Category: Pandemic

  • MIL-OSI Security: Over 100 Defendants Federally Charged With Fraud Related To The COVID-19 Pandemic

    Source: United States Department of Justice (National Center for Disaster Fraud)

    Tampa, FL – United States Attorney Roger B. Handberg announces the results achieved by the Middle District of Florida’s efforts to combat fraud related to the COVID-19 pandemic. Since March 2020, the United States Attorney’s Office (USAO-MDFL) has federally charged 109 individuals with fraud schemes designed to exploit state and federal programs implemented to alleviate the economic hardships caused by the COVID-19 pandemic. These efforts include complementary actions by the USAO-MDFL’s Criminal, Civil, Asset Recovery, Appellate Divisions, in cooperation with federal, state, and local law enforcement agencies.

    “The Middle District of Florida United States Attorney’s Office, in cooperation with our federal, state, and local law enforcement partners, is committed to holding accountable those people who schemed to steal or otherwise obtain through misconduct benefits intended for Americans coping with the impacts of the COVID-19 pandemic,” said U.S. Attorney Roger Handberg.

    With respect to criminal enforcement, the USAO-MDFL and federal, state, and local law enforcement agencies combined resources in March 2020 to form the Middle District of Florida COVID-19 Fraud Task Force with the purpose of identifying, investigating, and federally prosecuting fraud related to the ongoing COVID-19 pandemic. Since its inception, the Task Force has prosecuted 109 defendants for fraud schemes designed to exploit federal programs including the Paycheck Protection Program (“PPP”), Economic Injury Disaster Loans (“EIDL”), Unemployment Insurance (“UI”), the Main Street Lending Program (“MSLP”), the Emergency Rental Assistance Program (“ERAP”), as well as government Healthcare programs such as Medicare. Collectively, these defendants sought to defraud the United States of over $96 million. Of the 109 charged defendants, 74 have already been found guilty while prosecution remains pending against 35 defendants.

    The Middle District of Florida COVID-19 Fraud Task Force continues to aggressively investigate and prosecute individuals that took advantage of COVID-19 programs. On September 20, 2024, for example, a federal grand jury convicted Angela Chew (60, Leesburg) of conspiracy to bribe a public official and commit wire fraud, three counts of bribery of a public official, and six counts of wire fraud. Chew faces up to 5 years in federal prison on the conspiracy count, up to 15 years in federal prison on each of the bribery counts, and up to 20 years in federal prison on each of the wire fraud counts. Her sentencing hearing is scheduled for December 18, 2024.

    According to evidence presented at trial, Chew conspired with three others to submit applications for COVID-19 EIDLs containing false and fraudulent information in exchange for bribe payments. The evidence showed Chew used her position as a loan specialist for the Small Business Administration (SBA) to internally access those loan applications that she and a co-conspirator had submitted on behalf of others. Chew then took actions on the applications within the SBA’s internal processing system that moved the loans towards approval. For example, Chew submitted a loan on behalf of a co-conspirator’s business that she knew was not active or operating at the time she submitted the loan. The loan was flagged as a duplicate by the SBA’s internal system, which stopped the application from progressing toward approval and funding. Chew then entered the SBA’s loan processing system, accessed the loan application, reactivated it, and manipulated the loan’s status multiple times to progress the application toward approval and funding in the amount of $150,000. In exchange, Chew received thousands of dollars in bribe payments from two of her co-conspirators. The evidence showed that Chew caused the funding of at least six EIDL applications, for a total loss of over $800,000.

    In July 2024, a federal grand jury returned a superseding indictment charging Jared Dean Eakes (33, Jacksonville) with five counts of wire fraud and three counts of bank fraud. According to the superseding indictment, Eakes participated in a scheme to defraud investors and fraudulently secured approximately $4,752,270 in PPP loans. Eakes caused the submission of four PPP loan applications—including applications for two of the entities involved in the scheme to defraud investors—which contained false and fraudulent supporting documentation and statements regarding the entities’ employees and payroll. Once Eakes obtained the PPP loans, he did not use the funds for qualifying expenses as required by the program. Instead, he used the funds to engage in options trading or withdrew the funds in cash.

    In addition to criminal prosecutions, the MDFL-USAO continues to investigate and pursue civil redress against individuals and entities who fraudulently obtained PPP funds. For example, in September 2024, Miles Partnership, LLC (“Miles”), a travel and tourism consulting company headquartered in Sarasota, Florida, agreed to a civil settlement of $2,281,950 to resolve allegations that Miles improperly obtained and received forgiveness for a second draw PPP loan. According to the information contained in the qui tam complaint, Miles was required to file a registration statement under FARA (Foreign Agents Registration Act) due to its work with various foreign tourism boards. The United States investigated these allegations with the cooperation of Miles. The civil settlement will conclude the lawsuit.

    Further, the USAO-MDFL’s Asset Recovery Division and federal seizing agencies have completed the forfeiture of more than $20 million of EIDL, UI, and PPP funds that were fraudulently obtained, depriving the fraudsters of their ill-gotten gains and recovering the proceeds for the victims. More than $18 million in additional pandemic fraud proceeds have been seized and are pending civil or criminal forfeiture.

    The U.S. Attorney General has established the COVID-19 Fraud Enforcement Task Force to marshal the resources of the Department of Justice in partnership with agencies across government to enhance efforts to combat and prevent pandemic-related fraud. For more information on the department’s response to the pandemic, please visit https://www.justice.gov/coronavirus.

    Through the PPP, the federal government authorized over $600 billion in forgivable loans to small businesses for job retention and certain other expenses through the PPP. The EIDL program provides economic relief to small businesses that are currently experiencing a temporary loss of revenue. The MSLP provided support to small and medium-sized businesses and their employees across the United States during the COVID-19 pandemic. UI programs provided unemployment benefits to eligible workers who became unemployed through no fault of their own.

    The criminal cases charged by the Middle District of Florida COVID-19 Fraud Task Force have been investigated by the Small Business Administration—Office of Inspector General, the Small Business Administration, the Federal Bureau of Investigation, the U.S. Secret Service, Internal Revenue Service—Criminal Investigation, the Department of Labor—Office of Inspector General, the U.S. Postal Service, the Federal Housing Finance Agency, the Federal Deposit Insurance Corporation—Office of Inspector General, Homeland Security Investigations, the Bureau of Alcohol, Tobacco, Firearms and Explosives, the Special Inspector General for Pandemic Recovery, Federal Reserve Board—Office of Inspector General, Department of Health and Human Services—Office of Inspector General, Department of Veterans Affairs – Office of Inspector General, U.S. Agency for International Development, the Metropolitan Bureau of Investigation, the Tampa Police Department, the Orlando Police Department, the Jacksonville Sheriff’s Office, the Manatee County Sheriff’s Office, the Hillsborough County Sheriff’s Office, the Sarasota County Sheriff’s Office, the Winter Park Police Department, the Osceola County Sheriff’s Office, the Seminole County Sheriff’s Office, the Orange County Sheriff’s Office, and the Pasco County Sheriff’s Office. The cases are being prosecuted by Assistant United States Attorneys throughout the Middle District of Florida.       

    The Department of Justice needs the public’s assistance in remaining vigilant and reporting suspected fraudulent activity. To report suspected fraud, contact the National Center for Disaster Fraud (“NCDF”) at (866) 720-5721 or file an online complaint at: https://www.justice.gov/disaster-fraud/webform/ncdf-disaster-complaint-form. Complaints filed will be reviewed at the NCDF and referred to federal, state, local, or international law enforcement or regulatory agencies for investigation.

    United States Attorney’s Office for the Middle District of Florida

    COVID Fraud Criminal Cases

    Charged Cases

    Defendant(s) (Age)

    Charge(s)

    Max. Imprisonment

    Type of Fraud*

    Intended Loss Amount

    Tampa Division

    Devontaie Deravil

    Aggravated identity theft

    Maximum Prison Term: Two Years Consecutive

    Access device fraud

    Maximum Prison Term: 10 Years

    UI $480k
    Jordan Ross

    Wire fraud

    Maximum Prison Term: 20 Years

    Illegal monetary transactions

    Maximum Prison Term: 10 Years

    EIDL/PPP $1.3M

    Marquett James

    Alyson Marquett

    Conspiracy to commit wire fraud

    Maximum Prison Term: 20 Years

    Wire fraud

    Maximum Prison Term: 20 Years

    EIDL/PPP $96k
    Willie Murray Jr.

    Wire fraud

    Maximum Prison Term: 20 Years

    Aggravated identity theft

    Maximum Prison Term: Two Years Consecutive

    HCF $5M
    Charles Driver Jr.

    Conspiracy

    Maximum Prison Term: 5 years

    Access device fraud

    Maximum Prison Term: 10 years

    UI $175k
    Eric Canonico

    Wire fraud

    Maximum Prison Term: 20 Years

    Illegal monetary transactions

    Maximum Prison Term: 10 Years

    PPP $2.3M
    Alexander Leszczynski

    Wire fraud

    Maximum Prison Term: 20 Years

    Bank fraud

    Maximum Prison Term: 20 Years

    Illegal monetary transactions

    Maximum Prison Term: 10 Years

    PPP $1.1M
    Capree Holmes

    Wire fraud

    Maximum Prison Term: 20 Years

    EIDL $159k
    Javarus Polite

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $20k
    Luis Morales

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $40k
    Rosson Hamilton

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $20k
    David Antonetti

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $40k
    Carlos Dones

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $14k
    Santos Cruz Rivera

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $16k
    Tevyan Hepburn

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $20k
    Jeanty Cherilus

    Wire fraud

    Maximum Prison Term: 20 Years

    EIDL/PPP $370k
    Gage Bowen

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $20k
    These COVID Fraud cases from the Tampa Division are being handled by AUSAs Tiffany Fields, Greg Pizzo, Candace Rich, Jennifer Peresie, Michael Kenneth, Merrilyn Hoenemeyer, and Daniel Baeza

    Orlando Division

    Evan Edwards

    Joshua Edwards

    Conspiracy to commit bank fraud

    Maximum Prison Term: 30 years

    Bank fraud

    Maximum Prison Term: 30 years

    Visa fraud

    Maximum Prison Term: 10 years

    False statements

    Maximum Prison Term: 30 years

    PPP $8M
    Emmet Bowens

    Wire fraud

    Maximum Prison Term: 20 Years

    Illegal monetary transactions

    Maximum Prison Term: 10 Years

    PPP $740k
    Latresia Wilson

    False statements

    Maximum Prison Term: 20 Years

    HCF $2.6M

    Shawn Simmerer

    Seth Downes

    Conspiracy to commit wire fraud

    Maximum Prison Term: 20 years

    Wire fraud

    Maximum Prison Term: 20 years

    False claim

    Maximum Prison Term: 5 years

    PPP $344k
    Daniel Bohorquez

    Conspiracy to commit wire fraud

    Maximum Prison Term: 20 years

    Wire fraud

    Maximum Prison Term: 20 years

    EIDL $546k
    These COVID Fraud cases from the Orlando Division are being handled by AUSAs Kara Wick, Amanda Daniels, and DOJ Trial Attorney Keith Clouser

    Fort Myers Division

    Venera Price

    Mail fraud

    Maximum Prison Term: 20 Years

    ERAP $82k
    Timothy Jolloff

    Wire fraud

    Maximum Prison Term: 20 Years

    Money laundering

    Maximum Prison Term: 20 Years

    Illegal monetary transactions

    Maximum Prison Term: 10 Years

    PPP/EIDL $2.1M
    Lisa Jolloff

    Money laundering

    Maximum Prison Term: 20 Years

    Illegal monetary transactions

    Maximum Prison Term: 10 Years

    PPP/EIDL $2.1M
    Diop McKenzie

    Bank fraud

    Maximum Prison Term: 30 years

    Wire fraud

    Maximum Prison Term: 20 Years

    Aggravated identity theft

    Maximum: Prison Term: Two Years Consecutive

    EIDL/PPP $237k
    These COVID Fraud cases from the Fort Myers Division are being handled by AUSA Yolande Viacava and Trent Reichling

    Jacksonville Division

    Jared Eakes

    Wire fraud

    Maximum Prison Term: 20 Years

    Bank fraud

    Maximum Prison Term: 30 years

    PPP $4.7M

    Natasha Hemming

    Tiffany Gonsalves

    Joshua Seedhaire

    Conspiracy

    Access device fraud

    Aggravated identity theft

    Maximum: Prison Term: Two Years Consecutive

    UI $5.6M
    These COVID Fraud cases from the Jacksonville Division are being handled by AUSAs David Mesrobian and John Cannizzaro

    Ocala Division

    Lisa Starkes

    Ivan Starkes

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $80k
    This COVID Fraud case from the Ocala Division is being handled by AUSA Hannah Nowalk

    Adjudicated Cases

    Tampa Division

    Demarius Wilson

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $18k
    This COVID Fraud case from the Tampa Division is being handled by AUSA Michael Kenneth

    Orlando Division

    Robert Burns

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $57k

    William Barrientos

    Grisoris Barrientos

    Conspiracy to commit wire fraud

    Maximum Prison Term: 20 Years

    EIDL $693k
    Angela Chew

    Conspiracy

    Maximum Prison Term: 5 Years

    Bribery of a public official

    Maximum Prison Term: 15 Years

    Wire fraud

    Maximum Prison Term: 20 Years

    EIDL $732k
    These COVID Fraud cases from the Orlando Division are being handled by Amanda Daniels, Diane Hu, and Richard Varadan

    Jacksonville Division

    James Wigg

    Wire Fraud

    Maximum Prison Term: 20 years

    PPP $476k
    Crystal Harvell

    Wire Fraud

    Maximum Prison Term: 20 years

    PPP $20k

    These COVID Fraud cases from the Jacksonville Division are being handled by AUSA, Kevin Frein

    and Tysen Duva

    Ocala Division

    Passion Jackson

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $20k
    Nicole Harding

    Wire fraud

    Maximum Prison Term: 20 Years

    PPP $20k
    Henry Wade

    Wire fraud

    Maximum Prison Term: 20 Years

    EIDL $500k
    These COVID Fraud cases from the Ocala Division are being handled by AUSA Hannah Nowalk

    Sentenced Cases

    Tampa Division

    Louis Thornton, III

    Wire fraud

    Sentence Imposed: 42 months in federal prison

    EIDL/PPP $815k

    Kary Stevenson

    Corey Quinn

    Conspiracy to commit access device fraud and aggravated identity theft

    Sentence Imposed: 5 years, 10 months in federal prison (Stevenson)

    Sentence Imposed:7 years in federal prison (Quinn)

    UI $1M
    Bridgitte Keim

    Bank fraud

    Sentence Imposed: 2 years in federal prison

    PPP $588k
    Wayne Ganaway

    Conspiracy to commit wire fraud

    Sentence Imposed: 4 years in federal prison

    EIDL $300k
    Rolanda Wingfield

    Access device fraud, aggravated identity theft

    Sentenced Imposed: 3 years in federal prison

    UI $135k
    Eriaius Bentley

    Racketeering conspiracy, aggravated identity theft, access device fraud

    Sentence Imposed: One year in federal prison

    UI $3M
    Tywon Spann

    Racketeering conspiracy, aggravated identity theft, access device fraud

    Sentence Imposed: 6 years and 9 months in federal prison

    UI $3M
    Keaujay Hornsby

    Racketeering conspiracy, aggravated identity theft, access device fraud

    Sentence Imposed: 10 years and 10 months in federal prison

    UI $3M
    Kareem Spann

    Racketeering conspiracy, aggravated identity theft, access device fraud

    Sentence Imposed: 10 years and 10 months in federal prison

    UI $3M
    Randy Jones

    Wire fraud, aggravated identity theft

    Sentence Imposed: 5 years and 1 month in federal prison

    EIDL/UI $250k
    Julio Lugo

    Conspiracy to commit money laundering

    Sentence Imposed: 7 years and 6 months in federal prison

    EIDL/PPP $4.4M
    Keith Nicoletta

    Conspiracy to commit money laundering

    Sentence Imposed: 24 months in federal prison

    PPP $1.9M
    Rosenide Venant

    Conspiracy to commit money laundering

    Sentence Imposed: 5 years in federal prison

    EIDL/PPP $413k
    Melinda Hernandez

    Conspiracy to commit wire fraud,

    wire fraud and aggravated identity theft

    Sentence imposed: Three years and six months in federal prison

    UI $1.5M
    Bri’antina Mills

    Wire fraud and theft of government funds

    Sentence imposed: 15 months in federal prison

    EIDL $10K
    Jorge Gutierrez Echeverria

    Wire fraud

    Sentence imposed: Two years and six months in federal prison

    EIDL $150k
    Omar Esquivel Bello

    Wire fraud

    Sentence imposed: 15 months in federal prison

    EIDL $242k

    Steve Moodie 

    Conspiracy to commit wire fraud, wire fraud, aggravated identity theft

    Sentence imposed: 5 years and 10 months in federal prison

    UI $1.5M
    Richard Simpkins

    Conspiracy to commit money laundering

    Sentence imposed: 5 years and 10 months in federal prison

    PPP $1.9M
    Devaris McClain

    Conspiracy to commit wire fraud, access device fraud

    Sentence imposed: 5 years and 1 month in federal prison

    UI $85k
    Jalissa McDuffy

    Wire fraud

    Sentence imposed: 3 years supervised release with 6 months home detention

    PPP $41k
    Kieanna Garrett

    Wire fraud

    Sentence imposed: 60 days’ imprisonment

    EIDL $40k
    Marqus Willard Johnson

    Bank fraud

    Money laundering

    Sentence imposed: 18 months’ imprisonment followed by 60 moths supervised release

    PPP $500k
    Mehdi Tazi

    Conspiracy, Aggravated identity theft

    Sentenced imposed: 5 years imprisonment  followed by4 years supervised release

    UI $1.5M
    Tyree Wingfield

    Conspiracy, Aggravated identity theft

    Sentenced imposed: 5 years and 10 months imprisonment  followed by4 years supervised release

    UI $1.5M
    Dawn Ogundele

    Theft of government funds

    Sentence imposed: 2 years’ probation

    PPP $20k
    Alexander Alli

    Wire fraud conspiracy

    Sentence imposed: 13 months’ imprisonment

    EIDL $80k
    Charles Cunningham  

    Bank fraud

    Sentence imposed: 21 months’ imprisonment

    PPP $800k
    Jailyn Holmes

    Wire fraud

    Sentence imposed: 5 years’ probation

    PPP $20k
    Nicole Bramble-King

    Wire fraud

    Sentence imposed: 5 years’ probation

    PPP $40k
    Tommy Louisville

    Wire fraud

    Sentence imposed: 12 months’ imprisonment

    PPP $33k
    Joseph Abdo

    Wire fraud

    Illegal monetary transactions

    Sentence imposed: 5 years’ probation

    PPP $500k
    Barrett Purvis

    Wire fraud

    Money laundering

    Sentence imposed: 2 years and 9 months in federal prison

    EIDL $499k
    Bergeline Lexis

    Conspiracy to commit wire fraud

    Sentence imposed: 10 months in federal prison

    EIDL/PPP $68k
    These COVID Fraud cases from the Tampa Division were handled by AUSAs Rachel Jones, Greg Pizzo, Tiffany Fields, Diego Novaes, Jennifer Peresie, Merrilyn Hoenemeyer, Jay Trezevant, SAUSA Chris Poor, and DOJ Trial Attorney John Scanlon

    Orlando Division

    Daniel Johnson

    Conspiracy to commit wire fraud, aggravated identity theft, unlawful transfer of firearm

    Sentence Imposed: 7 years, 6 months in federal prison

    UI $2.3M
    Jacquavius Smith

    Possession of short-barreled rifle; felon in possession of firearm; and aggravated identity theft

    Sentence Imposed: 7 years, 1 month in federal prison

    PPP $10k
    Johnson Eustache

    Wire fraud

    Sentence Imposed: 5 years in federal prison

    EIDL/PPP $2.2M
    Joseph Harrison

    Conspiracy to commit wire fraud

    Sentence Imposed: 12 months in federal prison

    UI $2.1M
    Tomas Ziupsnys

    Conspiracy to commit bank fraud; bank fraud; aggravated identity theft

    Sentence Imposed: 5 years in federal prison

    PPP $2M
    Holly Urban

    Conspiracy to commit bank fraud

    Sentence Imposed: 30 months in federal prison

    PPP $1.5M
    Joel Greenberg

    Conspiracy to commit wire fraud and other offenses while on pretrial release

    Sentence Imposed: 11 years in federal prison

    EIDL $430k

    Don Cisternino 

    Wire fraud, illegal monetary transactions, and aggravated identity theft

    Sentence Imposed: 8 years and 6 months in federal prison

    PPP $7.2M
    Keith Ingersoll          

    Conspiracy to commit wire fraud, wire fraud, aggravated identity theft

    Sentence imposed: 9 years, 1 month in federal prison.   

    EIDL $66k
    Jaheim Davis

    Access device fraud and aggravated identity theft

    Sentence imposed: 3 years, 6 months in federal prison.   

    UI $219k
    Teresa McIntyre

    Conspiracy to commit wire fraud and other offenses

    Sentence Imposed: 5 years’ probation

    EIDL $730k
    Brian Blake

    Possession of device-making equipment, access device fraud, aggravated identity theft

    Sentence Imposed: 9 years and 8 months in federal prison

    PPP/UI $832k
    Joseph Faubert

    Bank fraud

    Sentenced Imposed: 5 years probation

    PPP $778k
    These COVID Fraud cases from the Orlando Division were handled by AUSAs John Gardella, Amanda Daniels, Chauncey Bratt, Emily Chang, Shannon Laurie, and Jennifer Harrington, and U.S. Attorney Roger Handberg

    Jacksonville Division

    Jacob Byrd

    Wire fraud

    Sentence Imposed: 5 years’ probation

    PPP $10k
    Deconna Burke

    Wire fraud

    Sentence Imposed: 5 years’ probation

    PPP $20k
    Desmond Williams

    Wire fraud conspiracy, wire fraud

    Sentenced Imposed: 5 years’ probation

    PPP $40k
    Kenneth Landers

    Wire fraud and illegal monetary transaction

    Sentence Imposed: 1 year in federal prison followed by 1 year of supervised release

    PPP $1.4M
    Christopher Daragjati

    Wire fraud , Theft of government funds, and Aggravated identity theft

    Sentenced imposed: 5 years’cisternino imprisonment followed by 3 years’ supervised release.

