the National Health and Medical Research Council on a Targeted Call for Research on cultural, ethnic and linguistic diversity in dementia research.

    ref. Could cold sores increase the risk of Alzheimer’s disease? A new study is no cause for panic – https://theconversation.com/could-cold-sores-increase-the-risk-of-alzheimers-disease-a-new-study-is-no-cause-for-panic-257140

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI Asia-Pac: Health centre contracts awarded

    Source: Hong Kong Information Services

    The service contract for Eastern District Health Centre (DHC) has been awarded to the Society for Rehabilitation, while the Yan Chai Hospital Board has been awarded the future service contract for Kwai Tsing DHC, the Health Bureau announced today. 

    Under the new contract, the existing Eastern DHC Express will be upgraded and the new DHC is expected to commence operations in the fourth quarter of this year. The existing service contract for Kwai Tsing DHC will expire in the third quarter. 

    The service contracts for the two DHCs were awarded via open tenders and will last for three years.

    The core centre of Eastern DHC will be located at Siu Sai Wan Health Integrated Building. It will comprise a floor area of about 1,000 sq m, which is about three times the size of the current Eastern DHC Express.

    The core centre will have additional consultation rooms, rehabilitation facilities and an audio-visual assessment room, and will include facilities for enhanced health education activities. The Society for Rehabilitation is to establish two satellite centres in the district within the first year of operation.

    The core centre of Kwai Tsing DHC will remain on 30/F, Tower 2 of Kowloon Commerce Centre, with main services including chronic disease management and community rehabilitation services being unchanged.

    Yan Chai Hospital Board is required to establish four satellite centres in the district within the first year of operation.

    Together with Eastern DHC, plus the two DHCs in Central & Western and Yau Tsim Mong Districts, the total number of DHCs across the city will increase to 10 this year.

    MIL OSI Asia Pacific News

  • MIL-OSI USA: Senator Scott Introduces Legislation to Expand School Choice

    US Senate News:

    Source: United States Senator for South Carolina Tim Scott
    WASHINGTON — U.S. Senator Tim Scott (R-S.C.) introduced the High-Quality Charter Schools Act to expand school choice by implementing a tax credit for qualified charitable contributions to nonprofit charter school organizations.
    In communities across the country, the demand for high-quality charter schools far exceeds the supply, due to the initial start-up cost of opening a new charter school, which can cost anywhere from $2 to $20 million. This legislation would establish a 75% federal tax credit for charitable contributions to nonprofit charter school organizations with a proven track record of excellence to fund the expansion of high-quality charter schools. 
    “No matter their background, race or zip-code, every child deserves access to a good school. Millions of families—including thousands across South Carolina—choose charter schools for the high-quality education they provide. Building a stronger America starts in our classrooms, and the High-Quality Charter Schools Act invests in a future where every student has the keys to unlock the American Dream,” said Senator Scott. “President Trump is delivering on his commitment to putting families first—this is promises made, promises kept. Together with the Educational Choice for Children Act, this legislation brings parents, educators, and communities together in the fight to ensure every child has a fair shot at success.”
    “Millions of parents whose children have been trapped in failing schools have reason for hope today, thanks to Senator Tim Scott,” said Eva Moskowitz, CEO and President, National Strategy and Advancement and the Founder of Success Academy, the country’s highest performing charter school network. “With the High-Quality Charter Schools Act and the Educational Choice for Children Act, Congress has a once-in-a-generation opportunity to put families first and deliver on the President’s promise of universal school choice. It’s hard to imagine a more meaningful policy than one that places parents, not bureaucrats, in charge; empowers American taxpayers, and unlocks private philanthropy to provide high quality schools for every kid that needs it.”
    “We are grateful to Senator Scott and Congresswoman Tenney for championing school choice and recognizing the value of high-quality public charter schools,” said Starlee Coleman, President and CEO of the National Alliance for Public Charter Schools. “By creating a tax credit to support the growth and expansion of charter schools with a proven track record of success, this legislation helps meet the overwhelming demand from families and ensures more students have access to great schools that meet their unique needs.”
    BACKGROUND
    As the co-chair of the Congressional School Choice Caucus and member of the Senate Health, Education, Labor and Pensions (HELP) Committee, Senator Scott is a leading advocate in transforming the nation’s education system and ensuring every student has access to a quality education.
    Throughout his time in public service, Senator Scott has worked to broaden quality educational opportunities for all. Senator Scott led colleagues in introducing the Educational Choice for Children Act (ECCA) to expand education freedom and opportunity for students.
    Senator Scott recognizes the positive strides charter schools have made to shape education in South Carolina and around the nation, and help the next generation achieve their American Dream. To that end, Senator Scott introduced a resolution recognizing charter schools’ contributions to the academic landscape during National Charter Schools Week.
    The full text of the High-Quality Charter Schools Act can be found here. 

    MIL OSI USA News

  • MIL-OSI Australia: Personal locator beacon activation – Larapinta trail

    Source: Northern Territory Police and Fire Services

    A 46-year-old hiker has been rescued from the Larapinta Trail following a multi-agency response to an activated Personal Locator Beacon (PLB) yesterday afternoon.

    Around 3pm, the Joint Emergency Services Communication Centre received notification that a PLB had been activated near the Hugh Gorge Junction. The beacon was registered to a woman known to be hiking the trail alone.

    The woman was able to contact emergency services via a two-way messaging device, advising she had sustained an ankle injury and was unable to continue walking.

    NT Police Search and Rescue Section (SRS), Parks and Wildlife and St John Ambulance coordinated a response and located the woman approximately 3.5km south of Hugh Gorge Junction. A St John Ambulance paramedic and a NT Police member were transported by helicopter to a nearby landing area and hiked 4.3 km to the woman’s location, where they remained overnight to provide care.

    This morning, NT Police members, Parks and Wildlife rangers and NT Emergency Service members drove to Hugh Gorge Junction and walked the 3.5km to the woman’s location. She was then carried back to Hugh Gorge on a stretcher and conveyed to Alice Springs Hospital for treatment to her ankle.

    Sergeant Matthew Hall said, “This is a clear example of how beneficial it is to be adequately prepared for hiking expeditions in the Territory.

    “Thanks to the hiker’s use of a PLB and communication device, we were able to quickly locate her and coordinate a safe and timely rescue.

    “We are very pleased with the outcome of this rescue and want to remind anyone who plans to explore the outdoors in the Territory to let people know you plans, buy a PLB or EPIRB and ensure you have enough food and water.”

    MIL OSI News

  • PM Modi to visit Rajasthan today, unveil development projects worth over ₹26,000 crore

    Source: Government of India

    Source: Government of India (4)

    Prime Minister Narendra Modi is scheduled to visit Rajasthan on Thursday, where he will inaugurate and lay the foundation stone for a series of development projects worth over ₹26,000 crore. The visit will include a public address in Palana, Bikaner, and a darshan at the Karni Mata Temple in Deshnoke around 11:00 AM.

    Focus on Rail Infrastructure

    As part of the day’s events, PM Modi will inaugurate the redeveloped Deshnoke Railway Station under the Amrit Bharat Station Scheme and flag off the Bikaner-Mumbai express train. He will also launch 103 redeveloped Amrit Stations across 86 districts in 18 states and union territories, developed at a cost of over ₹1,100 crore. These stations integrate modern passenger amenities with regionally inspired architecture and improved accessibility, including facilities for Divyangjan.

    Reflecting India’s diverse cultural fabric, stations like Deshnoke, Thawe, and Begumpet are being redesigned to showcase traditional architectural styles and local art forms as part of a nationwide revamp covering over 1,300 railway stations.

    The Prime Minister will also dedicate six electrified rail lines across Rajasthan and lay the foundation stone for the Churu–Sadulpur rail line. These electrification projects, covering nearly 1,000 km, support Indian Railways’ goal of 100% electrification for enhanced operational efficiency and reduced carbon emissions.

    Expansion of Road Network

    Significant investments in road infrastructure are also on the agenda, with PM Modi laying the foundation stone for three vehicle underpasses and several national highway upgrades. He will also dedicate seven major roadway projects in Rajasthan, collectively worth over ₹4,850 crore. These projects aim to improve connectivity to the Indo-Pak border, boosting both civilian mobility and national security.

    Push for Renewable Energy and Power Transmission

    The Prime Minister will further inaugurate and lay the foundation stones for several power and renewable energy projects, including large-scale solar energy developments in Bikaner and Didwana Kuchaman. Projects under PowerGrid Mewar and Sirohi Transmission Ltd will bolster energy evacuation systems. The expansion of solar and transmission capacity is expected to provide clean energy and support India’s climate goals.

    State Projects: Roads, Health, and Water Supply

    A total of 25 state government projects will also be inaugurated or launched during the visit. These include improvements to over 750 km of state highways, with an additional 900 km planned under future phases, at a cost exceeding ₹3,240 crore. In the health sector, PM Modi will inaugurate nursing colleges in Rajsamand, Pratapgarh, Bhilwara, and Dholpur to enhance medical education and local healthcare capacity.

    Water infrastructure projects will also feature prominently. These include the Rural Water Supply and Fluorosis Mitigation Project in Jhunjhunu and the restructuring of urban water supply schemes in seven towns of Pali district under the AMRUT 2.0 scheme.

    This visit comes as part of the government’s broader push to enhance infrastructure, connectivity, and clean energy development across India’s heartland, with Rajasthan at the centre of several strategic initiatives.

  • MIL-OSI Asia-Pac: Upgrading of Eastern District Health Centre Express to District Health Centre and change of Kwai Tsing District Health Centre operator announced

    Source: Hong Kong Government special administrative region

         The Health Bureau (HHB) announced today (May 22) that the operation service contract for the Eastern District Health Centre (DHC) has been awarded through open tender to the Hong Kong Society for Rehabilitation (HKSR) to upgrade the existing Eastern DHC Express (DHCE) to the Eastern DHC, which is expected to commence operations in the fourth quarter of this year. Meanwhile, the existing operation service contract for the Kwai Tsing DHC will expire in the third quarter this year.  After an open tender exercise, the HHB has awarded the operation service contract of the Kwai Tsing DHC to the Yan Chai Hospital Board. Both service contracts are for three years.
      
         The core centre of the Eastern DHC will be located at the Siu Sai Wan Health Integrated Building, 11 Harmony Road, Siu Sai Wan, Chai Wan, with a total floor area of about 1 000 square metres, representing an increase of about three times the size of the current Eastern DHCE. The core centre will provide additional consultation rooms, rehabilitation facilities and an audio-visual assessment room. Facilities for health education activities will also be enhanced. According to the operation service contract, the HKSR is required to establish two satellite centres in the district within the first year of operation to enhance service accessibility. The core centre and two satellite centres will operate six days a week with a minimum of 10 hours of service per day.

         Moreover, after changing the operator of the Kwai Tsing DHC, its core centre will remain on 30/F, Tower 2, Kowloon Commerce Centre, 51 Kwai Cheong Road, Kwai Chung. The main services provided, including chronic disease management and community rehabilitation services, will remain unchanged. Meanwhile, the satellite centres will be relocated. In accordance with the operation service contract, the Yan Chai Hospital Board is required to establish four satellite centres in the district within the first year of operation. The core centre and four satellite centres will operate six days a week with a minimum of 10 hours of service per day. 

