Category: Health

  • MIL-OSI USA: What They Are Saying: Over One Million Law Enforcement Officers Call for Immediate, Clean Senate Passage of HALT Fentanyl Act

    US Senate News:

    Source: United States Senator for Iowa Chuck Grassley

    WASHINGTON – Major law enforcement organizations representing over 1,000,000 officers nationwide, are calling on the Senate to pass the Halt All Lethal Trafficking of (HALT) Fentanyl Act immediately and without amendments. Senate Judiciary Committee Chairman Chuck Grassley (R-Iowa) is leading the push to permanently classify illicit fentanyl-related substances as Schedule I, alongside Senate Health, Education, Labor and Pensions Committee Chairman Bill Cassidy, M.D. (R-La.) and Sen. Martin Heinrich (D-N.M.).

    The White House today reaffirmed the administration’s support for the legislation in its current form. The bill will likely receive a final Senate vote next week.

    Law enforcement organizations backing the HALT Fentanyl Act’s swift and clean passage include the National Fraternal Order of Police, the National Association of Police Organizations, the Major Counties Chiefs Association, the Association of State Criminal Investigative Agencies, the Federal Law Enforcement Officers Association, the Major County Sheriffs of America, the National Alliance of State Drug Enforcement Agencies, the National District Attorneys Association, the National HIDTA Directors Association, the National Narcotic Officers’ Associations’ Coalition, the National Sheriffs’ Association and the NYPD Sergeants Benevolent Association.

    The above organizations represent law enforcement agencies across all 50 states, including the major metropolitan areas of New York City, Miami, Orlando, Atlanta, Chicago, Los Angeles and Houston.

    Here’s what they’re saying:

    The National Association of Police Organizations: 
    “Time is of the essence. The DEA’s temporary authority to schedule all fentanyl-related substances as Schedule I drugs under the Controlled Substances Act ends on March 31… We supported the technical changes that had to be made when the Judiciary Committee approved the manager’s amendment last week, but otherwise urged the Committee to advance this critical legislation without further modification, which it did… We are now urging the Senate to swiftly pass S. 331 without amendment

    The National Fraternal Order of Police:
    “[The Halt Fentanyl Act], which permanently places fentanyl-related substances as a class into Schedule I of the Controlled Substances Act, would save lives and make our communities safer. We thank Leader Thune for putting the bill on the floor and strongly urge the Senate to pass it without amendment.”

    The Federal Law Enforcement Officers Association:
    “FLEOA thanks @LeaderJohnThune for advancing S. 331/HALT Fentanyl Act. We urge all Senators to quickly pass this measure as-is, without further amendment, and give @DEAHQ permanent scheduling authority for fentanyl-related substances.”

    The Major County Sheriffs of America: 
    “The opioid crisis is devastating our nation. The Senate must pass the HALT Fentanyl Act without delay or changes to give law enforcement the tools to combat this deadly epidemic. We can’t afford further delay – let’s act now for public safety.”

    The NYPD Sergeants Benevolent Association: 
    “Last month, the Sergeants Benevolent Association joined its partner law enforcement organizations in calling on the Judiciary Committee to advance this critical legislation without delay or modification. We now respectfully request that all senators support passage of S. 331 as approved by the Judiciary Committee and without further amendment.”

    A coalition of 11 national, state and local law enforcement organizations: 
    “The opioid epidemic continues to claim the lives of hundreds of Americans every day. As this crisis escalates, every delay in addressing it only increases the toll on our communities. For the sake of public safety, it is imperative that the Senate pass the HALT Fentanyl Act as it stands, without changes, and move it forward to law.”

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    MIL OSI USA News

  • MIL-OSI USA: Senator Collins, Bipartisan Group Introduce Bill to Improve Veterans’ Access to High-Quality Mental Health Care

    US Senate News:

    Source: United States Senator for Maine Susan Collins

    Washington, D.C. – U.S. Senators Susan Collins, John Cornyn (R-TX), Maggie Hassan (D-NH), Michael Bennet (D-CO), Bill Cassidy (R-LA), Gary Peters (D–MI), John Fetterman (D-PA) and Thom Tillis (R-NC) today introduced the Veterans Mental Health and Addiction Therapy Quality of Care Act, bipartisan legislation that would require an independent organization outside of the government to conduct a study to assess the quality of care veterans receive for mental and addiction health treatment from providers within and outside the Department of Veterans Affairs (VA).

    “Our veterans made the honorable decision to serve our country, and we have a responsibility to ensure they receive the best possible health care during and after their service,” said Senator Collins. “Too many veterans face serious mental health struggles, including PTSD and addiction, yet they often encounter barriers to getting the care they need. By reviewing the quality of mental health and addiction treatment available to them—both within and outside the VA—this bipartisan legislation would help improve access to higher-quality care, so that fewer veterans are left without the support they deserve.”

    The Department of Veterans Affairs is home to the nation’s largest integrated health care system that provides comprehensive health services to U.S. military veterans who are enrolled. However, recent estimates indicate that as many as 70% of VA-eligible veterans received their care from external providers. Given the high rate of veteran suicide due to mental and addiction health conditions, a study is needed to better understand if current practices provide our veterans with the best mental and addiction quality of care.

    Specifically, The Veterans Mental Health and Addiction Therapy Quality of Care Act would require an independent study to:

    • Analyze the results of comparable instances of addiction and mental health care between inside and outside providers using objective criteria such as symptom scores and suicide risk;
    • Ascertain to what extent outside providers are using evidence-based practices in the treatment of addiction and mental health issues;
    • Identify potential gaps in coordination between internal and external providers in responding to individuals seeking addiction or mental health care;
    • Evaluate the availability of coordinated care for veterans who have separate or related conditions which may be impacting their mental health;
    • Assess providers’ military cultural competency;
    • Gauge the ease and flexibility of sharing medical records with a veteran’s health care team;
    • Consider to what extent providers are conducting outcome monitoring throughout a veteran’s treatment to track progress or lack thereof; and
    • Measure overall patient satisfaction.

    The legislation is supported by the Disabled American Veterans Association, the American Psychological Association, and the Veteran Health Care Policy Initiative.

    The full text of the bill can be read here.

    MIL OSI USA News

  • MIL-OSI New Zealand: Release: Labour welcomes reinstatement of Heath NZ board

    Source: New Zealand Labour Party

    Labour welcomes Simeon Brown’s move to reinstate a board at Health New Zealand, bringing the destructive and secretive tenure of commissioner Lester Levy to an end.

    “It’s past time that Lester’s time as commissioner ended – we called for this last week and are pleased to see Simeon Brown take our advice,” Labour health spokesperson Ayesha Verrall said.

    “Lester Levy was Christopher Luxon’s pick for commissioner, yet all he’s done is destabilise our health system by cutting more than 3000 jobs with more to come, and going on a fantasy quest to find ‘back office bloat’ that doesn’t exist.

    “When they couldn’t find the wasteful spending they’d imagined, they took Milo and toast from new parents, before having to backtrack.

    “Levy failed to deliver the turnaround plan, hadn’t published a health plan, and showed up to meetings without information on major decisions.

    “On his watch, our hospitals experienced a hiring freeze, making it nearly impossible to fill vacancies in time. Almost half of Health NZ’s data and digital team are facing cuts and another 358 from the National Public Health Service roles – a quarter of the workforce.

    “Now Levy is gone, the cuts must stop, so our healthcare system can run smoothly and communities can get the healthcare they need,” Ayesha Verrall said.


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    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Health and Politics – Yet more Government health plans and priorities: NZNO

    Source: New Zealand Nurses Organisation

    It’s no surprise there’s confusion in the health sector after the Government today released yet another plan to fix the dire state of Aotearoa New Zealand’s public health system, the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) says.
    Health Minister Simeon Brown today outlined his plan to “fix the system” and his five key priorities.
    NZNO Kaiwhakahaere Kerri Nuku says the Minister’s acknowledgement of the issues facing the health system is good for patients and health care workers.
    “However, it isn’t clear how this latest plan fits with the plethora of other current health plans, strategies and legislative frameworks including the Government Policy Statement, the Pae Ora Act and the six accompanying Pae Ora Strategies, the health targets and the Health Workforce Plan.
    “And this is not to mention Te Whatu Ora Commissioner Dr Lester Levy’s long awaited ‘reset’. It’s no wonder everyone in the health system is confused.”
    There was also no mention in the Minister’s plan or priorities of improving the health outcomes of Māori or that of our vulnerable communities, Kerri Nuku says.
    “Lifting the health outcomes of Māori, Pacific people and disabled people ultimately benefits all of Aotearoa New Zealand by creating a more equitable health system and improving access to quality health care for all.
    “The Minister was also strangely silent on the role of Iwi Māori Partnership Boards (IMPBs) despite his Government having committed to them previously and his rush to have a locally delivered health system by July. IMPBs are enshrined in the Pae Ora Act and Simeon Brown needs to explain the role he sees them playing in his plan,” Kerri Nuku says.

    MIL OSI New Zealand News

  • MIL-OSI Security: U.S. Marine Corps, Royal Thai Marine Corps, Republic of Korea Marine Corps conduct combat marksmanship practice during Cobra Gold 2025

    Source: United States INDO PACIFIC COMMAND

    Cobra Gold is taking place from Feb. 26 – Mar. 8, 2025, with this year marking the 44th iteration of the exercise. As the largest joint exercise in mainland Asia, Cobra Gold brings together multinational armed forces and multiple civilian agencies in the exchange of knowledge involving training events and discourse with subject matter experts.

    In the combat marksmanship training event, U.S. Marines instructed Thai and ROK Marines in close combat scenarios utilizing a 50 meter rifle range.

    Col. Stuart Glenn, commanding officer of the 13th Marine Expeditionary Unit, Marine Rotational Force-Southeast Asia, was there to witness the cooperative training environment.

    “We’re exchanging knowledge,” said Glenn. “We’re exchanging skills. We’re exchanging best practices and things that we have learned in our collective training. And what makes this particular event unique is that we’re also receiving all of that from our international partners here today.”

    One such partner present, Petty Officer 1st Class Suttiwat Susing of the Royal Thai Marine Corps, has extensive experience with the collaborative training mission, having participated in over four Cobra Gold exercises in the past.

    “I have learned many things from the U.S. Marine Corps in all the Cobra Golds I have been a part of,” said Susing. “Even today on the range, they taught new practices related to safety on the range.”

    In addition to the technical expertise exchanged between service members, Susing has seen many lasting friendships result from the exercises. This fact is not lost on Hospital Corpsman 3rd Class Isaiah Gutierrez, a U.S. Navy Sailor attached to the 1st LAR.

    “Training like this on a range is important for our readiness, but it’s also like a bonding time for these guys,” said Gutierrez. “A lot of these guys like to shoot – American, Korean and Thai. So doing it all together gives a sense of camaraderie between them. And, of course, it helps us all understand how we operate our weapon systems.”

    Lance Cpl. Ryan Bernard, team leader in the 1st LAR, participated in the combat marksmanship training and welcomed the opportunity to learn from marines of other nations.

    “Training with our partners like this, in their own country and with other armed forces, is crucial to our mission,” said Bernard.

    According to Bernard, a day on the range with partners and allies goes a long way toward operational familiarity and camaraderie among service members.

    Republic of Korea Navy Capt. Kim Kyung-ho, commander of the ROK Navy Cobra Gold Exercise Squadron, observed for himself the marines instructing each other in techniques and safety procedures on the range.

    “Through active and practical training like today with our allies and partners, we will be able to enhance the ability to conduct multinational joint operations and contribute to strengthening interoperability and military cooperation while promoting friendship among the participating forces,” said Kyung-ho.

    MIL Security OSI

  • MIL-OSI New Zealand: Pacific community-led solutions to address alcohol harm

    Source: New Zealand Government

    A new $330,000 funding initiative to help prevent and address alcohol-related harm in New Zealand’s Pacific communities was officially launched today by Mental Health Minister Matt Doocey.

    “This is an important milestone for alcohol harm prevention among our Pacific communities. This is the first significant alcohol prevention specific investment in the health system to address alcohol harm in Pacific populations,” Mr Doocey says.

    “The new Pacific Strengthening and Innovation Fund aims to provide resources to Pacific communities, to help empower locally-led approaches to prevent alcohol-related harm, joining wider work being done in areas like health and education.

    “Hazardous alcohol consumption can cause a lot of harm in our communities. That is why this Government is taking alcohol harm seriously, which is evident by it raising the alcohol levy for the first time in 15 years.

    “The Government is committed to addressing alcohol harm and that includes enabling and providing support for locally driven solutions.

    The New Zealand Health Survey tells us that despite lower overall alcohol consumption rates, Pacific communities face higher rates of hazardous alcohol consumption and heavy episodic drinking.

    “As Minister, I set a goal of increasing investment into prevention and early intervention, focusing on population needs for groups and communities which the new Pacific Strengthening and Innovation Fund will help achieve.

    “I am very pleased that dedicated funding is now available for Pacific communities. It joins the many other initiatives that are intended to help people overcome challenges and improve their quality of life, and to support healthier, safer, happier communities.”

    MIL OSI New Zealand News

  • MIL-OSI China: Israeli army kills 3 Palestinians in Gaza City

    Source: China State Council Information Office

    People try to receive food relief during Ramadan in Gaza City, on March 4, 2025. [Photo/Xinhua]

    The Israeli army on Thursday killed three Palestinians in the east of Gaza City, according to Palestinian sources and eyewitnesses.

    “The attack targeted a group of people near the Al-Tawfiq Mosque in the Al-Shuja’iyya neighborhood, in the northern Gaza Strip,” the sources told Xinhua.

    “One person was killed instantly, while three others were critically wounded. They were taken to the Baptist Hospital in central Gaza City, where two later died from their injuries,” the sources added.

    Israeli army spokesman Avichay Adraee confirmed the strike, saying that the army had identified individuals “attempting to plant an explosive device” near its forces in northern Gaza and launched an airstrike to eliminate the threat.

    Palestinian sources rejected the Israeli claims, saying the victims were civilians returning to check on and repair their homes, which had been damaged during the war.

    The incident came amid ongoing tensions in Gaza as negotiations for the second phase of a ceasefire agreement between Israel and Hamas remain stalled.

    According to Gaza-based health authorities, since the Israel-Hamas conflict began on Oct. 7, 2023, the reported death toll has reached 48,446, with 111,852 injured.

    MIL OSI China News

  • MIL-OSI USA: Cortez Masto, Colleagues Demand Trump Administration Ensures Legal Representation for Vulnerable Children in Immigration System

    US Senate News:

    Source: United States Senator for Nevada Cortez Masto
    Washington, D.C. — U.S. Senator Catherine Cortez Masto (D-Nev.) joined 31 of her Senate colleagues in a letter led by Senators Jon Ossoff (D-Ga.) and Mazie Hirono (D-Hawaii) to Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. and Secretary of the Interior Doug Burgum demanding that they continue legal services for unaccompanied children caught up in the immigration system as required by law.
    Earlier this month, the Trump Administration issued a stop work order to organizations that provide legal services for unaccompanied children. Last week, following public pressure, the order was rescinded.
    “Pausing or terminating the provision of legal services to unaccompanied children under this contract runs directly counter to the requirements of the Trafficking Victims Protection Reauthorization Act (TVPRA) and places 26,000 unaccompanied children at increased risk of trafficking, exploitation, and other harm,” wrote the Senators. “The TVPRA, passed by Congress in 2008 on a bipartisan basis, requires the Department of Health and Human Services (HHS) to ensure, to the greatest extent practicable, that all unaccompanied children have counsel to represent them in legal proceedings and protect them from mistreatment, exploitation, and trafficking.”
    According to a report by the Guardian this month, the organizations affected by the previous stop work order provide legal counsel for around 26,000 unaccompanied minors.
    “Cutting off access to legal services makes it more likely that the government will lose track of unaccompanied children, given the challenges such children would face in independently appearing for immigration court hearings, submitting address updates, or otherwise communicating with immigration authorities,” continued the Senators. “Not only will this make children more vulnerable to trafficking, but it will also create further inefficiencies in an already backlogged immigration court system.”
    Read the full letter here.
    The first and only Latina senator, Senator Cortez Masto has consistently supported immigrant communities in Nevada, calling on both administrations to protect TPS holders and other immigrants, as well as leading commonsense legislation to fix our broken immigration system. Cortez Masto joined Senator Rosen (D-Nev.) in introducing the Born in the USA Act to effectively block the implementation of President Trump’s unconstitutional Executive Order attempting to end automatic citizenship for children born in the United States. She has worked to pass meaningful immigration reform that balances critical border security measures with a path to citizenship for Dreamers, TPS holders, and essential workers, and she’s pushed legislation to allow Dreamers and TPS holders to work in Congress.

    MIL OSI USA News

  • MIL-OSI USA: Padilla, Markey Introduce Bipartisan, Bicameral Bill to Secure Fair Pay for Truckers Working Overtime

    US Senate News:

    Source: United States Senator Alex Padilla (D-Calif.)

    Padilla, Markey Introduce Bipartisan, Bicameral Bill to Secure Fair Pay for Truckers Working Overtime

    WASHINGTON, D.C. — Today, U.S. Senators Alex Padilla (D-Calif.) and Edward J. Markey (D-Mass.), along with U.S. Representatives Mark Takano (D-Calif.-39) and Jeff Van Drew (R-N.J.-02), introduced bipartisan, bicameral legislation to ensure that truckers are compensated fairly for the hours that they are on the clock, including overtime. The Guaranteeing Overtime for Truckers Act would repeal the motor carrier provision of the Fair Labor Standards Act of 1938, which excludes many truckers from overtime protections enjoyed by other workers.

    In response to an Executive Order by former President Biden, the U.S. Department of Transportation issued a Freight and Logistics Supply Chain Assessment in February 2022, which highlights high turnover rates and compensation issues in the trucking industry. Among its recommendations, the Department called on Congress to repeal the motor carrier provision of the Fair Labor Standards Act of 1938 to allow truckers to earn fair overtime pay.

    “America’s truck drivers are on the frontlines of our economy, enduring long hours away from home, and all too often, unpaid wait times at congested ports and warehouses. Unfortunately, truck drivers have been excluded from overtime pay protections for decades,” said Senator Padilla. “If truckers are forced to wait while on the job, they should be paid. This is not just a matter of fairness; it’s a matter of public safety. Experienced truckers are safer truckers, and better compensation and overtime pay will help more of them stay in the profession.”

    “Truck drivers are the engines of our economy, making sure that our supply chain keeps moving at full speed, and yet they are denied the fundamental worker protection of overtime. The Guaranteeing Overtime for Truckers Act would reverse this injustice and ensure that truck drivers are paid their due,” said Senator Markey.

    “Truckers are vital for our supply chain, manufacturing, and the American way of life,” said Representative Takano. “It is unfair that they are singled out as somehow unworthy of overtime pay. This legislation will help right that wrong and make sure they are fairly compensated for the hours they work. I am proud to partner with Congressman Van Drew and Senator Padilla to build up workers and guarantee more money in their paychecks.”

    “Truck drivers keep our supply chain moving, often working long, exhausting hours to make sure goods get where they need to go,” said Representative Van Drew. “But right now, they are not guaranteed overtime pay like most other workers. It is just not right. The Guaranteeing Overtime for Truckers Act is a simple fix—it ensures that truckers are fairly compensated for the extra hours they put in. These men and women do critical work, and it’s time we make sure their pay reflects that.”

    “The exclusion of truck drivers from federal overtime protections must come to an end,” said Teamsters General President Sean M. O’Brien. “The Teamsters Union is proud to support the Guaranteeing Overtime for Truckers Act, which will right the decades long wrong that serves only to harm drivers to the benefit of their employers.”

    “America’s truckers are the backbone of our economy, keeping goods moving and ensuring our supply chain stays strong,” said Owner-Operator Independent Drivers Association President Todd Spencer. “Yet, despite their essential role, trucking remains one of the few professions in America denied guaranteed overtime pay. It’s long past time the hard work of the men and women behind the wheel are fairly compensated. By discounting a trucker’s time, ‘big trucking’ has driven wages downward, treating truckers as disposable rather than the skilled professionals they are. We appreciate Representative Van Drew, Representative Takano, and Senator Padilla for championing the bipartisan GOT Truckers Act, which will right this wrong by securing overtime pay. This legislation is an investment in truckers, road safety, and the strength of America’s supply chain.”

    In addition to Senators Padilla and Markey, the legislation is cosponsored by Senators Richard Blumenthal (D-Conn.), Elizabeth Warren (D-Mass.), and Ron Wyden (D-Ore.).

    The Guaranteeing Overtime for Truckers Act is supported by Teamsters and the Owner-Operator Independent Drivers Association.

    Senator Padilla is a longtime advocate for improving workplace safety standards and helping workers secure fair wages. In the aftermath of the Southern California fires, Padilla introduced the bipartisan Firefighter Paycheck Protection Act to protect wildland firefighter pay and provide long-term workforce stability. Additionally, he introduced the Wildland Firefighter Fair Pay Act to permanently raise the caps on overtime premium pay for federal wildland firefighters. Previously, Padilla introduced the Fairness for Farm Workers Act, legislation to update the nation’s labor laws to ensure farm workers receive fairer wages and compensation. In 2023, Padilla announced the Asunción Valdivia Heat, Illness, Injury and Fatality Prevention Act to protect the safety and health of workers who are exposed to dangerous heat conditions in the workplace. Padilla is also a proud cosponsor of the Protecting the Right to Organize (PRO) Act of 2025.

    Full text of the bill is available here.

    MIL OSI USA News

  • MIL-OSI New Zealand: Release: Labour outlines priorities of next Govt

    Source: New Zealand Labour Party

    The next Labour Government will prioritise jobs, health and homes so Kiwis and Kiwi businesses have the opportunity to thrive.

    • Jobs – a fair economy with secure jobs that pay a decent wage
    • Health – a quality public health system supporting healthy communities.
    • Homes – a place to live and a great start for our kids

    “The cost-of-living crunch is still hitting New Zealanders hard. Prices are going up, wage growth is stagnant and more people are unemployed or about to lose their jobs,” Labour leader Chris Hipkins said.

