AI Without Borders: Transforming Global Health Care

Thanks to Ann M.

NEJM AI PRESENTS
Live Virtual Event AI Without Borders: Transforming Global Health Care
April 9, 2025 / 12:00 – 1:15 PM ET

REGISTER FOR EVENT 

• Where AI fills care gaps and where hurdles like regulation, health literacy, and workforce shortages slow progress.

• Actionable insights on deploying AI in lower-resource settings and what can be learned from these innovative approaches.

• Opportunities to collaborate and help accelerate implementation to positively impact global health. Don’t miss this chance to understand global trends in AI-driven clinical care and how they can shape your strategy. REGISTER NOW  Featured speakers for this event
Prem Batchu-Green, Prem Batchu-Green, PT, DPT, MBA, HEOR-C Viz.ai Puneet Khanna,
Puneet Khanna, MBBS, MD, FAGE All India Institute of Medical Sciences
Isaac Kohane, Moderator Isaac Kohane, MD, PhD Harvard Medical School Ann Mwangi, Ann Mwangi, PhD Moi University
Alex Ng,
Alex Ng, MPH, MBChB, BHB, PGDipHealInf Tencent Healthcare David C. Rhew, David C. Rhew, MD Microsoft   Don’t miss out on AI Without Borders:
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Wall Street Journal blasts “…sometime self-serving sovereign senators turned servile sycophants who are supposed to be making our laws”

The conservative media is beginning to see the fruits of Trump’s promises. Will the “servile sycophants” who are supposed to serve our nation’s citizens listen?

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Trump Is Nero While Washington Burns


‘Trump’s message is that being his ally serves no purpose, because he will not defend you.’ By Claude Malhuret in The Atlantic (thanks to Mary Jane F.)

Claude Malhuret speaking to a microphone
Miguel Medina / AFP / Getty

March 8, 2025, 7 AM

Editor’s Note: On Tuesday, the French senator Claude Malhuret gave a powerful speech about the implications for Europe of the reversal of American policy toward Ukraine. Malhuret is the former mayor of the town of Vichy as well as a doctor and an epidemiologist, and the former head of Doctors Without Borders. He is a member of the center-right Horizons party representing the district of Allier. The speech, whose dark urgency and stark rhetorical force made it a social-media sensation, follows, translated and adapted by The Atlantic.

Updated at 7:00 AM ET on March 8, 2025

Europe is at a crucial juncture of its history. The American shield is slipping away, Ukraine risks being abandoned, and Russia is being strengthened. Washington has become the court of Nero: an incendiary emperor, submissive courtiers, and a buffoon on ketamine tasked with purging the civil service.

This is a tragedy for the free world, but it’s first and foremost a tragedy for the United States. [President Donald] Trump’s message is that being his ally serves no purpose, because he will not defend you, he will impose more tariffs on you than on his enemies, and he will threaten to seize your territories, while supporting the dictators who invade you.

The king of the deal is showing that the art of the deal is lying prostrate. He thinks he will intimidate China by capitulating to Russian President Vladimir Putin, but China’s President Xi Jinping, faced with such wreckage, is undoubtedly accelerating his plans to invade Taiwan.

Never in history has a president of the United States surrendered to the enemy. Never has one supported an aggressor against an ally, issued so many illegal decrees, and sacked so many military leaders in one go. Never has one trampled on the American Constitution, while threatening to disregard judges who stand in his way, weaken countervailing powers, and take control of social media.

This is not a drift to illiberalism; this is the beginning of the seizure of democracy. Let us remember that it only took one month, three weeks, and two days to bring down the Weimar Republic and its constitution.

I have confidence in the solidity of American democracy, and the country is already protesting. But in one month, Trump has done more harm to America than in the four years of his last presidency. We were at war with a dictator; now we are fighting against a dictator supported by a traitor.

Two days later, in the Oval Office, the draft-dodger was giving moral and strategic lessons to the Ukrainian president and war hero, Volodymyr Zelensky, before dismissing him like a stable boy, ordering him to submit or resign.

Eight days ago, at the very moment when Trump was patting French President Emmanuel Macron on the back at the White House, the United States voted at the United Nations with Russia and North Korea against the Europeans demanding the withdrawal of Russian troops.

That night, he took another step into disgrace by halting the delivery of promised weapons. What should we do in the face of such betrayal? The answer is simple: Stand firm.

And above all: make no mistake. The defeat of Ukraine would be the defeat of Europe. The Baltic states, Georgia, and Moldova are already on the list. Putin’s goal is to return to the Yalta Agreement, where half the continent was ceded to Stalin.

The countries of the global South are waiting for the outcome of the conflict to decide whether they should continue to respect Europe, or whether they are now free to trample it.

What Putin wants is the end of the world order the United States and its allies established 80 years ago, in which the first principle was the prohibition of acquiring territory by force.