         After changing the operator of the Kwai Tsing DHC, the existing members can continue to use the services of the DHC without the need for re-registration. The Primary Healthcare Commission (PHC Commission) will discuss with the relevant operators and implement the handover of the Kwai Tsing DHC services and premise to ensure a smooth transition. The PHC Commission will also discuss with the relevant operators and implement the transitional plan for upgrading the Eastern DHCE to a DHC. Both DHCs will continue to co-ordinate primary healthcare services in the districts, serving as case managers to support primary healthcare doctors while also acting as resource hubs for district healthcare services that connect various public and private service organisations across sectors in the community. The DHCs will continue to assist citizens in pairing with family doctors, providing comprehensive advice on disease prevention through the Life Course Preventive Care Plan, promoting the Chronic Disease Co-Care Pilot Scheme, as well as offering health education and promotion, health risk assessments, community rehabilitation services, dedicated nurse clinic and allied health services, and more.
     
         The Chief Executive announced in the 2024 Policy Address the upgrading of more DHCEs to DHCs. With the Eastern DHC, the Central and Western DHC and the Yau Tsim Mong DHC expected to commence operations within this year as announced earlier, the total number of DHCs across the city will increase to 10 this year. The PHC Commission will continue to implement the relevant upgrading plans to establish DHCs across the 18 districts at the earliest juncture, with a view to strengthening the prevention-oriented, district-based, and family-centric primary healthcare network.

    MIL OSI Asia Pacific News

  • MIL-OSI New Zealand: Minister of Finance’s Budget 2025 Speech

    Source: NZ Music Month takes to the streets

    Mr Speaker,
    I move that the Appropriation (2025/26 Estimates) Bill be now read a second time.
    Ahumairangi, Tangi Te Keo, tū te ao tū te pō. Te Whanganui-a-Tara, te karu waitai, piata mai nā. 
    Kei oku nui kei aku rahi, nōku te hōnore ki te whakamaunu i te tahua mō te tau nei, tēnā koutou katoa. 
    Mr Speaker,
    As I said in te reo Māori, it is an honour to announce this year’s Budget.
    This is a responsible Budget to secure New Zealand’s future.
    It supports the economic recovery now underway.
    It also takes a longer-term view, with initiatives to boost future investment, savings and growth.
    It continues this Government’s investment in health, education, and law and order.
    And, in a challenging global environment, it provides funding to boost New Zealand’s defence capability.
    It does all of this within an expenditure track that reduces government spending as a share of the economy, returns the government’s books to balance, and bends the debt curve from going up to going down.
    The economic outlook presented alongside this Budget is a bright one.
    After a tough few years, growth, jobs and wages are set to rise.
    The Government is not promising that today’s Budget will solve all New Zealanders’ problems.
    But we do promise that the decisions we are taking now will set our country up for a better future.
    Mr Speaker,
    The creation and delivery of an annual Budget is at the heart of strong and stable government.
    This Budget is a team effort.
    I want to acknowledge and thank the Associate Ministers of Finance David Seymour, Shane Jones and Chris Bishop for their ideas and advice.
    They were heavily involved in putting this Budget together, as was the Prime Minister, whose leadership and wise counsel was invaluable. Thank you, Prime Minister.
    Mr Speaker,
    In recent years, New Zealanders have battled through an extended period of high inflation, high interest rates and low growth.
    We know that times remain tough for many Kiwis.
    The good news is that – with strong economic and fiscal management – a recovery is underway.
    The recovery is being supported by lower interest rates and a strong export performance.
    And over the next few years, the Government’s new Investment Boost policy – which I will come to shortly – will have a positive impact on growth.
    Recent tariff announcements have created uncertainty and volatility around the world.
    For a small trading nation like New Zealand, the global situation is concerning.
    It doesn’t threaten the recovery, but it does threaten the pace of the recovery.
    The Treasury has pegged its forecasts back and downside risks remain.
    Despite this, Budget forecasts show economic growth picking up to healthy levels.
    Real GDP growth is expected to accelerate to 2.9 per cent in 2025/26 and 3 per cent in the year after. 
    Growth matters. It means more jobs, higher incomes and opportunities for families to get ahead.
    Over the forecast period, wages are expected to grow faster than inflation and, at the end of that period, there are expected to be 240,000 more people in jobs.
    Mr Speaker,
    The government’s books have taken a hammering over the past six years or so.
    Spending has risen sharply. So has government debt.
    The Budget deficit left by the previous Government is structural – it is not simply due to the state of the economy.
    In other words, the last Government was living beyond its means – loading up the credit card to pay for things New Zealand couldn’t afford. 
    This did real damage to the economy, as a massive spike in the cost of living led to high interest rates and low growth.
    This Government is taking responsibility for cleaning up the mess. 
    Under our fiscal management, Government debt will stabilise, then start to come down.
    And our control of spending creates room for monetary policy to respond with lower interest rates.
    There is no doubt that fiscal consolidation is challenging.
    Some would do it with higher taxes.
    That would burden New Zealand workers and businesses, and scare away talent and investment. It would put our economic recovery at risk.  
    This Government is taking a different approach – we are getting the books in balance by controlling growth in government spending.
    The operating allowance for Budget 2025 is $1.3 billion on average per annum.
    This is the lowest allowance in a decade, significantly down from the $2.4 billion allowance signalled in the Budget Policy Statement in December.
    That reduction of $1.1 billion goes straight to the bottom line. The Government’s headline operating balance indicator, OBEGALx, is $1.1 billion better each year, on average, than it otherwise would have been.
    In addition, the Treasury estimates that the tighter Budget package will see interest rates being 30 basis points lower than they otherwise would have been by the end of the forecast period.
    Importantly, that $1.3 billion allowance is a net figure.
    On the one hand, it encompasses $5 billion a year of new spending and $1.7 billion a year for Investment Boost. 
    On the other hand, it contains savings of $5.3 billion a year.
    These savings are the result of ongoing efforts by multiple Ministers. We take seriously our roles as custodians of taxpayers’ money.
    A significant portion of those savings come from changes to the pay equity regime.
    The changes were made to ensure future settlements stick to correcting pay discrepancies that arise from sex-based discrimination, and not for other reasons.
    Making those changes means the Government can re-purpose $2.7 billion a year, on average, towards Budget priorities like health, education, and law and order.
    That $2.7 billion had been put aside in contingencies for what, under the previous regime, were expected to be very wide-ranging pay equity claims, increasingly divorced from the sex-based discrimination that pay equity is supposed to be about. 
    A one-off $1.8 billion has also been repurposed from previous contingencies and put towards capital expenditure in this Budget, supporting investments in new hospitals, schools and other infrastructure.
    I can assure Members that adequate funding remains in contingency to meet potential costs of future public sector pay equity settlements under the new regime.
    And the Government anticipates there will be pay rises in female-dominated public-sector workforces achieved through normal collective bargaining. 
    The Government has also been able to find net savings by increasing funding for Inland Revenue’s compliance activities. Funding of $35 million a year is expected to result in $280 million of extra tax revenue – an 8 to 1 return on investment. This was an initiative proposed last Budget by New Zealand First and expanded in Budget 2025.
    Further savings have been made by closing a number of tagged contingencies and from reviewing the value for money of grants and funds across government.
    This is not austerity – far from it. In fact, it is what you do to avoid austerity.
    Getting the books in shape ensures New Zealand has financial security and choices in the future.
    As I am about to set out, savings in this Budget have allowed us to make much-needed investments in health, education, law and order, and rebuilding our Defence Force.
    Budget forecasts show that core Crown expenses are expected to remain steady, then decline as a percentage of GDP, reaching 30.9 per cent by 2028/29.
    The OBEGALx deficit is expected to widen in the near term, then gradually improve after next year, returning to a surplus of $200 million by the end of the forecast period.
    At that point, the structural deficit the previous Government left us will have been eliminated.
    Net core Crown debt is expected to peak at 46 per cent of GDP – slightly lower than forecast at the Half Year Update – before beginning to decline.
    As these forecasts show, the Government is taking a deliberate, medium-term approach to fiscal consolidation.
    I am aware there are alternative approaches.
    Some say we should keep on borrowing forever – whack it on the credit card and hope for the best.
    That would be the height of irresponsibility.  It would put the financial security of New Zealand at risk.
    We owe better to our kids.
    And to my own kids, sitting in the gallery today, I want to say that Mum’s been busy lately.
    But your future, and the future of the next generation of New Zealanders, has been very much on my mind as we’ve put this Budget together.
    Mr Speaker,
    New Zealand’s productivity challenges are well understood.
    Study after study has identified a low level of capital investment per worker, compared to other countries.
    To raise productivity, lift incomes and drive long-term economic growth, New Zealand needs businesses, big and small, to invest in machinery, tools, equipment, technology, vehicles, industrial buildings, and other capital assets.
    Investment Boost is a new tax incentive that will increase capital investment in New Zealand.
    Investment Boost allows a business to immediately deduct 20 per cent of the cost of a new asset from its taxable income, on top of depreciation. This means a much lower tax bill in the year of purchase.
    The remaining book value is depreciated at normal rates.
    Since a dollar now is more valuable than a future dollar, the cashflow from investments is more attractive and the after-tax returns are better.
    More investment opportunities stack up financially, so more will be made.
    Over 20 years, Investment Boost is expected to lift New Zealand’s capital stock by 1.6 per cent, GDP by 1 per cent and wages by 1.5 per cent.
    These are orders of magnitude, not precise values. But officials estimate that roughly half the impacts happen in the first five years.
    Investment Boost starts today and applies to new assets purchased in New Zealand as well as assets imported from overseas.
    It includes commercial buildings but excludes land, residential buildings, and assets already in use in New Zealand.
    There’s no cap on the value of new investments and all businesses, regardless of size, are eligible.
    It is estimated to cost an average of $1.7 billion per year in reduced revenue across the forecast period.
    To manufacturers, farmers, tradies and other Kiwi businesses, my message to you is this – our Government is helping you invest for your future and our country’s future.
    Mr Speaker,
    Continuing the growth theme, Budget 2025 funds a number of initiatives that contribute to the Government’s going for growth agenda.
    As I announced earlier this week, the Government has set aside $65 million to encourage foreign investment in New Zealand infrastructure, by increasing the amount of tax-deductible debt foreign investors can use to fund it.
    The Budget also supports the science and innovation reforms announced earlier this year. These include the move to transform Crown Research Institutes into three new public research organisations, establishing a dedicated gene technology regulator, and creating a new agency – Invest New Zealand – as the Government’s one-stop-shop for foreign direct investment.
    Other economic growth initiatives in this Budget include funding for screen production rebates, and additional funding for the Elevate NZ Venture Fund to invest in the technology start-up sector.
    Funding has also been set aside in contingency for potential Crown co-investment in new gas fields to ensure future supply.
    Mr Speaker,
    While KiwiSaver has helped a lot of New Zealanders to save, many people’s balances are modest.
    There would be few people who reach 65, look at their KiwiSaver balance and think “I wish I had saved less”.
    The same goes for those looking to buy their first home.
    Budget 2025 makes changes to encourage Kiwis to save more, while also making the scheme more fiscally sustainable.
    From 1 April 2026, the default rate of employee and employer contributions, which is currently 3 per cent, will go to 3.5 per cent. From 1 April 2028, it will go to 4 per cent.
    Phasing this in over a three-year period helps workers and employers plan ahead.
    The Government recognises that, over time, employer contributions may effectively form part of the wage negotiation process.
    Employees will be able to opt down to the current 3 per cent rate and still be matched by their employer at that lower rate.