    “The Luxon Government does not have a vision or a plan for New Zealand. Buzz words and corporate waffle will not lift incomes, fix our health system or build more homes.

    “Labour will not sell our pristine landscapes for a quick buck. We won’t lay off thousands of people, and cripple sectors for the sake of politics. We won’t sit idly by watching unemployment grow and families to suffer as a result.

    “We have listened, and we know what New Zealanders want. Clear on our objectives, Labour will be ready to govern in 2026, with policy development well underway to ensure jobs, health and homes are attainable for all New Zealanders.

    “New Zealand can have a strong economy that also supports people in work and pays them well. We can invest in the long-term infrastructure our country needs, while ensuring our health and education systems don’t keel over. We can ensure people have access to quality homes and Kiwi kids get a great start to life.

    “Labour’s new economic team, led by Barbara Edmonds is a signal to New Zealanders that we are serious about tackling the big issues and making change for the better. The team will get cracking immediately on new policy.

    “A Labour Government I lead will get the balance right to ensure New Zealand businesses can thrive and our economy can do well, while growing wages and jobs for everyone,” Chris Hipkins said. 


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    MIL OSI New Zealand News

  • MIL-OSI USA: Shaheen Introduces Bipartisan, Bicameral Proposal to Make Child Care More Affordable

    US Senate News:

    Source: United States Senator for New Hampshire Jeanne Shaheen
    (Washington, DC) – U.S. Senator Jeanne Shaheen (D-NH) introduced the Child Care Availability and Affordability Act and the Child Care Workforce Act—bipartisan, bicameral legislation that together form a bold proposal to make child care more affordable and accessible by strengthening existing tax credits to lower child care costs and increase the supply of child care providers. The bill was co-led by U.S. Senators Katie Britt (R-AL), Tim Kaine (D-VA) and Joni Ernst (R-IA). U.S. Representatives Mike Lawler (NY-17) and Salud Carbajal (CA-24) introduced a companion bill in the U.S. House of Representatives. The bill includes language from Shaheen’s Right Start Child Care and Education Act legislation.
    “I hear time and again from parents in New Hampshire who are desperate for reliable, affordable child care options, but for too many families, their options are limited at best and nonexistent at worst,” said Senator Shaheen. “For an issue that impacts so many families in every corner of every state, it’s time we find a bipartisan path forward, which is why I’m proud to join my colleagues on this commonsense, bipartisan proposal to lower child care costs, increase wages for the workforce and ensure providers can keep their doors open.”
    Additional cosponsors of the Child Care Availability and Affordability Act include U.S. Senators John Curtis (R-UT), Angus King (I-ME), Shelley Moore Capito (R-WV), Kirsten Gillibrand (D-NY) and Susan Collins (R-ME). The bill text can be viewed here.
    The Child Care Workforce Act is also cosponsored by U.S. Senators King and Gillibrand. The proposal contains two bills because one proposes changes to existing tax credits, falling under the jurisdiction of the Senate Finance Committee, and the other authorizes a new pilot program, falling under the jurisdiction of the Senate HELP Committee. The bill text can be viewed here.
    The worsening child care crisis is holding families, child care workers, businesses and our entire economy back. Across the country, too many families cannot find—or afford—the high-quality child care they need so parents can go to work and children can thrive. Over the last few decades, the cost of child care has increased by 263%, forcing families—and mothers, in particular—to make impossible choices.
    More than half of all families live in child care deserts. Meanwhile, child care workers are struggling to make ends meet on their poverty-level wages and child care providers are struggling to simply stay afloat. The crisis—which was exacerbated by the pandemic—is costing our economy approximately $122 billion in economic losses each year.
    New national polling in conjunction with First Five Years Fund (FFYF) reflects overwhelming bipartisan support for the Child and Dependent Care Tax Credit (CDCTC), with 86% of voters in support of increasing the CDCTC. Additionally, 79% of Republican voters say they want President Trump and Republicans in Congress to do more to help hardworking families afford child care with 72% saying investing in child care is a good use of tax dollars. According to polling from Fabrizio Ward, 63% of all voters say helping working class families is their top priority when it comes to changes in tax policy.
    Senator Shaheen has been a leader in advocating for more affordable and accessible child care, including by delivering more than $77 million to New Hampshire through the American Rescue Plan and other COVID relief laws to the Granite State. Since then, Shaheen had urged state and local officials to distribute those federal funds, especially in communities that lack access to child care. In August, Shaheen visited Colebrook Community Child Care Center to discuss challenges and solutions to the child care crisis in rural communities, and in October Shaheen hosted Acting Secretary of Labor Julie Su for a discussion on child care and workforce challenges in Brentwood. 
    Last year, Shaheen introduced the Right Start Child Care and Education Act, which would make child care more affordable and accessible for working families by reforming the federal tax code. She also introduced the bipartisan Expanding Child Care for Military Families Act. Additionally, she helped introduce the Child and Dependent Care Tax Credit Enhancement Act to permanently expand the Child and Dependent Care Tax Credit, which helps households offset their child care costs.
    Last April, Shaheen convened a hearing as former Chair of the U.S. Senate Small Business and Entrepreneurship Committee to hear testimony from expert witnesses on the child care industry’s broken business model and what Congress can do to support small business child care providers, employees and families. A subsequent U.S. Small Business Administration (SBA) Office of Advocacy issue brief, in response to data challenges raised at the hearing, details the role of small businesses in the child care industry and fills data gaps in child care industry research.
    Last Congress, Shaheen helped introduce the Child Care Stabilization Act, which would provide additional federal child care stabilization funding—which was provided in the American Rescue Plan—and ensure that child care providers can keep their doors open and continue serving children and families in every part of the country. Shaheen joined Senator Patty Murray (D-WA) to introduce the Child Care for Working Families Act, which would provide affordable child care for all working families, expand access to preschool programs and increase wages for early childhood workers. She also joined U.S. Senators Amy Klobuchar (D-MN) and Dan Sullivan (R-AK) in reintroducing the bipartisan Childcare Workforce and Facilities Act to address the national shortage of affordable, quality child care, especially in rural communities. In the government funding bill for fiscal year (FY) 2024, Senator Shaheen worked to include a $1 billion increase for early education, including a $725 million increase to $8.75 billion for Child Care and Development Block Grants to states and a $275 million increase to Head Start4. The law additionally included $315 million for Preschool Development Grants.
    The Child Care Availability and Affordability Act is endorsed by A+ Education Partnership, Alabama Arise, Alabama School Readiness Alliance, American Federation of Teachers (AFT), Bipartisan Policy Center Action (BPCA), Business Council of Alabama, Care.com, Chamber of Progress, Chamber RVA, Child Care Aware of America (CCAoA), Child Care Aware of Virginia, Children’s Institute, Early Care & Education Consortium (ECEC), Educare Learning Network, FFYF, Gingerbread Kids Academy, Hampton Roads Chamber, Healthy Kids AL, KinderCare Learning Companies, Manufacture Alabama, Metrix IQ, Mobile Area Education Foundation, National Association of Women Business Owners (NAWBO), National Child Care Association (NCCA), Northern Virginia Chamber of Commerce (NVC), Save the Children, Small Business Majority, Start Early, Third Way, U.S. Chamber of Commerce, Virginia Chamber of Commerce, Virginia Early Childhood Foundation (VECF), VOICES for Alabama’s Children and Voices for Virginia’s Kids. In addition to those groups, the Child Care Workforce Act is endorsed by the National Association for Family Child Care (NAFCC), National Association for the Education of Young Children (NAEYC) and ZERO TO THREE.

    MIL OSI USA News

  • MIL-OSI USA: Murray, Ossoff, Colleagues Demand Trump Administration Ensure Legal Representation for Vulnerable Children in Immigration System

    US Senate News:

    Source: United States Senator for Washington State Patty Murray
    Washington, D.C. — Today, U.S. Senator Patty Murray (D-WA), Vice Chair of the Senate Appropriations Committee, joined U.S. Senator Jon Ossoff (D-GA) and 33 other senators in a letter demanding the Trump Administration ensures legal representation for children caught up in the immigration system. In their letter to Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. and Secretary of the Interior Doug Burgum, the senators urged the administration to continue legal services for unaccompanied children caught up in the immigration system as required by law. Earlier this month, the Trump Administration issued a stop work order to organizations that provide legal services for unaccompanied children. Last week, following public pressure, the order was rescinded.
    “Pausing or terminating the provision of legal services to unaccompanied children under this contract runs directly counter to the requirements of the Trafficking Victims Protection Reauthorization Act (TVPRA) and places 26,000 unaccompanied children at increased risk of trafficking, exploitation, and other harm,” the senators wrote to Secretaries Kennedy and Burgum. “The TVPRA, passed by Congress in 2008 on a bipartisan basis, requires the Department of Health and Human Services (HHS) to ensure, to the greatest extent practicable, that all unaccompanied children have counsel to represent them in legal proceedings and protect them from mistreatment, exploitation, and trafficking.”
    According to a report by the Guardian this month, the organizations affected by the previous stop work order provide legal counsel for around 26,000 unaccompanied minors.
    “Cutting off access to legal services makes it more likely that the government will lose track of unaccompanied children, given the challenges such children would face in independently appearing for immigration court hearings, submitting address updates, or otherwise communicating with immigration authorities,” the group of senators continued. “Not only will this make children more vulnerable to trafficking, but it will also create further inefficiencies in an already backlogged immigration court system.”
    Joining Sens. Murray and Ossoff in sending the letter were Senators Mazie Hirono (D-HI), Ron Wyden (D-OR), Dick Durbin (D-IL), Bernie Sanders (I-VT), Amy Klobuchar (D-MN), Sheldon Whitehouse (D-RI), Jeanne Shaheen (D-NH), Jeff Merkley (D-OR), Michael Bennet (D-CO), Chris Coons (D-DE), Richard Blumenthal (D-CT), Tammy Baldwin (D-WI), Martin Heinrich (D-NM), Angus King (I-ME), Elizabeth Warren (D-MA), Ed Markey (D-MA), Cory Booker (D-NJ), Gary Peters (D-MI), Chris Van Hollen (D-MD), Tammy Duckworth (D-IL), Catherine Cortez Masto (D-NV), Jacky Rosen (D-NV), Mark Kelly (D-AZ), John Hickenlooper (D-CO), Alex Padilla (D-CA), Reverend Raphael Warnock (D-GA), Peter Welch (D-VT), Adam Schiff (D-CA), Andy Kim (D-NJ), and Lisa Blunt Rochester (D-DE).
    The full text of the letter is available HERE.
    Senator Murray has championed comprehensive and humane immigration reform throughout her Senate career, repeatedly pushing for legislative solutions that would offer a fair pathway to citizenship for the more than 11 million undocumented immigrants living in America, including Dreamers, farmworkers, and those with Temporary Protected Status. During Trump’s first administration, Senator Murray helped lead the charge in pushing back against Trump’s appalling treatment of migrant children and families at the southern border— cosponsoring the Fair Day in Court for Kids Act, which would require unaccompanied children and vulnerable individuals to be provided with legal assistance during immigration court proceedings, the Stop Cruelty to Migrant Children Act to end family separations at the border, and legislation to prevent the separation of families at sensitive locations such as schools, religious institutions, and hospitals, among many other efforts.

    MIL OSI USA News

  • MIL-OSI New Zealand: Takapuna Golf course

    Source: Auckland Council

    As part of ongoing efforts to protect the Auckland region from future floods, Auckland Council will be seeking community feedback on a proposed flood resilient blue-green network in the Wairau Valley.

    Before and after of Greenslade.

    The proposed network is part of Auckland Council’s Making Space for Water programme and co-funded by central government. It follows three other flood resilience initiatives already approved in areas severely impacted by the 2023 Auckland Anniversary Weekend floods, two in Māngere and the other in Rānui.

    The Wairau catchment was one of the hardest-hit areas during the 2023 floods, with severe damage and the tragic loss of life. Auckland Council has explored a range of interventions to reduce flood risks in the area to provide both immediate and long-term flood reduction benefits. One of the proposed options is the redevelopment of AF Thomas Park, currently the site of Takapuna Golf Course, into a multi-use recreational flood storage wetland.

    North Shore Ward Councillor Richard Hills acknowledges repurposing AF Thomas Park will be a tough ask for those who love the golf course as it is, but says the wider community is demanding action to prevent further flooding and potential loss of life and property.

    “The January 2023 floods had a devastating impact on our community, negatively affecting thousands of homes and businesses in the Wairau catchment and causing millions of dollars of damage to community facilities like Eventfinda Stadium and North Shore Badminton,” Councillor Hills says.

    “This weather event made our streets so unsafe we lost lives, and we could have lost many more had volunteers not rescued 69 people from the Wairau Valley. After much investigation, the Healthy Waters team is confident this first phase of the project will provide over 550 million litres of water storage in a flood event, a significant increase from the park’s current 60 million litre capacity,” he says.

    “I recognise the potential changes to AF Thomas Park is upsetting to some of our golfing community and those who use this stunning course. As part of the design process, the council and local boards will work with the community to understand what opportunities may be available to meet the wider golfing and recreation needs of the north shore, alongside providing much needed flood protection and safety for this community.”

    Balancing flood protection and community needs

    Under the proposal, the park would function as a blue-green space, offering the community enhanced recreational facilities and walking paths while also serving as a wetland, designed to temporarily store floodwaters during extreme weather events. Similar approaches have been successfully implemented at Greenslade Reserve in Northcote, where flood storage is integrated with public recreational spaces.

    The project would be the first of a number of connected stages to help safeguard thousands of residents while also creating an improved recreational space for future generations.

    It would significantly reduce flood risks protecting:

    • 10 hectares of residential properties
    • key roads including Nile, Waterloo and Alma Roads
    • critical infrastructure like power substations and wastewater systems
    • important community facilities, including schools and North Shore Hospital.

    Tom Mansell, Auckland Council’s Head of Sustainable Partnerships (Healthy Waters and Flood Resilience) says this is an important opportunity to work alongside the Wairau community to design a project that enhances both flood resilience and recreational spaces.

    “Changes to the golf course will impact current users, but our priority must be to reduce flood risks to homes, schools, and businesses, protect vital infrastructure, and create a space that serves the entire community in multiple ways.

    “The current lease on the golf course expired in February and it’s timely for us to revisit the use of the area with a view to the needs of the whole community,” adds Mr Mansell.

    Why AF Thomas Park?

    Currently, AF Thomas Park provides approximately 60,000m³ of flood storage, enough to fill 24 Olympic-sized swimming pools.

    However, to significantly reduce flood risks across the Wairau Valley, this capacity needs to increase to approximately 550,000m³ – equivalent to 550 million litres of water or 220 Olympic-sized swimming pools.

    Without this intervention, large parts of the Wairau catchment, including residential areas and key transport routes, will remain highly vulnerable to flooding.

    Alternative options, such as widening the stream above or below AF Thomas Park were explored but found to be extremely costly, requiring land purchases exceeding $300 million and currently no budget has been allocated for such land purchases.

    Increasing existing water detention facilities in 11 other open spaces were also considered but would only provide a fraction of the necessary flood storage.

    Mr Mansell explains why the site cannot remain as it is:

    “The land in the northeast corner of the park, proposed for the primary flood storage area, needs to be lowered to effectively hold stormwater. This will result in a permanently wet environment due to groundwater seepage.

    “It’s an opportunity to restore and enhance the wetland that historically existed here, providing ecological and recreational benefits beyond flood resilience,” he adds.

    Community engagement and next steps

    Auckland Council is now actively engaging with the broader community and stakeholders in a consultation process. If the business case is approved, there will be multiple opportunities for public input to shape the final design of the park.

    “By working together with local and central government, businesses, and residents, we can develop a solution that is effective, sustainable, and beneficial for the whole community,” says Tom Mansell. 

    “We also recognise the importance of golf to golfers in the North Shore community. As part of this process, the local community, golf community and other groups with interest in the project, will be engaged to assess current and future recreational needs. This will help determine how the space can best serve the wider community while supporting a transition plan for golf club members to alternative facilities.

    “We need to take a catchment-wide approach to flood resilience.

    “The challenges we face in the Wairau Valley are complex, with both natural and human-made barriers affecting water flow.

    “Prior to human settlement water flowed south into Ngataringa Bay, before the land around Lake Pupuke was raised by a significant rocky uplift which caused a layer of basalt rock to form a natural barrier. This changed the water course and forced it to change direction and flow through Wairau Creek to Milford Beach,” explains Mr Mansell.

    Next steps

    After the initial community engagement this month, the business case will be taken to the Transport, Resilience and Infrastructure Committee for endorsement in April.

    If approved, the project will be delivered in stages, with community input shaping its design. Construction is not expected to begin before 2027, allowing ample time for engagement and planning.

    For more information, visit the council’s website or contact the Making Space for Water team at bluegreen@aucklandcouncil.govt.nz

    History:

    •   1912: H.G. Stringer leased Takapuna Reserve to develop an 18-hole golf course for Takapuna Golf Club
      • 1931: North Shore Golf Club established at what is now Thomas Park Municipal Course in Takapuna
      •           1959: Auckland Harbour Bridge motorway developments led to golf-course land reduction
      •           1961: Crown became the equitable owner of the North Shore Golf Club land
      •           1963: North Shore Golf Club relocated to Albany; Takapuna City Council accepted tenancy of the land
      •           1964: Public meeting endorsed Council purchasing the land for public recreation
      •           1965: Takapuna City Council acquired most of the land; Landcorp obtained a 30-year license
      •           1971: Council policy changed to include municipal golf links due to public demand
      •           1975: Land officially named A.F. Thomas Park
      •           1986: Takapuna City Council granted Ultra Golf Enterprises a 33-year lease to manage the Municipal Golf Course, ensuring public access.

    Present: Auckland Council owns AF Thomas Park, which is leased to the Takapuna Golf Club. The existing 33-year golf club lease expired in February and has moved to a month-by-month lease while consultation and design development is undertaken to ascertain the future uses of the park.

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: NZ’s Public Health system dealt yet another blow

    Source: Green Party

    This morning’s announcement by the Health Minister regarding a major overhaul of the public health sector levels yet another blow to the country’s essential services.

    “Our health system is falling victim to a slow death by a thousand cuts,” says Green Party Health spokesperson Hūhana Lyndon.

    “All New Zealanders deserve a strong, robust public health system that is funded to spec, and able to provide high-quality, timely health services to all who need it.

    “This Government has shown nothing but disdain for public health workers, dismissing their concerns, undermining unions, and outright stating that their pay equity is ‘not his job’.

    “This is not about fixing a broken system. It’s about starving it of resources until privatisation looks like the only answer. 

    “The refusal of this Government to acknowledge public health as an imperative service, and to fund it in kind, has created an artificial crisis, and while Lester Levy has fallen victim to it today, ultimately, the New Zealand public will pay the price.

    “This so-called ‘deficit’ was never a deficit; it was a direct result of underfunding. And now, instead of addressing the root cause, the Minister is turning to private care to plug the holes in a leaking system. 

    “Bringing in more private providers might sound like a quick fix, but it’s little more than an ambulance at the bottom of the cliff. A cliff Simeon Brown is pushing our healthcare system over. Ultimately, funding for the private sector is funding that our public services desperately need. It will cost more, create more strain on public providers, and deepen the already existing inequities within our healthcare system.

    “This is a clear step in the direction of ACT’s disgraceful vision of a fully privatised healthcare system, which we cannot, and will not, stand for.

    The Green Party campaigned on delivering a fully-funded, well resourced public health system with decent wages and conditions. All New Zealanders should be able to access timely and accessible diagnosis and treatment.

    “Our plan will put New Zealanders’ health and wellbeing at the centre of decision-making and policy, where it should have been all along, says Hūhana Lyndon.

    MIL OSI New Zealand News

  • MIL-OSI United Kingdom: Supervised toothbrushing for children to prevent tooth decay 

    Source: United Kingdom – Executive Government & Departments

    Press release

    Supervised toothbrushing for children to prevent tooth decay 

    Programme will reach up to 600,000 children in most deprived areas

    • National programme rolled out for 3 to 5-year-olds in early years settings – including nurseries and primary schools – in most deprived areas of England 
    • Government also agrees ground-breaking partnership with Colgate which will see more than 23 million toothbrushes and toothpastes donated to support the programme 
    • Programme is latest step in government’s Plan for Change to give children the best start in life and prevent ill health

    Children in the most deprived areas of England will get access to a programme to help protect them from tooth decay, the government has announced today. 

    The supervised toothbrushing programme will be rolled out in early years settings and primary schools, with funding available from April, helping hundreds of thousands of children aged between 3 and 5 years old to develop positive brushing habits.

    The scheme – a manifesto commitment – will be launched in collaboration with Colgate-Palmolive who are providing free Colgate toothbrushes, toothpaste and educational materials to continue good work at home. 

    This government inherited a children’s oral health crisis. The most common reason children aged 5 to 9 being are admitted to hospital is to have treatment for decayed teeth. Latest data shows one in 4 children aged 5 have experienced tooth decay in England, with higher rates of up to one in 3 in more deprived areas. 

    The scheme will help tackle these levels of poor health by ensuring they get the support they need to learn positive habits and prevent tooth decay – in turn avoiding related illness and poor health later in life.

    To deliver the scheme, the government is investing a total of £11 million in local authorities across England to deploy supervised toothbrushing in schools and nurseries that voluntarily sign up. Local authorities will work to identify early years settings in target areas and encourage them to enrol.

    To support the scheme, the government has also agreed an innovative partnership with Colgate-Palmolive, which has generously committed to donate over 23 million toothbrushes and toothpastes over the next 5 years. It is also providing educational materials and a public facing children’s oral health campaign supporting the NHS, developed with its experience of global oral health education.

    The partnership is grounded in the shared mission and commitment between the government and Colgate-Palmolive to advance the oral health of the nation, by reducing the inequalities in oral health and ensuring access to oral health education for every child across the country.

    Together, the resources will reach up to 600,000 children each year and provide families with the support they need to ensure positive behaviours continue at home and over the school holidays.

    The launch is part of the government’s mission to give every child the best start in life and rebuild our health care system through the Plan for Change. The government is also driving forward action to fundamentally reform the NHS dental sector having recently announced the rollout of an extra 700,000 urgent dental appointments nationwide.

