Category: Health

  • MIL-OSI United Nations: Economic and Social Council Holds All-Day Annual Partnerships Forum with Focus on Advancing Sustainable Development Goals

    Source: United Nations 4

    2025 Session,

    Partnerships Forum (AM & PM)

    ECOSOC/7189

    The Forum, held today at UN Headquarters in New York, serves as a key platform for engaging a wide range of actors in the work of the Council and the High-Level Political Forum.  This year, participants will place a special emphasis on the Sustainable Development Goals (SDGs) that will be reviewed at the Political Forum, to be held from 14 to 23 July. They include Goal 3 (Good Health and Well-being); Goal 5 (Gender Equality); Goal 8 (Decent Work and Economic Growth); Goal 14 (Life Below Water); and Goal 17 (Partnerships for the Goals).

    In accordance with resolution 75/290A, this year’s Partnership Forum will focus on exchanging new ideas, expectations and priorities for the work ahead for both the Council and Political Forum.  It will highlight and discuss forward-looking actions by governments and other stakeholders through innovative partnerships that aim to mobilize commitments and actions to advance the 2030 Agenda and address new challenges.

    Information on the Partnerships Forum and this year’s full programme can be found at https://sdgs.un.org/2025ECOSOCPartnershipForum#background.

    For information media. Not an official record.

    MIL OSI United Nations News

  • MIL-OSI USA: First Responder Mental Health Needs Assessment Released

    Source: US State of New York

    Governor Kathy Hochul today unveiled the findings from New York’s first responder mental health needs assessment. The assessment was developed to better understand the mental health-related challenges facing individuals working in public safety fields and strengthen programs and services for these professionals. More than 6,000 individuals in law enforcement, emergency medical services, fire services, emergency communications and emergency management from every region of the State completed a voluntary anonymous survey, and five follow up focus group discussions were held. The assessment showed more than half of the participants experience high levels of stress, burnout, anxiety and depression related to their jobs, and that they may not seek help due to their fear of facing stigma. As part of the 2025 State of the State, Governor Hochul announced new initiatives to protect and support New York’s first responders, including launching a first responder counseling scholarship program to create a sustainable pipeline of mental health professionals uniquely equipped to support the responder community.

    “Our first responders go above and beyond the call of duty to protect our communities — their wellbeing is a reflection of our collective strength, and we must do everything we can to support them,” Governor Hochul said. “I initiated the first responder mental health needs assessment to help address and further tackle the mental health crisis among our first responders, and I’m committed to continue breaking down barriers to care and get them the resources they need.”

    Recognizing the unique mental health challenges that first responders face, Governor Hochul announced several new initiatives aimed at supporting and protecting first responders. Governor Hochul proposed launching a first responder counseling scholarship program through the State University of New York (SUNY) that would help close gaps in care due to a shortage of counselors familiar with the responder community. Financial barriers often deter first responders from pursuing counseling degrees, limiting the availability of culturally competent mental health professionals. This initiative will support first responders pursuing counseling degrees and offer micro-credentials in areas like trauma-informed care and peer support leadership. In return for scholarship support, recipients will commit to serving as counselors in New York State, creating a sustainable pipeline of mental health professionals uniquely equipped to support the responder community.

    Governor Hochul also understands staffing shortages may lead to increased challenges to first responders’ mental health. That is why she proposed in her 2025 State of the State to eliminate outdated barriers in public safety recruitment that have limited public safety agencies’ ability to attract qualified candidates, excluding individuals with valuable experience and worsening staffing shortages. Governor Hochul will modernize occupational standards to expand pathways for qualified candidates. This includes raising the New York State Police retirement age to 63 and removing the 35-year-old maximum age restriction for law enforcement recruitment, as well as allowing non-New York residents to apply for correctional officer positions. These changes will ensure agencies can draw from a broader and more diverse pool of applicants.

    Many New Yorkers also face barriers to pursuing public safety careers due to misaligned training programs and limited opportunities for advancement. Governor Hochul will partner with SUNY and the City University of New York (CUNY) to award academic credit for public safety training programs and integrate these credits into degree pathways. These efforts will attract more candidates to public safety careers and provide advancement opportunities for those currently working in public safety.

    New York State Division of Homeland Security and Emergency Services Commissioner Jackie Bray said, “First responders are exposed to traumatic situations in the line of duty every day, which lead to mental health issues that affect their personal and professional lives. This assessment gave us important insights into the specific challenges they face and will help us provide them with the resources they need to help manage those stresses.”

    New York State Office of Mental Health Commissioner Dr. Ann Sullivan said, “Understanding the extreme stress and cumulative trauma our first responders typically experience on the job is a critical starting point for us to address burnout and other negative impacts they encounter. This survey and the subsequent focus group discussions have provided us with critical information to advise our efforts to support the mental health needs of the first responder community and their families.”

    Some of the report’s key findings include:

    • Stress was experienced by more than two-thirds of first responders (68 percent), followed by burnout (59 percent) and anxiety (52 percent).
    • A majority of first responders reported having experienced symptoms associated with the mental health condition depression (53 percent) and approximately 4 in ten first responders experienced symptoms associated with the mental health condition PTSD (38 percent).
    • Thoughts of suicide were reported by 16 percent of first responders, which is four times higher than the general population in New York State.
    • More than 90 percent reported that services such as individual therapy, couple and family therapy, and peer support groups would help improve first responder mental health, if they were free and easily accessible.
    • However, 80 percent reported that stigma is a major barrier to seeking help, and 78 percent cited not recognizing the need for help as a barrier, along with 75 percent reporting the lack of mental health providers who understand the needs of first responders as a barrier. Additionally, 72 percent reported concerns about confidentiality.
    • Emergency communications personnel had among the highest ratings for stressors and mental health impacts relative to other first responder occupations.

    Benjamin Center at SUNY New Paltz Director of Education Projects Robin Jacobowitz said, “We want to extend our deep gratitude to the more than 6,000 first responders across New York State who gave their time and insights for this study. We know it is not always easy to talk about mental health, especially in a professional context. Your willingness to discuss your ideas, experiences, and challenges help bring this critical issue to light and will fuel the interagency, statewide effort to enhance support structures for New York’s first responders.”

    Institute for Disaster Mental Health at SUNY New Paltz Executive Director Amy Nitza said, “This assessment documents not only the tremendous toll that the work takes on first responders, but also the significant barriers they encounter in getting the help they need. IDMH is committed to collaborating with our partners throughout New York State, including responders themselves, to remove those barriers and ensure that all our first responders have access to the support and care that enables them to continue serving their communities so well.”

    Suffolk County Sheriff Errol D. Toulon, Jr. said, “This assessment confirms that while first responders face unique stress, burnout, and mental health challenges, stigma too often prevents them from seeking the help they need. I commend the efforts of New York State and law enforcement agencies to acknowledge the problem and focus on ways to expand support for Officers. Thank you, Governor Hochul, for recognizing the urgency of this issue and for ensuring that law enforcement has a seat at the table of this very important conversation.”

    The assessment was commissioned by the New York State Division of Homeland Security and Emergency Services (DHSES) and conducted by the State University of New York (SUNY) at New Paltz’s Institute for Disaster Mental Health and the Benjamin Center.

    Governor Hochul announced the launch of the survey last April as part of her $1 billion comprehensive multi-year plan to overhaul the continuum of mental health care, and DHSES highlighted the preliminary findings in May. Early results of the assessment showed that 80 percent of survey-takes experienced negative impacts to home life due to work, while 79 percent reported negative impacts to physical health and 72 percent cited challenges with family relationships.

    As a result of the survey, New York State is working to identify and advance a variety of wellness efforts. For example, as part of her 2025 State of the State, Governor Hochul unveiled a number of proposals aimed toward supporting first responders, one of which includes launching the First Responder Counseling Scholarship Program through SUNY. Additionally, DHSES, the New York State Office of Mental Health (OMH) and other agencies are continually working to identify and offer wellness-related training opportunities for New York State’s first responders. DHSES and OMH are also partnering to develop a training on first responder cultural competency for mental health professionals.

    Mental Health Resources To Assist First Responders

    First responders experiencing mental health distress can seek support from a number of existing available resources.

    Most importantly, individuals experiencing thoughts of suicide or experiencing any other type of mental health crisis can call, text or chat with the State’s 988 Suicide & Crisis Lifeline. 988 is completely free, confidential and is available 24/7. Managed by OMH, anyone in need of services or interested in learning more about the hotline can visit their website at https://omh.ny.gov/omhweb/crisis/988.html.

    Additionally, OMH’s Suicide Prevention Center hosts an initiative called CARES UP that focuses on improving the mental health and wellness of law enforcement, firefighters, emergency services personnel and veterans. Learn more at https://nycaresup.com.

    DHSES collaborated with OMH to expand the state’s Disaster Mental Health Response, which comprises state and local teams of licensed professionals and volunteers trained to provide crisis counseling and other mental health services to individuals and responders impacted by disasters and other crisis situations.

    DHSES worked with the Institute for Disaster Mental Health (IDMH) at SUNY New Paltz to create a Managing Stress Workforce to help first responders and other public safety personnel better identify, understand, and manage stress. Originally developed for DHSES staff, the workshops have been expanded to include other State and local agencies. DHSES is also expanding training at the State Preparedness Training Center (SPTC), to include peer support team training. Peer support teams are comprised of individuals who have received specific training to provide emotional, social, and practical support to their peers, when needed. Peer support teams are often used within public safety organizations to help individuals deal with job-related stress and following critical incidents. DHSES is also in the process of creating a Peer Support Team to serve as a resource for agency staff and potentially other first responder organizations. More information about available training can be found on the DHSES website.

    About the State Division of Homeland Security and Emergency Services

    The Division of Homeland Security and Emergency Services (DHSES) provides leadership, coordination, and support to prevent, protect against, prepare for, respond to, recover from, and mitigate disasters and other emergencies. For more information, follow @NYSDHSES on Facebook, Instagram and X, or visit https://www.dhses.ny.gov

    MIL OSI USA News

  • MIL-OSI USA: Governor Josh Stein Announces Additional $5 Million to Fund Grants for Small Businesses Impacted by Hurricane Helene

    Source: US State of North Carolina

    Headline: Governor Josh Stein Announces Additional $5 Million to Fund Grants for Small Businesses Impacted by Hurricane Helene

    Governor Josh Stein Announces Additional $5 Million to Fund Grants for Small Businesses Impacted by Hurricane Helene
    bwood

    Raleigh, NC

    Today, Governor Josh Stein announced that the Duke Endowment has committed $5 million to the Western North Carolina Small Business Initiative grant program, which will support small businesses impacted by Hurricane Helene. Since its initial announcement on January 31, the WNCSBI grant program has already seen nearly 900 applicants—a number that is increasing daily.  

    “I am grateful that the Duke Endowment has joined our private-public partnership to ensure that small businesses in western North Carolina can get on the road to recovery,” said Governor Josh Stein. “This program is making a difference for the economy, but the need is great. I encourage more North Carolina philanthropies to support this critical work.” 

    “Small businesses are essential to the social and economic fabric of Western North Carolina,” said Duke Endowment president Rhett Mabry. “As communities work to recover from the devastation caused by Hurricane Helene, The Duke Endowment remains steadfast in its commitment to support rebuilding efforts, such as this, ensuring small businesses have the resources they need to emerge stronger than before.” 

    The Duke Endowment joins the Dogwood Health Trust in participating with the state on this initiative. Funds will be managed by Appalachian Community Capital, with the partnership of the Community Reinvestment Fund on the application process. Eligible businesses can apply through the portal here. Eligibility requirements are below:  

    • Businesses with an annual revenue of up to and including $2.5 million

    • Businesses in the 28 counties and the Eastern Band of Cherokee Indians that are covered by President Biden’s federal disaster declaration or in Dogwood Health Trust’s 18-county footprint, including:  Alexander, Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Catawba, Cherokee, Clay, Cleveland, Gaston, Graham, Haywood, Henderson, Jackson, Lincoln, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Surry, Swain, Transylvania, Watauga, Wilkes, Yadkin, Yancey.  

    Feb 5, 2025

    MIL OSI USA News

  • MIL-OSI Security: Defense News: Forging Readiness: Navy Reservists Train for Expeditionary Operations at NEMWDC

    Source: United States Navy

    The ERSS and ERCS training helps test the expeditionary medicine systems capabilities and reinforces essential operational skills, including combat lifesaving, tactical communications, weapons handling and mission planning.

    For the reservists, the training ensured they remain proficient and mission-ready, prepared to integrate seamlessly with active-duty forces to support the fleet while integrating their unique blend of expertise and military experience. Their role is crucial in providing surge capacity, specialized expertise and operational flexibility, strengthening the Navy’s ability to respond to global missions and maritime security challenges.

    During the training, the reservists worked alongside active-duty personnel to respond to simulated combat scenarios, including a bomb threat and a firefight. In one scenario, two service members sustained life-threatening injuries from an improvised explosive device and multiple gunshot wounds. Cmdr. You Wei Lin, a reservist anesthesiologist with the 4th Medical Logistics Group, 4th Medical Battalion Surgical Company Alpha, provided critical care and support to the simulated patients, ensuring they were safely sedated and monitored throughout a critical surgical procedure.

    Lin’s expertise allowed the surgical team to focus on life-saving interventions, such as controlling internal bleeding and repairing damaged tissue, under challenging condition. This collaboration demonstrated the importance of having skilled reservists integrated into expeditionary medical teams, showcasing their ability to perform seamlessly alongside active-duty counterparts in high-pressure scenarios.

    “I believe our team members integrated much more and started working together more cohesively after each evolution,” Lin said. “With high-fidelity simulation training, this course prepared our team both physically and mentally for the upcoming deployment.”

    The participation of the reservists in the training highlighted their importance to operational readiness.

    “Reservists bring specialized expertise and civilian medical experience that enhance the capability and flexibility of expeditionary medical teams, ensuring the highest level of care in combat and humanitarian missions,” explained Hospital Corpsman 1st Class Jeffrey Reyes, the leading petty officer of education and training at NEMWDC.

    The Naval Expeditionary Medicine Warfighter Development Center, located at Camp Pendleton, is a center of excellence for unit-level medical training, advancing combat trauma skills and certifying expeditionary medical platforms to ensure readiness for future operations. The center’s training programs, like the one the reservists participated in, are critical to preparing medical personnel for the challenges of combat and contingency operations.

    MIL Security OSI

  • MIL-OSI Security: Attorney General Loretta E. Lynch Testifies Before the Subcommittee on Commerce, Justice, Science and Related Agencies

    Source: United States Attorneys General 13

    Good morning, Chairman Shelby, Vice Chairwoman Mikulski and distinguished members of the Subcommittee.  I appreciate this opportunity to appear before you today to discuss steps the Department of Justice is taking to reduce gun violence and ensure smart and effective enforcement of our nation’s gun laws.

    As this Subcommittee well knows, our nation faces an epidemic of gun violence that has taken a devastating toll on communities throughout the country.  Each and every year, tens of thousands of Americans are injured or killed by firearms – in armed robberies, domestic disputes, suicides, accidents, shootouts and heinous acts of mass violence.  From law enforcement officers shot down while defending their communities, to children killed in tragic accidents, our friends and family members, neighbors and fellow citizens are being taken from us – day after day after day.

    As the list of tragedies involving firearms has grown, so has the American people’s belief that we must do more to stem the tide of gun violence – and this administration is committed to doing our part.  The executive actions that the President announced two weeks ago, including the measures I recommended to him, are essential components of our effort.  They are important steps that are within the Executive’s power to clarify existing legal provisions, focus enforcement efforts and spur innovation.

    I have complete confidence that the common sense steps announced by the President are lawful.  They are consistent with the Constitution as interpreted by the Supreme Court and the laws passed by Congress.  For example, the Gun Control Act lists the people who are not allowed to have firearms – such as felons, domestic abusers and others.  Congress has also required that background checks be conducted as part of sales made by federally licensed firearms dealers to make sure guns stay out of the wrong hands.  The actions announced by the President, which focus on background checks and keeping guns out of the wrong hands, are fully consistent with the laws passed by Congress.

    Taken together, the new executive actions will bring progress on a number of fronts.  By clarifying what it means to be “engaged in the business” of dealing firearms, we raise awareness of and enhance compliance with laws that are already on the books.  By issuing new regulations, we ensure that licensed dealers who ship weapons will report them if they are lost or stolen in transit and that those trying to acquire some of the most dangerous weapons through trusts or corporations undergo background checks.  By enhancing our national system of background checks, we will be better prepared to keep guns out of the wrong hands in the first place.  By increasing access to mental health care treatment with a proposed $500 million investment to the Department of Health and Human Services (HHS), we will not only be helping those in need, but also curbing gun deaths – the majority of which result from suicide.  And by supporting research on gun safety technology, we will be laying the groundwork for a safer future and drawing on our strength as the most technologically advanced nation on Earth.

    The steps that I have outlined – and the actions that President Obama has described – are all well-reasoned measures, well within existing legal authorities, built on work that’s already underway.  They clarify laws that are already on the books – because clear notice will help ensure that those laws are followed.  They direct important resources to our law enforcement agents – because these men and women deserve to have the support they need to do their difficult jobs effectively.  They lay the groundwork for state governments to more easily provide information to our background check system and for helping people with mental illnesses gain access to care – because in addition to helping people get the treatment they need, we must make sure we keep guns out of the hands of those who are prohibited by law from having them.  And they invest in research and promising technology that will make weapons safer – because problem-solving through innovation has always been one of our country’s greatest strengths.

