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Category: Health

  • MIL-OSI United Kingdom: Youth Mobility Scheme for Uruguayan and British citizens: 2025

    Source: United Kingdom – Executive Government & Departments

    World news story

    Youth Mobility Scheme for Uruguayan and British citizens: 2025

    • English
    • Español de América Latina

    The Youth Mobility Scheme allows 500 visas, both for Uruguayan and British nationals, to live, study, work and travel in the UK and Uruguay respectively.

    In 2025, 500 British and 500 Uruguayan nationals aged 18 to 30 years old will be able to experience life and culture in each other’s country for up to 2 years, as established in the agreement that came into effect in both countries on 31 January 2024.

    Uruguayan citizens who would like to travel to the UK under this scheme need to apply for a Youth Mobility Scheme (YMS) visa. British citizens who would like to travel to Uruguay should apply for a Working Holiday temporary residency.

    The scheme desires to foster close relations between British and Uruguayan nationals, intending to promote and facilitate access to opportunities that enable youth to gain a better understanding of the other participant’s culture, society, and languages through travel, work, and life experience abroad.

    This is the first YMS between the UK and a South American Country. The agreement was signed in August 2023 at the Uruguayan Ministry of Foreign Affairs, during the visit of FCDO Minister for the Americas and Caribbean David Rutley MP to Uruguay.

    UK has YMS agreements in place with Andorra, Australia, Canada, Republic of Korea, Hong Kong, Iceland, Japan, Monaco, New Zealand, San Marino, Taiwan and Uruguay.

    Uruguay has Working Holiday programmes with Australia, France, Germany, Japan, Netherlands, New Zealand, Sweden, and United Kingdom.

    Find below information about the scheme and how to apply, for British and Uruguayan nationals.

    Information for British nationals

    British citizens interested in applying for a Working Holiday temporary residency must attend the Uruguayan Consulate in London and submit the following documents:

    • valid passport in good condition, with an expiry date at least one year in the future
    • a medical certificate from the country of residence where it states that you do not have medical conditions that would make it impossible for you to reside in Uruguay
    • evidence of a Police Certificate from the country of origin and from any country that you have lived in for the past 5 years. This should be apostilled or legalised, whichever is appropriate. In the UK you can apply for this at: http://www.gov.uk/copy-of-police-records. The six must have been issued within the 6 months prior to the filing of the application
    • documents that demonstrate that they have sufficient financial resources to meet their needs (such as salary payslips, bank statements, pensions, etc.) issued within 30 days of the application date
    • declaration of the intended time they will remain in Uruguay, which will be up to 2 years
    • apostille or legalised birth certificate (whichever is the case, if the person was born outside the UK) and translated (by a certified Uruguayan translator, by Consul or by consular intervention, depending on the case) will be required in Uruguay in order to obtain the Uruguayan National Identity card

    Once the documentation is submitted, the Consulate will inform the Ministry of Foreign Affairs’ International Migration Direction, which will notify the National Migration Office. A decision will be made within a maximum of 15 working days.

    If the application is successful, the Consulate will let you will know. You will then need to enter Uruguay within 180 days from the notification day. If you need a visa, the Consulate will issue a tourist visa without consulting with the National Migration Office, referring to the temporary residency granted.

    Once you are in Uruguay, you will need to go in person to the National Migration Office and the National Civil Identification Office to apply for the National Identity card and pay the required fees. If youneed more information, please contact the Uruguayan Consulate or Uruguayan Embassy: cdlondres@mrree.gub.uy or urureinounido@mree.gub.uy, or call: +44 (0)207 584 4200

    Information for Uruguayan nationals:

    • applications to the Youth Mobility Scheme are online. You can apply from any country in the world, except from the UK
    • you can apply if you are a Uruguayan National aged 18-30 years old and hold a Uruguayan passport
    • you can spend up to 2 years in the UK, with multiple entries
    • you can work but it is not compulsory. You can travel, study short courses or volunteer
    • you do not need any language, job or skill requirements
    • you must apply for a visa and pay the Immigration Health Surcharge
    • you need to demonstrate you have the equivalent to £2,530 in a bank account for at least the past 28 days before applying
    • you need to get a Criminal Record Certificate. Please request it for Consulate- Ministry of Foreign Affairs, not the British Embassy
    • you cannot apply if you have any dependants living with you or who are financially dependent on you at the time of application
    • you must not have not previously taken part in the scheme

    Applicants will usually get a decision on their visa within 3 weeks.

    For more information, please go to Youth Mobility Scheme visa: Overview – GOV.UK or contact: public.enquiries@homeoffice.gov.uk.

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    Updates to this page

    Published 28 April 2025

    MIL OSI United Kingdom –

    April 29, 2025
  • MIL-OSI USA: Honoring Fallen New York State Workers

    Source: US State of New York

    overnor Kathy Hochul today announced the New York State Department of Labor marked Workers’ Memorial Day by holding a ceremony to pay tribute to public service employees who passed away while serving New York State. The New York State Department of Health is launching a social media and awareness campaign in May to remind employers and employees about strategies to stay safe on the job. Additionally, the New York State Department of Transportation and Thruway Authority, joined by State and local partners, will host a Workers Memorial Day ceremony to honor fallen highway and transportation workers Tuesday at the New York State Fairgrounds.

    “Our shared commitment to public service is the foundation of who we are as New Yorkers, and today we pay tribute to the men and women who gave their lives for a better world,” Governor Hochul said. “From laborers to law enforcement, and from firefighters, health care workers to transportation employees, our public servants hold together the fabric of our society. We owe an extraordinary debt of gratitude for their sacrifice to New York State.”

    The New York State Department of Labor (NYSDOL) marked Workers’ Memorial Day by holding a ceremony to pay tribute to public service employees who passed away while serving New York State. The families of the deceased met privately with NYSDOL Commissioner Roberta Reardon prior to the ceremony and then joined her at the event. The names of the fallen workers can be viewed on this online memorial webpage. The memorial serves as a permanent reminder of the importance of NYSDOL’s mission to enforce safety and health protections to all public sector employees.

    New York State Department of Labor Commissioner Roberta Reardon said, “We honor our colleagues who lost their lives while serving the people of New York by vowing to remain vigilant in our work to keep workers safe. The Department of Labor will continue to ensure proper safety precautions and practices are in place to protect our public workers while on the job at worksites across New York State.”

    NYSDOL enforces standards to protect public sector employers, which includes State, county and local governments. It also covers public authorities, school districts and fire departments. Additionally, NYSDOL responds to deaths related to occupational safety and health, accidents that send two or more public employees to the hospital, and investigates complaints from public employees or their representatives. The bureau also inspects public employer work sites and provides technical assistance during statewide emergencies. For more information about services, including its free on-site consultations, visit this webpage. If a public worker or their representatives feel a safety of health violation is present at their workplace, they are encouraged to file a complaint.

    New York State Health Commissioner Dr. James McDonald said, “Even though fatality rates are improving, work-related illnesses, injuries and deaths still happen far too often. These preventable tragedies are devastating for the impacted families, friends, coworkers, and communities. By taking proactive safety prevention measures, employers can better ensure the overall health and safety of their workers.

    The New York State Department of Health is launching a social media and awareness campaign in May to remind employers and employees about strategies to stay safe on the job. This year’s campaign focuses on fall prevention and ladder safety. To help prevent injuries, employers are encouraged to take steps to prioritize safety as a core value and establish clear health and safety policies and training programs. Effective worker safety programs identify on-the-job hazards and establish proper controls and comply with New York State Occupational Safety and Health (OSHA) regulations.

    According to the most recent fatality data for New York State for 2023, the fatality rate for workers in New York State continues on the downward trend with 2.8 deaths per 100,000 full-time workers.

    There were a total of 246 fatal traumatic work injuries in New York State in 2023, many of which were preventable. A traumatic work injury is an injury sustained on the job due to an acute, identifiable event, such as a fall, machinery accident, assault or exposure.

    Research data indicates that there were also more than 7,000 deaths that occurred in 2023 from work-related diseases and illnesses, such as work-related cancers, circulatory diseases related to desk work. Additionally, more than 190,000 recordable nonfatal injuries occur each year in New York State workplaces which can potentially become precursors to future fatal incidents.

    The leading events contributing to deaths in all of New York State in 2023 were transportation incidents, which accounted for more than one-third of all work-related deaths. This includes motor vehicle collisions and incidents where pedestrian workers were struck by vehicles. Other major events included falls (especially from heights) and exposures to harmful substances or environments, such as unintentional drug overdoses, exposures to extreme heat or cold, electrocutions and exposures to chemicals.

    Out of the 246 deaths in New York State in 2023, 220 were male (89 percent) and 26 (11 percent) were female. Older workers aged 55 and over made up 40 percent of all fatal occupational injuries in 2023. The fatal injury rate for workers aged 65 and over is almost double that for all workers.

    Foreign-born workers make up almost 35 percent of all worker deaths in New York State. Hispanic and Latino workers represented 26 percent of all worker deaths in New York State in 2023. The fatal injury rate for this group is 1.4 times the rate for all workers.

    The New York State Department of Health collects this information to help researchers gain a better understanding of occupational fatalities and to provide employers and workers with the knowledge they need to stay safe on the job. Staff conduct in-depth investigations of worker deaths to determine what went wrong and to develop better injury prevention guidance and training programs that will assist in hazard identification and assessment procedures.

    Staff at the State Health Department collaborate with vulnerable workers, employers and worker advocates to develop guidelines and training programs to help reduce worker injury and fatalities. Learn more at health.ny.gov/worksafe.

    New York State Department of Transportation Commissioner Marie Therese Dominguez said, “Our dedicated highway and transportation workers perform their jobs in dangerous situations so that all New Yorkers can go about our daily travels safely and efficiently. Tragically, some of them never returned home. It is entirely appropriate that on Workers Memorial Day we honor their service and their sacrifice and recommit ourselves to doing everything we can to keep these public servants safe. Why? Because safety is everyone’s responsibility, and I urge all New Yorkers to please, put your phone down and pay attention when you are driving and slow down and move over in work zones. Lives are literally at stake.”

    New York State Thruway Authority Executive Director Frank G. Hoare said, “In its 70+ year history, the Thruway Authority has lost 22 dedicated employees while on the job, two in the last year. Our Maintenance employees embody the heart and soul of this organization. Roadside workers risk their lives every day to ensure the safety of all drivers on the road, and on this Workers’ Memorial Day, we remember the fallen and honor their commitment and sacrifice to the State of New York.”

    The New York State Department of Transportation and Thruway Authority, joined by State and local partners, will host a Workers Memorial Day ceremony to honor fallen highway and transportation workers Tuesday at the New York State Fairgrounds. A total of 58 members of the NYSDOT family and 22 Thruway employees have been killed while on the job over the course of the history of the two organizations. The memorial event will include the ceremonial unveiling of hat and vest displays for Vincent “Vinny” Giammarva and Stephen “Steve” Ebling, two New York State Thruway Authority employees who lost their lives in highway work zone incidents in 2024.

    The AFL-CIO first declared April 28 “Workers’ Memorial Day” in 1989 in remembrance of the working people killed and injured on the job every year. The Occupational Safety and Health Act of 1970, which established the OSHA, went into effect on April 28, 1971.

    New York State AFL-CIO President Mario Cilento said, “On Workers Memorial Day, we pause to remember and honor the workers who lost their lives on the job and reaffirm our unwavering promise to fight to improve workplace safety. Workers have a fundamental right to a safe job as promised when the Occupational Safety and Health Act was enacted. No worker should lose their life or become ill while performing their job, and no family should have to grieve the loss of a loved one due to preventable and avoidable hazardous working conditions. The New York State AFL-CIO is committed to fighting with every ounce of its existence to ensure that every worker is as safe as possible in every workplace throughout our state. That is the only way we can truly honor those we have lost.”

    Civil Service Employees Association President Mary E. Sullivan said, “Today, all of CSEA stands together to honor the public employees who made the ultimate sacrifice in service to our communities. Their dedication, courage, and commitment to the people of New York will never be forgotten. As we remember them, we renew our promise to fight for safer workplaces, respect for all workers, and the dignity they so deeply deserve. In their memory, we move forward, stronger and more determined than ever.”

    New York State Public Employees Federation President Wayne Spence said, “There is no such thing as a workplace accident – nearly all on-the-job fatalities could and should be prevented. On this Workers’ Memorial Day, we honor and remember those who died or suffered injury or illness while at work, and we continue the call to action to fight for safer jobs. PEF has always been on the front lines of protecting worker health and safety and we remain committed to making sure every worker goes home at the end of their shift.”

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI: Skyward Specialty Announces Time Change for First Quarter Earnings Call on Friday, May 2, 2025

    Source: GlobeNewswire (MIL-OSI)

    HOUSTON, April 28, 2025 (GLOBE NEWSWIRE) — Skyward Specialty Insurance Group, Inc.™ (NASDAQ: SKWD) (“Skyward Specialty” or “the Company”) today announced a time change of its previously announced first quarter earnings call. The conference call and webcast will be held on Friday, May 2 at 9:30 a.m. EDT.

    Skyward Specialty will issue its first quarter 2025 earnings results after the market closes on Thursday, May 1. The earnings results will be available on the Company website at investors.skywardinsurance.com/ under Quarterly Results.

    Investors may access the live audio webcast via the link on the Company’s investor site at investors.skywardinsurance.com/ under Events & Presentations. Additionally, investors can access the earnings call via conference call by registering via the conference link. Users will receive dial-in information and a unique PIN to join the call upon registering.

    A webcast replay will be available two hours following the call in the same location on the Company’s investor website.

    About Skyward Specialty

    Skyward Specialty is a rapidly growing and innovative specialty insurance company, delivering commercial property and casualty products and solutions on a non-admitted and admitted basis. The Company operates through nine underwriting divisions – Accident & Health, Agriculture and Credit (Re)insurance, Captives, Construction & Energy Solutions, Global Property, Professional Lines, Specialty Programs, Surety and Transactional E&S. SKWD stock is traded on the Nasdaq Global Select Market, which represents the top fourth of all Nasdaq listed companies.

    Skyward Specialty’s subsidiary insurance companies consist of Great Midwest Insurance Company, Houston Specialty Insurance Company, Imperium Insurance Company, and Oklahoma Specialty Insurance Company. These insurance companies are rated A (Excellent) with stable outlook by A.M. Best Company. Additional information about Skyward Specialty can be found on our website at www.skywardinsurance.com.

    For investor relations information contact:

    Natalie Schoolcraft
    nschoolcraft@skywardinsurance.com
    614-494-4988

    The MIL Network –

    April 29, 2025
  • MIL-OSI Global: Juggling dynamite? At 100 days in office, Donald Trump is no Franklin D. Roosevelt

    Source: The Conversation – Canada – By Ronald W. Pruessen, Emeritus Professor of History, University of Toronto

    Watching United States President Donald Trump weave and chainsaw his way through the first 100 days of his second term in office, I’ve been reminded of what Anthony Eden, the United Kingdom’s foreign secretary in the 1930s and later its prime minister, once said about Franklin D. Roosevelt.

    FDR, Eden recalled in his memoirs, was “too like a conjurer, skilfully juggling balls of dynamite, whose nature he failed to understand.”

    The image fits the 47th president much better than the 32nd.

    The dynamite-wielding Trump

    Dynamite has certainly been exploding regularly since Trump took office in January. His actions include:

    • The firings (and sometimes re-hirings) of thousands of government employees.
    • The attack on government agencies doing work delegated by Congress.
    • Pardons for Jan. 6 rioters but deportations of asylum seekers and green card holders with no semblance of due process.
    • Campaigns against universities for their supposed dereliction in terms of antisemitism or extravagance in adhering to diversity, equity and inclusion principles, and towards law firms linked to earlier prosecutions of the now-resurrected president.
    • Cannonades of tariffs, tariff pauses and threats of re-imposition.



    Read more:
    How Project 2025 became the blueprint for Donald Trump’s second term


    For non-MAGA enthusiasts, it is easy to surmise — similar to Eden’s remarks on FDR — that Trump does not understand the potential damage of the dynamite he is not just juggling, but hurling.

    A case might be made that some lobs align with Trump’s personal penchant for retribution, or that the chainsaw is being wielded to make room in the federal budget for new tax cuts for the one per cent.

    But such calculations disregard deeply rooted American values like respect for the rule of law and the separation of powers.

    Trump’s actions could suggest a lust for mayhem apparently aimed at dismantling a century of efforts to shape a government that serves global security while also meeting the economic, social and health care needs of American citizens, including safety net provisions for senior citizens, children, farmers, veterans and others.

    Threats today, damage tomorrow

    His apparent fondness for dynamite is already having negative consequences, with seemingly little grasp of the likelihood of worse to come: today, he’s upending the lives of civil servants; tomorrow’s disruptions will likely include an attack on the services provided by agencies like the Social Security Administration and disruption of the flow of funds to many poor school districts.

    Today, the U.S. is struggling with a measles outbreak. But the personal beliefs of Health and Human Services Director Robert F. Kennedy, Jr., a notorious vaccination and public health skeptic, doesn’t bode well for a fight against a rapidly evolving avian flu threat on the near horizon.

    Today’s stock and bond market volatility creates the possibility of a trade war catastrophe and damage to economic stability as the U.S. appears poised to disregard its longtime status as the world economy’s “safe haven.”

    The current tensions in what were once ironclad partnerships with allies that include Canada, the European Union and Ukraine — along with the whiplash reversal of American-Russian dynamics — are reminiscent of the global disruption in the 1930s that featured the Great Depression and the eruption of the Second World War.

    How FDR coped with explosions around him

    If Eden’s image of FDR as a dangerous juggler of dynamite might also apply to Trump, it fails to capture the essential attributes of the 32nd president’s White House career. Eden’s ego seems to have undercut his appraisal of FDR — compounded by his own failure to understand the historical developments that profoundly weakened the British Empire and brought his own career to an end.

    There’s no question dynamite was exploding in 1933, the start of FDR’s 12 years in the White House. But the Depression and its evolving consequences, not FDR’s personal impulses and misconceptions, created a tinderbox decade.

    One of Roosevelt’s great strengths, in fact, was his ability to recognize the acute dangers emanating from a fearful cortege of flaming fuses. Another was his success in turning insights into meaningful actions.

    Roosevelt knew — far better than his predecessor, Herbert Hoover — that the onset of the Depression would require dramatic actions and fundamental reforms.

    His New Deal expanded the government’s role in stimulating the economy (for example, the Public Works Administration), regulation (the Securities Exchange Commission), social welfare initiatives (the Social Security program) and infrastructure development (for example, the Tennessee Valley Authority).

    The Depression wasn’t fully eradicated — that didn’t happen until after war broke out — but the lives of millions of Americans still improved significantly.

    Of equal importance, FDR’s creative thinking and government transformations created building blocks for further post-war reforms, including Lyndon Johnson’s Great Society efforts three decades later.




    Read more:
    The Great Society: the forgotten reform movement


    Roosevelt also knew that the devastation of the Depression and the unparalleled destruction of the Second World War required a transformation of the global arena. He believed technology — air power especially — had created an integrated world. In his January 1943 State of the Union address, he said:

    “Wars grow in size, in death and destruction, and in the inevitability of engulfing all nations, in inverse ratio to the shrinking size of the world as a result of the conquest of the air.”

    Sharing responsibilities

    FDR believed the world he worked to create would be safer and more prosperous because multilateral organizations would encourage greater emphasis on shared resources and responsibilities. The United Nations, the International Monetary Fund and the World Bank took shape during FDR’s presidency — as did long-term plans for decolonization and human rights initiatives.

    Roosevelt knew too — better than many of his White House successors — that the U.S. needed to share leadership responsibilities. He believed emphatically in multilateralism, recognizing the limits of American resources and power, and the pragmatism of compromising with the priorities of others, whether they were powerful states or colonial peoples.

    His “Four Policemen” approach to maintaining peace — comprising the U.S., the U.K., the Soviet Union and China — would sometimes create unpalatable situations. He was criticized harshly, for example, for naively opening the door to Soviet domination of eastern Europe via the Yalta agreement. Nonetheless, FDR focused on efforts he believed would avert another destructive cataclysm.