    PPP $150k
    This COVID Fraud case from the Jacksonville Division was handled by AUSA Kevin Frein and Michael Coolican

    Fort Myers Division

    Casey Crowther

    Bank fraud, false statement to a financial institution, illegal monetary transaction

    Sentence Imposed: 3 years, 1 month in federal prison

    PPP $2.7M

    Anthony Bruey

    Amber Bruey

    Conspiracy to commit wire fraud, wire fraud, conspiracy to commit money laundering, illegal monetary transactions

    Sentence Imposed:

    Anthony Bruey: 4 years, 3 months in federal prison

    Amber Bruey: 4 years in federal prison

    PPP/EIDL $881k
    Edrica Leann Watson

    False statement to a lending institution

    Sentence Imposed: 15 months in federal prison

    PPP $392k
    Daniel Joseph Tisone

    Wire fraud, bank fraud, money laundering, aggravated identity theft, possession of ammunition by a prohibited person

    Sentence Imposed: 7 years in federal prison

    PPP/EIDL/MSLP $10.7M
    Liliana Gonzalez

    Wire fraud

    Sentence Imposed:   5 years of probation with 18 months of home confinement

    PPP $169k
    Al Clint LaRoche

    Bank fraud

    Sentence Imposed: Two years in federal prison

    PPP $1M
    Denis Casseus

    Bank fraud and illegal monetary transaction

    Sentence Imposed: 2 years in federal prison followed by 3 years’ supervised release

    PPP $298k
    Evan Graves

    Wire fraud

    Sentence Imposed: 18 months in federal prison

    EIDL $1.3M
    Ismaelle Manuel

    Bank fraud

    Sentence Imposed: Credit for time served followed by 5 years supervised release

    PPP $280k
    These COVID Fraud cases from the Fort Myers Division were handled by AUSAs Trent Reichling, Michael Leeman, Jesus M. Casa, Simon Eth, and Yolande Viacava

    Ocala Division

    Lavelle Harris

    Wire fraud

    Sentence Imposed: Two years and three months in federal prison

    PPP $1.2M
    This COVID Fraud case from the Ocala Division was handled by AUSA Hannah Nowalk

    Types of Fraud*

    Economic Injury Disaster Loan (EIDL)

    Paycheck Protection Program (PPP)

    Unemployment Insurance (UI)

    Main Street Lending Program (MSLP)

    Emergency Rental Assistance Program (ERAP)

    Health Care Fraud (HCF)

    MIL Security OSI

  • MIL-OSI Russia: Sobyanin took part in the meeting of the State Council Presidium on the issue of export development

    MIL OSI Translation. Region: Russian Federation –

    Source: Moscow Government – Government of Moscow –

    President of Russia Vladimir Putin held an extended meeting of the State Council Presidium on the issue of export development. The Mayor of Moscow took part in the meeting Sergei Sobyanin.

    One of the key topics was further steps to increase the country’s export potential and the role of regions in this process. Russia continues to be an active participant in international trade, despite the difficulties that businesses face.

    “We are developing external business relations, expanding their geography, strengthening cooperation with predictable, reliable partners who, like Russia, understand their national interests and value mutually beneficial trade, production, and cooperation relations,” the Russian President noted.

    At present, world trade and the global economy as a whole are actively developing. A new system of relations is currently being built, where the leading roles are taken by the states of the so-called Global South. These are dynamically growing countries, participants in promising integration associations, such as, for example, BRICS. Already now, the contribution of the BRICS countries to the world economy exceeds the share of the “Big Seven” and continues to grow.

    Thus, in 1992, the G7 accounted for 45.5 percent of global GDP, and in 2022, it was already 30.5 percent. According to forecasts, in 2028, the share of the G7 will decrease to 27.9 percent. At the same time, the share of the BRICS countries (excluding new members) in global GDP in 1992 was 16.7 percent, in 2022 it grew to 31.4 percent, and by 2028 it may reach 33.8 percent.

    This trend will continue in the future, since the growth of the BRICS countries’ contribution to the global economy is an objective process that is not related to the current geopolitical situation.

    “This means [that] real markets of the future are being formed, based on strong strategic partnerships, principles of combining economic potentials and mutually enhancing growth. It is important not only to understand these trends, but also to take advantage of the advantages and export opportunities that are opening up for our businesses, for enterprises. We need to provide them with assistance at all levels,” Vladimir Putin emphasized.

    The Russian President recalled that this year, a six-year national project to support exports is ending. During this time, it was possible to create tools, including in the country’s regions, that allowed domestic companies to go through the pandemic stage, successfully supply products abroad, and, over the past two years, redirect commodity flows to promising, growing markets.

    “Next year, the updated national project “International Cooperation and Export” will be launched. The basis for its decisions, measures and mechanisms should be the results achieved in the export sphere, the priorities of economic development facing our country, and, of course, the objective global trends that I just spoke about,” the Russian President noted.

    For the long-term development of foreign economic relations, it is necessary to increase the efficiency of financial and information support for exports, actively create logistics and transport infrastructure, as well as platforms for industrial cooperation.

    In addition, it is important to stimulate the entry of Russian companies into markets for goods with high added value, to increase so-called non-resource, non-energy exports, including supplies of engineering goods and food products.

    “I would like to note that from 2001 to 2023, the volume of Russia’s non-resource, non-energy exports has grown more than fourfold. This is a good result: four times – not some percentage, but four times – from 36 to 148 billion dollars. This, of course, is far from the limit for us, it is still not that much. But in the first seven months of this year, non-resource, non-energy exports continued to grow and increased by another five percent – to 89.8 billion [dollars],” Vladimir Putin said.

    In some areas, particularly in food supplies, Russia has already become one of the world’s leading exporters. According to the Russian President, this result is primarily the merit of specialists and labor collectives of enterprises, as well as those who provide them with support, in particular development institutions and regional leaders.

    “In the message to the Federal Assembly, and then

    in the decree on national development goals a target was set, namely, to increase non-resource, non-energy exports by at least two-thirds by 2030 compared to 2023. This is an ambitious goal, especially given the challenges that our companies have faced recently,” Vladimir Putin noted.

    In his opinion, this task requires a comprehensive approach from the state, development institutions and regional leaders. Thus, the Russian Export Center (REC) is implementing a special program “Made in Russia”, which helps promote domestic brands in domestic and foreign markets. It is necessary to scale up this practice and expand its coverage.

    “Within the framework of interregional cooperation, partnerships are being built with friendly countries, and this, of course, contributes to strengthening Russia’s technological sovereignty, sets a higher pace of economic development for the subjects of the Federation, and therefore for the entire country,” Vladimir Putin emphasized.

    The Russian President noted that individual regions of the country are consistently and comprehensively developing non-resource exports, working with small and medium businesses. For this purpose, regional exporter support centers have been created and teams of specialized specialists are working.

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

    Please note; This information is raw content directly from the information source. It is accurate to what the source is stating and does not reflect the position of MIL-OSI or its clients.

    https://vvv.mos.ru/major/themes/11824050/

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

    MIL OSI Russia News

  • MIL-OSI United Kingdom: Further success for Edinburgh pupils

    Source: Scotland – City of Edinburgh

    Liberton High School pupils celebrate after receiving exam results.

    Edinburgh’s pupils continue to be amongst the best performing in Scotland.

    Results from the SQA Insight report shows Edinburgh’s learners are performing better than their virtual comparators in 14 out of 15 key measures,  with 7% more pupils gaining at least one Advanced Higher than in other areas in Scotland.

    Edinburgh learners are also out-performing their virtual comparators in Literacy and Numeracy for all stages and levels.

    A virtual comparator is a sample of students from other areas of Scotland who have similar characteristics to a school’s students.

    The news builds on the SQA exam results in August showing levels of attainment for pupils across Edinburgh remaining above those achieved before the Covid pandemic.

    Insight provides teachers and lecturers with a summary of how learners have performed in their exams and coursework for each subject at National 5, Higher and Advanced Higher level over the past year.

    Councillor Joan Griffiths, Education Convener for the City of Edinburgh Council, said:

    This has been another positive year for our pupils. I want to congratulate them, as well as all our teaching and support staff. Their hard work has certainly paid off and praise should go to them as well as all the parents and carers who have supported the children.

    I welcome the results from the SQA Insights report. We have invested heavily in improving the skills of our workforce and I am confident that our staff will continue to improve the quality of teaching and learning to meet the needs of the city’s young people.

    Let’s not forget there is no wrong pathway for our young people as everyone’s learner journey is different. School is about ensuring all our young people are able to fulfil their potential by attaining the highest level of achievements possible and by receiving the best possible experience. We want all our learners to find their pathways into the world of higher and further education, employment or training and to narrow the gap between those living in different areas of affluence.

    Course reports – written by principal assessors and principal verifiers – are published to give an insight into how learners performed, detailing which areas of the course assessment where learners performed well, and which areas proved to be more demanding.

    Principal assessors and other senior appointees are experienced teachers and lecturers who work with SQA to produce the course reports and highlight examples where candidates have performed well in their external assessments.

    The reports also contain advice for teachers, lecturers, and training practitioners on preparing learners for the coming year’s assessments, as well as statistical data relating to grade boundaries.

    Published: September 25th 2024

    MIL OSI United Kingdom

  • MIL-OSI USA: Romney, Manchin, Warner, Braun Introduce Bipartisan Legislation to Assess U.S. Resilience to Fiscal Shocks

    US Senate News:

    Source: United States Senator Mitt Romney (R-UT)

    WASHINGTON—U.S. Senators Mitt Romney (R-UT), Joe Manchin (I-WV), Mark Warner (D-VA), and Mike Braun (R-IN) today introduced the Reassuring Economic Stability In Light of International, Economic, and Natural Conflicts and Emergencies (RESILIENCE) Act. The bipartisan legislation would require the U.S. Treasury Secretary and Director of the Office of Management and Budget (OMB) to conduct annual examinations on the federal government’s ability to respond to hypothetical domestic and international fiscal shocks.

    “With the national debt at a staggering $35 trillion, our country is on the fast track to fiscal calamity,” said Senator Romney. “It’s not outside of the realm of possibility that a national or global event—such as a recession, armed conflict, or domestic energy crisis—would expedite that process and leave American families, businesses, and our country in economic peril. Better understanding the federal government’s abilities to respond to major, unanticipated economic events will equip us with needed insight to help proactively strengthen the United States’ resilience to potential fiscal shocks.”

    “This past July, our national debt exceeded $35 trillion for the first time in history. Make no mistake – this is the greatest threat America is facing,” Senator Manchin said. “I’m proud to introduce the RESILIENCE Act with my bipartisan colleagues to establish these critical, comprehensive annual examinations of our nation’s finances, which will better inform Congress and the American public on the most effective solutions for getting our fiscal house back in order. Every West Virginian and American is personally responsible for managing the debts they incur and the federal government must be held to the same standard for the sake of our children, grandchildren and the American Dream.”

    “This common-sense legislation requires the federal government to conduct annual tests to ensure that our finances can withstand potentially catastrophic global events,” Senator Warner said. “It is our responsibility to ensure that we are not caught on our heels when responding to the next crisis, and this legislation would do just that.”

    “Our nation’s fiscal health is in dire straits and the enormous national debt is the number one threat to our national security. The RESILIENCE Act would establish a thorough examination of our federal government’s finances, so we can reestablish fiscal discipline and make sure we are prepared for any domestic or international crisis,” said Senator Braun.

    Specifically, the annual examination would assess the ability of the federal government to respond to the following events:

    • An economic recession or depression;
    • A domestic energy crisis;
    • A catastrophic natural disaster;
    • A health crisis, such as a pandemic;
    • A significant armed conflict or event;
    • A significant cyberattack; and
    • A financial crisis.

    As it does with the annual Financial Report of the United States Government, the Government Accountability Office (GAO) would conduct an independent review of the examination and relay its findings to Congress and the American public.

    Full text of the RESILIENCE Act is available here.

    MIL OSI USA News

  • MIL-OSI USA: Acrisure Stadium to Become a Mission Ready Venue

    Source: US Federal Emergency Management Agency

    Headline: Acrisure Stadium to Become a Mission Ready Venue

    Acrisure Stadium to Become a Mission Ready Venue

    Serving as a Vital Location During Disasters and Part of the NFL and FEMA’s National Strategy to Make Venues Mission Capable During Disasters

    PENNSYLVANIA — Stadiums and venues provide a central and accessible location to help communities respond to extreme weather crises, providing safe storage and shelter in times of need. With these events becoming more frequent, severe, and expensive, FEMA Administrator Deanne Criswell and NFL Chief Security Officer Cathy Lanier today announced that Acrisure Stadium in Pittsburgh, Pennsylvania, home of the Pittsburgh Steelers and University of Pittsburgh Panthers football, and a venue for touring concerts and events, will be among the first NFL venues to be designated as a Mission Ready Venue that can be used during response and recovery missions. Through Mission Ready Venues, a public-private partnership, Acrisure Stadium will increase its capabilities to better sustain public safety and be a source of support for the southwestern Pennsylvania community. The designation identifies the ways Acrisure Stadium could be used for response and recovery activities during declared emergencies or disasters.

    “We’re honored that Acrisure Stadium is among the first four NFL stadiums selected for Mission Ready Venue designation,” said James V. Sacco, Vice President of Stadium Operations & Management for Acrisure Stadium. Working collaboratively with the facility owner – the Sports and Exhibition Authority – this designation positions the stadium to partner seamlessly with local, state and federal government officials to serve the Pittsburgh community in a time of crisis or disaster. 

    During large-scale emergencies, like the COVID-19 pandemic, hurricanes, or tornadoes, we’ve seen how large music, sports and entertainment venues can serve as a safe space for communities,” said FEMA Administrator Deanne Criswell. “This new strategy we’re launching with the NFL is a groundbreaking opportunity to help our partners use these venues for emergency response and recovery needs, while keeping communities safe and making them more resilient. While we are starting with the NFL, all venues across sports organizations and leagues can become assets to their communities, and I encourage them to join in this collaborative effort as we grapple with the impacts of the climate crisis.”

    “Stadiums are valuable community assets that are often used in times of disasters,” said NFL Chief Security Officer Cathy Lanier. “This designation reflects the role that many stadiums play, not only on Sundays, but especially in times of need. We are proud to work with FEMA and first responders at the local and state level to ensure disaster response agencies have the information and tools they need to help a community recover when disaster strikes.” 

    According to the NYU School of Professional Studies and the U.S. Conference of Mayors, stadiums and arenas can improve the public health and well-being of their communities —including pandemic response during COVID-19. 

    “Identifying facilities in the community that can be used to support emergency management functions before a disaster or emergency occurs is critically important to ensuring an effective response and recovery,” said Pennsylvania Emergency Management Agency (PEMA) Director Randy Padfield. “The private sector has always been a committed partner and their willingness to participate in programs like this strengthens planning efforts at the local, state and federal level.”

    Given the size, capabilities, and locations of large sports venues, these existing community assets can serve the public in a variety of ways including emergency shelters, staging areas, commodity distribution sites, evacuation pick up points, disaster recovery centers, mass vaccination and testing, temporary hospitals and more. FEMA and the NFL recognized this unique opportunity for collaboration and are enlisting the support of venue owners, operators, and the tenants of these facilities to work with government officials in the planning and preparation for emergency or disaster response and recovery efforts. To receive an official Mission Ready Venue designation, venues must undergo a comprehensive assessment to determine what capabilities the venue may be able to support in emergency and disaster response and recovery efforts. The designation highlights the following attributes of selected venues: 

    • Provide Safety and Security: Stadiums are usually centrally located, close to major roadways and transportation hubs, and critical services like hospitals. If used to respond to a disaster, the designation will save valuable time and resources and will further enhance coordination between the public and private sectors during disaster response and recovery. 
    • Provide Accessibility: Stadiums are also compliant with Americans with Disabilities Act and can support persons with disabilities and others with access or functional needs. Additionally, 73% of NFL venues are accessible by mass transportation. This provides an avenue to promote equitable service to underserved populations to access potentially critical lifesaving/life sustaining services after an event. 
    • Strengthen Community Resilience: Stadiums and arenas are a focal point of communities and help strengthen social networks by enhancing connections between residents with home team pride. These Mission Ready Venues can boost morale amidst disaster. By providing a more robust and resilient environment, these venues can enhance social networks amongst survivors while providing ample opportunities to establish connections with the venue’s main tenants.
    • Ensure Unity of Effort: Coordination of stadium resources and services can support survivors and responders and help stabilize an incident quickly. Since stadiums are fixed locations, resources and services can be deployed quickly. This promotes the community’s physical and economic recovery.

    Mission Ready Venue designations are for five-year increments with a yearly check-in to ensure continued readiness of the venue. Redesignation will be necessary every five years and designation does not supersede any agreements with state, local or private sector entities.

    ###

    FEMA’s mission is helping people before, during, and after disasters. FEMA Region 3’s jurisdiction includes Delaware, the District of Columbia, Maryland, Pennsylvania, Virginia and West Virginia. Follow us on X at x.com/FEMAregion3 and on LinkedIn at linkedin.com/company/femaregion3

    erika.osullivan

    MIL OSI USA News

  • MIL-OSI USA: Lumen Field to Become a Mission Ready Venue

    Source: US Federal Emergency Management Agency

    Headline: Lumen Field to Become a Mission Ready Venue

    Lumen Field to Become a Mission Ready Venue

    BOTHELL, Wash – Stadiums and venues provide a central and accessible location to help communities respond to extreme weather crises, providing safe storage and shelter in times of need. With these events becoming more frequent, severe, and expensive, FEMA Administrator Deanne Criswell and NFL Chief Security Officer Cathy Lanier today announced that Lumen Field in Seattle, Washington, home of the Seahawks, will be among the first NFL venues to be designated as a Mission Ready Venue that can be used during response and recovery missions. Through Mission Ready Venues, a public-private partnership, Lumen Field will increase its capabilities to better sustain public safety and be a source of support for the community they serve. The designation identifies the ways Lumen Field could be used for response and recovery activities during declared emergencies or disasters.

    “The Seahawks and Lumen Field are proud to be one of the first NFL stadiums to be designated a Mission Ready Venue,” said Zach Hensley, Seattle Seahawks Vice President of Operations and General Manager of Lumen Field. “A commitment to community is fundamental to our organization, and the unique attributes that allow us to host more than two million guests each year can be an invaluable resource to the larger Pacific Northwest region in times of need.”

    “During large-scale emergencies, like the COVID-19 pandemic, hurricanes, or tornados, we’ve seen how large music, sports and entertainment venues can serve as a safe space for communities,” said FEMA Administrator Deanne Criswell. “This new strategy we’re launching with the NFL is a groundbreaking opportunity to help our partners use these venues for emergency response and recovery needs, while keeping communities safe and making them more resilient. While we are starting with the NFL, all venues across sports organizations and leagues can become assets to their communities, and I encourage them to join in this collaborative effort as we grapple with the impacts of the climate crisis.”

    “I’m pleased to have Lumen Field designated as a Mission Ready Venue,” said FEMA Region 10 Administrator Willie G. Nunn. “In a time of crisis, it’s important that we all work together and look at all options to support disaster survivors. Lumen Field is well-known in our community as a place to congregate for Seahawks games and other community events. When a large disaster strikes, it’s great to know that Lumen Field can play a pivotal role in helping our community.” 

    “Stadiums are valuable community assets that are often used in times of disasters,” said NFL Chief Security Officer Cathy Lanier. “This designation reflects the role that many stadiums play, not only on Sundays, but especially in times of need. We are proud to work with FEMA and first responders at the local and state level to ensure disaster response agencies have the information and tools they need to help a community recover when disaster strikes.” 

    According to the NYU School of Professional Studies and the U.S. Conference of Mayors, stadiums and arenas can improve the public health and well-being of their communities —including pandemic response during COVID-19. 

    “Seattle is proud that Lumen Field is designated as a disaster response and recovery venue,” said Curry Mayer, Director, Seattle Office of Emergency Management. “Lumen Field was successfully used as a mass vaccination site during the COVID pandemic. Lumen has all the amenities needed to serve the public and is easily accessible for Seattle’s communities.”

    Given the size, capabilities, and locations of large sports venues, these existing community assets can serve the public in a variety of ways including emergency shelters, staging areas, commodity distribution sites, evacuation pick up points, disaster recovery centers, mass vaccination and testing, temporary hospitals and more. FEMA and the NFL recognized this unique opportunity for collaboration and are enlisting the support of venue owners, operators, and the tenants of these facilities to work with government officials in the planning and preparation for emergency or disaster response and recovery efforts.  To receive an official Mission Ready Venue designation, venues must undergo a comprehensive assessment to determine what capabilities the venue may be able to support in emergency and disaster response and recovery efforts. The designation highlights the following attributes of selected venues: 

    • Provide Safety and Security: Stadiums are usually centrally located, close to major roadways and transportation hubs, and critical services like hospitals. If used to respond to a disaster, the designation will save valuable time and resources and will further enhance coordination between the public and private sectors during disaster response and recovery. 
    • Provide Accessibility: Stadiums are also compliant with Americans with Disabilities Act and can support persons with disabilities and others with access or functional needs. Additionally, 73% of NFL venues are accessible by mass transportation. This provides an avenue to promote equitable service to underserved populations to access potentially critical lifesaving/life sustaining services after an event. 
    • Strengthen Community Resilience: Stadiums and arenas are a focal point of communities and help strengthen social networks by enhancing connections between residents with home team pride. These Mission Ready Venues can boost morale amidst disaster. By providing a more robust and resilient environment, these venues can enhance social networks amongst survivors while providing ample opportunities to establish connections with the venue’s main tenants.
    • Ensure Unity of Effort: Coordination of stadium resources and services can support survivors and responders and help stabilize an incident quickly. Since stadiums are fixed locations, resources and services can be deployed quickly. This promotes the community’s physical and economic recovery.

    Mission Ready Venue designations are for five-year increments with a yearly check-in to ensure continued readiness of the venue. Redesignation will be necessary every five years and designation does not supersede any agreements with state, local or private sector entities. 

    ###

    Follow FEMA Region 10 on X and LinkedIn for the latest updates and visit FEMA.gov for more information.

    FEMA’s mission is helping people before, during, and after disasters.

    natalie.shaver

    MIL OSI USA News

  • MIL-OSI USA: Manchin, Romney, Warner, Braun Introduce Bipartisan Resilience Act

    US Senate News:

    Source: United States Senator for West Virginia Joe Manchin
    September 25, 2024
    Washington, DC – Today, U.S. Senators Joe Manchin (I-WV), Mitt Romney (R-UT), Mark Warner (D-VA) and Mike Braun (R-IN) introduced the Reassuring Economic Stability In Light of International, Economic, and Natural Conflicts and Emergencies (RESILIENCE) Act. The bipartisan legislation would require the U.S. Treasury Secretary and the Director of the Office of Management and Budget (OMB) to conduct annual examinations on the federal government’s ability to respond to hypothetical domestic and international fiscal shocks.
    “This past July, our national debt exceeded $35 trillion for the first time in history. Make no mistake – this is the greatest threat America is facing,” Senator Manchin said. “I’m proud to introduce the RESILIENCE Act with my bipartisan colleagues to establish these critical, comprehensive annual examinations of our nation’s finances, which will better inform Congress and the American public on the most effective solutions for getting our fiscal house back in order. Every West Virginian and American is personally responsible for managing the debts they incur and the federal government must be held to the same standard for the sake of our children, grandchildren and the American Dream.”
    “With the national debt at a staggering $35 trillion, our country is on the fast track to fiscal calamity,” said Senator Romney. “It’s not outside of the realm of possibility that a national or global event—such as a recession, armed conflict, or domestic energy crisis—would expedite that process and leave American families, businesses, and our country in economic peril. Better understanding the federal government’s abilities to respond to major, unanticipated economic events will equip us with needed insight to help proactively strengthen the United States’ resilience to potential fiscal shocks.”
    “This common-sense legislation requires the federal government to conduct annual tests to ensure that our finances can withstand potentially catastrophic global events,” Senator Warner said. “It is our responsibility to ensure that we are not caught on our heels when responding to the next crisis, and this legislation would do just that.”
    “Our nation’s fiscal health is in dire straits and the enormous national debt is the number one threat to our national security. The RESILIENCE Act would establish a thorough examination of our federal government’s finances, so we can reestablish fiscal discipline and make sure we are prepared for any domestic or international crisis,” said Senator Braun.
    Specifically, this annual examination would assess the ability of the federal government to respond to the following events:
    An economic recession or depression;
    A domestic energy crisis;
    A catastrophic natural disaster;
    A health crisis, such as a pandemic;
    A significant armed conflict or event;
    A significant cyberattack; and
    A financial crisis.
    As it does already with the annual Financial Report of the United States Government, the Government Accountability Office (GAO) would conduct an independent review of the examination and relay its findings to Congress and the American public.
    The full text of the RESILIENCE Act is available here.