    I am confident that these actions will help to make our people safer, our communities more secure and our law enforcement more effective.  But I also have no illusions that these measures by themselves will end gun violence in America.  At a time when there is so much work to be done and so much capacity for progress, there are many areas where only Congress can act.  We would welcome the opportunity to work with you to further these goals.  That’s why I am so grateful to have this opportunity to speak with you today about how we can work together to reduce gun violence in this country.  And I look forward to continuing this conversation in the days ahead as we discuss how to keep our promise to protect and defend every American’s right to safety and security and to life and liberty.

    At this time, I’d be glad to answer any questions you may have.

    MIL Security OSI

  • MIL-OSI Security: Attorney General Loretta E. Lynch Delivers Remarks at the American Correctional Association Winter Conference

    Source: United States Attorneys General 13

    Good afternoon and thank you for that warm welcome.  I want to thank Governor [John Bel] Edwards for that very kind introduction; for his lifelong commitment to law enforcement; and for his thoughtful leadership in promoting evidence-based, proven strategies for strengthening the work that we are here to discuss.  I also want to thank Executive Director [Jim] Gondles for inviting me to address you and for his decades of outstanding work in law enforcement and corrections. Thanks to all of the distinguished experts and passionate advocates who are here with us today.  And I want to take a moment to thank our extraordinary correctional staff and to recognize the outstanding and challenging work that they perform every day.  Your efforts may not often make headlines and they rarely receive the praise they deserve.  But I know, as you do, that your work as law enforcement officers – and you are law enforcement officers in the clearest sense – is profoundly important, deeply necessary and essential to fulfilling the Justice Department’s sacred mission.  You defend the American people and protect our values; you build safer communities and reduce crime and exploitation.  I am proud to serve alongside you in that effort. 

    It’s a pleasure to join you all here in New Orleans as we explore new ways to protect public safety and promote justice throughout the United States.  That effort is an essential part of this country’s founding mission to provide liberty, justice and equality for all – and for more than 140 years, the American Correctional Association (ACA) has been devoted to holding our correctional institutions to those ideals.  By maintaining the highest ethical standards among correctional workers and administrators at all levels, you ensure that incarcerated people are treated fairly, with decency and with respect for their humanity.  By advancing research, you help the public and policymakers understand where our system falls short and how it can be made stronger.  And by promoting rehabilitation and reentry, you stand for the principle that those who have done their time deserve a meaningful second chance at a better life; that all of us are more than the worst thing we have ever done.  As your founders wrote a century and a half ago in the ACA’s Declaration of Principles: “The state has not discharged its whole duty to the criminal when it has punished him, nor even when it has reformed him.  Having raised him up, it has further duty to aid in holding him up.”  You have always been at the forefront of corrections policy in the United States and as a result of your efforts, our society is fairer, safer and stronger today.

    It is essential that we recognize and celebrate the progress made by organizations like the ACA – but we must also leverage that progress to propel us forward.  The criminal justice system as a whole still faces real and important challenges.  A cycle of poverty and incarceration cuts through too many of our communities.  Harsh mandatory sentences continue to strain our prisons and jails with too many individuals who have committed nonviolent, low-level drug crimes, making it difficult to allocate scarce resources effectively.  Funding for rehabilitation is hard to come by, denying too many inmates the programs and skills they need to successfully return home.  And even those who do receive training are released into a society filled with unnecessary roadblocks to getting a job and finding a place to live – a counterproductive system that makes it easier for them to slip back into the patterns that landed them in jail in the first place. 

    Addressing these issues is central to the mission of the ACA.  It is also central to the work of the Justice Department and the Obama Administration.  In 2013, my predecessor, Attorney General Eric Holder, launched the Smart on Crime initiative – a landmark effort to make federal law enforcement more efficient, more effective and more fair.  We shifted our approach away from harsh mandatory sentences for low-level drug offenses, which enabled us to focus on more dangerous defendants and more violent crimes.  We also placed an emphasis on rehabilitation and reentry programs that can reduce recidivism and promote public safety.  And I am pleased to say that, during the time that Smart on Crime has been in effect, we have seen a reduction in crowding, making our prisons safer while allowing for the delivery of reentry and rehabilitative programs that are so critical to changing lives. 

    Improving rehabilitation programs and smoothing reentry isn’t just good for inmates; it’s also good for correctional staff and for our communities as a whole.  More than 600,000 people are released from federal, state and local prisons every year.  These are 600,000 people who are someone’s father, someone’s mother; someone’s brother or sister and someone’s child.  Preparing them to find good housing, to be reliable employees, to contribute to their communities and to abide by the law is a critical component of our responsibilities and it has tremendous implications for the safety of our neighborhoods, the health of our economy and the strength of our nation.  If we can reduce recidivism by helping motivated individuals successfully reenter society, we can reduce crime across the country – and make our neighborhoods better places to live, work and raise our children. 

    At the Department of Justice, we are taking our efforts even further.  In the last fiscal year alone, our Office of Justice Programs (OJP) has disbursed $53 million in Second Chance Act grants to promising state and local reentry efforts, with a particular focus on populations at the greatest risk of recidivism, including justice-involved youth and people with mental illness.  Last year, the Department hired its first-ever Second Chance Fellow, Daryl Atkinson – a formerly incarcerated individual who went on to earn a law degree and who now advises the Justice Department on issues related to reentry.  And through the Federal Interagency Reentry Council, which I have the privilege of chairing, the department is working closely with a number of Cabinet-level agencies to promote innovative approaches to reintegration – from expanding Pell Grant eligibility with the Department of Education; to studying ways to reduce homelessness with the Department of Health and Human Services; to assisting municipalities with record-cleaning and expungement alongside the Department of Labor.

    Of course, we recognize that the work of helping incarcerated individuals succeed outside prison must begin inside prison.  That not only involves ensuring humane and safe conditions for inmates and staff – an area in which our Civil Rights Division has collaborated closely with correctional leaders around the country.  It also requires commitment to a correctional philosophy that promotes rehabilitation from day one.  For decades, the heart of that commitment has been Federal Prison Industries (FPI), which President Franklin Roosevelt established in 1934 to employ thousands of incarcerated people.  Today, FPI remains the Bureau of Prisons’ (BOP) largest and most successful reentry program, helping men and women find a new sense of purpose and develop concrete skills that they can bring back to their communities.  I am proud of the work that FPI is doing.  My dedication to its continued success is unwavering.  And I am pleased to welcome its new CEO, Gary Simpson – an expert in manufacturing operations with 28 years of experience.  Over the next few years, Gary will spearhead a business transformation plan to expand FPI’s activities – using a business model that results in no costs to the taxpayers – to ensure that more incarcerated individuals can take advantage of this vital program.  I am excited about where his work will take us.

    In addition to reinforcing tried-and-true programs like FPI, the Department of Justice is also forging new pathways to better reentry outcomes.  This administration took a major step when the Bureau of Prisons created the Reentry Services Division, which has expanded mental health resources, supported substance abuse treatment programs and improved work and educational opportunities that prepare inmates for success after release.  BOP also launched a comprehensive assessment of its educational offerings, identifying opportunities for improvement across its correctional institutions.  You will hear more about our innovative approach to prison education and adult literacy in the weeks to come.  But so far, BOP is more effectively serving inmates between the ages of 18 and 21 who require special learning accommodations and it has also inspired a specialized pilot curriculum for inmates who need instruction at the Pre-K through fifth-grade levels.

    Beyond these advances, we are determined to reform areas of longstanding correctional policy that aren’t effective.  For decades, prison systems have sought to better manage their facilities by removing certain inmates from the general population – placing them in “restrictive housing” and solitary confinement.  While there are times when this practice is necessary for the protection of inmates, personnel, or the public, there is little doubt that has sometimes been used without due consideration and without good cause.  We also know that it is possible to reduce the use of restrictive housing while also enhancing staff safety – creating better conditions for inmates and for the brave and hardworking officers charged with their protection.  Since January 2012, the federal Bureau of Prisons – under the outstanding leadership of former Director Charles Samuels – has cut its restrictive housing population by 25 percent while achieving significant reductions in staff assaults at the same time.  This only serves to underscore that we can change our practices without compromising a bedrock principle of corrections: that the safety of our officers and our inmates comes first. 

    Last July, in order to examine our own practices further and identify areas for improvement, President Obama directed me to lead a review of restrictive housing across American prisons. I am pleased to say that we have completed our review and delivered our report to the President.  And the President has directed the department to implement our recommendations.

    In conducting this review, the Department of Justice drew on the extensive experience and collective wisdom of BOP under the leadership of former Director Charles Samuels, advocates and stakeholders who are invested in this issue and, of course, the ACA itself.  We developed a series of guiding principles that reflect our values and our goals.  For example, we believe that inmates should be housed in the least restrictive setting necessary to ensure their own safety, as well as the safety of staff, other inmates and the public.  Correctional systems should always be able to clearly articulate why an inmate is in restrictive housing and those reasons should be supported by objective evidence.  And restrictive housing should always serve a specific purpose – with a “step-down” program in place to ultimately return the inmate involved to less restrictive conditions. As you all know, one of the challenges in trying to improve restrictive housing practices is that it currently serves multiple purposes: it is used to address inmates who violate disciplinary rules; to protect inmates who face threats within the prison system; and to isolate inmates who can’t function safely in the general population.  And so, in order to make lasting reforms and ensure restrictive housing is used in accordance with these principles, we need a multi-pronged strategy.

    To that end, in addition to the guiding principles, the report identifies several specific steps that we must take: We must put reasonable limits on when, why and for how long an inmate can be placed in restrictive housing.  We must enhance our efforts to divert high-risk, high-needs inmates – such as those with serious mental illness, or verified security threats – to alternative forms of housing, where they can receive specialized services in less restrictive conditions.  We must conduct regular, multidisciplinary staff reviews of inmates’ placement in restrictive housing.  We must improve the conditions within restrictive housing to ensure that individuals have more time out of their cells and receive needed programming.  We must focus on reentry and make special efforts to ensure that inmates are not placed in restrictive housing during the final months of their prison terms.  And we must enhance protections for vulnerable populations, such as pregnant women; gay, lesbian and transgender inmates; and especially young people. 

    Among the actions I will direct BOP to take to meet these goals is an across-the-board reduction of maximum penalties for punitive segregation to curb excessive use of restrictive housing and solitary confinement as punishment – including a ban on restrictive housing as discipline for low-level offenses.  I will direct the Bureau to establish new protective custody units so that inmates who need protective custody won’t be unnecessarily placed in solitary confinement.  I will direct wardens to increase out-of-cell time in restrictive housing.  I will direct the Bureau to allocate $24 million in additional mental health services for federal restrictive housing inmates – a request that will be included in the President’s budget for Fiscal Year 2017.  And I am proud to say that, in line with this report’s recommendation, I will direct the Bureau of Prisons to terminate the practice of placing children and juveniles in restrictive housing.  In the interest of our children’s safety; in the interest of their development; and in the interest of ensuring their ability to succeed, we are ending this practice once and for all. 

    I am confident that these policies will help all of us move towards greater transparency, efficiency and effectiveness and they will serve as a valuable roadmap for future reforms in the federal system and in correctional facilities across the country.  I know that the ACA is preparing its own recommendations for reducing our reliance on restrictive housing – many of which are in line with our own guiding principles – and I want to applaud you for your leadership and your commitment to this vital issue.  I look forward to drawing on your wisdom and experience and collaborating with all of you as we move ahead together.

    At the federal level, we’re already addressing one of the main reasons we rely on restrictive housing: the unprecedented growth in the federal prison population over the last three decades.  The swelling number of inmates has maxed out our facilities, jeopardized our rehabilitation efforts and made it harder for correctional officers to safely and effectively do their jobs – which are already among the most difficult in law enforcement.  To address this problem, Congress established the bipartisan Charles Colson Task Force on Federal Corrections – an independent working group that for the past year has studied overcrowding in federal prisons – and this week, I received the task force’s recommendations.  They describe a series of concrete steps that we can take in some of the areas we’ve discussed today.  They call for a reassessment of whom we incarcerate and for how long, so that we can be sure that we’re using our system wisely and effectively.  They advocate for a culture of safety and rehabilitation in our prisons, including through the use of risk-reduction programming.  They augment our reintegration practices by emphasizing supervision and support.  And they bolster transparency and accountability to ensure that these goals are being met.  The task force also requests federal funding to support these reforms and I urge Congress to take appropriate action.  I further call on Congress to pass the Sentencing Reform and Corrections Act of 2015, a bill that was voted out of the Senate Judiciary Committee on a strong bipartisan basis, as soon as possible. That bill would represent an important step forward on many of these critical issues – and will help us put federal prisons on a path that is more fair and more sustainable for inmates, correctional officers and taxpayers alike. 

    These are all important steps forward and I am personally committed to expanding on this work in the days and months ahead, while ensuring that we continue to protect our hardworking correctional workers from harm.  I am always mindful of the fact that, in performing your duties, you and your colleagues risk your personal safety – and even your lives – every day.  And while the Bureau of Prisons took some major steps to bolster protections over the past couple of years, we intend to continue exploring new technologies and new strategies to make your difficult jobs as safe as possible.

    It is encouraging that, as a result of the renewed attention these matters are receiving in research, advocacy and media coverage, a growing number of Americans have begun to join our shared call for progress in criminal justice.  Particularly in the last few years, thanks in no small part to the leadership and dedication of the people in this room, that chorus has expanded to encompass people from across the political spectrum and from all walks of life.  At this critical moment of rare bipartisan agreement, it is more important than ever that we harness this momentum and continue to push forward.  With the help of extraordinary partners like you and with the determination and fortitude that you have always shown, I believe that we will make the most of this unique moment of consensus.  I believe that we will give every American their chance to lead lives of meaning and purpose.  And I believe that when we are finished, we will have left our children a society that is safer, more prosperous and more just.

    Thank you for your enduring commitment to this important issue.  Thank you for all that you’ve done and continue to do on behalf of the safety and well-being of the American people.  And thank you for your steadfast partnership in holding this nation to its own timeless principles.  I look forward to all that we will accomplish – together – in the days ahead.  

    MIL Security OSI

  • MIL-OSI Global: US health funding cuts: what Nigeria stands to lose

    Source: The Conversation – Africa – By Oyewale Tomori, Fellow, Nigerian Academy of Science

    US president Donald Trump’s decision to withdraw the US from the World Health Organization is threatening funding for critical health programmes like HIV/Aids and tuberculosis in different parts of the world, including Nigeria.

    The Conversation Africa’s Adejuwon Soyinka asked professor of virology and former WHO Africa regional virologist Oyewale Tomori why Nigeria is heavily dependent on US funding for some of its health programmes, what’s at risk and how to mitigate the impact.

    How dependent is Nigeria on US funding for health?

    Sadly, Nigeria and many African countries are too dependent on US funding and other donor funding for basic health activities and interventions. These activities are the normal function of a good and responsive government which is committed to the welfare of citizens.

    According to a US embassy publication, since 2021, the US has committed to providing nearly US$20 billion in health programmes in Africa. The report says in 2023 alone, the US invested over US$600 million in health assistance in Nigeria. That is about 21% of Nigeria’s 2023 annual health budget.

    Nigeria has, over the years, allocated on the average about 5% of the national budget to health. Three quarters of that covers recurrent expenditure like salaries.

    Nigeria’s proposed 2025 budget is ₦49.74 trillion (US$33 billion), of which ₦2.4 trillion (US$1.6 billion) (4.8%) is allocated to health. This is lower than the 5.15% allocated to health in the 2024 budget.

    The private sector plays a significant role in the Nigeria’s healthcare system, providing close to 60% of healthcare services.

    In recent years, traditional medicine is increasingly offering complementary and alternative medicine in support of the services provided by the federal, state and local government areas levels.

    What health programmes does the US fund in Nigeria?

    The US support is focused on preventing malaria, under the US President’s Malaria Initiative; ending HIV, through the US President’s Emergency Plan for AIDS Relief; and delivering vaccines (COVID, polio, rotavirus, IPV2 and HPV).

    Malaria is a major public health concern in Nigeria. In 2021, there were an estimated 68 million cases of malaria and 194,000 deaths. Nigeria has the highest burden of malaria globally, nearly 27% of the global malaria burden.

    Nigeria has a high burden of HIV – fourth in the world. A large number of Nigerians live with the virus. The national agency responsible for AIDS control reported a rate of 1,400 new HIV cases per week in 2023.

    Nigeria has experienced outbreaks of yellow fever, meningitis, cholera, Lassa fever and COVID-19.

    In addition to helping with managing these major diseases, the US government also provided funds to strengthen the country’s ability to prevent, detect, respond to and recover from emerging public health threats.

    With these funds, a Public Health Emergency Management Programme was established and national disease surveillance systems were upgraded. Nigeria’s laboratory diagnostics were enhanced to test for Ebola, mpox, yellow fever, measles, Lassa fever, cholera and cerebrospinal meningitis.

    Other countries (Japan, Germany, Canada, the UK) also provided support through building and equipping laboratories and training health workers.

    What’s most at risk?

    Interventions most at risk are those of which the Nigerian government has abdicated its responsibilities to the donors. They include provision of rapid diagnostic tests for malaria, insecticide-treated bed nets, malaria preventive treatments in pregnancy, provision of fast acting malaria medicines and insecticide for home spraying.

    The following HIV interventions are likely to be adversely affected: HIV counselling and testing services, especially for pregnant women to prevent mother-to-child transmission of HIV, and the care of people living with HIV with TB/HIV services, as well as care and support for orphans and vulnerable children.

    Sustaining laboratory capacity for rapid disease diagnosis will suffer a major setback with reduced or lack of reagents and consumables.

    A huge amount of laboratory equipment is provided by donors. Servicing and replacement of equipment will be affected.

    The Nigerian health sector’s challenges include inadequate funding, shortage of healthcare professionals, poor access to healthcare due to cost, poor infrastructure, and high prevalence of preventable diseases.

    Cutting off US money is not likely to affect the shortage of healthcare professionals, as the major reason for the shortage is their deteriorating work environment and unsafe social environment. This environment was created by years of economic downturn and social insecurity in Nigeria.