This idea is at the very foundation of the UN, where today Americans vote in favor of the aggressor and against the aggressed, because the Trumpian vision coincides with Putin’s: a return to spheres of influence, where great powers dictate the fate of small nations.

Greenland, Panama, and Canada are mine. Ukraine, the Baltics, and Eastern Europe are yours. Taiwan and the South China Sea are his.

At the Mar-a-Lago dinner parties of golf-playing oligarchs, this is called “diplomatic realism.”

We are therefore alone. But the narrative that Putin cannot be resisted is false. Contrary to Kremlin propaganda, Russia is doing poorly. In three years, the so-called second army in the world has managed to grab only crumbs from a country with about a quarter its population.

With interest rates at 21 percent, the collapse of foreign currency and gold reserves, and a demographic crisis, Russia is on the brink. The American lifeline to Putin is the biggest strategic mistake ever made during a war.

The shock is violent, but it has one virtue. The Europeans are coming out of denial. They understood in a single day in Munich that the survival of Ukraine and the future of Europe are in their hands, and that they have three imperatives.

Accelerate military aid to Ukraine to compensate for the American abandonment, so that Ukraine can hang on, and of course to secure its and Europe’s place at the negotiating table.

This will be costly. It will require ending the taboo on using Russia’s frozen assets. It will require bypassing Moscow’s accomplices within Europe itself through a coalition that includes only willing countries, and the United Kingdom of course.

Second, demand that any agreement include the return of kidnapped children and prisoners, as well as absolute security guarantees. After Budapest, Georgia, and Minsk, we know what Putin’s agreements are worth. These guarantees require sufficient military force to prevent a new invasion.

Finally, and most urgently because it will take the longest, we must build that neglected European defense, which has relied on the American security umbrella since 1945 and which was shut down after the fall of the Berlin Wall. The task is Herculean, but history books will judge the leaders of today’s democratic Europe by its success or failure.

Friedrich Merz has just declared that Europe needs its own military alliance. This is a recognition that France has been right for decades in advocating for strategic autonomy.

Now it must be built. This will require massive investment to replenish the European Defense Fund beyond the Maastricht debt criteria, harmonize weapons and munitions systems, accelerate European Union membership for Ukraine, which now has the leading army in Europe, rethink the role and conditions of nuclear deterrence based on French and British capabilities, and relaunch missile-shield and satellite programs.

Europe can become a military power again only by becoming an industrial power again. But the real rearmament of Europe is its moral rearmament.

We must convince public opinion in the face of war weariness and fear, and above all in the face of Putin’s collaborators on the far right and far left.

They say they want peace. What neither they nor Trump says is that their peace is capitulation, the peace of defeat, the replacement of a de Gaullian Zelensky by a Ukrainian Pétain under Putin’s thumb. The peace of collaborators who, for three years, have refused to support the Ukrainians in any way.

Is this the end of the Atlantic alliance? The risk is great. But in recent days, Zelensky’s public humiliation and all the crazy decisions taken over the past month have finally stirred Americans into action. Poll numbers are plummeting. Republican elected officials are greeted by hostile crowds in their constituencies. Even Fox News is becoming critical.

The Trumpists are no longer at the height of glory. They control the executive branch, Congress, the Supreme Court, and social media. But in American history, the supporters of freedom have always won. They are starting to raise their heads.

The fate of Ukraine will be decided in the trenches, but it also depends on those who defend democracy in the United States, and here, on our ability to unite Europeans and find the means for our common defense, to make Europe the power it once was and hesitates to become again.

Our parents defeated fascism and communism at the cost of great sacrifice. The task of our generation is to defeat the totalitarianisms of the 21st century. Long live free Ukraine, long live democratic Europe.

Posted in Government | Comments Off on Trump Is Nero While Washington Burns

The Dancing Nana – let’s dance, at 100!

Thanks to Tim B.

@the.dancing.nana

I’m turning 102 years old on March 14, 2025! One Hundred and TWO! Dance like Nana’s watching! #thedancingnana #dancelikenanaswatching #tap

♬ original sound – The Dancing Nana
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Comments from a center-right French politician

Thanks to Bob P.

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Telephone Town Hall

Thanks to Rick B and Mary Jane F.

You’re Invited: March 11th Telephone Town Hall!

people Update from Congresswoman Pramila Jayapal Image  – If you weren’t able to make it to my last town hall, where we had 1,000 people come out to make their voices heard, I hope you’ll be able to join my telephone town hall next week! Being responsive to each and every one of you is the most important part of my job, and I look forward to hearing your questions. If you’re interested in attending, there are multiple ways to join. You can either listen in on my Facebook or website, or you can call 833-305-1687.  WHAT: Telephone Town Hall WHEN: Tuesday, March 11th from 6:00 – 7:00 PM PT If you have any questions, please contact my office. Hope you’re able to join! Talk soon,  Image      Pramila Jayapal
U.S. Representative (WA-07) Image Image Image
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News About Inspiring Women

Thanks to Pam P.