    MIL OSI USA News

  • MIL-OSI USA: Connolly-Warner Reintroduce Chai Suthammanont Healthy Federal Workplaces Act to Protect Federal Employees During Public Health Emergencies

    Source: United States House of Representatives – Representative Gerry Connolly (D-Va)

    Today, Congressman Gerry Connolly (D-VA), Ranking Member of the House Subcommittee on Cybersecurity, Information Technology, and Government Innovation, and Senator Mark Warner (D-VA) reintroduced the Chai Suthammanont Healthy Federal Workplaces Act, legislation to better protect federal employees during a public health emergency. The legislation previously passed the House in September 2022.

    “On May 26, 2020, Chai Suthammanont, my constituent and a kitchen staff worker at a childcare facility on Marine Corps Base Quantico, died from COVID-related complications,” said Rep. Connolly. “Confusion and uncertainty surrounding agency guidance during the pandemic emerged as two of the largest contributing factors to Chai’s death. These factors, combined with a general lack of communication with federal workforce staff, led to tragedy. Our Chai Suthammanont Healthy Federal Workplaces Act will ensure federal employees are informed and better protected during any future public health emergency. I want to thank Senator Warner for his partnership, and I want to thank Chai’s widow, Christina, for her continued efforts to transform her family’s loss into a charge to help others.”

    “Over the course of the COVID-19 pandemic, federal employees remained hard at work, ensuring that the American people could continue to count on their government. But unfortunately, the pandemic highlighted that our federal agencies were widely unprepared to protect these essential workers,” said Sen. Warner. “It’s crucial that we learn from our mistakes. We owe it to our federal workforce to ensure a safe workplace, and when faced with another public health emergency, we must be prepared.”

    The legislation requires each federal agency to establish a plan that describes public health protocols including, but not limited to, testing; identification and notification of individuals who may have been exposed; cleaning; occupancy limits; use of personal protective equipment; protections for employees whose work requires them to travel off-site; and ensuring the continuity of agency operations. The bill would also require each agency’s Office of the Inspector General to report on the extent each agency has implemented the plan and would require the Government Accountability Office to report on lessons learned during the COVID-19 pandemic.

    Text of the legislation is available here.

    MIL OSI USA News

  • MIL-OSI USA: Whip Clark: “We Are Not Going back to a Less Healthy and Less Just America.”

    Source: United States House of Representatives – Congresswoman Katherine Clark (5th District of Massachusetts)

    WASHINGTON, D.C. — Today, Democratic Whip Katherine Clark (MA-5) joined Senate Majority Leader Chuck Schumer (D-NY), Senator Jeanne Shaheen (D-NH), and Representative Lauren Underwood (IL-14) to push permanently extend ACA subsidies that keep health care costs low for millions of Americans. 

    “Thank you so much, Leader Schumer and to our bicameral ACA champions. It is a pleasure to be here with Senator Shaheen — a fellow New Englander and neighbor. What a pleasure to be here with our champion of health care in the House, Congresswoman Lauren Underwood, who is also a valued member of our House Democratic leadership. We thank you for all your work on the ACA and health care, and also for the very successful hearing exposing Project 2025 [that] you were critical in putting together yesterday.
     
    “But what we have today is the perfect illustration of two very, starkly different agendas that have been presented to the American people. From the Democrats, an offer to preserve, strengthen, and expand access to health care. A proposal that would prevent 5 million Americans from losing their insurance next year. The Republican offer? Repeal the ACA. Don’t just kick those millions of Americans off their insurance — those 5 million — but 21 million people who currently get their health care through the ACA.

    “Don’t just take my word for it, Donald Trump has said it was a low point — a low point — of his presidency, that he failed to repeal the ACA. Not the global pandemic, not the insurrection at our Capitol, not the crimes he committed. His biggest regret is that he failed to tear away health care from the American people. And now he’d like the opportunity to take another run at it.
     
    “Well, we’re not going back. We’re not going back to a less healthy and less just America. We’re not going back to an America where being a woman is a pre-existing condition, where health care is treated like a privilege. We are going forward to a future where health care is upheld — is the fundamental human right that it is.
     
    “And I am so proud to stand with my Democratic colleagues, House and Senate, as we move forward together into the future. I am so grateful for the work of Senator Shaheen on all of this, and for being such a champion for access to health care for American families.”

    Photos of the event can be found HERE, the full event can be viewed HERE. 

    # # #

    MIL OSI USA News

  • MIL-OSI USA: Whip Clark, House Democrats Take Action to Invest in Child Care, Call Out GOP on Inaction

    Source: United States House of Representatives – Congresswoman Katherine Clark (5th District of Massachusetts)

    CategoriesMIL OSI

    WASHINGTON, D.C. — Today, Democratic Whip Katherine Clark (MA-5) reintroduced the Child Care Infrastructure Act and the Child Care Workforce Development Act, two bills that address America’s child care crisis with robust investment in early learning facilities and educators. These bills are co-led by Representatives Suzanne Bonamici (OR-1), Jimmy Gomez (CA-34), Jennifer McClellan (VA-3), Brittany Pettersen (CO-7), and Jill Tokuda (HI-2).

    “Democrats are focused on one of the most urgent challenges facing everyday families: the outrageous cost of child care,” said Whip Clark. “This pair of bills will build out child care facilities across the country while recruiting talented Americans to pursue careers in early education. This investment would mark a critical step forward in House Democrats’ fight to lower costs for parents, create opportunities for our children, and build an economy that works for working families. While Republicans ignore the child care crisis, we are ready with solutions.”

    “Child care is infrastructure and an important investment for children, families, and the economy,” said Rep. Bonamici. “The ongoing hurdles child care providers and families face are limiting economic growth, threatening employers and small businesses, and holding back working families. I’m grateful to partner with Whip Clark to introduce legislation that will provide funding to improve and build facilities to help meet the demand for affordable, accessible child care.”

    “As a father and the founder of the Dads Caucus, I know firsthand how difficult it can be to find affordable child care, and I know that the working parents of this nation face the same concern. Many families today are living in child care deserts, where there aren’t enough quality, affordable daycares nearby—my colleagues and I are fighting to change that,” said Rep. Gomez. “I’m proud to join Whip Clark on these two bills that will make becoming an early childhood educator more attainable for students, expand our child care provider workforce and fund building new daycares as key infrastructure investments. Working families should rest assured that their children are being looked after in quality facilities with qualified educators who are supported.”

    “As one of the 6 percent of members of Congress who is a mother to young children, I know firsthand the challenges working families face when seeking quality, affordable child care,” said Rep. McClellan. “House Democrats are fighting every day to address the child care crisis and give hardworking American families some relief from exorbitant costs. I’m grateful for Democratic Whip Katherine Clark’s leadership on this pressing issue, as we introduce the Child Care Infrastructure Act and the Child Care Workforce Development Act. These bills will bolster federal investment in our nation’s child care industry and incentivize care workers and early childhood educators to continue their invaluable work.” 

    “As a working mom of a four-year-old son with another child on the way, I know firsthand how difficult it is to find affordable child care and the struggles families in my district are facing, especially in more rural communities,” said Rep. Pettersen. “That’s why I’m proud to help reintroduce these two pieces of legislation to bolster our child care workforce, help lower costs for parents, and ensure every family can access the care they need for their children to thrive. I’m incredibly grateful for the leadership of Whip Clark and my colleagues who joined today.” 

    “The rising cost of child care has made it difficult for millions of parents to balance earning a living with caring for their families. Nonetheless, my Republican colleagues refused to join us in supporting working parents and allowed vital federal child care stabilization funding to expire last year. Our working families deserve better. Without additional action by Congress, the unaffordability and unavailability of child care in the U.S. will only worsen,” said Rep. Tokuda. “As a mother of two boys that has to make tough choices, I’m proud to join our Democratic Whip, Congresswoman Katherine Clark, in introducing the Child Care Infrastructure Act and the Child Care Workforce Development Act. Together, these bills will provide for greater investment in the programs and the people we entrust to take care of our kids so they can continue serving children and families across the country.”

    The Child Care Infrastructure Act would:

    • Direct the Department of Health and Human Services(HHS) to conduct a national needs assessment of early child care and learning facilities to understand the impact of the child care crisis and evaluate the ongoing infrastructure needs of child care facilities across the U.S. 
    • Establish a grant program to award grants to states for the purpose of constructing new or renovating existing child care facilities.
    • Set aside a minimum of 10% and a maximum of 15% of the authorized funds to award grants of up to $10 million to intermediary organizations, including development financial institutions or other organizations that have demonstrated experience in developing or financing early care and learning facilities.
    • Authorize $10 billion over five years to invest in our nation’s child care infrastructure.

    The Child Care Workforce Development Act would: 

    • Authorize HHS to administer a student loan repayment program of up to $6,000 annually for five years for early childhood educators working for providers eligible to receive Child Care and Development Block Grant (CCDBG) funding. 
    • Establish a program to provide up to $4,000 annually to eligible individuals pursuing an associate’s degree or a certificate in early childhood education. 

    Whip Clark is the lead champion for child care in Congress. Earlier this year, she launched her Affordable Child Care Agenda, which calls for affordable care for every family, accessible care for every family, and livable wages for early educators. During her seven years on the Appropriations Committee, she increased funding for the CCDBG by $6 billion. At the height of the pandemic, Whip Clark helped save the child care system – keeping 200,000 child care providers in business and 10 million kids in classrooms nationwide. Recently, Whip Clark introduced legislation to expand access to affordable child care for student parents, and she is the proud sponsor of the Child Care Stabilization Act, legislation that would maintain federal investments in the child care system that started during the pandemic. 

    Photos of the press conference can be found HERE, the full press conference can be viewed HERE. 

    # # #

    MIL OSI USA News

  • MIL-OSI USA: Kugler, How We Got Here: A Perspective on Inflation and the Labor Market

    Source: US State of New York Federal Reserve

    Thank you, John, and thank you for the opportunity to speak here today.1 It is good to be back at the Kennedy School and in particular at the Mossavar-Rahmani Center, which has a long tradition of engaging on important policy issues.
    In my remarks today, I will provide my outlook for the U.S. economy and the implications for monetary policy. The combination of significant ongoing progress in reducing inflation and a cooling in the labor market means that the time has come to begin easing monetary policy, and I strongly supported the decision last week by the Federal Open Market Committee (FOMC) to cut the federal funds rate by 50 basis points. While future actions by the FOMC will depend on data we receive on inflation, employment, and economic activity, if conditions continue to evolve in the direction traveled thus far, then additional cuts will be appropriate.
    I will begin by summarizing where we stand on inflation, including details on how the different components of inflation have changed over time, since these facts form the basis for my judgment on where inflation is headed. I will then talk about the recent cooling in the labor market and the forces driving it as well as how shifts on this other side of our mandate fit into the overall economic outlook for the rest of this year. I will conclude with the implications of all this for appropriate monetary policy and our focus on our dual mandate.
    Inflation based on personal consumption expenditures (PCE) has come down from a peak of 7.1 percent on a year-on-year basis to 2.5 percent in July. Core PCE inflation, which excludes energy and food prices and tends to be less volatile, has come down from a peak of 5.6 percent to now 2.6 percent. Based on consumer and producer price indexes, I estimate headline PCE and core PCE inflation to be at about 2.2 and 2.7 percent, respectively, in August, consistent with ongoing progress toward the FOMC’s 2 percent target. The progress on inflation is good news, but it is important to remember that households and businesses are still dealing with prices for many goods and services that are significantly higher than a couple of years ago. Prices for groceries, for example, are about 20 percent higher than before inflation started rising in 2021, and while earnings have been rising faster than inflation, it may take some time for it to feel as though prices are back to normal.2
    Inflation data are produced by the Labor Department, and when I served as chief economist at Labor, I delved into the differential effects of inflation on various demographic groups. When inflation was at its peak in 2022, it was more than 1 percentage point higher for lower-income households, for those without a college degree, and for those aged 18 to 29—all groups that spend a higher share of income on necessities and have less wealth to draw from.3 Fortunately, research by staff at the Fed shows that disinflation helps close that gap as well, something that only adds to the urgency I feel about returning inflation to the FOMC’s 2 percent goal.
    Research on the causes of inflation and the subsequent disinflation show that both supply and demand forces have played an important role. In the past two years, specifically, improvements in supply, along with moderation in demand in part due to tighter monetary policy, have both played a role in the disinflationary process.4 Supply chain bottlenecks as well as the drastic drop in the labor force due to excess retirements and the withdrawal of prime-age workers contributed to the initial rise in inflation, but the resolution of these disruptions and the return of workers to the labor force have also helped rein in inflation. Early on, consumers shifted spending from services to goods, a development that goods producers struggled to accommodate, putting upward pressure on prices. But as the demand shock to goods unwound and consumer spending shifted back to services, goods inflation fell and has been running below zero in recent months. Also, the increased demand due to the fiscal response to COVID-19 in 2020 and 2021 has more recently been roughly neutral on growth, as shown by the Hutchins Center on Fiscal and Monetary Policy in their measure of fiscal impact. And, of course, as I will discuss in a moment, tight monetary policy has been and continues to be a moderating force on demand, primarily by raising costs for interest-sensitive goods and services.
    As I think about where inflation is headed, I find it helpful to consider how it has evolved over the past several years and in particular how the major components of inflation have behaved, so I want to take a few minutes to walk through those details.
    As I have indicated, the big picture is that goods inflation surged early on in 2020 and 2021, followed by prices for services excluding housing, and then housing, with some overlap in those steps. Disinflation has followed that course in reverse. Core goods inflation rose, after almost a year of social distancing shifted spending from services and after production and delivery of goods was disrupted by the pandemic. This was a big change because over the long expansion leading to the pandemic, core goods prices actually fell, slightly but consistently.5 On a 12-month basis, core PCE goods inflation rose above zero in December 2020, reached a peak of 7.6 percent in February 2022, and fell again below zero at the end of 2023. In July of this year, it was negative 0.5 percent. This recent disinflation offset still-rising prices for services and helped reduce overall inflation. Goods inflation has reverted to its longer-term pattern as demand has moderated and supply chain problems have abated. This is reflected by various indexes of supply chain bottlenecks that showed the supply-side disruptions that contributed early on to surging inflation have now retreated to pre-pandemic levels.6 Other data show that computer chip supply, which fell far short of demand early in the pandemic, is back to normal conditions as well.
    Food and energy prices, always subject to larger ups and downs than other parts of inflation, rose also early on. Food inflation increased in 2020 as shoppers began stockpiling groceries and as warehouses and production facilities had difficulty staffing due to COVID. After Russia’s invasion of Ukraine, energy price inflation reached a peak 12-month rate of nearly 45 percent and food inflation reached a peak of 12 percent in mid-2022, highlighting the importance of petroleum and agricultural commodities from that part of the world. Food and energy inflation has moderated over the past two years and are now both running at 12-month rates of 1.4 percent and 1.9 percent, respectively, as supply chain issues have resolved and production in the U.S. and elsewhere has increased. Food and energy expenses represent a sizable share of consumer spending, but the frequent purchase of these goods means that they are highly salient in the public’s views on inflation. Research by Francesco D’Acunto and coauthors has shown that the weights that consumers assign to price changes in forming their inflation expectations are not based on the actual share of their expenditures but instead on the frequency of purchases, which happen to be highest for food and energy goods.7 Thus, the fall in food and energy prices is important because it may feed back into lower inflation in other categories by moderating overall inflation expectations and also real wage expectations in wage bargaining.
    Housing services price increases were the last component of inflation to escalate, rising to a peak 12-month rate of 8.3 percent in April 2023 and moderating to a 5.3 percent pace in July. It took time for housing prices to escalate and has taken longer for them to moderate because of both the nature of the rental market and the data collection method from the Bureau of Labor Statistics, as I have discussed at length in other speeches.8 However, new rent increases, which better capture rental price changes in real time, are falling and are the main reason why I expect housing services costs to moderate furt
    her.
    The final component of inflation is services excluding housing, which accounts for 50 percent of PCE inflation and is heavily influenced by labor markets. On a 12-month basis, this component of inflation rose to a peak of 5.3 percent in December 2021, stayed persistently high until February 2023, and has moderated since then to 3.3 percent in July of this year. Its escalation was driven both by the rise in labor costs and by the transition of demand from goods to services following the pandemic. Labor costs are a substantial share of the total costs for services. For example, labor accounts for between 60 percent to 80 percent of costs in construction, education, and health services.
    Among the initial forces driving the escalation in wages were the increase in food and energy prices, as wage demands tend to track closely with the prices of these frequently purchased goods. Data on wage demands from the New York Fed’s Survey of Consumer Expectations indeed show a sudden increase early on during the pandemic right after the first bout of food inflation.9 Importantly, worker shortages likely allowed those higher wage demands to be realized, contributing to the rise in wages. Later, as demand for services quickly rose and employers were creating a large number of jobs in several service sectors, workers were able to be more selective, and the ensuing “Great Resignation” took hold, allowing people to choose different careers. The relatively high demand relative to the supply of workers in some service sectors encouraged workers to move from job to job for higher wages, benefits, and other improvements in working conditions. Evidence from the Atlanta Fed’s Wage Growth Tracker suggests that during this period, wages for job switchers grew more than 2 percentage points faster than wages for people staying in the same job, though this wage premium for job switchers disappeared by the second half of last year.
    But now inflation for services excluding housing is declining, after a temporary escalation in the first quarter of this year that was likely partly due to residual seasonality. There had been fears that wage increases would drive a wage–price spiral, as the U.S. experienced in the 1970s, but this did not occur.
    To sum up, inflation has broadly moderated as the supply of goods and services has improved, and as producers and consumers have adjusted to the effects of higher prices. Demand has moderated, in part due to tighter monetary policy. And, as I just noted, changes in the pace of wage growth have also played an important role in the ups and downs of inflation, which points me toward a discussion of labor markets, which has recently become a greater focus of monetary policy.
    As I have noted, there has been a significant moderation in the labor market recently, but I want to start by pointing to what really has been a remarkable performance of the labor market over the past four years. After the unprecedented job losses early in the pandemic, and even accounting for the quick recovery of a large share of those losses, the recovery of the labor market that followed was historically swift. Unemployment was 7.8 percent in September 2020 and 4.7 percent only 12 months later, and it fell to under 4 percent 3 months after that. That is a more rapid recovery than the U.S. has experienced since the 1960’s. What started, at that point, was 30 straight months of unemployment at or below 4 percent, which had not happened during the pre-pandemic period, the boom of the 1990s, or anytime during the 1980s, and it was only exceeded by the strong labor market of the latter half of the 1960s. Something that I think was just as remarkable has been the narrowing of the typical gap between labor market outcomes for less-advantaged groups. For example, there has been a reduction in the unemployment rate between Black and Latino workers, on the one hand, and white workers, on the other hand. There has also been a narrowing of the prime-age labor force participation rate among these groups, and, perhaps most notable of all, wage inequality among them has narrowed, which is not typical during economic expansions, according to research by David Autor and several coauthors.10 They found that one benefit of the unusually tight labor market of the past few years was that the heightened competition for scarce workers produced more rapid wage gains for workers at the bottom of the wage distribution. The real wage gains for those in the lower quartiles of the distribution and with higher propensities to consume, in turn, likely spurred consumption and helped sustain growth after the pandemic.
    After a couple of years in which labor demand exceeded supply, the labor market has come into balance, reflecting an economy that has moderated in part due to tighter monetary policy. On the labor supply side, two forces have contributed to this rebalancing of the labor market. Labor force participation suffered due to the disruptions in work during the pandemic but rebounded strongly in 2022 and 2023 as the labor market tightened and wages rose sharply. The labor force participation rate for prime-age women reached historic highs over the past year and reached yet another historic record high in August. The overall increase in participation among workers aged 25 to 54, in the prime of their working lives, helped offset the loss of many workers aged 55 and over who experienced excess retirements during the pandemic. The second force boosting labor supply has been the large increase in immigration. The Congressional Budget Office estimates that net immigration boosted the U.S. population by close to 6 million people in 2022 and 2023, the majority of them of working age, and, by most accounts, rates of immigration have remained high in 2024.
    As a result of improved supply and easing of demand for workers, the labor market has rebalanced. After running at very low levels, unemployment has edged up this year to 4.2 percent in August, still quite low by historical standards. The slowdown in labor demand is most evident in payroll numbers. Job creation averaged 267,000 a month in the first quarter of the year and now stands at an average of 116,000 in the three months ending in August, which is still a healthy pace of job creation. Yet, given recent revisions in the payroll numbers, it is important to continue monitoring additional labor market indicators. In addition, the fall in diffusion indexes suggests that job creation cooling has been broad based, complementing the payroll data in showing rebalances in demand and supply across sectors. Beyond payroll data, voluntary quits, which tend to reflect the rate at which people find a better job, are now back around where they were before the pandemic. The ratio of job vacancies to the number of people looking for work, the V/U ratio, has also fallen close to its pre-pandemic ratio.11 In summary, after a period of demand exceeding supply, the labor market appears to have rebalanced.
    In tandem with the cooling in the labor market, economic activity has slowed but is still expanding at a solid pace. After adjusting for inflation, gross domestic product (GDP) grew 2.5 percent in 2023 and at around a 2 percent annual rate in the first half of 2024. Personal spending, which accounts for the majority of economic activity, has been solid this year, supported by a resilient labor market so far and high levels of household wealth relative to income. But given a rise in credit card and auto delinquencies, a rise in credit card balances, and a cooling labor market, I expect spending to grow at a somewhat more moderate pace moving forward.
    Certainly, tight monetary policy has contributed to cool off aggregate demand and slow the economy. It has done so in large part by slowing spending on interest-sensitive expenditures, such as housing, as well as autos and other durable goods. Other spending typically financed with credit, such as business equipment, has also been slower.
    Another effect of tight monetary policy is to keep expectations of future inflation in check. And, to the extent that ex
    pectations affect decisions by businesses to set prices and by workers to negotiate wages, this has helped put downward pressure on inflation. Survey- and market-based measures of future inflation did increase when inflation surged, but only modestly, and they have moved down in tandem with inflation and have largely returned to their 2019 levels.
    In conclusion, I would say that recent economic developments, against the backdrop of the experience of the past four years, have validated the Federal Reserve’s focus on reducing inflation and set the stage for the shift in monetary policy that occurred last week. The progress in bringing down inflation thus far, coupled with the softening in the labor market that I have described, means that while our focus should remain on continuing to bring inflation to 2 percent, we should now also shift attention to the maximum-employment side of the FOMC’s dual mandate. The labor market remains resilient, but the FOMC now needs to balance its focus so we can continue making progress on disinflation while avoiding unnecessary pain and weakness in the economy as disinflation continues in the right trajectory. I strongly supported last week’s decision and, if progress on inflation continues as I expect, I will support additional cuts in the federal funds rate going forward.
    Thank you.