    Why is Nigeria still so reliant on US funding?

    I think Nigeria lacks national pride as it begs for assistance to provide what it already has the resources for. The government seems to place the well-being of the citizens on a secondary status.

    Many African governments assume the world owes Africa compensation for colonial activities. But to me, the danger to Nigeria’s freedom from dependency is not truly knowing what we are, who we are, and how endowed we are.

    The world describes Nigeria as “resource limited” and, without thinking, Nigerians accept such name calling. Nigeria is not resource-limited, it is resource wasteful. Nigeria is not resource constrained; it is corruption constrained. Until Nigerians know who and what we are, we will never find the solution to our problems.

    Nigeria’s acceptance of the tag “resource-limited” drives it to beg for assistance even in areas of its highest capability, capacity and competence and where it has highly trained people. Like disease prevention and control.

    Africa has since the 1960s experienced numerous outbreaks of diseases and has acquired significant expertise in disease prevention and control. An example is the 2014 Ebola outbreak in Nigeria, which was brought under control within three months with only 20 cases and eight deaths.

    This was a disease that raged for three years and ravaged three countries: Guinea, Liberia and Sierra Leone. It was reported in seven others with 28,600 cases and 11,326 deaths.

    In Nigeria, the country coordinated response activities which were anchored on the participation of the community. The community was part of disease investigation, contact tracing, isolation of cases and adoption of infection, prevention and control interventions.

    How can Nigeria mitigate the impact?

    Nigeria must immediately provide emergency funds to cover the shortfall arising from the action of the US government. What Trump has done should have been anticipated, because he did the same things during his first term of office.

    Nigeria must re-order its priorities, and provide funds to create and sustain an enabling environment for talented human resources to function effectively for disease control and prevention.

    The country must prioritise disease prevention and control (in that order) through adequate and sustained funding of disease surveillance activities at all levels of governance.

    Nigeria needs to decentralise disease surveillance, prevention and control by enabling states and local government areas to take responsibility. The Nigeria Centre for Disease Control and Prevention should coordinate state and local government areas activities, instead of acting as the controller of diseases in Nigeria.

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

    ref. US health funding cuts: what Nigeria stands to lose – https://theconversation.com/us-health-funding-cuts-what-nigeria-stands-to-lose-248921

    MIL OSI – Global Reports

  • MIL-OSI USA: Gov. Pillen Testifies on Legislation to Ban Cell Phones in Schools

    Source: US State of Nebraska

    . Pillen Testifies on Legislation to Ban Cell Phones in Schools 

     

    LINCOLN, NE – Today, Governor Jim Pillen testified before the Nebraska State Legislature’s Education Committee on LB140 which proposes banning the use of cell phones by students at school. Senator Rita Sanders introduced the bill at the request of the Governor.  

     

    “There are two reasons for this bill. First, it addresses what has become one of the most frequent and difficult to manage distractions in the classroom – students’ cell phones,” said Gov. Pillen. “The second reason for this legislation is the serious impact that constant cell phone use has on our kids.” 

     

    LB140 requires the school boards of each public school district to adopt a policy establishing the rules and standards for cell usage. The bill also spells out certain exceptions like when the cell phone is authorized by a teacher for educational purposes, in the case of an emergency, and for monitoring and management of a student’s health care situation.  

     

    During his testimony, Gov. Pillen referenced findings from Jonathan Haidt’s book, The Anxious Generation: How the Great Rewiring of Childhood is Causing an Epidemic of Mental Illness. Haidt noted that young people receive 192 alerts from top social apps each day, equating to 11 notifications per waking hour, or one notification every five minutes. 

     

    Sen. Sanders said that for students to have the best chance of success in school, creating an educational environment free from digital distraction is key. “I am committed to supporting policies that prioritize the well-being and academic growth of every student. By removing electronic communication devices from the classroom, we can create that environment, allowing both teachers and students to fully succeed.” 

     

    “Our teachers need to be focused on helping their students learn, not policing cell phone use. LB140 provides a commonsense approach to this issue, so that all our schools are on a level playing field,” said Gov. Pillen.  

     

    After the Governor addressed the committee, Attorney General Mike Hilgers and Department of Education Commissioner Dr. Brian Maher also testified in support of the bill.

    MIL OSI USA News

  • MIL-OSI Security: Principal Deputy Associate Attorney General Bill Baer Delivers Remarks at 2016 American Indian and Alaska Native Heritage Month Observance Program

    Source: United States Attorneys General 13

    Thank you, Tracy [Toulou], for your kind words and for the contributions you and your dedicated team at the Office of Tribal Justice (OTJ) have made to promote tribal justice and public safety in Indian country.  And thank you to Director Richard Toscano and the Justice Management Division (JMD) Equal Employment Opportunity Staff (EEOS) for organizing today’s observance program and to Gina Allery and the DOJ Native American Association for their support as well.  

    In the month of November, we honor the history and traditions of America’s indigenous peoples.  We join together today to celebrate American Indian and Alaska Native Heritage Month and to welcome our keynote speaker, Tracy Canard Goodluck, to the department. 

    The theme this year – “Serving Our Nations” – captures the work that we together are doing here at the department.  That shared commitment to improving the daily lives of tribal communities has made and will continue to make a difference.  Here are just a few highlights: 

    • We worked across components to secure passage of landmark legislation with the Tribal Law and Order Act (TLOA), which reaffirmed our commitment to building and sustaining healthier, safer tribal communities and renewed our enduring promise to respect sovereignty and self-determination.  Our efforts also helped secure passage of the Violence Against Women Act (VAWA) Reauthorization, which recognizes tribes’ inherent power to exercise “special domestic violence criminal jurisdiction” over certain defendants regardless of their Indian or non-Indian status.
    • We built and began implementing the Tribal Access Program for National Crime Information (TAP), which provides federally recognized tribes access to national crime information databases for both civil and criminal purposes.  Just last month, we announced an expansion of TAP incorporating feedback from participating tribes who identified and shared best practices to further strengthen tribal institutions’ ability to keep communities safe.
    • Over the past seven years, the department has awarded over 1,650 Coordinated Tribal Assistance Solicitation (CTAS) grant awards to American Indian tribes, Alaska Native villages, tribal consortia and tribal designees to improve public safety in Tribal communities and to strengthen tribal justice systems.  These figures include 236 CTAS grants totaling more than $102 million that were awarded in the recently completed 2016 grant cycle.
    • We established the Gaye Tenoso Indian Country Fellowship.  The program honors a former 30-year Department of Justice attorney by creating public service opportunities in Indian country for young lawyers with expertise and a commitment to federal Indian law, tribal law, and Indian country issues.
    • We published the Department of Justice Consultation Policy and the Attorney General’s Statement of Principles for Working with Federally Recognized Indian Tribes, both of which are intended to guide the work of this department in Indian country going forward.
    • We created the Tribal National Leadership Council, a democratically-elected group of tribal leaders responsible for advising the Attorney General.
    • We established the National Indian Country Training Initiative to ensure that the department prosecutors, as well as state and tribal criminal justice personnel, receive the training and support needed to address the particular challenges relevant to Indian country. 
    • And we built law enforcement partnerships between the FBI and sister agencies and identified tribal liaisons within each U.S. Attorney’s Office that has Indian country within its jurisdiction.  Indeed, I was privileged to meet many of these dedicated Assistant U.S. Attorneys (AUSAs) in a recent visit to the Flathead Reservation in Montana.
    • We have shown that we can collaborate effectively across the department and across the federal government to better serve Indian country.  The department’s work on the Indian Child Welfare Act—involving the Environment and Natural Resources Division, the Office of Tribal Justice, the Civil Rights Division, and the Office of Justice Programs, as well as the Departments of the Interior and Health and Human Services—is just one example.  Our efforts have promoted compliance with this important federal law that seeks to keep Indian children with their parents, extended families, and tribal communities. 

    We can point with pride to the Environment and Natural Resource Division’s (ENRD) work to protect tribal resources, water rights and treaty hunting and fishing rights and to its defense of the Department of the Interior’s authority to acquire land into trust for tribes.  Recent victories in both the district court and the court of appeals helped preserve the treaty fishing rights of Pacific Northwest Tribes by removing barriers to salmon passage.  ENRD’s efforts recognize the importance of protecting the environment and natural resources of the First Nations, who were also the first environmental stewards of this great land and from whom we still have much to learn.

    I am pleased to report that the department has continued to make progress in resolving long-standing tribal trust cases.  In 2016 alone, we reached settlements with 17 tribes for almost $493 million.  Since the start of the Obama Administration, the department has settled the claims of 104 tribes for a total of $3.35 billion.  These settlements represent a significant milestone in improving the government-to-government relationship between the United States and Indian tribes, and allow the federal government and the tribal nations to move beyond tensions that were exacerbated by litigation.

    Even as we celebrate the progress we have made, we must acknowledge that our work is far from finished.  We have all been watching events in North Dakota over the weekend.  History teaches that we make progress in the face of conflicting views where we honor the right to disagree peacefully with one another.  The Justice Department has been in communication with local law enforcement, as well as tribal representatives and protesters, to promote communication and lower tensions.  We will continue those efforts. 

    There are a lot of challenges in Indian country, and it continues to be the responsibility of those of us at the department to identify and correct the injustices that persist.  I am proud to be affiliated with a department that does not shy away from tackling those challenges, and embraces the opportunity to work directly with Tribes across the country.

    Before we move on to the next part of our program, I would like to recognize the work of Lorraine Edmo, the Deputy Director for Tribal Affairs at the Office on Violence Against Women and a member of the Shoshone-Bannock Tribes.  She has dedicated her decades-long career to seeking out and correcting injustice in Tribal communities. 

    Lorraine is retiring soon and will be greatly missed.  Her sustained dedication to supporting Tribal communities has been an inspiration.  Thank you, Lorraine, for your tremendous service.  We are grateful that your husband, Jerry Cordova of the Department of the Interior, is also participating here today.  We especially respect public service when it’s a family affair, and we wish you both well.  

    I now turn to the privilege of introducing our keynote speaker, Tracy Canard Goodluck of the Oneida and Mvskoke Creek Nations.  Her passion for education and improving outcomes for students in tribal communities has made her a role model to many.  In her current role of Senior Associate Director in the White House Office of Public Engagement and Intergovernmental Affairs, Tracy serves as a key liaison to tribal communities for the Administration.  Previously, she was a policy advisor at the Domestic Policy Council and, as a Presidential Management Fellow, handled the legislative portfolio for Indian affairs at the U.S. Department of the Interior.  We are honored to have her here today.  Please join me in welcoming Tracy Canard Goodluck.

    MIL Security OSI

  • MIL-OSI Security: Assistant Attorney General Makan Delrahim Remarks at the American Bar Association Antitrust Section Fall Forum

    Source: United States Attorneys General 13

    “November Rain”: Antitrust Enforcement on Behalf of American Consumers and Taxpayers

    Good morning, and thank you for the kind introduction.  I’d like to thank the American Bar Association for your invitation to this year’s Fall Forum and Deb Garza for her leadership of the Section this year. 

    I find it hard to believe it’s been only a little more than a year since I was confirmed as AAG and spoke at last year’s Fall Forum.  Over the past year, the Antitrust Division has been hard at work on behalf of American consumers. We made a number of significant enforcement actions this week, but before I turn to those, I’d like to update you on a few recent changes in the Front Office. 

    First, Michael Murray recently joined us from the Deputy Attorney General’s office, where he served as Associate Deputy Attorney General.  Mike now will be a Deputy Assistant Attorney General in the Front Office, where he will be overseeing our Appellate Section and our 4A damage actions on behalf of the American taxpayer.  Mike has significant appellate experience, including as a law clerk for Justice Anthony Kennedy. 

    In addition, our new acting Deputy Assistant Attorney General for Economics is Jeff Wilder.  Jeff received his Ph.D. from MIT and has distinguished himself as an outstanding economist serving as one of the leaders in the Division’s Economic Analysis Group, and we’re happy to have him join us in the Front Office.

    Some of you may remember that at last year’s Fall Forum, I spoke about antitrust and deregulation.  In those remarks, I focused on remedies, including our preference for structural remedies and our emphasis on making consent decrees more enforceable.  I also discussed our commitment to the view that antitrust enforcement is law enforcement, not industrial regulation, and that the Antitrust Division should strive to accomplish its law enforcement mission in the most efficient and effective way possible.  The Division has stood by those principles. 

    More recently, in a speech at Georgetown, I announced several improvements to the merger review process.  We are making good on those changes as well.  Today, we posted a model timing agreement and a model voluntary request letter on our website.  Those documents increase transparency and predictability and will help merging businesses and their counsel know what to expect as part of the merger review process.  We’ve also begun tracking the duration of merger reviews more carefully, so that we can monitor our performance and factors affecting it.  You will recall our goal is to resolve investigations within six months of filing, provided that the parties cooperate and comply with our document and data requests during the entire process.

    I would like to focus the remainder of my remarks today on four important settlements in the last week that reflect the Antitrust Division’s commitment to vigilant and effective antitrust enforcement. 

    As some of you may have seen, the Division announced just yesterday a set of global settlements with three South Korean companies.  Those unprecedented settlements resolve criminal charges and civil claims arising from a bid-rigging conspiracy that targeted fuel supply contracts to U.S. military bases in South Korea.  They are the result of tremendous hard work in parallel criminal and civil investigations by the Antitrust Division’s Washington Criminal I Section, the Transportation, Energy, and Agriculture Section, and the Fraud Section of the Civil Division.  We were assisted ably by our partners at the FBI and the Defense Criminal Investigative Service.

    The United States currently maintains numerous military bases in South Korea, housing American soldiers, marines, airmen, and sailors in the region.  These military bases need fuel for various purposes, and two Department of Defense agencies, the Defense Logistics Agency (DLA) and Army and Air Force Exchange Service (AAFES), contract with South Korean companies to supply fuel to the numerous U.S. military bases throughout South Korea. 

    Our investigation, which is ongoing, revealed that SK Energy, GS Caltex, Hanjin Transportation, along with other co-conspirators, rigged bids and fixed prices for fuel supply contracts issued by the U.S. military in South Korea for over a decade.  They cheated the Military and American taxpayers out of precious limited resources.  As a result of the conspiracy, the Department of Defense paid substantially more for fuel supply services.  Although the immediate victim here was the U.S. military, the American taxpayer, you and me, ultimately footed the bill. 

    The three companies agreed yesterday to plead guilty to criminal charges under Section 1 of the Sherman Act, and they will pay at least $82 million in criminal fines for their involvement in the conspiracy.  Importantly, the three defendants have also agreed to cooperate with the ongoing criminal investigation of the conduct. 

    Robert Jackson, who is one of my legal heroes, recognized that bid rigging is particularly harmful to government purchasers.  When he served as Assistant Attorney General in charge of the Antitrust Division, Jackson broadly denounced arrangements that “compel purchasers to pay a price based on calculation, not competition,” and specifically emphasized that “[w]hatever the effect of this on private buyers, it completely destroys the mechanism set up by federal, state, and municipal governments to keep favoritism and corruption out of public buying.”

    The harm Jackson recognized still exists today, and these settlements serve as an important reminder that the Justice Department and its law enforcement partners will investigate aggressively and prosecute without hesitation companies who cheat the United States government and the American taxpayer. 

    We did not stop there.  We are committed to using all authorities Congress has granted to us to remedy antitrust injuries to the American taxpayer.  Those tools include the authority conferred in Section 4A of the Clayton Act.  Section 4A is an important but underused enforcement tool that allows the government to recover treble damages for antitrust violations when the government itself is the victim. 

    To that end, the Division established a parallel civil enforcement team, led by Kathy O’Neill and a group of capable litigators from the Transportation, Energy, and Agriculture Section to pursue parallel civil actions for damages.  We negotiated separate civil resolutions with each of the three defendants on behalf of American taxpayers.  We also worked alongside our partners in the Civil Division’s Fraud Section, who pursued charges against the defendants under the False Claims Act for making false statements to the government in connection with their conspiracy. 

    To resolve both the civil antitrust and the False Claims Act violations, these three defendants have agreed to pay an additional $154 million in total.  They also have agreed to cooperate fully with the Division’s ongoing civil investigation and to implement effective antitrust compliance programs.

    These historic cases mark the first significant settlements under Section 4A in many years.  In fact, as far as we can tell based on our records, they are the largest settlements the government has ever recovered since the enactment of Section 4A.    

    Let me take a step back to review the history of Section 4A. 

    When Congress enacted the Sherman Act in 1890 and the Clayton Act in 1914, neither statute contained a provision specifically allowing the government to recover damages it suffered as a result of an antitrust violation.  In 1939, the United States, led by Assistant Attorney General Thurman Arnold, brought its first-ever antitrust suit for damages on its own behalf.   The government claimed authority to do so under Section 7 of the Sherman Act, which was the predecessor of Section 4 of the Clayton Act.  As most of you know, Section 4 permits “any person” injured by an antitrust violation to recover the damages they suffered. 

    In that pioneering case, United States v. Cooper, the government alleged that eighteen defendants had “collusively fixed” bids that were “identical to the penny on eighty-two different sizes of tires” sold to the United States.  The defendants successfully moved to dismiss the action on the question of whether the government is a “person” entitled to bring an action for damages under the statute.  The Second Circuit affirmed, and the Supreme Court ultimately held that the United States is not a “person” entitled to sue. 

    In 1955, Congress amended the Clayton Act in response to the Court’s ruling in Cooper by adding Section 4A.  As originally enacted, Section 4A allowed the government to recover only single damages, so that the government could recover damages where it was the victim of an antitrust violation. 