    FDR was an imperfect leader in various ways — in not appreciating, for example, how global leadership could result in arrogance. He did, however, understand the explosive domestic and international developments of the 20th century and sought constructive solutions to grave challenges.

    Trump, on the contrary, is seemingly prioritizing destruction over construction. Propelled by a “move fast and break things” mantra, there’s little evidence that he understands its pain nor the damaging consequences of his impulses.

    Ronald W. Pruessen has received funding from the Social Sciences and Humanities Research Council of Canada.

    – ref. Juggling dynamite? At 100 days in office, Donald Trump is no Franklin D. Roosevelt – https://theconversation.com/juggling-dynamite-at-100-days-in-office-donald-trump-is-no-franklin-d-roosevelt-254773

    MIL OSI – Global Reports –

    April 29, 2025
  • MIL-OSI USA: Cortez Masto, Storey County Leaders Tour New Lockwood Senior Center

    US Senate News:

    Source: United States Senator for Nevada Cortez Masto

     Cortez Masto Secured $2.5 Million for Senior Center in Bipartisan Government Funding Package for FY23

    Reno, Nev. – Last week, U.S. Senator Catherine Cortez Masto (D-Nev.) joined Storey County Commissioner Donald Gilman and Storey County Director of Health and Community Services Stacy York to highlight the new Lockwood Senior Center – set to open in late 2025. In 2022, Cortez Masto secured $2,500,000 in bipartisan government funding legislation for this project.

    “Here in rural Nevada, you don’t always have access to community services like this in your backyard, but I’m thrilled that will soon change,” said Senator Cortez Masto. “I’m proud to have secured $2.5 million to bring this senior center to life, and I’m sure it will be a future cornerstone of our Lockwood community.”

    The Lockwood Senior Center will provide resources and services to seniors in Lockwood, including meals on wheels, transportation services, a food pantry, case management, and mental health services. The senior center also plans to serve the greater Lockwood community by providing county services, school meals, and a health office.

    Senators Cortez Masto and Jacky Rosen (D-Nev.) secured $167.62 million in Community Project Funding to support 85 programs and projects across Nevada as part of the FY2023 bipartisan funding package. A full list of projects in Nevada that received community project funding can be found here.

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: Dingell, Fitzpatrick, Wasserman Schultz Reintroduce Bipartisan Legislation to Increase Access to Breast Cancer Diagnostic Tests

    Source: United States House of Representatives – Congresswoman Debbie Dingell (12th District of Michigan)

    Today, Representatives Debbie Dingell (D-MI), Debbie Wasserman Schultz (D-FL), and Brian Fitzpatrick (R-PA), co-chairs of the House Cancer Caucus, reintroduced bipartisan legislation to make breast cancer diagnostic tests more affordable and accessible to women by eliminating copays and additional out-of-pocket expenses. The Access to Breast Cancer Diagnosis Act requires insurance companies to cover diagnostic and supplemental breast examinations without cost-sharing.

    “We know that early diagnosis saves lives, so no one should be unable to access critical testing because they can’t afford it,” said Dingell. “One in eight women will develop breast cancer in her lifetime, and this bipartisan legislation would eliminate financial barriers that prevent too many women from getting the diagnostic imaging tests they need.”

    “Access to life-saving diagnostic testing should never depend on a person’s ability to pay. When it comes to breast cancer, early diagnosis is critical — and financial barriers can be deadly,” said Fitzpatrick. “The Access to Breast Cancer Diagnosis Act ensures that no woman is left behind simply because she cannot afford the care she needs. As Co-Chair of the House Cancer Caucus, this legislation is part of my ongoing mission to deliver bipartisan solutions that expand access, strengthen early detection, and save lives.”

    “As a breast cancer survivor who was diagnosed early, at age 41, I know firsthand how critical early detection is to survival. It helped save my life, but cost should never be a barrier that delays women from getting screenings,” said Wasserman Schultz. “At a time when breast cancer is affecting more and more women, especially younger women, I am proud to collaborate with my colleagues on this important, bipartisan legislation, to eliminate copays and additional out-of-pocket expenses that create breast cancer diagnostic testing hurdles. We cannot allow financial status to limit access to essential services, like screenings and preventive care. Too many lives depend on it.”

    “For far too many, needed breast imaging and access to a timely diagnosis are still out of reach due to high out-of-pocket expenses, leaving patients forced to decide between their health and their finances,” said Molly Guthrie, Vice President of Policy and Advocacy at Susan G. Komen. “The Access to Breast Cancer Diagnosis Act will remove the financial barrier to diagnostic and supplemental breast imaging so that individuals can get the care they need without having to endure undue financial burden. We grateful to Senators Jeanne Shaheen and Katie Britt and Representatives Debbie Dingell, Debbie Wasserman Schultz, and Brian Fitzpatrick for their leadership on this vital legislation.”

    Under current law, insurance companies are required to cover preventive health care like breast cancer screenings without copays, but not diagnostic testing. If a breast cancer screening shows that a woman may have breast cancer, a diagnostic test like an MRI or ultrasound is required to determine whether cancer is present. Since diagnosis is a separate process from screening, this disparity in coverage can result in additional costs for patients for required diagnostic tests.

    Text of the legislation can be found here.

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: AFSCME’s Saunders: A historic and relentless assault on working people and unions underscore the first 100 days of this administration

    Source: American Federation of State, County and Municipal Employees Union

    WASHINGTON – AFSCME President Lee Saunders released the following statement marking the first 100 days of the second Trump administration this week:

    “During the campaign, Trump promised to put working people first, lower rising costs on groceries and gas and preserve our earned benefits and health care. Instead, the first one 100 days of this billionaire-run administration have been fueled by lies, broken promises, and a relentless assault on working people and unions.

    “He has handed over the reins of government to billionaires — appointing the wealthiest cabinet in American history, kicking off a trade war that is raising prices on everyday goods, attacking Social Security and Medicaid, cutting wages for workers, and stripping collective bargaining rights from more than 1 million federal employees. The White House claimed it had nothing to do with Project 2025, yet it has already implemented over one-third of the anti-worker agenda, often sidestepping Congress and the courts to do so.

    “The fallout has been immediate. Retirees are left wondering how to navigate Social Security as staff are laid off, offices are closed, and services are cut. People are watching their retirement savings shrink. Lifesaving health and safety regulations have been put on hold. Students with disabilities are losing vital support from the Department of Education. The Department of Health and Human Services is clawing back funding from states, cities and towns to fight infectious diseases as measles is on the rise, and it’s just the beginning. It is clear that Medicaid cuts are next on the agenda, kicking millions of retirees, children and working people off their health care and upending our entire health care system.

    “This administration refuses to reverse course, because its No. 1 goal is to hand out massive tax breaks to billionaires by robbing our communities of public services and workers of our power. Make no mistake — this will devastate our economy.

    “In response, workers across the country are organizing with AFSCME to build real people power. Tens of thousands of public service workers have joined AFSCME since the start of the year. They are getting organized — hosting town halls, mobilizing their co-workers, and flooding Congress with thousands of letters, calls and petitions demanding action to rein in this hostile takeover.

    “In the courts, AFSCME is fighting to stop the mass firings of federal employees, safeguard Americans’ Social Security data, block the unlawful shutdown of federal agencies, challenge cuts of federal grants to state and local governments that fund essential public services, contest the elimination of collective bargaining rights, and more.

    “No matter how this administration attempts to reframe and erase history, we will never forget: It is working people who are the backbone of this nation. We built the middle-class. We built this country, and we will fight to protect our freedom to thrive.”

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI Europe: Missions – SANT mission to Kyiv, Ukraine – 14-04-2025 – Committee on Public Health

    Source: European Parliament

    EU Ukraine © Adobe Stock

    Committee on Public Health travelled to Ukraine on 14 and 15 April for talks with parliament representatives and healthcare leaders. The delegation was composed of five Members: Adam Jarubas (EPP, PL), SANT Chair, Tilly Metz (Greens/EFA, LU), SANT Vice-Chair, Vytenis Andriukaitis (S&D, LT), Nikos Papandreou (S&D, EL) and Veronika Cifrová Ostrihoňová (Renew, SK).

    The European Parliament delegation met Chairman Ruslan Stefanchuk, Mykhailo Radutskyi, Chair of the Committee on Public Health, and other members of the Verkhovna Rada, as well as healthcare leaders, including Maryna Slobodnichenko, Deputy Minister of Health. MEPs also witnessed first-hand the impressive care of soldiers injured in the Russian war of aggression.

    MIL OSI Europe News –

    April 29, 2025
  • MIL-OSI Europe: Written question – Translation of European respiratory infections forecasting into socially available tools – E-001556/2025

    Source: European Parliament

    Question for written answer  E-001556/2025
    to the Commission
    Rule 144
    Adam Jarubas (PPE)

    EU deaths and hospitalisations due to respiratory infections including respiratory syncytial virus, pneumonia, influenza and COVID-19 are rising, while immunisation rates are declining in some Member Sates. Recent cuts to the EU4Health programme put EU preparedness and response to cross-border health threats under pressure, and clear policies and investment are needed to address Europe’s lung health and its impact on ageing.

    The weekly European Respiratory Virus Surveillance Summary by the European Centre for Disease Prevention and Control (ECDC) and the WHO, and the ECDC Respiratory Diseases Forecasting Hub (RespiCast), with UK collaboration, are significant, recently launched EU tools for monitoring and forecasting the prevalence of respiratory infections. These portals build on the European health union’s ambition and are fundamental for lung health promotion and cross-border prevention of respiratory diseases.

    In the face of rising vaccine hesitancy and healthcare system limitations, civil society calls for the wide dissemination of preventative, science-based information on respiratory infections, to increase awareness, literacy, transparency and trust in public health measures.

    • 1.Does the Commission plan to make data from these portals more accessible to citizens, to enable them to make personal health decisions?
    • 2.Is the Commission considering providing effective tools for healthcare professionals and citizens and promoting awareness of the portals?
    • 3.What has been the reach and use of the portals since their launch?

    Submitted: 16.4.2025

    Last updated: 28 April 2025

    MIL OSI Europe News –

    April 29, 2025
  • MIL-OSI USA: Baldwin Blasts Trump Admin’s Attacks on Head Start, Demands They Immediately Release Funding and Reverse Firings

    US Senate News:

    Source: United States Senator for Wisconsin Tammy Baldwin
    WASHINGTON, D.C. — U.S. Senator Tammy Baldwin (D-WI) led a group of 41 Senators in calling out the Trump administration’s direct attacks on Head Start and demanding his Department of Health and Human Services immediately release Head Start funding, reverse the mass firing of Head Start staff, and stop gutting the offices that help ensure high-quality child care is available for thousands of children and families across the country.
    “Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children,” wrote the lawmakers in a letter to HHS Secretary Robert F. Kennedy, Jr. “… It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal.”
    “Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff,” the lawmakers continued. “Head Start is a critical source of child care for working families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. Head Start programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.”
     “[W]e urge you to immediately reinstate fired staff across all Offices of Head Start, and cease all actions to delay the awarding and disbursement of funding to Head Start programs across this country,” the lawmakers conclude.
    Earlier this month, Senator Baldwin called on U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. to answer for the closure of five regional Head Start offices across the country, including the Region 5 office in Chicago, which serves Head Start centers in Wisconsin.
    Earlier in the year, the Trump Administration froze funding for Head Start programs, and despite being forced to rescind its directive, eight Head Start programs around the state continued to experience issues accessing their federal funding, forcing one Head Start Center in Waukesha to close – leaving more than 250 families without childcare. Baldwin demanded that the Administration resolve the issue immediately and restore funding to these Wisconsin Head Start centers so they could continue serving kids and families.
    Senator Baldwin led the letter with Senators Patty Murray (D-WA) and Bernie Sanders (I-VT), and it was signed by 39 of their Senate colleagues.
    The full letter is available here and below. 
    Dear Secretary Kennedy:
    We write to express our strong opposition to the actions you have taken to directly attack and undermine the federal Head Start program. Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children. Already this year, this Administration has withheld almost $1 billion in federal grant funding from Head Start programs, a 37 percent decrease compared to the amount of funding awarded during the same period last year. It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal.
    Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff. Head Start is a critical source of child care for working families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. Head Start programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.
    You even acknowledged the value of Head Start following a recent visit to a Virginia Head Start center, where you said, “I had a very inspiring tour. I saw a devoted staff and a lot of happy children. They are getting the kind of education and socialization they need, and they are also getting a couple of meals a day.”
    However, as a result of your actions to withhold and delay funding and undermine the administration of this vital program, Head Start centers are in serious jeopardy and have already had their day to day operations impacted. Programs are increasingly worried that they will not be able to make payroll, pay rent, and remain open to serve the hundreds of thousands of children and families who depend on their services in communities across the nation.
    Since the very start of this Administration, Head Start programs have been under attack. On January 27th, 2025, the Office of Management and Budget issued a memo (M-25-13) that suddenly froze the disbursement of grant funding for federal programs and services government-wide, including Head Start. Despite the Administration’s clarification that Head Start programs would not be the target of the funding freeze, many Head Start programs across the country were unable to draw down their grant funds through the Payment Management System (PMS) for weeks. At one point, the National Head Start Association reported 37 programs serving nearly 15,000 children across the country could not access their federal funding. Head Start programs operate with thin margins and on short-term budgets from HHS, and without any communication from the Administration about the status of funding, programs were forced to temporarily close or to lay off staff. In Wisconsin, the National Centers for Learning Excellence, which serves more than 200 children and their families, shut down for a week and laid off staff due to the funding freeze.
    On April 1st, you abruptly closed five of the ten regional offices that help local grantees administer Head Start programs in 22 states. This left hundreds of programs without dedicated points of contact to address mission critical issues like approving grant renewals and modifications, investigating child health and safety incidents, and providing training and technical assistance to ensure high-quality services for children. While some grantees were assigned a new program specialist, we understand many have not been receiving responses to their inquiries. This is on top of the estimated 97 Office of Head Start central office staff that were terminated due to their probationary status and the recent reduction in force. You promised “radical transparency” as Secretary, yet it is unclear how these actions will improve Head Start programs, and you and your staff refuse to respond to basic inquiries and requests for information.
    On March 14th, 2025, the Office of Head Start (OHS) notified all Head Start programs that “the use of federal funding for any training and technical assistance or other program expenditures that promote or take part in diversity, equity, and inclusion (DEI) initiatives” will not be approved and that any questions should be directed to regional offices. Programs have not received any guidance for what would be considered “DEI” but this policy is potentially in direct conflict with statutory and regulatory program requirements, such as providing culturally and linguistically appropriate instructional services for English learners. Many programs cannot direct questions to regional staff, as half of regional offices were abruptly closed, and as unprecedented actions are being taken to delay and withhold funding, Head Start programs have been intentionally left with little to no guidance.
    Head Start programs are now arbitrarily required to provide justifications for each draw down of funds that is necessary to operate their programs, despite already receiving a federal grant award for these purposes. As of April 14th, Head Start programs have reportedly received correspondence from an email address “defendthespend@hhs.gov” requiring programs to submit a “specific description of why the funds are necessary and why they are aligned to the award” before programs can have funding disbursed. It has been reported that political appointees must sign off on every draw down of funds. This creates an illusion of improving oversight but only serves to add unnecessary red tape by requiring the manual sign off on hundreds of thousands of individual actions annually across the Department based on two to three sentence justifications. Already some grantees have reported delays in receiving funds, and have reported that furloughs or closures are imminent if funds are not released. For an administration that purports to value local autonomy and efficiency in federally funded programs, your actions have achieved the exact opposite.
    Finally, Head Start grantees are still waiting on payments and grant renewals from the Office of Head Start, including programs whose grants end on April 30th, 2025. These notices should have gone out by now, yet we are concerned to hear programs report they have received little to no correspondence regarding their grant renewals. Additionally, because we started fiscal year 2025 under a short-term continuing resolution, as is usual, some grantees have only received partial funding for the first few months of the year. But with a full year funding bill in place, these grantees should have received full funding by now, yet some are reporting that they have not received the full amount of their grants and will run out of funds this month or next. On Wednesday, April 16th, the delays in Head Start funding led to the closure of Head Start centers serving more than 400 children in Sunnyside, Washington.
    The Administration has a legal and moral obligation to disburse Head Start funds to programs and to uphold the program’s promise to provide high-quality early education services to low income children and families across this country. The fiscal year 2025 appropriations act provided $12.3 billion for Head Start, the same as the fiscal year 2024 level. The Head Start Act includes an explicit formula for how appropriated funds should be allocated. There is no justifiable reason for the delay in funding we have seen over the last two months, and you have refused to offer any kind of explanation. However, this week leaked fiscal year 2026 budget documents indicated the Office of Management and Budget was directing the Department, consistent with the Administration’s proposal to eliminate Head Start in fiscal year 2026, to “ensure to the extent allowable FY2025 funds are available to close out the program.” If this explains any of the delay in awarding fiscal year 2025 funding, we want to be clear, no funds were provided in fiscal year 2025 to “close out the program,” and it would be wholly unacceptable and likely illegal if the Department tries to carry out this directive.
    Finally, the leaked budget documents provided a justification, albeit brief, for eliminating Head Start in fiscal year 2026 that makes this Administration’s priorities clear and puts the Department’s actions over the last several months in context. The Administration argues that eliminating Head Start, “is consistent with the Administration’s goals of returning education to the States and increasing parental choice.” It is shocking to see an argument that eliminating a program that provides comprehensive early childhood care and education to 800,000 children and their families would increase parental choice. It is particularly concerning to see that argument in the context of the significant delay in awarding fiscal year 2025 appropriated funds and what that indicates about the intent behind the Department’s actions. We believe it is obvious that eliminating Head Start would be detrimental to hundreds of thousands of children and families. Similarly, we believe it is obvious that delaying funding like we have seen over the last two months, forcing Head Start programs to close, and leaving families to scramble to find quality, affordable alternatives puts the education and well-being of some of the most vulnerable young children in America at risk. In our view, that is unacceptable.
    Therefore, we urge you to immediately reinstate fired staff across all Offices of Head Start, and cease all actions to delay the awarding and disbursement of funding to Head Start programs across this country.
    Please provide us with a written response to the questions below no later than 10 days from receipt:
    Will you reinstate the staff who administer Head Start programs and reopen the closed regional offices responsible for overseeing Head Start programs in 22 states?
    When is HHS going to share information on the reorganization plan for the consolidation of the regional offices?
    Please provide the contact information for each program specialist designated to the 22 states who lost their regional office.
    Who is responsible for ensuring there are no delays or lapses in funding, nor any disruptions to Head Start program operations now that these states do not have a regional office?

    How many employees at the Offices of Head Start have been terminated, including the five regional offices and the central office?
    Which officials at HHS were involved in the staffing reduction decisions for OHS and what planning, if any, was undertaken prior to these reductions? Please describe the events that unfolded and name each office that was involved in the decision. Further, please name the official(s) who approved the staffing reductions.

    Can you confirm that the Administration will distribute all Head Start funds appropriated by Congress to Head Start programs in FY 25, as required by the Head Start Act?
    Please provide a list of all grantees with 5-year Head Start grant renewals that start between now and the end of the fiscal year: May 1st, June 1st, July 1st, August 1st, and September 1st.
    Will any funding be delayed for grantees that are due to receive their annual funding on May 1st or beyond?

    Why are funding awards delayed for grantees that received partial awards during the first continuing resolution for FY25?
    When can HHS guarantee that all funds will be awarded for partially funded Head Start programs?

    What is the “Tier 2” department for review that is delaying drawn down for Head Start programs in the Payment Management System?
    When should programs expect to receive their funds?
    Please provide all communication that went to Head Start grantees on the new review process.

    What guidance and clarifications have been provided to Head Start grantees on DEI expenditures?
    How is HHS evaluating Head Start programs’ expenditures and grant awards for DEI?
    What justifications are being used to prohibit DEI?