    1. The views expressed here are my own and are not necessarily those of my colleagues on the Federal Reserve Board or the Federal Open Market Committee. Return to text
    2. Unlike in previous recoveries, those in the lower half of the distribution have benefited more from the real earnings increases during the post-pandemic period. The 12-month change in average hourly earnings and the employment cost index have been rising faster than consumer price index inflation for those in the first and second quartiles since 2019 and since 2022, respectively, and for everyone across the distribution for roughly a year. Return to text
    3. See Xavier Jaravel (2021), “Inflation Inequality: Measurement, Causes, and Policy Implications,” Annual Review of Economics, vol. 13, pp. 599–629. Return to text
    4. Different approaches allow a parsing of the relative contributions of supply and demand, top-down approaches by Bernanke and Blanchard (forthcoming) and Benigno and Eggertson (2023) and bottom-up approaches by Braun, Flaaen, and Hoke (2024) and Shapiro (2022); see Ben Bernanke and Olivier Blanchard (forthcoming), “What Caused the U.S. Pandemic-Era Inflation?” American Economic Journal: Macroeconomics; Pierpaolo Benigno and Gauti B. Eggertsson (2023), “It’s Baaack: The Surge in Inflation in the 2020s and the Return of the Non-Linear Phillips Curve,” NBER Working Paper Series 31197 (Cambridge, Mass.: National Bureau of Economic Research, April); Robin Braun, Aaron Flaaen, and Sinem Hacioglu Hoke (2024), “Supply vs Demand Factors Influencing Prices of Manufactured Goods,” FEDS Notes (Washington: Board of Governors of the Federal Reserve System, February 23); and Adam Hale Shapiro (2022), “How Much Do Supply and Demand Drive Inflation?” FRBSF Economic Letter 2022-15 (San Francisco: Federal Reserve Bank of San Francisco, June 21). All of these studies agree that both supply and demand shocks contributed to the surge in inflation as well as its fall. Return to text
    5. The causes most often cited by economists are competition from globalized trade and productivity gains, including from technological advances. Return to text
    6. The most commonly used indicators of supply chain bottlenecks are the Global Supply Chain Pressure Index produced by the Federal Reserve Bank of New York, the Supplier Deliveries Index from the Institute for Supply Management, and the percent of answers to the question of why production is not at capacity in the Quarterly Survey of Plant Capacity Utilization fielded by the Census Bureau and funded by the Federal Reserve Board. Return to text
    7. See Francesco D’Acunto, Ulrike Malmendier, Juan Ospina, and Michael Weber (2021), “Exposure to Grocery Prices and Inflation Expectations,” Journal of Political Economy, vol. 129 (May), 1615–39. Return to text
    8. Rental prices are the basis for all estimates of housing service costs. Prices tend to change only when rented homes change tenants, which happens relatively infrequently. Prices tend to change more when there are new tenants, while the majority of lease renewals tend to keep the same price-generating persistence. In addition, the Bureau of Economic Analysis samples rents only every six months. As a result, substantial lags are built into the official statistics. See Adriana D. Kugler (2024), “The Outlook for the Economy and Monetary Policy,” speech delivered at the Brookings Institution, Washington, D.C., February 7; Adriana D. Kugler (2024), “Some Reasons for Optimism about Inflation,” speech delivered at the Peterson Institute for International Economics, Washington, D.C., June 18. Return to text
    9. The Survey of Consumer Expectations from the New York Fed collects data on “reservation wages,” which are what workers report as being the minimum wage that they would require to accept a job. Return to text
    10. See David Autor, Arindrajit Dube, and Annie McGrew (2024), “The Unexpected Compression: Competition at Work in the Low Wage Labor Market,” NBER Working Paper Series 31010 (Cambridge, Mass.: National Bureau of Economic Research, March; revised May 2024). Using Current Population Survey microdata, they show that increased labor market competition for scarce workers produced more rapid real wage gains at the bottom of the wage distribution, reducing wage inequality. Return to text
    11. I consider here a V/U ratio in which the numerator is the ratio of the vacancy rate for the total nonfarm sector computed as job openings over the labor force. Job openings data are from the Job Openings and Labor Turnover Survey fielded by the Bureau of Labor Statistics. The denominator is the unemployment rate. The last data point available for job openings is July 2024, while the last data point for the unemployment rate is August. Return to text

    MIL OSI USA News

  • MIL-OSI USA: House Passes Rep. Harshbarger’s H.R. 5526, The Seniors’ Access to Critical Medications Act

    Source: United States House of Representatives – Representative Diana Harshbarger (R-TN)

    Washington, D.C. – Monday, September 23, The United States House of Representatives passed Congresswoman Harshbarger’s H.R. 5526, The Seniors’ Access to Critical Medications Act of 2024 which ensures that medicare seniors have access to the critical medications they need. This legislation restores pandemic-era flexibilities issued by the Centers of Medicare & Medicaid Services (CMS) that allowed mail delivery of prescribed drugs to Medicare beneficiaries.

    “We shouldn’t have obstacles in the way of patients receiving the prescription medications they need,” said Congresswoman Diana Harshbarger. “The bipartisan Seniors’ Access to Critical Medications Act simply ensures that cancer patients as well as other patients have timely access to the appropriate oral medications, by allowing delivery of these medications, or allowing family members or caregivers to pick them up on the patient’s behalf.”

    Background

    Under the Centers for Medicare & Medicaid Services’s (CMS) interpretation of physician self-referral law (commonly known as “Stark law”), it’s unlawful for a medical practice — such as a community oncology practice — to deliver a prescribed and filled drug to a patient by mail, courier, or UPS. CMS’ interpretation doesn’t even allow for a family member or caregiver to pick up a patient’s drug on their behalf.  

    

    During the pandemic, CMS recognized these barriers and issued a Stark waiver lifting the restrictions that hindered patient access to these crucial medications. H.R. 5526, The Seniors’ Access to Critical Medications Act of 2024, restores these flexibilities.

    See Rep. Harshbarger’s remarks on the House floor

    MIL OSI USA News

  • MIL-OSI USA: Warner, Connolly Introduce Legislation to Promote Federal Worker Safety

    US Senate News:

    Source: United States Senator for Commonwealth of Virginia Mark R Warner
    WASHINGTON – With winter cold, flu, and COVID season upon us, U.S. Sen. Mark R. Warner (D-VA) is leading Senate introduction of the Chai Suthammanont Healthy Federal Workplaces Act, legislation requiring federal agencies to establish and publish workplace protections in the instance of a public health emergency declared for an infectious disease. Companion legislation was also introduced today in the House of Representatives by U.S. Rep. Gerry Connolly (D-VA).
    The legislation is named for Chai Suthammanont, a kitchen staff worker at a childcare facility on Marine Corps Base Quantico, who died from coronavirus-related complications in May of 2020 after being exposed to COVID-19, likely in the tight kitchen space he shared with additional staff. Confusion and uncertainty regarding best practices and agency policies, as well as a general lack of communication with federal workforce staff, likely contributed to his death.
    Joining Sen. Warner in Senate introduction are Sens. Tim Kaine (D-VA), Chris Van Hollen (D-MD), and Sherrod Brown (D-OH).
    “Over the course of the COVID-19 pandemic, federal employees remained hard at work, ensuring that the American people could continue to count on their government. But unfortunately, the pandemic highlighted that our federal agencies were widely unprepared to protect these essential workers,” said Sen. Warner. “It’s crucial that we learn from our mistakes. We owe it to our federal workforce to ensure a safe workplace, and when faced with another public health emergency, we must be prepared.”
    “On May 26, 2020, Chai Suthammanont, my constituent and a kitchen staff worker at a childcare facility on Marine Corps Base Quantico, died from COVID-related complications,” said Rep. Connolly. “Confusion and uncertainty surrounding agency guidance during the pandemic emerged as two of the largest contributing factors to Chai’s death. These factors, combined with a general lack of communication with federal workforce staff, led to tragedy. Our Chai Suthammanont Healthy Federal Workplaces Act will ensure federal employees are informed and better protected during any future public health emergency. I want to thank Senator Warner for his partnership, and I want to thank Chai’s widow, Christina, for her continued efforts to transform her family’s loss into a charge to help others.”
    Specifically, the Chai Suthammanont Healthy Federal Workplaces Act would:
    Require each federal agency to develop and maintain a plan that details public health protocols the agency will take during a nationwide infectious disease PHE declaration. The plan must include guidelines for testing, cleaning, occupancy limits, use of personal protective equipment, notification of individuals who may have been exposed, and protections for employees who travel off-site;
    Require each agency to publish the safety plan on its website and communicate its plan to employees, contractors, and subcontractors;
    Ensure accountability and oversight by requiring the Office of the Inspector General for each agency to report to Congress on plan implementation. The Government Accountability Office would also issue a report on the lessons learned during the COVID-19 pandemic to improve future protocols.
    This bill has been endorsed by the American Federation of Government Employees (AFGE), National Treasury Employees Union (NTEU), International Federation of Professional and Technical Engineers (IFPTE), and the National Federation of Federal Employees (NFFE).
    Bill text is available here.

    MIL OSI USA News

  • MIL-OSI USA: Schatz Leads Bipartisan Group Of Senators In Urging Senate Leaders To Take Up Legislation To Permanently Extend Telehealth Flexibilities, Expand Access

    US Senate News:

    Source: United States Senator for Hawaii Brian Schatz
    WASHINGTON – U.S. Senator Brian Schatz (D-Hawai‘i) led members of the bipartisan Senate Telehealth Working Group in calling on Senate leaders to take up legislation to permanently extend telehealth flexibilities for Medicare beneficiaries that are set to expire at the end of the year. Specifically, the senators urged for the passage of the bipartisan CONNECT for Health Act which Schatz leads with U.S. Senator Roger Wicker (R-Miss.) and was reintroduced last year with the support of 66 bipartisan senators. The letter follows Telehealth Awareness Week and comes after the House Energy & Commerce Committee unanimously advanced a two-year telehealth extension. In addition to Schatz, the letter is signed by Wicker and U.S. Senators Ben Cardin (D-Md.), Cindy Hyde-Smith (R-Miss.), and Mark Warner (D-Va.).
    “At least 66 Democratic and Republican Senators support permanently expanding telehealth access, and similar provisions have passed on a bipartisan unanimous basis in committees of jurisdiction in the House of Representatives. The Senate must quickly act to advance these policies, which protect access to telehealth services and align with your objective to advance bipartisan legislation that promotes the health and well-being of Americans,” the senators wrote.
    They continued, “Medicare beneficiaries have come to rely on expanded access to telehealth services and are satisfied with the care they receive. We must provide patients and clinicians with long-term certainty of their ability to access and provide care through telehealth. The CONNECT for Health Act will help us achieve this shared goal and has strong, bipartisan support in the Senate.”
    The CONNECT for Health Act makes permanent telehealth flexibilities made temporarily available during the COVID-19 pandemic and later extended. Additionally, it expands access to telehealth services by removing unnecessary barriers and enabling doctors, particularly in rural and underserved communities, to leverage telehealth to better serve their patients. The bill was first introduced in 2016 and is considered the most comprehensive legislation on telehealth in Congress. Several provisions of the bill have since been enacted into law or adopted by the Centers for Medicare & Medicaid Services.
    The full text of the letter can be found below and is available here.
    Dear Leader Schumer and Leader McConnell:
    With the end-of-year expiration of telehealth flexibilities rapidly approaching, we write to urge you to prioritize policies that ensure all Medicare beneficiaries retain access to telehealth services. At least 66 Democratic and Republican Senators support permanently expanding telehealth access,  and similar provisions have passed on a bipartisan unanimous basis in committees of jurisdiction in the House of Representatives. The Senate must quickly act to advance these policies, which protect access to telehealth services and align with your objective to advance bipartisan legislation that promotes the health and well-being of Americans.
    Under your leadership, Congress has recognized the critical role of telehealth in health care delivery by expanding coverage during and after the COVID-19 public health emergency. Most recently in the Consolidated Appropriations Act, 2023, Congress enacted a two-year extension of Medicare telehealth services coverage. This ensured continuity of care and provided time for experts to evaluate the effects of expanded telehealth serves. Recent studies by leading researchers and the Medicare Payment Advisory Commission (MedPAC) are clear: Telehealth provides essential access to care and improves outcomes, including reduced emergency department utilization and improved medication adherence. 
    Access to telehealth is at-risk, as noted by Centers for Medicare and Medicaid Services (CMS) in the Calendar Year 2025 Medicare Physician Fee Schedule Proposed Rule: “absent Congressional action, beginning January 1, 2025, statutory restrictions on geography, site of service, and practitioner type that existed prior to the COVID-19 PHE will go back into effect”.   Consequently, Congress must advance policies from our consensus bipartisan bill, the CONNECT for Health Act, before the coverage extension lapses. We urge you to prioritize the following provisions from our bill, which would improve American’s access to and quality of care:
    Telehealth should be available to all Medicare beneficiaries, regardless of where they live. Therefore, Congress should permanently remove geographic restrictions on telehealth services and permit the home and other clinically appropriate settings as originating sites. If budget constraints make permanent policy out of reach, given the significant costs required to ramp up and provide high quality telehealth programs, Congress must provide the maximum extension possible at an adequate length for providers to make necessary investments.
    Practitioners should be able to provide clinically appropriate telehealth services. The flexibility to provide telehealth, within state scope of practice laws, is particularly critical given high rates of provider shortages across disciplines.  Therefore, Congress should expand the authority for practitioners eligible to furnish telehealth services.
    Federally qualified health centers and rural health clinics should be able to provide telehealth services, free from unnecessary barriers and disincentives. Therefore, Congress should include federally qualified health centers and rural health clinics as distant site providers and telehealth should be integrated into these providers’ payment systems.
    Telemental health services should be accessible, free from barriers. Telehealth has transformed mental and behavioral health care, now accounting for 40 percent of telehealth services provided under the Medicare Physician Fee Schedule.   Notably, just 20 percent of Medicare beneficiaries with a telemental health visit in the preceding quarter would satisfy the requirements to access these services under current statute.   Therefore, Congress should permanently repeal the six-month in-person visit requirement for telemental health services.
    Patients receiving hospice care should be permitted to receive assessments by telehealth. Therefore, Congress should allow for the use of telehealth in the recertification of a Medicare beneficiary for hospice.
    Medicare beneficiaries and providers should be supported as health care continues to transition.  Therefore, Congress should provide resources to improve beneficiary engagement and health care professional use of telehealth. Congress should also task the Centers for Medicare and Medicaid Services to ensure that telehealth quality is effectively measured, and that limited outlier billing patterns are addressed.
    Medicare beneficiaries have come to rely on expanded access to telehealth services and are satisfied with the care they receive.   We must provide patients and clinicians with long-term certainty of their ability to access and provide care through telehealth.  The CONNECT for Health Act will help us achieve this shared goal and has strong, bipartisan support in the Senate. Further, the Ways & Means and Energy & Commerce Committees have unanimously advanced telehealth legislation.  We appreciate your collaboration and leadership on this issue and look forward to working with you to ensure access to telehealth services is retained by the end of 2024.
    Sincerely,

    MIL OSI USA News

  • MIL-Evening Report: Mixing it up: hybrid work models can offer the best of both worlds for worker wellbeing and productivity

    Source: The Conversation (Au and NZ) – By Stephen Blumenfeld, Director, Centre for Labour, Employment and Work, Te Herenga Waka — Victoria University of Wellington

    Prime Minister Christopher Luxon sparked debate on the future of work in New Zealand this week when he ordered public service employees back to the office.

    But Luxon’s edict neglects a broader transformation in work culture.

    Work from home (WFH) arrangements have grown considerably over the past decade, propelled by an increase in dual-income households and rapid technological advancements.

    The COVID pandemic acted as a catalyst for further change, proving that many jobs could successfully be performed remotely.

    Our upcoming article in the New Zealand Journal of Employment Relations addresses the pros and cons of remote work. We highlight how a hybrid model – mixing days in the office with days working from home – can improve wellbeing, engagement and productivity.

    We found embracing a hybrid approach may lead to better outcomes as society shifts with technology and employment expectations. And, despite the prime minister’s demands on public service workers, it may be too late to go back.

    Embracing flexibility

    Under current rules, employees can request flexible working arrangements. Employers must provide valid reasons if they decline the request.

    According to a 2023 survey from Human Resources New Zealand, 40% of HR professionals noted productivity gains as a critical advantage of WFH arrangements.

    And some professional organisations have embraced work from home or hybrid work arrangements.

    The New Zealand Law Association, for example, has emphasised the significant benefits of flexible work for their members, including increased employee engagement, productivity, and overall wellbeing.

    A report from Te Kawa Mataaho Public Service Commission noted the public service’s success in delivering quality services during the pandemic while working remotely.

    The commission’s current guidance on hybrid work arrangements supports flexibility that allows working from home to focus and working together when necessary.

    Does WFH reduce efficiency?

    Luxon argues forcing workers back to the office will promote efficiency. But there is little evidence suggesting New Zealand’s productivity has significantly declined with WFH or hybrid arrangements.

    Instead, we found office-only arrangements risked introducing new inefficiencies for the government. These included new layers of permissions and reporting on arrangements that have already been agreed to.

    The assumption that office work suits everyone is also contradicted by experiences during and after COVID.

    During the first year of the pandemic, many workers felt the void of casual interactions that once sparked creativity. They also struggled with isolation. This was especially pronounced for caregivers, often women, who had to juggle professional duties with increased childcare responsibilities.

    Despite this, a University of Otago survey conducted during the pandemic noted 67% of participants preferred a hybrid work model.

    Many expressed optimism regarding remote work’s continuation, with significant portions reporting stable or increased productivity, although some struggled with home distractions.

    And our research found taking a hybrid approach to work – with one or more days at home – reduced the risks from professional and social isolation and improved collaboration.

    Opportunities to work at home some of the time also allowed time for focused work, reduced commuting time and improved wellbeing.

    Boosting productivity from home

    Luxon’s assertion that working from home is “not an entitlement” aligns with traditional views on work. These include the belief that time at a desk is a measurement of productivity, rather than measuring the outcomes from work.

    However, a growing body of evidence indicates remote work can elevate both productivity and employee satisfaction.

    Eliminating daily commutes allows employees to redirect time toward focused work, positively impacting job satisfaction and mental wellbeing.

    Moreover, remote work fosters inclusivity, enabling organisations to source talent from a broader geographic area, which in turn enhances diversity and innovation.

    A report from McKinsey & Company found businesses adopting flexible work arrangements are better positioned to navigate future uncertainties, sustaining or even boosting productivity.

    A survey by the Australian Council of Trade Unions exploring WFH revealed nearly 48% of participants experienced enhanced productivity, attributed in part to the elimination of commuting.

    However, it also highlighted challenges. Some 40% of respondents said they were facing longer work hours, which can lead to burnout. Addressing these issues is essential to maintaining employee wellbeing.

    The future of work

    Instead of enforcing strict office attendance, leaders should adapt to the changing work landscape.

    Promoting flexible arrangements can foster a more productive and engaged workforce, ultimately benefiting New Zealand’s public service in today’s dynamic environment.

    Balancing both office and remote work presents the most promising path forward.

    Joanne Crawford receives funding from the Health Research Council and the NZ Industrial Relations Foundation Trust.

    Roya Gorjifard receives funding from the Victoria University of Wellington for Doctoral Research.

    Chris Peace and Stephen Blumenfeld do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. Mixing it up: hybrid work models can offer the best of both worlds for worker wellbeing and productivity – https://theconversation.com/mixing-it-up-hybrid-work-models-can-offer-the-best-of-both-worlds-for-worker-wellbeing-and-productivity-239710

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: Why are we seeing more pandemics? Our impact on the planet has a lot to do with it

    Source: The Conversation (Au and NZ) – By Olga Anikeeva, Research Fellow, School of Public Health, University of Adelaide

    ImageFlow/Shutterstock

    Pandemics – the global spread of infectious diseases – seem to be making a comeback. In the Middle Ages we had the Black Death (plague), and after the first world war we had the Spanish flu. Tens of millions of people died from these diseases.

    Then science began to get the upper hand, with vaccination eradicating smallpox, and polio nearly so. Antibiotics became available to treat bacterial infections, and more recently antivirals as well.

    But in recent years and decades pandemics seem to be returning. In the 1980s we had HIV/AIDS, then several flu pandemics, SARS, and now COVID (no, COVID isn’t over).

    So why is this happening, and is there anything we can do to avert future pandemics?

    Unbalanced ecosystems

    Healthy, stable ecosystems provide services that keep us healthy, such as supplying food and clean water, producing oxygen, and making green spaces available for our recreation and wellbeing.

    Another key service ecosystems provide is disease regulation. When nature is in balance – with predators controlling herbivore populations, and herbivores controlling plant growth – it’s more difficult for pathogens to emerge in a way that causes pandemics.

    But when human activities disrupt and unbalance ecosystems – such as by way of climate change and biodiversity loss – things go wrong.

    For example, climate change affects the number and distribution of plants and animals. Mosquitoes that carry diseases can move from the tropics into what used to be temperate climates as the planet warms, and may infect more people in the months that are normally disease free.

    We’ve studied the relationship between weather and dengue fever transmission in China, and our findings support the same conclusion reached by many other studies: climate change is likely to put more people at risk of dengue.

    COVID was not the first pandemic, and is unlikely to be the last.
    Jaromir Chalabala/Shutterstock

    Biodiversity loss can have similar effects by disrupting food chains. When ranchers cleared forests in South America for their cattle to graze in the first half of the 20th century, tiny forest-dwelling, blood-feeding vampire bats suddenly had a smörgåsbord of large sedentary animals to feed on.

    While vampire bats had previously been kept in check by the limited availability of food and the presence of predators in the balanced forest ecosystem, numbers of this species exploded in South America.

    These bats carry the rabies virus, which causes lethal brain infections in people who are bitten. Although the number of deaths from bat-borne rabies has now fallen dramatically due to vaccination programs in South America, rabies caused by bites from other animals still poses a global threat.

    As urban and agricultural development impinges on natural ecosystems, there are increasing opportunities for humans and domestic animals to become infected with pathogens that would normally only be seen in wildlife – particularly when people hunt and eat animals from the wild.