    At first, the Division used Section 4A aggressively, filing numerous cases for damages throughout the 1960s and 1970s.  In the 1980s, however, the government brought only four cases under Section 4A—a remarkable decline from the prior two decades.  Some attributed this drop, in part, to the Supreme Court’s Illinois Brick decision in 1978, because many of the cases brought in the ‘60s and ‘70s involved claims by the United States as an indirect purchaser.  The government, however, increasingly purchases goods and services directly.

    The next milestone came in 1990, when Congress amended the Clayton Act again to allow the government to seek treble damages in Section 4A cases. 

    Since 1990, a span of nearly thirty years, only three Section 4A cases have been filed.  In 1991, the Division recovered $250,000 from two companies for rigging bids to purchase surplus gunpowder.  In 1994, the Division filed suit against two defense contractors for entering into a “teaming” arrangement that eliminated competition in supplying the Department of Defense with cluster bombs.  In that case, the Division recovered $4 million on behalf of American taxpayers and obtained an $8 million discount on the bid price.  In 2012, the Division challenged collusion between two companies bidding on four natural gas leases at auctions run by the Bureau of Land Management.  The Division recovered $275,000 from each company. 

    The American Taxpayer deserves to see a revitalization of the government’s Section 4A authority.  This week’s settlements are only the first in that direction.  Going forward, the Division will exercise 4A authority to seek compensation for taxpayers when the government has been the victim of an antitrust violation.  We hope that these efforts will also deter future violations. 

    In light of our policy of seeking damages under Section 4A where available, I would like to address how parallel criminal and civil enforcement will proceed going forward. 

    First, the Division’s new focus on Section 4A enforcement will not require any changes to the Division’s leniency policy.  The Division offers strong incentives to come forward to report criminal antitrust violations in exchange for leniency, and those incentives do not change when the government is harmed by the violation. 

    The Antitrust Criminal Penalty Enhancement and Reform Act of 2004, better known as ACPERA, created another valuable incentive for leniency applications.  Under ACPERA’s detrebling provision, those who successfully qualify for leniency will be subject only to single damages in follow-on civil suits, rather than treble damages.  In addition, those who successfully qualify for leniency are not subject to joint and several liability.

    This detrebling incentive will apply to any Section 4A claims brought by the government.  We will also follow the underlying requirements for ACPERA in Section 4A cases: companies will need to cooperate with the civil team, as they would with any private plaintiff, in order to reap the detrebling benefits.

    The bottom line is that the Division’s enforcement of Section 4A will increase the incentive for co-conspirators in cartel cases to come forward. 

    Separately, I should note that global resolutions like the ones announced yesterday should serve the interests of the parties as well.  Cooperating companies subject to penalties under multiple statutes can gain certainty and finality.  Employees, customers, and investors can resolve the problem and move on. This is consistent with the Department’s broader policies on coordination of corporate penalties.

    Next, as we pursue Section 4A damages going forward, global resolutions of criminal and civil antitrust liability will help maintain a consistent policy on how to calculate civil damages.  Yesterday’s settlements underscore this point.  They provide that SK Energy, GS Caltex, and Hanjin each will pay an amount calculated to exceed the overcharge paid by the government.  At the same time, the amount reflects both the value of the cooperation commitments each defendant made as a condition of settlement and the cost savings the Division realized by avoiding extended litigation.  

    As a general matter, if the government is required to litigate claims it brings under Section 4A, the government will seek treble damages.  In addition, we anticipate that earlier cooperators will benefit by paying a lower multiple of damages, because the value of their cooperation is higher earlier in our investigation. 

    I will turn now to another significant settlement the Division filed this week, one which resolves a complaint against six broadcast television companies alleging that they engaged in widespread, unlawful sharing of non-public, competitively sensitive information.  Along with the complaint, the Division filed proposed final judgments requiring the companies to cease such conduct and to undergo rigorous compliance and reporting measures for the next seven years.

    We uncovered this conduct during our investigation into Sinclair Broadcasting Group’s proposed acquisition of Tribune Media Company, which has since been abandoned. 

    As we allege in the complaint, the defendants agreed in local broadcasting markets throughout the United States to exchange revenue pacing information and other competitively sensitive information.  “Pacing” compares a broadcast station’s revenues booked for a certain time period to the revenues booked in the same point in the previous year.  Pacing indicates how each station is performing versus the rest of the market and provides insight into each station’s remaining spot advertising for the period. 

    We discovered that the defendants had been exchanging pacing information either directly between stations or corporate headquarters, or indirectly through national representatives that help local stations sell advertisements to national advertisers.  By exchanging this information, the broadcasters were better able to anticipate whether their competitors were likely to raise, maintain, or lower spot advertising prices, which in turn helped inform the stations’ own pricing strategies and negotiations with advertisers.  As a result, the information exchanges harmed the competitive price-setting process.

    We have not heard any legitimate pro-competitive justification for this conduct.  We are therefore pleased that these companies recognized that a protracted investigation and litigation would serve no purpose, and we welcome their cooperation as our investigation continues.  We also want to remind businesses, as well as the antitrust practitioners that advise them, that agreements between competitors to exchange competitively sensitive information can violate the antitrust laws and lead to a civil enforcement action even if the conduct does not amount to the type of hard core cartel conduct that the Antitrust Division prosecutes criminally.

    Finally, this morning we announced the third significant enforcement resolution this week—a settlement with Atrium Health, formerly known as Carolinas Healthcare System.  We were joined in the settlement by the North Carolina Attorney General’s Office, and we thank them for their partnership in this action.  The settlement resolves over two years of civil antitrust litigation challenging the hospital system’s use of anticompetitive steering restrictions in its contracts with major health insurers.  These steering restrictions prevented health insurers from promoting innovative health plans and more cost-effective healthcare providers.  

    Atrium is the dominant hospital system in the Charlotte, North Carolina metropolitan area.  It used its market power to limit major health insurers’ ability to introduce plans designed to encourage consumers to choose cost-effective healthcare providers.  Specifically, Atrium would agree to participate in a broad network plan only if the insurer would commit not to introduce other plans that would steer patients away from Atrium.  The steering restrictions also deliberately constrained insurers from providing consumers with transparency into the comparative cost and quality of their healthcare alternatives.

    Because the steering restrictions were in place, insurers could not introduce more innovative health insurance plans that create financial incentives for patients to use lower-cost healthcare services.  Needless to say, competition for patients encourages healthcare providers to reduce costs, lower prices, and increase quality.  These steering restrictions inhibited competition among healthcare providers to provide higher quality, lower-cost services.  

    The resolution prevents Atrium from enforcing the steering restrictions in its contracts with major health insurers.  If approved by the Court, it will restore competition between healthcare providers in Charlotte, North Carolina.

    I would like to make a broader point about the Division’s settlements this week.  The consent decrees in all three cases, like all other decrees the Division has entered into the past 13 months, include specific new provisions designed to improve their enforceability. 

    These provisions (i) address the burden of proof in a civil contempt action by providing that the preponderance standard will apply; (ii) make defendants responsible for reimbursing the government for all costs it incurs in connection with enforcing the decree; (iii) allow the United States to seek a one-time extension of the term of the decree in the event of a violation, or to terminate the decree early if continuation is no longer necessary or in the public interest.  Another provision addresses interpretation of the decree by stating that courts can enforce any provisions that are stated specifically and in reasonable detail, whether or not they are clear and unambiguous on their face.

    The Division serves as a guardian of American consumers, and we act in the public’s trust.  When the Division enters into a consent decree to resolve charges of anticompetitive conduct, we will hold parties’ feet to the fire and enforce the decrees. 

    Finally, last Friday, three defendants pled guilty to conspiring to rig bids and allocate the market in auctions of foreclosed properties in Palm Beach County, Florida.  This case is unlike the Division’s prior foreclosure auction prosecutions because the auction occurred online rather than in-person, and the collusion occurred primarily by text message rather than in-person.  It is a good illustration of the fact that while defendants may use new platforms and technologies to commit antitrust crimes, the Division too is evolving and stands ready to prosecute these crimes in the digital age.

    The conspiracy took place in the aftermath of the financial crisis, which affected the housing market nationwide and the Florida real estate market in particular.  Defendants and their affiliated business entities were the largest buyers of foreclosed properties in Palm Beach County.  Together, the commerce affected by the defendants’ collusion was $25 million. 

    The Division began an investigation into possible collusion in online foreclosure auctions in Palm Beach County, Florida after receiving an anonymous citizen complaint that included a link to a YouTube video detailing the collusion. 

    Co-conspirators texted each other to coordinate their bidding and facilitate the conspiracy to obtain foreclosed homes at suppressed prices.  Most commonly, bidders would agree to stop bidding or to refrain from bidding at their co-conspirators’ request.  In some instances, they lowered bids for each other’s benefit. 

    After learning of the investigation, one of the defendants used and encouraged other co-conspirators to use a text messaging application to continue colluding.  He believed that law enforcement would be unable to read or trace any messages sent through the application.

    The three defendants were indicted by a grand jury in November 2017.  Since then, all three have pleaded guilty.

    I will conclude by taking this opportunity to highlight the outstanding attorneys and economists at the Antitrust Division.  They are the core of executing the Division’s mission and work tirelessly in their commitment to protect competition and consumers.    

    It has been a busy year at the Antitrust Division.  We have been working hard on behalf of America’s consumers and taxpayers, and look forward to continuing our efforts on their behalf in the year to come. 

    Thank you.

    MIL Security OSI

  • MIL-OSI United Kingdom: National Apprenticeship Week shines spotlight on opportunities for city residents

    Source: City of Wolverhampton

    The theme is Skills for Life, helping apprentices forge career pathways and secure permanent jobs.

    City of Wolverhampton Council is hosting a drop-in event at The Mander Centre on Saturday 15 February as part of National Apprenticeship Week (NAW) 2025.

    Those interested in learning how to ‘earn while you learn’ can turn up to the event between 10am and 2pm. It is on the ground floor, near TJ Hughes and is being held in partnership with Wolverhampton Black Country Careers HUB.

    Register in advance at Eventbrite and you could win one of four £25 Enjoy Wolverhampton gift cards.

    Since January last year the council has recruited another 32 apprentices, alongside upskilling staff and supporting city partners to develop apprenticeships.

    City of Wolverhampton Council’s Cabinet Member for City Development, Jobs and Skills, Councillor Chris Burden, said: “National Apprenticeship Week shines a spotlight on the benefits of apprenticeships in putting local people into good jobs and training, which in turn helps to deliver a thriving economy in the city.

    “Apprenticeships can change lives, helping people find employment, improve their skills and gain qualifications, while providing valuable alternative recruitment options for employers.

    “I encourage anyone with an interest in apprenticeships to come and get involved in the event at the Mander Centre and find out more about how you can earn while you learn.”

    Council apprentice Jude Aston recently gained a distinction in his Public Relations and Communications Level 4 Public Health Apprenticeship.

    He said: “I was nervous about how I was going to apply all my learning, but the best piece of advice I would give is trust the apprenticeship process, because it has worked and is a great way to develop your knowledge and skills.”

    Former library assistant Lucy Barford had a career change to become a Level 7 Solicitor Apprentice through Damar Training and the council and has been named the Damar Apprentice Champion Award.

    She said: “Changing careers to start an apprenticeship in law changed my life and opened possibilities I hadn’t previously considered.

    “My first apprenticeship was to become a certified paralegal, and I’m now working through a second apprenticeship training to be a solicitor. I’m proud and grateful to Damar and the council for such wonderful opportunities.”

    Esha Dadral, Level 3 Digital Content Apprentice, said: “I always wanted to kickstart my career in marketing, so when this opportunity came up it was a no brainer for me. In my opinion, an apprenticeship is the best way to gain the essential skills and knowledge for the career of your choice.”

    There are many types of apprenticeships on offer with employers in Wolverhampton. The different levels of qualification are Level 2 Intermediate Apprenticeship (GCSE equivalent), Level 3 Advanced Apprenticeship (A-Level equivalent), Level 4 or 5 Higher Apprenticeship (Foundation degree and above equivalent) and Level 6 or 7 Degree Apprenticeship (Bachelor’s or Master’s degree equivalent).

    Help is available through Wolves at Work which offers free, one to one employment support and advice for local people. If you are interested in finding out more about apprenticeship opportunities at the City of Wolverhampton Council email OD.Team@wolverhampton.gov.uk.

    MIL OSI United Kingdom

  • MIL-OSI USA: Attorney General James and Coalition of 13 Attorneys General Issue Joint Statement on Protecting Access to Gender-Affirming Care 

    Source: US State of New York

    NEW YORK – New York Attorney General Letitia James today joined a coalition of 13 attorneys general to reaffirm their commitment to protecting access to gender-affirming care in the face of the Trump administration’s recent Executive Order. The coalition released the following statement: 

    “As state attorneys general, we stand firmly in support of health care policies that respect the dignity and rights of all people. Health care decisions should be made by patients, families, and doctors, not by a politician trying to use his power to restrict your freedoms. Gender-affirming care is essential, life-saving medical treatment that supports individuals in living as their authentic selves.

    “The Trump administration’s recent Executive Order is wrong on the science and the law. Despite what the Trump administration has suggested, there is no connection between ‘female genital mutilation’ and gender-affirming care, and no federal law makes gender-affirming care unlawful. President Trump cannot change that by Executive Order.  

    “Last week, attorneys general secured a critical win from a federal court that directed the federal government to resume funding that had been frozen by the Trump administration. In response to the court’s order, the Department of Justice has sent a notice stating that ‘federal agencies cannot pause, freeze, impede, block, cancel, or terminate any awards or obligations on the basis of the OMB memo, or on the basis of the President’s recently issued Executive Orders.’ This means that federal funding to institutions that provide gender-affirming care continues to be available, irrespective of President Trump’s recent Executive Order. If the federal administration takes additional action to impede this critical funding, we will not hesitate to take further legal action. 

    “State attorneys general will continue to enforce state laws that provide access to gender-affirming care in states where such enforcement authority exists, and we will challenge any unlawful effort by the Trump administration to restrict access to it in our jurisdictions.” 

    Joining Attorney General James in issuing this statement are the attorneys general of California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, New Jersey, Nevada, Rhode Island, and Vermont. 

     

    MIL OSI USA News

  • MIL-OSI: Avid Bioservices poised for significant growth with new partners GHO Capital and Ampersand Capital Partners

    Source: GlobeNewswire (MIL-OSI)

    Avid Bioservices poised for significant growth with new partners GHO Capital and
    Ampersand Capital Partners

    • Acquisition of biologics Contract Development and Manufacturing Organisation Avid Bioservices now completed
    • GHO and Ampersand’s deep experience in CDMO investing to support Avid’s next stage of rapid growth including expanded offerings, talent investment and greater geographic reach

    London, UK, Boston, MA and Tustin, CA, February 5, 2025 — GHO Capital Partners LLP (“GHO”), the European specialist investor in global healthcare, and Ampersand Capital Partners (“Ampersand”), a private equity firm specialising in growth equity investments in the life sciences and healthcare sectors, today announced the successful closing of the previously announced acquisition of Avid Bioservices (“Avid” or the “Company”), a dedicated biologics Contract Development and Manufacturing Organisation (“CDMO”) working to improve patient lives by providing high quality development and manufacturing services to biotechnology and pharmaceutical companies.

    Avid has experienced significant growth in recent years, offering its clients full lifecycle capabilities—from concept to commercial supply. With substantial investment already made by the Company in its capacity at its state-of-the art facilities and its expertise in bioprocess optimisation, analytical testing, and regulatory compliance, Avid delivers high-quality, industry leading complex biologics to a roster of international customers.

    GHO has considerable expertise in the CDMO sector through investments in its portfolio in companies like Ardena, Sterling Pharma Solutions, RoslinCT, and Alcami Corporation. Its strategy focuses on expanding technological capabilities, driving acquisitions, and supporting transatlantic expansion across the CDMO value chain, from early-stage development to commercial manufacturing. Leveraging its healthcare expertise and network, GHO transforms CDMOs to enhance their services and market reach, ultimately delivering better, faster and more accessible healthcare.

    Alan MacKay and Mike Mortimer, Managing Partners of GHO, commented: “We are delighted to start 2025 with the completion of this transaction, our first public to private deal. GHO has a deep understanding of the CDMO sector and Avid perfectly exemplifies a company that is operating in high growth markets supporting the growing biotech sector in research and development and big pharma and large biotech for the commercialisation of cutting-edge biologics. Avid’s recent investments, both in capacity and its exemplary team, have created a strong foundation for future growth. We look forward to partnering closely with the Avid team to unlock the business’s full potential.”

    Nick Green, President and CEO of Avid, said: “Avid has succeeded by evolving and adapting to meet our customers’ complex development and manufacturing needs. The completion of this transaction marks an exciting milestone as we move forward with new owners in GHO Capital and Ampersand who will provide us with access to resources that will accelerate our growth. With their support, we are well-positioned to enhance our capabilities, expand our service offerings, and deliver even greater value to our customers in this next phase of our journey.”

    David Anderson, General Partner of Ampersand, added: “Avid has earned its reputation as a leader in biopharmaceutical development and manufacturing through technical excellence, customised solutions, and consistent regulatory compliance. By combining our deep industry expertise with Avid’s established capabilities, we are positioned to deliver enhanced value and accelerate innovation for clients globally.”

    On 7 November 2024, GHO and Ampersand entered into a definitive merger agreement for Avid to be acquired by funds managed by GHO and Ampersand in an all-cash transaction valued at approximately $1.1 billion. With the completion of the transaction, Avid’s stockholders are entitled to receive $12.50 per share in cash. The Company’s common stock has ceased trading and will be delisted from Nasdaq.

    Advisors
    William Blair served as buyside financial advisers, Ropes & Gray served as legal counsel, ClearView Healthcare Partners served as commercial advisor and Alvarez & Marsal served as financial advisors to GHO and Ampersand.