19 Ways to Celebrate International Women’s Day

International Women’s Day is an annual celebration of the contributions of women around the world. We’ve put together the best ideas to help you celebrate on March 8th.

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54 Best Empowering Women’s History Month Quotes

To honor this important month, we’ve compiled a list of inspiring quotes from influential women who have made their mark on the world.

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32 Activities To Celebrate Women’s History Month

Women’s History Month is a month-long celebration that kicks off on March 1st. We’ve put together the best ideas and activities to help you meaningfully celebrate it…

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Tim Walz’s daughter, Hope Walz: On getting through Inauguration Day, building community & going outside

Hope Walz gives an exclusive interview, sharing advice for staying optimistic, clues into her future, and heartfelt stories about her dad.

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Good News This Week: February 15, 2025 – Flowers, Quilts, & Chefs

Your weekly roundup of the best good news worth celebrating…

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Dylan Mulvaney has a new, virtual LGBTQ+ book club: ‘For the girls, gays, and theys like me’

The book club will launch on January 1 in partnership with RuPaul’s Allstora.

Read More

Nonprofit leader sleeps on UK streets for 10 nights to help homeless: ‘We need to do so much more for women’

Lianne Kirkman, the founder of The Esther Project, slept on the streets for 10 nights in 10 different cities.

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Enduring years of endometriosis pain, this engineer developed an app to help others like her

The Endo45 app aims to help women reduce pain, improve mood, navigate treatment, and more.

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Kristine McDivitt Tompkins is rewilding South America’s borders

Leading the national park development efforts at Tompkins Conservation, Kristine McDivitt Tompkins has a new plan to protect wildlife in South America.

Read More

Sheryl Lee Ralph honored as LGBTQ+ Advocate of the Year: ‘She is a long-time activist’

The Broadway-turned-TV star was honored for over 30 years of efforts to fight the AIDS epidemic and uplift marginalized communities.

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Telehealth abortion provider now accepts Medicaid, addressing access gaps for low-income patients in Illinois

Hey Jane, a telemedicine provider that helps people access medication abortion care, will now be covered by Medicaid in Illinois.

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Meet the newest Barbie: Maria Tallchief, America’s first prima ballerina and member of Osage Nation

With the release of the doll, Mattel will also make a donation to the Center for Native American Youth.

Read More

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Heading out

Thanks to Mary Jane F.

      Ralston Gallery   Images from Maine #208    
Still There   Dear Friends,   Since Tuesday I have, to be honest, not been well.   This is neither the time nor place to expand on this, but I do want to reach out to all of you and offer a hug at this particular moment. I started these Sunday morning notes back in March of 2020 as we were all sliding into COVID, fully intending them to be little healing “hugs from Maine.” That obtains this morning, as much as ever.   Titles are very important to me and given recent events I wanted a deeper title for this image…..but I really wanted it to be perfect…..it had to be. Yesterday I printed out The Star-Spangled Banner and read it more carefully than I ever have before. In doing so, the title found me…..   And the rocket’s red glare, the bombs bursting in air, Gave proof through the night that our flag was still there   In closing, I’ve brought my dear friend, the late, great poet, Philip Booth in to join us.  
toward light,   Peter [Ralston]  

HEADING OUT  
Beyond here there’s no map.
How you get there is where
you’ll arrive; how, dawn by
dawn, you can see your way 
clear: in ponds, sky, just as
woods you walk through give
to fields.  And rivers: beyond
all burning, you’ll cross on bridges
you’ve long lugged with you.
Whatever your route, go lightly,
toward light.  Once you give away
all save necessity, all’s
mostly well: what you used to
believe you owned is nothing,
nothing beside how you’ve come 
to feel.  You’ve no need now
to give in or give out: the way
you’re going your body seems
willing.  Slowly as it may
otherwise tell you, whatever
it comes to you’re bound to know.

              Philip Booth
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Time to keep hard copies?

Ed note: We are in unchartered waters with Elon Musk pulling the chain saw trigger as he seeks cuts in the “deep state” in order to allow tax cuts. So far he hasn’t attacked Social Security but he is likely to go after Medicaid and, to try to further privatize Medicare. It’s not a bad idea to make hard copies of government site documents such as your Social Security Statement which includes a history of your earnings. Sigh 🙂

From a concerned resident: Some news commentators are saying “Go NOW [my emphasis] to Social Security website and print out your earnings statement before the website is taken down by Musk and Trump.”

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From Churchill to Trump – a terrifying transition

Commentary by Heather Cox Richardson (thanks to Mary M.)