    The HIV virus, for example, first entered human populations from apes that were slaughtered for food in Africa, and then spread globally through travel and trade.

    Meanwhile, bats are thought to be the original reservoir for the virus that caused the COVID pandemic, which has killed more than 7 million people to date.

    Climate change can affect the distribution of animals which carry disease, such as mosquitoes.
    Kwangmoozaa/Shutterstock

    Ultimately, until we effectively address the unsustainable impact we are having on our planet, pandemics will continue to occur.

    Targeting the ultimate causes

    Factors such as climate change, biodiversity loss and other global challenges are the ultimate (high level) cause of pandemics. Meanwhile, increased contact between humans, domestic animals and wildlife is the proximate (immediate) cause.

    In the case of HIV, while direct contact with the infected blood of apes was the proximate cause, the apes were only being slaughtered because large numbers of very poor people were hungry – an ultimate cause.

    The distinction between ultimate causes and proximate causes is important, because we often deal only with proximate causes. For example, people may smoke because of stress or social pressure (ultimate causes of getting lung cancer), but it’s the toxins in the smoke that cause cancer (proximate cause).

    Generally, health services are only concerned with stopping people from smoking – and with treating the illness that results – not with removing the drivers that lead them to smoke in the first place.

    Similarly, we address pandemics with lockdowns, mask wearing, social distancing and vaccinations – all measures which seek to stop the spread of the virus. But we pay less attention to addressing the ultimate causes of pandemics – until perhaps very recently.

    Often we treat the proximate causes of illness, but not the ultimate causes.
    Basil MK/Pexels

    A planetary health approach

    There’s a growing awareness of the importance of adopting a “planetary health” approach to improve human health. This concept is based on the understanding that human health and human civilisation depend on flourishing natural systems, and the wise stewardship of those natural systems.

    With this approach, ultimate drivers like climate change and biodiversity loss would be prioritised in preventing future pandemics, at the same time as working with experts from many different disciplines to deal with the proximate causes, thereby reducing the risk overall.

    The planetary health approach has the benefit of improving both the health of the environment and human health concurrently. We are heartened by the increased uptake of teaching planetary health concepts across the environmental sciences, humanities and health sciences in many universities.

    As climate change, biodiversity loss, population displacements, travel and trade continue to increase the risk of disease outbreaks, it’s vital that the planetary stewards of the future have a better understanding of how to tackle the ultimate causes that drive pandemics.

    This article is the first in a series on the next pandemic.

    Olga Anikeeva receives funding from Green Adelaide.

    Jessica Stanhope receives funding from the Ecological Health Network and Green Adelaide. She is affiliated with the Environmental Physiotherapy Association.

    Peng Bi receives funding from the Australian Research Council, National Health and Medical Research Council, National Climate Change Adaptation Research Facility, AusAID,

    Philip Weinstein receives funding from competitive external granting bodies. He is affiliated with Nature Foundation, Australian Entomological Society, and the South Australian Museum.

    ref. Why are we seeing more pandemics? Our impact on the planet has a lot to do with it – https://theconversation.com/why-are-we-seeing-more-pandemics-our-impact-on-the-planet-has-a-lot-to-do-with-it-226827

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI Global: Business confidence in South Africa: how a 70-year-old survey has given early signals of the economy’s pulse

    Source: The Conversation – Africa – By Johann Kirsten, Director of the Bureau for Economic Research, Stellenbosch University

    Business tendency surveys provide very useful indicators of trends within an economy. The information is available well before the official statistics, such as GDP growth, and provides insights into business dynamics that cannot be found elsewhere.

    For 70 years the Bureau for Economic Research at South Africa’s Stellenbosch University has been conducting business tendency surveys. Indeed, South Africa remains one of the few countries where these surveys are conducted by a non-state agency.

    The surveys cover a range of questions, tracking everything from activity to demand, selling prices to inventories, investment and also the constraints holding back investment. But the most important question is very simple: are you satisfied with prevailing business conditions? Respondents can only respond with a yes or a no. There is no scale, no maybe, no but. It is a pure gut feeling. This is the only true measure of business sentiment in South Africa.

    While it can be argued that at times of fast production growth sentiment is more upbeat (and vice versa during a recession), sentiment typically turns before you see production growth. Respondents to Bureau for Economic Research surveys know their business like the palm of their hand. They sense when something starts changing and know when they can turn cautiously optimistic about conditions even though activity is not there (yet). As illustrated in the figure below, confidence often turns before the business cycle phase changes from an upward to a downward phase (and the other way around).

    Changes in sentiment tell us a lot about investment intentions, as well as the potential for faster economic growth and job creation in the economy. If business people in South Africa are downbeat about business conditions, it is near impossible to see growth accelerate. Why build a new factory or employ workers if you are not, at the very least, satisfied with the environment you have to operate in today?

    While the survey process has changed over the past seven decades, the value of the insights has not. South Africa’s new government of national unity has promised to tackle the country’s structural constraints, with reforms aimed at improving electricity, infrastructure, water and logistics. By providing a reliable measure of sentiment, the survey will go a long way in assessing whether they are successful.

    Business confidence ahead of economic shifts

    While we survey a range of sectors, only the responses of a specific set of sectors are compiled into the so-called composite Business Confidence Index. This index is sponsored by Rand Merchant Bank (RMB) and is known as the RMB/BER BCI.

    The index looks at the responses of manufacturers, retailers, wholesalers, new vehicle dealers and main building contractors. These sectors represent the productive sectors of the economy and tend to lead the rest of the economy.

    So, if something changes here, one can be fairly sure that it will soon start changing in the rest of the economy. Manufacturers, for example, have a feel for both domestic and export demand conditions, which later trickle through the rest of the economy. New vehicle dealers will be the first to know when local consumers start holding their purse strings.

    In most sectors the survey also asks respondents about constraints to business conditions. We ask the same set of questions each quarter and have been doing so for decades. This gives us a very powerful, long-term time series of data. For example, over the last ten years, manufacturers have almost consistently seen the general political climate as the most serious constraint on business conditions.

    The Absa Manufacturing Survey shows that it’s a more serious constraint than insufficient demand or the short-term interest rate, despite the latter being at the highest level in 15 years. Interestingly, the political climate constraint fell sharply in the third quarter of 2024, following the formation of the government of national unity. The disruptions at local ports were also picked up by our surveys, with load-shedding top of mind for many respondents in 2023 (and before).

    The graph below shows a long-term series of business confidence. A reading of 100 would signal extreme optimism with every respondent satisfied with business conditions – this has never happened before. A reading of zero means not a single respondent is satisfied with business conditions. This, too, has not happened before, but we did see confidence fall to just 5 index points in the second quarter of 2020, the worst of the COVID-19 lockdowns, with many businesses forced to close temporarily. The BER surveys provided invaluable information about business dynamics in the formal economy during the pandemic and the recovery.

    Figure 1: RMB/BER Business Confidence Index (BCI)

    The RMB/BER BCI edged up by three index points to 38 in the third quarter of 2024. This was the first survey after the formation of the new government, and some may have hoped for a bigger boost to sentiment. Still, underlying results suggest respondents are turning cautiously more optimistic about the future. For the first time since early 2022, most respondents across the different sectors expect business conditions to improve in 12 months’ time, instead of deteriorating (further).

    Current demand conditions, however, remained tough, which held back a bigger recovery in sentiment.

    A firm commitment by the new government of national unity to continue with structural reform aimed at alleviating the constraints on the South African economy and an effort to bring down the cost of doing business (by lowering the administrative burden, for example) would go a long way in supporting a more pronounced recovery in business confidence.

    Higher confidence will translate into faster economic growth over time.

    How the index is compiled

    Taking a step back, in 1954, and for many decades after that, everything at the BER was done by hand. The surveys were sent by post, and indices were painstakingly calculated as the responses trickled in. Some graphs were even drawn up by hand. Over time, more electronics became involved. South African postal services deteriorated to such an extent that relying on them was no longer feasible.

    The little pigeonholes for the postal letters at the BER offices were removed earlier this year and all survey responses are now received via email. Responses are weighted for firm and sector size, and we try to keep the survey as representative of the sectors as possible.

    It is becoming increasingly difficult to expand our panel in a world where inboxes are flooded with fly-by-night surveys and spam. Our close relationship with international bodies such as the Centre for International Research on Economic Tendency Surveys and our academic footing as a university research institute ensures that we continue to follow global best practices.

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

    ref. Business confidence in South Africa: how a 70-year-old survey has given early signals of the economy’s pulse – https://theconversation.com/business-confidence-in-south-africa-how-a-70-year-old-survey-has-given-early-signals-of-the-economys-pulse-237773

    MIL OSI – Global Reports

  • MIL-OSI Africa: Business confidence in South Africa: how a 70-year-old survey has given early signals of the economy’s pulse

    Source: The Conversation – Africa – By Johann Kirsten, Director of the Bureau for Economic Research, Stellenbosch University

    Business tendency surveys provide very useful indicators of trends within an economy. The information is available well before the official statistics, such as GDP growth, and provides insights into business dynamics that cannot be found elsewhere.

    For 70 years the Bureau for Economic Research at South Africa’s Stellenbosch University has been conducting business tendency surveys. Indeed, South Africa remains one of the few countries where these surveys are conducted by a non-state agency.

    The surveys cover a range of questions, tracking everything from activity to demand, selling prices to inventories, investment and also the constraints holding back investment. But the most important question is very simple: are you satisfied with prevailing business conditions? Respondents can only respond with a yes or a no. There is no scale, no maybe, no but. It is a pure gut feeling. This is the only true measure of business sentiment in South Africa.

    While it can be argued that at times of fast production growth sentiment is more upbeat (and vice versa during a recession), sentiment typically turns before you see production growth. Respondents to Bureau for Economic Research surveys know their business like the palm of their hand. They sense when something starts changing and know when they can turn cautiously optimistic about conditions even though activity is not there (yet). As illustrated in the figure below, confidence often turns before the business cycle phase changes from an upward to a downward phase (and the other way around).

    Changes in sentiment tell us a lot about investment intentions, as well as the potential for faster economic growth and job creation in the economy. If business people in South Africa are downbeat about business conditions, it is near impossible to see growth accelerate. Why build a new factory or employ workers if you are not, at the very least, satisfied with the environment you have to operate in today?

    While the survey process has changed over the past seven decades, the value of the insights has not. South Africa’s new government of national unity has promised to tackle the country’s structural constraints, with reforms aimed at improving electricity, infrastructure, water and logistics. By providing a reliable measure of sentiment, the survey will go a long way in assessing whether they are successful.

    Business confidence ahead of economic shifts

    While we survey a range of sectors, only the responses of a specific set of sectors are compiled into the so-called composite Business Confidence Index. This index is sponsored by Rand Merchant Bank (RMB) and is known as the RMB/BER BCI.

    The index looks at the responses of manufacturers, retailers, wholesalers, new vehicle dealers and main building contractors. These sectors represent the productive sectors of the economy and tend to lead the rest of the economy.

    So, if something changes here, one can be fairly sure that it will soon start changing in the rest of the economy. Manufacturers, for example, have a feel for both domestic and export demand conditions, which later trickle through the rest of the economy. New vehicle dealers will be the first to know when local consumers start holding their purse strings.

    In most sectors the survey also asks respondents about constraints to business conditions. We ask the same set of questions each quarter and have been doing so for decades. This gives us a very powerful, long-term time series of data. For example, over the last ten years, manufacturers have almost consistently seen the general political climate as the most serious constraint on business conditions.

    The Absa Manufacturing Survey shows that it’s a more serious constraint than insufficient demand or the short-term interest rate, despite the latter being at the highest level in 15 years. Interestingly, the political climate constraint fell sharply in the third quarter of 2024, following the formation of the government of national unity. The disruptions at local ports were also picked up by our surveys, with load-shedding top of mind for many respondents in 2023 (and before).

    The graph below shows a long-term series of business confidence. A reading of 100 would signal extreme optimism with every respondent satisfied with business conditions – this has never happened before. A reading of zero means not a single respondent is satisfied with business conditions. This, too, has not happened before, but we did see confidence fall to just 5 index points in the second quarter of 2020, the worst of the COVID-19 lockdowns, with many businesses forced to close temporarily. The BER surveys provided invaluable information about business dynamics in the formal economy during the pandemic and the recovery.

    Figure 1: RMB/BER Business Confidence Index (BCI)

    Source: BER. Note, business cycle downswing phases as determined by the South African Reserve Bank are shaded.

    The RMB/BER BCI edged up by three index points to 38 in the third quarter of 2024. This was the first survey after the formation of the new government, and some may have hoped for a bigger boost to sentiment. Still, underlying results suggest respondents are turning cautiously more optimistic about the future. For the first time since early 2022, most respondents across the different sectors expect business conditions to improve in 12 months’ time, instead of deteriorating (further).

    Current demand conditions, however, remained tough, which held back a bigger recovery in sentiment.

    A firm commitment by the new government of national unity to continue with structural reform aimed at alleviating the constraints on the South African economy and an effort to bring down the cost of doing business (by lowering the administrative burden, for example) would go a long way in supporting a more pronounced recovery in business confidence.

    Higher confidence will translate into faster economic growth over time.

    How the index is compiled

    Taking a step back, in 1954, and for many decades after that, everything at the BER was done by hand. The surveys were sent by post, and indices were painstakingly calculated as the responses trickled in. Some graphs were even drawn up by hand. Over time, more electronics became involved. South African postal services deteriorated to such an extent that relying on them was no longer feasible.

    A copy of the 1955 business confidence survey results. Source: Bureau for Economic Research

    The little pigeonholes for the postal letters at the BER offices were removed earlier this year and all survey responses are now received via email. Responses are weighted for firm and sector size, and we try to keep the survey as representative of the sectors as possible.

    It is becoming increasingly difficult to expand our panel in a world where inboxes are flooded with fly-by-night surveys and spam. Our close relationship with international bodies such as the Centre for International Research on Economic Tendency Surveys and our academic footing as a university research institute ensures that we continue to follow global best practices.

    – Business confidence in South Africa: how a 70-year-old survey has given early signals of the economy’s pulse
    – https://theconversation.com/business-confidence-in-south-africa-how-a-70-year-old-survey-has-given-early-signals-of-the-economys-pulse-237773

    MIL OSI Africa

  • MIL-Evening Report: Politics with Michelle Grattan: Richard Holden says no interest rate fall likely for 12 months

    Source: The Conversation (Au and NZ) – By Michelle Grattan, Professorial Fellow, University of Canberra

    For many Australians, the COVID-19 pandemic has become a fading memory as the world has moved away from lockdowns and masks. However, its lasting impacts, including persistent inflation, remain.

    Academic economists Steven Hamilton and Richard Holden, in their just-published book, Australia’s Pandemic Exceptionalism, examine how Australia fared in handling the COVID crisis in its economic and health policies.

    We’re joined on the podcast by Holden to talk about the book and also Australia’s economic outlook, during what has been a big week for economic news.

    On COVID, Hamilton and Holden found a mixed picture: Australia scored highly in its economic response but fell down on its vaccine procurement and provision of RATs.

    I think Treasury gave excellent advice to the Treasurer [Josh Frydenberg]  and he not only […] took that advice but was able to sell it to a sometimes sceptical cabinet. […] So I think it was good advice and strong leadership on the economic front. On the health front, I think the advice was really quite poor at times. I mean we make quite a point of Scott Morrison’s use of the phrase when it comes to vaccines “It’s not a race” when clearly it was a race. It was a race against the virus. It was a race to get vaccinated. It was a race to be able to reopen our economy.

    On the RBA and inflation, Holden agrees with this week’s decision to hold rates but believes they should have risen earlier at least once more:

    I have argued […] that late last year or early this year, the Reserve Bank should have raised rates at least one more time to get us closer to what happened in peer jurisdictions overseas, to try and beat inflation faster. The Reserve Bank has taken a different approach. They want to have interest rates peak, maybe a full percentage point lower than in places like the US, and they’re willing to tolerate inflation for longer.

    At least they’re not caving into political pressure from people like Jim Chalmers and Wayne Swan to precipitously cut interest rates and I give the governor, Michele Bullock, great credit for standing firm on that, including in her press conference remarks [on Tuesday].

    On when interest rates will start moving down, Holden gives a grim assessment:

    My view is the most likely case is very late in 2025, somewhere about 12 months from today. Again, it’s going to depend on the inflation numbers and I’d like nothing more [than] for us to be well inside the target band and for interest rates to be able to be moderated.

    I think it’s a real shame that we took a different strategy in Australia to what peer jurisdictions overseas did, which was raise rates more aggressively, take our medicine, have tamed inflation and now be cutting rates. That’s the story in the US and several other jurisdictions.

    Holden warns against RBA Governor Michele Bullock making predictions of future rate moves:

    Governor Bullock, I think, is at risk of repeating, albeit a milder version of, the mistake that Philip Lowe made in providing forward guidance. Now it’s not as dramatic as saying interest rates are not going to rise until 2024, which was sort of three years of forward guidance or thereabouts. Governor Bullock has fallen into, I think, a little bit of a trap by saying over six weeks ago that she and her colleagues on the board didn’t think that interest rates would be cut this calendar year.

    I don’t really understand what the virtue of her doing that was. I think that was probably, in hindsight, something that she may regret. [Although] I don’t think it will do any real damage because I think it’s a prediction that’s incredibly likely to come true.  

    On the government potentially making changes to negative gearing, Holden outlines why it could be a good idea:

    Getting rid of negative gearing would put potential owner-occupiers on a level playing field with investors at an auction. I think it’ll be very good news for people trying to move from the rental market into being owner-occupiers; I think it’ll be good news for the classic Australian dream. To be fair about it, the existence of negative gearing is something that puts downward pressure on rents. So negative gearing, in a funny way, is good for renters who are always going to rent but bad for renters who want to buy. So there are pros and cons.

    It was a good idea eight or nine years ago. I think it’s still a good idea today and I think it’s interesting that the government seems to be at least floating the test balloon.

    Michelle Grattan 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. Politics with Michelle Grattan: Richard Holden says no interest rate fall likely for 12 months – https://theconversation.com/politics-with-michelle-grattan-richard-holden-says-no-interest-rate-fall-likely-for-12-months-239820

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI Europe: Written question – Are measures that make flying less accessible justified by a hypothetical benefit for the climate? – E-001732/2024

    Source: European Parliament

    Question for written answer  E-001732/2024
    to the Commission
    Rule 144
    Mathilde Androuët (PfE)

    According to the European Commission, fares for flights within the EU were on average 20 to 30 % higher last summer than before the COVID-19 pandemic[1]. This price hike calls into question how accessible flying is as a means of transport, especially in the coming years with the reform of the EU emissions trading system[2], included in the Fit for 55 package[3], and the announced reform of the Energy Taxation Directive[4].

    Airlines for Europe indicates that compliance with these new rules could cost European airlines 13 to 14 times more in 2030 than in 2019[5]. However, according to calculations by the Intergovernmental Panel on Climate Change (IPCC), flights departing from Europe account for 0.3 % of global greenhouse gas emissions, with approximately half being generated by flights within the EU[6]. While taxing this sector would prevent a 0.002 °C increase in temperature in 2100, it would bring about very damaging indirect consequences (job losses and relocation).

    Does the Commission consider that this hypothetical and derisory ‘benefit for the climate’ justifies the adoption of self-punitive social and economic measures?

    Submitted: 17.9.2024

    • [1] Airline fares in EU 20-30 % higher this summer than in 2019 – The Brussels Times – 10 November 2023.
    • [2] Fit for 55: European Parliament adopts key laws to reach the 2030 climate target – European Parliament press release – 18 April 2024.
    • [3] Fit for 55 package: Council reaches general approaches relating to emissions reductions and their social impacts – Ministry of the Ecological Transition and Territorial Cohesion – 29 June 2022.
    • [4] Belgium issues ultimatum over energy tax reform – Euronews – 22 April 2024.
    • [5] The European Green Deal and the Fit For 55 Package – AirlinesForEurope – 11 December 2023.
    • [6] IPCC, 6th Assessment Report, Summary for Policymakers, p. 28.
    Last updated: 25 September 2024

    MIL OSI Europe News

  • MIL-OSI United Kingdom: Helping to prevent domestic homicides and suicides

    Source: Scottish Government

    Review process will ensure lessons are learned from each case.

    Legislative proposals to help reduce the number of domestic homicides and suicides in Scotland have been published in Parliament.

    If passed by MSPs, the Criminal Justice Modernisation and Abusive Domestic Behaviour Reviews (Scotland) Bill, would require a robust new review process to take place following the death of a partner, ex-partner, or child where abuse is known or suspected.

    The reviews will ensure justice, health, social care, local government and third sector agencies identify and agree any areas for change and improvement so further deaths may be prevented.

    Those with direct experience of domestic abuse and families who have been bereaved because of such abuse overwhelmingly backed the plans for this national multi-agency review model during a public consultation.

    The model, informed by the work of a Scottish Government-led multi-agency Taskforce, is a key part of the new Bill. 

    As the Bill was published, an information board at a previously unmarked memorial cairn in Holyrood Park was installed by Historic Environment Scotland. The cairn, built in memorial to domestic homicide victim Margaret Hall, who was murdered by her husband in 1720, was visited by Justice Secretary Angela Constance and partners involved in developing the review model.

    Elsewhere, the new Bill proposes measures to modernise the justice sector through greater use of digital technology, including evidence-sharing, and efficient processes. It will make permanent a number of temporary measures put in place during the COVID pandemic which have improved how the criminal justice system works and which have support to become permanent measures. The reforms include allowing more ‘virtual’ attendance at criminal courts, electronic signing and sending of documents in criminal cases and increasing the maximum level of fiscal fines that can be imposed.

    Justice Secretary Angela Constance said:

    “One death involving domestic abuse is one too many. While overall homicide rates are falling, there remains a significant number of victims who are killed by a partner or ex-partner, with the vast majority being women.

    “Our plans for a new review process will ensure agencies across justice, health, social care, local government and the third sector are working together to identify what lessons can be learned following known or suspected domestic abuse deaths. I hope that identifying what needs to improve will mean there are fewer deaths of this kind. Ultimately, however, the change we need to see will only happen when those who perpetrate domestic abuse – the majority of whom are men – change their actions and behaviour.

    “This is a dual-purpose Bill and some of the criminal justice measures included are already delivering better outcomes and experiences for those using justice services, so it is right that we look to make them permanent. The Bill, which is backed by justice partners including the Crown Office and Procurator Fiscal Service and the Scottish Courts and Tribunals Service, also supports greater use of digital technology, which will modernise the justice system even further.”

    Fiona Drouet, founder and CEO of EmilyTest, said:

    “The introduction of domestic homicide and suicide reviews marks a critical step forward in Scotland. These reviews will help us better understand the warning signs so often missed before a tragedy. They will be crucial in helping to prevent so many avoidable deaths, whether by murder or suicide.

    “I am privileged to have been invited to chair the Domestic Abuse Related Suicide Task and Finish Group under the Taskforce, helping to ensure that lessons are learned and precious lives are not lost. Through the support and expertise of my depute chair, Sarah Dangar, and the wider group, I am confident we will ensure meaningful lessons are learned.”