    Their contributions will be reset to the default rate after 12 months, but they can opt down again if they wish.
    These changes – moving to a default contribution rate of 4 per cent but retaining a 3 per cent option – were also recommended last year by the Retirement Commissioner.
    From 1 April 2026, the Government will extend employer matching to 16- and 17- year-olds. And from 1 July 2025, it will make them eligible for the government contribution.
    This will encourage more young people to adopt a savings habit and help them build a deposit for their first home.
    Members may recall that the original KiwiSaver design included layers of expensive government subsidies that proved unaffordable.
    Most have since been wound back, apart from the government contribution, which is expected to cost an average of $1.2 billion a year over the forecast period.
    I am advised that the government contribution is unlikely to be increasing the amount New Zealanders save.
    To ensure that KiwiSaver’s costs to the taxpayer remain sustainable, this annual government contribution will be halved to 25 cents for each dollar a member contributes each year, up to a maximum government contribution of just over $260.
    Members with an income of more than $180,000 will no longer receive any government contribution.
    These changes to the government contribution will apply from 1 July 2025.
    They do not affect the current year’s government contribution, which will be paid out in July and August this year.
    Putting all these changes together, the KiwiSaver balances of employees contributing at the new default rate will grow faster than they do at the current 3 per cent default rate, providing a larger balance at age 65 or when people come to buy their first home.
    Savings from changes to the government contribution – which total $2.5 billion over the forecast period – are being used to fund other Budget priorities like health, education, and law and order.
    Mr Speaker,
    A number of Budget 2025 initiatives deliver targeted cost of living support.
    These include fiscally neutral changes to Working for Families to better target low- and middle-income families.
    From 1 April next year, the Government will raise the family income threshold for Working for Families to $44,900 a year and increase the abatement rate slightly to 27.5 per cent.
    As a result, families with incomes just above the new threshold will get an extra $23 per fortnight from Working for Families, with this additional support reducing gradually as family income rises.
    In all, an estimated 142,000 families with children will receive $14 more per fortnight on average, and the vast majority of these families will have incomes below $100,000 a year.  
    The cost of this extra support is met from better targeting the first year of the Best Start tax credit.
    From 1 April next year, the first year of Best Start will no longer be universal but will be income tested the same way the second and third years are, with payments ending completely when a family earns just over $97,000 a year.
    As a consequence, there will be families that receive less financial support than they otherwise would have, but the vast majority of these will have incomes over $100,000 a year.
    The change to Best Start only applies for births on or after 1 April 2026, so no family will see an actual reduction in their payments. And, as a mother of four, I can point out that we are giving prospective parents more than 9 months’ advance notice of this change.
    Mr Speaker,
    Another cost-of-living initiative relates to prescriptions.
    Getting a prescription for only three months at a time can be frustrating for people on stable, long-term medications like asthma inhalers, insulin for diabetes and blood pressure tablets.
    Getting a repeat prescription costs money and adds paperwork for doctors.
    Now, from the first quarter of 2026, New Zealanders will be able to get 12-month prescriptions for their medicines.
    That will save Kiwis medical costs, and it will give health professionals more time to deal with other patients.
    The Budget also helps up to 66,000 additional SuperGold cardholders pay their rates.
    From 1 July this year, the rates rebate scheme will become more generous for SuperGold cardholders and their households, by increasing the income abatement threshold to $45,000 a year and increasing the maximum rebate to $805.
    These changes originated from the National and New Zealand First coalition agreement and will come as a welcome relief to many ratepayers.
    Mr Speaker,
    The biggest part of the Budget is investment in frontline services Kiwis rely on.
    I want to take Members through some key areas of new funding.
    First, let me clarify that when I talk about additional funding, I am referring – unless stated otherwise – to operating funding over the next four years, plus capital funding.
    I will start with health.
    Budget 2025 makes a capital investment of more than $1 billion in hospitals and health facilities.
    Funding has been allocated for a major redevelopment of Nelson Hospital, including a new 128-bed inpatient building. 
    In what is great news for the people of Nelson, the new inpatient building is expected to be built by 2029 – two years earlier than originally planned.
    Funding has also been allocated for a new emergency department at Wellington Regional Hospital.
    In addition, Wellington Hospital will get new specialist treatment spaces, an expansion of the intensive care unit and a refurbishment of the old children’s hospital.
    The Budget also funds infrastructure projects at Auckland City Hospital, Greenlane Clinical Centre and Palmerston North Hospital.
    In terms of operating funding, the Budget confirms a funding increase of $5.5 billion – previously signalled in last year’s Budget – for hospital and specialist services, primary care, community health and public health.
    This will support Health New Zealand to make progress on the Government’s targets for more timely care, including shorter waiting times for hip replacements, cataract surgery and other elective procedures.
    Budget 2025 confirms funding of over $1 billion to buy and deliver additional cancer treatments and other medicines Pharmac has announced over the past 12 months.
    And the Budget provides new funding of $447 million to support increased access to primary care, including urgent care and after-hours services across New Zealand.
    Mr Speaker,
    Giving children a chance to reach their potential through the power of a good education is one of the greatest gifts a government can bestow.
    And to my mind, improving the results we get from our education system is the single most important thing we can do to improve the future productivity of New Zealand.
    New funding in Budget 2025 of $646 million operating, and $101 million capital, is the largest boost to learning support in a generation.
    It will change the lives of children who need extra support to learn because of physical, behavioural, communication or other learning challenges.
    It will also benefit their classmates, whose teachers will now be better supported to meet diverse learning needs.
    Children with additional needs have enormous potential and, with this support, more of them will have the chance to realise it.
    The extra Budget funding will provide more teacher aide hours, more specialist support, learning support coordinators, an expansion of early intervention services, and new learning support classrooms.
    There is also new funding in the Budget for schools’ operational grants, early childhood education and tertiary education subsidies. 
    And there is funding to increase the independent schools’ subsidy to address price and volume pressures over time, delivering on the ACT and National coalition commitment to review the funding formula.
    Extra maths help will be available for students who need it, with $100 million of new funding for early intervention and support. 
    There is a $140 million package of services to lift school attendance, and this delivers on another ACT and National coalition commitment.
    Finally, more than $700 million has been set aside to deliver new schools, purchase sites, expand some schools and build new classrooms.
    Mr Speaker.
    New funding in Budget 2025 continues the Government’s drive to restore law and order.
    The Budget invests $480 million to support Police on the frontline to crack down on crime and keep communities safe.
    We are also keeping communities safe through stronger sentencing laws that mean less violent crime, fewer victims and more offenders in prison.
    The Budget invests $472 million to ensure Corrections can manage this increase in the prison population, including 580 new frontline staff. This reflects an ACT and National coalition commitment to increase funding to ensure sufficient prison capacity.
    The Government is also redeveloping Christchurch Men’s Prison, with the project set to be designed, built, financed, and maintained for 25 years under a public-private partnership.
    Court case backlogs will be reduced through $246 million of new funding, which will improve timeliness and access to justice. 
    Customs is also receiving additional funding to strengthen our border, prevent drug smuggling and fight organised crime.
    Finally, I want to mention Māori and Pasifika Wardens, and the Māori Women’s Welfare League. They are the friendly faces when things get tough, and they are receiving funding in this Budget thanks to New Zealand First. 
    Mr Speaker,
    For too long, New Zealand’s Defence Force has been allowed to gradually deteriorate through loss of personnel and a failure to upgrade equipment.
    Budget 2025 marks a change in that course.
    A major uplift in defence spending will ensure New Zealand pulls its weight in an increasingly volatile world.
    It does this by investing in the men and women of our military and the modern tools they need to do their jobs.
    This uplift cannot be funded in one Budget alone.
    But we have made a meaningful start by funding priority projects including new maritime helicopters.
    The Budget also invests $660 million to improve core Defence Force capabilities across air, sea, land and cyberspace.
    In terms of foreign affairs, the Budget addresses a very steep fiscal cliff in Official Development Assistance, specifically for climate finance, that was unhelpfully left behind by the previous Government.
    The Budget addresses this, at least in part, through ongoing, baselined funding of $100 million a year, focused on the Pacific. Members will not be surprised to know that the Minister of Foreign Affairs has made a case for more funding, and this will be looked at in future Budgets.
    The Budget also includes new funding of $84 million over four years to enhance New Zealand’s relationships with Asian countries, address trade barriers and support the Government’s goal to double exports.
    Mr Speaker,
    Budget 2025 sets aside $230 million for a new Social Investment Fund, of which $190 million is to purchase better outcomes for New Zealanders in need.
    Social investment is about the government investing earlier, guided by data and evidence, and with more transparent measurement of the impact that interventions are having in people’s lives. 
    Over the next year, the Fund will invest in at least 20 initiatives, adopting a very different contracting approach than is traditionally used by government agencies.
    I know the Minister for Social Investment is excited by the prospects for this approach to change vulnerable people’s lives for the better.
    Mr Speaker,
    As announced a fortnight ago, the Budget allocates $774 million to fund initiatives in response to the Royal Commission of Inquiry into Abuse in Care.
    The Government has committed this funding, across a number of different votes, to improve redress for survivors and strengthen the care system to prevent, identify, and respond to abuse in the future.
    Mr Speaker,
    Budget 2025 allocates $6.8 billion of capital expenditure.
    This is partially offset by savings, leaving a net capital allowance in the Budget of $4 billion, slightly higher than the $3.625 billion capital allowance signalled in the Budget Policy Statement.
    I have already mentioned most areas of new capital expenditure in the Budget – hospitals, schools, the Defence Force, prisons, and the Elevate Fund.
    Budget 2025 also provides new funding to improve New Zealand’s rail network. Train commuters and businesses moving goods around the country will see more reliable rail services thanks to the Government’s investment of $605 million for rail upgrades and renewals.
    In addition, the Budget provides funding to deliver additional social homes and affordable rentals, including for whānau Māori.
    These Budget 2025 capital initiatives add to existing investments already underway. 
    Government infrastructure investment over the forecast period now totals around $61.8 billion.
    About a third of this investment in infrastructure will be spent on the transport sector and another third is going to education and health.  
    In addition, $3.5 billion has been set aside in each of the next three Budgets for new capital investments.
    Mr Speaker,
    Putting this Budget together wasn’t easy. 
    It involved careful choices and restraint from all Ministers.
    That is as it should be, and as New Zealanders have the right to expect.
    Budget 2025 strikes a careful balance.
    It invests in public services New Zealand needs now, while driving long-term reforms to lift investment and productivity.
    It delivers new hospitals, new schools and a huge boost to learning support.
    It makes changes to encourage Kiwis to save more.
    It provides cost of living relief targeted at low- and middle-income families.
    It takes the first step in a major uplift in defence spending.
    It secures the economic recovery Kiwis depend on.
    And – as all New Zealanders should expect – it does this while setting a course to a balanced budget and an end to rising debt.
    Our approach means New Zealanders can look forward with confidence.
    Every Kiwi can know that this is a Government that has their back.
    Mr Speaker,
    I commend this Budget to the House.