    Health Minister Stephen Kinnock said:  

    It is shocking that a third of 5-year-olds in the most deprived areas have experience of tooth decay – something we know can have a lifelong impact on their health. 

    It’s why we’re delivering supervised toothbrushing to young children and families who are most in need of support as part of our wider plans to revive the oral health of the nation. This includes providing 23 million free toothbrushes and toothpastes through our partnership with Colgate-Palmolive to reach up to 600,000 children each year.

    We’re already rolling out 700,000 extra urgent dental appointments for those who need treatment, but by focusing on prevention we can help children have the best start in life. 

    On top of this, we will reform the dental contract to get dentists providing more NHS work as we fundamentally reform the sector through our Plan for Change so it is there for patients once again.

    Colgate-Palmolive’s Chairman, President and Chief Executive Officer Noel Wallace said:

    At Colgate-Palmolive, we believe every child deserves the chance to have a healthier smile and brighter future. We’re thrilled that Colgate and our team in the UK have been chosen to partner with the government to help improve children’s oral health across the country – it’s an incredibly important initiative given the current levels of tooth decay in children.

    Our global programme Colgate Bright Smiles, Bright Futures is among the most far-reaching and successful children’s oral health initiatives in the world. With long-standing partnerships with governments, schools and communities, BSBF has reached approximately 1.8 billion children and their families since 1991 across 100 countries with free oral health education and free dental screenings.

    In the UK, we’ve been running Colgate Bright Smiles, Bright Futures since 2014 and are extremely proud to have reached over 18 million children across the nation with oral health education and donations of essential health and hygiene products.

    With the launch of the supervised brushing scheme, this partnership will be able to make a real impact in preventing tooth decay and ensuring brighter futures for generations to come. We want all children, regardless of needs or circumstances, to be fully equipped with the information and tools they need to keep improving their oral health every day.

    The scheme is being rolled out in collaboration with the Department for Education and follows the latest tranche of measures to make government-funded childcare more affordable and accessible to the most disadvantaged families.  

    Early years providers such as primary schools and nurseries are required to promote good oral health among attending children, and supervised toothbrushing is a way of achieving that aim. 

    From April, new rules will protect working families from facing high additional charges on top of their entitled childcare hours and providers will begin to benefit from a 45% uplift in early years pupil premium funding, to make sure the most disadvantaged children can access the early years education they need. 

    Early Education Minister Stephen Morgan said:  

    Through our Plan for Change , this government is working hard to break the unfair link between background and opportunity, to ensure tens of thousands more children are school ready every year. 

    We have already started urgent work to increase the affordability and accessibility of high-quality early years and extend early learning support, but we know school-readiness goes beyond what is taught in a classroom. 

    By supporting the youngest children with vital life and development skills, more teachers will be able to focus on what they do best – teach.

    Jason Wong, Chief Dental Officer for England, said: 

    Tooth brushing twice daily with a fluoride toothpaste remains one of the best defences against tooth decay and a long list of preventable oral health issues. This is why we’re thrilled that the government is working with the NHS to expand access to pivotal supervised toothbrushing programmes in schools.

    Having strong healthy teeth can have a hugely positive impact on a child’s life. If you’re concerned about your child’s oral health, you can find helpful guidance on the NHS website or through your local authority – and  as a reminder to parents, all children have free dental care available through the NHS.

    Supervised toothbrushing is a proven, evidence-based health intervention, and is expected to deliver measurable improvements to children’s oral health and reductions in oral health inequalities from between 2 and 3 years after launch. 

    The rollout is expected to save the NHS millions of pounds that would otherwise be spent on treating dental disease in children, including preventing hospital admissions that cost the NHS around £1,600 per person.

    Every £1 spent on supervised toothbrushing is expected to save £3 in avoided treatment costs – amounting to over £34million over the next 5 years that can instead be spent on treating other patients. 

    Data published last week showed more than 49,000 young people under-19 were admitted to hospital for tooth extraction between in the financial year ending 2024. 

    Alongside the launch today, the government has confirmed that, following public consultation last year, it is going ahead with the expansion of community water fluoridation across the North-East of England.  

    Water fluoridation is the process of adding fluoride to public water supplies to prevent tooth decay. Around one in 10 people in England currently have fluoride added to their drinking water supplies.

    The findings of all health monitoring reports since 2014 consistently show that water fluoridation is an effective and safe public health measure to reduce the prevalence and severity of tooth decay and reduce dental health inequalities. 

    The expansion of water fluoridation in the North-East is expected to reach an additional 1.6 million people and reduce the number of young children admitted to hospital for the removal of decayed teeth.   

    Cllr David Fothergill, Chairman of the Local Government Association’s Community Wellbeing Board said:

    We are pleased to see new funding for supervised toothbrushing, which is an evidence-based and cost-effective intervention proven to improve children’s oral health. This investment will help address health inequalities by supporting children in the most deprived areas to develop positive brushing habits, preventing tooth decay and reducing the need for hospital treatment.

    This funding builds on the excellent work already being done by many councils up and down the country to improve children’s oral health. The flexibility in how the funding can be used is particularly appreciated, allowing councils to tailor programmes to best meet local needs. Councils are committed to playing their part in improving children’s oral health and reducing inequalities.

    Jason Elsom, Chief Executive of children’s charity Parentkind said:

    As a father to a blended family of 8 children, I know how hard it can be to get children to clean their teeth well, regularly, and consistently, and this is especially true when family life can be so hectic. 

    It’s important that we get the basics right for our children, and things like poor personal or oral hygiene can impact a child’s early years, and beyond. 

    But children all develop in different ways, and at a different pace, and so I commend this initiative to help every child understand the importance of oral hygiene at an early age.

    Dr Urshla Devalia, spokesperson for the British Society of Paediatric Dentistry, said:

    At last, we will see the dial shift on children’s oral health in England. BSPD has been advocating for the importance of a preventative approach to address the crisis in children’s oral health for years.

    Intervening now with a supervised toothbrushing scheme, plus community water fluoridation programmes, are initiatives proven to deliver beneficial oral health outcomes that will pay for themselves several fold in the future.

    We are excited to see this commitment to improving children’s oral health, but there is a lot of work to do, and BSPD is rolling up its sleeves to play its part. This is the decisive action we have been pushing for.

    Anna Gardiner, Deputy Director – Health & Wellbeing at the National Children’s Bureau, said:

    Despite improvements over the past 20 years, too many young children in England start school with tooth decay. Poor oral health can have lasting impacts on their health, wellbeing, and attainment, and a significant risk factor is not getting into the habit of brushing teeth twice per day with fluoride toothpaste.

    So, we welcome the government’s plans to introduce a supervised brushing programme in early years settings, and we look forward to seeing its impact, particularly for those growing up in deprived areas who disproportionately suffer from poor oral health.

    June O’Sullivan OBE, CEO, London Early Years Foundation (LEYF), says:

    Children’s oral health in the UK is in crisis, and for too long, it’s been the silent epidemic no one talks about. Tooth decay doesn’t just cause pain – it disrupts sleep, eating, learning, and the ability to speak clearly, which is crucial for a child’s development and confidence. Unfortunately, the impact is felt most by disadvantaged children which is why this government-backed supervised toothbrushing programme is very much welcomed. 

    At LEYF, we’ve seen first-hand how daily brushing in nurseries transforms children’s oral health and wellbeing. Scaling this nationally will give hundreds of thousands of children the best start in life. While it’s not our role to replace parents in this responsibility, we are committed to supporting our LEYF families. This programme will help educate parents on the importance of oral health and a healthy diet, ensuring good habits are built at home as well as in nursery.

    Notes to editors:

    • For more information about Colgate-Palmolive’s, visit the company’s website at https://www.colgatepalmolive.co.uk/. To learn more about Colgate Bright Smiles, Bright Futures® oral health education program, please visit https://www.colgate.com/en-gb/oral-health-education/our-commitment
    • Fluoride is a naturally occurring mineral found in soil, food and drink and also in drinking water supplies, in varying amounts. In some parts of England the level of fluoride in the public water supply already reaches the target concentration of water fluoridation schemes (one milligram per litre (1mg/l)), sometimes expressed as one part per million (1ppm)), as a result of the geology of the area. In other areas the fluoride concentration has been adjusted to reach this level as part of a fluoridation scheme. More information can be found here: Community water fluoridation expansion in the north east of England – GOV.UK

    Updates to this page

    Published 7 March 2025

    MIL OSI United Kingdom

  • MIL-OSI New Zealand: Health and Politics – No place for privatisation in health – alarm bells should be ringing – PSA

    Source: PSA

    The unveiling of the Health Minister’s new priorities is a clear signal that the Government wants to rely on the private sector to deliver health services rather than properly funding a public health system.
    “The Government’s privatisation agenda has been well and truly exposed in Minister Brown’s priorities,” said Fleur Fitzsimons, National Secretary for the Public Service Association Te Pūkenga Here Tikanga Mahi.
    “These amount to a slippery slope to an American style health system and the continued running down of our public health system. Alarm bells should be ringing.”
    In a speech to the BusinessNZ Health Forum, the Minister has asked Health NZ to work with the private sector to agree a set of principles that will underpin future outsourcing contracts, including ‘negotiating longer-term, multi-year agreements to deliver better value for money and better outcomes for patients’.
    “Privatisation is never the answer to health – but the Government has embarked on a campaign to run down the public health system so it can justify the pursuit of a privatisation agenda based on a flawed ideology. It only lines the pockets of corporate health companies and won’t help New Zealanders get the health care they need.”
    Fitzsimons said the Government is being irresponsible – the PSA’s recent survey of health workers exposes how the cuts and other changes are impacting frontline services despite the Government’s repeated promises to the contrary.
    “The fundamental problem in health is that the Government is starving the system of the funding needed to run it. Instead of reducing funding the Government should be increasing it and lifting the damaging hiring freeze for health workers.
    “The money the Government is spending on tax cuts for landlords, and support for tobacco companies would have been better invested in improving health care.
    “That’s why we started litigation in the Employment Relations Authority aimed at stopping the rushed and damaging job cuts in health to meet the Government’s savings targets.
    “These cuts will endanger the lives of patients and see thousands of dedicated and essential health workers lose their jobs,” said Fitzsimons.

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Health – Nurses call to revive Pay Equity claims

    Source: New Zealand Nurses Organisation

    This International Women’s Day, New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) calls on the Government to honour its pre-election promise to pay all nurses equally by providing pay equity across the funded sector including primary and community health.
    NZNO President Anne Daniels says there are many hurdles to cross before women in Aotearoa are paid fairly and equally.
    “The current Government has not been kind to women’s issues from the get-go. The disestablishment of the Pay Equity Taskforce last year is a great example of this.
    “Before the Pay Equity Taskforce was disestablished, there was regular reporting on the positive impacts of pay equity settlements.”
    Ms Daniels says NZNO has at least 10 pay equity claims being progressed across branches of the health sector including Aged Care, Primary Health Care, Hospices, Plunket, Community Health and Laboratories covering many nurse and support worker roles. Some of these claims have been going on for years. The intention to raise a pay equity claim for Māori and Iwi is also planned for the future.
    “This Government’s hands-off/hands-on approach means pay equity claims remain between employers and employees and their unions. But in the case of agreements being reached employers are not to make any offers to settle without the Government sanctioning the costs.”
    The right for girls and women in Aotearoa New Zealand to live whatever lives they choose free from gender discrimination is enshrined in our country’s law, and this includes workplace salaries, Ms Daniels says.
    “Achieving pay equity, particularly in health, will ensure more people are recruited to nursing to meet the needs of the population and that culturally appropriate care is delivered that addresses the health inequities.”

    MIL OSI New Zealand News

  • MIL-Evening Report: ‘No-one wants to go through this again’: how disaster-stricken residents in northern NSW are preparing for Cyclone Alfred

    Source: The Conversation (Au and NZ) – By Rebecca McNaught, Research Fellow, University of Sydney

    It’s been three years since floods pummelled the Northern Rivers region of New South Wales. Now, Cyclone Alfred is heading for the region, threatening devastation once more.

    On Thursday night and Friday morning, the NSW State Emergency Service asked residents in parts of the Northern Rivers to evacuate. Rain associated with Cyclone Alfred was expected to cause rapid river rises and extensive flooding.

    As you’d expect, many Northern Rivers residents feel very apprehensive right now. No-one wants to go through this again.

    I know of a woman who, just last week, had painters doing final repairs to her home after it flooded in 2022. Other people can’t afford to repair their homes at all.

    Damage from the last floods extends beyond the material. Many people in the Northern Rivers are still dealing with mental health problems such as anxiety, depression and PTSD after the last disaster.

    Still, people are preparing for Cyclone Alfred’s arrival – and drawing lessons from the 2022 floods in the hope of a better outcome this time.

    Memories of Lismore floods

    I have 20 years’ experience working on climate change adaptation and disaster risk management. My research focus includes the Northern Rivers, where I live. Last year, a study I led examined community collaboration across the region in response to disasters.

    The Northern Rivers is located in the NSW northeast and is drained by three major rivers: the Richmond, Tweed and Clarence. The city of Lismore is one of the most flood-prone urban centres in Australia.

    As my colleagues and I have previously written, the 2022 flood in Lismore and surrounds surprised even the most prepared residents.

    Floodwaters in Lismore reached more than two metres higher than the previous record. Shocked residents were left clinging to their roofs. Businesses moved their stock to higher ground, but it was still destroyed. Houses above the so-called “flood line” were inundated.

    Warning systems proved inadequate, and emergency agencies were overwhelmed. More than 10,800 homes were damaged.

    Landslides and boulders fell on homes and roads, leaving people trapped and isolated for up to six weeks. Others could not access cash, petrol, communications, food, schools, carer services and medical assistance for long periods.

    The 2022 floods were by no means the first disaster to befall the Northern Rivers. The region also flooded in 2017. In 2019 the region, like much of Australia, was deep in drought. The Black Summer bushfires hit in 2019-20, and Covid-19 struck in 2020. Parts of the region suffered bushfires in 2023.

    Now, we are facing Cyclone Alfred.

    The scale of the 2022 floods forced many residents to confront a harsh reality: in a disaster, emergency services cannot always help. Sometimes, people must fend for themselves.

    That realisation prompted a growing community-led resilience movement. As Cyclone Alfred approaches, that network has swung into action.




    Read more:
    When disaster strikes, emergency responders can’t respond to every call. Communities must be helped to help themselves


    A community coming together

    Since 2022, community-resilience groups have emerged in each local government area across the region. The groups comprise, and are led by, community volunteers.

    In my local government area, Byron Shire, there are 13 community resilience groups. I co-lead my local group.

    We work with local organisations, government agencies and emergency services to help the community before, during and after a disaster. The local council convenes regular meetings between all these organisations.

    My research shows strong information flows are crucial in disaster preparedness and recovery.

    Since the Cyclone Alfred threat began, my community group has received regular updates from the SES on matters such as locations of sandbags and sand, the latest weather information advice, and when evacuation centres will open.

    We also have an established a network of contacts who live on streets vulnerable to flooding. We pass on relevant information to other residents via Facebook and a WhatsApp group. In the past day we have been exchanging information such as whether flood pumps are working and the extent of beach erosion.

    The flow of information is two-way. Byron Shire’s community resilience network is chaired by the local council, and has links to emergency management – the “lights and sirens” people. In this way, community knowledge and contributions are recognised and valued by decision-makers and other officials.

    In recent days our group has fed advice up the chain to emergency services, such as the location of elderly and vulnerable people who may need help to evacuate.

    A man holding a portable emergency satellite provided to a community resilience group in the Northern Rivers.
    Facebook

    Byron Shire Council has also loaned portable Starlink satellite dishes to some community-resilience groups. These devices provide essential and communication if phone and internet services fail in a disaster.

    On a broader level, the Bureau of Meteorology is producing regular video updates about Cyclone Alfred in clear, plain language. This is helping to communicate the risks widely and give people the information they need.

    Community resilience groups also seek to adopt a proactive, rather than reactive, approach to disasters – such as helping residents prepare for the next flood event.

    This can be challenging. Many people and organisations in the region have understandably been focused on recovery after the 2022 floods. It can be hard to do this while also preparing for the next disaster.

    And sometimes, people don’t want constant reminders of the potential for flooding. Some people just want to move on and think about something other than disaster.

    If Cyclone Alfred brings destruction to the Northern Rivers, community resilience groups will play a big role in supporting health and wellbeing. Not everyone accesses formal mental health support after disasters. Communities and neighbours looking out for each other is crucial.

    Tough times ahead

    As I write, the Northern Rivers is starting to lose power and internet access. Winds are wild and rain lashed the region all night.

    As climate change worsens, all communities must consider how they will cope with more intense disasters. The model of community-led resilience in the Northern Rivers shows a way forward.

    There is still much work to do in the region. However, our experience of compounding disasters means we are well along the path to finding new ways to support each other through extreme events.




    Read more:
    Lismore faced monster floods all but alone. We must get better at climate adaptation, and fast


    Rebecca McNaught is a Research Fellow at the University Centre for Rural Health (University of Sydney) in Lismore. She has received scholarship funding from the Australian Government’s Research Training Program Stipend. She is affiliated with the South Golden Beach, New Brighton and Ocean Shores Community Resilience Team. She has also conducted paid and voluntary work for the Northern Rivers not-for-profit registered charity Plan C.

    ref. ‘No-one wants to go through this again’: how disaster-stricken residents in northern NSW are preparing for Cyclone Alfred – https://theconversation.com/no-one-wants-to-go-through-this-again-how-disaster-stricken-residents-in-northern-nsw-are-preparing-for-cyclone-alfred-251650

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI New Zealand: Release: Refreshed team to drive Labour’s 2026 priorities

    Source: New Zealand Labour Party

    Labour leader Chris Hipkins has unveiled a new economic team as part of a caucus reshuffle.

    “Barbara Edmonds will lead our refreshed economic team. She will add the new Savings and Investment portfolio to her expanded Finance and Economy portfolio,” Chris Hipkins said.

    “Economic growth for the sake of it isn’t an economic strategy. I’ve tasked Barbara with making sure we’re ready to balance the books, increase our savings, expand our investment opportunities, and create the economic conditions for all Kiwis to thrive.

    The economic team will be:

    Barbara Edmonds: Finance and Economy, Savings and Investment.

    Ginny Andersen: Jobs and Incomes

    Peeni Henare: Economic Development

    Reuben Davidson: Science, Technology and Creative Economy

    Cushla Tangaere-Manuel: Māori Economy 

    “This team, along with our energy, infrastructure, manufacturing and industry spokespeople will focus on the challenges that are holding New Zealand back. It’s not just about inviting in foreign money, it’s far more complex than that and involves our businesses, our exporters, our tech and science innovators, our creative sector, our iwi partners and our regions.

    “An economy that delivers for all New Zealanders needs public investment. We’ve run down our infrastructure and sold off many of the public assets built up and passed down to us by previous generations.

    “I want our next Government to be one of rebuilding. Kieran McAnulty picks up the new portfolio of Infrastructure and Public Investment, adding to his existing work in Housing. Tangi Utikere will work alongside him in Transport and Local Government.

    Winning back Auckland is a focus for Labour, and the Auckland portfolio will now be led by Deputy Leader Carmel Sepuloni.

    “The relationships Carmel has in Auckland will be vital to the success of the next Government and how it delivers for our biggest city,” Chris Hipkins said.

    Willow-Jean Prime moves into Education, Willie Jackson into Social Development, Jan Tinetti into Social Investment and Workplace Relations and Safety. Megan Woods picks up the new portfolio of Manufacturing and Industry and Ayesha Verrall remains in Health

    “This experienced, united and formidable team is ready for Government. We will be working relentlessly over the next 18 months as we finalise policy and prepare to take back power in 2026,” Chris Hipkins said.


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    MIL OSI New Zealand News

  • MIL-OSI USA: March 6th, 2025 N.M. Delegation Oppose Plans to Use Kirtland & Fort Bliss for Immigration-Related Operations

    US Senate News:

    Source: United States Senator for New Mexico Martin Heinrich
    VIDEO
    Heinrich heard from fired public lands employees and a New Mexico small business owner about the impacts of Trump and Musk’s mass firings
    WASHINGTON – U.S. Senator Martin Heinrich (D-N.M.), Ranking Member of the Senate Energy and Natural Resources Committee, along with U.S. Senator Jeff Merkley (D-Ore.), Ranking Member of the Senate Interior Environment Appropriations Subcommittee, and U.S. Senator Angus Kaine (I-Maine), Ranking Member of the Senate Energy and Natural Resources National Parks Subcommittee, hosted a virtual roundtable with public lands employees fired President Trump and Elon Musk.
    The senators heard from professionals from the Forest Service, Bureau of Land Management, and National Park Service, as well as small business owner, Nick Streit, who owns the Taos Fly Shop near the Rio Grande Del Norte National Monument in northern New Mexico.
    VIDEO: U.S. Senator Martin Heinrich Hosts Virtual Roundtable with Fired Public Lands Employees, March 5, 2025.
    “President Trump and Elon Musk’s DOGE illegal firings have targeted our Park Rangers, Refuge Managers, Forest Rangers, and BLM land managers,” said Heinrich. “This included many employees who were ‘red carded,’ meaning that they were trained for wildland firefighting. Not only have these DOGE firings made Western communities much less safe going into fire season. Staffing shortages in our public lands will also lead to reduced recreation opportunities and public access. This is a disaster for our local economies as we head into Spring Break, normally a peak season for visitation.”
    Heinrich continued, “We also need to be clear-eyed that this is just the start. Trump, Musk, and Republicans are defunding management of our public lands to make Americans think that they are being poorly managed. This is all part of their scheme to transfer our public lands to states so they can sell them to the highest bidder. I won’t stand for it.
    Heinrich is leading Senate Democrats in sounding the alarm on Elon Musk and Donald Trump’s destructive actions that are wreaking havoc on Americans, weakening our economy, and threatening the livelihoods of New Mexicans.
    Last month, Heinrich demanded that President Trump immediately halt his unlawful mass firings of federal employees on probationary status.
    In New Mexico, there are approximately 2,200 federal employees in their probationary period – including individuals who serve in critical roles across key agencies, including the Veterans Health Administration, the Bureau of Land Management, the U.S. Forest Service, and the Federal Bureau of Investigation, among others.