    Contacts:

    GHO Capital

    Amber Fennell / Kris Lam
    ICR Healthcare
    +44 7739658783
    ghocapital@icrhealthcare.com

    Avid Bioservices

    Stephanie Diaz
    Vida Strategic Partners
    415-675-7401
    sdiaz@vidasp.com

    Tim Brons
    Vida Strategic Partners
    415-675-7402
    tbrons@vidasp.com

    Aaron Palash / Allison Sobel
    Joele Frank, Wilkinson Brimmer Katcher
    (212) 355-4449

    About GHO Capital

    Global Healthcare Opportunities, or GHO Capital Partners LLP, is a leading specialist healthcare investment advisor based in London. GHO Capital applies global capabilities and perspectives to unlock high growth healthcare opportunities, targeting Pan-European and transatlantic internationalisation to build market leading businesses of strategic global value. GHO Capital’s proven investment track record reflects the unrivalled depth of our industry expertise and network. GHO Capital partners with strong management teams to generate long-term sustainable value, improving the efficiency of healthcare delivery to enable better, faster, more accessible healthcare. For further information, please visit www.ghocapital.com.

    About Avid Bioservices, Inc.

    Avid Bioservices is a dedicated CDMO focused on development and CGMP manufacturing of biologics. The Company provides a comprehensive range of process development, CGMP clinical and commercial manufacturing services for the biotechnology and biopharmaceutical industries. With more than 30 years of experience producing biologics, Avid’s services include CGMP clinical and commercial drug substance manufacturing, bulk packaging, release and stability testing and regulatory submissions support. For early-stage programs the Company provides a variety of process development activities, including cell line development, upstream and downstream development and optimization, analytical methods development, testing and characterization. The scope of our services ranges from standalone process development projects to full development and manufacturing programs through commercialization. www.avidbio.com

    About Ampersand Capital Partners

    Ampersand Capital Partners, founded in 1988, is a middle-market private equity firm with $3 billion of assets under management, dedicated to growth-oriented investments in the healthcare sector. With offices in Boston, MA, and Amsterdam, Netherlands, Ampersand leverages a unique blend of private equity and operating experience to build value and drive long-term performance alongside its portfolio company management teams. Ampersand has helped build numerous market-leading companies across each of the firm’s core healthcare sectors. For additional information, visit www.ampersandcapital.com or follow us on LinkedIn.

    The MIL Network

  • MIL-OSI USA: Attorney General Bonta and 14 Attorneys General Issue Joint Statement on Protecting Access to Gender-Affirming Care

    Source: US State of California Department of Justice

    Wednesday, February 5, 2025

    Contact: (916) 210-6000, agpressoffice@doj.ca.gov

    OAKLAND  Attorney General Bonta today joined a coalition of 14 attorneys general to reaffirm their commitment to protecting access to gender-affirming care in the face of the Trump Administration’s recent Executive Order. The coalition released the following statement:  

    “As state attorneys general, we stand firmly in support of healthcare policies that respect the dignity and rights of all people. Health care decisions should be made by patients, families, and doctors, not by a politician trying to use his power to restrict your freedoms. Gender-affirming care is essential, life-saving medical treatment that supports individuals in living as their authentic selves.  

    The Trump Administration’s recent Executive Order is wrong on the science and the law. Despite what the Trump Administration has suggested, there is no connection between “female genital mutilation” and gender-affirming care, and no federal law makes gender-affirming care unlawful. President Trump cannot change that by Executive Order.  

    Last week, attorneys general secured a critical win from a federal court that directed the federal government to resume funding that had been frozen by the Trump Administration. In response to the Court’s Order, the Department of Justice has sent a notice stating that “federal agencies cannot pause, freeze, impede, block, cancel, or terminate any awards or obligations on the basis of the OMB memo, or on the basis of the President’s recently issued Executive Orders.” This means that federal funding to institutions that provide gender-affirming care continues to be available, irrespective of President Trump’s recent Executive Order. If the federal administration takes additional action to impede this critical funding, we will not hesitate to take further legal action. 

    State attorneys general will continue to enforce state laws that provide access to gender-affirming care, in states where such enforcement authority exists, and we will challenge any unlawful effort by the Trump Administration to restrict access to it in our jurisdictions.” 

    Joining Attorney General Bonta in issuing this statement are the attorneys general of Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, New Jersey, New York, Nevada, Rhode Island, Vermont, and Wisconsin.

    # # #

    MIL OSI USA News

  • MIL-OSI USA: Attorney General Bonta and 13 Attorneys General Issue Joint Statement on Protecting Access to Gender-Affirming Care

    Source: US State of California

    Tuesday, February 4, 2025

    Contact: (916) 210-6000, agpressoffice@doj.ca.gov

    OAKLAND  Attorney General Bonta today joined a coalition of 13 attorneys general to reaffirm their commitment to protecting access to gender-affirming care in the face of the Trump Administration’s recent Executive Order. The coalition released the following statement:  

    “As state attorneys general, we stand firmly in support of healthcare policies that respect the dignity and rights of all people. Health care decisions should be made by patients, families, and doctors, not by a politician trying to use his power to restrict your freedoms. Gender-affirming care is essential, life-saving medical treatment that supports individuals in living as their authentic selves.  

    The Trump Administration’s recent Executive Order is wrong on the science and the law. Despite what the Trump Administration has suggested, there is no connection between “female genital mutilation” and gender-affirming care, and no federal law makes gender-affirming care unlawful. President Trump cannot change that by Executive Order.  

    Last week, attorneys general secured a critical win from a federal court that directed the federal government to resume funding that had been frozen by the Trump Administration. In response to the Court’s Order, the Department of Justice has sent a notice stating that “federal agencies cannot pause, freeze, impede, block, cancel, or terminate any awards or obligations on the basis of the OMB memo, or on the basis of the President’s recently issued Executive Orders.” This means that federal funding to institutions that provide gender-affirming care continues to be available, irrespective of President Trump’s recent Executive Order. If the federal administration takes additional action to impede this critical funding, we will not hesitate to take further legal action. 

    State attorneys general will continue to enforce state laws that provide access to gender-affirming care, in states where such enforcement authority exists, and we will challenge any unlawful effort by the Trump Administration to restrict access to it in our jurisdictions.” 

    Joining Attorney General Bonta in issuing this statement are the attorneys general of Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Maryland, Massachusetts, New Jersey, New York, Nevada, Rhode Island and Vermont.

    # # #

    MIL OSI USA News

  • MIL-OSI: E Ink to Showcase 75” E Ink Kaleido™ 3 Outdoor Large Area Color Signage at Integrated Systems Europe 2025

    Source: GlobeNewswire (MIL-OSI)

    BILLERICA, Mass., Feb. 05, 2025 (GLOBE NEWSWIRE) — E Ink (8069.TWO), the originator, pioneer, and global commercial leader in ePaper technology, today announced they will be showing their largest color signage offering to date, a 75” E Ink Kaleido™ 3 Outdoor, at the Integrated Systems Europe 2025 (ISE) show in Barcelona starting February 4. Attendees of ISE can experience the 75” display at the Fira Barcelona from February 4 through February 7 in the Samsung Electronics booth (#3F500), LG Electronics booth (#3K100), the DynaScan booth (#3C700) and the Agile Display Solutions booth (#4A500).

    “As more countries look to reduce their carbon footprint and increase the sustainability of their communities, the benefits of an E Ink display, with its low power consumption and non-light pollution characteristics, can bring real change to indoor and outdoor DOOH signage,” said Dr. F.Y. Gan, President of E Ink. “Our largest E Ink Kaleido display to date offers a compelling solution to address the need for a dynamic display that also provides environmental solutions.”

    The 75” E Ink Kaleido 3 Outdoor display offers print-color ePaper designed specifically for Digital Out-of-Home (DOOH) advertising signage market, and it is suitable for outdoor use in varying temperature ranges. It offers dynamic color display capabilities, poster-like visual quality, and a low-carbon and eco-friendly display solution.

    E Ink Kaleido Outdoor 3 is based on print-color ePaper technology and utilizes an RGB color filter array on black and white electronic paper film to create a warm and colorful display, offering 4,096 colors and clear text, providing a comfortable and non-irritating color digital content viewing experience with a visual impact close to that of color printed paper signage. E Ink Kaleido 3 Outdoor’s operating temperature range is between -15°C to 65°C, which allows it to operate in extremely cold or hot areas without the need for expensive, high-energy-consuming heating or cooling devices, reducing additional power consumption.

    Many European countries are facing an energy crisis and new regulations have been put in place to limit the operating hours of digital signage. However, E Ink Kaleido 3 Outdoor uses very little power, and can even run on renewable energy from solar panels, without relying on electricity from the grid. That means it can replace energy-hungry digital signage and conform to the new restrictions. When used for outdoor information displays, E Ink Kaleido 3 Outdoor color ePaper allows for quick and easy updates of information. It’s much more functional and environmentally friendly than traditional paper posters and display boards.

    E Ink adheres to its commitment to sustainable development by leveraging its unique PESG framework to provide low-carbon display solutions, contributing to the realization of a net-zero society. According to FTSE Russell’s assessment, 99.9% of E Ink’s product sales revenue qualifies as green revenue. Additionally, Moody’s Ratings has issued a Second Party Opinion (SPO) on E Ink’s green loans, confirming their compliance with the Green Loan Principles (2023) and assigning a high sustainability score of “SQS2 Very Good,” recognizing the exceptional environmental contributions and international standards compliance of E Ink’s ePaper products.

    E Ink is dedicated to providing energy-efficient, light-pollution-free, eco-friendly, and visually beneficial products for smart cities and broader communities. Research from the Harvard T.H. Chan School of Public Health highlights that ePaper, operating without self-lighting and emitting no blue light, does not harm human eyes, and provides up to three times better eye health compared to LCD displays. Furthermore, ePaper is the first display technology globally to receive certification from the International Dark-Sky Association. Compared to paper and LCD displays, ePaper offers significant energy savings and low-carbon benefits. For example, ePaper used in smart bus stop signage, powered by solar energy systems, enables 100% renewable energy usage without requiring connection to the power grid, making it an ideal solution for achieving global net-zero carbon goals.

    About E Ink
    E Ink Holdings Inc. (8069.TWO), based on technology from MIT’s Media Lab, provides an ideal display medium for applications spanning eReaders and eNotes, retail, home, hospital, transportation, logistics, and more, enabling customers to put displays in locations previously impossible. E Ink’s electrophoretic display products make it the worldwide leader for ePaper. Its low power displays enable customers to reach their sustainability goals, and E Ink has pledged using 100% renewable energy in 2030 and reaching net zero carbon emissions by 2040. E Ink has been recognized for their efforts by receiving, validation from Science-Based Targets (SBTi) and is listed in both the DJSI World and DJSI Emerging Indexes. Listed in Taiwan’s Taipei Exchange (TPEx) and the Luxembourg market, E Ink Holdings is now the world’s largest supplier of ePaper displays. For more information please visit www.eink.com. E Ink. We Make Surfaces Smart and Green.

    Contacts
    V2 Communications on behalf of E Ink
    eink@v2comms.com

    A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/83d1ff0d-018c-459d-87fe-b2295ec0050e

    The MIL Network

  • MIL-OSI NGOs: Mass influxes of wounded patients arrive at hospitals across Sudan as “war on people” continues

    Source: Médecins Sans Frontières –

    • MSF teams have responded to mass casualty events in three areas in Sudan in the last few days.
    • These deplorable attacks on people show how little respect is being given towards civilian life.
    • We are urging the warring parties to protect civilian life.

    Port Sudan – Médecins Sans Frontières (MSF) teams in three different parts of Sudan – Khartoum, North Darfur, and South Darfur states – treated mass influxes of war-wounded patients in the last few days. The war between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) continues, with little respect shown for civilian life.

    On 4 February in Nyala, South Darfur, 21 injured patients were brought to the MSF-supported Nyala Teaching hospital after airstrikes by the SAF hit a peanut oil factory, with reports of 25 people killed. On 3 February, airstrikes hit residential areas of Nyala, destroying civilian houses. The airstrikes took place in the afternoon when many people were around. Thirty-two people were reportedly killed and dozens injured, with many patients brought to the Nyala Teaching hospital.

    An MSF doctor was working in the hospital when the airstrikes took place.

    “The bombing was near the hospital. We felt the building shaking. Once I went to the emergency room the situation was horrible,” they say. “Blood was everywhere, some patients were suffering from fractures, some had limbs amputated. While I was going around the ER, I saw two children. One was four years old; the other was two years old. Their aunt told us that this child had lost three of her siblings and her mother had died, and only her older brother and father survived because they were at work.”

    Civilians have also been killed in El Fasher, North Darfur state, the scene of fierce clashes in recent months. Over the last few days MSF teams have been treating wounded civilians in Zamzam camp after escalating heavy fighting between the RSF and SAF and their Joint Forces allies resulted in scores of casualties. On 2 February, the MSF field hospital in Zamzam camp received 21 wounded patients, more than half of whom were children, who had been injured while fleeing Shagra, a village in El Fasher locality.

    MSF’s field hospital in Zamzam is for paediatric and maternal healthcare and not equipped to handle trauma injuries requiring surgery. The only remaining surgical services were a few kilometres away, yet people were unable to use the road between Zamzam and El Fasher due to the ongoing fighting and shifting frontlines.

    Patients in critical condition were trapped in Zamzam camp with no access to lifesaving care. Four patients were among the wounded who passed away, five patients were successfully referred to El Fasher on 3 February, where Saudi hospital remains somewhat functional despite relentless attacks, with a recent bombing of the facility on 24 January reportedly killing 70 people.

    Thousands of people fleeing from Shagra have arrived in Zamzam in recent days, leaving everything behind in desperate search of safety. They have told our teams of horrific violence in the area. About 60 families from Shagra also reached Tawila, where MSF runs an emergency programme providing emergency, nutritional, paediatric, and maternal healthcare. They told MSF teams that people were robbed and attacked as they fled along the road.  

    Violence has also intensified in Khartoum state since the beginning of February. On 4 February, during RSF shelling of Omdurman there were explosions within 100 metres of the MSF-supported Al Nao hospital. The Ministry of Health reported that 38 people were injured and six people were killed, including a volunteer from the Al Nao initiative, in which people volunteer to assist in running the hospital.

    This is the second time medics working at the hospital have responded to a mass influx of wounded patients in recent days. On 1 February, an RSF attack on a market on killed 54 people, according to the Ministry of Health. Since the war in Sudan started Al Nao hospital has been hit by explosions three times; in August 2023, October 2023 and June 2024.

    “The violence that the Rapid Support Forces and Sudanese Armed Forces are inflicting on civilians right across Sudan is tragic and appalling,” says Ozan Agbas, MSF’s emergency manager. “The violence continues ruining lives, making it harder for people to access healthcare and putting healthcare workers at risk. We urge the warring parties to protect civilian life and spare them from this war on people.”

    MIL OSI NGO

  • MIL-OSI: President and CEO Dana Erickson Announces New Structure to Senior Leadership Team at Blue Cross and Blue Shield of Minnesota

    Source: GlobeNewswire (MIL-OSI)

    EAGAN, Minn., Feb. 05, 2025 (GLOBE NEWSWIRE) — Dana Erickson, president and CEO of Blue Cross and Blue Shield of Minnesota (Blue Cross), has announced a revised structure and a new addition to her senior leadership team. The changes have two established Blue Cross senior team members, Chris Fanning and Carey Smith, taking on expanded responsibilities in their respective fields of market portfolio growth and technology. Additionally, accomplished healthcare leader David Im is joining the organization as Chief Operating Officer.

    “These changes to our senior leadership team build upon Blue Cross’ market-leading strengths while creating new opportunities to grow in ways that will further sharpen our customer focus,” said Erickson. “As an organization, Blue Cross has been a champion of providing affordable and accessible healthcare for more than 90 years. The depth of talent, experience and vision across our leaders have us in a great position to continue our journey to a century of serving Minnesota.”

    Details behind changes to the Blue Cross senior leadership team include the following:

    Chris Fanning, Chief Growth Officer

    Fanning joined Blue Cross in 2020 to lead the company’s portfolio of health plans across commercial market clients based in Minnesota, with members located in all 50 states. Now as Chief Growth Officer, Fanning will lead plans and identify opportunities for additional membership across all lines of business, including innovative health plan company Coupe Health.

    In his expanded role as Chief Growth Officer, Fanning has accountability for client and membership retention, acquisition and financial performance for both commercial and government markets within the state (including Medicare and Medicaid), as well as Minnesota-based membership within the Blue Cross and Blue Shield Federal Employee Plan. His extensive experience in healthcare includes sales and marketing leadership positions at major health insurers based in Pennsylvania, Virginia and Michigan.

    Carey Smith, President of Xcelerate Health

    Smith, who has been a member of the Blue Cross senior leadership team since 2022, will focus on developing and implementing technology products and services as president of a newly established business unit called Xcelerate Health. Currently in the early stages of development, Xcelerate Health will be structured and staffed to drive innovation and enhanced capabilities across the healthcare market. At the same time, Smith will continue to have strategic oversight of Blue Cross’ technology architecture and integration under the title of Chief Technology and Innovation Officer.

    For more than three decades, Smith has built and delivered modernized and proficient IT solutions that drove transformational change at numerous companies across the insurance, financial services, and manufacturing industries. He first worked for Blue Cross from 2012 to 2017 as an information technology (IT) leader.

    David Im, Chief Operating Officer

    David Im is joining Blue Cross as the newest member of Dana Erickson’s senior leadership team. Starting on February 10, Im will be responsible for operational direction and systems oversight of claims, customer service, clinical operations, vendor management, payment integrity, and provider operations.