    Kate Wallace, Chief Executive at Victim Support Scotland, said:

    “The Domestic Homicide and Suicide Review offers a unique opportunity for lessons to be learned from homicides and suicides within the context of domestic abuse in Scotland, so that we can help ensure these types of crimes can be prevented. 

    “We welcome the opportunity to bring forward legislation which will embed this entirely new approach for Scotland, and fully acknowledge the work and collective efforts required to address the unique issues inherent to this type of crime. We welcome these progressive measures, especially how victims will be considered within the legislation.”

    Background

    Criminal Justice Modernisation and Abusive Domestic Behaviour Reviews (Scotland) Bill

    The Domestic Homicide and Suicide Review Model is being developed by the Scottish Government’s Domestic Homicide and Suicide Review Taskforce, Model Development Subgroup and ‘Task and Finish’ Groups.

    The commitment to developing a domestic homicide review model is within the Equally Safe Delivery Plan.

    Domestic Homicide Reviews: Consultation Analysis

    For further information about the cairn, contact Historic Environment Scotland – communications@hes.scot; 07721 959 962

    MIL OSI United Kingdom

  • MIL-OSI Asia-Pac: Union MoS for Health and Family Welfare, Shri Prataprao Jadhav Presides over 69th Foundation Day Celebrations of AIIMS New Delhi

    Source: Government of India

    Union MoS for Health and Family Welfare, Shri Prataprao Jadhav Presides over 69th Foundation Day Celebrations of AIIMS New Delhi

    AIIMS New Delhi is a pioneer in the field of medical education, research and healthcare in India whose legacy of excellence continues to inspire medical institutions worldwide: Shri Jadhav

    “AIIMS continuous unchallenged status of being ranked number one among medical institutions of India for the seventh consecutive year is a remarkable achievement”

    AIIMS New Delhi now serves as the National Resource Centre of the National Medical College Network of the Union Health Ministry

    In the last 2 years, inpatient beds in AIIMS have increased by more than 30%, Intensive care and operation theatre services by nearly 40%

    Posted On: 25 SEP 2024 2:49PM by PIB Delhi

    AIIMS New Delhi is a pioneer in the field of medical education, research and healthcare in India whose legacy of excellence continues to inspire medical institutions worldwide.” This was stated by Union Minister of State for Health and Family Welfare, Shri Prataprao Ganpatrao Jadhav as he presided over the 69th Foundation Day ceremony of the All India Institute of Medical Sciences (AIIMS), New Delhi, today.

    Speaking on the occasion, Shri Jadhav said, “AIIMS New Delhi has achieved remarkable milestones and is determined to achieve its goal of being one of the top-ranked medical institutions in the world.” Highlighting that for the seventh consecutive year since the National Institute Ranking Framework (NIRF), AIIMS New Delhi has been ranked number one among medical institutions of India, the Union Minister said, “this Institute’s continuous unchallenged status is a remarkable achievement.”

     

    He informed that AIIMS New Delhi now serves as the National Resource Centre of the National Medical College Network (NMCN) of the Ministry of Health and Family welfare. This has enabled linkages with more than 100 medical colleges for enhancing undergraduate, postgraduate and continuing medical education. “This objective is being facilitated by the creation of a National Learning Management & Information System, SAKSHYAM, which was launched last year”, he said.

     

     

    Shri Jadhav highlighted that AIIMS New Delhi has established a Centre of Excellence for development of artificial intelligence in healthcare. Created by MOHFW, this centre is expected to deliver AI based solutions for evaluation of chest x-rays, early detection of diabetic retinopathy, and identification of skin lesions, among other tools, for enhancing national programs. He noted that “AIIMS is set to be the biggest robotic surgery skill training centre with 2 state-of-the-art robotic surgery equipment dedicated for training of surgeons.”

     

    It was informed that over 900 extramural research projects are being funded by national and international agencies, amounting to a total grant of nearly Rs. 200 crores while AIIMS itself has funded over 240 intramural research projects apart from providing travel fellowships to students, residents, PhD scholars, and staff to participate in national and international conferences. AIIMS Delhi has also started the Centre for Medical Innovation & Entrepreneurship as a Bio-Incubator under the BIRAC – BioNEST Scheme.

    Shri Jadhav said that AIIMS has planned for building a new hostel complex with 2200 rooms, with an estimated cost of approximately Rs 900 crores. He also highlighted new academic facilities that were added recently such as the Mother and Child Block, Surgery Block and the National Centre of Ageing which are fully functional now. Over the last 2 years, the inpatient beds have increased by more than 30%, Intensive care and operation theatre services by nearly 40%. These new facilities will improve the ability of AIIMS to cater to the huge clinical demand. AIIMS has also been entrusted with the responsibility to operationalize the Central Armed Police Forces Institute of Medical Sciences (CAPFIMS) at Maidangarhi.

    The Union Minister kicked off the Foundation Day celebration by officially inaugurating an exhibition showcasing the innovative research and projects undertaken by various departments at AIIMS. He also took a tour of the exhibition.

    The Union Minister also inaugurated the awards ceremony, recognizing the achievements of students and staff with medals and book prizes. Awards were also given for outstanding contributions to the Institute Day Exhibition, celebrating excellence in research and innovation.

    AIIMS New Delhi has undertaken various IT initiatives and has developed various softwares in-house for a wide range of services. The SANTUSHT portal enables patients to register their grievances online, track the status, and provide feedback regarding the resolution. To increase transparency and to maintain the trust that the patients have in AIIMS, realtime dashboards have been developed and made available to the public. The management of IT infrastructure and network has also been digitized for prompt resolution of any hardware or network issues. Triage Register for Emergency Department is a web application which helps to keep the record of patient’s Disease Condition, Medical Examination and improves patient safety by ensuring timely cross-consultation by various departments. The Union Minister launched these digital initiatives during the event. He also inaugurated a fire station at AIIMS which will have a manpower of 6 men. It is the first such station exclusively for any medical institute.

    Prof. M Srinivas, Director, AIIMS New Delhi said “AIIMS has already received NABH certification for some of its blocks and centers and is in the process of NABH certification of all the centers including the main hospital. He highlighted that NABL accreditation of all laboratories in a phased manner is under process. He also informed that AIIMS has also been the forerunner in the implementation of Ayushman Bharat Digital Mission (ABDM). “It has overcome various challenges and has been a role model for the country by creating more than 7 lakh ABHA IDs and more than 20 lakh scan and share tokens”, he said.

     

    Background:

    Established in 1956, AIIMS was created with the vision of providing high-quality medical education and comprehensive healthcare services. The institute was established as part of a larger effort to address the critical need for well-trained healthcare professionals in India. Recognizing the challenges in healthcare access and quality, the Indian government aimed to create an institution that would set benchmarks in medical training and patient care.

    From its inception, AIIMS has been a pioneer in developing innovative medical practices and cutting-edge research. Its comprehensive approach includes a focus on preventive, curative, and rehabilitative care, making it a model for medical institutions across the country. Over the decades, AIIMS has evolved to become not just a premier medical college, but also a leading research center, contributing significantly to advances in various fields of medicine.

    Importance of AIIMS in National Healthcare

    AIIMS, New Delhi, has played a pivotal role in shaping India’s healthcare landscape. Here are some key aspects of its importance:

    1. Quality Medical Education: AIIMS has been instrumental in training thousands of medical professionals who have gone on to serve in various capacities across the country. Its rigorous academic programs ensure that students receive not only theoretical knowledge but also practical training, enabling them to provide high-quality care to patients.
    2. Research and Innovation: The institute is known for its cutting-edge research in various fields, including cardiology, oncology, and neuroscience. AIIMS researchers have made significant contributions to medical science, often translating their findings into real-world applications that benefit patients.
    3. Public Health Initiatives: AIIMS has actively engaged in public health outreach programs, focusing on preventive care and health education. These initiatives aim to improve healthcare access for marginalized communities, aligning with the government’s goals to promote health equity.
    4. National Health Policies: AIIMS has served as an advisory body to the government on various health policies and programs. Its research findings and expert recommendations have influenced health policy decisions, ensuring that they are evidence-based and aligned with the needs of the population.
    5. Response to Health Crises: During health emergencies, such as the COVID-19 pandemic, AIIMS played a crucial role in managing care, conducting research, and providing guidance on best practices. Its leadership in crisis management has been vital in safeguarding public health.

    ***

    MV

    HFW/MoS AIIMS Foundation Day/25th September 2024/2

    (Release ID: 2058569) Visitor Counter : 118

    MIL OSI Asia Pacific News

  • MIL-OSI USA: Office of the Governor – News Release – Gov. Green Lauds Top State Manager, Employee and Team of the Year

    Source: US State of Hawaii

    JOSH GREEN, M.D.

    GOVERNOR
    KE KIAʻĀINA

    GOVERNOR GREEN LAUDS TOP STATE MANAGER, EMPLOYEE AND TEAM OF THE YEAR

    FOR IMMEDIATE RELEASE
    September 24, 2024

    HONOLULU — Governor Josh Green, M.D., today recognized winners of the Governor’s Awards, designed to honor state Executive Branch employees, managers and work teams who exemplify the highest caliber of public service and dedication in serving the people of Hawai‘i. The statewide program is administered by the Department of Human Resources Development.

    “Public employees have made important contributions to our continuing efforts to improve the efficiency and quality of government services,” said Governor Green. “We are honored to work with such dedicated individuals and appreciate all they do each and every day.”

    Governor Green presented the awards for:

    STATE MANAGER OF THE YEAR: Joanna Seto, Administrator, Department of Health

    Faced with extraordinary responsibilities, including the Red Hill Fuel crisis, Joanna’s skills and successes have never been more apparent than after the Maui wildfires. She actively led her team through the response and recovery phases and continues to help hone their skills to assist the community in rehabilitating the environment. Leading by example, her team is committed to its mission – to protect human health and the environment.

    STATE EMPLOYEE OF THE YEAR: Heidi Taogoshi, Registered Nurse, Department of Health

    In the aftermath of the Maui Wildfires, Heidi quickly assessed the needs of the Lahaina community resulting in the deployment of mobile medical teams and the conversion of an abandoned state building into a health care clinic to provide essential services to those affected by the wildfires. With her guidance, management of the clinic was transferred to community providers, ensuring continued services to the people of Lahaina.

    STATE TEAM OF THE YEAR: UH Maui College Culinary Arts Team, University of Hawai‘i

    When the UH Maui College Pa‘ina Building was transformed into a fire relief food hub after the wildfires, the Culinary Arts team worked with organizations to prepare meals for residents displaced by the fire. The team also created a Disaster Relief Food Preparation Experience course, designed for students to work with industry chefs and instructors to learn about disaster relief food preparation and distribution.

    The three winners were selected from 56 exceptional groups and individual nominees.  A volunteer Selection Committee of four prominent members of the community carefully reviewed the 56 nomination packets and rated them according to defined categories.  The committee presented its recommendations for the three awards to Governor Green.

    The four members of this year’s Selection Committee are: Hawai‘i Public Radio host and news team member Catherine Cruz; City and County of Honolulu Homeless Coordinator Sam Moku; Hawai‘i Convention Center/ASM Global General Manager Teri Orton, and Office of the Governor Chief of Staff Brooke Wilson.

    At this year’s ceremony, Governor Green also recognized the recipients of the 2020 Governor’s Awards for Employee, Manager and Team of the Year for their outstanding achievements due to the cancellation of the May 2020 ceremony during the COVID-19 pandemic.

    The 2020 Selection Committee, comprising John Gotanda, president, Hawai‘i Pacific University; Catherine Cruz, host and news team member, Hawai‘i Public Radio; Marc Alexander, then-executive director, Mayor’s Office of Housing; Terri Funakoshi, director of operations, YWCA O‘ahu; and Jason Hagiwara, president and general Manager, KITV4 Island Television, selected the award recipients from 53 exceptional groups and individual nominees. They are:

    2020 STATE MANAGER OF THE YEAR: BONNIE KAHAKUI, state procurement assistant administrator, Department of Accounting and General Services

    Bonnie sets the pace in her office, always looking ahead and focusing on improving practices and procedures. She launched a new Learning Management System, recording more than 14,000 attendees at procurement training workshops and worked to broaden the purchasing process and take advantage of Amazon’s wide selection. Bonnie also led a statewide initiative to procure electric vehicles and infrastructure to help reduce Hawai‘i’s carbon footprint.

    2020 STATE EMPLOYEE OF THE YEAR: JANIS MATSUNAGA, entomologist, Department of Agriculture

    She is a leading expert in the field, editor of the Proceedings of the Hawaiian Entomological Society and is one of the longest serving officers in the 100-plus year history of the Hawaiian Entomological Society. Through emails or social media, Ms. Matsunaga will often bring peace of mind to the residents of Hawai‘i by defining problems with beetles infesting cabinetry or address insect problems that exist in their homes.

    2020 STATE TEAM OF THE YEAR: CORRECTIONS PROGRAMS SERVICES (CPS) – EDUCATION BRANCH, Department of Public Safety

    Education gives us knowledge and provides the necessary skills to navigate the world around us. When inmates become students of the Education Branch, they are more likely to find employment, make a positive contribution to society and strengthen family relations. The public benefits from reduced government costs, decreased crime rates, safer communities and a reduced tendency of convicted criminals to reoffend. In 2019, the Team produced 28 GED graduates, with 3 students passing the HiSET. (The Department of Public Safety was redesignated as the Department of Corrections and Rehabilitation effective January 1, 2024.)

    “These individuals have selflessly given of themselves to enrich the lives of those they serve,” said Governor Green. “Their accomplishments perpetuate the aloha spirit and make our state a special place to live and work.”

    Photos from today’s awards ceremony will be uploaded here.

    # # #

    Media Contacts:   
    Erika Engle
    Press Secretary
    Office of the Governor, State of Hawai‘i
    Phone: 808-586-0120
    Email: [email protected]

    Makana McClellan
    Director of Communications
    Office of the Governor, State of Hawaiʻi
    Cell: 808-265-0083
    Email: [email protected]

    Erin Conner
    Executive Specialist
    Department of Human Resources Development
    Phone: 808-587-1120
    Email: [email protected]

    MIL OSI USA News

  • MIL-OSI Economics: Michelle W Bowman: Recent views on monetary policy and the economic outlook

    Source: Bank for International Settlements

    Good morning. I would like to thank the Kentucky Bankers Association for the invitation to join you today for your annual convention.1 I appreciate the opportunity to share my views on the U.S. economy and monetary policy before we engage on community banking issues and other matters affecting the banking industry.

    In light of last week’s Federal Open Market Committee (FOMC) meeting, I will begin my remarks by providing some perspective on my vote and will then share my current views on the economy and monetary policy.

    Update on the Most Recent FOMC Meeting

    In order to address high inflation, for more than two years, the FOMC increased and held the federal funds rate at a restrictive level. At our September meeting, the FOMC voted to lower the target range for the federal funds rate by 1/2 percentage point to 4-3/4 to 5 percent and to continue reducing the Federal Reserve’s securities holdings.

    As the post-meeting statement noted, I dissented from the FOMC’s decision, preferring instead to lower the target range for the federal funds rate by 1/4 percentage point to 5 to 5-1/4 percent. Last Friday, once our FOMC participant communications blackout period concluded, the Board of Governors released my statement explaining the decision to depart from the majority of the voting members. I agreed with the Committee’s assessment that, given the progress we have seen since the middle of 2023 on both lowering inflation and cooling the labor market, it was appropriate to reflect this progress by recalibrating the level of the federal funds rate and begin the process of moving toward a more neutral stance of policy. As my statement notes, I preferred a smaller initial cut in the policy rate while the U.S. economy remains strong and inflation remains a concern, despite recent progress.

    Economic Conditions and Outlook

    In recent months, we have seen some further progress on slowing the pace of inflation, with monthly readings lower than the elevated pace seen in the first three months of the year. The 12-month measure of core personal consumption expenditures (PCE) inflation, which provides a broader perspective than the more volatile higher-frequency readings, has moved down since April, although it came in at 2.6 percent in July, again remaining well above our 2 percent goal. In addition, the latest consumer and producer price index reports suggest that 12-month core PCE inflation in August was likely a touch above the July reading. The persistently high core inflation largely reflects pressures on housing prices, perhaps due in part to low inventories of affordable housing. The progress in lowering inflation since April is a welcome development, but core inflation is still uncomfortably above the Committee’s 2 percent goal.

    Prices remain much higher than before the pandemic, which continues to weigh on consumer sentiment. Higher prices have an outsized effect on lower- and moderate-income households, as these households devote a significantly larger share of income to food, energy, and housing. Prices for these spending categories have far outpaced overall inflation over the past few years.

    Economic growth moderated earlier this year after coming in stronger last year. Private domestic final purchases (PDFP) growth has been solid and slowed much less than gross domestic product (GDP), as the slowdown in GDP growth was partly driven by volatile categories including net exports, suggesting that underlying economic growth was stronger than GDP indicated. PDFP has continued to increase at a solid pace so far in the third quarter, despite some further weakening in housing activity, as retail sales have shown further robust gains in July and August.

    Although personal consumption has remained resilient, consumers appear to be pulling back on discretionary items and expenses, as evidenced in part by a decline in restaurant spending since late last year. Low- and moderate-income consumers no longer have extra savings to support this type of spending, and we have seen loan delinquency rates normalize from historically low levels during the pandemic.

    The most recent labor market report shows that payroll employment gains have slowed appreciably to a pace moderately above 100,000 per month over the three months ending in August. The unemployment rate edged down to 4.2 percent in August from 4.3 percent in July. While unemployment is notably higher than a year ago, it is still at a historically low level and below my and the Congressional Budget Office’s estimates of full employment.

    The labor market has loosened from the extremely tight conditions of the past few years. The ratio of job vacancies to unemployed workers has declined further to a touch below the historically elevated pre-pandemic level-a sign that the number of available workers and the number of available jobs have come into better balance. But there are still more available jobs than available workers, a condition that before 2018 has only occurred twice for a prolonged period since World War II, further signaling ongoing labor market strength despite the reported data.

    Although wage growth has slowed further in recent months, it remains indicative of a tight labor market. At just under 4 percent, as measured by both the employment cost index and average hourly earnings, wage gains are still above the pace consistent with our inflation goal given trend productivity growth.

    The rise in the unemployment rate this year largely reflects weaker hiring, as job seekers entering or re-entering the labor force are taking longer to find work, while layoffs remain low. In addition to some cooling in labor demand, there are other factors likely contributing the increased unemployment. A mismatch between the skills of the new workers and available jobs could further raise unemployment, suggesting that higher unemployment has been partly driven by the stronger supply of workers. It is also likely that some temporary factors contributed to the recent rise in the unemployment rate, as unemployment among working age teenagers sharply increased in August.

    Preference for a More Measured Recalibration of Policy

    The U.S. economy remains strong and core inflation remains uncomfortably above our 2 percent target. In light of these economic conditions, a few further considerations supported the case for a more measured approach in beginning the process to recalibrate our policy stance to remove restriction and move toward a more neutral setting.

    First, I was concerned that reducing the target range for the federal funds rate by 1/2 percentage point could be interpreted as a signal that the Committee sees some fragility or greater downside risks to the economy. In the current economic environment, with no clear signs of material weakening or fragility, in my view, beginning the rate-cutting cycle with a 1/4 percentage point move would have better reinforced the strength in economic conditions, while also confidently recognizing progress toward our goals. In my mind, a more measured approach would have avoided the risk of unintentionally signaling concerns about underlying economic conditions.

    Second, I was also concerned that reducing the policy rate by 1/2 percentage point could have led market participants to expect that the Committee would lower the target range by that same pace at future meetings until the policy rate approaches a neutral level. If this expectation had materialized, we could have seen an unwarranted decline in longer-term interest rates and broader financial conditions could become overly accommodative. This outcome could work against the Committee’s goal of returning inflation to our 2 percent target.

    I am pleased that Chair Powell directly addressed both of these concerns during the press conference following last week’s FOMC meeting.

    Third, there continues to be a considerable amount of pent-up demand and cash on the sidelines ready to be deployed as the path of interest rates moves down. Bringing the policy rate down too quickly carries the risk of unleashing that pent-up demand. A more measured approach would also avoid unnecessarily stoking demand and potentially reigniting inflationary pressures.

    Finally, in dialing back our restrictive stance of policy, we also need to be mindful of what the end point is likely to be. My estimate of the neutral rate is much higher than it was before the pandemic. Therefore, I think we are much closer to neutral than would have been the case under pre-pandemic conditions, and I did not see the peak stance of policy as restrictive to the same extent that my colleagues may have. With a higher estimate of neutral, for any given pace of rate reductions, we would arrive at our destination sooner.

    Ongoing Risks to the Outlook

    Turning to the risks to achieving our dual mandate, I continue to see greater risks to price stability, especially while the labor market continues to be near estimates of full employment. Although the labor market data have been showing signs of cooling in recent months, still-elevated wage growth, solid consumer spending, and resilient GDP growth are not consistent with a material economic weakening or fragility. My contacts also continue to mention that they are not planning layoffs and continue to have difficulty hiring. Therefore, I am taking less signal from the recent labor market data until there are clear trends indicating that both spending growth and the labor market have materially weakened. I suspect the recent immigration flows have and will continue to affect labor markets in ways that we do not yet fully understand and cannot yet accurately measure. In light of the dissonance created by conflicting economic signals, measurement challenges, and data revisions, I remain cautious about taking signal from only a limited set of real-time data releases.

    In my view, the upside risks to inflation remain prominent. Global supply chains continue to be susceptible to labor strikes and increased geopolitical tensions, which could result in inflationary effects on food, energy, and other commodity markets. Expansionary fiscal spending could also lead to inflationary risks, as could an increased demand for housing given the long-standing limited supply, especially of affordable housing. While it has not been my baseline outlook, I cannot rule out the risk that progress on inflation could continue to stall.

    Although it is important to recognize that there has been meaningful progress on lowering inflation, while core inflation remains around or above 2.5 percent, I see the risk that the Committee’s larger policy action could be interpreted as a premature declaration of victory on our price-stability mandate. Accomplishing our mission of returning to low and stable inflation at our 2 percent goal is necessary to foster a strong labor market and an economy that works for everyone in the longer term.

    In light of these considerations, I believe that, by moving at a measured pace toward a more neutral policy stance, we will be better positioned to achieve further progress in bringing inflation down to our 2 percent target, while closely watching the evolution of labor market conditions.

    The Path Forward

    Despite my dissent at the recent FOMC meeting, I respect and appreciate that my FOMC colleagues preferred to begin the reduction in the federal funds rate with a larger initial cut in the target range for the policy rate. I remain committed to working together with my colleagues to ensure that monetary policy is appropriately positioned to achieve our goals of attaining maximum employment and returning inflation to our 2 percent target.