    MIL OSI USA News

  • MIL-OSI New Zealand: Health Minister outlines 5 key health priorities

    Source: New Zealand Government

    Health Minister Simeon Brown has today released his five key priorities for Health New Zealand in a speech to the BusinessNZ Health Forum in Auckland.

    “The Government is investing a record $16.68 billion of additional funding in health, but we need to ensure Kiwis are seeing improved outcomes from this significant expenditure. 

    “Under the last Government, the system was focused on bureaucratic restrictions, rather than delivery for patients. 

    “I am putting the focus firmly back on patients, and ensuring the health system puts those it serves first. 

    “I have today released my five key health priorities as Minister of Health:
     

    1. Focusing Health New Zealand on delivering the basics and achieving targets
    2. Fixing primary healthcare to ensure Kiwis have timely access to a doctor.
    3. Reducing emergency department wait times so that 95 percent of people are admitted, discharged, or transferred within six hours.
    4. Clearing the elective surgery backlog by partnering with the private sector to deliver more planned care.
    5. Investing in health infrastructure, both physical and digital, so that we are building for the future.

    “This plan is underpinned by a focus on putting patients first and supporting our frontline healthcare workers to deliver the healthcare New Zealanders need in a timely and quality manner. 

    “I promise every New Zealander: we will not stop until our health system delivers timely, quality care to all,” Mr Brown says.

    MIL OSI New Zealand News

  • MIL-OSI Australia: Improving cancer outcomes for culturally and linguistically diverse communities in the Illawarra

    Source: New South Wales Premiere

    Published: 7 March 2025

    Released by: Minister for Health


    A $30,000 NSW Government grant will fund cancer screening and prevention education to improve cancer outcomes for culturally and linguistically diverse (CALD) communities in the Illawarra.

    The Multicultural Community Screening Education and Healthy Living Illawarra project will deliver community education sessions on bowel, breast and cervical cancer screening as well as smoking cessation to the local Arabic, Italian, Macedonian and Burmese (Karenni and Karen speaking) community. A wellbeing expo with light physical activities and walking groups will also be delivered as part of the project.

    Multicultural communities face significant barriers accessing cancer screening services and care, often due to language barriers, poor health literacy, trauma, and cultural stigma and beliefs.

    The Cancer Institute NSW Multicultural Community Grants are awarded regularly to help support local community groups and health services to roll out targeted initiatives that will support people with multilingual information to reduce their cancer risk, in a way that is aligned with their cultural beliefs.

    The grants are one of the ways the NSW Government through the Cancer Institute NSW is supporting CALD communities to improve cancer outcomes. Other initiatives include targeted cancer prevention campaigns, multilingual resources to build health literacy, training of bilingual community educators to deliver cancer education and provision of social support for people who have been diagnosed with cancer and carers affected by cancer.

    For more info visit the Cancer Screening and Prevention and Cancer Control (Multicultural) Grants webpage.

    Quotes attributable to Health Minister, Ryan Park:

    “In NSW, around 30 per cent of people were born overseas, with one in four people speaking a language other than English at home – higher than any other state or territory.

    “Unfortunately, these communities have some of the lowest participation rates in cancer screening and can experience inequitable access to health care.”

    Quotes attributable to Member for Wollongong, Paul Scully:

    “Language should not be a barrier to understanding your cancer risks or getting the best possible cancer care if you need it and this funding will help to change that.

    “I have heard from and worked with too many families who had trouble negotiating the health system or understanding their health needs because of language barriers and this will help to break those barriers down.

    “By supporting community-led education and wellbeing initiatives, we are supporting people from diverse backgrounds to take charge of their health and improve cancer outcomes across the Illawarra Shoalhaven.”

    Quotes attributable to Chief Cancer Officer and Chief Executive Cancer Institute NSW, Professor Tracey O’Brien AM:

    “Breaking down barriers and supporting multicultural communities can’t be achieved in isolation and we are so grateful to be working together with health services and community organisations to ensure all people across NSW, regardless of who they are or where they come from, have access to timely and culturally appropriate cancer care and support.” 

    Quotes attributable to Chief Executive Illawarra Shoalhaven Local Health District, Margot Mains:

    “These projects’ educational sessions will focus on prevention, screening and early detection for bowel, breast and cervical cancer, including demonstrations on self-testing kits and providing translated information. There will also be sessions to support and encourage healthy lifestyles that focus on smoking cessation, physical activity and healthy eating.”

    MIL OSI News

  • MIL-OSI USA: VA to complete Federal EHR deployment at nine additional sites in 2026

    Source: US Department of Veterans Affairs

    Skip to content

    WASHINGTON — The U.S. Department of Veterans Affairs announced today it will complete deployment of the Federal Electronic Health Record system at nine additional medical facilities, bringing the total to go live in 2026 to 13, with complete deployment of the EHR at all VA medical facilities as early as 2031.

    Today’s announcement follows December 2024 news that four VA sites in Michigan would go live in 2026. The nine additional VA facilities will be announced later this year following planning sessions among officials from VA’s Electronic Health Record Modernization Office, regional and local VA medical leaders, VA clinicians, and EHR vendor Oracle Health.

    The Federal EHR system seamlessly manages data exchange between VA and the Department of Defense, improving customer service and convenience for VA and DOD patients. 

    “America’s Veterans deserve a medical records system that’s integrated across all VA and DOD components, and that is exactly what we will deliver. We can and will move faster on this important priority. But we’re going to listen to our doctors, nurses and vendor partners along the way in order to ensure patient safety, quality and customer service,” said VA Secretary Doug Collins.

    VA is pursuing a market-based approach to site selection for its deployments going forward. This will enable the department to scale up the number of concurrent deployments, while also enabling staff to work as efficiently as possible. 

    VA will adopt a standard baseline of products, workflows, and integrations aligned with subject-matter-expert recommendations. The standardized national baseline will ensure successful Federal EHR implementation, accelerate deployments, simplify decision-making, and support future optimizations.

    For more information about VA’s overall EHR modernization effort, see here. 

    Reporters and media outlets with questions or comments should contact the Office of Media Relations at vapublicaffairs@va.gov

    Veterans with questions about their health care and benefits (including GI Bill). Questions, updates and documents can be submitted online.

    Contact us online through Ask VA

    Veterans can also use our chatbot to get information about VA benefits and services. The chatbot won’t connect you with a person, but it can show you where to go on VA.gov to find answers to some common questions.

    Learn about our chatbot and ask a question

    Subscribe today to receive these news releases in your inbox.

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  • MIL-OSI USA: Remarks by President Trump in Joint Address to Congress

    US Senate News:

    Source: The White House
    class=”has-text-align-center”>U.S. Capitol
    Washington, D.C.
    9:19 P.M. EST
    (March 4, 2025)
         THE PRESIDENT:  Thank you.  (Applause.)  Thank you very much.  Thank you very much.  It’s a great honor.  Thank you very much. 
    Speaker Johnson, Vice President Vance, the first lady of the United States — (applause) — members of the United States Congress, thank you very much.  
    And to my fellow citizens, America is back.  (Applause.)
    AUDIENCE:  USA!  USA!  USA! 
    THE PRESIDENT:  Six weeks ago, I stood beneath the dome of this Capitol and proclaimed the dawn of the golden age of America.  From that moment on, it has been nothing but swift and unrelenting action to usher in the greatest and most successful era in the history of our country. 
    We have accomplished more in 43 days than most administrations accomplished in four years or eight years, and we are just getting started.  (Applause.)  Thank you. 
    I return to this chamber tonight to report that America’s momentum is back, our spirit is back, our pride is back, our confidence is back, and the American dream is surging bigger and better than ever before.  (Applause.)  The American dream is unstoppable, and our country is on the verge of a comeback, the likes of which the world has never witnessed and perhaps will never witness again.  There’s never been anything like it.  (Applause.)
    The presidential election of November 5th was a mandate like has not been seen in many decades.  We won all seven swing states, giving us an electoral college victory of 312 votes.  (Applause.)  We won the popular vote —
    REPRESENTATIVE GREEN:  (Inaudible.)
    THE PRESIDENT:  — by big numbers and won counties in our country —
    AUDIENCE:  Booo —
    AUDIENCE:  USA!  USA!  USA!
    REPRESENTATIVE GREEN:  You are — you have no right to cut Medicaid.
    AUDIENCE:  USA!  USA!  USA! 
    THE PRESIDENT:  — and won counties in our country 2,700 to 525 on a map that reads almost completely red for Republican.  (Applause.) 
    Now, for the first time in modern history, more Americans believe that our country is headed in the right direction than the wrong direction.  In fact, it’s an astonishing record: 27-point swing, the most ever.  (Applause.)
    Likewise, small-business optimism saw its single largest one-month gain ever recorded. 
    SPEAKER JOHNSON:  Mr. President —
    THE PRESIDENT:  A 41-point jump.
    (Speaker Johnson strikes the gavel.) 
         SPEAKER JOHNSON:  Members are directed to uphold and maintain decorum in the House and to cease any further disruptions.  That’s your warning.
    REPRESENTATIVE GREEN:  He has no mandate to cut Medicaid.
    SPEAKER JOHNSON:  Members are engaging in willful and continuing breach of decorum, and the chair is prepared to direct the sergeant at arms to restore order to the joint session.  (Applause.)
    Mr. Green, take your seat.  Take your seat, sir. 
    REPRESENTATIVE GREEN:  He has no mandate to cut Medicaid.
    SPEAKER JOHNSON:  Take your seat.
    (Cross-talk.) 
    Finding that members continue to engage in willful and concerted disruption of proper decorum, the chair now directs the sergeant at arms to restore order.  (Applause.)  Remove this gentleman from the chamber.  (Applause.)
    REPRESENTATIVE GREEN:  Shame on all of you.
         (Members of the audience sing “Na Na Hey Hey Kiss Him Goodbye.”)
         (Cross-talk.)
         You have no mandate.
    SPEAKER JOHNSON:  Members are directed to uphold and maintain decorum in the House.
    Mr. President, you can continue.
    THE PRESIDENT:  Thank you.
    Over the past six weeks, I have signed nearly 100 executive orders and taken more than 400 executive actions — a record — to restore common sense, safety, optimism, and wealth all across our wonderful land.  The people elected me to do the job, and I’m doing it.  (Applause.)
    In fact, it has been stated by many that the first month of our presidency — it’s our presidency — (applause) — is the most successful in the history of our nation by many.  (Applause.)  And what makes it even more impressive is that — do you know who number two is?  George Washington.  How about that?  (Laughter and applause.)  How about that?  I don’t know about that list, but we’ll take it. 
    Within hours of taking the oath of office, I declared a national emergency on our southern border — (applause) — and I deployed the U.S. military and Border Patrol to repel the invasion of our country.  And what a job they’ve done. 
    As a result, illegal border crossings last month were, by far, the lowest ever recorded. Ever.  (Applause.)  They heard my words, and they chose not to come.  Much easier that way. 
    In comparison, under Joe Biden, the worst president in American history — (applause) — there were hundreds of thousands of illegal crossings a month, and virtually all of them, including murderers, drug dealers, gang members, and people from mental institutions and insane asylums, were released into our country.  Who would want to do that?
    This is my fifth such speech to Congress, and, once again, I look at the Democrats in front of me, and I realize there is absolutely nothing I can say to make them happy or to make them stand or smile or applaud.  Nothing I can do.  I could find a cure to the most devastating disease — a disease that would wipe out entire nations, or announce the answers to the greatest economy in history or the stoppage of crime to the lowest levels ever recorded, and these people sitting right here will not clap, will not stand, and certainly will not cheer for these astronomical achievements.  They won’t do it no matter what.
    Five times I’ve been up here.  It’s very sad, and it just shouldn’t be this way.  (Applause.)
    So, Democrats sitting before me, for just this one night, why not join us in celebrating so many incredible wins for America?  For the good of our nation, let’s work together and let’s truly make America great again.  (Applause.)
    Every day, my administration is fighting to deliver the change America needs, to bring a future that America deserves, and we’re doing it.  This is a time for big dreams and bold action. 
    Upon taking office, I imposed an immediate freeze on all federal hiring, a freeze on all new federal regulations, and a freeze on all foreign aid.  (Applause.)  I terminated the ridiculous Green New Scam.  I withdrew from the unfair Paris Climate Accord, which was costing us trillions of dollars that other countries were not paying.  (Applause.)  I withdrew from the corrupt World Health Organization.  (Applause.)  And I also withdrew from the anti-American U.N. Human Rights Council.  (Applause.)
    We ended all of Biden’s environmental restrictions that were making our country far less safe and totally unaffordable.  And importantly, we ended the last administration’s insane electric vehicle mandate, saving our autoworkers and companies from economic destruction.  (Applause.)
    To unshackle our economy, I have directed that for every 1 new regulation, 10 old regulations must be eliminated, just like I did in my very successful first term.  (Applause.)  And in that first term, we set records on ending unnecessary rules and regulations like no other president had done before. 
    We ordered all federal workers to return to the office.  They will either show up for work in person or be removed from their job.  (Applause.)  
    And we have ended weaponized government, where, as an example, a sitting president is allowed to viciously prosecute his political opponent, like me.  How did that work out? (Laughter.)  Not too good.  (Applause.)  Not too good. 
    And I have stopped all government censorship and brought back free speech in America.  It’s back.  (Applause.) 
    And two days ago, I signed an order making English the official language of the United States of America.  (Applause.)  
    I renamed the Gulf of Mexico the Gulf of America.  (Applause.) 
    And, likewise, I renamed — for a great president, William McKinley — Mount McKinley again.  (Applause.)  Beautiful Alaska.  We love Alaska.
    We’ve ended the tyranny of so-called diversity, equity, and inclusion policies all across the entire federal government and, indeed, the private sector and our military.  (Applause.)  And our country will be woke no longer.  (Applause.)
    We believe that whether you are a doctor, an accountant, a lawyer, or an air traffic controller, you should be hired and promoted based on skill and competence, not race or gender.  Very important.  (Applause.)  You should be hired based on merit.  And the Supreme Court, in a brave and very powerful decision, has allowed us to do so.
    Thank you.  Thank you very much.  Thank you.  (Applause.)
    We have removed the poison of critical race theory from our public schools.  And I signed an order making it the official policy of the United States government that there are only two genders: male and female.  (Applause.) 
    I also signed an executive order to ban men from playing in women’s sports.  (Applause.) 
         Three years ago, Payton McNabb was an all-star high school athlete — one of the best — preparing for a future in college sports.  But when her girls’ volleyball match was invaded by a male, he smashed the ball so hard in Payton’s face, causing traumatic brain injury, partially paralyzing her right side, and ending her athletic career.  It was a shot like she’s never seen before.  She’s never seen anything like it.
    Payton is here tonight in the gallery.  And, Payton, from now on, schools will kick the men off the girls’ team or they will lose all federal funding.  (Applause.) 
    And if you really want to see numbers, just take a look at what happened in the woman’s boxing, weightlifting, track and field, swimming, or cycling, where a male recently finished a long-distance race five hours and 14 minutes ahead of a woman for a new record by five hours.  Broke the record by five hours. 
    It’s demeaning for women, and it’s very bad for our country.  We’re not going to put up with it any longer.  (Applause.) 
    What I have just described is only a small fraction of the commonsense revolution that is now, because of us, sweeping the entire world.  Common sense has become a common theme, and we will never go back.  Never.  Never going to let that happen.  (Applause.)
    Among my very highest priorities is to rescue our economy and get dramatic and immediate relief to working families.  As you know, we inherited from the last administration an economic catastrophe and an inflation nightmare.  Their policies drove up energy prices, pushed up grocery costs, and drove the necessities of life out of reach for millions and millions of Americans.  They’ve never had anything like it. 
    We suffered the worst inflation in 48 years but perhaps even in the history of our country. They’re not sure.  As president, I’m fighting every day to reverse this damage and make America affordable again.  (Applause.)
    Joe Biden especially let the price of eggs get out of control.
    AUDIENCE:  Booo —
    THE PRESIDENT:  The egg price is out of control, and we’re working hard to get it back down. 
    Secretary, do a good job on that.  You inherited a total mess from the previous administration.  Do a good job.  (Applause.) 
    A major focus of our fight to defeat inflation is rapidly reducing the cost of energy.  The previous administration cut the number of new oil and gas leases by 95 percent, slowed pipeline construction to a halt, and closed more than 100 power plants.  We are opening up many of those power plants right now.  (Applause.) 
    And, frankly, we have never seen anything like it.  That’s why, on my first day in office, I declared a national energy emergency.  (Applause.)  As you’ve heard me say many times, we have more liquid gold under our feet than any nation on Earth and by far.  And now I’ve fully authorized the most talented team ever assembled to go and get it.  It’s called drill, baby, drill.  (Applause.) 
    My administration is also working on a gigantic natural gas pipeline in Alaska — among the largest in the world — where Japan, South Korea, and other nations want to be our partner with investments of trillions of dollars each.  There’s never been anything like that one.  It will be truly spectacular.  It’s all set to go.  The permitting is gotten.
    And later this week, I will also take historic action to dramatically expand production of critical minerals and rare earths here in the USA.  (Applause.)  
    To further combat inflation, we will not only be reducing the cost of energy, but we’ll be ending the flagrant waste of taxpayer dollars.  (Applause.)  And to that end, I have created the brand-new Department of Government Efficiency – DOGE. (Applause.) Perhaps you’ve heard of it — perhaps — which is headed by Elon Musk, who is in the gallery tonight.  (Applause.)
    Thank you, Elon.  He’s working very hard.  He didn’t need this.  (Laughs.)  He didn’t need this.  Thank you very much.  We appreciate it.  Everybody here, even this side, appreciates it, I believe.  (Applause.)  They just don’t want to admit that.
    Just listen to some of the appalling waste we have already identified.
    $22 billion from HHS to provide free housing and cars for illegal aliens.
    $45 million for diversity, equity, and inclusion scholarships in Burma.
    $40 million to improve the social and economic inclusion of sedentary migrants.  Nobody knows what that is.  (Laughter.) 
    $8 million to promote LGBTQI+ in the African nation of Lesotho, which nobody has ever heard of.  (Laughter.)
    $60 million for Indigenous peoples and Afro-Colombian empowerment in Central America.  $60 million.
    $8 million for making mice transgender.  (Laughter.)  This is real.
    $32 million for a left-wing propaganda operation in Moldova.
    $10 million for male circumcision in Mozambique.
    $20 million for the Arab “Sesame Street” in the Middle East.  It’s a program.  $20 million for a program.
    $1.9 billion to recently created decarbonization of homes committee, headed up — and we know she’s involved — just at the last moment, the money was passed over — by a woman named Stacey Abrams.  Have you ever heard of her?
    AUDIENCE:  Booo —
    THE PRESIDENT:  A $3.5 million consulting contract for lavish fish monitoring.
    $1.5 million for voter confidence in Liberia.
    $14 million for social cohesion in Mali.
    $59 million for illegal alien hotel rooms in New York City. 
    AUDIENCE:  Booo —
    THE PRESIDENT:  He’s a real estate developer.  He’s done very well.
    $250,000 to increase vegan local climate action innovation in Zambia.
    $42 million for social and behavior change in Uganda.
    $14 million for improving public procurement in Serbia.
    $47 million for improving learning outcomes in Asia.  Asia is doing very well with learning.  (Laughter.)  Don’t know what we’re doing.  We should use it ourselves.
    And $101 million for DEI contracts at the Department of Education, the most ever paid.  Nothing even like it.
    Under the Trump administration, all of these scams — and there are far worse, but I didn’t think it was appropriate to talk about them.  They’re so bad.  Many more have been found out and exposed and swiftly terminated by a group of very intelligent, mostly young people, headed up by Elon.  And we appreciate it.  We’ve found hundreds of billions of dollars of fraud.  (Applause.)
    And we’ve taken back the money and reduced our debt to fight inflation and other things.  Taken back a lot of that money.  We got it just in time. 
    AUDIENCE MEMBERS:  (Inaudible.)
    THE PRESIDENT:  This is just the beginning.  The Government Accountability Office, a federal government office, has estimated annual fraud of over $500 billion in our nation, and we are working very hard to stop it.  We’re going to.
    We’re also identifying shocking levels of incompetence and probable fraud in the Social Security program for our seniors and that our seniors and people that we love rely on.  Believe it or not, government databases list 4.7 million Social Security members from people aged 100 to 109 years old.
    THE PRESIDENT:  It lists 3.6 million people from ages 110 to 119.  I don’t know any of them.  I know some people that are rather elderly, but not quite that elderly.  (Laughter.) 
    3.47 million people from ages 120 to 129. 
    3.9 million people from ages 130 to 139.
    3.5 million people from ages 140 to 149.
    And money is being paid to many of them, and we’re searching right now. 
    In fact, Pam, good luck.  Good luck.  You’re going to find it.
    But a lot of money is paid out to people because it just keeps getting paid and paid, and nobody does — and it really hurts Social Security and hurts our country.
    1.3 million people from ages 150 to 159.  And over 130,000 people, according to the Social Security databases, are age over 160 years old.  
    We have a healthier country than I thought, Bobby.  (Laughter and applause.)
    Including, to finish, 1,039 people between the ages of 220 and 229; one person between the age of 240 and 249; and one person is listed at 360 years of age.
    AUDIENCE MEMBER:  Joe Biden!  (Laughter.)
    THE PRESIDENT: More than 100 years older than our country. 
    But we’re going to find out where that money is going, and it’s not going to be pretty. 
    By slashing all of the fraud, waste, and theft we can find, we will defeat inflation, bring down mortgage rates, lower car payments and grocery prices, protect our seniors, and put more money in the pockets of American families.  (Applause.) 
    And today, interest rates took a beautiful drop — big, beautiful drop.  It’s about time.
    And in the near future, I want to do what has not been done in 24 years: balance the federal budget.  We’re going to balance it.  (Applause.) 
    With that goal in mind, we have developed in great detail what we are calling the gold card, which goes on sale very, very soon.  
         For $5 million, we will allow the most successful, job-creating people from all over the world to buy a path to U.S. citizenship.  It’s like the green card but better and more sophisticated.  (Laughter.)  And these people will have to pay tax in our country.  They won’t have to pay tax from where they came.  The money that they’ve made, you wouldn’t want to do that, but they have to pay tax, create jobs.
    They’ll also be taking people out of colleges and paying for them so that we can keep them in our country, instead of having them being forced out.  Number one at the top school, as an example, being forced out and not being allowed to stay and create tremendous numbers of jobs and great success for a company out there.
    So, while we take out the criminals, killers, traffickers, and child predators who were allowed to enter our country under the open border policy of these people — the Democrats, the Biden administration — the open border, insane policies that you’ve allowed to destroy our country — we will now bring in brilliant, hardworking, job-creating people.  They’re going to pay a lot of money, and we’re going to reduce our debt with that money.  (Applause.)
    Americans have given us a mandate for bold and profound change.  For nearly 100 years, the federal bureaucracy has grown until it has crushed our freedoms, ballooned our deficits, and held back America’s potential in every possible way.  The nation founded by pioneers and risk-takers now drowns under millions and millions of pages of regulations and debt. 
    Approvals that should take 10 days to get instead take 10 years, 15 years, and even 20 years before you’re rejected.  Meanwhile, we have hundreds of thousands of federal workers who have not been showing up to work. 
    My administration will reclaim power from this unaccountable bureaucracy, and we will restore true democracy to America again. (Applause.)  Any federal bureaucrat who resists this change will be removed from office immediately — (applause) — because we are draining the swamp.  It’s very simple.  And the days of rule by unelected bureaucrats are over.  (Applause.)
    And the next phase of our plan to deliver the greatest economy in history is for this Congress to pass tax cuts for everybody.  They’re in there.  They’re waiting for you to vote.  (Applause.) 
    And I’m sure that the people on my right — I don’t mean the Republican right, but my right right here — I’m sure you’re going to vote for those tax cuts, because, otherwise, I don’t believe the people will ever vote you into office.  So, I’m doing you a big favor by telling you that.  (Applause.)
    But I know this group is going to be voting for the taxes.  (Applause.)
    Thank you.  It’s a very, very big part of our plan.  We had tremendous success in our first term with it.  A very big part of our plan.  We’re seeking permanent income tax cuts all across the board.
    And to get urgently needed relief to Americans hit especially hard by inflation, I’m calling for no tax on tips, no tax on overtime, and no tax on Social Security benefits for our great seniors.  (Applause.) 
    (Addressing Speaker Johnson.)  Good luck.
    And I also want to make interest payments on car loans tax deductible but only if the car is made in America.  (Applause.)  
    And, by the way, we’re going to have growth in the auto industry like nobody has ever seen.  Plants are opening up all over the place.  Deals are being made.  Never seen. That’s a combination of the election win and tariffs. 
    It’s a beautiful word, isn’t it? 
    That, along with our other policies, will allow our auto industry to absolutely boom.  It’s going to boom.  Spoke to the majors today — all three — the top people, and they’re so excited.  In fact, already, numerous car companies have announced that they will be building massive automobile plants in America, with Honda just announcing a new plant in Indiana, one of the largest anywhere in the world.  (Applause.) 
    And this has taken place since our great victory on November 5th, a date which will hopefully go down as one of the most important in the history of our country.  (Applause.)  
    In addition, as part of our tax cuts, we want to cut taxes on domestic production and all manufacturing.  And just as we did before, we will provide 100 percent expensing.  It will be retroactive to January 20th, 2025, and it was one of the main reasons why our tax cuts were so successful in our first term, giving us the most successful economy in the history of our country.  First term — we had a great first term.  (Applause.) 
    If you don’t make your product in America, however, under the Trump administration, you will pay a tariff and, in some cases, a rather large one.  Other countries have used tariffs against us for decades, and now it’s our turn to start using them against those other countries.
    On average, the European Union, China, Brazil, India, Mexico, and Canada — have you heard of them? — and countless other nations charge us tremendously higher tariffs than we charge them.  It’s very unfair.  India charges us auto tariffs higher than 100 percent.  China’s average tariff on our products is twice what we charge them.  And South Korea’s average tariff is four times higher.  Think of that: four times higher.  And we give so much help militarily and in so many other ways to South Korea, but that’s what happens.
    This is happening by friend and foe.  This system is not fair to the United States and never was.  And so, on April 2nd — I wanted to make it April 1st, but I didn’t want to be accused of April Fool’s Day.  (Laughter.)  Just one day, which cost us a lot of money.  (Laughter.)  But we’re going to do it in April. I’m a very superstitious person. April 2nd, reciprocal tariffs kick in.  And whatever they tariff us — other countries — we will tariff them.  That’s reciprocal, back and forth.  (Applause.)  Whatever they tax us, we will tax them.
    If they do non-monetary tariffs to keep us out of their market, then we will do non-monetary barriers to keep them out of our market.  There’s a lot of that too.  They don’t even allow us in their market.
    We will take in trillions and trillions of dollars and create jobs like we have never seen before.  I did it with China, and I did it with others.  And the Biden administration couldn’t do anything about it because it was so much money.  They couldn’t do anything about it.
    We have been ripped off for decades by nearly every country on Earth, and we will not let that happen any longer.  (Applause.) 
    Much has been said over the last three months about Mexico and Canada, but we have very large deficits with both of them.  But even more importantly, they have allowed fentanyl to come into our country at levels never seen before, killing hundreds of thousands of our citizens and many very young, beautiful people — destroying families.  Nobody has ever seen anything like it. 
    They are, in effect, receiving subsidies of hundreds of billions of dollars.  We pay subsidies to Canada and to Mexico of hundreds of billions of dollars.  And the United States will not be doing that any longer.  We’re not going to do it any longer.  (Applause.)
    Thanks to our America First policies we’re putting into place, we have had $1.7 trillion of new investment in America in just the past few weeks.  (Applause.)  The combination of the election and our economic policies — the people of SoftBank, one of the most brilliant anywhere in the world, announced a $200 billion investment.  OpenAI and Oracle — Larry Ellison — announced $500 billion investment, which they wouldn’t have done if Kamala had won.  (Applause.)
    Apple announced $500 billion investment.  Tim Cook called me.  He said, “I cannot spend it fast enough.”  It’s going to be much higher than that, I believe.  They’ll be building their plants here, instead of in China. 
    And just yesterday, Taiwan Semiconductor — the biggest in the world, most powerful in the world, has a tremendous amount — 97 percent of the market, announced a $165 billion investment to build the most powerful chips on Earth right here in the USA.  (Applause.) 
    And we’re not giving them any money.  Your CHIPS Act is a horrible, horrible thing.  We give hundreds of billions of dollars, and it doesn’t mean a thing.  They take our money, and they don’t spend it.  All that meant to them — we’re giving them no money.  All that was important to them was they didn’t want to pay the tariffs, so they came and they’re building.  And many other companies are coming.  
    We don’t have to give them money.  We just want to protect our businesses and our people.  And they will come because they won’t have to pay tariffs if they build in America.  And so, it’s very amazing.
    You should get rid of the CHIP Act.  And whatever is left over, Mr. Speaker, you should use it to reduce debt or any other reason you want to.  (Applause.) 
    Our new trade policy will also be great for the American farmer — I love the farmer — (applause) — who will now be selling into our home market, the USA, because nobody is going to be able to compete with you.  Because those goods that come in from other countries and companies, they’re really, really in a bad position in so many different ways.  They’re uninspected.  They may be very dirty and disgusting, and they come in and they pour in, and they hurt our American farmers.
    The tariffs will go on agricultural product coming into America.  And our farmers, starting on April 2nd — it may be a little bit of an adjustment period.  We had that before, when I made the deal with China.  Fifty billion dollars of purchases, and I said, “Just bear with me,” and they did.  They did.  Probably have to bear with me again, and this will be even better.  
    That was great.  The problem with it was that Biden didn’t enforce it.  He didn’t enforce it.  Fifty billion dollars of purchases, and we were doing great, but Biden did not enforce it.  And it hurt our farmers, but our farmers are going to have a field day right now.
    So, to our farmers, have a lot of fun.  I love you too.  I love you too.  (Applause.)  It’s all going to happen.
    And I have also imposed a 25 percent tariff on foreign aluminum, copper, lumber, and steel, because if we don’t have, as an example, steel and lots of other things, we don’t have a military and, frankly, we just won’t have a country very long.
    Here today is a proud American steelworker, fantastic person from Decatur, Alabama.  Jeff Denard has been working at the same steel plant for 27 years in a job that has allowed him to serve as the captain of his local volunteer fire department; raise seven children with his beautiful wife, Nicole; and over the years, provide a loving home for more than 40 foster children.  So great, Jeff.  (Applause.) 
    Thank you, Jeff.  Thank you, Jeff.  (Applause.)
    Stories like Jeff’s remind us that tariffs are not just about protecting American jobs.  They’re about protecting the soul of our country.  Tariffs are about making America rich again and making America great again.  And it’s happening, and it will happen rather quickly.
    There will be a little disturbance, but we’re okay with that.  It won’t be much. 
    AUDIENCE MEMBER:  No, we’re not!
    THE PRESIDENT:  No, you’re not.  Oh.  (Laughter.)
    And look — and look where Biden took us.  Very low.  The lowest we’ve ever been.
    Jeff, I want to thank you very much.
    And I also want to recognize another person who has devoted herself to foster care community.  She worked so hard on it.  A very loving person.  Our magnificent first lady of the United States.  (Applause.)
    Melania’s work has yielded incredible results, helping prepare our nation’s future leaders as they enter the workforce.  
    Our first lady is joined by two impressive young women — very impressive: Haley Ferguson, who benefited from the first lady’s Fostering the Future initiative and is poised to complete her education and become a teacher, and Elliston Berry, who became a victim of an illicit deepfake image produced by a peer.  With Elliston’s help, the Senate just passed the Take It Down Act — 
    This is so important.  Thank you very much, John.  John Thune, thank you.  (Applause.)  Stand up, John.  Thank you, John.  (Applause.)  Thank you all very much.  Thank you.
    And thank you to John Thune and the Senate.  A great job.
    — to criminalize the publication of such images online.  This terrible, terrible thing.  And once it passes the House, I look forward to signing that bill into law.  Thank you.  
    And I’m going to use that bill for myself too, if you don’t mind — (laughter) — because nobody gets treated worse than I do online.  Nobody.  (Laughter.) 
    That’s great.  Thank you very much to the Senate.  Thank you.
    But if we truly care about protecting America’s children, no step is more crucial than securing America’s borders.  Over the past four years, 21 million people poured into the United States.  Many of them were murderers, human traffickers, gang members, and other criminals from the streets of dangerous cities all throughout the world.  Because of Joe Biden’s insane and very dangerous open border policies, they are now strongly embedded in our country, but we are getting them out and getting them out fast.  (Applause.)
    And I want to thank Tom Homan.  And, Kristi, I want to thank you.  And Paul of Border Patrol, I want to thank you.  What a job they’ve all done.  Everybody.  Border Patrol, ICE.  Law enforcement, in general, is incredible.  We have to take care of our law enforcement.  (Applause.)  We have to. 
    Last year, a brilliant 22-year-old nursing student named Laken Riley — the best in her class, admired by everybody — went out for a jog on the campus of the University of Georgia.  That morning, Laken was viciously attacked, assaulted, beaten, brutalized, and horrifically murdered.  Laken was stolen from us by a savage illegal alien gang member who was arrested while trespassing across Biden’s open southern border and then set loose into the United States under the heartless policies of that failed administration.  It was indeed a failed administration.
    He had then been arrested and released in a Democrat-run sanctuary city — a disaster — before ending the life of this beautiful young angel.
    With us this evening are Laken’s beloved mother, Allyson, and her sister, Lauren.  (Applause.)
    Last year, I told Laken’s grieving parents that we would ensure their daughter would not have died in vain.  That’s why the very first bill I signed into law as your 47th president mandates the detention of all dangerous criminal aliens who threaten public safety.  It’s a very strong, powerful act.  (Applause.)  It’s called the Laken Riley Act.  (Applause.) 
    So, Allyson and Lauren, America will never, ever forget our beautiful Laken Hope Riley.  (Applause.)
    Thank you very much.
    Since taking office, my administration has launched the most sweeping border and immigration crackdown in American history, and we quickly achieved the lowest numbers of illegal border crossers ever recorded.  Thank you.  (Applause.)
    The media and our friends in the Democrat Party kept saying we needed new legislation.  “We must have legislation to secure the border.”  But it turned out that all we really needed was a new president.  (Applause.) 
    AUDIENCE:  Trump!  Trump!  Trump!
    THE PRESIDENT:  Thank you.
    Joe Biden didn’t just open our borders.  He flew illegal aliens over them to overwhelm our schools, hospitals, and communities throughout the country.  Entire towns, like Aurora, Colorado, and Springfield, Ohio, buckled under the weight of the migrant occupation and corruption like nobody has ever seen before.  Beautiful towns destroyed.
    Now, just as I promised in my Inaugural Address, we are achieving the great liberation of America.  (Applause.)
    But there still is much work to be done. 
    Here tonight is a woman I have gotten to know: Alexis Nungaray from Houston.  Wonderful woman.  Last June, Alexis’s 12-year-old daughter, her precious Jocelyn, walked to a nearby convenience store.  She was kidnapped, tied up, assaulted for two hours under a bridge, and horrifically murdered.  Arrested and charged with this heinous crime are two illegal alien monsters from Venezuela, released into America by the last administration through their ridiculous open border.
    The death of this beautiful 12-year-old girl and the agony of her mother and family touched our entire nation greatly. 
    Alexis, I promised that we would always remember your daughter — your magnificent daughter.  And earlier tonight, I signed an order keeping my word to you.  
    One thing I have learned about Jocelyn is that she loved animals so much.  She loved nature.  Across Galveston Bay from where Jocelyn lived in Houston, you will find a magnificent national wildlife refuge. A pristine, peaceful, 34,000-acre sanctuary for all of God’s creatures on the edge of the Gulf of America.
    Alexis, moments ago, I formally renamed that refuge in loving memory of your beautiful daughter, Jocelyn.
    So, Mr. Vice President, if you would, may I have the order?  (Applause.)
    (The president holds up the executive order.)
    Thank you very much. 
    All three savages charged with Jocelyn and Laken’s murders were members of the Venezuelan prison gang — the toughest gang, they say, in the world — known as Tren de Aragua.  Two weeks ago, I officially designated this gang, along with MS-13 and the bloodthirsty Mexican drug cartels, as foreign terrorist organizations.  (Applause.)  They are now officially in the same category as ISIS, and that’s not good for them. 
    Countless thousands of these terrorists were welcomed into the U.S. by the Biden administration, but now every last one will be rounded up and forcibly removed from our country, or, if they’re too dangerous, put in jails, standing trial in this country, because we don’t want them to come back ever.
    With us this evening is a warrior on the front lines of that battle, Border Patrol agent Roberto Ortiz.  Great guy.  (Applause.)  
    In January, Roberto and another agent were patrolling by the Rio Grande, near an area known as Cartel Island — doesn’t sound too nice to me — when heavily armed gunmen started shooting at them.  Roberto saw that his partner was totally exposed, in great danger, and he leapt into action, returning fire and providing crucial seconds for his fellow agent to seek safety, and just barely.  I have some of the prints of that event, and it was not good. 
    Agent Ortiz, we salute you for your great courage and for your line of fire that you took and for the bravery that you showed.  We honor you, and we will always honor you.  Thank you, Roberto, very much.  (Applause.)  Thank you, Roberto. 
    And I actually got to know him on my many calls to the border.  He’s a great, great gentleman.
    The territory to the immediate south of our border is now dominated entirely by criminal cartels that murder, rape, torture, and exercise total control — they have total control over a whole nation — posing a grave threat to our national security.  The cartels are waging war in America, and it’s time for America to wage war on the cartels, which we are doing.  (Applause.)
    Five nights ago, Mexican authorities, because of our tariff policies being imposed on them — think of this — handed over to us 29 of the biggest cartel leaders in their country.  That has never happened before.  They want to make us happy.  (Applause.)  First time ever.
    But we need Mexico and Canada to do much more than they’ve done, and they have to stop the fentanyl and drugs pouring into the USA.  They’re going to stop it.  
    I have sent Congress a detailed funding request laying out exactly how we will eliminate these threats to protect our homeland and complete the largest deportation operation in American history, larger even than current record holder, President Dwight D. Eisenhower, a moderate man but someone who believed very strongly in borders.  Americans expect Congress to send me this funding without delay so I can sign it into law. 
    So, Mr. Speaker, John Thune, both of you, I hope you’re going to be able to do that.  Mr. Speaker, thank you.  Mr. Leader, thank you.  Thank you very much.  And let’s get it to me.  I’ll sign it so fast, you won’t even believe it.  (Applause.)
    And as we reclaim our sovereignty, we must also bring back law and order to our cities and towns.  (Applause.)  In recent years, our justice system has been turned upside down by radical-left lunatics.  Many jurisdictions virtually ceased enforcing the law against dangerous repeat offenders while weaponizing law enforcement against political opponents like me.
    My administration has acted swiftly and decisively to restore fair, equal, and impartial justice under the constitutional rule of law, starting at the FBI and the DOJ.  
    Pam, good luck.  Kash, wherever you may be, good luck.  (Applause.)  Good luck.  Pam Bondi, good luck.  So important.  Going to do a great job.  (Applause.)  
    Kash, thank you.  Thank you, Kash.  (Applause.)
    They have already started very strong.  They’re going to do a fantastic job.  You’re going to be very proud of them. 
    We’re also, once again, giving our police officers the support, protection, and respect they so dearly deserve.  They have to get it.  They have such a hard, dangerous job, but we’re going to make it less dangerous.  The problem is the bad guys don’t respect the law, but they’re starting to respect it, and they soon will respect it.
    (Cross-talk.)
    This also includes our great fire departments throughout the country.  Our firemen and women are unbelievable people, and I will never forget them.  And besides that, they voted for me in record numbers, so I have no choice.  (Applause.)
    One year ago this month, 31-year-old New York police officer Jonathan Diller — unbelievably wonderful person and a great officer — was gunned down at a traffic stop on Long Island.  I went to his funeral.  The vicious criminal charged with his murder had 21 prior arrests, and they were rough arrests too.  He was a real bad one.
    The thug in the seat next to him had 14 prior arrests and went by the name of “Killer.”  He was Killer.  He killed other people.  They say a lot of them. 
    I attended Officer Diller’s service, and when I met his wife and one-year-old son, Ryan, it was very inspirational, actually.  His widow’s name is Stephanie, and she is here tonight.  Stephanie, thank you very much, Stephanie.  Thank you very much.  (Applause.)
    Stephanie, we’re going to make sure that Ryan knows his dad was a true hero — New York’s Finest.  And we’re going to get these cold-blooded killers and repeat offenders off our streets, and we’re going to do it fast.  Got to stop it. 
    They get out with 28 arrests.  They push people into subway trains.  They hit people over the back of the head with baseball bats.  We got to get them out of here. 
    I’ve already signed an executive order requiring a mandatory death penalty for anyone who murders a police officer.  And, tonight, I’m asking Congress to pass that policy into permanent law.  (Applause.)
    I’m also asking for a new crime bill, getting tough on repeat offenders while enhancing protections for America’s police officers so they can do their jobs without fear of their lives being totally destroyed.  They don’t want to be killed.  We’re not going to let them be killed.
    Joining us in the gallery tonight is a young man who truly loves our police.  His name is D.J. Daniel.  He is 13 years old, and he has always dreamed of becoming a police officer.  (Applause.)
    But in 2018, D.J. was diagnosed with brain cancer.  The doctors gave him five months at most to live.  That was more than six years ago.  (Applause.)
    Since that time, D.J. and his dad have been on a quest to make his dream come true, and D.J. has been sworn in as an honorary law enforcement officer, actually, a number of times.  Pec- — the police love him.  The police departments love him. 
    And tonight, D.J., we’re going to do you the biggest honor of them all.  I am asking our new Secret Service director, Sean Curran, to officially make you an agent of the United States Secret Service.  (Applause.)
    (Director Curran presents Mr. Daniel with a Secret Service Agent credential.)
    AUDIENCE:  D.J.!  D.J.!  D.J.!
    THE PRESIDENT:  Thank you, D.J. 
    D.J.’s doctors believe his cancer likely came from a chemical he was exposed to when he was younger.  Since 1975, rates of child cancer have increased by more than 40 percent.  Reversing this trend is one of the top priorities for our new presidential commission to make America healthy again, chaired by our new secretary of Health and Human Services, Robert F. Kennedy, Jr.  (Applause.) 
    AUDIENCE MEMBER:  MAHA, baby!
    THE PRESIDENT:  With the name “Kennedy,” you would have thought everybody over here would have been cheering.  (Laughter.)  How quickly they forget.  
    Our goal is to get toxins out of our environment, poisons out of our food supply, and keep our children healthy and strong.  
    As an example, not long ago — you can’t even believe these numbers — 1 in 10,000 children had autism. 1 in 10,000.  And now it’s 1 in 36.  There’s something wrong.  One in 36.  Think of that. 
    So, we’re going to find out what it is, and there’s nobody better than Bobby and all of the people that are working with you — you have the best — to figure out what is going on.  
    Okay, Bobby?  Good luck.  It’s a very important job.  Thank you.  (Applause.)  Thank you.  Thank you.
    My administration is also working to protect our children from toxic ideologies in our schools. 
         A few years ago, January Littlejohn and her husband discovered that their daughter’s school had secretly socially transitioned their 13-year-old little girl.  Teachers and administrators conspired to deceive January and her husband, while encouraging her daughter to use a new name and pronouns — “they/them” pronouns, actually — all without telling January, who is here tonight and is now a courageous advocate against this form of child abuse.  January, thank you.  Thank you.  Thank you very much.  (Applause.)  Thank you.  Thank you. 
    Stories like this are why, shortly after taking office, I signed an executive order banning public schools from indoctrinating our children with transgender ideology.  (Applause.) 
    I also signed an order to cut off all taxpayer funding to any institution that engages in the sexual mutilation of our youth.  (Applause.)  And now I want Congress to pass a bill permanently banning and criminalizing sex changes on children and forever ending the lie that any child is trapped in the wrong body.  This is a big lie.  (Applause.)
    And our message to every child in America is that you are perfect exactly the way God made you.  (Applause.)
         Because we’re getting wokeness out of our schools and out of our military, and it’s already out, and it’s out of our society.  We don’t want it.  Wokeness is trouble.  Wokeness is bad.  It’s gone.  It’s gone.  And we feel so much better for it, don’t we?  Don’t we feel better?  (Applause.)  
         Our service members won’t be activists and ideologues.  They will be fighters and warriors.  They will fight for our country.           And, Pete, congratulations.  Secretary of Defense, congratulations.  (Applause.)
         And he’s not big into the woke movement, I can tell you.  (Laughter.)  I know him well. 
         I am pleased to report that, in January, the U.S. Army had its single best recruiting month in 15 years and that all armed services are having among the best recruiting results ever in the history of our services.  (Applause.)  What a difference.
         And you know it was just a few months ago where the results were exactly the opposite.  We couldn’t recruit anywhere.  We couldn’t recruit.  Now we’re having the best results, just about, that we’ve ever had.  What a tremendous turnaround.  It’s really a beautiful thing to see.  People love our country again.  It’s very simple.  They love our country, and they love being in our military again.  So, it’s a great thing.  And thank you very much.  Great job.  Thank you.  (Applause.)
         We’re joined tonight by a young man, Jason Hartley, who knows the weight of that call of duty.  Jason’s father, grandfather, and great-grandfather all wore the uniform. 
         Jason tragically lost his dad, who was also a Los Angeles County sheriff’s deputy, when he was just a boy, and now he wants to carry on the family legacy of service.  Jason is a senior in high school, a six-letter varsity athlete — a really good athlete, they say — a brilliant student, with a 4.46 — that’s good — GPA.  (Laughter.)  And his greatest dream is to attend the U.S. Military Academy at West Point.  (Applause.) 
         And, Jason, that’s a very big deal getting in.  That’s a hard one to get into.  But I’m pleased to inform you that your application has been accepted.  You will soon be joining the Corps of Cadets.  (Applause.) 
         Thank you.  Jason, you’re going to be on the Long Gray Line, Jason. 
         As commander in chief, my focus is on building the most powerful military of the future.  As a first step, I’m asking Congress to fund a state-of-the-art Golden Dome missile defense shield to protect our homeland, all made in the USA.  (Applause.) 
         And Ronald Reagan wanted to do it long ago, but the technology just wasn’t there, not even close.  But now we have the technology.  It’s incredible, actually.  And other places, they have it: Israel has it.  Other places have it.  And the United States should have it too.  Right, Tim?  Right?  (Applause.)  They should have it too.  So, I want to thank you. 
         But it’s a very important.  This is a very dangerous world.  We should have it.  We want to be protected.  And we’re going to protect our citizens like never before.
         To boost our defense industrial base, we are also going to resurrect the American shipbuilding industry, including commercial shipbuilding and military shipbuilding.  (Applause.)
         And for that purpose, I am announcing tonight that we will create a new Office of Shipbuilding in the White House and offer special tax incentives to bring this industry home to America, where it belongs. 
         We used to make so many ships.  We don’t make them anymore very much, but we’re going to make them very fast, very soon.  It will have a huge impact.          To further enhance our national security, my administration will be reclaiming the Panama Canal, and we’ve already started doing it.  (Applause.)
         Just today, a large American company announced they are buying both ports around the Panama Canal and lots of other things having to do with the Panama Canal and a couple of other canals. 
         The Panama Canal was built by Americans for Americans, not for others, but others could use it.  But it was built at tremendous cost of American blood and treasure.  Thirty-eight thousand workers died building the Panama Canal.  They died of malaria.  They died of snake bites and mosquitoes.  Not a nice place to work.  They paid them very highly to go there, knowing there was a 25 percent chance that they would die.  The most expensive project, also, that was ever built in our country’s history, if you bring it up to modern-day costs.
         It was given away by the Carter administration for $1, but that agreement has been violated very severely.  We didn’t give it to China.  We gave it to Panama, and we’re taking it back.  (Applause.)
         And we have Marco Rubio in charge.  Good luck, Marco.  (Laughter and applause.)  Now we know who to blame if anything goes wrong.  (Laughter.) 
    No, Marco has been amazing, and he’s going to do a great job.  Think of it.  He got a hundred votes.  (Applause.)  You know, he was approved with, actually, 99, but the 100th was this gentleman, and I feel very certain — so, let’s assume he got 100 votes.  And I’m either very, very happy about that or I’m very concerned about it.  (Laughter.) 
         But he’s already proven — I mean, he’s a great gentleman.  He’s respected by everybody.  And we appreciate you voting for Marco.  He’s going to do a fantastic job.  Thank you.  (Applause.)  Thank you.  He’s doing a great job.  Great job. 
         And I also have a message tonight for the incredible people of Greenland.  (Laughter.)  We strongly support your right to determine your own future, and, if you choose, we welcome you into the United States of America. 
         We need Greenland for national security and even international security, and we’re working with everybody involved to try and get it.  But we need it, really, for international world security.  And I think we’re going to get it.  One way or the other, we’re going to get it.  
    We will keep you safe.  We will make you rich.  And together, we will take Greenland to heights like you have never thought possible before.  
         It’s a very small population but very, very large piece of land and very, very important for military security.
         America is once again standing strong against the forces of radical Islamic terrorism. 
         Three and a half years ago, ISIS terrorists killed 13 American service members and countless others in the Abbey Gate bombing during the disastrous and incompetent withdrawal from Afghanistan — not that they were withdrawing; it was the way they withdrew.  Perhaps the most embarrassing moment in the history of our country.  
         Tonight, I am pleased to announce that we have just apprehended the top terrorist responsible for that atrocity, and he is right now on his way here to face the swift sword of American justice.  (Applause.)
         And I want to thank, especially, the government of Pakistan for helping arrest this monster. 
         This was a very momentous day for those 13 families, who I actually got to know very well, most of them, whose children were murdered, and the many people that were so badly — over 42 people — so badly injured on that fateful day in Afghanistan.  What a horrible day.  Such incompetence was shown that when Putin saw what happened, I guess he said, “Wow, maybe this is my chance.”  That’s how bad it was.  Should have never happened.  Grossly incompetent people. 
         I spoke to many of the parents and loved ones, and they’re all in our hearts tonight.  Just spoke to them on the phone.  We had a big call.  Every one of them called, and everybody was on the line, and they did nothing but cry with happiness.  They were very happy — as happy as you can be under those circumstances.  Their child, brother, sister, son, daughter was killed for no reason whatsoever. 
         In the Middle East, we’re bringing back our hostages from Gaza.  In my first term, we achieved one of the most groundbreaking peace agreements in generations: the Abraham Accords.  (Applause.) 
    And now we’re going to build on that foundation to create a more peaceful and prosperous future for the entire region.  A lot of things are happening in the Middle East.  People haven’t been talking about that so much lately with everything going on with Ukraine and Russia, but a lot of things are happening in the Middle East.  It’s a rough neighborhood, actually.
         I’m also working tirelessly to end the savage conflict in Ukraine.  Millions of Ukrainians and Russians have been needlessly killed or wounded in this horrific and brutal conflict with no end in sight. 
         The United States has sent hundreds of billions of dollars to support Ukraine’s defense with no security, with no anything.  (Applause.)
         Do you want to keep it going for another five years? 
         SENATOR WARREN:  Yes!
         THE PRESIDENT:  Yeah.  Yeah, you would say — Pocahontas says, “Yes.”  (Laughter.)
         AUDIENCE MEMBERS:  Booo —
         THE PRESIDENT:  Two thousand people are being killed every single week — more than that.  They’re Russian young people.  They’re Ukrainian young people.  They’re not Americans.  But I want it to stop.
         Meanwhile, Europe has sadly spent more money buying Russian oil and gas than they have spent on defending Ukraine, by far.  Think of that.  They’ve spent more buying Russian oil and gas than they have defending.  And we’ve spent, perhaps, $350 billion.  Like taking candy from a baby, that’s what happened.  And they’ve spent $100 billion.  What a difference that is.  And we have an ocean separating us, and they don’t. 
         But we’re getting along very well with them, and lots of good things are happening. 
         Biden has authorized more money in this fight than Europe has spent by billions and billions of dollars.  It’s hard to believe that they wouldn’t have stopped it and said, at some point, “Come on.  Let’s equalize.  You got to be equal to us.”  But that didn’t happen.
         Earlier today, I received an important letter from President Zelenskyy of Ukraine.  The letter reads, “Ukraine is ready to come to the negotiating table as soon as possible to bring lasting peace closer.”  “Nobody wants peace more than the Ukrainians,” he said.  (Applause.)  “My team and I stand ready to work under President Trump’s strong leadership to get a peace that lasts.  We do really value how much America has done to help Ukraine maintain its sovereignty and independence.  Regarding the agreement on minerals and security, Ukraine is ready to sign it at any time that is convenient for you.” 
         I appreciate that he sent this letter.  Just got it a little while ago.  
         Simultaneously, we’ve had serious discussions with Russia and have received strong signals that they are ready for peace.  Wouldn’t that be beautiful?  Wouldn’t that be beautiful?  (Applause.)  Wouldn’t that be beautiful?
         It’s time to stop this madness.  It’s time to halt the killing.  It’s time to end this senseless war.  If you want to end wars, you have to talk to both sides. 
         Nearly four years ago, amid rising tensions, a history teacher named Marc Fogel was detained in Russia and sentenced to 14 years in a penal colony.  Rough stuff. 
         The previous administration barely lifted a finger to help him.  They knew he was innocent, but they had no idea where to begin.  But last summer, I promised his 95-year-old mother, Malphine, that we would bring her boy safely back home.          After 22 days in office, I did just that, and they are here tonight.  (Applause.) 
         To Marc and his great mom, we are delighted to have you safe and sound and with us. 
         As fate would have it, Marc Fogel was born in a small, rural town — in Butler, Pennsylvania — have you heard of it? — where his mother has lived for the past 78 years.
         I just happened to go there last July 13th for a rally. That was not pleasant.  (Laughter.)  And that is where I met his beautiful mom, right before I walked onto that stage.  And I told her I would not forget what she said about her son.  And I never did, did I?  Never forgot.  
         Less than 10 minutes later, at that same rally, gunfire rang out, and a sick and deranged assassin unloaded eight bullets from his sniper’s perch into a crowd of many thousands of people.           My life was saved by a fraction of an inch, but some were not so lucky.  Corey Comperatore was a firefighter, a veteran, a Christian, a husband, a devoted father, and, above all, a protector. 
         When the sound of gunshots pierced the air — it was a horrible sound — Corey knew instantly what it was and what to do.  He threw himself on top of his wife and daughters and shielded them from the bullets with his own body.
         Corey was hit really hard.  You know the story from there.  He sacrificed his life to save theirs. 
         Two others — very fine people — were also seriously hit.  But thankfully, with the help of two great country doctors, we thought they were gone, and they were saved.  So, those doctors had great talent. 
         We’re joined by Corey’s wife, Helen, who was his high school sweetheart, and their two beloved daughters, Allyson and Kaylee.  Thank you.  (Applause.)
         To Helen, Allyson, and Kaylee, Corey is looking down on his three beautiful ladies right now, and he is cheering you on.  He loves you.  He is cheering you on. 
         Corey was taken from us much too soon, but his destiny was to leave us all with a shining example of the selfless devotion of a true American patriot.  It was love like Corey’s that built our country, and it’s love like Corey’s that is going to make our country more majestic than ever before.  
         I believe that my life was saved that day in Butler for a very good reason.  I was saved by God to make America great again.  I believe that.  (Applause.)  Thank you. 
         Thank you.  Thank you very much.  
         From the patriots of Lexington and Concord to the heroes of Gettysburg and Normandy, from the warriors who crossed the Delaware to the trailblazers who climbed the Rockies, and from the legends who soared at Kitty Hawk to the astronauts who touched the Moon, Americans have always been the people who defied all odds, transcended all dangers, made the most extraordinary sacrifices, and did whatever it took to defend our children, our country, and our freedom.
         And as we have seen in this chamber tonight, that same strength, faith, love, and spirit is still alive and thriving in the hearts of the American people.  Despite the best efforts of those who would try to censor us, silence us, break us, destroy us, Americans are today a proud, free, sovereign, and independent nation that will always be free, and we will fight for it till death. 
         We will never let anything happen to our beloved country, because we are a country of doers, dreamers, fighters, and survivors. 
         Our ancestors crossed a vast ocean, strode into the unknown wilderness, and carved their fortunes from the rock and soil of a perilous and very dangerous frontier.  They chased our destiny across a boundless continent.  They built the railroads, laid the highways, and graced the world with American marvels, like the Empire State Building, the mighty Hoover Dam, and the towering Golden Gate Bridge. 
         They lit the world with electricity, broke free of the force of gravity, fired up the engines of American industry, vanquished the communists, fascists, and Marxists all over the world, and gave us countless modern wonders sculpted out of iron, glass, and steel.  
         We stand on the shoulders of these pioneers who won and built the modern age, these workers who poured their sweat into the skylines of our cities, these warriors who shed their blood on fields of battle and gave everything they had for our rights and for our freedom.  
         Now it is our time to take up the righteous cause of American liberty, and it is our turn to take America’s destiny into our own hands and begin the most thrilling days in the history of our country. 
         This will be our greatest era.  
         With God’s help, over the next four years, we are going to lead this nation even higher, and we are going to forge the freest, most advanced, most dynamic, and most dominant civilization ever to exist on the face of this Earth. 
         We are going to create the highest quality of life, build the safest and wealthiest and healthiest and most vital communities anywhere in the world. 
         We are going to conquer the vast frontiers of science, and we are going to lead humanity into space and plant the American flag on the planet Mars and even far beyond.  (Applause.)
         And, through it all, we are going to rediscover the unstoppable power of the American spirit, and we are going to renew unlimited promise of the American dream. 
         Every single day, we will stand up and we will fight, fight, fight for the country our citizens believe in and for the country our people deserve.  (Applause.)  Thank you.  Thank you.
         AUDIENCE MEMBERS:  Fight!  Fight!  Fight!
         THE PRESIDENT:  My fellow Americans, get ready for an incredible future, because the golden age of America has only just begun.  It will be like nothing that has ever been seen before. 
         Thank you.  God bless you.  And God bless America.  (Applause.)
         Thank you.  Thank you, everybody.  Thank you.  Thank you very much.  Thank you very much.  Thank you. 
    Thank you very much.  Appreciate it.
    Thank you very much.
                                 END                11:00 P.M. EST