    Im has more than two decades of strategic and operational leadership experience in healthcare. Prior to joining Blue Cross, he was with Centene Corporation in the role of Corporate Vice President of Business Operations, overseeing enrollment, eligibility, member billing, and fulfillment services for 26 million members. His career path also includes tenures at Integra ServiceConnect, Magellan Health, OptumHealth, and Boston Scientific.

    Im is a graduate of West Point and served 11 years in the U.S. Army and Minnesota National Guard in various leadership positions, attaining the rank of Major. He spent a total of 40 months on operational and training deployments overseas.

    About Blue Cross and Blue Shield of Minnesota
    For more than 90 years, Blue Cross and Blue Shield of Minnesota (bluecrossmn.com) has supported the health, wellbeing and peace of mind of our members by striving to ensure equitable access to high quality care at an affordable price. Our more than 2.5 million members can be found in every Minnesota county, all 50 states and on four continents. Blue Cross and Blue Shield of Minnesota is an independent licensee of the Blue Cross and Blue Shield Association.

    FOR MORE INFORMATION:                                                
    Jim McManus | 651.662.2882
    Blue Cross and Blue Shield of Minnesota
    Jim.McManus@bluecrossmn.com

    The MIL Network

  • MIL-OSI USA: Air Pollution Worsened COVID-19 Mortality, Especially in Vulnerable Communities

    Source: US State of Connecticut

    In the early stages of the COVID-19 pandemic, statistics emerged showing significant discrepancies in mortality by county.

    Shinsuke Tanaka, assistant professor and director of graduate studies in the Department of Agricultural and Resource Economics, wanted to use his expertise in environmental and health economics to help understand what was at the root of this puzzle.

    “I wanted to understand what could explain that spatial heterogeneity of Covid’s impacts,” Tanaka says.

    Tanaka published a paper in the Journal of Environmental Economics and Management showing that counties with more days of downwind pollution from power plants had higher COVID-19 mortality rates. This impact was more pronounced in under-resourced communities.

    When Tanaka began his research during the 2020 lockdown, there had been a few studies looking at the links between short-term (daily or monthly) exposure to air pollution and COVID-19 mortality. But very few had considered the impacts of long-term air pollution exposure.

    Tanaka looked at the impacts of air pollution on counties within 20 miles of fossil-fueled power plants. He determined this was an appropriate radius based on readings from EPA air pollution monitors showing that air pollutants travelled downwind about that far before dissipating.

    Then, Tanaka calculated what percentage of days in a 10-year period before the pandemic a given county in the contiguous U.S. was downwind of power plant pollution.

    “That gives me a measure of long-term exposure to pollution for each county before Covid started,” Tanaka says.

    Tanaka found that counties with an average downwind frequency of 13.5% had 28% more COVID-19 deaths within the first week of April 2020 compared to upwind counties the same distance from a plant.

    Tanaka extended his research until the third mortality peak in January 2021. He found the cumulative mortality rate was 45% higher for communities that were more frequently downwind.

    Tanaka’s findings also demonstrated that these impacts were greater in counties with higher poverty rates, lower health insurance coverage, and lower education levels.

    “That indicates that disadvantaged communities and counties faced even greater burdens of pollution from these power plants during the pandemic,” Tanaka says.

    Such underlying disparities mean people in these communities are more likely to have underlying health conditions and less access to health care when they get sick.

    Other studies on links between air pollution and health have struggled to separate air pollution from other potentially confounding variables. By focusing on downwind patterns, an essentially random natural event, Tanaka was able to isolate air pollution as a variable.

    “This method allowed me to isolate the impact of pollution exposure more effectively,” Tanaka says.

    By demonstrating a method that can successfully isolate long-term air pollution exposure from confounding variables, Tanaka’s study paves the way for more research on other health outcomes.

    “COVID-19 is, of course, a very specific mortality, and I expect to see more studies on the impact of long-term air pollution exposure on various other health outcomes.”

    Research such as Tanaka’s demonstrates that the significant public health costs of fossil fuels will remain critical to public policy discussions.

    “It will be very important to understand which power plants are having greater impacts, and what plants should be closed,” Tanaka says. “Those discussions should continue.”

    This work relates to CAHNR’s Strategic Vision area focused on  Enhancing Health and Well-Being Locally, Nationally, and Globally.

    Follow UConn CAHNR on social media

    MIL OSI USA News

  • MIL-OSI USA: Department of Defense Program Funds Study of Cranial Regeneration

    Source: US State of Connecticut

    Biomedical engineering researchers at UConn Health believe there might be a way to use ultrasound to compel the body to regrow cranial tissue.

    Yusuf Khan, an associate professor of orthopedic surgery, and Dr. David Hersh, associate professor of neurosurgery, have been studying whether some principles of bone development in children could apply to bone healing in adults who’ve had part of their skull removed and replaced.

    A decompressive craniectomy (left) is performed to accommodate intracranial swelling by removing a large portion of the skull. When the swelling resolves, a cranioplasty (right) is performed to replace the missing bone, often with the original bone flap that had been removed during the first surgery. (Images provided by David Hersh)

    They recently were awarded a two-year grant totaling $435,000 through the Congressionally Directed Medical Research Program’s Peer Reviewed Medical Research Program, part of the Department of Defense.

    A decompressive craniectomy, or the removal of a portion of the skull, is a potentially life-saving intervention for when a patient suffers from brain edema, or severe swelling, such as when there has been a traumatic brain injury. The procedure gives the swelling brain more space, relieving pressure and lowering the risk of herniation, which can be fatal.

    Hersh, a pediatric neurosurgeon at Connecticut Children’s who performs craniectomies on select patients with certain conditions, notes that after the follow-up cranioplasty, which is when the portion of skull that had been removed is then reattached, that piece of bone can have problems reintegrating with the remainder of the skull. In some cases, the bone gets resorbed, meaning it instead starts to shrink and get absorbed by the body.

    “You end up being left with big gaps in the bone, which can leave the underlying brain at risk,” Hersh says. “And then the patient needs even more surgeries to provide appropriate coverage, which might involve a synthetic replacement.”

    Dr. David Hersh (left), UConn School of Medicine associate professor of neurosurgery and pediatric neurosurgeon at Connecticut Children’s, speaks with Yusuf Khan, associate program director of the UConn School of Medicine’s Skeletal Biology and Regeneration Graduate Program, in Khan’s lab at UConn Health. (Tina Encarnacion/UConn Health photo)

    Original bone has many biological and other advantages over synthetic materials, such as metals or hard plastics, and trying to eliminate or reduce the need for synthetics is one of the tenets of regenerative engineering.

    In 2019, Hersh started collaborating with Khan, who had been studying therapeutic ultrasound and how it facilitates fracture repair. Hersh had prior experience using therapeutic ultrasound for neurosurgical applications such as for blood brain barrier opening.

    “David came to me with a very specific pediatric problem that he wanted to try to solve,” Khan says. “This grant really grew from the original pediatric application, but, through us working together over the years, we realized the potential for adults, too. And the Congressionally Directed Medical Research Program is an ideal funder for a project like this because of the type of battlefield injuries that soldiers unfortunately experience.”

    The focus is on the dura, the thin layer of tissue that encloses the brain, and whether low-intensity ultrasound can provide a physical force that the cells can sense, possibly stimulating cranial bone regeneration.

    “We think that there’s something unique about those dural cells in that they respond to physical forces, just like bone cells do,” Khan says. “We’ve seen interesting responses by dural cells from young animals that are exposed to ultrasound, and we’re now going to explore whether skeletally mature cells act the same way. We plan to add stem cells to the defect site to study how they communicate with dural cells and whether this can stimulate new bone formation.”

    Hannah Anderson is a 2025 Ph.D. candidate in The Cato T. Laurencin Institute for Regenerative Engineering. Yusuf Khan is her mentor. (Photo by Chris DeFrancesco)

    Khan likens it to how certain fractures actually benefit from weight-bearing during the healing process.

    Hersh says the body already provides an encouraging clue.

    “Our hypothesis is based on what people have learned about normal development –the skull grows in response to the underlying dura releasing signals that then stimulate bone formation,” Hersh says. “We think that happens as a result of the brain itself growing when we’re young and applying mechanical strain to the dura, which then signals to the bone above it. So, our aim is to recreate that natural process to facilitate bone healing in a way that’s similar to the original bone development.”

    While studying this issue may have utility for wounded warriors, its potential applications may extend far beyond that. Examples include patients undergoing a decompressive craniectomy and subsequent cranioplasty for reasons unrelated to combat, including in the setting of civilian traumatic brain injury and certain severe types of stroke.

    “This collaboration on regenerating cranial bone is so important for the future of our wounded warriors,” says Dr. Cato T. Laurencin, the founder and director of the Cato T. Laurencin Institute for Regenerative Engineering. “It is also beneficial to any mature patient with a traumatic brain injury. Congratulations to Dr. Khan and Dr. Hersh for securing funding to continue their life-altering research.”

    The UConn School of Medicine’s Dr. David Hersh (left) and Yusuf Khan are studying how ultrasound may help the body regrow skull bone, funded through a grant from the Congressionally Directed Medical Research Programs. (Tina Encarnacion/UConn Health photo)

    Khan is the associate program director of the UConn School of Medicine’s Skeletal Biology and Regeneration Graduate Program and a member of the Laurencin Institute.

    “This is a great example of the power of academic interdisciplinary medicine, where a talented surgeon brought a clinical problem to an engaged and creative scientist-engineer to work towards the betterment of patient care,” says Dr. Isaac Moss, chair of UConn Health’s Department of Orthopaedic Surgery. “When I connected Drs. Hersh and Khan five years ago, it was clear that these two faculty members would form a great partnership and it’s great to see fruits from this collaboration.”

    Dr. Ketan Bulsara, chair of UConn Health’s Department of Neurosurgery, agrees.

    “The interdepartmental collaboration between Dr. Hersh from neurosurgery and Dr. Khan from orthopedic surgery is just another example of our symbiotic clinical and research excellence that has the potential to transform patient care through our tripartite mission,” Bulsara says. “I congratulate them both on receiving this prestigious grant, and congratulate Dr. Jonathan Martin also for leading our exemplary pediatric neurosurgery team at Connecticut Children’s.”

    Martin, a professor of surgery and pediatrics, directs Connecticut Children’s Division of Neurosurgery and holds its Paul M. Kanev Chair of Pediatric Neurosurgery.

    “We have been privileged to partner with the UConn Health Department of Neurosurgery through the neurosurgery residency program, which has also expanded our access to new clinical and research partners,” Martin says. “The collaboration between Connecticut Children’s and UConn Health has accelerated the ability of exceptional faculty like Dr. Hersh to pursue answers to difficult questions that will benefit patients well beyond Connecticut and Western New England.”

    The grant starts Feb. 1. While the research is in its very early stages, Khan says when the time comes, the work in the lab will be easily translatable.

    “To me, this represents the best version of a clinician-research collaboration, where there is a clinical need looking for a solution, and there is a research solution looking for the ideal clinical application,” he says. “This demonstrates the power of and the need for clinician-scientist collaborations.”

    The work was supported by the Assistant Secretary of Defense for Health Affairs endorsed by the Department of Defense, in the amount of $435,465.00, through the Peer Reviewed Medical Research Program under Award No. HT9425-25-1-0053. Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Assistant Secretary of Defense for Health Affairs or the Department of Defense.

    MIL OSI USA News

  • MIL-OSI USA: Hospital Payment Program and Medical Debt Relief Initiative Approved for Another Year

    Source: US State of North Carolina

    Headline: Hospital Payment Program and Medical Debt Relief Initiative Approved for Another Year

    Hospital Payment Program and Medical Debt Relief Initiative Approved for Another Year
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    The North Carolina Department of Health and Human Services received approval from the Centers of Medicare and Medicaid Services to continue the Healthcare Access and Stabilization Program (HASP) that makes hospital incentives for the state’s medical debt relief initiative possible. The first two years were approved in July 2024. This new approval supports the state’s work to relieve more than $4 billion and a decade’s worth of medical debt for nearly 2 million low-and middle-income North Carolinians and prevent accumulation of new debt going forward.

    “Carrying medical debt for too many people is like carrying a financial anvil. North Carolina’s medical debt relief initiative is giving these folks a clean credit slate,” said Governor Josh Stein. “I am pleased that CMS has approved this initiative for another year so we can continue to create a stronger health care system and healthier North Carolina for every person.”

    In its third year, for services provided to Medicaid managed care enrollees from July 2025 to June 2026, the HASP program will include nearly $6.5 billion in gross revenue if all North Carolina hospitals continue to participate in the medical debt relief initiative. Importantly, HASP dollars are not being used to implement medical debt relief for consumers. Rather, hospitals are required to relieve medical debt deemed uncollectable and adopt certain charity care policies as a condition of eligibility to receive enhanced HASP payments.

    North Carolina’s program is the first in the nation to leverage Medicaid state directed payment authority to encourage hospitals to both relieve historical medical debt and adopt forward-looking protections to prevent the accumulation of debt.

    “North Carolina’s innovative medical debt relief plan ensures people with low-income are protected from harmful debt collection practices and financial ruin,” said NC Health and Human Services Secretary Dev Sangvai. “This program is a win-win for North Carolina so that people can receive the care they need without fear of costly medical debt while supporting financial sustainability for hospitals.”

    Last year, all 99 acute care hospitals in the state signed on to participate. In addition to mitigating medical debt, hospitals are also required to implement more robust and standardized financial assistance policies and eliminate reporting of medical debt to credit agencies.

    More than 20 million Americans had outstanding medical debt in 2021. Among those experiencing health care-related debt nationally, more than 40 percent have fully or nearly exhausted personal savings or taken on credit card debt to cover their medical debts. Other than income and job loss, medical expenses are the highest contributor to personal bankruptcy in the United States. The ultimate impact is significant harm to patients – eight in 10 people with medical debt have deferred needed medical care due to the expense.

    Research shows that medical debt relief is a highly bi-partisan issue with strong support from Democratic and Republican leaders. Polling shows 80% of people want their state and federal elected officials to pass policies to reduce health care costs. Medical debt relief is an initiative leadership can use to significantly improve the lives of their constituents.

    People who are eligible do not need to take any action to have their medical debt relieved. Hospitals are working with Undue Medical Debt to notify patients directly if they meet the eligibility requirements. For more information about HASP and North Carolina’s Medical Debt Relief Incentive Program, please see the FAQ and Toolkit for other states interested in implementing similar programs.

    El Departamento de Salud y Servicios Humanos de Carolina del Norte recibió la aprobación de los Centros de Servicios de Medicare y Medicaid (CMS, por sus siglas en inglés) para continuar el Programa de Acceso y Estabilización de la Atención Médica (HASP) que hace posible los incentivos hospitalarios para la iniciativa estatal de alivio de la deuda médica. Los dos primeros años fueron aprobados en julio de 2024. Esta nueva aprobación respalda el trabajo del estado para aliviar más de $4 mil millones y una década de deuda médica para casi 2 millones de habitantes de Carolina del Norte de bajos y medianos ingresos y evitar la acumulación de nueva deuda en el futuro.

    “Llevar deudas médicas para demasiadas personas es como llevar un yunque financiero. La iniciativa de alivio de la deuda médica de Carolina del Norte está dando a estas personas un borrón y cuenta nueva”, dijo el gobernador Josh Stein. “Me complace que los CMS hayan aprobado esta iniciativa por un año más para que podamos continuar creando un sistema de atención médica más sólido y una Carolina del Norte más saludable para cada persona”.

    En su tercer año, para los servicios prestados a los afiliados a la atención administrada de Medicaid desde julio de 2025 hasta junio de 2026, el programa HASP incluirá casi $6.5 mil millones en ingresos brutos si todos los hospitales de Carolina del Norte continúan participando en la iniciativa de alivio de la deuda médica. Es importante destacar que los dólares de HASP no se están utilizando para implementar el alivio de la deuda médica para los consumidores. Más bien, los hospitales están obligados a aliviar la deuda médica considerada incobrable y adoptar ciertas políticas de atención de caridad como condición de elegibilidad para recibir pagos HASP mejorados.

    El programa de Carolina del Norte es el primero en la nación en aprovechar la autoridad de pago dirigida por el estado de Medicaid para alentar a los hospitales a aliviar la deuda médica histórica y adoptar protecciones para evitar la acumulación de deuda.

    “El innovador plan de alivio de la deuda médica de Carolina del Norte garantiza que las personas con bajos ingresos estén protegidas de las prácticas dañinas de cobro de deudas y la ruina financiera”, dijo el secretario de Salud y Servicios Humanos de Carolina del Norte, Dev Sangvai. “Este programa es beneficioso para Carolina del Norte para que las personas puedan recibir la atención que necesitan sin temor a una deuda médica costosa y al mismo tiempo apoyar la sostenibilidad financiera de los hospitales”.

    El año pasado, los 99 hospitales de cuidados intensivos del estado se inscribieron para participar. Además de mitigar la deuda médica, los hospitales también deben implementar políticas de asistencia financiera más sólidas y estandarizadas y eliminar la notificación de la deuda médica a las agencias de crédito.

    Más de 20 millones de estadounidenses tenían deudas médicas pendientes en 2021. Entre las personas que experimentan deudas relacionadas con la atención médica a nivel nacional, más del 40 por ciento han agotado por completo o casi por completo sus ahorros personales o se han endeudado con tarjetas de crédito para pagar sus deudas médicas. Aparte de los ingresos y la pérdida de empleo, los gastos médicos son el mayor contribuyente a la bancarrota personal en los Estados Unidos. El impacto final es un gran daño para los pacientes: ocho de cada diez personas con deudas médicas han diferido la atención médica necesaria debido al gasto.

    La investigación muestra que el alivio de la deuda médica es un tema altamente bipartidista con un fuerte apoyo de los líderes demócratas y republicanos. Las encuestas muestran que el 80% de las personas quieren que sus funcionarios electos estatales y federales aprueben políticas para reducir los costos de atención médica. El alivio de la deuda médica es una iniciativa que el liderazgo puede utilizar para mejorar significativamente las vidas de sus constituyentes.