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: A responsible Budget to secure NZ’s future

    Source: NZ Music Month takes to the streets

    Budget 2025 secures New Zealand’s economic and fiscal recovery and advances reforms to make New Zealanders better off in future. 
    “In recent years New Zealanders have battled a protracted period of high inflation, high interest rates and economic downturn. The cost of living has soared, and the government’s books have taken a hammering, with unsustainable spending increases fuelling high levels of debt. Global events have added uncertainty to the mix. 
    “The coalition Government’s strong fiscal and economic management has ensured recovery is now underway. In this Budget, the Treasury is forecasting growth will accelerate over the next four years, bringing 240,000 additional jobs, rising incomes, stable inflation, lower interest rates, a return to balanced government books, and an end to rising debt. 
    “New Zealanders are depending on this recovery, but we cannot take it for granted. Nor can we shirk responsibility for addressing the underlying issues our country faces. 
    “Budget 2025 responds to New Zealand’s long-term challenges with initiatives to boost growth, investment and savings; targeted investments in the essential services and infrastructure New Zealanders rely on; and reforms to fix financial holes in the government’s books.” 
    Budget 2025 achieves this by: 

    Establishing the Investment Boost tax incentive to encourage businesses to invest, grow and lift wages. The policy allows for 20 per cent of the cost of new assets to be deducted immediately from taxable income (on top of normal depreciation). It is expected to lift levels of business investment, with longer-run benefits including increasing the level of GDP by 1 per cent, capital stock by 1.6 per cent and wages by 1.5 per cent over the next 20 years, with at least half those benefits occurring over the next five years.
    Increasing the KiwiSaver balances of New Zealanders by phasing in an increase in default employer and employee contribution rates to 4 per cent; extending the scheme to 16- and 17- year-olds; and making the scheme more fiscally sustainable by halving and better targeting the government contribution.
    Providing Cost of Living Relief by better targeting Working for Families support to deliver an average of $14 extra a fortnight to 142,000 low to middle income families; delivering rates rebates for up to 66,000 SuperGold cardholders; extending prescription periods to deliver savings to patients on long-term medications and new funding for community-based food banks.
    Strengthening Health services through a $7 billion operating funding uplift over the forecast period, including for services provided by Health NZ, targeted funding to support better GP and after-hours care and funding for additional cancer treatments and other medicines. In addition, $1 billion in capital funding is provided for replacing and upgrading public health facilities including Nelson Hospital and the Wellington Emergency Department.
    Strengthening Education provision with $1.5 billion over the forecast period to improve student achievement, including an historic investment in learning support with $646 million of initiatives to ensure earlier identification of and better help for children with additional physical, learning and behavioural needs and over $700 million to deliver new schools and classrooms.
    Improving Law and Order through $1.1 billion additional investment over the forecast period to support frontline policing, initiatives to respond to child and youth offending, tackle organised crime, improve court timeliness and support stronger sentencing with funding for increased prison capacity, including the expansion of Christchurch Men’s Prison through a Public Private Partnership.
    Building Defence Force and Foreign Affairs capability, with $1.9 billion total operating and $1.1 billion total capital investment that recognises the fast-changing geostrategic context and the critical role New Zealand plays in supporting peace and prosperity in the Pacific. A further $1.6 billion total capital is pre-committed against Budget 2026 for further strengthening our Defence Force.
    A range of new Social Investments, including $760 million total operating funding uplift for Disability support services, $774 million to improve the redress system and strengthen the care system for abuse in state care, a new Social Investment Fund, measures to improve the integrity and fairness of the welfare system and the creation of a new flexible housing fund to deliver additional social and affordable housing places.
    $6.8 billion of capital Infrastructure  projects, including funding for rail, roads, health and education infrastructure. 

    “These high-impact investments have been made possible through the Government’s ongoing savings programme. The Budget redirects existing spending towards New Zealanders’ highest priorities, with $21.4 billion operating savings made across the forecast period from 116 initiatives. These savings make the new investments in this year’s Budget possible. Without these savings, our new initiatives would have required funding from extra taxes, or yet more borrowing, both of which would put New Zealand’s economic recovery at risk. 
    “Significant Budget savings have resulted from fixing Labour’s flawed pay-equity regime and removing an assumption that the Government would fully-fund potential settlements involving non-Government employers. 
    “Taken together, these changes have increased the funding available for Budget 2025 by $11 billion operating over the forecast period and an additional $1.8 billion allocated for capital investment. This funding has been redirected to support investments in frontline health, education and other government services. 
    “The Government has kept funding in contingency to settle future pay equity claims that we anticipate will be raised by government employees. Other potential pay equity costs will be considered as part of the normal Budget process. 
    “Future pay-equity settlements will only be awarded where pay discrepancies are proven to be the result of sex-based discrimination. 
    “In addition to pay equity settlements, the Government will fund future pay rises for women-dominated public-sector workforces through the normal collective bargaining process. 
    “Budget 2025 strikes a careful balance – making the investments our country needs now while driving long-term reforms to safeguard the economic recovery and growth New Zealanders depend on. It is a responsible Budget that secures New Zealand’s future.” 
     

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: 12-month prescriptions put money in patients’ pockets

    Source: NZ Music Month takes to the streets

    New Zealanders will soon be able to receive 12-month prescriptions for their medicines, delivering savings to patients on long-term medications, Health Minister Simeon Brown and Associate Health Minister David Seymour say.
    “Currently, doctors and other prescribers can only prescribe most medicines for a maximum of three months at a time. Patients must then pay their GP for a follow-up appointment or to issue a repeat prescription every three months,” Mr Brown says.
    “This creates unnecessary barriers for patients on stable, long-term medications like asthma inhalers, insulin for diabetes, and blood pressure tablets. It means added costs for patients and more paperwork for health professionals, taking time away from patients with more urgent or complex needs.
    “From the first quarter of 2026, prescribers will be able to issue prescriptions for up to 12 months if it is clinically appropriate and safe to do so. While patients will still collect their medication from a pharmacy every three months, they will no longer need to return to their doctor for a new prescription each time.
    “This change could save up to $105 a year in GP fees for patients who need to renew their prescriptions four times annually. It’s a win-win for patients and the health system – fewer avoidable hospitalisations, better health outcomes, and reduced long term costs.” 
    Budget 2025 allocates $91 million over four years to support this change. The funding will cover the cost of additional medicines, as more are expected to be dispensed.
    “This change will remove red tape to make it easier for New Zealanders to get timely access to medicines so that they can live longer, happier, healthier lives,” Mr Seymour says.  
    “Requiring patients on stable, long-term medications to visit GPs four times a year to renew a prescription for 12 months only costs them money and reduces accessibility. A 12-month prescription in these cases is just common sense.  
    “I’m pleased to see the Government’s responsiveness to the voices of patients and their families by expanding access to more medicines for more groups. This decision reflects our commitment to a more adaptable and patient-centered approach.”  
    Mr Brown says this change will also help GPs and other health professionals better manage patients with long-term conditions.
    “Instead of spending time on routine repeat prescriptions, they can focus more on supporting those with complex or deteriorating health needs,” Mr Brown says.
    “It is a practical, patient-focused change that will make access to healthcare simpler, more affordable, and more efficient for New Zealanders.”

    MIL OSI New Zealand News

  • MIL-Evening Report: ER Report: A Roundup of Significant Articles on EveningReport.nz for May 22, 2025

    ER Report: Here is a summary of significant articles published on EveningReport.nz on May 22, 2025.

    Indonesian military operations spark concerns over displaced indigenous Papuans
    By Caleb Fotheringham, RNZ Pacific journalist A West Papua independence leader says escalating violence is forcing indigenous Papuans to flee their ancestral lands. It comes as the Indonesian military claims 18 members of the West Papua National Liberation Army (TPNPB) were killed in an hour-long operation in Intan Jaya on May 14. In a statement,

    Compression tights and tops: do they actually benefit you during (or after) exercise?
    Source: The Conversation (Au and NZ) – By Ben Singh, Research Fellow, Allied Health & Human Performance, University of South Australia Olena Yakobchuk/Shutterstock You’ve seen them in every gym: tight black leggings, neon sleeves and even knee-length socks. Compression gear is everywhere, worn by weekend joggers, elite athletes and influencers striking poses mid-squat. But do

    Australia’s knowledge of Russia is dwindling. We need to start training our future experts now
    Source: The Conversation (Au and NZ) – By Jon Richardson, Visiting Fellow, Centre for European Studies, Australian National University Shutterstock Russia’s possible interest in basing long-range aircraft at an Indonesian airbase not far from Australian shores shook up a relatively staid election campaign last month. The news, which Jakarta immediately dismissed, caught many by surprise

    ‘Perfect bodies and perfect lives’: how selfie-editing tools are distorting how young people see themselves
    Source: The Conversation (Au and NZ) – By Julia Coffey, Associate Professor in Sociology, University of Newcastle Olena Yakobchuk/Shutterstock Like many of her peers, Abigail (21) takes a lot of selfies, tweaks them with purpose-made apps, and posts them on social media. But, she says, the selfie-editing apps do more than they were designed for:

    NZ Budget 2025: tax cuts and reduced revenues mean the government is banking on business growth
    Source: The Conversation (Au and NZ) – By Adrian Sawyer, Professor of Taxation, University of Canterbury Hagen Hopkins/Getty Images Not a lot is known about the government’s plans for taxes in the 2025 budget. Few tax policies have been announced so far, and what has been revealed involves targeted tax cuts for business interests. This

    Evidence shows AI systems are already too much like humans. Will that be a problem?
    Source: The Conversation (Au and NZ) – By Sandra Peter, Director of Sydney Executive Plus, University of Sydney Studiostoks / Shutterstock What if we could design a machine that could read your emotions and intentions, write thoughtful, empathetic, perfectly timed responses — and seemingly know exactly what you need to hear? A machine so seductive,

    Playing the crime card: do law and order campaigns win votes in Australia?
    Source: The Conversation (Au and NZ) – By Chloe Keel, Lecturer in Criminology and Criminal Justice, Griffith University Crime and public safety are usually the domain of state politics. But the Coalition tried to elevate them as key issues for voters in the recent federal election. Claiming crime had been “allowed to fester” under Labor,

    Labor now has the political clout to reset Australia’s refugee policy. Here’s where to start
    Source: The Conversation (Au and NZ) – By Mary Anne Kenny, Associate Professor, School of Law, Murdoch University Australia’s policy towards refugees and asylum seekers stands at a critical juncture. Global displacement is at record highs and many countries are retreating from their responsibilities. At this moment, Australia can lead by example. As Australia’s prime

    Please don’t tape your mouth at night, whatever TikTok says. A new study shows why this viral trend can be risky
    Source: The Conversation (Au and NZ) – By Moira Junge, Adjunct Clincal Associate Professor (Psychologist), Monash University K.IvanS/Shutterstock You might have heard of people using tape to literally keep their mouths shut while they sleep. Mouth taping has become a popular trend on social media, with many fans claiming it helps improve sleep and overall

    E-bikes for everyone: 3 NZ trials show people will make the switch – with the right support
    Source: The Conversation (Au and NZ) – By Caroline Shaw, Associate Professor in Public Health, University of Otago Getty Images Anyone who uses city roads will know e-bikes have become increasingly popular in Aotearoa New Zealand. But we also know rising e-bike sales have been predominantly driven by financially well-off households. The question now is,

    Drivers of SUVs and pick-ups should pay more to be on our roads. Here’s how to make the system fairer
    Source: The Conversation (Au and NZ) – By Milad Haghani, Associate Professor & Principal Fellow in Urban Risk & Resilience, The University of Melbourne In the year 2000, almost 70% of all new cars sold in Australia were small passenger vehicles – mainly sedans and hatchbacks. But over 25 years, their share has dropped dramatically

    Australia’s Wong condemns ‘abhorrent, outrageous’ Israeli comments over blocked aid
    Asia Pacific Report Australia’s Foreign Minister Penny Wong has released a statement saying “the Israeli government cannot allow the suffering to continue” after the UN’s aid chief said thousands of babies were at risk of dying if they did not receive food immediately. “Australia joins international partners in calling on Israel to allow a full

    The West v China: Fight for the Pacific – Episode 1: The Battlefield
    Al Jazeera How global power struggles are impacting in local communities, culture and sovereignty in Kanaky, New Caledonia, the Solomon Islands and Samoa. In episode one, The Battlefield, tensions between the United States and China over the Pacific escalate, affecting the lives of Pacific Islanders. Key figures like former Malaita Premier Daniel Suidani and tour

    Windows are the No. 1 human threat to birds – an ecologist shares some simple steps to reduce collisions
    Source: The Conversation (Au and NZ) – By Jason Hoeksema, Professor of Ecology, University of Mississippi Birds are drawn to the mirror effect of windows. That can turn deadly when they think they see trees. CCahill/iStock/Getty Images Plus When wood thrushes arrive in northern Mississippi on their spring migration and begin to serenade my neighborhood