    MIL OSI USA News

  • MIL-OSI New Zealand: Speech to the BusinessNZ Health Forum

    Source: New Zealand Government

    Check against delivery.
     
    Kia ora koutou. Thank you, Phil, for the opportunity to speak to you today to the Business NZ Health Forum. Since my appointment as Health Minister, I’ve spent time where it matters most – on the frontline, listening to the people our health system is here to serve. Let me tell you about just a few stories I have heard.There are many positive stories of people receiving exceptional healthcare: 
     

    A Tauranga woman who recently shared her gratitude with me that her chemotherapy drug is now funded because of the Government’s record investment in new cancer drugs.  
    A young person in distress, whose family isn’t sure what to do, being helped by compassionate youth mental health services to work through how to cope.  
    A security guard I met who said he went to an Emergency Department and was seen and discharged in 2.5 hours.

    Review hospital systems from admission to discharge, ensuring patients flow smoothly.

     
    But some are more grim:
     

    An elderly man who requires hip and knee surgery and has been living in pain while they wait for their operations. 
    A cancer survivor who is overdue for their colonoscopy. 
    A person who is worried about a friend that has been waiting for surgery for over for 15 months, only to find out it has been cancelled. 

     
    The failure of our health system doesn’t stop at waiting lists. 

    I’ve heard of a grandmother sent home after waiting for hours in ED, only to return shortly after having had a stroke.

    A grandfather lying in a hospital ward for days, sick and in pain, not knowing when—or if—a doctor would come to see him and tell him what is wrong. 

    And I’ve heard far too many stories over the past five weeks of people who are alive today, not because the system looked after them, but because their wives, husbands, daughters, and sons had to make lots of noise until someone paid attention. 

    That’s not a health system that works.  And if you ask the doctors, nurses, midwives, and other health professionals who keep the system running, they’ll tell you the same thing.  They are just as frustrated—because they got into this job to care for people and provide world-class healthcare to New Zealanders. But the system is failing their patients and them too. Somewhere along the way, our health system became desensitised to patients.  There’s often too much focus on what the unions, the colleges, or professional lobby groups say, and not enough focus on what the patient says.  Because in healthcare, the customer is the patient—the mum with the newborn, the tradie, the farmer, the kaumātua, the grandmother.  They should be at the heart of every decision we make. People working in health have been conditioned to substandard management and conditioned to giving into groups which exert pressure on them.This is not the standard we should accept in New Zealand.  That’s why we must fix the system—so that every patient gets the care they deserve, and every healthcare professional is empowered to do the job they trained so long and hard for. New Zealanders expect better. And under this Government, we will deliver it. 

    A long-term problem made worse by Labour 

    Let’s be clear—this is not a new problem.  Our health system has been overloaded and under pressure for years. But the decisions of the previous government made it significantly worse. We inherited a health system in a state of turmoil.In the middle of a pandemic—when New Zealand needed stability—they ripped the entire structure apart.  They forced through one of the biggest bureaucratic restructures in our history, abolishing 20 District Health Boards overnight and replacing them with a single, centralised bureaucracy.  The reforms stripped decision-making away from regions and districts.They had no plan for how it would actually help patients. Key health targets – used to ensure the system was delivering for patients – were dumped.Instead of supporting frontline workers, they created another layer of bureaucratic management and confusion at the top.  Instead of focusing on patient care and ensuring people didn’t get sicker languishing on ballooning waiting lists, they produced internal reports and shuffled job titles in the head office.  Instead of keeping control of spending, they lost complete oversight of the system’s finances. To put it frankly, the previous government’s 2022 health reforms were rushed and poorly implemented, with disastrous results. Most importantly, those reforms eroded the trust and confidence of New Zealanders in getting access to the health services they need.It’s not just our view. It’s not just what frontline workers and patients say. It’s now documented fact. 
     
    The Deloitte Report – Labour’s health system failure in black and white 

    Today, a report by Deloitte titled the ‘Financial Review of Health New Zealand’—an independent report, not written by politicians, but by financial and operational experts – is being released on Health New Zealand’s website.It delivers a damning verdict on the state of our health system when we took office 16 months ago. The report shows, in black and white, that under the previous government, Health New Zealand lost control of the critical levers that drive financial and delivery outcomes.In simple terms: 

    The agency that was supposed to run our health system had no idea how it was spending its money or the results it was achieving.

    Costs spiralled out of control, with deficits mounting each month. 

    Basic financial oversight collapsed, meaning no accountability, no performance tracking, and no ability to measure success or failure. 

    No systems in place to manage funds appropriately.

     
    Meanwhile, Labour’s plan was to support unions over patients.  As I mentioned earlier, they scrapped health targets, so they didn’t even know what success looked like.
      
    The result? 

    Elective surgeries plummeted. In 2017, 1,037 people were waiting over four months for elective treatment. By the time Labour left office, that number had grown to 27,497. That’s an increase of over 2,551 percent. 

    Emergency department wait times blew out. When National left office, almost 90 percent of patients were seen within six hours. By 2023, that dropped below 70 percent. 

    Childhood immunisation rates collapsed. In 2017, 92.4 percent of children were fully immunised at 24 months. By 2023, that number hit 83 percent. 

    Primary healthcare was ignored. More people than ever couldn’t see a healthcare professional when they needed one. 

     
    This is a system under significant pressure and a system which was recklessly mismanaged under the past government, thrown into turmoil at the worst possible time, and left to drift without accountability. But that changes today. 
     
    Funding for Health

    There is always a need for more investment in health, but more money isn’t the only solution.This Government has invested a record funding boost of $16.68 billion (over three years) in health to help the sector plan for the future, and that includes funding expected growth. The funding boost provided by this Government is enabling Health New Zealand to retain capacity at the frontline and deliver more services to New Zealanders.There are more frontline staff, including more nurses than ever before and more medical staff, allied and scientific staff, and care and support staff.Since it was set up, Health New Zealand’s frontline staff grew by almost 6,500 people, alongside achieving back-office efficiencies. Remuneration for health workforces has also increased.Since 2014, average salaries for nurses and midwives have increased by almost 70 percent, while average salaries for teachers and police have only risen by approximately 35-40 percent over the same period. The average salary of a registered nurse (including senior nurses) is currently around $125,660, including overtime and allowances. This aligns with nurses in New South Wales.Yet we are not seeing the results we have invested in.Productivity is declining and has not kept pace with historic levels of funding and workforce growth.For example, in the decade between 2014 and 2024, core Health operating funding almost doubled, but the number of first specialist assessments undertaken only increased by 17 percent. The waiting list more than doubled during this period to almost 195,000 people.  And as at August last year, over 40 percent of adults needing to see a GP couldn’t get a consultation within a week of when they needed to see one. Every single dollar must deliver better outcomes for patients.  More money going in must mean more results coming out.  But under Labour, we saw more money with worse outcomes, longer waitlists, and declining service levels. That is simply unacceptable. 
     
    What we have done – A back-to-basics approach 

    Since being in office, this Government has been taking action and we are getting results: 

    We reinstated health targets—because what gets measured, gets done.  
    We’re doing more operations. Last year, the health system carried out over 144,000 elective procedures – 10,000 more than the previous 12 months. 
    We are moving resources back to the frontline, cutting wasteful bureaucracy.  
    The health workforce is being paid more. 
    We’re investing in health infrastructure—building new hospitals, upgrading existing ones, and modernising equipment. There are currently 66 Ministerially approved health infrastructure projects, worth a cumulative $6.3 billion in the pipeline. 
    We have begun stabilising the system, although there’s still a long way to go.