In the gym of Westminster College in Fulton, Missouri, on March 5, 1946, former and future prime minister of the United Kingdom Winston Churchill rose to deliver a speech. Formally titled “Sinews of Peace,” the talk called for the United States and Britain to stand together against the growing menace of Soviet communism. Less than a year after the end of the war, the U.S. and its allies were concerned about the Soviets’ increasing control over the countries of eastern Europe and their apparent intent to continue spreading communism throughout the world.

“Nobody knows what Soviet Russia and its Communist international organisation intends to do in the immediate future, or what are the limits, if any, to their expansive and proselytising tendencies,” Churchill said. He expressed “strong admiration and regard for the valiant Russian people and for my wartime comrade, Marshal Stalin,” but he urged Europe and the U.S. to work together to stand against “dictators or…compact oligarchies operating through a privileged party and a political police” to control an all-powerful state.

“From Stettin in the Baltic to Trieste in the Adriatic, an iron curtain has descended across the Continent,” Churchill declared, and his warning that Europe had been divided in two by an iron curtain defined the coming era.

President Harry Truman had urged Churchill to come and had conferred with him about the Iron Curtain speech, lending his support to Churchill’s argument. In Fulton, Truman introduced Churchill. The growing distrust between the Soviet bloc and the western allies led to the Soviet blockade in 1948 of the parts of Berlin under western control—a blockade broken by the Berlin airlift in which the U.S. and the U.K. delivered food and fuel to West Berlin by airplane—and the creation in 1949 of the North Atlantic Treaty Organization (NATO), a security agreement to resist Soviet expansion.

The so-called Cold War between the two superpowers dominated much of geopolitics for the next several decades. In the 1980s, President Ronald Reagan warned that the U.S. was engaged in a titanic struggle between “right and wrong and good and evil.” The Soviet Union was the “evil empire,” preaching “the supremacy of the state” and “its omnipotence over individual man.”

When the Cold War ended with the crumbling of the Soviet Union at the end of the 1980s, those Americans who had come to define the world as a fight between the dark forces of communism and the good forces of capitalism believed their ideology of radical individualism had triumphed. In 1989, political scientist Francis Fukayama famously concluded that the victory of liberal democracy over communism meant “the end of history” as all nations gravitated toward the liberal democracy that time had proven was fundamentally a better system of government than any other.

Forty-five years after Churchill warned that the world was splitting in two, it appeared that democracies, led by the United States of America, had won. In that triumphant mood, American leaders set out to spread capitalism into formerly communist countries, believing that democracy would follow since capitalism and democracy went hand in hand.

But history, in fact, was not over. Oligarchs in the former Soviet republics quickly began to consolidate formerly public property into their own hands. They did so through the use of what scholar Andrew Wilson called “virtual politics,” a system that came out of the techniques of state propaganda to become what he called “performance art.” By the early 2000s, the Russian state, under the control of former KGB agent Vladimir Putin, had a monopoly on “political technology,” which spread like wildfire as the internet became increasingly available.

Russian “political technologists” used modern media to pervert democracy. They blackmailed opponents, abused state power to help favored candidates, sponsored “double” candidates with names similar to those of opponents in order to split their voters and thus open the way for their own candidates, created false parties to create opposition, and created false narratives around elections or other events that enabled them to control public debate.

This system enabled leaders to avoid the censorship from which voters would recoil by instead creating a firehose of news until people became overwhelmed by the task of trying to figure out what was real and simply tuned out. Essentially, this system replaced the concept of voters choosing their leaders with the concept of voters rubber-stamping the leaders they had been manipulated into backing.

In 2004, Putin tried to extend his power over neighboring Ukraine by backing candidate Viktor Yanukovych for the presidency there. Yanukovych appeared to have won, but the election was full of irregularities, including the poisoning of a key rival who wanted to break ties with Russia and align Ukraine with Europe. The U.S. government and other international observers did not recognize the election results, and the Ukrainian government voided the election.

To resurrect his political career, Yanukovych turned to an American political consultant, Paul Manafort, who had worked for both Nixon and Reagan and who was already working for Russian billionaire Oleg Deripaska. With Manafort’s help, Yanukovych won the presidency in 2010 and began to turn Ukraine toward Russia. In 2014, after months of popular protests, Ukrainians ousted Yanukovych from power and he fled to Russia.

Shortly after Yanukovych’s ouster, Russia invaded and annexed Crimea, prompting the United States and the European Union to impose economic sanctions on Russia and on specific Russian businesses and oligarchs. Manafort owed Deripaska about $17 million but had no way to repay it until his longtime friend and business partner Roger Stone, who was advising Trump’s floundering presidential campaign, turned to him for help. Manafort did not take a salary from the campaign but immediately let Deripaska know about his new position.