    Politics with Michelle Grattan: Jim Chalmers on keeping Australia out of recession amid the ‘dark shadow’ of global instability
    Source: The Conversation (Au and NZ) – By Michelle Grattan, Professorial Fellow, University of Canberra This week, the Reserve Bank delivered welcome news for mortgage holders, with another 25 basis points rate cut. With this cut, some are hoping that the cost-of-living pain will start to finally ease. Economists, however, are still wary of celebrating

    40 years on – reflecting on Rainbow Warrior’s legacy, fight against nuclear colonialism
    Report by Dr David Robie – Café Pacific. – A forthcoming new edition of David Robie’s Eyes of Fire honours the ship’s final mission and the resilience of those affected by decades of radioactive fallout. PACIFIC MORNINGS: By Aui’a Vaimaila Leatinu’u The Greenpeace flagship Rainbow Warrior III ship returns to Aotearoa this July, 40 years

    Gordon Campbell: NZ’s silence over Gaza genocide, ethnic cleansing
    COMMENTARY: By Gordon Campbell Since last Thursday, intensified Israeli air strikes on Gaza have killed more than 500 Palestinians, and a prolonged Israeli aid blockade has led to widespread starvation among the territory’s two million residents. Belatedly, Israel is letting in a token amount of food aid that UN Under-Secretary Tom Fletcher has called a

    View from The Hill: Coalition split puts Victorian and NSW Nationals Senate seats at high risk
    Source: The Conversation (Au and NZ) – By Michelle Grattan, Professorial Fellow, University of Canberra The Victorian and NSW Nationals senators due to face the voters at the 2028 election will struggle to hold their seats if the former partners do not re-form the Coalition before then. Under usual Coalition arrangements, Bridget McKenzie, from Victoria,

    New Caledonia, French Polynesia at UN decolonisation seminar in Dili
    By Patrick Decloitre, RNZ Pacific correspondent French Pacific desk New Caledonia and French Polynesia have sent strong delegations this week to the United Nations Pacific regional seminar on the implementation of the Fourth International Decade for the Eradication of Colonialism in Timor-Leste. The seminar opened in Dili today and ends on Friday. As French Pacific

    NSW is copping rain and flooding while parts of Australia are in drought. What’s going on?
    Source: The Conversation (Au and NZ) – By Andrew King, Associate Professor in Climate Science, ARC Centre of Excellence for 21st Century Weather, The University of Melbourne Emergency crews were scrambling to rescue residents trapped by floodwaters on Wednesday as heavy rain pummelled the Mid North Coast of New South Wales. In some areas, more

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI New Zealand: Growth-promoting science and innovation backed

    Source: NZ Music Month takes to the streets

    The Government is backing modern, commercially-focused science and innovation to fully realise the contribution it can make to economic growth and the wellbeing of New Zealanders, Science, Innovation and Technology Minister Dr Shane Reti announced today. 
    “Budget 2025 reprioritises existing funding towards new growth-promoting investments in science and innovation. The changes will enable safe use of gene technology and secure the long-term success of the science and innovation system,” Dr Reti says. 
    “New Zealand has some of the best researchers in the world, but our publicly funded research institutes have lacked incentives and clear pathways to commercialise their research. 
    “We need publicly funded research to focus on economic growth. We want researchers to use cutting-edge science to solve real-world problems that can be commercialised or help us to prepare for the impacts of natural hazards or climate change. 
    “Through Budget 2025, we are providing funding to support the establishment of three new public research organisations focused on bio-economy, earth sciences and health and forensic sciences. They will be charged with seizing new opportunities and translating ideas into successful commercial enterprise.”
    Budget 2025 also funds a new gene technology regulator to support safe and effective use of gene technology from 2026, following the passing of legislation.
    “Gene technology has enormous potential to improve healthcare, help communities adapt to climate change, boost exports and lift agricultural productivity. 
    “But New Zealand has been held back by some of the most stringent regulations on gene technology in the world. Our competitive advantage is being eaten away by other countries where gene technology is permitted,” Dr Reti says. 
    Budget 2025 also invests in the long-term success of the science system by funding the newly established Prime Minister’s Science, Innovation and Technology Advisory Council. 
    “We must have an eye on emerging opportunities to make sure we keep growing the role of science and innovation – we must always be asking, what’s next?” Dr Reti says. 
    “This council will advise the Government on investment priorities and areas where funding can be better targeted.
    “These investments are about ensuring that our science and innovation system is fit-for-purpose, fosters high-value job creation, boosts productivity, and delivers real-world benefits to New Zealanders.”
    Specific initiatives through this Budget include:

    $20 million over two years to support the establishment of the Bioeconomy, Earth Sciences and Health and Forensic Public Research Organisations. 
    $23 million over the forecast period to establish the dedicated gene technology regulator, as well as compliance, monitoring and enforcement of the new regime.
    $5.8 million over the forecast period to establish and operate the Prime Minister’s Science, Innovation and Technology Advisory Council. This funding will support reporting and monitoring, as well as a secretariat provided by MBIE. 

    These initiatives are being funded by reprioritising existing funding from the Science, Innovation and Technology portfolio.

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Investing in infrastructure for all New Zealanders

    Source: NZ Music Month takes to the streets

    Major investments in new and upgraded hospitals, mental health facilities, school buildings, rail and roads across the country are being funded in Budget 2025, Infrastructure Minister Chris Bishop says.

    “Our infrastructure investments will grow our economy, create opportunities and raise living standards for Kiwi families. 

    “The infrastructure investments in Budget 2025 build on our existing pipeline of infrastructure projects, including by providing funding for some of the projects highlighted at this year’s Infrastructure Investment Summit.

    “Total capital expenditure in the Budget reaches $6.8 billion, with identified savings supporting the overall cost of our investment programme. The capital allowance for this year’s Budget is $4 billion, which is a little larger than the $3.6 billion previously signalled.”

    Key infrastructure investments in Budget 2025 provide funding certainty for the capital pipeline, including funding over the forecast period for programmes already in delivery:

    • $1 billion investment to upgrade and expand hospitals across the country, including the Nelson Hospital Redevelopment and Wellington Regional Hospital Emergency Department refurbishment, as part of the Government’s commitment to ensuring all New Zealanders can access high quality, modern healthcare
    • $712 million capital and $234 million operating for new classrooms and school property maintenance, including funding for approximately 10,000 additional student places
    • $50 million for upgrades to mental health facilities to provide safer, more therapeutic care settings for patients
    • $464 million capital and $141 million operating for rail maintenance to increase the reliability for commuters and freight in the Auckland and Wellington metro areas, and to replace ageing bridges, culverts and other assets to ensure goods can get to and from our farms, manufacturers and ports.
    • 240 new high security beds at Christchurch Men’s Prison, along with a new Health Centre and Intervention and Support Unit containing 52 beds. Phase 1 of the redevelopment will be designed, built, financed, and maintained for 25 years under a public private partnership. Corrections will retain responsibility for operations and custodial management of the facility
    • $167 million capital and $43.7 million operating over the forecast period to upgrade Defence infrastructure, along with the previously announced $2 billion plus investment to replace the Defence Force’s ageing maritime helicopter fleet
    • $219 million in additional operating funding to complete recovery works on local roads that were damaged in the 2023 North Island weather events.

    “These investments confirm funding for key investments in the New Zealand Infrastructure Commission’s Infrastructure Pipeline. Data from the Pipeline shows that across central government, local government and the private sector there are around $46.7 billion of projects under construction, and over $13.6 billion more of projects which are either in procurement now or are expected to be within the next twelve months.

    “The Government has a comprehensive programme of work to deliver more and better infrastructure for New Zealand, including developing a 30-year National Infrastructure Plan, replacing the RMA to make sure infrastructure can be built faster and cheaper, using public private partnerships to leverage private sector capability and expertise, and utilising new funding tools like tolls and value capture to ensure that pipeline consists of high-quality projects with funding certainty.

    “The Government has ensured it has plenty of room in its fiscal plan to fund emerging infrastructure needs. 

    “Budget 2025 builds on the coalition Government’s commitment of fixing the New Zealand’s infrastructure system, addressing our massive infrastructure deficit, and ensuring we have high quality infrastructure for New Zealanders now and for years to come.”

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Mental distress 111 calls to get a mental health response

    Source: NZ Music Month takes to the streets

    The Government is overhauling the way emergency services respond to 111 calls from people experiencing mental distress, Minister for Mental Health Matt Doocey says.
    Budget 2025 invests $28 million over four years to fund the transition from a Police-led response to a mental health response to 111 mental distress calls.
    The Budget also invests $50 million in improving the safety, privacy and dignity of mentally distressed people at mental health facilities.
    “New Zealand’s current response to mental distress crisis calls is not fit-for-purpose. Transitioning from a Police-led response to a mental health response is the right thing to do,” Mr Doocey says.
    The multi-agency response will involve 10 new co-response teams and a significant boost to the capacity of mental health telehealth services.
    “Advocates, families, Police and mental health and addiction workers have repeatedly told me that having a uniformed Police officer turn up at times of mental health need can be disheartening and distressing.
    “Police do a great job in our communities, but they are not mental health professionals. Police will always attend when there is a threat to life or safety, but this initiative will free Police up to do with core Policing.
    “We know that co-response teams work. An evaluated trial saw fewer people being taken straight to a police station or emergency department. Instead, some had their issues instantly addressed, saying this was far less stressful and frightening than being transferred directly to hospital.
    “The package includes increased funding for psychology internships, stage one psychiatry registrars and peer training. Money is also set aside for security for up to 12 smaller emergency departments that require security and support.”
    Mr Doocey said the investment in lifting standards at care facilities was part of the Government’s response to safety recommendations by the Royal Commission of Inquiry into Abuse in Care.
    “Keeping vulnerable people safe in the care of mental health services is an absolute bottom line for this Government,” he says. “We must ensure mental health facilities are safe and fit-for-purpose.
    “This investment will cover in-depth assessment, safety improvements and upgrades.
    It is expected to reduce the number of incidents and deaths in state care, and to improve working conditions for mental health staff who do an excellent job in often challenging situations.
    “As New Zealand’s first Minister for Mental Health, I’ve heard too many stories from families whose loved ones died while in the care of mental health services. It’s heartbreaking, and we have to do better.”
    The Budget will also bolster safeguards and oversight of compulsory mental health and addiction care.
    “More than $9 million will go towards stronger protections for people receiving compulsory assessment and treatment and to improve complaints and investigation processes for people under compulsory care.
    “These measures will improve the experience of state care for people with high and complex mental health, addiction and intellectual disability needs,” Mr Doocey says. 

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Billion-dollar investment in hospitals

    Source: NZ Music Month takes to the streets

    Nelson and other communities will benefit from a billion-dollar upgrade and expansion of hospitals across the country, Health Minister Simeon Brown says.“Budget 2025 funds a major redevelopment of Nelson Hospital. This will deliver a new inpatient building with more beds to meet population growth. The hospital’s two main buildings will be refurbished, and essential services will be upgraded. The Budget package also provides funding for:  

    Construction of a new emergency department at Wellington Regional Hospital
    The National Remediation Programme and small-scale infrastructure projects
    Increasing interim inpatient bed capacity across New Zealand
    Critical Auckland hospital infrastructure
    Palmerston North Hospital remediation

    “Nelson’s new 128-bed inpatient building – 41 more beds than current capacity – is expected to be built by 2029, two years earlier than planned. The hospital’s two main buildings will be refurbished and seismically strengthened, and a new Energy Centre will house critical infrastructure.“The $73 million design and enabling works for the new hospital are already well underway, and the $11 million emergency department expansion is expected to be completed by early 2026,” Mr Brown says. “Wellington Regional Hospital’s emergency department has long been inadequate to meet demand. The infrastructure boost will support construction of a new emergency department and specialist treatment spaces, refurbishment of the Old Children’s Hospital, expansion of the Intensive Care Unit, and fit-out of refurbished floors in the Clinical Services Block.“Providing more hospital beds quickly is also a priority. New funding will deliver at least three modular, transportable 32-bed inpatient units that can be moved where needed to support ongoing care while major infrastructure projects are underway. “Budget 2025 also funds small-scale support for urgent infrastructure issues at hospitals nationwide.“Fixing critical systems such as electrical, heating and hot water at Auckland City Hospital and Greenlane Critical Centre is a key priority. Patients care is being delayed due to outdated infrastructure which is failing. “Patients and staff in Palmerston North will also benefit from major electrical, heating, and fire protection improvements.”Mr Brown says the Government is determined to reverse decades of under-investment in the health system.“We are making the long-overdue investments needed to modernise our hospitals and strengthen our health system.“Modern reliable infrastructure will help deliver more for patients, reduce waiting lists, and ensure Kiwis can get the timely and quality healthcare they expect and deserve.“Today’s announcement is in addition to the $6.39 billion of infrastructure investment already underway and will support Health New Zealand to deliver the modern reliable health infrastructure Kiwis rely upon. It’s about delivering for New Zealanders now, and creating a system that will serve future generations,” Mr Brown says.