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI United Kingdom: Nature Restoration Fund benefits for Highland projects highlighted ahead of Green Health Week

    Source: Scotland – Highland Council

    In celebration of the upcoming Green Health Week (3 – 11 May 2025), The Highland Council is showcasing the impressive achievements of the Highland Nature Restoration Fund.

    Chair of the Economy and Infrastructure Committee, Councillor Ken Gowans said: “The 67 projects supported by the fund have made significant contributions to enhancing biodiversity through a variety of projects including wildflower planting, woodland and wetland creation, and removal of invasive species.”

    The Scottish Government established the Nature Restoration Fund as a capital fund to support projects aimed at restoring nature, protecting wildlife, and addressing biodiversity loss caused by climate change. Over three years, Highland Council managed the fund, with most of the allocation distributed by Nature Scot.

    In total, £633,061.09 was allocated over the three years, supporting 67 projects across the Highlands. These projects achieved the following:

    • Planted 24,283 trees
    • Planted 8.97 hectares of wildflowers, equivalent to 12 football pitches
    • Planted 1,635 meters of hedgerows
    • Removed 34 hectares of non-native or invasive species
    • Created 2.5 hectares of wetlands/ponds, equivalent to 19 Olympic swimming pools
    • Installed 35 wildlife boxes
    • Engaged 1,709 volunteers

    Councillor Gowans added: “The theme and key focus of Green Health Week 2025 is that nature is for everyone. It’s about taking the opportunity to celebrate diversity and promote equality of access by breaking down the barriers to participation. As we prepare to mark the week, I think it’s very fitting for us to highlight the successful projects funded by the Nature Restoration Fund, that are making a difference across our communities. “

    “Our Community Regeneration Team is currently developing a Nature Restoration Fund brochure to highlight these remarkable projects and their impact on the Highlands so stay tuned for details.”

    The Highland Council is a member of the Highland Green Health Partnership, a programme which aims to encourage more use of the outdoors to tackle physical inactivity, mental health issues and health inequalities. The Partnership is supporting Green Health Week. More details on Green Health Week are available here

    28 Apr 2025

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    MIL OSI United Kingdom –

    April 29, 2025
  • MIL-OSI Asia-Pac: PM to participate in YUGM Conclave on 29th April

    Source: Government of India

    PM to participate in YUGM Conclave on 29th April

    In line with Prime Minister’s vision of a self-reliant and innovation-led India, key projects related to Innovation will be initiated during the Conclave

    Conclave aims to catalyze large-scale private investment in India’s innovation ecosystem

    Deep Tech Startup Showcase at the Conclave will feature cutting-edge innovations from across India

    Posted On: 28 APR 2025 7:07PM by PIB Delhi

    Prime Minister Shri Narendra Modi will participate in YUGM Conclave on 29th April, at around 11 AM, at Bharat Mandapam, New Delhi. He will also address the gathering on the occasion.

    YUGM (meaning “confluence” in Sanskrit) is a first-of-its-kind strategic conclave convening leaders from government, academia, industry, and the innovation ecosystem. It will contribute to India’s innovation journey, driven by a collaborative project of around Rs 1,400 crore with joint investment from the Wadhwani Foundation and Government Institutions.

    In line with Prime Minister’s vision of a self-reliant and innovation-led India, various key projects will be initiated during the conclave. They include Superhubs at IIT Kanpur (AI & Intelligent Systems) and IIT Bombay (Biosciences, Biotechnology, Health & Medicine); Wadhwani Innovation Network (WIN) Centers at top research institutions to drive research commercialization; and partnership with Anusandhan National Research Foundation (ANRF) for jointly funding late-stage translation projects and promoting research and innovation.

    The conclave will also include High-level Roundtables and Panel Discussions involving government officials, top industry and academic leaders; action-oriented dialogue on enabling fast-track translation of research into impact; a Deep Tech Startup Showcase featuring cutting-edge innovations from across India; and exclusive networking opportunities across sectors to spark collaborations and partnerships.

    The Conclave aims to catalyze large-scale private investment in India’s innovation ecosystem; accelerate research-to-commercialization pipelines in frontier tech; strengthen academia-industry-government partnerships; advance national initiatives like ANRF and AICTE Innovation; democratize innovation access across institutions; and foster a national innovation alignment toward Viksit Bharat@2047.

     

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    MIL OSI Asia Pacific News –

    April 29, 2025
  • MIL-OSI Asia-Pac: Queen Elizabeth Hospital announces incident of healthcare staff member suspected to have been assaulted

    Source: Hong Kong Government special administrative region

    Queen Elizabeth Hospital announces incident of healthcare staff member suspected to have been assaulted 
         An Operation Assistant (OPA) was assaulted around 9am while maintaining order on the second floor of the Ambulatory Care Centre. Hospital staff and security staff immediately arrived on the scene to assist, and called the Police for assistance. The injured OPA was sent to the QEH Accident and Emergency Department for treatment. The OPA’s left ear was injured and the staff member was discharged after treatment. The police arrested a male patient at the hospital later, who was suspected to be connected with the case.
     
         The hospital is highly concerned about the incident, expressed sympathy and rendered necessary support to the injured staff member. The hospital resolutely adopts a zero-tolerance attitude to any workplace violence and strongly condemns the violent act. The hospital will follow up and fully co-operate with the Police investigation.
     
         The hospital has long attached great concern to work safety for its staff under prevailing guidelines and measures to prevent workplace violence. The hospital appeals to patients and relatives to follow the advice of healthcare workers.
     
         The hospital has reported the incident to the Hospital Authority Head Office via the Advance Incident Reporting System.
    Issued at HKT 18:58

    NNNN

    CategoriesMIL-OSI

    MIL OSI Asia Pacific News –

    April 29, 2025
  • MIL-OSI Asia-Pac: CHP investigates confirmed Mpox case

    Source: Hong Kong Government special administrative region

    The Centre for Health Protection (CHP) of the Department of Health (DH) said today (April 28) that it is investigating a confirmed Mpox (also known as Monkeypox) case, and urged the public to be vigilant and avoid close physical contact with persons suspected of contracting Mpox. Meanwhile, high-risk target groups are advised to receive Mpox vaccinations.

    The case involves a 33-year-old male with good past health. He developed rashes and lymphadenopathy on April 22, and attended the Yau Ma Tei Male Social Hygiene Clinic of the DH on April 25. He is in stable condition, and is being arranged for treatment and isolation at Princess Margaret Hospital.

         A preliminary investigation revealed that he did not receive Mpox vaccination and had a history of high-risk exposure in Hong Kong. No epidemiological linkages have been established between this case and other confirmed cases previously recorded in Hong Kong. The CHP is continuing its epidemiological investigations of the case and will report the case to the World Health Organization.

    The CHP reminded high-risk target groups to receive Mpox vaccinations in order to lower the risk of infection or the possibility of having more severe symptoms after infection. In addition, persons who experience Mpox symptoms (including rashes, fever, chills, swollen lymph nodes, exhaustion, muscle pain, and severe headaches) or suspect themselves of being infected are advised to seek medical attention and receive treatment at once. They should not engage in activities with others that may expose others to their skin rash or body fluids. Members of the public should maintain good personal and hand hygiene to prevent virus transmission or infection through contact. They should also avoid close physical contact with persons or animals suspected of being infected.

    The CHP has set up an Mpox telephone hotline (2125 2373), which operates from Monday to Friday from 9am to 5pm, excluding public holidays. Those who suspect or are concerned that they may have had high-risk contact with confirmed cases, particularly men who have sex with men or those who have sexual practices with strangers, can use the hotline to make enquiries and receive relevant health advice.

    Furthermore, the DH provides vaccination services to high-risk groups of Mpox. The following high-risk target groups are eligible for Mpox vaccinations on a voluntary basis:
     

    1. Individuals with high-risk sexual practices, e.g. having multiple sexual partners, sex workers, or having a history of sexually transmitted infection within the past 12 months;
    2. Healthcare workers responsible for caring for patients with confirmed Mpox;
    3. Laboratory personnel working with zoonotic pox viruses; and
    4. Animal care personnel with high risk of exposure in case of Mpox occurrences in animals in Hong Kong.

    The high-risk target groups can receive Mpox walk-in vaccinations at any of the DH’s Social Hygiene Service Clinics (SocHS) (namely Chai Wan SocHS, Wan Chai Male SocHS, Wan Chai Female SocHS, Yau Ma Tei Male SocHS, Yau Ma Tei Female SocHS, Yung Fung Shee SocHS, Fanling SocHS and Tuen Mun SocHS) and the DH’s Yau Ma Tei Integrated Treatment Centre.
     
    Meanwhile, the DH’s Kowloon Bay Integrated Treatment Centre and the Hospital Authority’s Special Medical Clinics at Queen Elizabeth Hospital and Princess Margaret Hospital also provide Mpox vaccination services for their clients.
     
    For more details, please visit the CHP’s page on Mpox and Mpox Vaccination Programme.

    MIL OSI Asia Pacific News –

    April 29, 2025
  • MIL-OSI USA: Warren, Schumer, Sanders Statement on Reported Attorneys General Investigations into MOHELA

    US Senate News:

    Source: United States Senator for Massachusetts – Elizabeth Warren

    April 28, 2025

    Washington, D.C. – Today, U.S. Senators Elizabeth Warren (D-Mass.), Ranking Member of the Senate Banking, Housing, and Urban Affairs Committee; Minority Leader Chuck Schumer (D-N.Y.); and Bernie Sanders (I-Vt.), Ranking Member of the Senate Health, Education, Labor, and Pensions Committee, released the following statement after reports of new investigations by multiple state attorneys general and regulators into student loan mismanagement by MOHELA, one of the nation’s largest student loan servicers:

    “MOHELA’s mismanagement of Americans’ student loans has resulted in a series of abuses for hundreds of thousands of borrowers. We’ve previously urged state Attorneys General to investigate MOHELA and pursue action to the fullest extent possible under the law, and reports of these new investigations are an important step toward making right by our nation’s student loan borrowers — especially as the Trump Administration abandons and penalizes them. Americans deserve better than MOHELA’s failures.”

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI Global: Hospitals have huge environmental footprints – here’s how they can be more sustainable

    Source: The Conversation – UK – By James Scott Vandeventer, Senior Lecturer in Sustainability, Manchester Metropolitan University

    North Manchester General is a Victorian hospital that would benefit from a retrofit. James Scott Vandeventer, CC BY-NC-ND

    Hospital visits usually involve a medical emergency or appointment. The last thing on most patients’ minds will be how the building works. We expect the lights to be on, medical equipment to work, a comfortable room temperature, healthy food, an appropriate layout with efficient routes between departments and all the other features that make the healthcare system run smoothly.

    But many decisions about how hospitals will operate are made long before we enter the door – and have significant consequences for their environmental footprint.

    In England, the NHS contributes 4% of the country’s total carbon emissions, equating to 40% of all emissions from the public sector. In addition to carbon, NHS operations demand immense quantities of natural resources.

    This translates into significant environmental impact embodied in buildings – depending on how a hospital’s material form (think walls, floors, ceilings, windows, pipes, wires) is designed and built.

    Construction materials must be manufactured, transported to a building site and used by construction crews. Here, raw inputs come from mines, quarries or other extraction sites where environmental injustices are perpetuated on land and local communities.

    Then there are operational impacts, like electricity, water, medical equipment (PPE, hospital beds, syringes), medical gases and food. These essentials are also manufactured, require infrastructures (from the electricity grid to food systems) and are often constrained by previous building design decisions.

    Today, the UK’s NHS is facing major capacity pressures on healthcare services, with hospitals expected to handle significant increases in visits. And in January, the Labour government announced three waves of funding for new NHS hospital construction, with 16 hospitals greenlit as part of wave one.

    While investment in NHS hospitals is necessary, it brings more greenhouse gas emissions from the operational running of the building and its construction (that includes the extraction and manufacture of raw materials and is referred to as embodied carbon) and its raw materials. embodied and operational environmental impacts.

    Ensuring hospitals’ sustainability starts with their design. So, what would designing a more sustainable hospital really involve?

    For the past 18 months, I have been attending design meetings and interviewing the design team working on a wave one hospital, North Manchester General. It’s one of the major acute hospitals of Manchester University NHS Foundation Trust (MFT), whose forward-thinking leadership welcomed my research into hospital design.

    I have found that sustainability is predominantly integrated into the hospital design through adopting external technical specifications, like the NHS Net Zero Carbon Building Standard, and by aligning with local trust sustainability strategies. In this case MFT’s Green Plan.

    I’ve also seen how North Manchester General’s design must adapt to standardisations from the government’s New Hospital Programme. That’s a national initiative coordinating new hospital design and construction, including by working with suppliers.

    Adhering to existing statutory requirements related to sustainability – including building safety, social value, net zero carbon, and biodiversity net gain – also features in design considerations.

    While reducing carbon emissions remains a focus of North Manchester General’s designs, I’ve witnessed increasing interest in the broader environmental footprint – particularly water and waste. The bar for sustainability is being set high.

    But several key areas deserve further consideration in the design process – and the government’s national approach -– to minimise their overall emissions and translate sustainability ambition into action.

    For NHS hospitals, and sustainable cities generally, one of the most important decisions is whether to undertake renovation and retrofit of existing buildings as opposed to demolition and rebuild.

    Modernising existing buildings not only lowers the carbon emissions associated with materials and construction that come with starting anew, but also reduces impacts associated with construction – while inviting radical innovations like airflow retrofit and modular and mobile facilities.

    North Manchester General is a Victorian hospital, which, like historic homes and museums, has stood for well over a century. With the right care, maintenance and design, its older structures could be cost-effectively upgraded, while incorporating flexibility for future innovations into retrofit.

    Retaining parts of the existing estate – and only demolishing where absolutely necessary – respects the carbon footprint of the building structure already invested in hospitals and allows for sustainable adaptation rather than the significant environmental footprint of replacement.

    Designing 21st-century healthcare

    Looking ahead, a “fabric first” approach to new hospitals will prioritise the performance of the building’s envelope – walls, roofs, insulation, windows – before relying on technology to manage energy use. While high-efficiency models like Passivhaus (an approach to designing buildings that requires minimal-to-no energy for heating and cooling) often come with a slightly higher initial cost, they deliver long-term benefits in energy efficiency and cost savings.

    Beyond driving down operational impacts, investing in building fabrics could be coordinated by the New Hospital Programme to ensure localised suppliers can ethically source these materials. This could enhance buildings’ lifespan while improving UK healthcare and construction supply chains’ resilience.

    So many hospitals need retrofitting.
    richardjohnson/Shutterstock

    Sustainable hospital designs will change alongside the NHS’ model of healthcare. For example, smaller, more agile hospitals and community health services are becoming future priorities. While some major treatments (think open-heart surgeries) still require acute hospitals, future designs should think small and flexible, while learning from sustainable innovations that improve health outcomes and reduce environmental footprints.

    Take Alder Hey Children’s Hospital in Liverpool, where every ward has a kitchen and chef who cooks food to order, helping children recover faster and drastically reducing food waste. Capturing and systematising such learnings should be a priority for future hospitals.

    Will ever-larger hospitals become a thing of the past if preventative care, mobile surgical facilities and similar innovations become embedded in a future-fit, 21st-century NHS? Perhaps new hospitals’ target operating models need more flexible spaces, and lower overall floor areas, as healthcare shifts towards a community-oriented approach.

    Designing-out reliance on new materials and energy use through retrofit and fabric first approaches, while designing-in flexibility and best practices from contemporary hospitals, will help lower environmental footprints and place the NHS estate at the forefront of sustainable healthcare systems globally.


    Don’t have time to read about climate change as much as you’d like?

    Get a weekly roundup in your inbox instead. Every Wednesday, The Conversation’s environment editor writes Imagine, a short email that goes a little deeper into just one climate issue. Join the 45,000+ readers who’ve subscribed so far.


    James Scott Vandeventer received funding for this research from the British Academy and Leverhulme Trust (SRG-2223/230837), as part of the ‘Conceiving sustainable space’ project.

    – ref. Hospitals have huge environmental footprints – here’s how they can be more sustainable – https://theconversation.com/hospitals-have-huge-environmental-footprints-heres-how-they-can-be-more-sustainable-253693

    MIL OSI – Global Reports –

    April 29, 2025
  • MIL-OSI Global: How a small vaccine drop could see measles becoming endemic again – new study

    Source: The Conversation – UK – By Anastasia A. Theodosiou, Infectious Diseases and Microbiology Academic Clinical Lecturer, University of Glasgow

    Family Stock/Shutterstock.com

    It takes just a spark to start a wildfire, and when it comes to measles, the embers are already glowing.

    A new modelling study published in Jama sounded the alarm: recent drops in childhood vaccination rates could reignite diseases that were nearly extinguished.

    The researchers used a simulation to predict the effect of falling vaccination coverage for measles, rubella, polio and diphtheria. Even at current coverage, measles alone could soon infect more than 850,000 people in the US every year, leading to over 2,500 deaths annually.

    The study also warned how quickly the situation could get worse. A further 10% drop in vaccination rates could lead to more than 11 million cases annually.

    Measles is particularly concerning because of how easily it spreads. It is one of the most contagious diseases known – a single person with measles can infect between 12 and 18 others, each of whom can infect 12 to 18 more, and so on. This is much higher than for diseases such as influenza and COVID, where one person, on average, infects one to four others.

    To stop measles from spreading from person to person, at least 95% of the population needs to be vaccinated. But coverage is falling short – not just in the US, but worldwide. In 2024, less than 84% of five-year-olds in England had received both doses of the measles, mumps and rubella (MMR) vaccine.

    This matters because measles is far from harmless. About one in five children with measles need hospital care, one in 20 develop pneumonia and one in 1,000 suffer encephalitis (a brain infection that can cause seizures and deafness).

    Up to three in every 1,000 children who catch measles will die.

    Although measles poses the greatest immediate threat because of how contagious it is, further drops in vaccination rates could see other serious infections return. Rubella can cause devastating birth defects, polio can lead to permanent paralysis, and diphtheria is fatal in up to 30% of unvaccinated children.

    Before vaccines, these diseases were endemic around the world – circulating constantly, not just in outbreaks. In regions where vaccine coverage has never reached the 95% target, including parts of Africa and south Asia, they remain endemic.

    But in countries where vaccines had all but eliminated them, falling coverage risks undoing decades of progress. And this isn’t just hypothetical – already this year, the US has reported nearly 900 measles cases, including three deaths.

    The MMR vaccine is extremely effective, protecting more than 97% of those who receive both doses. However, some people can’t have the vaccine, including pregnant women, babies and those with a weakened immune system or serious allergy to the vaccine ingredients.

    This is why herd immunity is so important: when over 95% of people in a community are vaccinated, the virus can’t circulate freely, so everyone is protected – including the most vulnerable.

    There are many reasons vaccination rates have fallen. COVID caused the biggest drop in global vaccination in 30 years, and many countries are still catching up. Conflict and natural disasters also contribute, with Yemen reporting over 10,000 measles cases in the past six months.

    Some people choose not to vaccinate their children or themselves. This may be due to vaccine fatigue, concerns about side-effects or underestimating the risks of infection. In this respect, vaccines are victims of their own success – it can be hard to imagine the consequences of infections that have largely disappeared thanks to vaccines.

    As with all medical treatments, vaccines have side-effects, but most are mild and resolve quickly, such as fever, rash and swollen glands.

    Persistent misinformation

    A major contributor to vaccine hesitancy is misinformation, particularly through social media.

    One of the most persistent myths is that the MMR vaccine is linked to autism – a claim based on falsified data in a discredited and retracted study from 1998. Since then, multiple studies have disproved this, including a meta-analysis (a study that combines data from several studies) of over 1.25 million children that found no link between the MMR vaccine and autism.

    Despite clear scientific evidence, these false claims linger, fanning the flames of doubt with real-world consequences. Indeed, the World Health Organization has listed vaccine hesitancy as one of the top ten threats to global health.