Russian operatives told Manafort that in exchange for a promise to turn U.S. policy toward Russia, they would work to get Trump elected. They wanted Trump to look the other way as Putin took control of eastern Ukraine through a “peace” plan that would end the war in Crimea, weaken NATO, and remove U.S. sanctions from Russian entities.

According to a 2020 report from the Republican-dominated Senate Intelligence Committee, “the Russian government engaged in an aggressive, multifaceted effort to influence, or attempt to influence, the outcome of the 2016 presidential election…by harming Hillary Clinton’s chances of success and supporting Donald Trump at the direction of the Kremlin.”

That effort was “part of a broader, sophisticated, and ongoing information warfare campaign designed to sow discord in American politics and society…a vastly more complex and strategic assault on the United States than was initially understood…the latest installment in an increasingly brazen interference by the Kremlin on the citizens and democratic institutions of the United States.” It was “a sustained campaign of information warfare against the United States aimed at influencing how this nation’s citizens think about themselves, their government, and their fellow Americans.”

In other words, they used “political technology,” manipulating media to undermine democracy by creating a false narrative that enabled them to control public debate.

Last night, President Donald Trump illustrated the power of virtual politics when he talked for an hour and forty minutes to a joint session of Congress. He lied repeatedly, starting with the lie that he had a historic mandate—in fact, more people voted for someone else than voted for him—and moving on to the idea his first month was “the most successful in the history of our nation,” saying that the first president, George Washington, came in second. He went on to portray himself as the best at everything, as well as the greatest victim in the world.

Trump’s speech was valuable not as a picture of the country as it is, but rather as a narrative that offered supporters a shared worldview that reinforced their allegiance to the MAGA movement. As Dan Keating, Nick Mourtoupalas, and Hannah Dormido of the Washington Post pointed out, the speech contained highly polarizing words never before heard in a similar address to Congress: “left-wing,” “weaponized,” “lunatics,” “ideologues,” and “deepfake.” Right-wing media reinforces that virtual reality: Today on the Fox News Channel, Trump advisor Peter Navarro nonsensically claimed that “Canada has been taken over by Mexican cartels.”

Russian leaders created a false narrative to get voters to put them in power, where they could privatize public enterprises and monopolize the country’s wealth. Today, billionaire Elon Musk, who Trump said last night is in charge of the “Department of Government Efficiency” despite what the administration has told courts, told a technology conference that the government should privatize “as much as possible” and suggested that two of the top candidates for privatization are Amtrak and the United States Postal Service. Cuts to the National Oceanic and Atmospheric Administration (NOAA), the parent agency of the National Weather Service, also appear to be a prelude to privatization.

The Trump administration today announced plans to cut 80,000 employees from the Department of Veterans Affairs in what Senator Tammy Duckworth (D-IL) calls a plan to gut the agency and “then push to privatize the Department so they can fund tax cuts for billionaires.”

Jess Piper of The View From Rural Missouri notes that what seems to be a deliberate attempt to crash what was, when Trump took office, a booming U.S. economy, is a feature of the administration’s plan, not a bug. It creates “curated failure” that enables oligarchs to buy up the assets of the state and of desperate individuals for “rock-bottom prices.”

In mid-February, Defense Secretary Pete Hegseth told the defense secretaries of European allies that the U.S. could no longer focus on European security. Days later, on February 14, Vice President J.D. Vance sided with Russia when he attacked European values and warned that Europe’s true threat was “the threat from within.” Two weeks later, on February 28, Trump and Vance ambushed Ukraine’s president Volodymyr Zelensky in the Oval Office in a transparent attempt to create a pretext for abandoning Ukraine and siding with Russia.

Today, United States officials said they were ceasing to share with Ukraine the intelligence that enables Ukraine to target Russian positions.

In a nationally televised speech today, France president Emmanuel Macron warned that Europe must prepare to stand against the Russian threat by itself, without the partnership of the United States. “The Russian threat is here and is affecting European countries, affecting us,” Macron said. “I want to believe that the U.S. will stay by our side, but we have to be ready if they don’t.” Yesterday, politicians in the United Kingdom angrily interpreted Vice President Vance’s dismissal of “some random country that hasn’t fought a war in 30 or 40 years” as a dig at the U.K. after its suggestion that it would be willing to be part of a Ukraine peacekeeping force. They pointed out that the U.K. has stood alongside the U.S. repeatedly since World War II. “We were at war with a dictator,” said French center-right politician Claude Malhuret of Europe’s stand against Putin. “[N]ow we are at war with a dictator backed by a traitor.”

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Instructions from the king

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Good news from WACCRA

Ed note: If you haven’t already, please consider joining fellow residents in this advocacy association which promotes the safety and rights of residents in Washington State CCRCs. Click here for info.

March 4, 2025

Congratulations! With your help Substitute Senate Bill 5691 (SSB 5691) passed the Senate vote unanimously on Monday, March 3rd.