    Las personas que son elegibles no necesitan tomar ninguna medida para que se les alivie su deuda médica. Los hospitales están trabajando con Undue Medical Debt para notificar directamente a los pacientes si cumplen con los requisitos de elegibilidad. Para obtener más información sobre HASP y el Programa de Incentivos para el Alivio de Deudas Médicas de Carolina del Norte, consulte las Preguntas frecuentes y el Kit de herramientas para otros estados interesados en implementar programas similares.  

    Feb 5, 2025

    MIL OSI USA News

  • MIL-OSI: Phunware Mobile Hospitality Solution Deployed at JW Marriott Phoenix Desert Ridge Resort & Spa

    Source: GlobeNewswire (MIL-OSI)

    Phunware Technology for Location-Based Services and Enhanced Connectivity Providing Guests Seamless, Property-Wide Navigation

    Integrated Solutions for Data-Driven Insights and Location Based Services to Boost Efficiency, Revenue, and Guest Satisfaction

    AUSTIN, Texas, Feb. 05, 2025 (GLOBE NEWSWIRE) — Phunware, Inc. (“Phunware” or the “Company”) (NASDAQ: PHUN), a leader in enterprise cloud solutions for mobile applications, announced today that JW Marriott Phoenix Desert Ridge Resort & Spa is deploying its enhanced Smart Hospitality Solution. The app will provide JW Marriott Desert Ridge guests using iOS and Android operating systems with real time navigation capabilities across 950 guest rooms and meeting space as well as the amenities including: AquaRidge WaterPark, Revive Spa, multiple restaurants, golf club and other features at this Marriott resort property.

    JW Marriott Desert Ridge chose Phunware to develop the resort property app based on experience and capabilities developing mobile solutions that enhance guest experiences across complex facilities.

    “Working with Phunware enables us to provide guests the tools to navigate and discover everything the property has to offer,” said Christa Wood, Director of Marketing at JW Marriott Phoenix Desert Ridge Resort & Spa. “Our new mobile app showcases amenities and seasonal activities throughout the year, ensuring guest enjoyment and engagement with our resort.”

    Phunware’s enhanced Smart Hospitality Solution perfectly aligns with Marriott’s requirements for mobile-first guest experiences by enabling resort guests to access features such as:

    • On-Property Navigation
      Navigate seamlessly throughout the resort with step-by-step directions. Guests can easily locate rooms, event venues, dining options, pools, and other amenities. This feature enhances the guest experience by eliminating the stress of finding their way around large properties.
    • Dining Reservations
      Explore and reserve exceptional dining options at the JW Marriott Desert Ridge, from the inventive Southwestern flavors of Tía Carmen to the Asian-inspired creations at Kembara, or the refined atmosphere of Meritage, an Urban Tavern by the golf course.
    • Cabana and Experience Bookings
      Conveniently book poolside cabanas to relax by the water and participate in resort-hosted events and activities, such as family-friendly experiences, fitness classes, or entertainment nights.
    • Spa and Golf Reservations
      Effortlessly schedule spa treatments, including massages, facials, body treatments, and salon services, through the app. Guests can also reserve tee times at the resort golf course, making it simple to plan a relaxing or active day.

    “Technology has become a cornerstone of modern hospitality and forward-looking companies are providing the seamless, personalized mobile-first experiences that guests expect,” said Stephen Chen, CEO of Phunware. “JW Marriott Desert Ridge Resort & Spa is a perfect example of how personalized, easy-to-use digital interfaces will help luxury hotels, resorts and other large complex facilities exceed guest and other user expectations. For example, mobile hospitality solutions allow guests to check in, unlock their rooms, order room service and book activities — all from their smartphones.”

    Click here to learn more about how Phunware’s mobile experience platform unifies the guest experience in hospitality.

    About JW Marriott Phoenix Desert Ridge Resort & Spa

    Set on 316 acres of sweeping Sonoran Desert, JW Marriott Phoenix Desert Ridge Resort & Spa features 950 rooms with dramatic desert and mountain views among lush grounds and gardens. The elements of fire, water, earth, and sky are woven into the resort experience, amenities, and decor. Arizona’s largest luxury resort offers Marriott’s first Revive Spa, a fitness center and movement studio, seven dining outlets, 240,000 square feet of indoor and outdoor meeting space, and the exclusive Griffin Club. The AAA Four Diamond resort also boasts four acres of elaborately landscaped waterways, including five pools, a 1,600-foot Lazy River and three unique multi-story waterslides that opened in summer 2023. A destination for the active, the expansive resort offers ample opportunity to explore the outdoors and delight in 330+ days of sunshine a year, with on-site amenities such as 17 pickleball courts, three tennis courts, 36 holes of championship golf at Wildfire Golf Club, and bike rentals, along with convenient access to nearby hiking and fitness trails.

    About Phunware

    Phunware, Inc. (NASDAQ: PHUN) is an enterprise software company specializing in mobile app solutions with integrated intelligent capabilities. We provide businesses with the tools to create, implement, and manage custom mobile applications, analytics, digital advertising, and location-based services. Phunware is transforming mobile engagement by delivering scalable, personalized, and data-driven mobile app experiences.

    Phunware’s mission is to achieve unparalleled connectivity and monetization through the widespread adoption of Phunware mobile technologies, leveraging brands, consumers, partners, digital asset holders, and market participants. Phunware is poised to expand its software products and services audience through its new Generative AI platform, utilize and monetize its patents and other intellectual property, and reintroduce its digital asset ecosystem for existing holders and new market participants.

    For more information on Phunware, please visit www.phunware.com. To better understand and leverage generative AI and Phunware’s mobile app technologies, visit ai.phunware.com.

    Safe Harbor / Forward-Looking Statements

    This press release includes forward-looking statements. All statements other than statements of historical facts contained in this press release, including statements regarding our future results of operations and financial position, business strategy and plans, and our objectives for future operations, are forward-looking statements. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “will,” and similar expressions are intended to identify forward-looking statements. For example, Phunware is using forward-looking statements when it discusses the adoption and impact of emerging technologies and their use across mobile engagement platforms.

    The forward-looking statements contained in this press release are based on our current expectations and beliefs concerning future developments and their potential effects on us. These forward-looking statements involve risks, uncertainties, and other assumptions that may cause actual results to differ materially from those expressed or implied. These risks and uncertainties include, but are not limited to, those factors described under the heading “Risk Factors” in our filings with the SEC. We undertake no obligation to update any forward-looking statements.

    By their nature, forward-looking statements involve risks and uncertainties. We caution you that forward-looking statements are not guarantees of future performance and that our actual results may differ materially from those expressed or implied by these forward-looking statements.

    Investor Relations Contact:

    Chris Tyson, Executive Vice President
    MZ Group – MZ North America
    949-491-8235
    PHUN@mzgroup.us
    www.mzgroup.us

    Phunware Media Contact:

    Joe McGurk, Managing Director
    917-259-6895
    PHUN@mzgroup.us

    The MIL Network

  • MIL-OSI: Xsolis Ranked No. 1 Best in KLAS for Physician Advisory Services for Fourth Year

    Source: GlobeNewswire (MIL-OSI)

    FRANKLIN, Tenn., Feb. 05, 2025 (GLOBE NEWSWIRE) — Xsolis, an AI-driven technology company that reduces administrative waste by enabling collaboration between healthcare providers and payers, announced today a No. 1 ranking for Physician Advisory (PA) Services in the 2025 Best in KLAS awards.  This is the fourth year Xsolis has achieved first place in the category, which recognizes services that help organizations with their physician and utilization review. 

    “The education and knowledge of Xsolis’ PAs are unmatched,” said Cindy Neumany, senior vice president of clinical operations for population health at Hackensack Meridian Health, a leading not-for-profit health care organization with 18 hospitals and more than 500 patient care locations in New Jersey. “Xsolis’ AI and its flexible models for clients have been invaluable to meet our unique goals.”

    Hackensack Meridian Health has been an Xsolis customer since 2021. In 2024, Xsolis’ PA Services achieved a 71% peer-to-peer success rate for Hackensack Meridian Health.

    Xsolis’ PA Services consistently receives positive feedback from clients about its flexibility – offering comprehensive external services or by supplementing hospitals’ internal models with review and peer-to-peer coverage – its high-quality reviews, responsiveness and its consultative, partnership approach. Serving clients since 2016, the Xsolis PA Services team undergoes rigorous training to support these goals. When paired with the company’s technology platform, Dragonfly, Xsolis’ PA Services also stands apart for its data insights capabilities, helping customers identify trends and areas for further improvement.

    “Receiving Best in KLAS is one of the most rewarding honors our team can receive because it is based on provider feedback,” said Heather Bassett, M.D., Xsolis chief medical officer and head of physician advisor services. “We are honored that Xsolis’ people, processes, and technology have been recognized for the collective value they bring our clients as we navigate industry challenges together.”

    According to the Hospital Financial Management Association, hospitals and health systems struggle with cost containment due to staffing shortages and rising operational costs. A lack of integration between documentation and care delivery can lead to significant rework or denials, with dire financial consequences. Physician advisors play a critical role in creating more resiliency in today’s healthcare ecosystem due to their abilities to bridge the gap between clinical practice and administrative needs for hospitals.

    “Congratulations to the 2025 winners of the Best in KLAS awards! Winning a Best in KLAS award signifies a commitment to delivering outstanding value and innovation to healthcare providers and patients alike,” said Adam Gale, KLAS CEO. “It is my hope that these awards inspire the winners and other companies to reach new heights.”

    Xsolis has been leveraging human-in-the-loop AI practices to develop AI solutions that streamline medical necessity decision-making in healthcare for over a decade, improving level of care authorizations, length-of-stay management, and payer-provider alignment. Xsolis’ collaborative AI platform is used in more than 500 hospitals nationwide, with more than two-thirds having shared access with their networked health plans.

    To learn more about Xsolis’ Physician Advisor Services, click here. To learn more about Xsolis’ AI solutions, click here.

    To explore the full 2025 Best in KLAS Physician Advisory Services category, click here.  

    About Xsolis 

    Xsolis is an AI-driven technology company that reduces administrative waste by enabling collaboration between healthcare providers and payers. Dragonfly®, its AI-driven proprietary platform, is the first and only solution to use real-time predictive analytics to continuously assign an objective medical necessity score and assess the anticipated level of care for every patient, enabling more efficiency across the healthcare system. Xsolis is headquartered in Franklin, Tennessee. For more information, visit www.xsolis.com.
     
    About KLAS 

    KLAS helps healthcare providers make informed technology decisions by offering accurate, honest, and impartial vendor performance information. KLAS monitors vendor performance through interviewing thousands of healthcare providers representing healthcare organizations throughout the US and here and there across the globe. KLAS uses a simple methodology to ensure all data and ratings are accurate, honest and impartial to help create market moving moments. Learn more at klasresearch.com.

    A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/186e7992-0295-4262-a390-11e79c0870f6

    The MIL Network

  • MIL-OSI: ChargeAfter Teams Up with Bread Financial to Offer Flexible Payment Options through its Embedded Lending Network

    Source: GlobeNewswire (MIL-OSI)

    NEW YORK, Feb. 05, 2025 (GLOBE NEWSWIRE) —

    With the addition of Bread Pay® pay-over-time options to its network of lenders, ChargeAfter enables merchants to provide qualified customers with instant access to its installment programs.

    ChargeAfter, the embedded lending platform for point-of-sale financing, announced today it has added Bread Pay pay-over-time financing to its network of lenders. Bread Pay is offered through Bread Financial® (NYSE: BFH), a tech-forward financial services company that provides simple, personalized payment, lending and saving solutions. This long-term agreement will enable merchants to offer their customers seamless access to Bread Pay’s suite of long- and short-term financing options through ChargeAfter’s platform. Johnson Health Tech is among the first of ChargeAfter’s merchant partners to offer Bread Pay through its platform, enabling shoppers to finance purchases of BowFlex, Schwinn Fitness, and Horizon Fitness products.

    ChargeAfter’s waterfall technology enables merchants to deliver instant access to financing choices for customers across the credit spectrum. This is especially crucial for retailers and service providers that sell big-ticket items such as home improvement, electronics, jewelry, furniture, home appliances, healthcare, and automotive. Bread Financial is offered to prime credit customers through the platform, with merchants providing fast and frictionless access to Bread Pay pay-over-time options at every point of sale. 

    “We know that some big-ticket purchases can be an important decision for many consumers, and we’re committed to helping merchants offer flexible financing options to customers to make those purchases as seamless and affordable as possible,” said Rick Cunningham, Senior Vice President of Strategy and Business Development at Bread Financial. “Our data shows consumers often choose a retailer based on their financing availability when purchasing these big ticket items*. By integrating Bread Pay at the point of sale through the ChargeAfter platform, we’re proud to empower consumers with greater choice and accessibility, taking the stress out of the purchasing process.”

    Meidad Sharon, CEO and founder of ChargeAfter added, “We are delighted that Bread Financial has joined our embedded lending network. The integration of Bread Pay products into our platform alongside a Bread Financial retail credit card offering enables merchants to seamlessly provide customers with a broader range of financing options. It is exciting to see merchants such as Johnson Health Tech enhance their prime financing offering with this product through ChargeAfter’s platform. As embedded lending becomes the new industry standard, ChargeAfter empowers merchants to deliver personalization and choices at every point of sale, providing an instant waterfall financing solution that benefits customers, merchants, and lenders alike.” 

    *From a Bread Financial proprietary survey published in 2023

    About ChargeAfter 
    ChargeAfter is pioneering the embedded lending network for point-of-sale consumer financing for merchants and financial institutions. Powered by a network of lenders and a data-driven matching engine, ChargeAfter streamlines the distribution of credit into a single, secure, and reliable embedded lending platform. Merchants can rapidly implement ChargeAfter’s omnichannel platform online, in-store, and at every point of sale, enabling them to provide personalized financing choices to their customers. 

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    About Bread Financial® 
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    Director of Marketing
    Varda Bachrach
    ChargeAfter
    varda.bachrach@chargeafter.com

    A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/89c2d85d-db29-4ec8-891e-f46e0c535c10

    The MIL Network

  • MIL-OSI Global: As Trump tries to slash US foreign aid, here are 3 common myths many Americans mistakenly believe about it

    Source: The Conversation – USA – By Joannie Tremblay-Boire, Assistant Professor of Public Policy, University of Maryland

    U.S. lawmakers and employees and supporters of the U.S. Agency for International Development speak outside the agency’s headquarters on Feb. 3, 2025. Kevin Dietsch/Getty Images

    U.S. foreign aid is in disarray.

    The Trump administration froze most aid disbursements on Jan. 20. According to billionaire Elon Musk, an adviser to President Donald Trump with “special government employee status,” the U.S. Agency for International Development, widely known as USAID, had been shut down as of Feb. 3, 2025.

    Although the Trump administration lacks the legal authority to do this, hundreds of people on the agency’s staff have been put on unpaid leave or fired, according to news reports.

    And the agency’s official website wasn’t working. A partial replacement, however, had appeared within the State Department’s website.

    I’m a scholar of public policy who researches nonprofits, which in the foreign aid sphere are often called nongovernmental organizations. These groups are responsible for carrying out many programs funded by foreign aid from governments such as the United States.

    In light of the Trump administration’s attack on the government’s main foreign aid agency and the disruption of this funding, I believe it’s important to debunk three common myths:

    1. The U.S. spends too much on foreign aid.
    2. The U.S. spends more than its fair share on foreign aid compared with other countries.
    3. Corrupt governments squander U.S. foreign aid.

    What is foreign aid?

    Foreign aid consists of money, goods and services – such as training – that government agencies provide to other countries. Foreign aid falls into two broad categories: economic assistance and military – sometimes called security – aid.

    Economic assistance includes all programs with development or humanitarian objectives. That tends to include projects related to health, disaster relief, the promotion of civil society, agriculture and the like. Most U.S. economic aid dollars come from the State Department budget, including spending allocated by USAID, which has operated as an independent agency since the Kennedy administration.

    On Feb. 3, Secretary of State Marco Rubio declared that he was serving as USAID’s acting director, indicating that the agency was no longer independent of the State Department.

    While U.S. taxpayers have long spent just a few bucks each on foreign aid every year, the impact is profound, saving millions of people from hunger, averting the worst of natural disasters such as droughts and flooding, tackling life-threatening diseases such as tuberculosis and malaria, and more.

    Myth No. 1: US spends too much on foreign aid

    The United States consistently spends only about 1% of its budget on foreign aid, including military and economic support. The 2023 aid managed by USAID totaled about US$40 billion.

    Americans tend to believe that their government spends a far bigger share of its budget on foreign aid than it does.

    In a survey the Kaiser Family Foundation conducted in 2015, it found that, on average, Americans believed that foreign aid accounts for nearly one-third of the budget. Only 3% of those polled answered correctly that foreign aid constituted 1% or less of total federal spending.

    Myth No. 2: US spends more than its fair share

    According to the Organization for Economic Cooperation and Development, the United States is by far the leading national source of economic assistance dollars. In 2023, it contributed $64.7 billion in overseas development assistance, far outpacing the $37.9 billion spent by Germany, the second-biggest source of that kind of aid. Some of this assistance is managed by USAID, some by the Department of State, and a small portion by other government agencies, such as the Treasury and Health and Human Services departments.

    That tells only part of the story, however. The United States spends very little on foreign aid relative to the size of its economy, particularly compared with other rich countries. The U.S. spent about 0.24% of its gross national income on overseas development assistance in 2023. By comparison, Norway, the top contributor by this metric, gave 1.09% of its gross national income in overseas development aid that year. The United States ranks toward the bottom of OECD countries, close to Portugal and Spain, by this measurement.