    No parent takes decisions about their child’s health lightly. It’s natural to want to weigh the risks and benefits. But when vaccination rates drop, it doesn’t just put unvaccinated children at risk. It threatens those who cannot be vaccinated – including all infants under a year old, who are too young for the MMR vaccine.

    Vaccination remains one of the most powerful tools we have to protect the health of all children. Diseases like measles don’t wait for conflicts to end or for trust to rebuild – they simply spread wherever they can.

    We came close to extinguishing measles and other vaccine-preventable diseases, but any drop in vaccine coverage is a match to kindling. As this new research shows, it doesn’t take much for the embers to flare into a wildfire beyond our control.

    Antonia Ho receives funding from MRC, UKRI, Bill and Melinda Gates Foundation, and Public Health Scotland.

    Chrissie Jones is affiliated with the Immunising Pregnant Women and Neonates (IMPRINT) network, funded by the MRC. She runs clinical trials of vaccines on behalf of the University of Southampton, but does not receive any personal funding for this.

    Anastasia A. Theodosiou 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. How a small vaccine drop could see measles becoming endemic again – new study – https://theconversation.com/how-a-small-vaccine-drop-could-see-measles-becoming-endemic-again-new-study-255327

    MIL OSI – Global Reports –

    April 29, 2025
  • MIL-OSI Global: Oskar Fischer: the forgotten pioneer of Alzheimer’s disease research

    Source: The Conversation – UK – By Michael Hornberger, Professor of Applied Dementia Research, University of East Anglia

    Davide Angelini/Shutterstock

    Ever heard of Fischer’s disease? No? Maybe that is not surprising, because it doesn’t exist. But it could have. In fact, the disease we now know as Alzheimer’s disease might just as easily have been called Fischer’s disease or Alzheimer-Fischer disease.

    Back in 1907, Dr Oskar Fischer published detailed research on what we now recognise as Alzheimer’s disease. Fischer described cases of older people who had cognitive symptoms in their lifetime and noted tiny plaque-like structures and fibrous tangles in their brains after their death.

    These changes were the same as those observed by Alzheimer’s at around the same time. But unlike Alzheimer’s brief two-page publication highlighting this new disease in one person, Fischer’s work, published in 1910, was a meticulous and wide-ranging study – spanning more than 100 pages – including several people he investigated. So why have we never heard of him?

    In my new book, Tangled Up: The Science and History of Alzheimer’s disease, I attempt to answer this question.

    A promising mind from Prague

    But before we get to why Fischer was forgotten, let’s look at who he was.

    Oskar Fischer was born in 1876 in a small town near Prague, part of the German-speaking minority in what is now the Czech Republic. After studying medicine in Strasbourg and Prague, he began working at the German University of Prague’s Department of Psychiatry.

    Fischer’s career flourished under the leadership of Professor Arnold Pick – another lesser-known scientific giant. Pick was the first to describe a different kind of dementia, now called frontotemporal dementia. It was in this forward-thinking academic environment that Fischer began his research into dementia.

    Fischer wasn’t working in isolation. At the time, other doctors had also noticed unusual plaques in the brains of people with dementia. Researchers like Paul Blocq and Georges Marinesco in Paris, Emil Redlich in Vienna and Koichi Miyake in Tokyo had all seen similar features.

    But Fischer, like Alzheimer, went a step further: he identified not only plaques but also twisted protein fibres — now known as tau tangles — that disrupt the brain’s function. This combination is still central to how we define Alzheimer’s disease today.

    Oskar Fischer, the forgotten great of Alzheimer’s research.
    Public Domain

    But if both men made this important discovery, why is only one name remembered?

    There are two theories as to why Fischer has been forgotten. One is that Fischer believed these brain changes were specific to a type of dementia called presbyophrenia, which was thought to affect people who showed unusual cheerfulness and confusion in old age.

    He may have limited his own findings by tying them to this narrow diagnosis. Indeed, in the 1920s it was realised that presbyophrenia was not a separate disease but simply how certain people with dementia presented – and the term was not used anymore.

    Another factor might be politics and influence. Alzheimer had a powerful supporter: Emil Kraepelin, one of the most influential psychiatrists of the time, who Alzheimer worked for. Kraepelin included Alzheimer’s work in his bestselling textbook and named the condition after him, helping to cement Alzheimer’s name in medical history.

    There’s no record showing whether Kraepelin knew of Fischer’s similar discoveries. If he did, he never acknowledged them in his textbook.

    Despite his scientific achievements, Fischer’s academic career stalled. In 1919, he was denied a permanent university position, despite his groundbreaking work. He opened a private practice in Prague and continued to teach, but without the recognition he deserved.

    A tragic end

    Then came the darkest chapter of his life. In 1941, during the Nazi occupation, Fischer was arrested by the Gestapo. He was imprisoned at Theresienstadt (now Terezín), a ghetto and transit camp for Jews and political prisoners. It’s unclear why he was targeted – perhaps for his Jewish ancestry or his earlier communist activism. He died there in 1942.

    Oskar Fischer’s story is a reminder that scientific discovery is rarely the work of one lone genius. It’s built on shared ideas, collaboration, and often forgotten contributors.

    It’s somewhat similar to Charles Darwin and Alfred Russell Wallace describing the theory of evolution at the same time but most only remember Darwin now. While Alois Alzheimer certainly made important observations, Fischer’s role in defining this devastating disease was just as significant.

    Maybe it’s time we remembered Oskar Fischer and gave him the credit he so rightly deserves.

    Michael Hornberger is the author of Tangled Up: The History and Science of Alzheimer’s Disease, published by Canbury Press.

    – ref. Oskar Fischer: the forgotten pioneer of Alzheimer’s disease research – https://theconversation.com/oskar-fischer-the-forgotten-pioneer-of-alzheimers-disease-research-254815

    MIL OSI – Global Reports –

    April 29, 2025
  • MIL-OSI USA: Duckworth Joins Schatz, Murray, Colleagues in Condemning Labor Department’s Cancellation of Funding to Address Child Labor, Human Trafficking Worldwide

    US Senate News:

    Source: United States Senator for Illinois Tammy Duckworth
    April 23, 2025
    [WASHINGTON, D.C.] – U.S. Senator Tammy Duckworth (D-IL) joined U.S. Senators Brian Schatz (D-HI), Patty Murray (D-WA) and 10 Senate Democratic colleagues in condemning the Trump Administration’s cuts to federal funding that for decades helped address child labor, forced labor and human trafficking globally.
    “These cuts are inconsistent with bipartisan laws passed by Congress providing federal funds to combat child labor, forced labor, human trafficking, and enforce labor standards in over 40 countries,” the Senators wrote in a letter to Labor Secretary Lori M. Chavez-DeRemer. “Cancelling all existing cooperative agreements will only harm American workers, lower international labor standards, and hurt children.”
    The Senators continued, “ILAB grants level the playing field for American workers and ensure businesses cannot profit from labor abuses by stopping the problems at their source. Offshoring work will only drive down wages, incentivize abusive labor practices abroad, and take jobs away from hard working Americans. For example, the President and CEO of the American Apparel & Footwear Association (AAFA) has said that the cancellation of ILAB contracts will harm both their consumers and 3.5 million American workers. The only winners here will be the multinational corporations who want cheap labor, and our adversaries that benefit from these practices.”
    “We ask that you live up to your comments and urge you to take immediate steps to protect children, American workers, and other vulnerable populations by using funds Congress appropriated for ILAB for that purpose,” the Senators concluded.
    Along with Duckworth, Schatz and Murray, the letter was co-signed by U.S. Senators Bernie Sanders (I-VT), Tammy Baldwin (D-WI), Tim Kaine (D-VA), Chris Van Hollen (D-MD), Richard Blumenthal (D-CT), Alex Padilla (D-CA), Cory Booker (D-NJ), Jeff Merkley (D-OR) and Ruben Gallego (D-AZ).
    The full text of the letter is available on Senator Duckworth’s website and below.
    Dear Secretary Chavez-DeRemer:
    We write to express our serious concerns about the Department of Labor (DOL)’s decision to terminate all existing cooperative agreements at the Bureau of International Labor Affairs (ILAB). DOL and the United States Department of Government Efficiency (DOGE) Service have announced the cancellation of $577 million in cooperative agreements. These cuts are inconsistent with bipartisan laws passed by Congress providing federal funds to combat child labor, forced labor, human trafficking, and enforce labor standards in over 40 countries. We note that the Trump Administration identifies labor practices, including failures by foreign governments to protect internationally recognized worker rights, as a foreign trade barrier in the recently issued National Trade Estimate Report on Foreign Trade Barriers. Cancelling all existing cooperative agreements will only harm American workers, lower international labor standards, and hurt children.
    ILAB was created by President Truman after World War II. Since its creation, it has served at the forefront of global efforts to eliminate child labor. Under international standards, child labor applies to work below the minimum age established under national legislation—usually 14 or 15 years old— and includes slavery, commercial sexual exploitation, illicit activities, and hazardous work that is likely to harm health or safety. Global estimates from the International Labor Organization (ILO) indicate that there are 160 million children between 5-17 years old in child labor, roughly half of them in hazardous conditions.
    ILAB also works to combat forced labor and human trafficking – serious violations of human rights. According to the most recent figures available, there are 5.4 victims of modern slavery for every 1,000 people in the world, with women and girls disproportionately affected. Additionally, the ILO estimated that 24.9 million people around the globe were in forced labor as of 2016. Victims are rarely able to seek help for various reasons, due to language barriers, poverty, or unstable immigration status. Furthermore, ILAB plays a key role in addressing China’s use of slave labor as a member of the Forced Labor Enforcement Task Force to enforce the Uyghur Forced Labor Prevention Act.
    Critically, the findings from ILAB and ILAB funds provided by Congress have led to improved adherence to international labor standards that support American workers. Since 2019, ILAB has invested in eliminating the roughly 1.56 million instances of child labor violations in the production of cocoa in Ghana and Cote d’Ivoire—countries that produce cocoa for chocolate bought by American consumers, as well as nearly 60 percent of the world’s cocoa each year. Recently, DOL’s November 2024 framework of action included improving access to quality education, as well as technical and vocational training, strengthening social services and social protection, and empowering women, youth and workers in cocoa-growing communities. Uzbekistan was pushed to address forced labor and child labor in the cotton sector, which unfairly competes with American cotton growers and exporters. Argentina’s government and private sector built technical assistance programs developed by DOL in the blueberry sector, ensuring that children and teenagers had access to child care and enrichment programs. In Honduras, one DOL cooperative agreement disbursed more than $13 million to fight child labor and other exploitation, resulting in more than 6,000 children enrolling in educational programs, aiding more than 1,800 families, and helping train around 500 inspectors on child labor exploitation and other labor laws.
    Unfortunately, your actions will prevent this work from continuing. A few of the contracts that have been eliminated by you and DOGE include the “Global Better Work Program (I)” and “Better Work Global (II)” in Haiti, Jordan, Cambodia, Bangladesh, Indonesia, Vietnam to establish strong labor enforcement and transparency; “Supporting Safe and Inclusive Work Environments in Lesotho” to stop violence against women; “Research, Innovation and Strategic Engagement Project (RISE-global)” in Brazil, Colombia, Cote D’Ivoire, Indonesia, and Guatemala to educate workers on their rights and how to protect them; and “Promoting Safe and Healthy Workplaces in Honduras, Guatemala, and El Salvador” to improve worker safety and discourage migration to the United States. The cancellation of these contracts is neither efficient nor puts America’s interests first. Instead, we believe it will cause devastating, widespread harm to our most vulnerable populations, and put American workers at a disadvantage.
    Additionally, we are concerned about the economic impacts of this decision. One of the major missions of ILAB is to enforce the labor provisions in U.S. trade agreements. ILAB grants level the playing field for American workers and ensure businesses cannot profit from labor abuses by stopping the problems at their source. Offshoring work will only drive down wages, incentivize abusive labor practices abroad, and take jobs away from hard working Americans. For example, the President and CEO of the American Apparel & Footwear Association (AAFA) has said that the cancellation of ILAB contracts will harm both their consumers and 3.5 million American workers. The only winners here will be the multinational corporations who want cheap labor, and our adversaries that benefit from these practices.
    In your confirmation hearing on February 19th, you testified to the Senate Committee on Health, Education, Labor, and Pensions that we must protect children from labor exploitation. You said this in response to questions from members on both sides of the aisle. We ask that you live up to your comments and urge you to take immediate steps to protect children, American workers, and other vulnerable populations by using funds Congress appropriated for ILAB for that purpose.
    Sincerely,
    -30-

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: UConn Leading New England’s Point of Care Ultrasound Training

    Source: US State of Connecticut

    UConn School of Medicine experts continue to be on the forefront of teaching point-of-care ultrasonography (PoCUS) and have now expanded their training to New England’s health care professionals.

    Hands-on training session at the Symposium.

    On April 10-11 UConn’s medical school organized the first annual New England Regional PoCUS Symposium in Bristol, Conn. Physicians, fellows, residents, and advanced practice providers had the opportunity to gain hands-on PoCUS training and education. The symposium also focused on Advanced Critical Care Echocardiography (CCE), another effective tool for the management of critically ill patients.

    “Our first annual PoCUS symposium was a huge success,” says Symposium Course Director Dr. Jennifer Kanaan, associate professor of Medicine, Pulmonary, Critical Care, and Sleep Medicine at UConn School of Medicine. She has been teaching a Connecticut statewide course on PoCUS for pulmonary critical care fellows since 2015 as well as a curriculum with colleagues for UConn School of Medicine’s Emergency Medicine residency and UConn John Dempsey hospitalists too.

    PoCUS is ultrasonography performed rapidly at the patient’s bedside and interpreted in real-time by the clinician to aid with decision-making and procedural guidance.  It is most widely used in emergency medicine and pulmonary critical care.

    “The response from the Symposium was very positive so we will be running it again next year,” says Kanaan of UConn. “It is important to have this regional meeting as it provides an opportunity for experts from around the region to educate fellows on critical care PoCUS as well as share ideas on the future of point of care ultrasound.”

    Hands-on ultrasound technology training session.

    Keynote speaker for the event was internationally recognized Paul Mayo, MD, FCCP, professor of Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra. He discussed cutting-edge PoCUS education and the future of ultrasound, led a panel discussion with regional experts, and for the audience even taught a UConn fellow how to perform a Transesophageal echocardiography (TEE) imaging procedure with a hands-on simulation.

    Panel discussions also explored issues such as credentialing, billing, and quality assurance and ultrasound case studies were presented by various fellows.

    Symposium Course Directors and faculty of the first annual New England Regional PoCUS Symposium including Dr. Jennifer Kanaan of UConn.

    Other Connecticut health care institution faculty assisting UConn with the successful Symposium included Aydin Pinar, M.D., Assistant Course Director from Yale; Ian Weir, D.O., Assistant Course Director from Yale School of Medicine and Nuvance Health; Ameer Rasheed, M.D., CME Coordinator, Assistant Professor of Medicine at UConn Health; Zubin Bham, M.D., Associate Program Director, Internal Medicine Residency at Bridgeport Hospital and Yale New Haven Health; and Adriana Olariu, M.D., Clinical Instructor at Yale School of Medicine.

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: April 28th, 2025 Heinrich, Luján Blast Trump Admin’s Attacks on Head Start, Demand RFK Jr. Immediately Unfreeze Head Start Funding & Reverse Firings of Early Childhood Education Workers

    US Senate News:

    Source: United States Senator for New Mexico Martin Heinrich

    WASHINGTON — U.S. Senator Martin Heinrich (D-N.M.) and U.S. Senator Ben Ray Luján (D-N.M.), one of only two Head Start graduates to serve in the Senate, sent a letter to Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. to demand the Trump Administration stop its attacks on Head Start programs. In their letter, Heinrich and Luján reminded Secretary Kennedy of his legal obligation to administer Head Start, and demanded that HHS immediately unfreeze Head Start funding, reverse the mass firing of Head Start workers, and stop  gutting offices that ensure high-quality early childhood education services are available for thousands of children and families in New Mexico and nationwide.

    In New Mexico, Head Start and early Head Start programs serve 8,800 children living below the poverty line, including 271 children experiencing homelessness, and 139 children in foster care in 2022. 

    “We write to express our strong opposition to the actions you have taken to directly attack and undermine the federal Head Start program. Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children. Already this year, this Administration has withheld almost $1 billion in federal grant funding from Head Start programs, a 37 percent decrease compared to the amount of funding awarded during the same period last year,” the senators wrote in a letter to Secretary Kennedy. “It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal.”

    The senators detailed how the program plays an instrumental role in supporting kids and families across the country, writing: “Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff. Head Start is a critical source of child care for working families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. Head Start programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.”

    “You even acknowledged the value of Head Start following a recent visit to a Virginia Head Start center,” the senators wrote, contrasting that statement of support with the Trump administration’s actions. “However, as a result of your actions to withhold and delay funding and undermine the administration of this vital program, Head Start centers are in serious jeopardy and have already had their day to day operations impacted. Programs are increasingly worried that they will not be able to make payroll, pay rent, and remain open to serve the hundreds of thousands of children and families who depend on their services in communities across the nation.”

    “Since the very start of this Administration, Head Start programs have been under attack,” the senators wrote, detailing office closures and funds that were frozen for Head Start grants across the country. “At one point, the National Head Start Association reported 37 programs serving nearly 15,000 children across the country could not access their federal funding. Head Start programs operate with thin margins and on short-term budgets from HHS, and without any communication from the Administration about the status of funding, programs were forced to temporarily close or to lay off staff.”

    The senators underscored how the gutting of Head Start offices and the firing of staff who keep the federal program running puts the entire program in jeopardy, “On April 1st, you abruptly closed five of the ten regional offices that help local grantees administer Head Start programs in 22 states. This left hundreds of programs without dedicated points of contact to address mission critical issues like approving grant renewals and modifications, investigating child health and safety incidents, and providing training and technical assistance to ensure high-quality services for children. While some grantees were assigned a new program specialist, we understand many have not been receiving responses to their inquiries. This is on top of the estimated 97 Office of Head Start central office staff that were terminated due to their probationary status and the recent reduction in force. You promised ‘radical transparency’ as Secretary, yet it is unclear how these actions will improve Head Start programs, and you and your staff refuse to respond to basic inquiries and requests for information.”

    Importantly, the senators noted that if Head Start funding is kept frozen by the Trump Administration, many more programs could be forced to close. 

    “Head Start grantees are still waiting on payments and grant renewals from the Office of Head Start, including programs whose grants end on April 30th, 2025. These notices should have gone out by now, yet we are concerned to hear programs report they have received little to no correspondence regarding their grant renewals,” the senators continued, detailing how local HeadStart programs are receiving no notice for the path forward for grant funding. “Additionally, because we started fiscal year 2025 under a short-term continuing resolution, as is usual, some grantees have only received partial funding for the first few months of the year. But with a full year funding bill in place, these grantees should have received full funding by now, yet some are reporting that they have not received the full amount of their grants and will run out of funds this month or next. On Wednesday, April 16th, the delays in Head Start funding led to the closure of Head Start centers serving more than 400 children in Sunnyside, Washington.”

    “The Administration has a legal and moral obligation to disburse Head Start funds to programs and to uphold the program’s promise to provide high-quality early education services to low income children and families across this country,” the senators stated. “There is no justifiable reason for the delay in funding we have seen over the last two months, and you have refused to offer any kind of explanation.”

    The senators concluded by warning that eliminating Head Start would be devastating, demanding answers on the Trump Administration’s actions, and demanding the reversal of these actions: “[W]e urge you to immediately reinstate fired staff across all Offices of HeadStart, and cease all actions to delay the awarding and disbursement of funding to Head Start programs across this country.”

    Community leaders in New Mexico are weighing in on the grave consequences of the Trump Administration’s continuous assault on Head Start for children’s futures:

    “As a Head Start Leader for over 40 years, I have witnessed firsthand the transformative impact Head Start has on children, families, and communities. Eliminating Head Start would be nothing less than a national tragedy. It would be a direct attack on the country’s most vulnerable children and families – those who have the least and need the most.” said Patricia Grovey Evans, President of New Mexico Head Start Association.