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: More staff, better prisons to keep public safe

    Source: NZ Music Month takes to the streets

    New investment in prison capacity and frontline staff will help reduce reoffending and keep the public safe, Corrections Minister Mark Mitchell says. 
    “Our Government has restored proper consequences for crime. Because of that, there has been an increase in the prison population and fewer victims of crime.
    “Budget 2025 invests more than $472 million over four years to ensure Corrections can continue to safely and securely manage the growing prison population. This includes funding for 580 new frontline staff, including 368 Corrections Officers. This is additional to the 685 new frontline staff funded through last year’s Budget.
    “Corrections is ready to recruit these staff through an excellent recruitment campaign that has driven more than 110,000 applications since being launched in February 2024,” Mr Mitchell says. 
    “We’re also investing in safe, fit for purpose prisons including redeveloping Christchurch Men’s Prison.
    “Funding through Budget 2025 will help deliver 240 new high security beds at Christchurch Men’s Prison, along with a new Health Centre and Intervention and Support Unit containing 52 beds. 
    “Phase 1 of the redevelopment will be designed, built, financed, and maintained for 25 years under a public private partnership. Corrections will retain responsibility for operations and custodial management of the facility.
    “The new Intervention and Support Unit will provide dedicated specialist mental health support to prisoners who are at risk of harming themselves or others. This unit will be safer for staff and help prisoners with their mental health needs, preparing them to successfully take part in rehabilitation programmes.
    “Our investment will ensure Corrections can meet other cost pressures due to the increase in prisoners and inflation.
    “We’re investing in the frontline because we are serious about bringing back law and order and creating a safer New Zealand.”

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Helping older people get the right care

    Source: NZ Music Month takes to the streets

    New funding will give older people greater access to aged residential care and longer care outside of hospitals, Associate Health Minister Casey Costello announced today.
    “We want to ensure older New Zealanders can get the treatment and care they need in the best possible place. They should not be in hospital simply because they are frail and there are limited options for their care,” Ms Costello says.
    “This investment of $24 million over four years will help people, who don’t need continued hospital treatment, to move to other care places in the community, including aged residential care.”
    This timely care transfer initiative was developed with the aged care sector in 2023 but had time-limited funding that ends next month. 
    “This investment means current delays in discharging older people from hospital will be reduced and hospital beds will be freed up for those requiring treatment,” Ms Costello says. “It will benefit anyone needing to access hospital and specialist services.
    “The new funding will enable better rehabilitation and recovery in the community – for example, providing support for older people with exceptional needs, such as bariatric care, and the extra care required for new residents with complex needs,” Ms Costello says.
    “I’ve seen first-hand how Aged Care residences can provide this level of recuperative care. They are currently funded to provide these ‘hospital’ rooms, and this extra funding will support access to this care and for the transfer process to occur safely and faster.
    “We are working on large-scale and long-term improvements to the aged care system, but this initiative delivers some immediate support and helps us achieve national health targets.”

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Record investment in health delivery

    Source: NZ Music Month takes to the streets

    The Government is again delivering record investment in healthcare, providing New Zealanders with better health services and ensuring hospitals and healthcare facilities are fit for the future, Health Minister Simeon Brown says.
    “Budget 2025 provides a $7 billion increase in Vote Health operating funding over the forecast period. This includes the $1.37 billion per annum increase to Health New Zealand’s baseline – bringing total health spending in 2025/26 to $32.7 billion,” Mr Brown says.
    “Budget 2025 confirms our commitment from last year’s Budget of a record investment in health over three budgets. That funding is already delivering results – more elective surgeries, GP appointments, and other critical healthcare services New Zealanders rely on.
    “Other new initiatives include $91 million to increase prescription lengths and $447 million to support increased access to primary care.
    “Budget 2025 also invests over $1 billion in new capital to deliver modern, fit-for-purpose infrastructure that meets the health needs of New Zealand’s growing and ageing population.
    “We’re also making real progress on our health targets. Emergency department wait times are coming down, cancer patients are being seen faster, and childhood immunisation rates are improving.
    “This year’s Budget builds on that momentum, with targeted investments to strengthen frontline services and improve access to GP and specialist care across the country.”
    For patients, this funding will support Health New Zealand to deliver its plan for increased care for patients and will include:  

    21,000 additional planned care treatments (to an estimated 343,000 treatments)
    31,000 additional cancer treatments to administer new funded medicines (to over 455,000 treatments)
    22,000 additional people receiving inpatient care (to an estimated 984,000 people)
    50,000 additional events in emergency departments (to a projected 1,411,000 events)
    231,000 additional general practice encounters (to a projected 21,824,000 encounters)
    119,000 additional bed nights in the residential aged care sector (to a projected 9,717,000 bed nights, excluding psychogeriatric bed nights). 

    Specific Budget 2025 initiatives include: 

    Increased access to urgent and after-hours care, helping to reduce pressure on emergency departments
    Expanding the primary care workforce, including training more doctors and nurses locally
    24/7 access to digital primary care for online medical consultations, making it easier for people to get advice and prescriptions from their own homes
    Easier access to long-term prescriptions and broader prescribing rights across the health workforce
    Streamlined transfers from hospital to aged care, helping free up inpatient hospital beds and improve continuity of care
    Increased funding for the Health and Disability Commissioner to improve complaint resolution and care standards
    Support for a new multi-agency response to mental health distress calls
    Continued investment in hospital and facility upgrades across the country, ensuring clinical environments are safe, modern, and fit for purpose. 

    “We are delivering on our promise to put patients first. This additional investment of 7.4 per cent in total funding represents an increase of 6.2 per cent per capita, which will make a real difference to people’s lives – ensuring timely, high-quality care for patients while supporting our frontline workforce who deliver that care every day.“Budget 2025 reflects our commitment that all New Zealanders – no matter where they live – deserve a health system they can rely on that is focused on delivering for them, the patient,” Mr Brown says.

    MIL OSI New Zealand News

  • MIL-OSI Economics: [Interview] The Premiere 5: Probably the Largest Touchscreen You’ll Use at Home

    Source: Samsung

    “Expanding the projection surface naturally broadens the range of use.”
    — Jaeyoung Park, Visual Display Business, Samsung Electronics
     
    With the right projector, you can enjoy a 100-inch screen in compact home spaces. The portability of smaller projectors also enable more flexible entertainment spaces. Turning a living room into a theater or a bedroom into a concert hall — that’s an experience you don’t come back from.
     
    Samsung Electronics is redefining home entertainment with The Premiere 5, introducing a new product identity by expanding the projection surface from walls to floors and tables and incorporating touch Interaction.1
     
    Samsung Newsroom spoke with Seung-Hyun Moon from the New Projector Lab, Yuri Kim from Innovative Product Planning and Jaeyoung Park from Lifestyle Product Marketing — all part of the Visual Display (VD) Business at Samsung Electronics — to learn more about how the largest in-home touchscreen came to life.
     
    ▲ (From left) Yuri Kim, Jaeyoung Park and Seung-Hyun Moon from the Visual Display Business at Samsung Electronics
     
     
    Ultra-Short Throw, Ultra-Clear Picture in an Ultra Cute Form
    A compact ultra-short throw projector equipped with advanced triple laser technology as well as touch interaction, The Premiere 5 transforms everyday spaces into immersive environments with vivid picture quality. The device can display an image up to 100 inches from just 17 inches away2 when aimed at a wall and up to 40 inches when projecting onto the floor or tabletops.
     
    ▲ (From left) In the box: The Premiere 5, SolarCell Remote, front and back sides of the Touch Stand, power adapter and cable
     
    “We applied ultra-short throw technology so the projector can still deliver a large screen even when placed very close to the wall,” said Moon. “A specially designed aspheric mirror bends the light path by more than 90 degrees, allowing light to spread evenly across the surface.”
     
    “Thanks to the short projection distance, The Premiere 5 can be easily set up in confined spaces,” he added. “Another key strength is that it minimizes shadow interference — a common issue with conventional standard (or long) throw projectors.”
     
    Triple laser technology uses red, green and blue — the three primary colors of light — to produce bright, vivid images.
     
    “Traditional lamp-based or single-laser projectors rely on passing light through a color wheel to generate color,” said Moon. “In contrast, The Premiere 5 uses pure red, green and blue light sources from the start to deliver higher color purity and greater optical efficiency.”
     
    ▲ (From left) The top projection unit features a dual-mirror structure with an aspheric mirror, enabling ultra-short throw projection in a flat design. The camera unit uses 3D ToF technology for auto keystone and auto focus.
     
    The two cameras built into the projector use 3D time-of-flight (ToF) technology3 to automatically detect the shape and distance of the projection surface and make adjustments in real-time. Auto focus keeps the image sharp, whereas auto keystone corrects trapezoidal distortion for a properly aligned rectangular image. As a result, users get an optimal viewing experience without needing to make any manual adjustments.
     
    “3D ToF works by projecting infrared light onto the wall and calculating the time it takes to bounce back, allowing the projector to read the shape of the wall in real time,” he continued. “Thanks to this, the image can be instantly recalibrated even if the projector is accidentally moved during use.”
     
    ▲ Seung-Hyun Moon, New Projector Lab, Visual Display Business, Samsung Electronics
     
     
    Touch Interaction — The Projector for Smartphone Habits
    Touch interaction is a key feature that defines The Premiere 5.
     
    “When projecting onto the floor, the screen becomes very close to the user,” said Kim. “The Premiere 5 was developed with the idea that touch is the most intuitive way to interact with screens — especially for users who are already familiar with smartphones and tablets.”
     
    ▲ Yuri Kim, Innovative Product Planning, Visual Display Business, Samsung Electronics
     
    Touch interaction on The Premiere 5 uses infrared (IR) image sensors. An IR laser at the bottom of the stand and an IR camera at the top of the projector operate simultaneously to generate a calibration pattern, creating a map of the screen. When a user touches the surface, the upper sensor detects the reflected IR signal from the touch point and compares it with the existing map to determine the exact touch location.
     
    “For precise touch recognition, we created and refined an error map across the entire IR range and went through countless rounds of calibration,” said Moon. “We worked extensively to ensure touch accuracy.”
     
    ▲ (From left) The IR camera and the IR laser
     
    To activate touch interaction, users simply attach the front and rear stands to the main unit, lay it horizontally. The projector automatically switches to floor projection mode and enables touch. The magnetic connectors on the stands snap into place instantly, making assembly easy for anyone.
     
    The key to the stand design is ensuring both easy assembly and stable support for the sensors and main unit so the touch feature functions smoothly.
     