The substitute bill clarified and expanded the role of the Attorney General in protecting CCRC residents under Washington’s Consumer Protection Act. WACCRA has been advocating for this change for several years.

The bill now moves to the House. And Stay Tuned! We will need your help again soon!

Posted in CCRC Info | Comments Off on Good news from WACCRA

What’s happening?

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Connecting the dots

Ed note: RFK Jr. does not accept the germ theory of disease. Like the old protest song says, “When will they ever learn.”

Thanks to Pam P.

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AI Robots May Hold Key to Nursing Japan’s Ageing Population

by Kiyoshi Takenaka in Medscape (thanks to Sandy J.)

TOKYO (Reuters) – Recently in Tokyo an AI-driven robot leaned over a man lying on his back and gently put a hand on his knee and another on a shoulder and rolled him onto his side — a manoeuvre used to change diapers or prevent bedsores in the elderly.

The 150-kg (330 lb) artificial intelligence-driven humanoid robot called AIREC is a prototype future “caregiver” for Japan’s rapidly ageing population and chronic shortage of aged-care workers.

“Given our highly advanced ageing society and declining births, we will be needing robots’ support for medical and elderly care, and in our daily lives,” said Shigeki Sugano, the Waseda University professor leading AIREC’s research with government funding.

Japan is the world’s most advanced ageing society with a falling birth rate, dwindling working-age population and restrictive immigration policies.

Its “baby boomer” generation, a bulging cohort created by a spike in post-war child births from 1947 to 1949, all turned at least 75 by the end of 2024, exacerbating the severe shortage of aged care workers.

The number of babies born in 2024 fell for a ninth straight year, by 5% to a record low 720,988, data from Japan’s health ministry showed on Thursday.

The nursing sector, meanwhile, is struggling to fill jobs.

It had just one applicant for every 4.25 jobs available in December, far worse than the country’s overall jobs-to-applicants ratio of 1.22, according to government data.

As the government looks overseas to help fill the gap, the number of foreign workers in the sector has grown over the years, but stood only at around 57,000 in 2023, or less than 3% of the overall workforce in the field.

“We are barely keeping our heads above water and in 10, 15 years, the situation will be quite bleak,” said Takashi Miyamoto, a director at Zenkoukai, an operator of elderly-care facilities. “Technology is our best chance to avert that.”

Zenkoukai has actively embraced new technologies, but the use of robots has been limited so far.

At one facility in Tokyo, a bug-eyed, doll-sized robot assists a care worker by singing pop songs and leading residents in simple stretching exercises, while human caretakers busily tended to other pressing tasks.

One of the most practical uses of nursing care technologies currently is as sleep sensors placed under residents’ mattresses to monitor their sleeping conditions, cutting back on humans doing the rounds at night.

Although humanoid robots like Tesla’s Optimus are being developed for the nearer future, Sugano said robots that can safely interact physically with humans require next-level precision and intelligence.

“Humanoid robots are being developed the world over. But they rarely come into direct contact with humans. They just do household chores or some tasks on factory floors,” said Sugano, who is also president of the Robotics Society of Japan.

“Once humans enter the picture, issues like safety and how to coordinate a robot’s moves with each individual’s spring up.”

Sugano’s AIREC robot is capable of helping a person sit up or put on socks, cook scrambled eggs, fold laundry and some other useful tasks around the house.

But Sugano does not expect AIREC to be ready for use in nursing-care and medical facilities until around 2030 and at a hefty price of no less than 10 million yen ($67,000) initially.

Takaki Ito, a care worker at a Zenkoukai facility, is cautiously optimistic about the future of robotic nursing.

“If we have AI-equipped robots that can grasp each care receiver’s living conditions and personal traits, there may be a future for them to directly provide nursing care,” he said.

“But I don’t think robots can understand everything about nursing care. Robots and humans working together to improve nursing care is a future I am hoping for.”

($1 = 149.0500 yen)

(Reporting by Kiyoshi Takenaka; Graphics by Pasit Kongkunakornkul; Editing by Chang-Ran Kim and Michael Perry)

Posted in Health, Science and Technology | Comments Off on AI Robots May Hold Key to Nursing Japan’s Ageing Population

Letter: This will truly be a new golden age for America. Out with D.E.I., in with T.E.I.

Letter to the editor in the Salt Lake Tribune – thanks to Bob P.

(Photo courtesy of Solomon R. Guggenheim Foundation/© Solomon R. Guggenheim Foundation) Maurizio Cattelan’s “America”, is a solid gold, fully functioning toilet that was installed in the Solomon R. Guggenheim Museum in 2016. The museum’s curator offered it to the Trumps for use in the White House.