    “Defunding the Head Start program would be a grave injustice to young Zuni children, who depend on this vital resource to embark on their educational journey steeped in cultural identity and moral values. Early childhood education is not merely about teaching; it lays the foundation for self-awareness and community connection that will guide them throughout their lives. Cutting this crucial funding threatens to strip away their opportunity to nurture the skills and cultural heritage essential for their growth and future success,” said Anthony Sanchez, Head Councilman for Zuni Tribe.

    “Jemez Pueblo’s Walatowa Head Start Language Immersion Program offers a unique and valuable community-based education delivered solely in our Towa language. Education of our youngest community members is important and to have that education provided in our native language is of the utmost importance. As Native people, it was vital that our Head Start program incorporated the Pueblo’s vibrant traditional calendar through art, music and dance while also incorporating other subjects like math and science. Walatowa Head Start Language Immersion Program serves as a model for other tribal Head Start programs who wish to teach the children in their native language. Our community worked for over a decade to make this education culturally responsive and if funding for Head Start were to disappear, so would our community’s work. We cannot allow this to happen,” said Carnell Chosa, First Lieutenant Governor of Jemez Pueblo.

    “As someone working on the front lines of early childhood education in New Mexico, I am deeply alarmed by the proposed cuts to Head Start in President Trump’s leaked budget. At the Now Mexico Association for the Education of Young Children (NMAEYC), we see firsthand how essential this program is especially for families in our rural and underserved communities. Head Start has been a cornerstone for opportunity and stability for low-income families for 60 years. Eliminating this program would jeopardize early learning, health, and nutrition services for more than 150,000 children across the country, including thousands here in New Mexico. Head Start is not just a program- it’s a lifeline. Gutting this critical funding, would harm our most vulnerable children, undermine family stability, and set our state back for generations. Continued investment in Head Start is not optional – it’s essential to ensuring that every New Mexico child, regardless of zip code, has a fair shot at success,” said Alicia B. Borrego, MBA, Executive Director of New Mexico Association for the Education of Young Children.

    “Head Start has been a massively important force in changing the game for young children. The science tells us that 85% of brain development happens before age 5, so this is a common sense investment, and one that has contributed to decades of American prosperity,” said Kate Noble, President and CEO of Growing Up New Mexico. 

    “Thanks to my experience working as a Head Start teacher in Santa Fe, I’ve seen firsthand how the Head Start Program change lives – giving our youngest leaners the solid foundation they need to succeed in school and beyond. Cutting this program would mean turning our backs on the children who need us most. This program isn’t just early education; it’s lifeblood for families who are doing their best with so little. Taking it away would break something sacred in our community.” said Deyanira Contreras, Director of Kids Campus at SFCC. 

    Alongside Heinrich and Luján, the letter is signed by U.S. Senators Patty Murray (D-Wash.), Bernie Sanders (I-Vt.), Tammy Baldwin (D-Wis.), Jack Reed (D-R.I.), Mazie K. Hirono (D-Hawaii), Andy Kim (D-N.J.), Chuck Schumer (D-N.Y.), Lisa Blunt Rochester (D-Del.), Peter Welch (D-Vt.), Gary Peters (D-Mich.), Michael Bennet (D-Colo.), Richard Blumenthal (D-Conn.), Jeanne Shaheen (D-N.H.), Ruben Gallego (D-Ariz.), Elizabeth Warren (D-Mass.), Jacky Rosen (D-Nev.), Tina Smith (D-Minn.), John Fetterman (D-Pa.), Tammy Duckworth (D-Ill.), Chris Coons (D-Del.), Chris Murphy (D-Conn.), Jeff Merkley (D-Ore.), Mark Kelly (D-Ariz.), Kirsten Gillibrand (D-N.Y.), Sheldon Whitehouse (D-R.I.), Dick Durbin (D-Ill.), Catherine Cortez Masto (D-Nev.), Tim Kaine (D-Minn.), Alex Padilla (D-Calif.), Chris Van Hollen (D-Md.), Elissa Slotkin (D-Minn.), Ron Wyden (D-Ore.), Raphael Warnock (D-Ga.), Cory Booker (D-N.J.), Amy Klobuchar (D-Minn.), Ed Markey (D-Mass.), Angus King (I-Maine), Brian Schatz (D-Hawaii), Angela Alsobrooks (D-Md.), and Mark Warner (D-Va.). 

    The full text of the letter is here and below:

    Dear Secretary Kennedy:

    We write to express our strong opposition to the actions you have taken to directly attack and undermine the federal Head Start program. Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children. Already this year, this Administration has withheld almost $1 billion in federal grant funding from Head Start programs, a 37 percent decrease compared to the amount of funding awarded during the same period last year. It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal. 

    Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff. Head Start is a critical source of child care for working families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. HeadStart programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.

    You even acknowledged the value of Head Start following a recent visit to a Virginia Head Start center, where you said, “I had a very inspiring tour. I saw a devoted staff and a lot of happy children. They are getting the kind of education and socialization they need, and they are also getting a couple of meals a day.”

    However, as a result of your actions to withhold and delay funding and undermine the administration of this vital program, Head Start centers are in serious jeopardy and have already had their day to day operations impacted. Programs are increasingly worried that they will not be able to make payroll, pay rent, and remain open to serve the hundreds of thousands of children and families who depend on their services in communities across the nation.

    Since the very start of this Administration, Head Start programs have been under attack. On January 27th, 2025, the Office of Management and Budget issued a memo (M-25-13) that suddenly froze the disbursement of grant funding for federal programs and services government-wide, including Head Start. Despite the Administration’s clarification that Head Start programs would not be the target of the funding freeze, many Head Startprograms across the country were unable to draw down their grant funds through the Payment Management System (PMS) for weeks. At one point, the National Head StartAssociation reported 37 programs serving nearly 15,000 children across the country could not access their federal funding. Head Start programs operate with thin margins and on short-term budgets from HHS, and without any communication from the Administration about the status of funding, programs were forced to temporarily close or to lay off staff. In Wisconsin, the National Centers for Learning Excellence, which serves more than 200 children and their families, shut down for a week and laid off staff due to the funding freeze.

    On April 1st, you abruptly closed five of the ten regional offices that help local grantees administer Head Start programs in 22 states. This left hundreds of programs without dedicated points of contact to address mission critical issues like approving grant renewals and modifications, investigating child health and safety incidents, and providing training and technical assistance to ensure high-quality services for children. While some grantees were assigned a new program specialist, we understand many have not been receiving responses to their inquiries. This is on top of the estimated 97 Office of Head Start central office staff that were terminated due to their probationary status and the recent reduction in force. You promised “radical transparency” as Secretary, yet it is unclear how these actions will improve Head Start programs, and you and your staff refuse to respond to basic inquiries and requests for information.

    On March 14th, 2025, the Office of Head Start (OHS) notified all Head Start programs that “the use of federal funding for any training and technical assistance or other program expenditures that promote or take part in diversity, equity, and inclusion (DEI) initiatives” will not be approved and that any questions should be directed to regional offices. Programs have not received any guidance for what would be considered “DEI” but this policy is potentially in direct conflict with statutory and regulatory program requirements, such as providing culturally and linguistically appropriate instructional services for English learners. Many programs cannot direct questions to regional staff, as half of regional offices were abruptly closed, and as unprecedented actions are being taken to delay and withhold funding, Head Start programs have been intentionally left with little to no guidance.

    Head Start programs are now arbitrarily required to provide justifications for each draw down of funds that is necessary to operate their programs, despite already receiving a federal grant award for these purposes. As of April 14th, Head Startprograms have reportedly received correspondence from an email address “defendthespend@hhs.gov” requiring programs to submit a “specific description of why the funds are necessary and why they are aligned to the award” before programs can have funding disbursed. It has been reported that political appointees must sign off on every draw down of funds. This creates an illusion of improving oversight but only serves to add unnecessary red tape by requiring the manual sign off on hundreds of thousands of individual actions annually across the Department based on two to three sentence justifications. Already some grantees have reported delays in receiving funds, and have reported that furloughs or closures are imminent if funds are not released. For an administration that purports to value local autonomy and efficiency in federally funded programs, your actions have achieved the exact opposite.

    Finally, Head Start grantees are still waiting on payments and grant renewals from the Office of Head Start, including programs whose grants end on April 30th, 2025. These notices should have gone out by now, yet we are concerned to hear programs report they have received little to no correspondence regarding their grant renewals. Additionally, because we started fiscal year 2025 under a short-term continuing resolution, as is usual, some grantees have only received partial funding for the first few months of the year. But with a full year funding bill in place, these grantees should have received full funding by now, yet some are reporting that they have not received the full amount of their grants and will run out of funds this month or next. On Wednesday, April 16th, the delays in Head Start funding led to the closure of Head Start centers serving more than 400 children in Sunnyside, Washington.

    The Administration has a legal and moral obligation to disburse Head Start funds to programs and to uphold the program’s promise to provide high-quality early education services to low income children and families across this country. The fiscal year 2025 appropriations act provided $12.3 billion for Head Start, the same as the fiscal year 2024 level. The Head Start Act includes an explicit formula for how appropriated funds should be allocated. There is no justifiable reason for the delay in funding we have seen over the last two months, and you have refused to offer any kind of explanation. However, this week leaked fiscal year 2026 budget documents indicated the Office of Management and Budget was directing the Department, consistent with the Administration’s proposal to eliminate Head Start in fiscal year 2026, to “ensure to the extent allowable FY2025 funds are available to close out the program.” If this explains any of the delay in awarding fiscal year 2025 funding, we want to be clear, no funds were provided in fiscal year 2025 to “close out the program,” and it would be wholly unacceptable and likely illegal if the Department tries to carry out this directive.

    Finally, the leaked budget documents provided a justification, albeit brief, for eliminating Head Start in fiscal year 2026 that makes this Administration’s priorities clear and puts the Department’s actions over the last several months in context. The Administration argues that eliminating Head Start, “is consistent with the Administration’s goals of returning education to the States and increasing parental choice.” It is shocking to see an argument that eliminating a program that provides comprehensive early childhood care and education to 800,000 children and their families would increase parental choice. It is particularly concerning to see that argument in the context of the significant delay in awarding fiscal year 2025 appropriated funds and what that indicates about the intent behind the Department’s actions. We believe it is obvious that eliminating Head Start would be detrimental to hundreds of thousands of children and families. Similarly, we believe it is obvious that delaying funding like we have seen over the last two months, forcing Head Startprograms to close, and leaving families to scramble to find quality, affordable alternatives puts the education and well-being of some of the most vulnerable young children in America at risk. In our view, that is unacceptable.

    Therefore, we urge you to immediately reinstate fired staff across all Offices of HeadStart, and cease all actions to delay the awarding and disbursement of funding to HeadStart programs across this country. 

    Please provide us with a written response to the questions below no later than 10 days from receipt:

    1. Will you reinstate the staff who administer Head Start programs and reopen the closed regional offices responsible for overseeing Head Start programs in 22 states?

    a) When is HHS going to share information on the reorganization plan for the consolidation of the regional offices?

    b) Please provide the contact information for each program specialist designated to the 22 states who lost their regional office.

    c) Who is responsible for ensuring there are no delays or lapses in funding, nor any disruptions to Head Start program operations now that these states do not have a regional office?

    2. How many employees at the Offices of Head Start have been terminated, including the five regional offices and the central office?

    a) Which officials at HHS were involved in the staffing reduction decisions for OHS and what planning, if any, was undertaken prior to these reductions? Please describe the events that unfolded and name each office that was involved in the decision. Further, please name the official(s) who approved the staffing reductions.

    3. Can you confirm that the Administration will distribute all Head Start funds appropriated by Congress to Head Start programs in FY 25, as required by the HeadStart Act?

    4. Please provide a list of all grantees with 5-year Head Start grant renewals that startbetween now and the end of the fiscal year: May 1st, June 1st, July 1st, August 1st, and September 1st.

    a) Will any funding be delayed for grantees that are due to receive their annual funding on May 1st or beyond?

    5. Why are funding awards delayed for grantees that received partial awards during the first continuing resolution for FY25?

    a) When can HHS guarantee that all funds will be awarded for partially funded Head Start programs?

    6. What is the “Tier 2” department for review that is delaying drawn down for HeadStart programs in the Payment Management System?

    a) When should programs expect to receive their funds?

    b) Please provide all communication that went to Head Start grantees on the new review process.

    7. What guidance and clarifications have been provided to Head Start grantees on DEI expenditures?

    a) How is HHS evaluating Head Start programs’ expenditures and grant awards for DEI?

    b) What justifications are being used to prohibit DEI?

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: Norcross, Sánchez Introduce Bill to Establish Workers’ Memorial Day as a Federal Holiday

    Source: United States House of Representatives – Congressman Donald Norcross (1st District of New Jersey)

    WASHINGTON, DC?– Today, Representatives Donald Norcross (D-NJ) and Linda Sánchez (D-CA) introduced legislation to establish Workers’ Memorial Day as a federal holiday, honoring and remembering America’s workers who have been injured, become ill, or were killed on the job. Representatives Nikki Budzinski and Johnny Olszewski joined the lawmakers in introducing the bill. 

    “As an electrician, I have had the unfortunate experience of witnessing hard-working Americans lose their lives on the job. I introduced the Workers’ Memorial Day Act to remember our brothers and sisters who passed away on the job and bring more attention to the need for safe working conditions,” said Congressman Donald Norcross, Co-Chair of the Labor Caucus. “We have made great strides in making workplaces safer, but dangerous working conditions kill and injure thousands of workers every year. Our work is far from over and as a co-chair of the Labor Caucus and lifelong IBEW union member, I will continue to fight for safer workplaces and stronger health and safety standards.” 

    “Every day, hardworking people across California and the rest of the United States put their lives at risk. Tragically, more than 5,000 Americans die each year from workplace injuries and millions more suffer job-related illnesses,” said Congresswoman Linda Sánchez. “Workers’ Memorial Day honors those who have been killed or injured on the job and reminds us to continue fighting to ensure safer working conditions for all.” 

    The?Workers’ Memorial Day Act?establishes April 28 as Workers’ Memorial Day and designates the day as a federal holiday. For more than 50 years—since the enactment of the Occupation Safety and Health Act—the labor movement has observed Workers’ Memorial Day. 

    For bill text, click here.  

    ### 

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI Security: Assistant Attorney General Gail Slater Delivers First Antitrust Address at University of Notre Dame Law School

    Source: United States Attorneys General

    Remarks as prepared for delivery, “The Conservative Roots of America First Antitrust Enforcement”

    Good afternoon. Thank you so much for having me. It is an honor to be here at Notre Dame to give my first formal address as Assistant Attorney General for the Antitrust Division. I’ve had many offers to speak since I began my tenure at the Department of Justice, but it seemed appropriate that I present the conservative case for vigorous antitrust enforcement here at Notre Dame Law School. Notre Dame has a storied role in the development of American conservatism’s first principles. I hold those principles dear and, as I will discuss today, our enforcement of the antitrust laws will reflect those principles. Indeed, we seek to bring these shared principles to our work every day: they include American patriotism; textualism and adherence to precedent; and a firm commitment to law enforcement.

    I also wanted to deliver an address here in Indiana because the state’s economic history underscores the importance of those conservative first principles to the work I’m now honored to lead at the Antitrust Division. Indiana also played a role in molding the young President Benjamin Harrison into the man he would become. Although many know President Harrison as the U.S. President with the most impressive beard in American history, he was also the President who signed the Sherman Act of 1890 into law.

    But more on that in a minute. Let’s begin with some words of thanks.

    First, I am deeply grateful to President Trump for entrusting me with the responsibility to lead the Antitrust Division. When he nominated me, President Trump assailed the use of “market power to crack down on the rights of so many Americans.” I am so honored to have the chance to defend the American people’s rights at this critical juncture in our history.

    I am similarly grateful to the 78 Senators, from both sides of the aisle, who voted to confirm me in an incredible show of broad bipartisan support for vigorous antitrust enforcement.

    And I am grateful to Attorney General Pam Bondi, Deputy Attorney General Todd Blanche, and all the leadership of the Department for their support and for being so welcoming and for being such strong supporters of the Antitrust Division. And, of course, I’m grateful for the team of Deputies, including my Principal Deputy Roger Alford who is here today, for joining me in this endeavor.

    My earnest thanks also go to the men and women of the Antitrust Division. My first two months in the building have confirmed that the Antitrust Division employs some of the very best of the very best. Our cases consistently pit a small army of Davids against the Goliaths of Big Law defending Big Business. Yet, as we showed in the Google Ad Tech case, our teams more often than not win the battle on behalf of the American people.

    The stakes of that fight are so high. The American people are once again facing a generation of economic and industrial change. We are adapting trade policies to put America First and undertaking deregulation that will unleash innovation in AI and other technologies3 and reshape our economy.

    But we face a choice in who will order this realignment and how. Will the American people shape tomorrow’s economy, or will others decide what gets made, where it is made, and who makes it? Will our laws be written by Congress and enforced by politically accountable appointees in the Trump Administration, or by technocrats and lobbyists elsewhere?

    Indiana has seen firsthand the consequences of getting these choices wrong for millions of Americans. If recent decades have shown us anything, it is that we need an economy that works for the American people, not the other way around. We also need public policies that afford our fellow countrymen and women the dignity they deserve as American citizens. Of course, antitrust is not a cure-all, but it can surely play an important role in building a more resilient economy going forward.

    To better understand what this future might look like we first need to look to the past. As I like to say, the past is prologue. We all know the story of the decline in manufacturing in this state. Indiana was at the heart of the United States’ thriving manufacturing industry for much of the 20th century.

    But then in the 1960s and ’70s the factories started shutting down. The Studebaker factory closed here in South Bend in 1963, and other Indiana cities experienced similar population declines as manufacturing moved overseas. It took decades for cities such as South Bend to recover, and some have still not recovered.

    Of course, change is inevitable in a dynamic and innovative economy. Economists call this creative destruction and shrug it off as merely market forces at play. But neoliberal public policy also played a role in enabling this creative destruction, and not always for the better. Policymakers in Washington, D.C. voted for free trade agreements that shipped jobs overseas; they opened up our southern border to mass migration; and they underenforced our century-old antitrust laws for several decades. In D.C., these neoliberal policies are collectively referred to as the “Washington Consensus,” and they were the foundation of our economic policy for several decades. They were born out of the optimism that followed the end of the Cold War, sometimes referred to as “the end of history.” They promoted globalization and the financialization of the U.S. economy, and they initially spurred economic growth and prosperity. But that growth left many Americans behind, which brings us to today.

    Some say that free trade and open borders result in a larger pie. But it begs the question as to the size of the slice that each community in our society received. At the same time that global labor arbitrage traded American jobs for cheap manufacturing abroad, growing profit margins diverted the economic gains for many goods from American consumers and workers to our coastal elites. Too many communities hollowed out here in Indiana and across the nation. This hollowing out in turn created the conditions for a weakened middle class, fractured families, and in some cases deaths of despair. What was good for a few powerful global corporations, it turned out, was often bad for the dynamic businesses and innovators that made us the greatest nation on earth. It was also bad for the communities in which those businesses once thrived.

    Treasury Secretary Scott Bessent recently said something incredibly important about all this. “Access to cheap goods,” he said, “is not the essence of the American dream.” The American Dream “is not ‘let them eat flat screens.’” Instead, he said, and I agree with this, that “The American dream is rooted in the concept that any citizen can achieve prosperity, upward mobility, and economic security.”

    Antitrust law enforcement plays an indispensable role in achieving the American Dream because competitive markets enable individuals to achieve prosperity, upward mobility, and economic security. That’s the premise of free market capitalism. In free markets, the American people shape the economy toward their own flourishing by starting and growing their own business, and through their choices in markets as buyers and sellers. Competitive markets enable the American people to build the lives they want, not just as consumers and producers, but as citizens.

    That’s the main thing I want you to take away from my remarks today. People ask me what my agenda will be. I get asked this question every week—how does antitrust fit in with the realignment underway in the Republican Party?