    “Before arriving at the current Touch Stand design, we went through numerous prototypes — continuously refining it to address shortcomings in both structure and usability,” said Park. “We were relentless in our pursuit of a safe, stable and effortless assembly.”
     
    ▲ Jaeyoung Park, Lifestyle Product Marketing, Visual Display Business, Samsung Electronics
     
    Kim also recalled the intensive development process behind the Touch Stand.
     
    “We experimented with countless attachment methods including detachable camera modules and cable connections,” she reflected. “There were easier ways to do this from a product development perspective, but our focus on user convenience helped us arrive at an optimal design. Ultimately, product development is driven by the user.”
     

    Towering Design Requirements — Stacking Form and Function
     
    “The process of stacking various parts in layers was simultaneously a design trial and technical challenge.”
    — Seung-Hyun Moon, Visual Display Business, Samsung Electronics
     
    One of the standout features of The Premiere 5 is its vertical tower design.
     
    “Unlike conventional projectors, ultra-short throw projectors emit light at a wide angle. To avoid obstructing the projection path, part of the main body is typically recessed in a valley structure,” said Park. “In contrast, The Premiere 5 uses a dual-mirror structure that creates a flat top for a cleaner, more refined appearance.”
     
    ▲ The Premiere 5
     
    “We aimed for a design that would blend naturally into any space and still look cohesive even when moved around — like a beautiful vase placed on furniture,” said Kim. “By shifting from the traditional horizontal form to a vertical design, we also improved space efficiency.”
     
    Focus was placed not only on design but also on sound quality. Featuring 10W stereo speakers and Dolby Atmos support, The Premiere 5 delivers a powerful, rich sound. When paired with the Music Frame speaker via Q-Symphony,4 the projector creates an even more immersive audio experience.
     
    “A cinematic experience is defined by both picture and sound quality, meaning high-quality audio is not optional — it’s essential,” said Park. “While delivering rich sound was a challenge given the spatial constraints, our team’s collaborative efforts allowed us to achieve both aesthetic design and impressive audio.”
     
    “Ultimately, product development is driven by the user.”
    — Yuri Kim, Visual Display Business, Samsung Electronics
     
    “While horizontal projectors allow internal components to be distributed more broadly, the vertical structure of The Premiere 5 required stacking various parts in layers,” said Moon. “Incorporating premium features — such as ultra-short throw, triple laser technology, high-quality speakers and an internal sound chamber — meant every component had to be smaller and efficiently placed. The process was simultaneously a design trial and a technical challenge.”
     
     
    Setting a New Standard for Projectors
    The Premiere 5 brings innovation to projector use by introducing the concept of floor projection.
     
    “By combining the projector with a Touch Stand, we extended the projection surface down to the floor,” said Park. “Expanding the projection surface naturally broadens the range of ways The Premiere 5 can be used.”
     
    For example, users can mirror mobile content and project it onto a table — turning the surface into an interactive touchscreen. They can also enjoy a richer home entertainment experience through Samsung TV Plus, Gaming Hub and more.
     
    “We highly recommend this product to those who want to share a large-screen experience with their family,” he added. “Through the ‘Enjoy With Family’ section within the Smart TV features, users can explore a wide range of touch-based content including educational and casual games.”
     
    “Touch is the most intuitive way to interact with screens — especially for smartphone users.”
    — Yuri Kim, Samsung Electronics
     
    “I often follow recipe videos on YouTube while cooking at home,” said Park. “When projecting onto the kitchen island, I can play and pause the video with a simple touch — even if my hands are messy.”
     
    He also noted that projecting onto the floor allows for convenient access to Samsung Health and guided workout videos during exercise.
     
    ▲ In the kitchen, The Premiere 5 can provide an easy-to-clean screen so you don’t have to worry about spills and accidents.
     
    “My goal is to deliver a new level of immersion — one that makes users feel as if they’re truly inside the screen, not just watching it,” said Kim, describing her aspirations for the future.
     
    “The new value of projectors lies in their ability to transform any surface into a screen,” added Park. “We will continue to overcome the limitations of projection surfaces through innovation.”
     
    The Premiere 5 stays true to the essence of a projector while unlocking new possibilities through touch interaction. With the Premiere series, Samsung continues to push the boundaries of innovation and elevate everyday screen experiences.
     
    ▲ Jaeyoung Park, Seung-Hyun Moon and Yuri Kim of the Visual Display Business at Samsung Electronics say The Premiere 5 now feels like family.
     
    ▲ Engineers say it’s safer to hold The Premiere 5 with both hands when moving the device.
     
     
    1 Touch interaction is only available with the Touch Stand connected. Touch Interaction may not function properly depending on set up and the condition of the surface projection surface.
    Touch interaction support may vary by app, some apps may not support the feature. Some functions may be limited when using the feature.
    2 Screen sizes for each projection distance may differ depending on the installation environment.
    3 Time-of-Flight (ToF) technology is a depth-sensing method that measures the time it takes for a signal — usually infrared light — to travel from a source to an object and back to a sensor.
    4 Q-Symphony is audio technology that allows a compatible Samsung TV or projector and a compatible Samsung sound device (such as a soundbar or the Music Frame speaker) to connect for a holistic listening experience.

    MIL OSI Economics

  • MIL-OSI USA: WATCH: Pressley in Powerful Floor Speech: Republican Bill Gutting Medicaid Would Decimate Reproductive Healthcare

    Source: United States House of Representatives – Congresswoman Ayanna Pressley (MA-07)

    Proposed Medicaid Cuts Would Worsen Maternal Health Outcomes, Restrict Access to Essential Care Like Prenatal Care, Contraception, and Cancer Screenings

    “I just need four Republicans – four people of conscience – to listen to their constituents, to look into the eyes of pregnant mothers praying for a safe delivery, to show a shred of humanity and oppose this horrific bill.”

    Video (YouTube)

    WASHINGTON – Congresswoman Ayanna Pressley (MA-07) delivered a powerful speech on the House Floor in which she slammed Republicans’ reconciliation bill that would slash Medicaid, which is necessary to ensuring safe, healthy reproductive care and maternal health nationwide. She demanded Republicans consider the mothers, babies, and families that stand to be harmed by their devastating Medicaid cuts, and urge them to oppose this cruel legislation.

    A transcript of the Congresswoman’s opening remarks, as delivered, is available below, and the full video is available here.

    Transcript: Pressley in Powerful Floor Speech: Republican Bill Gutting Medicaid Would Decimate Reproductive Healthcare
    House of Representatives
    May 20, 2025

    Mr. Speaker,

    This Republican Administration claims to care about babies and families – claims.

    But I cannot hear the words they speak because I see the things that they do.

    The birth of every baby should be a joyful transition defined by compassion and whatever healthcare is required for the baby and the mother.

    America’s broken, for-profit healthcare system denies far too many this basic dignity.

    But Medicaid has been a lifeline.

    Today, 42 percent of births in America are funded by Medicaid.

    Republicans who claim to be pro-family are coming for Medicaid with a sledgehammer.

    And what would this mean for families across America?

    Even worse maternal health outcomes.

    States rescinding policies that improve access to reproductive care.

    Decimating access to prenatal care, contraception, and cancer screenings.

    This big, shameful, unconscionable bill is unacceptable, but it is not inevitable.

    I just need four Republicans – four people of conscience – to listen to their constituents, to look into the eyes of pregnant mothers praying for safe a delivery, to show a shred of humanity and oppose this horrific bill.

    If you aren’t here to fight for the people who sent you, give up your damn seat.

    ###

    MIL OSI USA News

  • MIL-Evening Report: Compression tights and tops: do they actually benefit you during (or after) exercise?

    Source: The Conversation (Au and NZ) – By Ben Singh, Research Fellow, Allied Health & Human Performance, University of South Australia

    Olena Yakobchuk/Shutterstock

    You’ve seen them in every gym: tight black leggings, neon sleeves and even knee-length socks.

    Compression gear is everywhere, worn by weekend joggers, elite athletes and influencers striking poses mid-squat.

    But do compression garments actually improve your performance, or is the benefit mostly in your head?

    Let’s dive into the history, the science and whether they are worth your money.

    From hospitals to hashtags

    Compression garments didn’t start in sport. They were originally used in medical settings to improve blood flow in patients recovering from surgery or with circulation issues such as varicose veins.

    Doctors found tight garments that applied gentle pressure to limbs could help move blood and reduce swelling.

    But in the late 1990s and early 2000s, athletes, scientists and sports brands began experimenting with compression wear in training and competition.

    Companies such as SKINS, 2XU, and Under Armour entered the scene with bold promises: improved performance, reduced fatigue and faster recovery.

    Then, by the 2010s, compression wear wasn’t just for athletes – it had become a fashion statement.

    Social media helped drive the trend: influencers wore these items in gym selfies, TikTokers praised the sleek, sculpted look. And with the rise of athleisure, compression garments became everyday apparel, blending fitness with fashion.

    What are these garments supposed to do?

    Compression gear is designed to fit tightly against the skin and apply gentle, consistent pressure to muscles. The big claims made by manufacturers include:

    You’ll hear gym-goers say they feel “more supported” or “less sore” after using compression gear.

    Some even report improved posture or a mental boost – like stepping into a superhero suit.

    What the science says

    Research into compression garments has been growing steadily and the results are mixed – but interesting.

    A 2013 major meta-analysis reported moderate benefits across several recovery markers, including lower levels of creatine kinase (a sign of muscle damage) and less delayed-onset muscle soreness up to 72 hours after exercise.

    A 2016 review found compression garments reduced muscle soreness and swelling and boosted muscle power and strength. These improvements were up to 1.5 times greater (compared to people who didn’t wear compression garments) in some cases.

    Building on this, a 2017 review found people who wore compression gear recovered strength more quickly, with noticeable improvements within eight to 24 hours after a workout. Strength recovery scores were around 60% higher in those wearing compression gear compared to those who didn’t.

    But the findings are not consistent. A 2022 review of 19 trials found little effect on strength during the first few days post-exercise.

    And when it comes to actual performance, a comprehensive 2025 review of 51 studies concluded compression garments do not enhance race time or endurance performance in runners. And while they may reduce soft tissue vibration (which might feel more comfortable), they offered no meaningful edge in speed, stamina or oxygen use.

    Overall, in simpler terms: compression gear may help you recover faster but don’t expect it to turn you into an Olympic sprinter.

    When compression gear might help (and when it won’t)

    Here are some situations when compression garments can be genuinely useful:

    But don’t count on them to:

    • improve your times: there’s no strong evidence they boost speed or endurance

    • make you stronger: while some research has noted improvements in strength and power, this won’t necessarily have a noticeable effect on your athletic performance

    • replace training or good sleep: recovery still depends on the basics – rest, hydration and nutrition.

    So, should you wear them?

    Compression outfits won’t magically transform your body or training results. But they aren’t a waste of money either.

    If they make you feel more comfortable, confident or supported, that’s a valid reason to wear them. The psychological boost alone can be enough to enhance motivation or focus.

    And when it comes to post-exercise recovery, the evidence is solid enough to justify keeping a pair in your gym bag.

    Think of them like a good pair of shoes. They won’t run the race for you, but they might make the journey a little smoother.

    And if you’re just wearing them for the outfit photo on Instagram? That’s fine, too. Sometimes, confidence is the best workout gear of all.