    But let me be clear—this is just the beginning.
     
    My five key priorities as Minister
    Healthcare is a top priority for everyone in New Zealand. I see it every day as an electorate MP, a father of three young children, and as Health Minister travelling the country. Yes, there will always be a need for more money in healthcare, and as Minister, I will fight every single day to invest more and deliver more for you.I am proud of the investment this Government is putting into health. However, I will also be holding the system to account to deliver more for the funding that is being invested.Investing in primary care and funding additional operations are at the heart of my five clear priorities as Health Minister. They are:
     

    Stabilising Health New Zealand’s governance and accountability allowing it to focus on delivering the basics
    Reducing emergency department wait times
    Delivering a boost in elective surgery volumes to get on top of the backlog and reduce waiting lists
    Fixing primary care to ensure easier access 
    Providing clarity on the health infrastructure investment pipeline.

     
    1. Focusing Health New Zealand on delivering the basics
    My first priority is getting the basics right. It follows years of worsening results being the only thing being delivered.We are going to turn this around by focusing on delivery and achieving targets. Our health targets matter because they demonstrate performance. But it’s not enough to have them on paper—we must deliver real results. Over the last few years, the previous Government’s decision to restructure in the middle of a pandemic—and to remove those targets—led us to where we are now. Too many people are waiting too long for critical assessments and treatments.Health New Zealand should run a health system, not a bureaucracy. Instead of focusing on patients, it got lost in process. That changes now.No more excuses. We measure success in one way: better outcomes for patients.Health New Zealand has struggled to come together as a cohesive team that supports the organisation to deliver for patients. Senior Leadership Team members have only just begun weekly in-person meetings, and have continued to operate from different offices, despite the majority living in Auckland and the organisation being two and a half years old.This has meant the organisation has failed to create a cohesive team to lead the organisation forward.Today, I’m outlining my expectations for Health NZ to deliver a nationally planned and consistent, but locally delivered, health system. I expect core services (infrastructure, data, digital, HR, comms) will sit at head office, with national executive leadership focused on national programmes, shared services, overall governance and planning and empowering districts. I have directed the Commissioner to accelerate the shift to local decision-making and service delivery, and set a requirement for local delivery plans to be developed. I expect this to be done by July.This will enable local leaders to plan effectively, be clear about their budgets, allocate resource to where it’s most needed, and deliver better outcomes for their communities.Because all healthcare is local.I expect there to be strong regional coordination to support local delivery, with singular lines of accountability flowing from the national executive level through to the frontline.Under Labour, financial controls vanished, clinical input was lost, and local districts were disempowered. We are restoring that.Today, I have issued a new letter of expectation and Health New Zealand has released its delivery plan to reflect this.I will also bring back a board for Health New Zealand. Now that the plan is set, it is time to begin the process of transitioning to traditional governance.In the coming weeks, nominations open for the new board. If you have passion for healthcare and a demonstrated track record of delivery, we need you.I’d like to take this opportunity to thank the Commissioners for their work to date and I look forward to working with them as they deliver on their plan and as we transition to a board.
     
    2. Fixing Primary Healthcare – easier access for everyone
    My second priority is ensuring timely GP access. New Zealand has a shortage of family doctors, who play an important role in helping Kiwis to stay well and out of emergency departments.But last year a third of GP practices had their books closed, forcing people to emergency departments. And if you can’t book in to see your GP or nurse when you need one, you end up in ED when you shouldn’t have to. No one should wait weeks to see a GP and we are set on fixing that.Historically, more funding has been invested in more costly hospital and specialist services at the expense of primary and community care. Over the past five years, hospital funding has increased at a higher rate than primary and community funding. Hospital funding went up by almost 53 percent, while primary and community funding increased by 41 percent.This means we’re missing opportunities for earlier and less costly interventions.We must shift the dial towards primary care, both to improve access for New Zealanders and because it is the fiscally responsible thing to do.We have already made a number of important announcements this week about how we will improve access to primary care including: 
     

    Making it easier for New Zealanders to see a doctor. We’re providing up to 100 clinical placements for overseas-trained doctors to work in primary care. This will support their transition into GP practices that need them most.  

    We are also ramping up the number of trainee GPs to give Kiwis better access to healthcare in their communities. We’re introducing a funded primary care pathway to registration for up to 50 New Zealand-trained graduate doctors each year from 2026.

    We’re training more new doctors. During the term of this Government, medical school placement have increased by 100 places each year.

    We’re investing to increase the number of nurses in primary care. This includes supporting GP practices and other providers outside hospitals to hire up to 400 graduate registered nurses a year from this year.

    Improving access to 24/7 digital care. This will provide all New Zealanders with better and faster access to video consultations with New Zealand-registered clinicians, such as GPs and nurse practitioners, for urgent problems, 24 hours a day, seven days a week. People will be able to be diagnosed, get prescriptions, be referred for lab tests or radiology, and have urgent referrals organised.

    These measures focus on giving our primary care workforce the numbers and support they need, so that when you or your whānau need to see a GP, you can—without facing weeks-long wait times or closed books.Strengthening urgent and after-hours care will also be a focus of mine as part of our plan to enable faster access to primary care, and work on this is underway.This week I also announced that Health New Zealand has agreed to deliver a $285 million uplift to funding over three years for general practice from 1 July, in addition to the capitation uplift general practice receives annually.This will be incentivise GPs to improve access and patient outcomes – especially around improved vaccination rates and supporting family doctors to undertake minor planned services. This is just the start – there is more to do. Health New Zealand has work underway to rethink how we fund primary care to make it faster, more accessible, and more sustainable. 

    3. Reducing ED wait times
    My third priority is emergency departments, which have seen lengthy wait times continue to increase since targets were scrapped. The ED target is not just about making sure patients are seen quickly but it pushes every part of the hospital to work smoothly.Emergency departments are the beating hearts of hospitals – if they are operating efficiently and effectively, that reflects the effectiveness and efficiency of every part of the hospital. If wait times are too slow in the ED department it indicates problems throughout the hospital. I expect Health New Zealand to: 

    Empower clinicians at local levels to fix bottlenecks in real time.
    Integrate the primary care reforms, so fewer preventable cases end up in ED. This will be done by hiring and training more doctors and nurses and ensuring New Zealanders have access to round-the-clock care.

    The relationship between our hospitals and primary care is critically important, but has broken down in recent years and needs to be fixed. Empowering the primary care sector can help keep people out of hospital and manage patients much more cost effectively in our communities.We need our hospitals working with our primary health care providers to achieve this, and we need many more hospital services delivered locally in communities rather than centrally in our hospitals. We are restoring a focus on ED shorter stay targets, forcing real improvements across the entire hospital. We want to see 95 percent of people admitted, discharged, or transferred from an emergency department within six hours. 

    4. Clearing the elective surgery backlog
    My fourth priority is elective surgeries, where 27,497 people were waiting more than four months for surgeries they desperately needed in September 2023—a number that was 1,037 under National in 2017. This backlog is unacceptable and has unfortunately grown since we came to Government.But we have arrested the decline in the number of operations. As I mentioned earlier, last financial year, the health system carried out 10,000 more elective procedures than in the previous 12 months. However, we must still urgently increase the volume of surgeries.The elective surgery wait list target isn’t just about measuring performance of the system, it is about people. Behind every number is an individual, a family, many waiting in pain and families anxious for their loved ones to have the surgery they need. We can’t keep doing things the way we currently do it. At the moment Health NZ undertakes both elective surgery, and also responds to acute need, with planned elective surgery often being disrupted by acute need, leaving patients waiting for treatment and waitlists continuing to grow. At the same time, the small amount of planned care that is outsourced to the private sector is often done on an ad hoc basis, meaning Health New Zealand is paying premium prices.This practice must stop. Kiwis waiting in pain for an operation aren’t worried about who is delivering the operation, they just want it done as quickly as possible. I want to see Health NZ both lifting its own performance on elective surgeries, but also partnering closely with the private sector to ensure we can get on top of the waitlists and get kiwis the operations they need as quickly as possible. By partnering with the private sector, we can ensure people get the care they need, and Health New Zealand can achieve value for money through long-term contracts with the private sector. I expect Health New Zealand to work closely with ACC – which already has many of these arrangements in place – to ensure value for money for taxpayers and faster treatment for patients.Today I am pleased to announce the first part of this plan with Health New Zealand investing $50 million between now and the end of June this year to reduce the backlog of people waiting for elective surgeries. That will see an extra 10,579 procedures carried out between now and the middle of this year, with work also underway now to negotiate longer term agreements. This will improve the quality of life of thousands of New Zealanders. It will mean people can return to work, take up hobbies again, and continue to build precious memories with loved ones. I can also announce that I have asked Health New Zealand to work with the private sector to agree a set of principles that will underpin future outsourcing contracts. This will include: 
     

    Ending the use of expensive ad hoc, shorter-term contracts for elective surgeries. 
    Negotiating longer-term, multi-year agreements to deliver better value for money and better outcomes for patients. 
    Agreeing on plans to recruit, share, and train staff which already bridge both the public and private hospitals. 

     
    Long term, I want as much planned care as possible to be delivered in partnership with the private sector, freeing public hospitals for acute needs. However, this needs to be done in a way which is mutually beneficial for our public health system and our workforce. To be clear, the system remains publicly funded, so everyone has access, but this will allow Health New Zealand to leverage private capacity to reduce wait times for patients. 
     
    5. Investing in health infrastructure – building for the future
    My fifth priority is infrastructure—physical and digital. Our hospitals and data systems are in dire need of upgrade. Health New Zealand is grappling with an outdated infrastructure that is inhibiting changes to models of care that improve patient outcomes and drive efficiencies.Currently: 

    Health New Zealand has about 1,200 buildings – some have significant seismic risks, other older buildings are not clinically fit for purpose. 
    Digital infrastructure is also fragmented. There are an estimated 6,000 applications and 100 digital networks. That equates to roughly one application for every 16 Health New Zealand staff members, which is unsustainable.

    We need solutions. That includes: 

    Investigating creating a separate Health Infrastructure Entity under Health New Zealand, to manage and deliver physical and digital assets. 
    Publishing a long-term plan for health infrastructure so Kiwis know what’s being upgraded across New Zealand and can see a 10-year pipeline of capital projects 
    Putting all funding and financing options on the table—this will require bold, sustainable investment.  

    Health infrastructure has been neglected for decades.We’re turning that around. There are currently health infrastructure projects, worth a cumulative $6.3 billion in the pipeline.That includes:
     

    A new hospital in Dunedin. 
    Modern cancer treatment facilities in Hawke’s Bay and Taranaki 
    The extensive facilities infrastructure remediation programme at Auckland City Hospital and Greenlane Clinical Centre, and 
    Manukau Health Park and Hillmorton specialist mental health services in Christchurch. 

    Hospitals don’t run on press releases; they run on real investment. We are delivering that. 
     
    Stripping out bureaucracy, demanding delivery
    At the end of the day, you can’t manage what you don’t measure. It comes down to results, accountabilities, and every single person in the health system playing their part. My message to Health New Zealand is simple: I expect delivery. I expect a back-to-basics approach, with less talk and more action.I expect a relentless focus on improving health outcomes for New Zealanders and for Health New Zealand to reallocate baseline funding to implement immediate action.We’ve had enough talk. It’s time to fix this system.
     
    A health system that delivers for every New Zealander
    New Zealanders don’t want more reports or more excuses—they want action: 

    Health targets are back.
    We’re taking action to stabilise surgery waitlists.
    More doctors and nurses are being trained and recruited.
    Hospitals are being upgraded.
    Primary care is being strengthened.

     
    This isn’t just talk; it’s real change. And I promise every New Zealander: we will not stop until our health system delivers timely, quality care to all.We are embarking on this shift with urgency.Patients come first. And this Government will not rest until that’s a reality.Thank you very much.

    MIL OSI New Zealand News

  • MIL-OSI United Kingdom: expert reaction to study looking at butter or vegetable oils and mortality, as published in JAMA Internal Medicine

    Source: United Kingdom – Executive Government & Departments

    Scientists comment on a study published in JAMA Internal Medicine looking at butter consumption, plant-based oil consumption, and all-cause, cancer-related and cardiovascular disease-related mortality.

    Prof Sarah Berry, Professor of Nutritional Sciences, King’s College London, said:

    “The study shows that high butter consumption is linked to increased cancer and total mortality, whereas plant-based oils are linked to a lower risk of overall mortality and death due to cardiovascular disease and cancer.

    “This research is very timely.  Social media is currently awash with influencers promoting butter as a health food and claiming that seed oils are deadly.  This large-scale, long-term study finds the reverse.  The authors produce further evidence that seed oil consumption is linked to improved health and that butter – delicious as it is – should only be consumed once in a while.

    “In a sane world, this study would give the butter bros and anti-seed oil brigade pause for thought, but I’m confident that their brand of nutri-nonsense will continue unabated.”

    Dr Louise Flanagan, Head of Research for the Stroke Association, said: 

    “Stroke is the fourth leading cause of death in the UK and a leading cause of adult disability – but, fortunately, nine out of 10 strokes can be prevented.  High blood pressure is the cause of around half of all strokes.

    “This study covered a wider range of plant oils than previous research to find that greater consumption of rapeseed oil, soybean oil or olive oil is associated with an overall lower risk of death.  It is positive to see other plant oils being considered in this way as olive oil has been a focus of much research in the past.

    “The suggestion to switch from butter to plant oils is achievable for many people.  However, it was only olive oil that was associated with a lower risk of death due to cardiovascular disease, including stroke.  Olive oil is typically more expensive than other oils like rapeseed which means that its potential health benefits could be out of financial reach for some.

    “The study didn’t consider what eating both butter and plant oils means in terms of health risks, which is likely to be what many people naturally do.  This is potentially something which could be considered in future studies.

    “The Stroke Association encourages people to maintain a healthy diet, exercise regularly, not smoke and monitor alcohol intake, which can help to maintain healthy blood pressure.  Anyone with concerns should speak to their GP.”

    Prof Parveen Yaqoob, professor of nutritional science at the University of Reading, said:

    “The link between diets high in saturated fat, particularly animal-based fat such as butter and lard, and higher mortality has been argued for decades.  I have seen American adverts from the 1960s extolling the virtues of American housewives “polyunsaturating” their husbands when they come home from work.  This is a fun historical reminder of the link between the food industry and dietary health messages, as well as showing how much woman have had to fight for social progress.

    “This latest research provides strong additional data to support the ‘healthier fats’ theory.  The research followed a large cohort of health workers in America over many years.  The use of food frequency questionnaires means that we are relying on the participants to remember what they have eaten and how much, which we know can be an unreliable indicator of actual dietary patterns.

    “The scientists for this study highlight that not all vegetable oils are equal.  Although butter was being replaced by corn oil and sunflower oil, which are polyunsaturated, in the 1960s and 70s, the oils they are talking about in the research – olive, canola and soybean – are mainly monounsaturated.  The researchers suggests that these are more beneficial than the polyunsaturated fats, and refer to the Mediterranean diet, which is higher in monounsaturated fats such as olive oil, for that reason.  While many Western diets shifted away from saturated fat to polyunsaturated fat in the 1970s, the oils that we consume more often now contain more monounsaturates, which seem to be more beneficial.  Given that there are some plant-based oils that are high in saturates – such as palm oil and coconut oil – it is important to consider them separately.

    “Recent dietary fads have suggested a re-examination of evidence on dietary fat.  People who are confused about these conflicting messages about their diet should focus on broader, well-established advice, which can be summarised as: eat more fresh vegetables.”

    Prof Tom Sanders, Professor emeritus of Nutrition and Dietetics, King’s College London, said:

    “This important study shows that people who chose to eat butter don’t live as long as those who chose to eat vegetable oils.  It is a well conducted prospective study of 221,054 health professionals who were in their fifties when enrolled and followed up for 33 years.  Dietary intakes were assessed every 4 years.  The study reports that those who had the highest intake of butter were 15% more likely to die prematurely (from both cardiovascular disease and cancer).  In comparison the opposite was true (a 16 % reduction in relative risk of all-cause mortality), for participants who had the highest intake of vegetable oil.  The same relationship was seen for olive oil, soybean oil and canola oil (rapeseed oil).

    “The strength of the study is the long period of follow-up, repeated measures of dietary intake and adjustment in the statistical analysis for other factors such as smoking habit and obesity.  The findings do not apply to sunflower, palm or coconut oils which were not consumed to any significant extent in this study.  The limitations are that this an observational study not a randomised controlled trial.  Furthermore, the findings with regard to health professionals may differ from the general population because they are better informed about healthy lifestyle choices.

    “Butter is high in saturated fat, contains some trans fatty acids but is very low in polyunsaturated fats.  Whereas unhydrogenated soybean, canola and olive oils are low in saturated fatty acids but high in unsaturated fats.  Replacement of butter with these vegetable oils is well documented to lower blood cholesterol, particularly that associated with low density lipoprotein (LDL) by about 10%.  This change in LDL cholesterol would be predicted to reduce the relative risk of death by about 3% which is much less than what was observed in this study.  It remains possible that a higher intake of polyunsaturated fatty acids (especially linoleic acid) from the vegetable oil may have played a role in reducing risk by a variety of mechanisms.  An alternative explanation may be that health professionals who are sensible follow prevailing healthy eating and lifestyle advice compared to those who don’t.

    “The take home message is that it is healthier to choose unsaturated vegetable oils rather than butter.  This is particularly relevant as there has been much negative publicity about vegetable oils on social media, which are based on unfounded claims of potential harmful effects, rather than deaths as described in the present study.”

    Prof George Davey Smith, FRS FMedSci, Professor of Clinical Epidemiology, University of Bristol, said:

    “Yet again these studies show that the exposure that is accompanied by large differences in other adverse health exposures – e.g. more than double the rate of cigarette smoking in the highest quartile vs lowest quartile of butter consumption is associated with worse health outcomes.  That these differences cannot be taken into account by the statistical models the authors use is well known; measurement error and unmeasured factors ensure this.  It is now more than 30 years since these authors published two high profile papers back to back in the New England Journal of Medicine claiming that vitamin E supplement use would reduce heart disease risk by 40%.  The claims were incorrect, but many people believed them – the story was the headline news in the New York Times – and started taking vitamin E supplements.  However randomised trials later showed this was nonsense: there was no benefit.  This is documented in the first few minutes of this recent talk https://www.youtube.com/watch?v=8IgpTT5ZXXU&t=2s  As in the conclusion of my blog1 on the same authors’ “dark chocolate” paper, the interesting question this paper raises is “why do supposedly legitimate journals keep publishing papers like this?”.”

    1 https://ieureka.blogs.bristol.ac.uk/2024/12/04/dark-chocolate-diabetes/

    * ‘Butter and Plant-Based Oils Intake and Mortality’ by Yu Zhang et al. will be published in JAMA Internal Medicine at 21:00 UK time on Thursday 6 March 2025, which is when the embargo will lift.

    DOI: 10.1001/jamainternmed.2025.0205

    Declared interests

    Prof Sarah Berry: “Sarah has received funding from the Almond Board of California, Malaysian Palm Oil Board and ZOE (Chief scientist at ZOE Ltd, options and consultancy at ZOE Ltd.).”

    Dr Louise Flanagan: “None.”

    Prof Parveen Yaqoob: “Professor Parveen Yaqoob is Deputy Vice-Chancellor, and Pro-Vice-Chancellor (Research & Innovation) of the University of Reading, and professor of nutritional science in the Department of Food and Nutritional Sciences, which has funding from public bodies, charities and businesses to conduct independent scientific research on food and nutrition.

    The Department has done work on dietary fat, including research co-authored by Parveen as part of the DIVAS project: https://research.reading.ac.uk/ifnh/cases/milk-dairy-consumption-risk-cardiovascular-diseases-cause-mortality/  Mostly government or UKRI funded, with industry partners.  The papers listed from that project list grant numbers.

    Work on reducing saturated fat in dairy was a REF case study, which includes grant numbers from BBSRC and MRC, and had industry partners throughout, which is one of the ways in which the research was considered to have impact.

    https://results2021.ref.ac.uk/impact/eefa0a3d-4ba8-4419-8c28-836e06b41eed?page=1.”

    Prof Tom Sanders: “I am a member of the Programme Advisory Committee of the Malaysia Palm Oil Board which involves the review of research projects proposed by the Malaysia government.

    I also used to be a member of the Scientific Advisory Committee of the Global Dairy Platform up until 2015.

    I did do some consultancy work on GRAS affirmation of high oleic palm oil for Archer Daniel Midland more than ten years ago.

    My research group received oils and fats free of charge from Unilever and Archer Daniel Midland for our Food Standards Agency Research.

    Tom was a member of the FAO/WHO Joint Expert Committee that recommended that trans fatty acids be removed from the human food chain.

    Member of the Science Committee British Nutrition Foundation.  Honorary Nutritional Director HEART UK.

    Before my retirement from King’s College London in 2014, I acted as a consultant to many companies and organisations involved in the manufacture of what are now designated ultraprocessed foods.

    I used to be a consultant to the Breakfast Cereals Advisory Board of the Food and Drink Federation.

    I used to be a consultant for aspartame more than a decade ago.

    When I was doing research at King’ College London, the following applied: Tom does not hold any grants or have any consultancies with companies involved in the production or marketing of sugar-sweetened drinks.  In reference to previous funding to Tom’s institution: £4.5 million was donated to King’s College London by Tate & Lyle in 2006; this funding finished in 2011. This money was given to the College and was in recognition of the discovery of the artificial sweetener sucralose by Prof Hough at the Queen Elizabeth College (QEC), which merged with King’s College London. The Tate & Lyle grant paid for the Clinical Research Centre at St Thomas’ that is run by the Guy’s & St Thomas’ Trust, it was not used to fund research on sugar. Tate & Lyle sold their sugar interests to American Sugar so the brand Tate & Lyle still exists but it is no longer linked to the company Tate & Lyle PLC, which gave the money to King’s College London in 2006.”

    Prof George Davey Smith: “No COIs.”