    I will continue to monitor the incoming data and information as I assess the appropriate path of monetary policy, and I will remain cautious in my approach to adjusting the stance of policy going forward. It is important to note that monetary policy is not on a preset course. My colleagues and I will make our decisions at each FOMC meeting based on the incoming data and the implications for and risks to the outlook guided by the Fed’s dual-mandate goals of maximum employment and stable prices. We need to ensure that the public understands clearly how current and expected deviations of inflation and employment from our mandated goals inform our policy decisions.

    By the time of our next meeting in November, we will have received updated reports on inflation, employment, and economic activity. We may also have a better understanding of how developments in longer-term interest rates and broader financial conditions might influence the economic outlook.

    During the intermeeting period, I will continue to visit with a broad range of contacts to discuss economic conditions as I assess the appropriateness of our monetary policy stance. As I noted earlier, I continue to view inflation as a concern. In light of the upside risks that I just described, it remains necessary to pay close attention to the price-stability side of our mandate while being attentive to the risks of a material weakening in the labor market. My view continues to be that restoring price stability is essential for achieving maximum employment over the longer run. However, should the data evolve in a way that points to a material weakening in the labor market, I would support taking action and adjust monetary policy as needed while taking into account our inflation mandate.

    Closing Thoughts

    In closing, thank you again for welcoming me here today. It is a pleasure to join you and to have the opportunity to discuss my views on the economy and monetary policy. And given the recent FOMC meeting decision and my dissent, I appreciate being able to provide a more detailed explanation of the reasoning that led me to dissent in favor of a smaller reduction in the policy rate at last week’s FOMC meeting.

    I look forward to answering your questions and to engaging with your members on bank regulatory and supervisory matters.


    MIL OSI Economics

  • MIL-OSI Economics: Tiff Macklem: Economic growth during uncertain times

    Source: Bank for International Settlements

    Good afternoon. I want to thank the Institute of International Finance and the Canadian Bankers Association for inviting me to take part in your 2024 Forum.

    Your focus on growth during uncertainty is timely. Uncertainty feels like the new reality: The uncertainty caused by war in Europe and in the Middle East. The uncertainties arising from geopolitical tensions and economic fragmentation. And the related uncertainties about supply chains, trading relationships and global investment risks.

    Rapid advances in new technologies, particularly artificial intelligence (AI) and its new offspring, Generative-AI, are disrupting business models and creating new uncertainties for firms and workers.

    Uncertainty surrounds the impacts of climate change and the policy frameworks to adapt to and mitigate it.

    There is political uncertainty. And fiscal uncertainty.

    As your theme implies, uncertainty and economic growth do not sit well together: uncertainty impedes growth.

    But with inspired policy, good business decisions and sound risk management, we can manage uncertainty and reduce its impact on households, businesses and growth. We have recent historical evidence.

    Sixteen years ago this month, Lehman Brothers failed, and the financial system froze because nobody knew which banks were safe. Today, the global financial system is much safer thanks to the implementation of sweeping global reforms to increase capital and liquidity buffers, and reduce leverage.

    With the rapid development of new vaccines and with exceptional fiscal and monetary policies, uncertainty about our health and the health of our economies has decreased dramatically since the depths of the COVID-19 pandemic.

    Thanks to decisive monetary policy action and the unblocking of supply chains, uncertainty about costs and inflation are much lower today than two years ago, when inflation peaked above 8% in Canada and was even higher in many other countries.

    In the past few weeks, I have given speeches on the shifting global trade landscape and the economic implications and risks of rapid advances in artificial intelligence. These are two key areas where we can reduce uncertainty through good policy and far-sighted business leadership.

    At the same time, we need to recognize that new uncertainties are a new reality, and we must be ready for the inevitable shocks in a more turbulent world. That puts a priority on risk management and investments in resilience.

    A key function of financial institutions is to help households and businesses manage the risks they face. Financial institutions also have a responsibility to manage their own risks prudently so that they do not themselves become a source of uncertainty and instability.

    As Canada’s central bank, we have a role to play in mitigating and managing risks and uncertainty. Our primary mandate is price stability-in other words, low, stable and predictable inflation. We also have mandates to foster a stable financial system and ensure safe and efficient payments.

    Let me say a few words on financial stability and payments. And then I’ll finish with some thoughts on monetary policy.

    Our financial stability focus is on risks that could lead to system-wide stress. And we publish these findings in our annual Financial Stability Report (FSR).1

    In our most recent FSR, published in May, we reported that Canadian mortgage holders had experienced a modest increase in levels of financial stress. Since then, we’ve observed that arrears on mortgages have continued to rise, although they remain below pre-pandemic levels. It also appears that these households have not leaned on revolving credit products such as lines of credit and credit cards to a greater degree than before the pandemic.

    But there is a notable increase in financial stress among borrowers without a mortgage, mainly renters. During the pandemic, for most credit products, the share of these borrowers missing payments reached historical lows. However, we’re now seeing a larger share of these borrowers lagging behind on credit card and auto loan payments. Over the past year the share of borrowers without a mortgage who carry a credit card balance of at least 90% of their credit limit has continued to climb. And this share is now above typical historical levels. This is concerning.

    Our responsibilities related to payments require us to adapt to increasing digitalization. Innovation in payments continues to accelerate.

    In 2021, the Bank assumed a new mandate for the supervision of retail payment service providers. Starting November 1st of this year, more than 3,000 service providers will need to register with the Bank and follow new rules aimed at safeguarding consumers and protecting the integrity of retail payments.  

    We are also looking at the bigger picture of payment innovation, both in Canada and around the world. As part of this work, in the past few years we’ve built an extensive body of knowledge about the framework and technology behind a possible central bank digital currency (CBDC), including the benefits and risks.

    But recognizing that there is not currently a compelling case to move forward with a CBDC in Canada, the Bank is scaling down its work on a retail central bank digital currency and shifting its focus to broader payments system research and policy development. The Bank will continue to monitor global retail CBDC developments. And the Bank will be ready to ensure Canadians always have a safe and secure supply of public money.

    Now, let me circle back to monetary policy.

    In June, we began lowering our policy interest rate. We cut the policy rate at our last three decisions, for a cumulative decline of 75 basis points to 4.25%.

    Our most recent decision on September 4th reflected two main considerations.

    First, we noted that headline and core inflation had continued to ease as expected. Second, we said that as inflation gets closer to target, we want to see economic growth pick up to absorb the slack in the economy.

    Since then, we’ve been pleased to see inflation come all the way back to the 2% target. It has been a long journey. Now we want to keep inflation close to the centre of the 1%–3% inflation-control band. We need to stick the landing.

    What does this mean for interest rates? With the continued progress we’ve seen on inflation, it is reasonable to expect further cuts in our policy rate. The timing and pace will be determined by incoming data and our assessment of what those data mean for future inflation.

    As always, we try to be as clear as we can about what we are watching as we chart the course for monetary policy.

    Economic growth picked up in the first half of this year, and we want to see it strengthen further so that inflation stays close to the 2% target. Some recent indicators suggest growth may not be as strong as we expected. We will be closely watching consumer spending, as well as business hiring and investment.

    We will also be looking for continued easing in core inflation, which is still a little above 2%. Shelter cost inflation remains elevated but has started to come down, and we are looking for it to moderate further.

    Our next decision is October 23rd. And we will have a revised economic outlook at that time.

    With those introductory thoughts, let’s get the discussion started.

    I would like to thank Russell Barnett, Claudia Godbout and Brian Peterson for their help in preparing these remarks.


    MIL OSI Economics

  • MIL-OSI: Breeze Holdings Acquisition Corp. Announces Definitive Agreement to Merge with YD Biopharma Limited

    Source: GlobeNewswire (MIL-OSI)

    YD Biopharma is a Clinical-Stage Biopharmaceutical Company Focusing on Cancer Prevention Diagnostics and Seeking to Transform the Treatment of a Wide Spectrum of Diseases

    Pro Forma for the Transaction, Combined Company is Expected to Have an Estimated Enterprise Value of Nearly $700 Million

    The Proposed Merger is Expected to Close by Early 2025; After Closing, the Combined Company is Expected to be Listed on Nasdaq Capital Market

    YD Biopharma has Recently Obtained Patents, Technology, and U.S. Authorization for Core Methylation Detection of Pancreatic Cancer, Along with Entering into an Agreement to Acquire Licenses for Breast Cancer Detection Upon the Closing of the Merger

    IRVING, Texas, Sept. 25, 2024 (GLOBE NEWSWIRE) — Breeze Holdings Acquisition Corp. (OTCQX: BRZH, BRZHR, BRZHW) (“Breeze” or the “Company”), a publicly traded special purpose acquisition company, has entered into a definitive agreement to merge with YD Biopharma Limited (“YD Biopharma”), a clinical-stage biopharmaceutical company focusing on cancer prevention medical diagnostics and the development of exosome-based therapeutics with the potential to transform the treatment of a wide spectrum of diseases with high unmet medical need. Following the closing, the combined company is expected to be listed on the Nasdaq Capital Market.

    Using Technology to Detect Health Problems Early On
    YD Biopharma specializes in the biopharmaceutical business and serves as a supplier of drugs and medical materials for clinical trials. In 2015, YD Biopharma was appointed as a clinical testing drug supplier by Novartis and has since expanded its offerings to include development and supply of ancillary products post-launch. YD Biopharma’s mission is to create a cancer-free world through advancements in biotechnology.

    More recently, YD Biopharma obtained patent and technology authorization from 3D Global Biotech Inc. (“3D Biotech”) to pioneer the application of corneal mesenchymal stem cells and their exosomes for treating eye diseases. YD Biopharma has introduced new advanced drugs and treatments for conditions such as dry eye disease, glaucoma, and corneal repair. YD Biopharma aims to optimize the treatment market for eye diseases by distribution through pharmacies, optometrists, and other channels.

    Earlier this year, YD Biopharma obtained patents, technology and U.S. market authorization from EG Biomed Taiwan for core methylation detection of pancreatic cancer with high sensitivity, specificity and accuracy. This partnership has led to the establishment of an independent laboratory in the U.S. dedicated to pancreatic cancer early detection and monitoring technology that marks a significant expansion of YD Biopharma’s research and development capabilities to collaborate with hospitals, insurance companies and pharmaceutical companies to reach new patients.

    YD Biopharma has also recently negotiated related authorizations for breast cancer detection to further expand the Company’s product offerings. YD Biopharma is in the process of acquiring licenses from EG BioMed Taiwan for advanced breast cancer detection technology in the U.S., E.U., and Asia-Pacific that has high sensitivity, specificity and accuracy. The acquisition of the licenses for EG Biomed’s breast cancer detection technology in the U.S., E.U., and Asia-Pacific is expected to be consummated simultaneously with the closing of the merger with Breeze.

    Management Commentary
    Dr. Ethan Shen, the Founder, Chairman and CEO of YD Biopharma, has an extensive background in the pharmaceutical industry having worked at a well-known global pharmaceutical company. Inspired by his father’s struggle with cancer and subsequent passing, Dr. Shen is dedicated to eradicating cancer and helping people to avoid chronic and painful treatments through early detection.

    Dr. Shen stated the following regarding the proposed transaction, “I’m pleased to announce the next phase of our strategy as we embark on a public listing in the U.S. through the proposed business combination with Breeze. Since our founding in 2013, we’ve made significant strides in expanding our capabilities through organic innovation, licensing agreements, and notable strategic partnerships. We have a strategic roadmap in place for accelerated growth and a compelling story to tell in the U.S. market as we aim to deliver health problem detection at an earlier stage than ever before through minimal intervention.”

    J. Douglas Ramsey, Ph.D., Chairman and CEO of Breeze, commented, “From day one, it has been our mission at Breeze to find a company with innovative and disruptive technology that has the potential to deliver significant growth to our shareholders. We are highly optimistic about the proposed business combination with YD Biopharma, a company that we believe is a true outlier in the biotech industry with strong growth potential in a variety of healthcare markets. We are working closely with their team to expeditiously close the transaction by early 2025 and move forward with YD Biopharma as a publicly traded company in the U.S.”

    YD Biopharma Key Investment Highlights

    • Proven Capabilities Across a Broad Spectrum of Solutions: YD Biopharma has an extensive suite of solutions ranging from ophthalmology cellular drug development to pancreatic and breast cancer diagnostics to nutritional product sales.
    • Notable Strategic Partnerships, Offering Validation and Growth Potential: YD Biopharma is a clinical testing drug supplier for Novartis, a top five global pharmaceutical company, as well as having licensing partnerships with EG BioMed for pancreatic cancer detection and 3D Global Biotech to develop treatment for eye disorders.
    • Proprietary Technology Supported by Licensing Agreements and IP Portfolio: Multi-decade, exclusive licensing agreements and owned, patented technology provides YD Biopharma with significant competitive first-mover advantage in each of its clinical markets.
    • Large and Underserved Markets for Each Solution Showcase Untapped Growth Potential: Multi-billion-dollar global market sizes and high single digit CAGRs over the next decade provide significant growth potential for YD Biopharma’s solutions.
    • Strong Leadership Team with Deep Expertise in Biotech and Finance: YD Biopharma has a founder-led management team with experience in new drug development, medical-grade health product development, pharmacy channel development, and financial management and accounting.

    Transaction Overview
    Under the terms of the business combination agreement, Breeze and YD Biopharma will each merge into wholly-owned subsidiaries of a newly formed Cayman holding company expected to be named “YD Biopharma Holdings Limited” and is anticipated to be listed on the Nasdaq Capital Market.

    Assuming no redemptions, the combined company will have an estimated post-transaction enterprise value of $694 million, consisting of an estimated equity value of $715 million, $21.0 million in cash and no debt. Cash proceeds raised will consist of Breeze’s $10.1 million cash in trust (before redemptions and payment of any transaction expenses) and $15 million in anticipated new capital.

    YD Biopharma intends to use the proceeds from the transaction to expand production and continue development, approval and launch of new technologies.

    The transaction has been unanimously approved by the boards of directors of both YD Biopharma and Breeze. It is expected to close by early 2025, subject to regulatory and stockholder approvals, and other customary closing conditions. Additional information may be found in the Current Report on Form 8-K that was filed by Breeze Holdings today with the U.S. Securities and Exchange Commission.

    Upon completion of the transaction, YD Biopharma will continue to be led by Founder, Chairman, and CEO Dr. Ethan Shen. Wu Cheng-fend will serve as Chief Medical Officer, and May Tsai will serve as Chief Business Officer.

    Advisors
    ArentFox Schiff LLP and Ogier are acting as legal advisors to YD Biopharma. I-Bankers Securities, Inc. is acting as financial advisor to Breeze Holdings. Woolery & Co. PLLC is acting as legal advisor to Breeze Holdings.

    About YD Biopharma
    YD Biopharma Limited is a clinical-stage biopharmaceutical company focusing on cancer prevention medical diagnostics and the development of exosome-based therapeutics with the potential to transform the treatment of a wide spectrum of diseases with high unmet medical need. Through continuous effort and innovation, the Company has also become a recognized supplier of clinical trial drugs and has begun developing and supplying post-market auxiliary products.

    For more information, please visit www.yd-biopharma.com.

    About Breeze Holdings Acquisition Corp.
    Breeze Holdings is a blank check company organized for the purpose of effecting a merger, share exchange, asset acquisition, stock purchase, recapitalization, reorganization, or other similar business combinations with one or more businesses or entities.

    Additional Information and Where to Find It
    This press release relates to a proposed business combination transaction involving Breeze Holdings and YD Biopharma. In connection with the proposed transaction, a newly-formed Cayman exempted company expected to be named “YD Biopharma Holdings Limited” (“YD Holdings”) intends to file with the U.S. Securities and Exchange Commission (the “SEC”) a registration statement on Form F-4 that will include a proxy statement of Breeze and that also will constitute a prospectus of YD Holdings with respect to the ordinary shares of YD Holdings to be issued in the proposed transaction (the “Proxy Statement/Prospectus”). This document is not a substitute for the Proxy Statement/Prospectus. The definitive Proxy Statement/Prospectus (if and when available) will be delivered to Breeze Holdings’ and YD Biopharma’s stockholders. Breeze Holdings may also file other relevant documents regarding the proposed transaction with the SEC. BEFORE MAKING ANY VOTING OR INVESTMENT DECISION, INVESTORS AND SECURITY HOLDERS OF BREEZE HOLDINGS AND YD BIOPHARMA AND OTHER INTERESTED PARTIES ARE URGED TO READ THE REGISTRATION STATEMENT, PROXY STATEMENT/PROSPECTUS AND ALL OTHER RELEVANT DOCUMENTS THAT ARE FILED OR WILL BE FILED WITH THE SEC IN CONNECTION WITH THE PROPOSED TRANSACTION, INCLUDING ANY AMENDMENTS OR SUPPLEMENTS TO THESE DOCUMENTS, CAREFULLY AND IN THEIR ENTIRETY WHEN THEY BECOME AVAILABLE BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION ABOUT BREEZE HOLDINGS, YD HOLDINGS, YD BIOPHARMA, THE PROPOSED TRANSACTION AND RELATED MATTERS.

    Investors and security holders of Breeze Holdings and YD Biopharma may obtain free copies of the Registration Statement and Proxy Statement/Prospectus (if and when available) and other documents that are filed or will be filed with the SEC by Breeze Holdings through the website maintained by the SEC at www.sec.gov. Copies of the documents filed with the SEC by Breeze Holdings will be available free of charge at Breeze Holdings Acquisition Corp., 955 W. John Carpenter Fwy., Suite 100-929, Irving, TX 75039, attention: J. Douglas Ramsey.

    Participants in the Solicitation
    Breeze Holdings, YD Biopharma and certain of their respective directors and executive officers may be deemed to be participants in the solicitation of proxies from the stockholders of Breeze Holdings and YD Biopharma in respect of the proposed transaction. Information about Breeze Holdings’ directors and executive officers and their ownership of Breeze Holdings common stock is set forth in Breeze Holdings’ filings with the SEC, including its Annual Report on Form 10-K/A for the year ended December 31, 2023 filed with the SEC on April 25, 2024 (the “Annual Report”). To the extent that holdings of Breeze Holdings’ securities have changed since the amounts included in the Annual Report, such changes have been or will be reflected on Statements of Change in Ownership of Form 4 filed with the SEC. Other information regarding the participants in the proxy solicitation and a description of their direct and indirect interests, by security holdings or otherwise, will be contained in the Proxy Statement/Prospectus and other relevant materials to be filed with the SEC in respect of the proposed transaction when they become available. You may obtain free copies of these documents as described in the preceding paragraph.

    Cautionary Note Regarding Forward-Looking Statements
    This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including, among other things, statements regarding the anticipated benefits and impact of the proposed transaction on the combined company’s business and future financial and operating results, the anticipated timing of closing of the proposed transaction, the anticipated growth of the industries and markets in which YD Biopharma competes, the success and customer acceptance of YD Biopharma’s product and service offerings and other aspects of YD Biopharma’s operations, plans, objectives, opportunities, expectations or operating results, the expected ownership structure of the combined company and the likelihood and ability of the parties to successfully consummate the proposed transaction. Words such as “may,” “should,” “will,” “believe,” “expect,” “anticipate,” “intend,” “estimated,” “target,” “project,” and similar phrases or words of similar meaning that denote future expectations or intent regarding the combined company’s financial results, operations and other matters are intended to identify forward-looking statements. You should not rely upon forward-looking statements as predictions of future events. Such forward-looking statements are based upon the current beliefs and expectations of management and are inherently subject to significant business, economic and competitive risks, uncertainties and other factors, both known and unknown, which are difficult to predict and generally beyond our control and that may cause actual results and the timing of future events to differ materially from the results and timing of future events anticipated by the forward-looking statements in this press release, including but not limited to: (i) the ability of the parties to complete the proposed transaction within the time frame anticipated or at all, which may adversely impact the price of Breeze Holdings’ securities; (ii) the failure to realize the anticipated benefits of the proposed transaction or those benefits taking longer than anticipated to be realized; (iii) the risk that the proposed transaction may not be completed by Breeze Holdings’ business combination deadline and the potential failure to obtain further extensions of the business combination deadline if sought by Breeze Holdings; (iv) the failure to satisfy the conditions to the consummation of the proposed transaction, including the adoption of the definitive merger agreement by the stockholders of Breeze Holdings or YD Biopharma, the receipt of any required governmental or regulatory approvals or the failure to meet the Nasdaq listing standards in connection with the closing of the proposed transaction; (v) the lack of a third party valuation in determining whether or not to pursue the proposed transaction; (vi) the occurrence of any event, change or other circumstance that could give rise to the termination of the definitive merger agreement; (vii) the impact of the COVID-19 pandemic or related governmental or regulatory orders ; (viii) the effect of the announcement or pendency of the proposed transaction on YD Biopharma’s business relationships, performance and business generally; (ix) risks that the proposed transaction disrupts current plans and operations of YD Biopharma and any potential difficulties in YD Biopharma employee retention as a result of the proposed transaction; (x) the outcome of any legal proceedings that may be instituted against YD Biopharma or Breeze Holdings related to the definitive merger agreement or the proposed transaction or any product liability or regulatory lawsuits or proceedings relating to YD Biopharma’s products or services; (xi) the ability to maintain the listing of YD Holdings’ securities on the Nasdaq Capital Market after the closing of the proposed transaction; (xii) potential volatility in the price of Breeze Holdings’ securities due to a variety of factors, including changes in the competitive and highly regulated industries in which YD Biopharma operates, variations in performance across competitors, changes in laws and regulations affecting YD Biopharma’s business, and changes in the combined company’s capital structure; (xiii) the ability to implement business plans, identify and realize additional opportunities and achieve forecasts and other expectations after the completion of the proposed transaction; (xiv) the risk of downturns and the possibility of rapid change in the highly competitive industries in which YD Biopharma operates or the markets that YD Biopharma targets; (xv) the inability of YD Biopharma and its current and future collaborators to successfully develop and commercialize YD Biopharma’s products and services in the expected time frame or at all; (xvi) the risk that the combined company may never achieve or sustain profitability or may need to raise additional capital to execute its business plan, which may not be available on acceptable terms or at all; and (xvii) the costs of the proposed transaction. The forward-looking statements contained in this press release are also subject to additional risks, uncertainties and factors, including those described in Breeze Holdings’ most recent Annual Report on Form 10-K and Quarterly Reports on Form 10-Q and other documents filed or to be filed with the SEC by Breeze Holdings from time to time. You are cautioned not to place undue reliance on forward-looking statements as a predictor of future performance as projected financial information and other information are based on estimates and assumptions that are inherently subject to various significant risks, uncertainties and other factors, many of which are beyond our control. The forward-looking statements included in this press release are made only as of the date hereof, and we disclaim any intention or obligation to update any forward-looking statements as a result of developments occurring after the date hereof. Forecasts and estimates regarding YD Biopharma’s industry and end markets are based on sources we believe to be reliable, however there can be no assurance these forecasts and estimates will prove accurate in whole or in part. Annualized, pro forma, projected and estimated numbers are used for illustrative purposes only, are not forecasts and may not reflect actual results.