    Ben Singh does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. Compression tights and tops: do they actually benefit you during (or after) exercise? – https://theconversation.com/compression-tights-and-tops-do-they-actually-benefit-you-during-or-after-exercise-255719

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI USA: Senator Marshall Champions the Benefits of Community Colleges During HELP Committee Hearing

    US Senate News:

    Source: United States Senator for Kansas Roger Marshall
    Washington – U.S. Senator Roger Marshall, M.D. (R-Kansas) participated in a hearing today on the state of higher education in the Senate Committee on Health, Education, Labor, & Pensions (HELP).
    As someone who attended a community college, Senator Marshall spoke about his own experience that allowed him to receive an excellent education while making smart financial decisions. Senator Marshall touched on the importance of financial literacy and using high school years to obtain college credits to get ahead.
    Senator Marshall’s firsthand experience is one of the many success stories of Americans attending a community college. The Senator was the first in his family to attend college and worked part-time jobs throughout his education to pay his own way instead of borrowing money. After graduating from Butler County Community College, he went on to receive his bachelor’s degree from Kansas State University and his Medical Doctorate from the University of Kansas, spending more than 25 years practicing medicine as an OB-GYN.
    Senator Marshall also questioned Dr. Russell Lowery-Hart, Chancellor of the Austin Community College District, about how community colleges compare to traditional universities and Pell Grant flexibility.
    [embedded content]
    Click HERE or on the image above to watch Senator Marshall’s full line of questioning.
    Highlights from the hearing include:
    On Senator Marshall’s higher education story:
    Senator Marshall: “I was the student that graduated first in a class of 200; had ACT scores that were really good. I applied to Kansas State, Kansas University, thinking this is where I’m going to go, but I would have had to borrow money to do it. So instead, I chose a community college. Near as I could tell, calc one was calc one. Comp one was comp one. And you know, my point I’m trying to make is everybody makes decisions, and part of it should be financial…
    “… You know, I made decisions through my whole life on whether to borrow money or to work. So, I worked part-time jobs in high school, community college, college, med school, and even residency. I worked part-time jobs rather than borrow money. When we had our first child in medical school, I chose to join the Army Reserve as opposed to borrowing money. And I understand that… some people are going to do better in a private college. You know, knock your socks off. Some people are going to do better. I just can’t imagine that a student… couldn’t do just as good at a community college. And somehow, financial literacy should be important to making that decision.”
    On the cost of community colleges versus traditional universities:
    Senator Marshall: “… The tuition at a community college on average, $5,000 a year. A State University, $12,000. If you’re going to an out-of-state university, it’s $30,000 and a private school is $43,000. So that first year in community college… today you’d spend $5000 versus $43,000, and I would note that the cost of living, typically in community college cities, is a lot less than the big university cities as well. So, I think the question is, at what point should the federal government reward people for making financial decisions that they should be responsible for?
    “But it’s a lot more than just choosing the school. Students today, they’re told to take five years to go to college, when it should easily be done in four years. One way you can do that is to rack up some credits in high school. It’s why we support the Perkins grants as well… a lot of students today had the opportunity to enter that first year of college and already have a semester underneath their belt. So, I think that’s a false narrative out there that it should take five years.” 
    On the advantages of attending a community college:
    Senator Marshall: “Dr. Lowery Hart, you’re my community college person here. Do your kids struggle when they go on to universities and on to med school, or was it okay that they started there at a community college? How much money did they save?”
    Dr. Lowery-Hart: “Well, depending on where they went, the level of savings will vacillate, but they all saved money, starting at a community college, and the data is pretty clear. My colleagues will affirm, if they go back to their [Institutional Research] IR shops, community colleges that transfer to universities, perform at or better than students that originated in those universities, they’re well prepared, and it’s because of what you just mentioned, Calc, one, comp, one, are the same. The difference at a community college is they’re being taught by a Master’s or PhD-prepared, experienced teacher, not a graduate assistant. I think the instructions in those basic courses are better at a community college because our faculty are more experienced in teaching in those areas.
    “The dual enrollment piece, Senator Marshall, is really critical. It can be a solution for making college more affordable. It was for my own three kids, all of which went to a community college before University. The challenges for the millions of adults that need to come back and up-skill … and how they can afford it while still working, is why I think Pell eligibility is particularly important.”
    On Pell Grant flexibility:
    Senator Marshall: “Just speak a little bit more about the flexibility of a Pell Grant. More and more, the great-paying jobs. If we can just get them in the door for six or eight hours at a time, how important would that be to you?”
    Dr. Lowery-Hart: “Really important. There are level-one certifications that can lead to a family-sustaining wage. Those students can enter that profession, whether it’s at Tesla or Samsung, work for six months, come back, and get the next level of certification.
    “Those stackable credentials are what will change their families’ generations to come but also ensure that our communities are able to meet the moment that we’re in, an economic challenge that we have.” 
    Senator Marshall: “… You see time and time again, the story of a person that came back in a year or two and continued that education, and that particular person ends up being just a superstar on the job site.”

    MIL OSI USA News

  • MIL-OSI USA: At Hearing on Murray’s Bill to Expand Menopause Research at VA and DOD, Senator Murray Presses VA Witness on Resources for Women Veterans, Harmful Pause on Clinical Trials at VA

    US Senate News:

    Source: United States Senator for Washington State Patty Murray
    ICYMI: Murray Calls Out VA for Stonewalling Congress, Grills VA Secretary Collins on How Trump Administration Mass Firings are Increasing Wait Times for Veterans, Further Jeopardizing EHR Rollout & VA Research
    ***VIDEO of Senator Murray’s Q&A HERE***
    Washington, D.C. — Today, at a Senate Veterans’ Affairs Committee hearing to consider pending legislation, U.S. Senator Patty Murray (D-WA), a senior member and former Chair of the Senate Veterans’ Affairs Committee, spoke with Dr. Thomas O’Toole, Acting Assistant Under Secretary for Health for Clinical Services for the Veterans Health Administration at the U.S. Department of Veterans Affairs (VA), about her bipartisan Servicewomen and Veterans Menopause Research Act that would require VA and the Department of Defense (DoD) to coordinate on research studying the effects of menopause and perimenopause on women servicemembers and women veterans to close treatment gaps and help ensure women veterans receive appropriate, high-quality gender-specific health care throughout their lives.
    Senator Murray also questioned Dr. O’Toole about VA’s 90-day pause on clinical trials—which is delaying important research right now—and on progress toward establishing permanent in-house mammography services for veterans in VISN-20, which covers veterans in Washington state, Oregon, Alaska, most of Idaho, and parts of Montana and California.
    “Women veterans, particularly those who have suffered from PTSD or sexual assault, tend to experience menopause much earlier than women who did not serve in the military. One VA study found that 15 percent of women veterans experience menopause before the age of 40—that is 10 years earlier than most women,” Senator Murray said. “It is really important that we strengthen menopause research at the VA and DoD so we can provide better care for women servicemembers and our veterans. That is why I was very proud to join Representative Houlahan and Senator Ernst in introducing the Servicewomen and Veterans Menopause Research Act last month to do that.”
    “Can you tell me today what resources are available right now, at the VA, for women veterans who are experiencing menopause? Are there any plans to expand that—what do you have right now?” SenatorMurray asked.
    “I acknowledge and fully appreciate and agree with what you’re saying there,” said Dr. O’Toole. “I do not have that information readily available in terms of what resources are currently being dedicated. I would have to get it for the record.”
    “How long will that take you to get to me?” SenatorMurray asked.
    “We will get it as quickly as we can,” Dr. O’Toole replied. “We strongly support the bill.”
    SenatorMurray continued her questioning: “During a hearing earlier this month, I actually asked Secretary Collins about the Trump administration’s 90-day ‘pause’ on VA clinical trials, which is right now delaying planned trials and putting a halt to ongoing clinical trials at VA, everything from predicting stroke risks to addressing substance abuse. Now, Secretary Collins said at the time, there was no decision regarding what would happen to VA researchers and trials when that pause ended.”
    “Do you have an answer to the question I asked a few weeks ago—what will happen after this this 90-day ‘pause’ ends?,” Murray asked. “Where will you direct the patients whose clinical trials were canceled or delayed?” asked Senator Murray.
    “I do not have that information available to me, I would have to take it for the record,” Dr. O’Toole replied.
    SenatorMurray followed up: “Can you provide my office with a list of clinical trials that were canceled?”
    “I don’t have that available, but we can get that information to you,” Dr. O’Toole responded.
    Senator Murray pushed back, “Well, the VA has to have this information. Certainly, if you care about transparency, which we keep hearing, I see no reason why this information would be secret. When can you get that information to us? These are people who were in trials, these are researchers, they—just for the next 10 years, they’re not supposed to know? When are you going to get that to us?”
    “We will get it to you as soon as we can,” said Dr. O’Toole.
    “What does that mean? I’ve heard that from so many people in the last couple weeks,” SenatorMurray said.
    Dr. O’Toole said, “I would, obviously, defer to our legislative team and our research office on those specifics, but—”
    “It’s a disappointing response, I have to tell you,” SenatorMurray interjected.
    “I would imagine we would be able to get it to you within the next few weeks, 1-2 weeks, hopefully,” Dr. O’Toole finally answered.
    Murray continued by asking about services for women veterans, in particular the lack of in-house mammography services for veterans at Puget Sound VA—an issue Senator Murray has taken up with VA before. “In my home state of Washington, Puget Sound VA saw a seven percent increase in women veterans utilizing their services over the past two years. I am appreciative of the mobile mammography centers that were made available for our Puget Sound veterans, but it’s  a temporary fix. Can you provide me any update today on the progress in establishing permanent in-house mammography services for veterans in VISN-20? Or a timeline?” SenatorMurray asked.
    Dr. O’Toole replied that he did not have the specifics but would get back to Senator Murray with a response to her questions.
    “I would appreciate answers to those questions as soon as you can, this is critical information we need,” Senator Murray said.
    Senator Murray was the first woman to join the Senate Veterans’ Affairs Committee and the first woman to chair the Committee—as the daughter of a WWII veteran, supporting veterans and their families has always been an important priority for Murray. Advocating for women veterans in particular has been a longtime focus for Senator Murray. As Chair of the Senate Veterans’ Affairs Committee in 2010, Senator Murray passed her landmark Women Veterans Health Improvement Act into law. Murray has worked to permanently authorize the VA child care pilot program to increase access to free, quality child care for veterans during their appointments, make much-needed improvements to the women veterans call center, and fix a loophole that left veterans footing the bill for medically-necessary emergency newborn transportation that VA should be covering. Murray introduced and helped pass the Deborah Sampson Act, legislation to address gender disparities at VA that established a dedicated Office of Women’s Health at VA and required every VA health facility to have a dedicated women’s health primary care provider, among other things. Murray also helped to pass the MAMMO Actto expand access to high-quality breast cancer screening and treatment services for veterans. Last year, as Chair of the Senate Appropriations Committee, Senator Murray delivered a record $900 million investment in women veterans’ health care.
    Also last Congress, Senator Murray introduced the Advancing Menopause Care and Mid-Life Women’s Health Act, comprehensive bipartisan legislation that would be the most expansive effort so far to boost federal research on menopause and would—for the first time—coordinate the federal government’s existing programs related to menopause and mid-life women’s health.
    Senator Murray has been a leading voice in the Senate speaking out forcefully against President Trump and Elon Musk’s mass firing of VA employees and VA researchers across the country and Elon Musk and DOGE’s infiltration of the VA, including accessing veterans’ sensitive personal information. Earlier this month in an oversight hearing with VA Secretary Doug Collins, Senator Murray pressed Secretary Collins on how the Trump administration’s mass firing of VA employees is hurting veterans’ ability to get the health care they need—from jeopardizing VA research, to creating new risks around the deployment of the Electronic Health Record (EHR) system to additional VA Medical Centers—and on new policies the Trump administration recently rolled out that severely limit Congressional engagement with veterans and VA for no legitimate reason. Last month, Senator Murray released a report on how Trump’s mass firings at VA are already hurting veterans’ services and health care in Washington state and across the country.
    The full text of the Servicewomen and Veterans Menopause Research Act is available here. 

    MIL OSI USA News