    I tell them it’s America First Antitrust.

    America First Antitrust empowers America’s forgotten men and women to shape their own economic destinies in the free market. We will stand for America’s forgotten consumers. We will stand for America’s forgotten workers. And we will stand for the small businesses and innovators, from Little Tech, to manufacturing, to family farms, that were forgotten by our economic policies for too long.

    How will we accomplish this and what are our guiding principles? I submit we need only look to the past and to our conservative roots to find these principles. America First Antitrust roots are grounded in the Sherman Antitrust Act, but they in fact date back to our nation’s founding. Let us not forget that the Boston Tea Party was a protest not only against the British government’s taxation without representation, but also against the monopoly granted to the British East India Company.

    The Granger Movement at the end of the 19th century planted the early seeds for antitrust enforcement. It was born and raised by conservative hillbillies in the heartland in defense of their fundamental values. Finally, America First Antitrust continues the legacy of the Ohio Republican Senator John Sherman, the namesake of the Sherman Act, a true economic populist who never went to college, was a self-taught engineer, and became a lawyer under the apprenticeship of his brother.

    With the remainder of my time today, I’d like to talk about the conservative values that underpin America First Antitrust. This speech is not intended to be an LLM thesis, so I’ll address three that matter most immediately to the work of the Antitrust Division:

    • First, the protection of individual liberty from both government and corporate tyranny;
    • Second, a healthy respect for textualism, originalism, and precedent grounded in a commitment to robust and fair law enforcement; and
    • Third, a healthy fear of regulation that saps economic opportunity by stifling rather than promoting competition.

    Let me address each principle in turn.

    I have to begin with the value that defines both conservatism and America—freedom. We are a nation born from opposition to tyranny in defense of individual liberty. As a new American, I cherish the freedom that comes from being an American citizen. As I testified at my Senate confirmation hearing earlier this year, “In our Constitutional Republic, American citizens can speak their minds, earn a living, and invent new technologies free from unwarranted interference. These freedoms are not guaranteed in so many countries around the world, so they must be cherished and defended by us all.”

    How does this bedrock American value translate into antitrust?

    Antitrust respects the moral agency of individuals by protecting their individual liberty from the tyranny of monopoly.

    Here at Notre Dame, the principle of individual moral agency is second nature. And though few were Catholic themselves, the Founders believed philosopher Thomas Aquinas when he argued that humans are imago dei—beings made in the image of God whose exercise of individual moral agency defines us. We realize our goodness and define our own flourishing through our freedom of choice. And so the Founders penned the Declaration of Independence, reaffirming that it is “self-evident” that humans are “endowed by their Creator” with the “Rights” to “Life, Liberty, and the pursuit of Happiness.”

    With that, they threw off the tyranny of King George. In so doing, they rejected his grants of monopolies in the colonies as inconsistent with their natural rights. That same year – 1776 – the Scottish philosopher Adam Smith published his seminal book on economics The Wealth of Nations in which he wrote “People of the same trade seldom meet together, even for merriment and diversion, but the conversation ends in a conspiracy against the public, or in some contrivance to raise prices.”

    Ill-gotten monopolies inherently restrain human liberty by depriving individuals of choices as both consumers and producers. That is why popular opposition to the East India Company monopoly led directly to the Boston Tea Party and played an important motivating role in the Founding.

    Of course, monopolies at that point in history required the grant of a king, protected by his law. With the success of the Revolution, they largely disappeared from American life for a time. As a result, innovation flourished over the ensuing century, and many new inventions—from the cotton gin to the lightbulb and telephone—launched technological revolutions that improved the lives of all Americans.

    But the 19th century also saw the emergence of a new kind of monopoly—a private empire of oil, railroad, and agricultural robber barons.

    These private monopolies threatened liberty just as King George once had. Although the identity of the tyrant changed, the threat posed by monopoly to the American people’s endowed natural rights to liberty had not.

    The Grangers were among the first to point this out. In the 1860s, midwestern farmers—known then as grangers—began to unite against railroad and grain elevator monopolies that deprived farmers of fair, competitive returns for their crops.

    In 1873, the Grangers echoed our founding principles in their “Farmer’s Declaration of Independence.” “The history of the present railway monopoly,” the Grangers declared, “is a history of repeated injuries and oppressions, all having in direct object the establishment of an absolute tyranny over the people of these states unequalled in any monarchy of the old world….” And so they called for government action to constrain private tyranny. This was the perspective that, in 1890, drove an Ohio Republican from the foothills of the Appalachians to draft the nation’s first federal antitrust law constraining private monopolization. Senator Sherman saw his bill as an extension of the Founders’ rejection of the tyranny of monopoly in defense of liberty. “If we will not endure a King as a political power,” Sherman said, “we should not endure a King over the production, transportation, and sale of the necessaries of life.”

    To ensure care and precision in using government power against private monopolies, the Sherman Act preserves liberty by promoting economic competition that benefits consumers, workers, inventors, and other trading partners in the free markets.

    We are now in the midst of another fundamental change in the nature of monopoly. While the Grangers and Senator Sherman saw the first emergence of privately organized monopolies, we are experiencing the emergence of new durable forms of monopoly power altogether, the likes of which the Grangers and Senator Sherman could not even begin to fathom. These monopolies are driving a Republican realignment away from big business and—under President Trump’s leadership—toward the working class that is reconnecting the party with its roots, recognizing antitrust as a critical tool in protecting individual liberty.

    In Senator Sherman’s day, a monopoly could control prices and exclude competition. Today’s online platforms can do so much more. They control not just the prices of their services, but the flow of our nation’s commerce and communication. These platforms play a critical role in our digital public square. They are key not only to the ordinary citizen’s free expression, but also to how elections are won or lost, and how our news is disseminated or not.

    This point is being made again and again by members of the new right who are driving the realignment in antitrust policy. Sohrab Ahmari points out that just as conservatives fear Tyranny.gov, they should fear Tyranny.com. Oren Cass underscores how “[c]onservativism is hugely skeptical of power.” Senate Antitrust Subcommittee Chair Mike Lee has explained that “concentrated economic power can be just as dangerous as concentrated political power,” and other influential Senators like Josh Hawley and Chuck Grassley similarly support robust antitrust enforcement aimed at tackling unchecked market power. Vice President Vance has been similarly outspoken—he has decried the “weird idea that something can’t be tyrannical if it comes through the operation of a free market” amidst an environment where companies “control the flow of information” in our society.

    I echoed this growing sentiment on the right at my confirmation hearing earlier this year when I testified that “we have grown to appreciate that personal liberty and economic liberty are closely connected; that in many ways they are two sides of the same coin. And Americans have also come to see that economic liberty often hinges on competitive markets.”

    So that’s the first principle of America First Antitrust—antitrust enforcement serves the deep-rooted conservative goal of protecting individual liberty from the tyranny of coercive monopoly power. And it serves those goals where it matters most, to protect our liberty online and to ensure that we protect Americans on pocketbook issues such as housing, healthcare, groceries, transportation, insurance, entertainment, and similar markets that directly impact their lives.

    Antitrust law enforcement should adhere to the rule of law and respect binding precedent and the original meaning of the statutory text.

    The next core conservative value underpinning our antitrust enforcement begins with the important acknowledgement that government itself can be a coercive force that threatens our liberty. This is the so-called Tyranny.gov I just talked about. Conservatives have long been skeptical of government regulation that deprives businesses of their economic freedom and makes our economy less dynamic and prosperous. We must respect originalism and the rule of law and ensure that our enforcement derives from the will of the democratically elected Congress as interpreted by the courts.

    A truly conservative approach to antitrust law starts with first principles and text. This means that antitrust agencies should enforce the laws passed by Congress, not the laws they wish Congress had passed. Perhaps most importantly, antitrust in the United States is law enforcement. It is not regulation. Congress enacted the antitrust laws as a legal regime, declined to provide any authority to regulate the details of the Sherman or Clayton Acts, and instead gave the Attorney General the duty to pursue cases before the courts as she does any other action. To recognize federal antitrust law as law enforcement in the American tradition requires a strong commitment to our Constitutional separation of powers, including Executive enforcement prerogative, statutory meaning, and judicial precedent. A faithful humility to law’s limits is the cornerstone of much conservative legal theory. If we are true to our principles, antitrust cannot be an exception.

    In the play A Man for All Seasons, Saint Thomas More discusses an England “planted thick” with the common law and says he would “give the Devil benefit of law” before accepting the lawless reality of a society without them.

    The English common law tradition of Saint Thomas More has more to do with federal antitrust enforcement than many realize. Senator Sherman designed the Sherman Act to incorporate a general body of common law in the American states and England on restraints of trade and monopoly. That is why the Act used specific terms of art from the common law, including “restraint of trade” and “monopolize,” whose original public meaning must be understood with respect to the common law that they emerged from. In so doing, the Sherman Act incorporated prohibitions on price-fixing and concerns with restraints of trade harming both workers and end consumers, among many other foundational principles of the common law. The antitrust laws must be interpreted in light of their purpose and context to codify the common law and state antitrust laws.

    Respecting the rule of law critically requires giving meaning to the statutory text and applying the binding precedents interpreting it—both old and new. Innovations in economic theory and practice may shape more recent law, but they do not render older precedent a dead letter. That is the Supreme Court’s prerogative.

    As we move forward with merger enforcement, there will be important debates about the weight we should place on older versus newer precedent as we make enforcement decisions. Those are important debates to have, and I have an open mind. But at the end of those discussions, our merger enforcement will apply our prosecutorial discretion based on the best interpretations of the laws on the books, and analysis of economic facts and data, respecting the original public meaning of the statutory text and the binding nature of Supreme Court and other relevant precedent. This is a deeply conservative position and there is nothing radical about it. To the contrary, what is radical is the notion that we should as antitrust enforcers ignore the text of the law and divorce ourselves from binding precedent, old and new alike.

    Respecting the statutory text also helps us defend ordinary Americans who need competition for their work to raise wages and improve working conditions. When Congress prohibited restraints of trade, the term was understood to include restraints on working a trade, as Justice Story explained in his commentaries on the common law. Or as Justice Kavanaugh recently said in Alston, “price-fixing labor is price-fixing labor.”

    Our recent Las Vegas nursing case is a great example. A jury convicted a Nevada man of a three-year conspiracy to fix the wages of home healthcare nurses by capping their wages. Hundreds of hard working nurses were affected, and they deserved better. Nursing work is not only important and difficult, but it is a backbone of our middle class and our communities. I am so proud of our team for standing up for those nurses—that is what America First Antitrust is all about.

    We will also stand up for workers when dominant firms impose restraints of trade, whether directly on workers or on the businesses who employ workers for them. Because the antitrust laws protect labor market competition, any conduct that harms competition for workers can violate not only the spirit but the letter of the antitrust laws.

    Antitrust law enforcement should support deregulation by enabling free market competition that prevents the need for government regulation of consolidated power.

    The last conservative value I’d like to talk about today is a preference for litigation over regulation. Conservatives abhor anticompetitive government regulations that unnecessarily sap the free markets of dynamism. Aggressive antitrust enforcement supports a competitive process that enables markets to regulate themselves, providing a bulwark against market power that often leads to regulatory intervention.

    In recent decades, we have seen markets tilt toward regulation as they became more concentrated. The poster child here is the regulatory intervention that followed the 2008 financial collapse. You all were mostly kids when the 2008 financial collapse wreaked havoc on the economy, but those of us living in D.C. saw financial institutions that were considered “too big to fail” rapidly succumb to new regulation in the wake of the collapse.

    For many, an important question that arose was less about the merits or demerits of the regulations that followed in the wake of 2008, and more about how these financial institutions became “too big to fail” in the first place. Relatedly, many questioned whether these regulations could have been avoided had these markets not become so highly concentrated. Finally, they questioned the role antitrust played in allowing this state of affairs to exist.

    This view was at the heart of the enforcement philosophy of one of my most famous predecessors as AAG, Robert Jackson who earned public acclaim as the lead Nuremberg prosecutor after World War II and as a Supreme Court associate justice. In a 1937 speech, then-AAG Jackson noted that “[t]he antitrust laws represent an effort to avoid detailed government regulation of business by keeping competition in control of prices.” Through the antitrust laws, he said, “[i]t was hoped” that the government could “confine its responsibility to seeing that a true competitive economy functions.” As Robert Jackson noted then, enforcement of the antitrust laws “is the lowest degree of government control that business can expect.” This is a limited role I am happy to take on and defend today.

    As I have analogized, antitrust is a scalpel, and regulation is a sledgehammer. Free markets often fail, and one cannot wish away monopolies and cartels with false economic theories of self-correction. The scalpel is necessary to make targeted, incisive cuts to remove the cancer of collusion and monopoly abuse. That is America First conservatives’ preferred approach to cure market ills. It imposes government obligations only on parties that violate the law, and only for the limited time necessary to restore competition. In contrast, ex ante regulations cover all parties in an industry for time immemorial, permanently distorting the free market rather than merely curing diseases that were destroying the market.

    Worse still, a system of anti-competitive regulation can be co-opted by monopolies and their lobbyists, such that the state’s power actually amplifies, rather than diminishes, corporate power, and leads to the proliferation of government regulations that serve corporate interests rather than the people and drown out new innovations. Scholars like George Stigler have explored regulatory capture and how an industry can “use the state for its purposes,” seeking regulations that operate primarily for the industry’s benefit, for example to control entry or insulate prices. Corporate lobbyists using their power to undermine free markets is ubiquitous in our system, and small but powerful groups can dominate regulatory processes at the expense of the diffuse interests of individual citizens. The alliance of Big Business and Big Government must be broken.

    To combat against such laws and regulations that stifle rather than promote competition, we have launched the Anticompetitive Regulations Task Force. Consistent with the Trump Administration’s deregulatory efforts, the Antitrust Division’s Task Force will seek to identify and eliminate laws and regulations that undermine the operation of the free market and harm consumers, workers, and businesses. We look forward to working with the FTC and with partner agencies throughout the government on these efforts.

    Let me finish where I started, with an appreciation for the economic conditions here in the Midwest and a healthy dose of humility at the challenges we face re-centering the American people in the functioning of our economy. America First Antitrust cares deeply about the average American in the heartland, and our efforts will focus on those markets that most directly affect their lives. We are here to serve all Americans and wish to move away from the deeply technocratic and elitist mindset that has imbued antitrust law and enforcement for several decades.

    I humbly submit that if a farmer in Indiana or Iowa cannot make sense of our work, the fault lies with us, not with the farmer. I may not be invited to cocktail parties in Georgetown or speaking engagements at Stanford or Cornell Law School following my remarks here today, but I will gladly trade this for coffee with Senator Grassley at Cracker Barrel or his own beloved Dairy Queen whenever he can fit me in his schedule.

    We will not restore the vitality to our long-forgotten communities overnight. It will take complementary work across many domains—from trade to antitrust to deregulatory policy and so many others.

    But with President Trump’s clear commitment to fight in all those arenas for this country’s forgotten people, and with deep-rooted conservative principles to guide us, I believe we can build a truly great future for our children.

    I look forward to that work.

    Thank you.

    MIL Security OSI –

    April 29, 2025
  • MIL-OSI USA: McClellan Demands Answers from Colonial Heights Rehabilitation and Nursing Center Following Reports of Substandard Care

    Source: United States House of Representatives – Congresswoman Jennifer McClellan (Virginia 4th District)

    Washington, D.C. –Today, Congresswoman Jennifer McClellan (VA-04) sent a letter to the Colonial Heights Rehabilitation and Nursing Center to express deep concern over a growing number of reports describing troubling conditions at the facility:

    “The deeply concerning and persistent reports emerging from Colonial Heights Rehabilitation and Nursing Center warrant a thorough investigation. Federal and state officials have a responsibility to uphold the dignity and well-being of every Virginian, especially those who are most vulnerable and in need of care. These individuals are parents, grandparents and loved ones whose voices often go unheard.

    “Families across Virginia place their trust in nursing and rehabilitation centers to provide their loved ones with the care and attention they deserve. They should never have to question whether that trust is misplaced. Virginians deserve the peace of mind that comes from knowing their loved ones are safe, valued, and treated with the utmost dignity. 

    “The disturbing reports about conditions at the Colonial Heights Rehabilitation Center demand answers. Both federal and state authorities must ensure Colonial Heights Rehabilitation and Nursing Center remedies this concerning situation immediately, so nursing home residents can get the quality care they deserve.”

    Multiple reports indicate persistent staffing issues that management has failed to resolve. A Virginia Department of Health inspection report published in February 2025 found that staff did not promptly respond to requests for assistance from residents, failed to check on residents at regular intervals, and did not help residents maintain proper hygiene. 

    It was also reported that insufficient staffing forced nursing personnel into unsafe situations, such as a single assistant being responsible for caring for over 30 residents.

    McClellan demanded answers to a series of questions, including:

    • What process does your leadership use to identify and correct deficiencies in resident care?
    • What concrete actions are you taking to resolve staffing shortages and ensure adequate nursing coverage at Colonial Heights?
    • How many compliance surveys have been conducted at your facility in the past five years for state and federal requirements? Have any of these surveys been related to allegations of abuse or neglect? If so, were any deficiencies in those areas substantiated?
    • What corrective actions have been imposed on your facility in the past five years? Are there any ongoing corrective actions currently in place while your facility works to resolve deficiencies identified during surveys?
    • Did the most recent survey result in any corrective actions related to your license to operate issued by the Virginia Department of Health?
    • Moving forward, what steps will you take to provide greater transparency and accountability around the quality of care provided at the facility?

    Read the full letter here.

    ###

     

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: Reps. Huffman, Pallone, and Castor Introduce Bills to Permanently Protect the Pacific and Atlantic Oceans from Offshore Drilling

    Source: United States House of Representatives – Congressman Jared Huffman Representing the 2nd District of California

    April 22, 2025

    Washington, D.C. – On Earth Day, Representatives Jared Huffman (D-Calif.), Frank Pallone (D-N.J.), and Kathy Castor (D-Fla.), along with Senators Alex Padilla (D-Calif.), Cory Booker (D-N.J.), and Jack Reed (D-R.I.), announced a package of legislation to permanently protect the Pacific and Atlantic Ocean from the dangers of fossil fuel drilling. This package includes Rep. Huffman’s West Coast Ocean Protection Act, Rep. Pallone’s Clean Ocean and Safe Tourism (COAST) Anti-Drilling Act, and Rep. Castor’s Florida Coast Protection Act. 

    This legislation comes days after the 15th anniversary of the Deepwater Horizon oil spill, which resulted in the deaths of 11 workers, 134 million gallons of oil spilled into the Gulf over 87 days, the demise of thousands of marine mammals and sea turtles, and billions of dollars in economic losses from the fishing, outdoor recreation, and tourism industries.  

    “It’s clear that in the 15 years since the most catastrophic oil spill disaster in history, Republicans in the pocket of Big Oil have learned nothing. Offshore drilling poses significant threats to our public health, coastal economies, and marine life. The science is clear, and so is the public sentiment: we need to speed up our transition to a clean energy future, not lock ourselves into another generation of fossil fuel fealty,” said Ranking Member Huffman. “We cannot let history repeat itself. My Democratic colleagues aren’t standing idly by as the Trump administration tries to reverse all of our progress so they can give handouts to Big Oil. Our legislation will cut pollution and ramp up clean energy, ensuring our coasts remain safe, clean, and open to all Americans— not turned into open season for fossil fuel billionaires looking to drill, spill, and cash in.”

    “We must end offshore oil drilling in coastal waters once and for all,” said Senator Padilla. “Over 50 years ago, after a catastrophic oil spill off the coast of Santa Barbara, Californians rose up and demanded environmental protections, spurring the modern environmental movement and creating the very first Earth Day. As the Trump Administration threatens to recklessly open our coasts to new drilling, California and the West Coast need permanent safeguards to protect our communities from the devastation of fossil fuels and disastrous oil spills. We must act now to fulfill the promises we made to our children and our constituents to meet the urgency of this environmental crisis with bold action.” 