    MIL OSI United Kingdom

  • MIL-OSI: Hut 8 Operations Update for February 2025

    Source: GlobeNewswire (MIL-OSI)

    592-acre site secured for newest River Bend campus in Louisiana

    ASIC fleet upgrade underway with deployment of new miners 

    Vega development progressing on schedule for Q2 energization

    MIAMI, March 06, 2025 (GLOBE NEWSWIRE) — Hut 8 Corp. (Nasdaq | TSX: HUT) (“Hut 8” or the “Company”), an energy infrastructure platform integrating power, digital infrastructure, and compute at scale to fuel next-generation, energy-intensive use cases such as Bitcoin mining and high-performance computing, today released its operations update for February 2025.

    “We made significant progress in February across every layer of our platform, from expanding our footprint to developing digital infrastructure and upgrading our ASIC fleet,” said Asher Genoot, CEO of Hut 8. “In our Power layer, we secured 592 acres in Louisiana for our newest River Bend campus, one of three sites comprising 430 MW of previously disclosed AI data center development opportunities. The site is expected to support a 300-megawatt utility-scale power asset with 200 megawatts of dedicated IT load.”

    “In our Digital Infrastructure layer, our Vega development remains on schedule for Q2 energization. Miner deliveries for our ~15 EH/s ASIC Colocation agreement with BITMAIN are underway, and as we prepare for energization, we have begun building out the site’s operational infrastructure, including the onboarding of site management and the development of operating processes.”

    “In our Compute layer, new miners began arriving at Salt Creek and Medicine Hat, and we are actively deploying them for our fleet upgrade. In parallel, we began the process of relocating the most efficient of our existing ASICs from Salt Creek to Alpha to improve overall fleet performance. While these initiatives resulted in some downtime during the month, it moves us closer to our post-upgrade hashrate target of ~10.3 EH/s and fleet efficiency target of ~20.5 J/TH.”

    Highlights

    • Secured 592 acres in Louisiana for River Bend campus
    • Vega development progressing on schedule for Q2 energization (image below)
    • ASIC fleet upgrade underway, with new miners arriving in tranches and being deployed

    Operating Metrics

    Average during the period unless otherwise noted February 2025 January 2025
         
    Total energy capacity under management (mining)1,2,3 665 MW 665 MW
    Total deployed miners under management4 109.2K 115.3K
    Total hashrate under management5 12.3 EH/s 12.7 EH/s
         
    Bitcoin Mining6    
    Deployed miners7,8 41.5K 47.1K
    Deployed hashrate9 4.6 EH/s 5.0 EH/s
    Bitcoin produced2,10 46 BTC 65 BTC
    Bitcoin held in reserve2,11 10,237 BTC 10,208 BTC
         
    Managed Services12    
    Energy capacity under management2 280 MW 280 MW
    Deployed miners under management8 84.4K 85.7K
    Hashrate under management 9.4 EH/s 9.4 EH/s
         
    ASIC Colocation    
    Deployed miners under management8,13 67.7K 68.1K
    Hashrate under management14 7.7 EH/s 7.7 EH/s
         

    Energy Infrastructure Platform2

            Current/Contracted Revenue Stream(s)15
    Site Location Owner16 Power
    Capacity
    Bitcoin
    Mining
    Managed
    Services
    ASIC
    Colocation
    CPU
    Colocation
    / Data
    Center
    Cloud
    Power
    Generation
    Vega17 Texas Panhandle Hut 8 205 MW     Yes18    
    Medicine Hat Medicine Hat, AB Hut 8 67 MW Yes        
    Salt Creek Orla, TX Hut 8 63 MW Yes        
    Alpha Niagara Falls, NY Hut 8 50 MW Yes        
    Drumheller18 Drumheller, AB Hut 8 42 MW          
    Kelowna Kelowna, BC Hut 8 1.1 MW       Yes  
    Mississauga Mississauga, ON Hut 8 0.9 MW       Yes  
    Vaughan Vaughan, ON Hut 8 0.6 MW       Yes  
    Vancouver II Vancouver, BC Hut 8 0.5 MW       Yes  
    Vancouver I Vancouver, BC Hut 8 0.3 MW       Yes  
    King Mountain19 McCamey, TX Hut 8 (JV) 280 MW Yes Yes Yes    
    Iroquois Falls20 Iroquois Falls, ON Hut 8 (JV) 120 MW         Yes
    Kingston20 Kingston, ON Hut 8 (JV) 110 MW         Yes
    North Bay20 North Bay, ON Hut 8 (JV) 40 MW         Yes
    Kapuskasing20 Kapuskasing, ON Hut 8 (JV) 40 MW         Yes
    Total     1,020 MW          
                     

    Upcoming Events

    Dates Event Location
    March 11–12, 2025 Cantor Crypto, Digital Assets & AI Infrastructure Conference Miami, FL
    March 16–18, 2025 37th Annual ROTH Conference Dana Point, CA
    March 24–25, 2025 Data Center Dynamics DCD>Connect New York City, NY
    March 25–27, 2025 Mining Disrupt Fort Lauderdale, FL
    April 7–8, 2025 Jones Healthcare and Technology Innovation Conference Las Vegas, NV
    May 13–15, 2025 J.P. Morgan Global Technology, Media and Communications Conference Boston, MA
    May 19–20, 2025 Barclays 15th Annual Emerging Payments and FinTech Forum New York City, NY
         

    Notes:

    (1) Energy capacity under management (mining) includes (i) 180 MW of Bitcoin Mining sites comprised of Alpha, Medicine Hat, and Salt Creek, (ii) 205 MW of ASIC Colocation capacity at Vega, which is currently under construction, and (iii) 280 MW of capacity under management at King Mountain.
    (2) As of the end of the period.
    (3) Includes 205 MW of capacity at Vega as the site is expected to host miners for BITMAIN.
    (4) Includes all miners that are racked with power and networking, rounded to the nearest 100, in Bitcoin Mining, Managed Services, and ASIC Colocation infrastructure with power and networking, including all miners at the King Mountain site.
    (5) Includes all Bitcoin Mining, Managed Services, and ASIC Colocation hashrate, including 100% of the hashrate at the King Mountain site.
    (6) Bitcoin Mining operations for Hut 8 include 100% of operations at the King Mountain site.
    (7) Deployed miners are defined as those physically racked with power and networking, rounded to the nearest 100; deployed Bitcoin Mining miners net of the 50% share of the King Mountain JV held by Hut 8’s joint venture partner was 33.1K during February and 38.4K during January.
    (8) Miners are rounded to the nearest 100.
    (9) Indicates the target hashrate of all deployed miners; deployed Bitcoin Mining hashrate net of the 50% share of the King Mountain JV held by Hut 8’s joint venture partner was 3.8 EH/s during February and 4.7 EH/s during January.
    (10) Bitcoin produced net of the 50% share of the King Mountain JV held by Hut 8’s joint venture partner was 38 BTC during February and 51 BTC during January.
    (11) Includes 968 Bitcoin pledged and transferred to a third-party wallet to finance Hut’s previously announced fleet upgrade.
    (12) Managed Services includes 280 MW of capacity under management at King Mountain.
    (13) 33.8K deployed miners under management net of the 50% share of the King Mountain JV held by Hut 8’s joint venture partner during February compared to 34.1K during January.
    (14) 3.8 EH/s under management net of Hut 8’s joint venture partner’s 50% share of the King Mountain JV during both February and January.
    (15) Reflects revenue sources to Hut 8, its subsidiaries, and/or joint ventures in which they participate.
    (16) Owned denotes ownership of power infrastructure at owned or leased data center locations, except for HPC sites where owned denotes ownership of mechanical and electrical infrastructure at leased data center locations.
    (17) Site is currently under development.
    (18) Site currently shut down; Hut 8 maintaining lease with option value of re-energizing site.
    (19) Owned by a JV between Hut 8 and a Fortune 200 renewable energy producer in which Hut 8 has an approximately 50% membership interest.
    (20) Owned by a JV between Hut 8 and Macquarie in which Hut 8 has an approximately 80% membership interest.
       

    About Hut 8 

    Hut 8 Corp. is an energy infrastructure platform integrating power, digital infrastructure, and compute at scale to fuel next-generation, energy-intensive use cases such as Bitcoin mining and high-performance computing. We take a power-first, innovation-driven approach to developing, commercializing, and operating the critical infrastructure that underpins the breakthrough technologies of today and tomorrow. Our platform spans 1,020 megawatts of energy capacity under management across 15 sites in the United States and Canada: five Bitcoin mining, hosting, and Managed Services sites in Alberta, New York, and Texas, five high performance computing data centers in British Columbia and Ontario, four power generation assets in Ontario, and one non-operational site in Alberta. For more information, visit www.hut8.com and follow us on X (formerly known as Twitter) at @Hut8Corp.

    Cautionary Note Regarding Forward–Looking Information

    This press release includes “forward-looking information” and “forward-looking statements” within the meaning of Canadian securities laws and United States securities laws, respectively (collectively, “forward-looking information”). All information, other than statements of historical facts, included in this press release that address activities, events, or developments that Hut 8 expects or anticipates will or may occur in the future, including statements relating to the expected River Bend site capabilities, the timing for the buildout and energization of the Vega site as well as the expected Vega site capabilities, and the timing of the delivery and deployment of the Company’s initial fleet upgrade and its fleet relocation, including the expected resulting improvements to hashrate and average fleet efficiency.

    Statements containing forward-looking information are not historical facts, but instead represent management’s expectations, estimates, and projections regarding future events based on certain material factors and assumptions at the time the statement was made. While considered reasonable by Hut 8 as of the date of this press release, such statements are subject to known and unknown risks, uncertainties, assumptions and other factors that may cause the actual results, level of activity, performance, or achievements to be materially different from those expressed or implied by such forward-looking information, including, but not limited to, failure of critical systems; geopolitical, social, economic, and other events and circumstances; competition from current and future competitors; risks related to power requirements; cybersecurity threats and breaches; hazards and operational risks; changes in leasing arrangements; Internet-related disruptions; dependence on key personnel; having a limited operating history; attracting and retaining customers; entering into new offerings or lines of business; price fluctuations and rapidly changing technologies; construction of new data centers, data center expansions, or data center redevelopment; predicting facility requirements; strategic alliances or joint ventures; operating and expanding internationally; failing to grow hashrate; purchasing miners; relying on third-party mining pool service providers; uncertainty in the development and acceptance of the Bitcoin network; Bitcoin halving events; competition from other methods of investing in Bitcoin; concentration of Bitcoin holdings; hedging transactions; potential liquidity constraints; legal, regulatory, governmental, and technological uncertainties; physical risks related to climate change; involvement in legal proceedings; trading volatility; and other risks described from time to time in Company’s filings with the U.S. Securities and Exchange Commission. In particular, see the Company’s recent and upcoming annual and quarterly reports and other continuous disclosure documents, which are available under the Company’s EDGAR profile at www.sec.gov and SEDAR+ profile at www.sedarplus.ca.

    Hut 8 Corp. Investor Relations
    Sue Ennis
    ir@hut8.com

    Hut 8 Corp. Media Relations
    media@hut8.com

    A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/491f8f14-dfa3-4756-b936-beb3e627bede

    The MIL Network

  • MIL-OSI USA: NIH centralizes peer review to improve efficiency and strengthen integrity

    Source: US Department of Health and Human Services – 2

    News Release
    Thursday, March 6, 2025

    Today the National Institutes of Health is announcing plans to centralize peer review of all applications for grants, cooperative agreements and research and development contracts within the agency’s Center for Scientific Review (CSR). The proposed approach is expected to save more than $65 million annually by eliminating duplicative efforts across the agency, making the review process more efficient.  
    “At NIH, we are working to optimize our resources to support the best science,” said Acting NIH Director Matthew J. Memoli, M.D. “By centralizing the peer review process, we will not only reduce costs—we will also improve the quality, consistency and integrity of review, and maximize competition of similar science across the agency.”   
    More than 80% of NIH’s funding overall supports research institutions across the country, largely through competitive grants that are administered by NIH Institutes and Centers (IC) or the NIH Office of the Director. Each IC has its own budget and research agenda, often focusing on specific diseases or body systems.  
    Funding decisions are made through a rigorous dual-level review process. Scientific review groups or study sections, first evaluate and score research proposals for scientific and technical merit. Study sections are made up of volunteer scientists, mostly from academia, and overseen by NIH staff known as scientific review officers. Advisory councils for NIH ICs and the NIH Office of the Director then perform a second-level review for mission relevance. Ultimately, IC directors make final funding decisions, taking into consideration current research priorities and the existing funding portfolio. 
    The new centralization effort will apply to the first stage of the review process. NIH’s CSR, which was established in 1946 to manage the scientific review of NIH grant applications and to ensure independent, expert review free from inappropriate influence, currently manages the peer review process for more than 78% of NIH grants. The remaining 22% are reviewed in study sections within 23 ICs, each operating separately with its own administrative and support overhead. The proposed consolidation would eliminate the IC-based study sections so that CSR conducts all first-level review.  
    According to an analysis of FY24 data, CSR uses 0.3% of the NIH budget to review more than 66,000 applications annually. In comparison, review costs in the ICs average about 300% of CSR’s costs. 
    “Centralized peer review will mitigate the potential for bias by entirely separating the peer review and funding components of NIH,” said CSR Director Noni Byrnes, Ph.D. 
    NIH’s proposal is now under review with implementation pending external review. This includes review by HHS and the Office of Management and Budget, providing Congress with a 15-day notification period, and issuing a Federal Register notice.
    About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
    NIH…Turning Discovery Into Health®
    ###

    MIL OSI USA News

  • MIL-OSI USA: News 03/6/2025 Blackburn, Hassan, Colleagues Introduce the “Patients Before Middlemen Act” to Bring Down Cost of Prescription Drugs

    US Senate News:

    Source: United States Senator Marsha Blackburn (R-Tenn)
    WASHINGTON, D.C. – Today, U.S. Senators Marsha Blackburn (R-Tenn.), Maggie Hassan (D-N.H.), and Mark Warner (D-Va.) released the following statements after introducing the Patients Before Middlemen (PBM) Act, which would delink the compensation of pharmacy benefit managers (PBMs) from drug price and utilization. It would also ensure fair treatment of all pharmacies by requiring Medicare Part D plans to contract with any willing pharmacy that meets reasonable terms and conditions.

    “The Patients Before Middlemen Act would increase transparency and reduce prescription drug costs for seniors at the pharmacy counter. For too long, middlemen have taken advantage of misaligned incentives in the pharmaceutical supply chain at the expense of taxpayers and seniors. We need to put patients before the profits of pharmacy benefit managers,” said Senator Blackburn.

    “Seniors shouldn’t have to choose between paying for essential medications and other basic needs,” said Senator Hassan. “This bipartisan legislation will help stop pharmacy benefit managers from exploiting loopholes that allow them to drive up drug prices, saving seniors their hard-earned money while also saving taxpayer dollars.  I urge my colleagues to support this bill, and I will continue to work to lower prescription drug costs for Granite Staters and all Americans.”

    “For too long, Seniors on fixed incomes have had to worry about the high cost of prescription drugs. Meanwhile, PBMs continue to contribute to this phenomenon by keeping drug prices high and reimbursements for local pharmacies low. Seniors on Medicare – and the Medicare program itself – can’t afford to be taken advantage of by middlemen who don’t contribute to quality of care. I’m proud to introduce this legislation as part of our ongoing fight to get these policies across the finish line,” said Senator Warner.

    Senator James Lankford (R-Okla.) co-sponsored this legislation.
    BACKGROUND
    PBMs are third-party intermediaries that manage prescription drug benefits and pharmacy networks on behalf of health plans, including Medicare Part D plans. PBMs perform multiple functions, including determining which medications will be covered by health insurance plans and how much patients will pay.
    The PBM industry was created to assist employers with managing overall prescription drug costs and benefits. However, the current system incentivizes PBMs to steer health plans and seniors towards more expensive prescription drugs.
    Currently, PBMs’ income is often linked to the price of a drug. By tying administrative fees, rebate-based compensation, and other payments to a percentage of the list price, current arrangements incentivize increases in sticker prices, harming patients at the pharmacy counter.
    Existing regulations allow Part D plan sponsors to contract selectively with pharmacies, favoring preferred networks that often exclude independent pharmacies.
    THE PBM ACT
    The PBM Act would:
    Ensure pharmacies are given fair and equitable treatment by requiring Part D plans to contract with any willing pharmacy and introduce the designation of essential retail pharmacies to provide better classification in rural and underserved areas.
    Enhance transparency and accountability, ensuring PBMs are not limited patient access to available pharmacy options under Medicare Part D.  
    Prohibit PBM compensation based on the price of a drug as a condition of entering into a contract with a Medicare Part D plan. Under this legislation, PBM service fees would not be connected to the price of a drug, discounts, rebates, or other fees.
    Create an enforcement mechanism requiring PBMs to pay to the U.S. Department of Health and Human Services Secretary any amount in excess of the designated service fees.
    Click here for bill text.

    MIL OSI USA News

  • MIL-OSI USA: As Avian Flu Rages, Gillibrand Calls On Trump Administration To Take Action To Fight Spread, Bring Down Skyrocketing Cost Of Eggs

    US Senate News:

    Source: United States Senator for New York Kirsten Gillibrand
    As avian flu rages across the country and drives up the cost of eggs, U.S. Senator Kirsten Gillibrand held a virtual press conference calling on the Trump administration to take action to develop and approve a vaccine for poultry and contain the outbreak.
    Bird flu has been found in 44 of New York’s 62 counties and has forced farmers to cull more than 150 million birds around the country, including 100,000 at one farm on Long Island alone. A new strain of the disease has been found in cattle; its spread would be devastating to New York’s dairy farmers and could pose a serious threat to human health if the strain continues to evolve.
    Nevertheless, the Trump administration has stopped releasing crucial data on the spread of bird flu and has fired federal workers responsible for tracking cases and managing the federal response. Gillibrand is calling on the administration to take action to address the outbreak and support the development and approval of a vaccine to bring down egg prices, reduce the need to depopulate flocks, and safeguard public health. 
    “Avian flu is decimating bird populations, and the subsequent shortage of egg-laying hens is making eggs unaffordable for working New Yorkers,” said Senator Gillibrand. “President Trump must act now to contain this outbreak. I am urging him to do everything in his power to prioritize the development of a vaccine to inoculate chickens against avian flu and fulfill his campaign promise to bring down grocery prices. I am alarmed that the administration limited the data shared with the scientific community and am urging full transparency. This deadly disease requires a whole of government response to be enacted immediately.” 
    The full text of Senator Gillibrand’s letter to leadership at the U.S. Department of Agriculture, the Department of Health and Human Services, the Department of Homeland Security, and the Office of the United States Trade Representative is available here or below:
    Dear Secretary Rollins, Secretary Kennedy, Secretary Noem, and Ambassador Greer,
    As the United States enters its third year of containing the H5N1 strain of Highly Pathogenic Avian Influenza (HPAI), it is imperative that the federal government continue to aggressively combat the spread of this deadly disease. With more than 150 million birds already culled, including 100,000 birds at one farm on Long Island alone, this outbreak does not appear to be slowing down.1 Human infections, including a fatal case in Louisiana, and a new strain of the disease discovered in a dairy herd in Nevada, demonstrate the ongoing and increasing risk this influenza is posing to animal and human health.2 Agencies must work together on comprehensive response efforts including vaccine development, publishing current scientific data, and proactive engagement with our international trading partners.  
    On January 31, 2025, the Animal and Plant Health Inspection Service confirmed a new genotype of HPAI, Genotype D1.1, identified in a dairy farm in Nevada.3 This is the first time in which there is clear, genetic confirmation that dairy cattle derived the virus from birds. As the virus evolves, it will make it more difficult to control the spread amongst wild birds, commercial poultry flocks, and dairy farms. In addition, an evolving virus could potentially lead to increased infections among humans, particularly farmworkers who interact with the animals daily. While the poultry industry has robust biosecurity measures to reduce the spread of HPAI in their operations, it seems that these measures are not adequate in combatting this highly virulent strain. The strategies used to combat the 2015 avian flu epidemic (i.e. increased biosecurity precautions) do not seem to be enough to counteract this strain.4  
    Engagement with the scientific community is the cornerstone of disease prevention and mitigation.  It is extremely alarming that the weekly Morbidity and Mortality Report from the Centers for Disease Control and Prevention, released on February 5, 2025, did not have any mention of H5N1 and did not contain any publicly available information on the risks associated with this virus. While data seemed to have been briefly included in the Morbidity and Mortality Report, it is no longer included in versions available online.5 Reports indicate that mistakenly reported data included indications there has been transmission of H5N1 between cats and humans, specifically those that share the same household.6 The midst of a potential public health crisis is not the time to hide information from the broader scientific community. The refusal to share this data will stifle critical vaccine development.  
    Unfortunately, inoculating poultry against HPAI, especially operations that are free-range, is extremely difficult. This outbreak of HPAI will require novel solutions in terms of vaccine delivery, such as additions to water or feed, as direct vaccine injection is not feasible on larger commercial operations. The income lost for poultry farmers can be immense if they must cull their flock. For example, egg-laying operations must wait at least 17 weeks before the animal is providing product, meaning farmers could be out of income for up to 5 months. Additionally, broiler chickens have a much shorter lifespan, meaning they must be vaccinated at a younger age. It is critical that the federal government use all resources available to rapidly develop and deploy these new vaccine strategies. The United States Department of Agriculture and the Department of Homeland Security must work closely together to use all possible resources at shared facilities, such as Plum Island or the National Bio and Agro-Defense Facility, to develop these new treatments for chickens, turkeys, and dairy cows.  
    While vaccines are being developed, the United States Trade Representative must proactively engage with our international trading partners regarding the usage of newly developed vaccines. Public-private engagement will be critical to inform vaccination guidance to ensure our agricultural communities have access to these critical foreign markets.  
    In summation, I request monthly written updates on the following items: 
    What coordination actions have been undertaken by the Departments of Health and Human Services, Agriculture, Homeland Security, and the U.S. Trade Representative. 
    The status of vaccine development for HPAI.  
    The interactions with international trading partners in terms of vaccine development. 
    Actions taken by executive agencies to engage with the scientific community.  
    I look forward to working on this issue together. If you have additional questions, please reach out to my staff.

    MIL OSI USA News