America has spoken and enough of you believe what we need is an irredeemable liar as the leader of our land. My fellow Americans selected concepts of a plan over actual policies. New policies are starting to emerge as the law of the land.

The policy guiding major government positions will no longer be D.E.I, but instead will focus on T.E.I. policies. For those of you unfamiliar, T.E.I. policies focus on three main qualifications.

T stands for telegenic. Among the highest qualifications you can possess is an attractive appearance. This policy that designates appearances is far more fundamental than facts. This can be referred to as Appearance Uber Alles or A.U.A. If you better understand the parlance of 12-year-old boys, think of it as a “no fatties” policy. Bonus points are awarded for actual experience on reality or alternate reality TV, e.g., Fox News, MTV or WWE.

The letter E represents entitled. Qualified candidates must possess an air of superiority and privilege whether it is earned or not (see previous reference to A.U.A.). Candidates can strengthen their resume by showing an aptitude for speaking on behalf of “true” Americans, the Founding Fathers, or God — all while exhibiting personal behavior that appears guided by a moral compass that has the needle painted on or missing altogether.

The letter I stands for incompetence. When you find that the most capable candidates are too adherent to principles or the Constitution, you have to reach past them to the bottom of the barrel to the layer containing the sycophants. For what these contenders lack in competence, talent and understanding, they make up for as servile toadies.

This will truly be a new golden age for America. However as with everything Trumpian, when you look closely it is merely a thin gold plating over a corroded core.

David Vala, Taylorsville

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London subway tells it all

Thanks to Dan S.

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Dr. Francis Collins sings with Renee Fleming

I think we’d all agree that these are Hard Times – thanks for your service to humanity Dr. Collins.

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Legendary former NIH director retires from embattled agency

Dr. Francis Collins, the legendary former director of the National Institutes of Health, has retired, NPR has learned.

Collins, who notified the NIH on Friday of his decision, did not specify the reasons for his departure. But his retirement comes as the world largest funder of biomedical research is in turmoil under the Trump administration, facing cutbacks and layoffs.

“I have loved being employed by this extraordinary, life-giving institution for 32 years.” Collins wrote in a statement dated Saturday.

” I will continue to devote my life in other ways to seeking knowledge and enhancing health, to healing disease and reducing suffering, and to doing what I can to bring together our fractured communities around the shared values of love, truth, goodness, and faith.”

Collins, who joined NIH in 1993 and led the agency from 2009 through 2021 under three presidents of both parties, stepped down as NIH director in 2021 and returned to his lab at the agency.

Music, religion … and science

Collins, a guitar-playing geneticist who discovered genes for a number of diseases and lead the historic Human Genome Project that mapped the human genetic blueprint, is a rare figure in the scientific world. An evangelical Christian, Collins espoused that science and religion could co-exist.

But Collins, and Dr. Anthony Fauci, the long-time head of the National Institute of Allergy and Infectious Diseases, were bitterly criticized by some members of Congress and others during and after the pandemic.

Collins’ retirement was effective Friday. The NIH did not issue a statement.

Dr. Ashish Jha emailed NPR about the news: “Francis Collins is one of the most important scientific leaders of our era,” wrote Jha, the dean of the Brown University School of Public Health who served as President Biden’s COVID-19 response coordinator. “As a scientist and as a leader of NIH, he helped usher in the era of genomic medicine and so many of the cures we are seeing now are due to his vision for what mapping the human genome could accomplish.”

Jha also noted: “There have been criticisms of his leadership during the pandemic and no one managed things perfectly, But he marshalled the scientific forces of the NIH to help us launch a vaccine in record time, ” Jha wrote in an email to NPR. “We all owe Dr. Francis a large debt of gratitude.”

“Francis was a stellar scientist and a passionate advocate for basic and translational biomedical research,” said Dr. George Daley, the Harvard Medical School dean, in an email to NPR. “His visionary leadership and tireless efforts maintained the NIH as a premier government institution, garnering support from both political parties in Washington. His departure is a huge loss to both the federal government and the U.S. biomedical enterprise.” (continued)

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What is the scientific process?

Thanks to Ed M. — See this excerpt from a recent JAMA editorial:https://jamanetwork.com/journals/jama/fullarticle/2830748

The free exchange of ideas is essential to scientific progress, just as it is integral to the founding ideals of the US. The integrity of the scientific process does not depend on blind trust in science or on an assumption that a scientific finding is always right. Rather, this integrity hinges on the confidence that the free exchange of scientific ideas grounded in rigorously conducted scientific inquiry, including the discussion, debate, and disagreement that results in further inquiry, ultimately leads to insights that are likely to be true.