    In 1970, the United Nations General Assembly agreed that “economically advanced countries” would aim to direct at least 0.7% of their national income to overseas development assistance. Although developed countries have repeatedly mentioned this target in agreements and at summits since then, very few countries have reached that goal. In 2023, only five countries met the 0.7% target.

    The OECD average was just 0.37% in 2023 – far higher than the 0.24% the U.S. provided that year.

    Myth No. 3: Corrupt governments squander US aid

    You may think that foreign aid consists of government-to-government transfers of money. But governments channel most aid through nonprofits such as Catholic Relief Services, public-private partnerships, private companies such as Chemonics International and Deloitte, and multilateral organizations such as the United Nations and the World Bank.

    In fact, according to the Congressional Research Service, between 2013 and 2022, most U.S. foreign assistance bypassed governments altogether: NGOs received 24% of the money, for-profit companies 21%, multilateral organizations 34%, and other organizations, such as universities, research institutes and faith-based organizations, 7%.

    When the political scientist Simone Dietrich researched this question, she found that the United States outsources a lot of its foreign aid to NGOs. This is especially the case with the support it provides countries with bad governance and rampant corruption such as Sudan and Sri Lanka, which could be likely to squander or swipe those funds.

    To be sure, corrupt governments sometimes do squander U.S. foreign aid. But it is important to understand that most aid never enters the coffers of those corrupt governments in the first place.

    Even without Trump’s proposed cuts, US fails to lead

    Even if Trump fails at his current bid to greatly reduce foreign aid spending, other countries, including the United Kingdom and Denmark, are spending far more on economic assistance for the world’s poorest people, as a share of their economies, than the U.S. does.

    Slashing foreign aid would damage U.S. credibility with American allies, reduce U.S. influence around the globe and – as a group of more than 120 retired generals and admirals predicted when Trump tried to slash foreign aid in his first administration – make Americans less safe.

    Parts of this article appeared in a story first published on April 6, 2017, and have been updated.

    Joannie Tremblay-Boire does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. As Trump tries to slash US foreign aid, here are 3 common myths many Americans mistakenly believe about it – https://theconversation.com/as-trump-tries-to-slash-us-foreign-aid-here-are-3-common-myths-many-americans-mistakenly-believe-about-it-248979

    MIL OSI – Global Reports

  • MIL-OSI Global: Trump’s administration seems chaotic, but he’s drawing directly from Project 2025 playbook

    Source: The Conversation – USA – By Zachary Albert, Assistant Professor of Politics, Brandeis University

    The Heritage Foundation flag flies over its building in July 2024 in Washington. Andrew Harnik/Getty Images

    In his first few days back in office, President Donald Trump engaged in a whirlwind of executive actions, from exiting the World Health Organization, to deploying military personnel and National Guard troop to the U.S.-Mexico border.

    Many of these actions are unprecedented. Some appear to be illegal and unconstitutional, according to legal experts and judges. But none of them should come as a surprise – nearly all of them were outlined in 2022 in a plan called Project 2025.

    A Heritage Foundation representative attends a Moms for Liberty National Summit in Washington on Aug. 30, 2024.
    Dominic Gwinn/Middle East Images/AFP via Getty Images

    Project 2025 is top of Trump’s to-do list

    Project 2025 is a multifaceted strategy to advance conservative policies in the federal government. Part of this effort revolves around the “Mandate for Leadership,” a 922-page document published in April 2023 that outlines a slew of proposed governmental policy changes.

    The Heritage Foundation, a conservative think tank and advocacy group, organized the collaborative effort. A long list of other right-leaning research organizations and interest groups, like Moms for Liberty and Turning Point USA, also participated in Project 2025.

    In the lead-up to the 2024 presidential election, Project 2025 participants wrote on the plan’s website that “to rescue the country from the grip of the radical Left,” they would “need both a governing agenda and the right people in place, ready to carry this agenda out on day one of the next conservative administration.”

    In my research on think tanks, I’ve investigated how these research organizations can influence public policymaking. The most potent strategy is to ally with a political party and support its objectives through research and advocacy. This is exactly what the Heritage Foundation has done via Project 2025.

    Even though Trump said during his 2024 campaign that he was not affiliated with the project, evidence of Project 2025’s agenda can be seen throughout the beginning of his second term – as well as in his first administration.

    For example, on Jan. 20, 2025, Trump echoed the plan’s statement that “men and women are biological realities” when he signed an executive order that, in part, recognizes “two sexes, male and female” that are “not changeable and are grounded in fundamental and incontrovertible reality.” This order led to the removal of transgender references from government websites.

    Other orders are similarly aligned with Project 2025. Take Trump’s executive order that, in part, eliminated the Office of Federal Contract Compliance Programs, or OFCCP, a government office previously charged with ensuring companies working with the government did not discriminate against any employees. Project 2025 recommended, quite simply, to “eliminate OFCCP.”

    Some news reports have found that there are already many other examples of Trump policy decisions and executive orders that appear to mirror Project 2025 recommendations.

    One CNN analysis from Jan. 31 found that more than two-thirds of the 53 executive orders Trump issued during his first week in office “evoked proposals outlined in [the] ‘Mandate for Leadership.‘”

    Heritage Foundation’s decades of activism

    Project 2025’s influence on Trump reflects the Heritage Foundation’s growing importance to the Republican Party.

    In my forthcoming book about the polarization and politicization of policy research organizations, I show the many ways that think tanks like the Heritage Foundation have become embedded within partisan networks and intimately connected to politicians. Increasingly, Heritage and other partisan-aligned think tanks, including progressive groups like the Center for American Progress, use their research to consistently support partisan agendas that align with their policy goals.

    The relationship between the Heritage Foundation and the GOP represents the most extreme version of this dynamic. The think tank has supported Republican presidents as far back as Ronald Reagan, using another policy document – also called the “Mandate for Leadership” – to secure significant policy gains through his administration. But the symbiosis between the Heritage Foundation and the GOP has been particularly notable since Trump gained more influence in the party.

    At the start of Trump’s first term, as one Heritage Foundation researcher told me in 2017, the think tank recognized that the “administration didn’t have much policy depth, so when they won the election they were sort of like, ‘Now what do we do?’ And that’s where Heritage comes in. … We work on these issues year-round, so we’ll stand by your side.”

    The Heritage Foundation also vetted potential staffers for federal government positions. This led to more than 66 Heritage employees or former employees working for the Trump administration by the middle of 2018.

    But Heritage has not entirely dictated Trump’s agenda. While the group did say that Trump “embraced 64 percent of our 321 recommendations” by the end of 2017, the think tank has also revamped its agenda to align with Trump on the issues he cared most about, like trade and culture wars.

    As the think tank’s president, Kevin Roberts, said in 2024, Heritage views its job as “institutionalizing Trumpism.”

    The people connecting Trump to Project 2025

    Many of the contributors to the “Mandate for Leadership” had been Trump administration officials, like Russ Vought, the former director of the Office of Management and Budget and current nominee for the same position.

    This list also includes John Ratcliffe, the former director of National Intelligence and incoming CIA director, and Tom Homan, former acting director of Immigration and Customs Enforcement and current border czar.

    In all, more than half of the plan’s 312 authors, editors and contributors previously worked in the first Trump administration.

    An incredibly important but often underappreciated part of Project 2025 was its staffing effort: The coalition worked to identify, vet and train potential staffers and appointees who are now making their way into the Trump administration and executive agencies.

    Senate Majority Leader Chuck Schumer gestures toward a visual aid about Project 2025 during a news conference in September 2024 in Washington.
    Kent Nishimura/Getty Images

    What people – and the law – say about Project 2025

    Polling from January 2025 shows that a majority of Americans oppose many of Trump’s actions since retaking office, sometimes by large margins.

    Even during the presidential campaign, both Project 2025 itself and the policy ideas it advocated were broadly unpopular. Democrats consistently warned about the plan in their attacks against Republicans.

    The lack of popular approval for Project 2025 and its proposals is notable because the Heritage Foundation has historically invested time and money into gaining public support for its work. It even operates an initiative that polls citizens on how they “interpret arguments for and against our policy recommendations and how we can best gain their understanding and support.”

    There are also legal considerations.

    Many of Trump’s actions – like saying the government will deny citizenship to children born to some immigrants in the U.S. – rest on potentially unconstitutional interpretations and expansions of presidential power.

    This represents another about-face for the think tank, which has historically opposed efforts to empower the president at the expense of congressional authority. Indeed, the Heritage Foundation was founded to work through Congress to accomplish its goals. But with Project 2025, it seems it is pursuing a new strategy.

    How successful the Heritage Foundation is in helping Trump implement Project 2025 proposals will partially depend on how the public reacts. Whether Congress asserts its control over budgetary matters and exercises general oversight of the executive branch will also matter, as will the decisions made by the American judicial system.

    These checks and balances have helped sustain American democracy for nearly 250 years – whether they will continue to do so remains to be seen.

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

    ref. Trump’s administration seems chaotic, but he’s drawing directly from Project 2025 playbook – https://theconversation.com/trumps-administration-seems-chaotic-but-hes-drawing-directly-from-project-2025-playbook-248821

    MIL OSI – Global Reports

  • MIL-OSI Russia: Digital diagnostics to double number of foreign publications in 2024

    Translartion. Region: Russians Fedetion –

    Source: Center for Diagnostics and Telemedicine of the Moscow Department of Health (DZM)

    The scientific journal Digital Diagnostics has seen a significant increase in the number of publications by foreign authors in 2024, doubling the figures for previous years. This year, the journal has published 16 articles written by foreign authors, compared to an average of 7 articles per year in previous years. The journal currently collaborates with authors from six countries.

    Center for Diagnostics and Telemedicine.

    Yuri Vasiliev, Chief Consultant in Radiology at the Moscow Health Department and CEO of the Center for Diagnostics and Telemedicine, noted that in 2024, their journal expanded its international reach as it featured articles by Indian scientists for the first time. He noted that India, as a member of BRICS, is part of an international organization with which they actively cooperate. He expressed confidence that broad international cooperation and exchange of experience will significantly improve scientific development in their countries. He also noted that 16 foreign articles were published in the journal this year, significantly more than the 7 articles published in 2022 and 2021. Notably, Italy presented 13 articles on clinical cases and scientific reviews, while Indian scientists presented original research in teleradiology, which is considered a valuable contribution to the field.

    In 2024, two landmark papers by Indian authors were published: “Radiological evaluation of pulmonary vascular and gastrointestinal changes in COVID-19 patients referred to a tertiary care centre in Chennai, India: a prospective cross-sectional study” and “Role of teleradiology in interpreting ultrasound images obtained in the emergency setting”. These papers were prepared by research teams from Image Core Lab and Mahatma Gandhi.

    This year, the Diagnostics and Telemedicine Center actively established contacts with colleagues from the BRICS countries. The Center’s employees took part in the International Municipal Forum of the BRICS countries and visited a specialized healthcare exhibition in New Delhi called India Health. In addition, the Center was visited by delegations from four BRICS countries – China, India, Iran and South Africa.

    Digital Diagnostics is recognized as one of the most progressive and prestigious journals in the field of radiology. Every year its portfolio expands and includes a wide range of topics, such as radiology and instrumental diagnostics, innovative methods, application of artificial intelligence, healthcare management and other scientific topics. The journal publishes articles by outstanding Russian scientists, as well as international experts who make a significant contribution to the development of scientific research. The journal publishes articles in three languages: Russian, English and Chinese, with a circulation of 5,000 copies.

    MIL OSI Russia News

  • MIL-OSI Russia: Six new regions of the Russian Federation will be connected to the Moscow platform of medical services based on artificial intelligence MosMedAI

    Translartion. Region: Russians Fedetion –

    Source: Center for Diagnostics and Telemedicine of the Moscow Department of Health (DZM)

    The MosMedAI platform uses advanced AI algorithms to assist healthcare professionals by highlighting possible pathologies in medical images using color segmentation and generating a radiological report. These advanced solutions have been extensively tested and have been successfully implemented in hospitals for the past five years.

    Currently, more than 75 percent of the country’s regions use medical services available on the MosMedAI platform. The integration of six new regions into this system is a significant step towards the digital transformation of healthcare in the country. Sergei Sobyanin emphasized that the platform offers 17 services based on artificial intelligence, designed to increase the speed and accuracy of diagnostic processes.

    The expansion of the AI-based platform is part of a broader initiative to modernize healthcare in Russia, improving access and quality for patients across the country, Moscow Mayor Sergei Sobyanin announced on his Telegram channel.

    MIL OSI Russia News

  • MIL-OSI United Kingdom: Fairer funding for charities

    Source: Scottish Government

    More than £60 million for pilot projects focusing on essential services and eradicating child poverty.

    A new Fairer Funding pilot to deliver on the Scottish Government’s top priority of eradicating child poverty will provide additional multi-year funding in the form of 45 grants to organisations across Scotland.

    The funding, subject to budget approval, will support projects in areas including health, education, poverty and culture and have a total value of £61.7 million in 2025-26 and £63.2 million in 2026- 27.

    Speaking on her visit today to the Gathering, the largest third sector event in the UK, Social Justice Secretary Shirley-Anne Somerville said:

    “I know many charities, faced with rising costs and falling donations, need more security and stability to enable them to plan and develop. Child poverty, in particular, requires longer-term interventions to help achieve the solutions we want to see. For that, the third sector needs financial stability and certainty. That’s why I have prioritised delivering on our commitment to provide more multi-year funding where we can to support the vital work of the third sector in Scotland, as part of our fairer funding approach.

    “The pilot is the first step in mainstreaming multi-year funding agreements more widely across the third sector. It will give organisations the ability to plan for the future and make the most of their resources. The pilot’s focus on grants connected to tackling child poverty and the delivery of frontline services to our communities will maximise the impact of longer term funding and support the delivery of our number one priority, eradicating child poverty.”  

    Scottish Council for Voluntary Organisations (SCVO) Chief Executive Anna Fowlie said:

    “The voluntary sector has a crucial role to play in delivering essential services across Scotland that people and communities rely on. Multi-year funding models are vital, providing security to voluntary organisations and, crucially, allowing them to get on and deliver for people and communities.

     “We welcome the Scottish Government’s commitment to piloting multi-year funding for a range of voluntary organisations across Scotland – a first step, we hope, towards rolling out Fair Funding principles to voluntary sector funding.”

    Background

    Organisations to receive multi-year funding for 2025/26 and 2026/27

    Social Justice

    Scottish Refugee Council

    Scottish Empty Homes Partnership

    Homeless Network Scotland

    Housing Options Scotland

    Poverty Alliance

    CentreStage – Social Innovation Partnership

    COVEY – Social Innovation Partnership

    Flexibility Works – Social Innovation Partnership

    Heavy Sound – Social Innovation Partnership

    MsMissMrs – Social Innovation Partnership

    Street Soccer – Social Innovation Partnership

    WorkingRite – Social Innovation Partnership

    MCR Pathways

    Economy and Gaelic

    Scottish Mountain Rescue

    Constitution, External Affairs and Culture

    Youth Music Initiative

    Sistema Scotland

    Health and Social Care

    Cruse Scotland Bereavement Helpline

    Penumbra Self-harm support pilots

    BASICS Funding PHEC BASICS Scotland

    The Listening Service Samaritans

    Communities Mental Health and Wellbeing Fund for adults

    Communities Mental Health and Wellbeing Fund Management

    Autism Advice Line Scottish Autism

    Young Scot Carer support funding

    Active Play Development Programme Inspiring Scotland

    Active Play Development Programme Actify

    Community Food Networks Edinburgh Community Food

    Community Food Networks Lanarkshire Community Food and Health Partnership

    Community Food Networks Community Food Initiative North East

    Community Food Networks Glasgow Community Food Network

    Drugs Policy: Core Funding Scottish Families Affected by Alcohol and Drugs

    Drugs Policy: Family Recovery Initiative Fund Scottish Families Affected by Alcohol and Drugs

    Fetal Alcohol Spectrum Disorder FASD Hub Scotland Service 

    Finance and Local Government

    Planning Aid Scotland

    Education and Skills

    Dyslexia Scotland

    Children’s Advocacy for Children’s Hearings

    Who Cares Scotland

    Inspiring Scotland

    Children in Scotland Enquire National Advice and Information Service on Additional Support for Learning

    Scottish Book Trust Bookbug

    Access to Childcare Fund

    Scottish Association of Minority Ethnic Educators

    Justice and Home Affairs

    Victim Centred Approach Fund

    Apex Scotland

    Medics Against Violence

    These pilots are in addition to the multi-year funding announced last week by Creative Scotland, which has been funded as part of a record £34 million uplift for culture in the draft 2025-26 Scottish Budget.

    MIL OSI United Kingdom

  • MIL-OSI Russia: Six new regions of the Russian Federation are set to connect to Moscow’s AI medical services platform, MosMedAI

    Source: Center for Diagnostics and Telemedicine of the Moscow Health Department (MHD)

    The MosMedAI platform utilizes advanced artificial intelligence algorithms to assist healthcare professionals by highlighting potential pathologies in medical images through color-coded segmentation, along with generating radiology report.   These advanced solutions have undergone comprehensive testing and have been successfully implemented in hospitals for the past five years.

     Currently, over 75 percent of the country’s regions are utilizing medical services available on the MosMedAI platform. The integration of six new regions into this system marks a significant step toward the digital transformation of healthcare throughout the country. Sergey Sobyanin emphasized that the platform offers 17 AI-based services designed to enhance the speed and accuracy of diagnostic processes.

    The expansion of this AI-driven platform is part of a broader initiative to modernize healthcare delivery in Russia, improving access and quality for patients nationwide. This development was announced by the Mayor of Moscow, Sergey Sobyanin via his Telegram channel.

    MIL OSI Russia News