    No Offer or Solicitation
    This press release is for informational purposes only and is not intended to and shall not constitute an offer to sell or the solicitation of an offer to sell or to buy any securities or a solicitation of any proxy, consent, vote or approval with respect to any securities in respect of the proposed transaction and is not a substitute for the Proxy Statement/Prospectus or any other document that Breeze Holdings may file with the SEC or send to Breeze Holdings’ or YD Biopharma’s stockholders in connection with the proposed transaction. No offer, sale, issuance or transfer of securities shall be made in any jurisdiction in which such offer, sale, issuance or transfer would be unlawful prior to registration or qualification under the securities laws of any such jurisdiction.

    Contacts:

    YD Biopharma Limited
    Bob Chiu
    bobc95@udn-pharm.com

    Breeze Holdings Acquisition Corp.
    Investor Relations
    Cody Slach and Cody Cree
    Gateway Group

    (949) 574-3860
    BREZ@gateway-grp.com

    The MIL Network

  • MIL-OSI Global: Did COVID come from an animal market? Here’s what the new evidence really tells us

    Source: The Conversation – UK – By Mark Woolhouse, Professor of Infectious Disease Epidemiology, The University of Edinburgh

    The argument about the origins of COVID has always been heated, and nowadays it feels more like a brawl than a scientific debate.

    Some say that ground zero for the pandemic was a live animal market in Wuhan, China. Others argue that SARS-CoV-2 (the coronavirus that causes COVID) leaked from a nearby laboratory that was studying similar viruses. Both are plausible scenarios.

    Proponents of the market hypothesis have been aggressively vocal in recent weeks. In August, an anonymous editorial in a leading medical journal talked about the “hubris needed to underpin alternative hypotheses” and “fanciful ideas … more in keeping with popular movies”.

    A commentary in another journal lamented that scientists were being harassed for rejecting the lab leak hypothesis. With breathtaking hypocrisy, the same commentary then attacked a junior researcher who favours that hypothesis, dismissing her work as “conjecture, correlation and anecdote”.

    We can at least agree that the virus was present in the Wuhan market. Samples collected from market stalls and drains in early January 2020 contain SARS-CoV-2 genetic material. A recent analysis of this material, published in the journal Cell, claimed to show that the common ancestor of the viruses at the market was the common ancestor of the whole pandemic.

    That sounds compelling, until you realise that all of these samples were collected weeks after the pandemic began and none came from a live animal. Unaccountably, no samples were collected before the market was closed and the animals destroyed. Primarily for this reason, most commentators – including me – consider these latest results suggestive but not definitive.

    The lack of samples from animals is a problem. No one believes that this virus originated in Wuhan. The natural reservoirs of SARS-like coronaviruses are horseshoe bats, and no infected colonies have been found within 1,500km of the city.

    So it must have been brought into the market from somewhere. Yet no SARS-CoV-2 has been found along the supply chains for the animals sold there.

    Could a person rather than an animal have brought SARS-CoV-2 into the market in late 2019? That’s entirely possible. Many of the viruses near the base of the SARS-CoV-2 ancestral tree came from people with no links to the market. Several, including a cluster from Guangdong Province, were not even from Wuhan.

    Despite the many uncertainties and unanswered questions, it would be much easier to accept the market hypothesis if the pandemic had begun in one of the hundreds (or possibly thousands – no one seems to know for sure) of other Chinese cities that had similar markets in 2020.

    After all, the 2002 outbreak of the original SARS coronavirus (a very close relative of SARS-CoV-2) began in a market selling civet cats and other animals in, as it happens, Guangdong.

    Yet the epicentre of the COVID pandemic was less than 20 kilometres from China’s pre-eminent coronavirus research lab, the Wuhan Institute of Virology. That is an extraordinary coincidence, and you’d need compelling evidence that the market was the source (or that the lab wasn’t) to dismiss it. The evidence we have simply isn’t that strong.

    That said, there is no evidence – at least, not that the Chinese authorities have shared – that SARS-CoV-2 was present in the Wuhan Institute of Virology, though some closely related viruses were. I cannot know if it was or wasn’t, but it didn’t have to be.

    Scientists from the institute went on coronavirus-hunting expeditions to places such as Guangdong. Scientists from the Wuhan Center for Disease Control and Prevention – just a five-minute walk from the market – were making their own expeditions, too. There’s an obvious and plausible alternative route to the first human case.

    Dismissed as a conspiracy theory

    Yet as far back as March 2020, on a bare minimum of evidence, the idea that a lab was involved in any way was already being dismissed as a conspiracy theory.

    Two years ago, one of the most strident proponents of the market hypothesis claimed that his latest research “lays to rest the idea that the virus escaped from a laboratory”. An author of the new analysis in Cell says alternative explanations are “fanciful” and “absurd”.

    Who is all this bombast supposed to win over? Not scientists who can read the research papers, take note of the caveats and make their own judgments. Not politicians who have taken an ideological stance on the issue, particularly in the US. And not the intelligence agencies who many believe are our best hope for getting at the truth.

    I have studied the origins of human viruses for 25 years but, having examined the evidence, I still don’t know how the COVID pandemic began. I do know that the question is important and that debating it should be encouraged, not stifled.

    Mark Woolhouse receives funding from the European Union and the Wellcome Trust. He is a member of the Scottish Government’s Standing Committee on Pandemic Preparedness and has advised the Scottish and UK governments, and the WHO, on pandemic preparedness and response.

    ref. Did COVID come from an animal market? Here’s what the new evidence really tells us – https://theconversation.com/did-covid-come-from-an-animal-market-heres-what-the-new-evidence-really-tells-us-239533

    MIL OSI – Global Reports

  • MIL-OSI Africa: KZN reports second-highest HIV prevalence rate in SA

    Source: South Africa News Agency

    KwaZulu-Natal has recorded the second-highest HIV prevalence rate at 16% in 2022, down from 18% in 2017. 

    According to the Human Sciences Research Council (HSRC), this translates to 1 980 000 people living with HIV (PLHIV) in KwaZulu-Natal, which was a decline from 1 990 000 in 2017.

    The information is based on the findings of the Sixth South African HIV Prevalence, Incidence and Behaviour Survey (SABSSM VI).

    SAnews reported last week that Mpumalanga now has the highest HIV prevalence at 17.4% in 2022, which translates to an estimated 890 000 (PLHIV) in the province.

    READ | Mpumalanga records highest HIV prevalence rate 

    According to the overall principal investigator of the study, the HSRC’s Professor Khangelani Zuma, the survey showed that in 2022, HIV prevalence in the province was higher among those aged 25 to 49 (31.1%), for both females (38.4%) and males (21.5%). 

    HIV prevalence was also higher among those residing in rural formal or farm areas (20%).

    “HIV prevalence peaked at 44.5% among those aged 45 to 49 in 2022 from 39.7% in 2017 among those aged 35 to 39, indicating a possibility of continuing infections among older people. HIV prevalence had decreased by 2022 among all age groups younger than 40 years compared to 2017,” Zuma said.

    By district, in 2022, HIV prevalence was highest in uMgungundlovu (19.5%). 

    The data presented are for eight priority districts within KwaZulu-Natal namely, eThekwini, Harry Gwala, King Cetshwayo, Ugu, uMgungundlovu, uThukela, Zululand and uMkhanyakude districts, as per the study protocol. 

    Antiretroviral treatment 

    Antiretroviral treatment (ART) coverage in KwaZulu-Natal increased to 87.3% in 2022, from 71.2% in 2017. 

    The ART coverage estimate translates to an estimated 1 609 000 PLHIV in the province receiving treatment in 2022.

    In 2022, ART use among all PLHIV in the province was lowest among adolescents and youth aged 15 to 24 (62.8%) compared to other age groups. 

    ART use was also lower among both males (58.8%) and females (64%) in this age group compared to other age groups.

    Among children aged zero to 14, ART use among males was 83.5% compared to females (65.9%). Among rural formal areas, ART use among males (93.3%) was comparable to females (93.6%).

    The SABSSM VI survey, conducted between 2022 and 2023, aimed to maintain surveillance of HIV infection and behaviours in South Africa, evaluate the progress of the South African national HIV and AIDS, STI and TB Strategic Plan, and monitor HIV indicators for national and international reporting.

    Viral load suppression 

    On the viral load suppression, the survey further revealed that, in 2022, among all provinces, KwaZulu-Natal had the highest proportion of all PLHIV with VLS (86.8%), having increased from 2017 (67.8%). 

    Knowledge of HIV status

    The professor expressed concern that those aged between 25 and 49 accounted for the majority of PLHIV in the province (68.3%) who were unaware of their HIV status (54.5%), aware but not on ART (63.5%), and on ART but not virally suppressed (66.4%). 

    “However, adolescents and youth aged 15 to 24 contribute disproportionally to gaps in treatment, accounting for just 8.5% of all PLHIV, but 28.4% of those unaware of their HIV status, 19.1% of those aware but not on ART and 15.7% of those on ART but not virally suppressed.” 

    Sex debut

    Regarding the key drivers of the HIV pandemic, Zuma noted that, in KwaZulu-Natal, there was no change in the proportion of adolescents and youth aged 15 to 24 who reported having sex before the age of 15 in 2017 (8.2%) compared to 2022 (8.6%).

    However, sexual debut before the age of 15 among adolescents and youth between 15 and 24 years in 2022 was higher among males (12.3%) than females (4.8%). 

    The survey revealed that 11% of people aged 15 and older reported having multiple sexual partners in 2022 compared to 9.4% in 2017. 

    The proportion of people aged 15 and older who reported having multiple sexual partners was five-fold higher among males (18.6%), compared to females (3.5%), and 1.5-fold higher among those aged 15 to 24 (16.3%) compared to those aged 25 to 49 (10.9%). 

    The proportion of people who reported having multiple sexual partners was highest in Harry Gwala (14.1%) and lowest in uThukela (7.6%).

    Condom use

    Regarding condom use, the survey revealed that 32.8% reported using a condom with the most recent sexual partner in 2022 compared to 44.9% in 2017, representing a 12.1% decline.

    In KwaZulu-Natal, a higher proportion also reported that they never (45.2%) used a condom with their most recent sexual partner. 

    “Only 9.3% reported that they used condoms almost every time.”

    Meanwhile, consistency of condom uses with the most recent sexual partner among people aged 15 and older in the province was higher among adolescents and youth aged 15 to 24 (26.7%) compared to those aged 25 to 49 (16.5%). 

    “However, nearly 60% of youth reported only using a condom sometimes or never.”

    Zuma recommended a long-term strategy to care for people in an ageing HIV epidemic as well as tailored interventions to address gaps in the “clinical cascade”.

    “We also recommend a continued focus on increasing coverage and demand for medical male circumcision among males aged 15 and older. We must also enhance public awareness and uptake of effective HIV prevention measures, such as regular HIV testing, condoms and PrEP [pre-exposure prophylaxis],” Zuma added. – SAnews.gov.za
     

    MIL OSI Africa

  • MIL-OSI Global: Local government controls your roads, schools and utilities − but that doesn’t mean the US president doesn’t touch your life in important ways

    Source: The Conversation – USA – By Zoe Nemerever, Professor of Political Science, Auburn University

    The top of the ticket often gets the most attention. Alex Brandon/AP Photo

    “All politics is local” is a common refrain – and yet, it is also true that the president has some unique powers.

    I am an expert on state policymaking, and I’m teaching presidential politics at Auburn University during this election season. Researching and teaching about both state and national politics has made me keenly aware of the stakes of the different races up and down the ballot this fall.

    Power close to home

    State and local governments shape our daily experiences in practical ways. State governments determine whether residents have access to expanded Medicaid, reproductive care, parental and family leave, and they set the state property, sales and income taxes, which we are all required to pay.

    City councils, county boards and school boards determine the quality of the roads we travel, the selection of books in school libraries and the prices of utilities such as water and sewer service.

    Most Americans will have the opportunity to vote for a variety of state and local elected officials this November. Yet many voters find their attention drawn to a more captivating contest: the presidential election.

    And it is hard to deny that the president has an outsized influence on American public policy.

    Staffing the government

    So what does the president do?

    It’s a busy job, for sure – including tasks such as signing executive orders, making treaties, vetoing or signing congressional bills, acting as the military’s commander in chief, attempting to build public support for their agenda and fundraising for the party.

    But one other big responsibility is often overlooked – that of passing out thousands of positions in the executive and judicial branches.

    The president’s appointment power is an enumerated power, meaning that it is enshrined in the U.S. Constitution.

    As the size of the judiciary and federal bureaucracy has grown over the past century, this presidential power has ballooned to include 4,000 appointments that turn over at the start of every administration. That doesn’t even include the vacancies that arise during the president’s term – for example, when a federal judge retires or dies.

    Perhaps the most well-known presidential appointment power is the power to nominate Supreme Court justices. These nominations tend to be highly political and dramatic affairs. This is due to their irregular and often sudden timing and to the high stakes of lifetime appointments.

    Some presidents don’t get to exercise this supreme power as much as they would like. But they still get to fill many other judgeships across the district courts, appellate courts and other federal courts.

    The Founding Fathers were adamant that the executive appointment power was not unilateral, as evidenced in Federalist Paper 76 penned by Alexander Hamilton. For 1,200 of the most consequential positions, the president nominates individuals, who are then confirmed – or not – by the U.S. Senate.

    The Founding Fathers perceived this as important for preventing the tyranny of a sole actor, which they had just worked so hard to leave behind under English rule.

    Assembling a Cabinet

    Some of the most consequential of these appointments are members of the presidential Cabinet.

    Much like how a head football coach assembles a team of assistants to enact their vision, the president convenes a team of policy champions to lead the 15 executive departments in the federal bureaucracy.

    Each department is run by a “secretary,” nominated by the president and confirmed by the Senate. The president consults with Cabinet members at periodic meetings, but secretaries otherwise enjoy a great deal of autonomy. For this reason, the president tries to pick Cabinet members who share their policy perspective.

    Much of the agenda presidents claim credit for is, in fact, achieved by the Cabinet departments. For example, during the current Biden administration, the Department of Labor increased guaranteed overtime compensation, the Department of Health and Human Services recommended making marijuana a legal but regulated drug, and the Department of Education launched an initiative to tackle the post-COVID surge in chronic absenteeism.

    Cabinet members often fly under the radar of the media, and consequently voters, with a few exceptions. Secretary of Transportation Pete Buttigieg had his moment in the headlines earlier in 2024 when he announced a new federal rule that entitles airline passengers to prompt cash refunds when their flights are canceled or delayed. President Barack Obama’s Secretary of Education Arne Duncan was well known for his bus tours promoting the economic value of education. President George W. Bush’s Secretary of State Condoleezza Rice spearheaded the noteworthy 2008 U.S.-India nuclear agreement.

    Crisis manager in chief, ad hoc

    Presidents also have the power to touch voters’ lives in profound ways by serving as a unifying character during national crises, a role that differentiates the president from other elected officials.

    These crises, unforeseen at the time of the election, require the president to swiftly reassure a distressed nation. For example, after the 9/11 terrorist attacks, President George W. Bush delivered an address that acknowledged the grief of Americans while imparting a stern guarantee that the United States would not cower to terrorists. President Donald Trump provided direction for a national response to an unprecedented global pandemic. President Bill Clinton shared heartfelt remarks at the memorial service of those killed in the bombing of the Alfred P. Murrah federal building in Oklahoma City, Oklahoma. And Obama honored victims of a racially motivated shooting at a church in Charleston, South Carolina.

    Presidential candidates of course cannot campaign on their ability to handle unpredictable, emergent situations. Instead, they talk up personal traits that will equip them to carry the nation through the next four years – whatever that may bring.

    During the recent 2024 presidential debate between Democratic candidate Kamala Harris and Republican candidate Donald Trump, the candidates tried to demonstrate traits such as strength, humor and mental sharpness – all of which would prove invaluable during whatever the next four years throws our way.

    This November, voters will consider a diverse spread of candidates, from city mayor to president, each with important responsibilities.

    National, state and local governments work together to shape our perceptions, good or bad, about the role public policy plays in our lives – and I’d encourage voters to pay attention to candidates at both the top of the ballot and further down.

    Zoe Nemerever 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. Local government controls your roads, schools and utilities − but that doesn’t mean the US president doesn’t touch your life in important ways – https://theconversation.com/local-government-controls-your-roads-schools-and-utilities-but-that-doesnt-mean-the-us-president-doesnt-touch-your-life-in-important-ways-237939

    MIL OSI – Global Reports

  • MIL-OSI Global: America is increasingly dependent on foreign doctors − but their path to immigration is getting harder

    Source: The Conversation – USA – By Selma Hedlund, Postdoctoral Associate at Center of Forced Displacement, Boston University

    For immigrant doctors, the path to permanent residency is fleeting and far from guaranteed. Stefano Spicca/iStock via Getty Images

    The COVID-19 pandemic exposed a pressing issue: The U.S. health care system is increasingly dependent on immigrant physicians, but it’s becoming harder for aspiring ones to work and settle in the U.S.

    Today, 1 in 4 doctors are foreign-born, international medical graduates. Their numbers are even larger in underserved areas – essentially, low-income, more rural parts of the country where many American doctors don’t want to work.

    This immigrant workforce is key to offsetting a dire physician shortage. The need for more doctors is due, in part, to America’s growing and aging population; U.S.-born doctors’ unwillingness to move to poorer and more rural areas; and U.S.-born doctors’ lack of interest in going into primary care, which can be less lucrative and prestigious than other areas of medicine.

    As a result, immigrant doctors have become indispensable in hospitals and clinics across the nation. But while they’re in demand, more and more foreign doctors are starting to see the immigration process as a risky endeavor.

    During the COVID-19 pandemic, I wrote my dissertation about how immigrant physicians navigate the U.S. immigration system and foreign licensing procedures. My interviewees described how a combination of stricter immigration policies and more competition for residency spots have made the U.S. a less feasible destination.

    Visa vicissitudes

    U.S. visas can be categorized into two categories: immigrant and nonimmigrant. Nonimmigrant visas, such as tourist, student or exchange visitors visas, prohibit holders from having what’s called “immigrant intent,” meaning that they don’t plan to use their visas to permanently stay in the U.S.

    In order for immigrant doctors to be licensed to practice in the U.S., they need to complete licensing exams. They also need to obtain clinical experience in the U.S. This can be completed while on a tourist visa or a student visa, which are relatively easy to obtain.

    However, all immigrant physicians – even if they’re certified specialists in their home country – need to get accepted into and complete a U.S. residency program in order to practice in the U.S. as specialists. These are intensive, supervised training programs that can last up to seven years.

    Nonetheless, a majority of immigrant doctors in the U.S. will complete their American residencies on nonimmigrant visas, even though by this point in the process they quite clearly have immigrant intent.

    It wasn’t always this way.

    There’s a special work visa called the H-1B that allows for both immigrant and nonimmigrant intent. A few decades ago, many immigrant physicians entered residency programs that sponsored H-1B visas, which served as stepping stones to green cards.

    But drastic restrictions to the number of people admitted into this visa program, coupled with cuts in graduate medical education funding, have directed most foreign-born doctors to what’s called a J-1 exchange visitors visa.

    Challenges of working in underserved areas

    The J-1 not only explicitly prohibits immigration intent, it also requires that doctors return to their home country for at least two years upon completing American residency training.

    Foreign-born doctors nonetheless pursue the J-1 because there’s the opportunity to obtain a waiver, with limited slots that will allow them to remain in the U.S. and adjust to an H-1B visa. If selected for the waiver program, they must commit to a minimum of three years of service in a designated medically underserved area in the U.S.

    Through a special waiver, immigrant doctors can work at rural hospitals that are underfunded and understaffed.
    Brendan Smialowski/AFP via Getty Images

    While this system can offer short-term relief to physician shortages, it can also lead to exploitation.

    As one interviewee told me, “We hear very scary things about the J-1 waiver. The employers can take advantage and make you work more and pay less.”

    For the duration of the waiver program, immigrant physicians have minimal ability to change employers without violating the conditions of the waiver – and their path to immigration. Underserved areas are often understaffed and underresourced, which can make for stressful working conditions.

    Forced to go above and beyond

    The challenges don’t end with the visa process. There are financial burdens as well.

    International medical graduates often spend tens of thousands of dollars to pay for U.S. medical licensing exams, multiple visa applications, international travel and lodging, residency and green card applications.

    They also spend months in unpaid positions in hospital settings to gain the U.S. clinical experience that’s required to apply for residency. Then, in order to match into residency, immigrant physicians typically need to outperform their American peers on exams. They also need to have more prestigious research qualifications and stronger recommendation letters. Still, immigrant doctors are more likely to match into less competitive residency programs.

    While interviewing immigrant physicians, many testified to the competition getting steeper in recent years.

    “I told a friend, if you don’t have scores in upper 90s in all the exams and you’re not a green card holder, don’t even bother,” an Indian physician who immigrated 20 years ago explained to me. “It’s so tough.”

    Stuck in limbo

    Over the course of my research I noticed a trend: Many international medical graduates will come to the U.S. on student visas to pursue U.S. graduate degrees in health-related fields, such as public health, before they even start the licensing process. This helps them get their foot in the door into a very complicated immigration system and build a stronger resume as they prepare for residency applications. It’s also another expensive investment.

    But even those who match into and complete residency won’t necessarily be able to stay and work in America.

    Those with positive experiences from working in underserved communities often struggle to remain in their positions after their waiver contracts are fulfilled because of the green card backlog.

    The average immigrant’s wait time for a green card has doubled since the national quota system was introduced in the early 1990s.

    By 2018, an applicant had to wait an average of 18 months to get approved for their green card and another five years and eight months to receive it. The COVID-19 pandemic introduced new barriers and delays.

    Indians, one of the biggest nationalities among immigrant physicians, have the longest wait times under the current system, sometimes waiting up to a decade to obtain the security of permanent residence. Among the 1.8 million cases currently stuck in the employment-based green card backlog, 63% are Indian nationals.

    A pending green card application is often formally considered abandoned if the applicant leaves the country, preventing people from visiting loved ones abroad for years.

    No fix on the horizon

    Despite frequent calls for change and reform, these bottlenecks continue to adversely affect both patients and doctors.

    While the current model has its benefits, it also reflects a trend in which much-needed immigrant professionals live in prolonged, demoralizing uncertainty. Work visas have been subject to increasing cuts and restrictions in recent years under both the Trump and Biden administrations. Conditions will likely worsen if Trump returns to office: The “Muslim ban” he enacted in 2017 adversely affected many immigrant doctors and their patients, and his calls for increased vetting will likely exacerbate existing barriers to legal immigration.

    A paradox has emerged: While the U.S. says it wants to attract and retain world class talent, its byzantine immigration system continually discourages potential hires.

    The doctors I interviewed gave a variety of reasons for wanting to work in the U.S., including better lifestyles and opportunities for professional development. But the complexity and sheer unwieldiness of the U.S. visa regime is causing the nation to lose skilled professionals to other countries with more streamlined processes.

    Selma Hedlund 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. America is increasingly dependent on foreign doctors − but their path to immigration is getting harder – https://theconversation.com/america-is-increasingly-dependent-on-foreign-doctors-but-their-path-to-immigration-is-getting-harder-229980

    MIL OSI – Global Reports