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Remembering Skyline resident Alan Black

Thanks to Mary M. — from The History Link

Supporter Spotlight: Alan F. Black Charitable Fund

We are filled with gratitude for the Alan F. Black Charitable Fund’s wonderfully generous support of the Forest History Project, which, when combined with state funding received from the Department of Archeology and Historic Preservation and other donors, will enable us to tell the stories of Washington’s forestry history in articles illustrated with archival images, maps, video, audio interviews with people who have lived that history, podcast episodes, curriculum materials, and a timeline history book.

Alan Black was a beloved member of the community. As his obituary in The Seattle Times said: 

Full of energy and drive, Alan accomplished many things. He was a leading force in the revitalization and restoration of historic buildings in Pioneer Square during the 1970s. A man who avoided the limelight, Alan moved mountains quietly through his generosity. Because of Alan Black’s legacy, a robust body of tales of logging, labor unions, politics, immigration, Indigenous forest management, wildfires, technological innovations, battles over environmental issues, and more, will be freely available on HistoryLink.org for the public to enjoy

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Francisco Goya, The Sleep of Reason Produces Monsters

Thanks to Diana C. – an image for our time

In this ominous image, we see the dark vision of humanity that characterizes Goya’s work for the rest of his life.

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Shredding Light

Thanks to Bob P.

‘Shredding Light’ is a narrative light painting stop motion short film by DARIUSTWIN. There are hundreds of light painting photographs that make up the project. Each of these long exposure light painting photographs are straight out of the camera and arranged side by side to create motion.

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Life of an author

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How Red Wine Lost Its Health Halo

Ed note: Unfortunately, facts can be unpleasant. Alcohol, even red wine, can be a contributor to A-fib and cancer,the hype from the industry not withstanding. The secret is likely moderation along with “Dr. Diet, Dr. Quiet and Dr. Merryman.”

For a glorious decade or two, the drink was lauded as good for the heart. What happened?

A close-up overhead image of a glass of red wine on a white surface.
Credit…Aileen Son for The New York Times

By Alice Callahan in the NYT

In a 1991 segment of “60 Minutes,” the CBS correspondent Morley Safer asked how it could be that the French enjoyed high-fat foods like pâté, butter and triple crème Brie, yet had lower rates of heart disease than people in the United States.

“The answer to the riddle, the explanation of the paradox, may lie in this inviting glass,” Mr. Safer said, raising a glass of red wine to viewers.

Doctors believed, Mr. Safer said, that wine had “a flushing effect” that prevented blood clot-forming cells from clinging to artery walls. This, according to a French researcher who was featured in the segment, could reduce the risk of a blockage and, therefore, the risk of a heart attack.

At the time, several studies had supported this idea, said Tim Stockwell, an epidemiologist at the Canadian Institute for Substance Use Research. And researchers were finding that the Mediterranean diet, which has traditionally encouraged a glass or two of red wine with meals, was a heart-healthy way of eating, he added.

But it wasn’t until the “60 Minutes” segment that the idea of red wine as a virtuous health drink went “viral,” he said.

Within a year after the show aired, red wine sales in the United States jumped 40 percent.

It would take decades for the glow of wine’s health halo to fade.

The possibility that a glass or two of red wine could benefit the heart was “a lovely idea” that researchers “embraced,” Dr. Stockwell said. It fit in with the larger body of evidence in the 1990s that linked alcohol to good health.

In one 1997 study that tracked 490,000 adults in the United States for nine years, for example, researchers found that those who reported having at least one alcoholic drink per day were 30 to 40 percent less likely to die from cardiovascular disease than those who didn’t drink. They were also about 20 percent less likely to die from any cause.

By the year 2000, hundreds of studies had reached similar conclusions, Dr. Stockwell said. “I thought the science was in,” he said.

But some researchers had been pointing out problems with these kinds of studies since the 1980s, and questioning if the alcohol was responsible for the benefits they saw.

Perhaps moderate drinkers were healthier than non-drinkers, they said, because they were more likely to be educated, wealthy and physically active, and more likely to have health insurance and eat more vegetables. Or maybe, these researchers added, it was because many of the “non-drinkers” in the studies were actually ex-drinkers who had quit because they had developed health issues.

Kaye Middleton Fillmore, a researcher at the University of California, San Francisco, was among those urging more scrutiny of the research. “It is incumbent on the scientific community to assess this evidence carefully,” she wrote in an editorial published in 2000.

In 2001, Dr. Fillmore persuaded Dr. Stockwell and other scientists to help her sift through the previous studies and reanalyze them in ways that could account for some of these biases.

“I’ll work with you on this,” Dr. Stockwell remembered telling Dr. Fillmore, who died in 2013. But “I was really skeptical of the whole thing,” he said.

As it turned out, the team found a surprising result: In their new analysis, the previously observed benefits of moderate drinking had vanished. Their findings, published in 2006, made headlines for contradicting the prevailing wisdom: “Study Puts a Cork in Belief That a Little Wine Helps the Heart,” The Los Angeles Times reported. (continued)

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