    “This week marks both Earth Day and the 15th anniversary of the Deepwater Horizon oil disaster,” said Senator Booker. “I’m standing alongside my colleagues in the House and Senate to reaffirm our commitment to protecting our communities and our environment. Offshore drilling endangers our coastal communities – both their lives and their livelihoods – and threatens marine species and ecosystems. The COAST Act, along with this critical package of legislation, will ensure that marine seascapes along the Atlantic and Pacific Coasts, and the wildlife, industries, and communities that rely on them, are protected from the dangers of fossil fuel drilling. 

    “Offshore drilling in the Atlantic Ocean would open up the eastern seaboard to considerable risk, and we have seen the destruction that an accident can cause. This legislation is about more than simply protecting the environment, it’s also about protecting the tourism and fishing industries that create jobs and help power Rhode Island’s economy,” said Senator Reed.

    “For decades, I’ve fought to protect our coasts from the dangers of oil and gas development, and this legislative package reaffirms that commitment. Offshore drilling risks devastating spills, accelerates climate change, and threatens the livelihoods of coastal communities like those in New Jersey. On Earth Day and every day, we must stand up to Big Oil and prioritize renewable energy that actually protects our planet,” Congressman Frank Pallone, Jr., Ranking Member of the House Energy and Commerce Committee.

    “Florida is a beautiful but fragile place, and we depend on clean water and healthy beaches,” said Rep. Castor. “I’m proud to lead the Florida Coastal Protection Act as part of this larger package to stop dangerous oil drilling near our coasts for good. The Deepwater Horizon disaster served as a wake-up call, as the blowout hurt people, our environment and our economy. We can’t let that happen again. Our beaches, fishing, and tourism are too important to risk. We must protect our oceans, our way of life and our future.”

    These bills reaffirm vital protections for America’s coastal communities and ecosystems. Under President Biden, more than 625 million acres of U.S. ocean waters—including the entire East Coast, the eastern Gulf of Mexico, the Pacific coasts of Washington, Oregon, and California, and parts of the Northern Bering Sea—were permanently protected from offshore oil and gas drilling. President Trump wasted no time trying to rollback those protections, attempting to illegally reopen those same areas to drilling on day one of his second term. His record speaks for itself: during his first administration, the Interior Department proposed a sweeping plan to open 47 offshore oil and gas lease areas across nearly every U.S. coastline, from California to New England.

    Congressional Democrats are taking a stand to protect coastal communities, economies, and ecosystems. U.S. coastal counties support 54.6 million jobs, $10 trillion in goods and services, and pay $4 trillion in wages. Offshore drilling poses significant threats to our public health, coastal economies, and marine life. Our oceans are home to diverse marine wildlife, including the California sea lion, North Atlantic right whale, yellowtail flounder, and countless other economically, ecologically, and culturally important species. There is a long history of bipartisan efforts to protect U.S. coasts from offshore drilling to safeguard our oceans’ enormous environmental, economic, and cultural values, safeguard coastal communities, restore ecosystems, and defend against climate change. 

    Rep. Huffman’s West Coast Ocean Protection Act prohibits new oil and gas leases off the coast of California, Oregon, and Washington. Companion legislation was introduced today by Sen. Padilla.

    Rep. Pallone’s COAST Anti-Drilling Act permanently prohibits the U.S. Department of Interior from issuing leases for the exploration, development, or production of oil and gas in the North Atlantic, Mid-Atlantic, South Atlantic, and Straits of Florida Planning Areas of the U.S. Outer Continental Shelf. Companion legislation was introduced by Sen. Booker and Sen. Reed.

    Rep. Castor’s Florida Coast Protection Act places a permanent moratorium on oil and natural gas preleasing, leasing, and related activities off Florida’s coast. 

    Other offshore drilling legislation introduced by House Democrats include: 

    • New England Coastal Protection Act of 2025 (Rep. Magaziner)
    • Defend our Coast Act (Rep. Ross)
    • California Clean Coast Act of 2025 (Rep. Carbajal)
    • Southern California Coast and Ocean Protection Act (Rep. Levin)
    • Central Coast of California Conservation Act of 2025 (Rep. Panetta)

    Original cosponsors of the West Coast Ocean Protection Act

    House: Representatives Jared Huffman (D-Calif.), Nanette Barragán (D-Calif.), Suzanne Bonamici (D-Ore.), Julia Brownley (D-Calif.), Lou Correa (D-Calif.), Judy Chu (D-Calif.), Suzan DelBene (D-Wash.), Mark DeSaulnier (D-Calif.), Val Hoyle (D-Ore.), Sara Jacobs (D-Calif.), Pramila Jayapal (D-Wash.), Rick Larsen (D-Wash.), Mike Levin (D-Calif.), Ted Lieu (D-Calif.), Doris Matsui (D-Calif.), Jimmy Panetta (D-Calif.), Scott Peters (D-Calif.), Eric Swalwell (D-Calif.), Jill Tokuda (D-Hawaii), Kathy Castor (D-Fla.), Salud Carbajal (D-Calif.), Adam Smith (D-Wash.), Brad Sherman (D-Calif.), Jerrold Nadler (D-N.Y.), Dave Min (D-Calif.), Kevin Mullin (D-Calif.), Lou Correa (D-Calif.), and Zoe Lofgren (D-Calif.), 

    Senate: Senators Cory Booker (D-N.J.), Maria Cantwell (D-Wash.), Edward J. Markey (D-Mass.), Jeff Merkley (D-Ore.), Patty Murray (D-Wash.), Bernie Sanders (I-Vt.), Adam Schiff (D-Calif.), Sheldon Whitehouse (D-R.I.) and Ron Wyden (D-Ore.).

    Original cosponsors of the COAST Anti-Drilling Act 

    House: Representatives Frank Pallone (D-N.J.), Suzanne Bonamici (D-Ore.), Ed Case (D-Hawaii), Kathy Castor (D-Fla.), Diana DeGette (D-Colo.), Brian Fitzpatrick (R-Pa.), Jared Huffman (D-Calif.), Thomas Kean Jr. (R-N.J.), Mike Levin (D-Calif.), Seth Magaziner (D-R.I.), Jim McGovern (D-Mass.), Robyn McIver (D-N.C.), Rob Menendez (D-N.J.), Jerrold Nadler (D-N.Y.), Eleanor Holmes Norton (D-D.C.), Jimmy Panetta (D-Calif.), Chellie Pingree (D-Maine), Nellie Pou (D-N.J.), Deborah Ross (D-N.C.), David Scott (D-Ga.), Mikie Sherrill (D-N.J.), Rashida Tlaib (D-Mich.), Jill Tokuda (D-Hawaii), and Bonnie Watson Coleman (D-N.J.).

    Senate: Senators Jack Reed (D-R.I.), Alex Padilla (D-Calif.), Jeanne Shaheen (D-N.H.), Angus King (I-Maine), Edward Markey (D-Mass.), Jeff Merkley (D-Ore.), Richard Blumenthal (D-Conn.), Sheldon Whitehouse (D-R.I.), Bernie Sanders (I-Vt.), Chris Van Hollen (D-Md.), Chris Coons (D-Del.), Elizabeth Warren (D-Mass.), and Ron Wyden (D-Ore.).

    Original cosponsors of the Florida Coast Protection Act 

    House: Representatives Kathy Castor (D-Fla.), Vern Buchanan (R-Fla.), Darren Soto (D-Fla.), Gus Bilirakis (R-Fla.), Frederica Wilson (D-Fla.), Lois Frankel (D-Fla.), Debbie Wasserman Schultz (D-Fla.), and Brian Fitzpatrick (R-Pa.).

    Read Statements of Support

    Supporters of the COAST Anti-Drilling Act include Natural Resources Defense Council (NRDC), Oceana, Surfrider Foundation, Earthjustice, Turtle Island Restoration Network, Nassau Hiking & Outdoor Club, Lee (MA) Greener Gateway Committee, South Shore Audubon Society (Freeport, NY), Sierra Club, League of Conservation Voters, Futureswell, Ocean Conservancy, Environment America, Food & Water Watch, Waterspirit, Business Alliance to Protect the Atlantic, Clean Ocean Action, Jersey Coast Anglers Association (NJ), American Littoral Society, Save Coastal Wildlife, Environmental Protection Information Center, Defenders of Wildlife, Ocean Defense Initiative, Center for Biological Diversity, The Ocean Project, North Carolina Coastal Federation, Animal Welfare Institute, Wild Cumberland, Climate Reality Project – North Broward and Palm Beach County Chapter, U.S. Climate Action Network, National Aquarium, American Bird Conservancy, and Hispanic Access Foundation.

    Supporters of the West Coast Protection Act include Natural Resources Defense Council (NRDC), Oceana, Defenders of Wildlife, Earthjustice, Surfrider Foundation, Seattle Aquarium, Turtle Island Restoration Network, Nassau Hiking & Outdoor Club, Lee (MA) Greener Gateway Committee, South Shore Audubon Society (Freeport, NY), Sierra Club, League of Conservation Voters, Futureswell, Ocean Conservancy, Environment America, WILDCOAST, Food & Water Watch, Environmental Protection Information Center, Ocean Defense Initiative, Center for Biological Diversity, The Ocean Project, Business Alliance to Protect the Pacific Coast, Animal Welfare Institute, Wild Cumberland, Climate Reality Project – North Broward and Palm Beach County Chapter, U.S. Climate Action Network, American Bird Conservancy, Surf Industry Members Association, Business Alliance for Protecting the Pacific Coast (BAPPC), Clean Ocean Action, and Hispanic Access Foundation.

    Supporters of the Florida Coastal Protection Act include Natural Resources Defense Council (NRDC), Oceana, Defenders of Wildlife, Earthjustice, Healthy Gulf, League of Conservation Voters, Environment America, Surfrider Foundation, Turtle Island Restoration Network, Nassau Hiking & Outdoor Club, Lee (MA) Greener Gateway Committee, South Shore Audubon Society (Freeport, NY), Sierra Club, Ocean Conservancy, Food & Water Watch, Ocean Defense Initiative, Center for Biological Diversity, The Ocean Project, Animal Welfare Institute, Wild Cumberland, Climate Reality Project – North Broward and Palm Beach County Chapter, U.S. Climate Action Network, American Bird Conservancy, Clean Ocean Action, and Hispanic Access Foundation.

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI Canada: National Day of Mourning: Minister Jones

    Source: Government of Canada regional news (2)

    MIL OSI Canada News –

    April 29, 2025
  • MIL-OSI USA: Heinrich, Luján Blast Trump Admin’s Attacks on Head Start, Demand RFK Jr. Immediately Unfreeze Head Start Funding & Reverse Firings of Early Childhood Education Workers

    US Senate News:

    Source: United States Senator Ben Ray Luján (D-New Mexico)
    In a letter to RFK Jr., Heinrich & Luján demand answers on Trump Admin’s actions to undermine Head Start as Trump reportedly plans to eliminate the program
    WASHINGTON — U.S. Senator Martin Heinrich (D-N.M.) and U.S. Senator Ben Ray Luján (D-N.M.), one of only two Head Start graduates to serve in the Senate, sent a letter to Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. to demand the Trump Administration stop its attacks on Head Start programs. In their letter, Heinrich and Luján reminded Secretary Kennedy of his legal obligation to administer Head Start, and demanded that HHS immediately unfreeze Head Start funding, reverse the mass firing of Head Start workers, and stop  gutting offices that ensure high-quality early childhood education services are available for thousands of children and families in New Mexico and nationwide.
    In New Mexico, Head Start and early Head Start programs serve 8,800 children living below the poverty line, including 271 children experiencing homelessness, and 139 children in foster care in 2022. 
    “We write to express our strong opposition to the actions you have taken to directly attack and undermine the federal Head Start program. Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children. Already this year, this Administration has withheld almost $1 billion in federal grant funding from Head Start programs, a 37 percent decrease compared to the amount of funding awarded during the same period last year,” the senators wrote in a letter to Secretary Kennedy. “It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal.”
    The senators detailed how the program plays an instrumental role in supporting kids and families across the country, writing: “Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff. Head Start is a critical source of child care for working families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. Head Start programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.”
    “You even acknowledged the value of Head Start following a recent visit to a Virginia Head Start center,” the senators wrote, contrasting that statement of support with the Trump administration’s actions. “However, as a result of your actions to withhold and delay funding and undermine the administration of this vital program, Head Start centers are in serious jeopardy and have already had their day to day operations impacted. Programs are increasingly worried that they will not be able to make payroll, pay rent, and remain open to serve the hundreds of thousands of children and families who depend on their services in communities across the nation.”
    “Since the very start of this Administration, Head Start programs have been under attack,” the senators wrote, detailing office closures and funds that were frozen for Head Start grants across the country. “At one point, the National Head Start Association reported 37 programs serving nearly 15,000 children across the country could not access their federal funding. Head Start programs operate with thin margins and on short-term budgets from HHS, and without any communication from the Administration about the status of funding, programs were forced to temporarily close or to lay off staff.”
    The senators underscored how the gutting of Head Start offices and the firing of staff who keep the federal program running puts the entire program in jeopardy, “On April 1st, you abruptly closed five of the ten regional offices that help local grantees administer Head Start programs in 22 states. This left hundreds of programs without dedicated points of contact to address mission critical issues like approving grant renewals and modifications, investigating child health and safety incidents, and providing training and technical assistance to ensure high-quality services for children. While some grantees were assigned a new program specialist, we understand many have not been receiving responses to their inquiries. This is on top of the estimated 97 Office of Head Start central office staff that were terminated due to their probationary status and the recent reduction in force. You promised ‘radical transparency’ as Secretary, yet it is unclear how these actions will improve Head Start programs, and you and your staff refuse to respond to basic inquiries and requests for information.”
    Importantly, the senators noted that if Head Start funding is kept frozen by the Trump Administration, many more programs could be forced to close.
    “Head Start grantees are still waiting on payments and grant renewals from the Office of Head Start, including programs whose grants end on April 30th, 2025. These notices should have gone out by now, yet we are concerned to hear programs report they have received little to no correspondence regarding their grant renewals,” the senators continued, detailing how local Head Start programs are receiving no notice for the path forward for grant funding. “Additionally, because we started fiscal year 2025 under a short-term continuing resolution, as is usual, some grantees have only received partial funding for the first few months of the year. But with a full year funding bill in place, these grantees should have received full funding by now, yet some are reporting that they have not received the full amount of their grants and will run out of funds this month or next. On Wednesday, April 16th, the delays in Head Start funding led to the closure of Head Start centers serving more than 400 children in Sunnyside, Washington.”
    “The Administration has a legal and moral obligation to disburse Head Start funds to programs and to uphold the program’s promise to provide high-quality early education services to low income children and families across this country,” the senators stated. “There is no justifiable reason for the delay in funding we have seen over the last two months, and you have refused to offer any kind of explanation.”
    The senators concluded by warning that eliminating Head Start would be devastating, demanding answers on the Trump Administration’s actions, and demanding the reversal of these actions: “[W]e urge you to immediately reinstate fired staff across all Offices of Head Start, and cease all actions to delay the awarding and disbursement of funding to Head Start programs across this country.”
    Community leaders in New Mexico are weighing in on the grave consequences of the Trump Administration’s continuous assault on Head Start for children’s futures:
    “As a Head Start Leader for over 40 years, I have witnessed firsthand the transformative impact Head Start has on children, families, and communities. Eliminating Head Start would be nothing less than a national tragedy. It would be a direct attack on the country’s most vulnerable children and families – those who have the least and need the most.” said Patricia Grovey Evans, President of New Mexico Head Start Association.
    “Defunding the Head Start program would be a grave injustice to young Zuni children, who depend on this vital resource to embark on their educational journey steeped in cultural identity and moral values. Early childhood education is not merely about teaching; it lays the foundation for self-awareness and community connection that will guide them throughout their lives. Cutting this crucial funding threatens to strip away their opportunity to nurture the skills and cultural heritage essential for their growth and future success,” said Anthony Sanchez, Head Councilman for Zuni Tribe.
    “Jemez Pueblo’s Walatowa Head Start Language Immersion Program offers a unique and valuable community-based education delivered solely in our Towa language. Education of our youngest community members is important and to have that education provided in our native language is of the utmost importance. As Native people, it was vital that our Head Start program incorporated the Pueblo’s vibrant traditional calendar through art, music and dance while also incorporating other subjects like math and science. Walatowa Head Start Language Immersion Program serves as a model for other tribal Head Start programs who wish to teach the children in their native language. Our community worked for over a decade to make this education culturally responsive and if funding for Head Start were to disappear, so would our community’s work. We cannot allow this to happen,” said Carnell Chosa, First Lieutenant Governor of Jemez Pueblo.
    “As someone working on the front lines of early childhood education in New Mexico, I am deeply alarmed by the proposed cuts to Head Start in President Trump’s leaked budget. At the Now Mexico Association for the Education of Young Children (NMAEYC), we see firsthand how essential this program is especially for families inour rural and underserved communities. Head Start has been a cornerstone for opportunity and stability for low-income families for 60 years. Eliminating this program would jeopardize early learning, health, and nutrition services for more than 150,000 children across the country, including thousands here in New Mexico. Head Start is not just a program- it’s a lifeline. Gutting this critical funding, would harm our most vulnerable children, undermine family stability, and set our state back for generations. Continued investment in Head Start is not optional – it’s essential to ensuring that every New Mexico child, regardless of zip code, has a fair shot at success,” said Alicia B. Borrego, MBA, Executive Director of New Mexico Association for the Education of Young Children.
    “Children are our most precious resource. Cutting funding for Head Start and Early Head Start, which serve nearly 8,800 of New Mexico’s most vulnerable children, jeopardizes our children’s future, our community’s wellbeing, and our economy. These programs provide vital education and support families and their health, improving immunization rates, healthcare access, and social-emotional, language, and cognitive development. While New Mexico has made bold investments in early childhood, strong federal support is essential for every child to succeed in school and to flourish in life,” said Gabrielle Uballez, Executive Director of New Mexico Voices for Children.
    “Head Start has been a massively important force in changing the game for young children. The science tells us that 85% of brain development happens before age 5, so this is a common sense investment, and one that has contributed to decades of American prosperity,” said Kate Noble, President and CEO of Growing Up New Mexico.
    “Thanks to my experience working as a Head Start teacher in Santa Fe, I’ve seen firsthand how the Head Start Program change lives – giving our youngest leaners the solid foundation they need to succeed in school and beyond. Cutting this program would mean turning our backs on the children who need us most. This program isn’t just early education; it’s lifeblood for families who are doing their best with so little. Taking it away would break something sacred in our community.” said Deyanira Contreras, Director of Kids Campus at SFCC.
    Alongside Heinrich and Luján, the letter is signed by U.S. Senators Patty Murray (D-Wash.), Bernie Sanders (I-Vt.), Tammy Baldwin (D-Wis.), Jack Reed (D-R.I.), Mazie K. Hirono (D-Hawaii), Andy Kim (D-N.J.), Chuck Schumer (D-N.Y.), Lisa Blunt Rochester (D-Del.), Peter Welch (D-Vt.), Gary Peters (D-Mich.), Michael Bennet (D-Colo.), Richard Blumenthal (D-Conn.), Jeanne Shaheen (D-N.H.), Ruben Gallego (D-Ariz.), Elizabeth Warren (D-Mass.), Jacky Rosen (D-Nev.), Tina Smith (D-Minn.), John Fetterman (D-Pa.), Tammy Duckworth (D-Ill.), Chris Coons (D-Del.), Chris Murphy (D-Conn.), Jeff Merkley (D-Ore.), Mark Kelly (D-Ariz.), Kirsten Gillibrand (D-N.Y.), Sheldon Whitehouse (D-R.I.), Dick Durbin (D-Ill.), Catherine Cortez Masto (D-Nev.), Tim Kaine (D-Minn.), Alex Padilla (D-Calif.), Chris Van Hollen (D-Md.), Elissa Slotkin (D-Minn.), Ron Wyden (D-Ore.), Raphael Warnock (D-Ga.), Cory Booker (D-N.J.), Amy Klobuchar (D-Minn.), Ed Markey (D-Mass.), Angus King (I-Maine), Brian Schatz (D-Hawaii), Angela Alsobrooks (D-Md.), and Mark Warner (D-Va.).
    The full text of the letter is here and below:
    Dear Secretary Kennedy:
    We write to express our strong opposition to the actions you have taken to directly attack and undermine the federal Head Start program. Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children. Already this year, this Administration has withheld almost $1 billion in federal grant funding from Head Start programs, a 37 percent decrease compared to the amount of funding awarded during the same period last year. It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal.
    Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff. Head Start is a critical source of child care for working families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. HeadStart programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.
    You even acknowledged the value of Head Start following a recent visit to a Virginia Head Start center, where you said, “I had a very inspiring tour. I saw a devoted staff and a lot of happy children. They are getting the kind of education and socialization they need, and they are also getting a couple of meals a day.”
    However, as a result of your actions to withhold and delay funding and undermine the administration of this vital program, Head Start centers are in serious jeopardy and have already had their day to day operations impacted. Programs are increasingly worried that they will not be able to make payroll, pay rent, and remain open to serve the hundreds of thousands of children and families who depend on their services in communities across the nation.
    Since the very start of this Administration, Head Start programs have been under attack. On January 27th, 2025, the Office of Management and Budget issued a memo (M-25-13) that suddenly froze the disbursement of grant funding for federal programs and services government-wide, including Head Start. Despite the Administration’s clarification that Head Start programs would not be the target of the funding freeze, many Head Startprograms across the country were unable to draw down their grant funds through the Payment Management System (PMS) for weeks. At one point, the National Head StartAssociation reported 37 programs serving nearly 15,000 children across the country could not access their federal funding. Head Start programs operate with thin margins and on short-term budgets from HHS, and without any communication from the Administration about the status of funding, programs were forced to temporarily close or to lay off staff. In Wisconsin, the National Centers for Learning Excellence, which serves more than 200 children and their families, shut down for a week and laid off staff due to the funding freeze.
    On April 1st, you abruptly closed five of the ten regional offices that help local grantees administer Head Start programs in 22 states. This left hundreds of programs without dedicated points of contact to address mission critical issues like approving grant renewals and modifications, investigating child health and safety incidents, and providing training and technical assistance to ensure high-quality services for children. While some grantees were assigned a new program specialist, we understand many have not been receiving responses to their inquiries. This is on top of the estimated 97 Office of Head Start central office staff that were terminated due to their probationary status and the recent reduction in force. You promised “radical transparency” as Secretary, yet it is unclear how these actions will improve Head Start programs, and you and your staff refuse to respond to basic inquiries and requests for information.
    On March 14th, 2025, the Office of Head Start (OHS) notified all Head Start programs that “the use of federal funding for any training and technical assistance or other program expenditures that promote or take part in diversity, equity, and inclusion (DEI) initiatives” will not be approved and that any questions should be directed to regional offices. Programs have not received any guidance for what would be considered “DEI” but this policy is potentially in direct conflict with statutory and regulatory program requirements, such as providing culturally and linguistically appropriate instructional services for English learners. Many programs cannot direct questions to regional staff, as half of regional offices were abruptly closed, and as unprecedented actions are being taken to delay and withhold funding, Head Start programs have been intentionally left with little to no guidance.
    Head Start programs are now arbitrarily required to provide justifications for each draw down of funds that is necessary to operate their programs, despite already receiving a federal grant award for these purposes. As of April 14th, Head Startprograms have reportedly received correspondence from an email address “defendthespend@hhs.gov” requiring programs to submit a “specific description of why the funds are necessary and why they are aligned to the award” before programs can have funding disbursed. It has been reported that political appointees must sign off on every draw down of funds. This creates an illusion of improving oversight but only serves to add unnecessary red tape by requiring the manual sign off on hundreds of thousands of individual actions annually across the Department based on two to three sentence justifications. Already some grantees have reported delays in receiving funds, and have reported that furloughs or closures are imminent if funds are not released. For an administration that purports to value local autonomy and efficiency in federally funded programs, your actions have achieved the exact opposite.
    Finally, Head Start grantees are still waiting on payments and grant renewals from the Office of Head Start, including programs whose grants end on April 30th, 2025. These notices should have gone out by now, yet we are concerned to hear programs report they have received little to no correspondence regarding their grant renewals. Additionally, because we started fiscal year 2025 under a short-term continuing resolution, as is usual, some grantees have only received partial funding for the first few months of the year. But with a full year funding bill in place, these grantees should have received full funding by now, yet some are reporting that they have not received the full amount of their grants and will run out of funds this month or next. On Wednesday, April 16th, the delays in Head Start funding led to the closure of Head Start centers serving more than 400 children in Sunnyside, Washington.
    The Administration has a legal and moral obligation to disburse Head Start funds to programs and to uphold the program’s promise to provide high-quality early education services to low income children and families across this country. The fiscal year 2025 appropriations act provided $12.3 billion for Head Start, the same as the fiscal year 2024 level. The Head Start Act includes an explicit formula for how appropriated funds should be allocated. There is no justifiable reason for the delay in funding we have seen over the last two months, and you have refused to offer any kind of explanation. However, this week leaked fiscal year 2026 budget documents indicated the Office of Management and Budget was directing the Department, consistent with the Administration’s proposal to eliminate Head Start in fiscal year 2026, to “ensure to the extent allowable FY2025 funds are available to close out the program.” If this explains any of the delay in awarding fiscal year 2025 funding, we want to be clear, no funds were provided in fiscal year 2025 to “close out the program,” and it would be wholly unacceptable and likely illegal if the Department tries to carry out this directive.
    Finally, the leaked budget documents provided a justification, albeit brief, for eliminating Head Start in fiscal year 2026 that makes this Administration’s priorities clear and puts the Department’s actions over the last several months in context. The Administration argues that eliminating Head Start, “is consistent with the Administration’s goals of returning education to the States and increasing parental choice.” It is shocking to see an argument that eliminating a program that provides comprehensive early childhood care and education to 800,000 children and their families would increase parental choice. It is particularly concerning to see that argument in the context of the significant delay in awarding fiscal year 2025 appropriated funds and what that indicates about the intent behind the Department’s actions. We believe it is obvious that eliminating Head Start would be detrimental to hundreds of thousands of children and families. Similarly, we believe it is obvious that delaying funding like we have seen over the last two months, forcing Head Startprograms to close, and leaving families to scramble to find quality, affordable alternatives puts the education and well-being of some of the most vulnerable young children in America at risk. In our view, that is unacceptable.
    Therefore, we urge you to immediately reinstate fired staff across all Offices of HeadStart, and cease all actions to delay the awarding and disbursement of funding to HeadStart programs across this country.
    Please provide us with a written response to the questions below no later than 10 days from receipt:
    1. Will you reinstate the staff who administer Head Start programs and reopen the closed regional offices responsible for overseeing Head Start programs in 22 states?
    a) When is HHS going to share information on the reorganization plan for the consolidation of the regional offices?
    b) Please provide the contact information for each program specialist designated to the 22 states who lost their regional office.
    c) Who is responsible for ensuring there are no delays or lapses in funding, nor any disruptions to Head Start program operations now that these states do not have a regional office?
    2. How many employees at the Offices of Head Start have been terminated, including the five regional offices and the central office?
    a) Which officials at HHS were involved in the staffing reduction decisions for OHS and what planning, if any, was undertaken prior to these reductions? Please describe the events that unfolded and name each office that was involved in the decision. Further, please name the official(s) who approved the staffing reductions.
    3. Can you confirm that the Administration will distribute all Head Start funds appropriated by Congress to Head Start programs in FY 25, as required by the HeadStart Act?
    4. Please provide a list of all grantees with 5-year Head Start grant renewals that startbetween now and the end of the fiscal year: May 1st, June 1st, July 1st, August 1st, and September 1st.
    a) Will any funding be delayed for grantees that are due to receive their annual funding on May 1st or beyond?
    5. Why are funding awards delayed for grantees that received partial awards during the first continuing resolution for FY25?
    a) When can HHS guarantee that all funds will be awarded for partially funded Head Start programs?
    6. What is the “Tier 2” department for review that is delaying drawn down for HeadStart programs in the Payment Management System?
    a) When should programs expect to receive their funds?
    b) Please provide all communication that went to Head Start grantees on the new review process.
    7. What guidance and clarifications have been provided to Head Start grantees on DEI expenditures?
    a) How is HHS evaluating Head Start programs’ expenditures and grant awards for DEI?
    b) What justifications are being used to prohibit DEI?

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: Operation Fan Heat Relief Distributing Fans to Eligible Recipients May 1 – Oct. 31 to Assist During Hot Weather Months

    Source: US State of North Carolina

    Headline: Operation Fan Heat Relief Distributing Fans to Eligible Recipients May 1 – Oct. 31 to Assist During Hot Weather Months

    Operation Fan Heat Relief Distributing Fans to Eligible Recipients May 1 – Oct. 31 to Assist During Hot Weather Months
    hejones1
    Mon, 04/28/2025 – 09:29

    The North Carolina Department of Health and Human Services’ Division of Aging is partnering with North Carolina area agencies on aging and local service providers to distribute fans statewide to eligible recipients through the Operation Fan Heat Relief program from May 1 – Oct. 31, 2025.

    People aged 60 and older, as well as adults with disabilities, are eligible to sign up for assistance from May 1 – Oct. 31, 2025, with local service providers across the state. 

    Since 1986, the relief program has purchased fans for older adults and adults with disabilities, providing them with a more comfortable living environment and reducing heat-related illnesses. Last year, the NCDHHS Division of Aging received $86,000 in donations, allowing for the distribution of 3,670 fans and 35 air conditioners in 94 North Carolina counties.

    Donations from Duke Energy Carolinas, Duke Energy Progress and Dominion allow regional area agencies on aging and local provider agencies to purchase fans for eligible individuals. Local provider agencies can also purchase a limited number of air conditioners for individuals with specific health conditions.

    Keeping cool is important because older individuals with chronic medical conditions are less likely to sense and respond to changes in temperature, and they may be taking medications that worsen the impact of extreme heat. Operation Fan Heat Relief helps vulnerable adults at risk for heat-related illnesses stay safe during the summer.

    In addition to applying for fans, people can take the following steps during high temperatures: 

    • Increase fluid intake
    • Spend time in cool or air-conditioned environments regularly
    • Reduce strenuous activity during the afternoon
    • Speak with a physician before summer about how to stay safe while taking medication that can affect the body’s ability to cool itself (e.g., high blood pressure medications)

    Individuals may contact their area agency on aging or the NCDHHS Division of Aging at 919-855-3400 for additional details.

    More information about Operation Fan Heat Relief, including tips on preparing for extreme heat and a list of local agencies distributing fans, is available at on the NCDHHS Operation Fan Heat Relief webpage.

    La División de Envejecimiento del Departamento de Salud y Servicios Humanos de Carolina del Norte se está asociando con las agencias del área sobre el envejecimiento en Carolina del Norte y los proveedores de servicios locales para distribuir ventiladores en todo el estado a personas elegibles a través del programa Operación Alivio del Calor con Ventilador del 1 de mayo al 1 de octubre de 2025.

    Las personas de 60 años o más, así como los adultos con discapacidades, son elegibles para inscribirse para esta ayuda del 1 de mayo al 31 de octubre de 2025, con proveedores de servicios locales en todo el estado. 

    Desde 1986, el programa de ayuda ha comprado ventiladores para adultos mayores y adultos con discapacidades, proporcionándoles un entorno de vida más cómodo y reduciendo las enfermedades relacionadas con el calor. El año pasado, la División de Envejecimiento del Departamento de Salud y Servicios Humanos de Carolina del Norte (NCDHHS, por sus siglas en inglés) recibió $ 86,000 en donaciones, lo que permitió la distribución de 3,670 ventiladores y 35 acondicionadores de aire en 94 condados de Carolina del Norte.

    Las donaciones de Duke Energy Carolinas, Duke Energy Progress y Dominion permiten a las agencias de envejecimiento regionales del área y a las agencias de proveedores locales comprar ventiladores para las personas elegibles. Las agencias proveedoras locales también pueden comprar un número limitado de acondicionadores de aire para personas con afecciones de salud específicas.

    Mantenerse fresco es importante porque las personas mayores con afecciones médicas crónicas tienen menos probabilidades de sentir y responder a los cambios de temperatura, y pueden estar tomando medicamentos que empeoran el impacto del calor extremo. La Operación Alivio del Calor con Ventilador ayuda a los adultos vulnerables en riesgo de enfermedades relacionadas con el calor a mantenerse a salvo durante el verano.

    Además de solicitar ventiladores, las personas pueden seguir los siguientes pasos durante las altas temperaturas: 

    • Aumentar la ingesta de líquidos
    • Pasar tiempo en ambientes frescos o con aire acondicionado con regularidad
    • Reducir la actividad extenuante durante la tarde
    • Hablar con un médico antes del verano sobre cómo mantenerse seguro mientras toma medicamentos que pueden afectar la capacidad del cuerpo para enfriarse (por ejemplo, medicamentos para la presión arterial alta)

    Las personas pueden comunicarse con la agencia envejecimiento de su área o con la División de Envejecimiento del NCDHHS al 919-855-3400 para obtener más detalles.

    Puede encontrar más información sobre la Operación Alivio del Calor con Ventiladores, incluidos consejos sobre cómo prepararse para el calor extremo y una lista de las agencias locales que distribuyen ventiladores, en la página web Operación Alivio del Calor con Ventiladores del NCDHHS.

    Apr 28, 2025

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI USA: Kelly, Menendez, Balderson, Larson introduce Medicare Beneficiary Co-Pay Fairness Act of 2025

    Source: United States House of Representatives – Representative Mike Kelly (R-PA)

    WASHINGTON, D.C. — On Thursday, April 24, U.S. Representatives Mike Kelly (R-PA), a member of the Ways & Means Subcommittee on Health, Robert Menendez, Jr. (D-NJ), Troy Balderson (R-OH), and John Larson (D-CT) introduced the Medicare Beneficiary Co-Pay Fairness Act of 2025. The Medicare Beneficiary Co-Pay Fairness Act of 2025 aims to address the current inequity in Medicare’s co-pay structure to help lower costs for patients seeking care at ambulatory surgical centers (ASCs).

    “The Medicare Beneficiary Co-Pay Fairness Act takes a major step toward lowering patient costs. This legislation saves taxpayer money by streamlining the payment process. I thank my colleagues for joining me in this effort,” said Rep. Kelly.

    “Our healthcare system should reward value and efficiency, not penalize patients based on where they receive care,” said Congressman Menendez. “With the legislation, we’re ensuring fairness, lowering out-of-pocket costs, and reinforcing the principle that Medicare should always work for patients.”

    “Extending co-pay caps improves efficiency and provides fairer costs for patients,” said Rep. Balderson. “This ensures patients are able to receive necessary and preventative services in lower-cost health care settings.”

    “I am proud to introduce this bill with my colleagues on both sides of the aisle to make surgical care more affordable and accessible for our seniors,” said Larson. “Connecticut’s 61 Ambulatory Surgical Centers provide preventive services and essential procedures to thousands of patients annually, including cataract surgeries and orthopedic care. The Medicare Beneficiary Co-Pay Fairness Act will ensure patients no longer have to pay more for a procedure simply because they went to an outpatient provider.”

    BACKGROUND

    Currently, while patients in both ASCs and Hospital Outpatient Departments (HOPDs) typically face a 20% co-pay, only HOPDs benefit from a co-pay cap, set at $1,676 for 2025. This leaves Medicare patients utilizing the over 6,300 Medicare-certified ASCs nationwide with potentially higher out-of-pocket expenses for approximately 150 procedures, even though ASCs offer high-quality, cost-effective care projected to save Medicare billions.

    The Medicare Beneficiary Co-Pay Fairness Act seeks to rectify this by extending the existing co-pay cap to ASCs, ensuring fairer costs for patients and supporting the continued growth and utilization of efficient, lower-cost surgical settings.

    You can read the full bill text here.

    MIL OSI USA News –

    April 29, 2025
  • MIL-OSI United Nations: 28 April 2025 Departmental update Meeting of the Guideline Development Group for the monitoring and management of hyperglycaemia in pregnancy

    Source: World Health Organisation

    One in six live births (21 million per year) is affected by hyperglycaemia during pregnancy (1). Hyperglycaemia in pregnancy can mean either diabetes that existed before pregnancy, diabetes first diagnosed during pregnancy, or gestational diabetes – a milder form of elevated glucose (blood sugar) levels that appears during pregnancy, though the distinction between the types is blurred due to the high burden of undiagnosed pre-existing diabetes. The management of hyperglycaemia, or elevated glucose levels, in pregnancy differs significantly from its management outside of pregnancy. Hyperglycaemia during pregnancy has effects on the fetus and birth process. Pregnancy-related complications of hyperglycaemia, including GDM, include pre-eclampsia/hypertensive disorders of pregnancy, stillbirth, macrosomia, neonatal hypoglycaemia and seizures, and birth injury. Women with hyperglycaemia in pregnancy are more likely to develop type 2 diabetes (1) and long-term complications of diabetes can include cardiovascular disease, neuropathy, nephropathy and retinopathy (2).  

    The World Health Organization (WHO) 2013 guideline on Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy focused on the diagnostic criteria and classification of hyperglycaemia in pregnancy, but did not provide recommendations on diabetes management. The 2016 antenatal care guidelines identified this as a priority research area, particularly in lower-middle-income countries. Given that the disease burden of diabetes is global, with a majority of cases in low- and middle-income countries, guidelines applicable to these settings are needed. With a view towards promoting the best-known clinical practices in labour and childbirth, and improving maternal and newborn outcomes worldwide, WHO will review the evidence for recommendations related to monitoring and management of hyperglycaemia in pregnancy. The development of this guideline has been prioritized as part of the work to address non-communicable diseases in pregnancy.  

    A Guideline Development Group (GDG) meeting will be held 12–15 May 2025 to review the evidence base on these recommendations. In keeping with the requirements of the WHO Compliance, Risk Management and Ethics Office, we are posting online short biographies of the GDG members. The listed candidates have also submitted a declaration of interest form stating any conflict of interests. WHO has applied its internal processes to ensure that the performance of the above tasks by members of this group will be transparent and without any significant conflict of interests (academic, financial or other) that could affect the credibility of the guideline. 

    Nevertheless, WHO invites the public to review the experts and stakeholders involved and provide feedback regarding any member deemed to have a significant conflict of interest with respect to the terms of reference for this group. Comments and feedback should be cordial and constructive, and sent to srhmph@who.int. 

    This WHO normative meeting is by invitation only. 

    NOTE: 

    The GDG members are participating in the meeting on their individual capacity. Affiliations are presented only as a reference. The participation of experts in a WHO meeting does not imply that they are endorsed or recommended by WHO nor does it create a binding relationship between the experts and WHO. The biographies have been provided by the experts themselves and are the sole responsibility of the individuals concerned. WHO is not responsible for the accuracy, veracity and completeness of the information provided. In accordance with WHO conflict of interest assessment policy, expert’s biographies are published for transparency purposes. Comments and perceptions are brought to the knowledge of WHO through the public notice and comment process.  

    Comments sent to WHO are treated confidentially and their receipt will be acknowledged through a generic email notification to the sender. Please send any comments to the following email: srhmph@who.int. WHO reserves the right to discuss information received through this process with the relevant expert with no attribution to the provider of such information. Upon review and assessment of the information received through this process, WHO, in its sole discretion, may take appropriate management of conflicts of interests in accordance with its policies. 


    1. Gestational Diabetes. International Diabetes Federation; 2022: https://idf.org/about-diabetes/types-of-diabetes/gestational-diabetes 
    2. Harding JL, Pavkov ME, Magliano DJ, Shaw JE, Gregg EW. Global trends in diabetes complications: a review of current evidence. Diabetologia. 2019;62(1):3-16. doi: 10.1007/s00125-018-4711-2. 

    MIL OSI United Nations News –

    April 29, 2025
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