Ferida writes: This is strange autumn. Mother Nature seems confused. The temperature is bouncing up and down, sometimes zooming into the 90s. Our tulip tree, which usually loses all of its leaves by the end of August, still is partially green. The backyard normally is awash in leaves by now but the maple trees are only reluctantly shedding their foliage. If Mother Nature is confused, how are we to understand what is happening around us? We were up in the Alps not long ago and the temperature plus humidity soared to over 105 degrees! It’s hard not to take the concept of climate change seriously when the climate is changing all around us.

At the beginning of October, pharmacists at COG member institutions raised concerns about the ability to obtain vincristine. COG quickly contacted Pfizer/Hospira, now the sole supplier of vincristine in the United States, and was told that Pfizer/Hospira was experiencing a shortage of drug due to a manufacturing delay. (The other supplier of vincristine in the US, Teva Pharmaceuticals, made a “business decision” and stopped supplying drug to the US in July of 2019.) Captain Valerie Jensen, RPh, Associate Director of the Drug Shortages Staff at the FDA reported that FDA had been contacted by Pfizer/Hospira, were exploring the drug shortage and had started working on potential solutions.

The unemployment rate, at 3.5 percent, is at a half-century low, and wages are rising broadly in line with productivity growth and underlying inflation. There is no evidence to date that a strong labor market is putting excessive cost-push pressure on price inflation. But despite this favorable baseline outlook, the U.S. economy confronts some evident risks in this the 11th year of economic expansion. Business fixed investment has slowed notably since last year, exports are contracting on a year-over-year basis, and indicators of manufacturing activity are weakening. Global growth estimates continue to be marked down, and global disinflationary pressures cloud the outlook for U.S. inflation.

VA requires that its medical centers review doctors’ qualifications and practice history before deciding whether to hire or retain them. However, we’ve found that some VA medical centers inadvertently overlooked information that would disqualify a doctor from being hired — such as having a revoked license. If medical centers are concerned about or have disciplined a doctor, they are required to report to state licensing boards or a national database as appropriate. But some medical centers didn’t make these reports. This testimony is based on reports with 11 recommendations, including that VA better oversee how its medical centers review doctors.

The poll finds the public narrowly divided on whether the Supreme Court should overturn the entire ACA, with 43% favoring such a decision and 48% opposing it. This reflects partisan views of the law itself, with most Republicans (75%) wanting it overturned, most Democrats (69%) wanting to keep it, and independents falling in between (51% want to keep it, 40% want it overturned). At the same time, most (63%) do not want to see the Supreme Court overturn the law’s protections for people with pre-existing condition protections. This includes most Democrats (71%) and independents (73%). Among Republicans, 47% say they want the court to overturn those protections and 42% say they do not.

John Singer Sargent (1856–1925) was one of the greatest portrait artists of his time. While he is best known for his powerful paintings, he largely ceased painting portraits in 1907 and turned instead to charcoal drawings to satisfy portrait commissions. Many sitters recounted the speed and confidence with which Sargent worked; he finished most of these charcoals in less than three hours. The artist would often invite friends to drawing sessions to keep the sitters entertained and also to help enliven their features. The finished charcoal portraits are valuable testaments to Sargent’s prodigious skill as an artist and draftsman.

To address this public health threat, biomedical research programs need to be refocused on developing innovative diagnostics, therapeutics, and vaccines for STIs. Healthcare providers need access to faster, low-cost diagnostics to identify both active and asymptomatic STIs. The STI vaccine pipeline also needs to produce effective new candidate vaccines for syphilis, gonorrhea, and chlamydia. As for STI therapeutics, the authors note that research efforts must focus on drug-drug interactions, toxicities and side effects, while keeping ahead of spreading antimicrobial resistance.

Jo Freeman writes: Several hundred people protested in front of the Supreme Court on October 8 as it heard oral argument inside on the issue of exactly what is sex discrimination in employment. At the end of the rally 132 people were arrested for blocking the street in planned civil disobedience. "Sex" is one of the protected categories in Title VII of the 1964 Civil Rights Act, which prohibits discrimination in employment. At that time, same-sex relations were a crime in every state except Illinois. Transgender wasn’t even a word. Much has happened in 55 years.

Sonya Zalubowski writes: The first thing that hits you after landing in New Mexico is the vastness of the blue sky, a panorama that surrounds you amid the state’s rough high desert and mountainous landscape. Perhaps that sky with all its limitlessness, including the unrealized possibility of finding more of the gold they found in Mexico, is what first attracted the Spanish to settle this area. Their influence dating all the way to the 16th century plus the large indigenous native American presence color the area’s flavor to this day.

Jo Freeman writes: Reclaiming the court is not a task for one demonstration, or even a lot of them. There is a process by which federal judges are chosen, based more on convention than law. The right-wing learned long ago how to game the system. It looks for those with conservative views it can groom for appointment to the federal bench and raises them through the system. The Federalist Society in particular identifies and lobbies for conservative judges and justices. Kavanaugh is just one of five current Justices who rose with its support. Until the Left understands the long game, it will do more ranting than winning.

State and federal lawmakers and 2020 presidential candidates have put forward a range of plans aimed at reducing college costs to curb student debt and encourage more Americans to pursue degrees. Most programs and proposals focus on eliminating tuition at community colleges and state universities. But some also aim to cover educational costs such as mandatory student fees, which schools charge to help pay for student events, health services and other campus offerings. These initiatives often are referred to as "free college" — even when they only cover tuition — and as "tuition-free" programs. A number of cities, counties and states have introduced “college promise” programs, which also pay students’ tuition and, sometimes, other expenses at two- and four-year institutions.

In the 1980s and 1990s, when I read women’s history on my own, I realized that there were important and prominent women in every decade, but they disappeared when the history books were written. Women were like sand castles; men were like rocks. The waters of time washed over both and wiped out the women. The Clintons — mother and daughter — are helping to remedy that. By telling the stories of 103 Gutsy women, they want to raise the sand from the beaches and fuse the particles into solid quartz.

After the outbreak of World War II in 1939, National Geographic provided President Roosevelt and British Prime Minister Winston Churchill with special wall-mounted map cabinets hidden by enlarged photographs. Inside the cabinets were maps on rollers organized by hemisphere, region, and theater of operation. Cartographers from National Geographic routinely updated these maps, bringing the new maps to the White House and personally installing them in the President’s cabinet, which hung in his private Oval Study. By simply turning in his chair and opening the cabinet, FDR could quickly check battle locations around the world.

South Portland’s two assistant principals regularly patrol student bathrooms to check for vaping. Bennett has a bag full of confiscated Juuls as well as other brands of e-cigarettes and the pods or “juice” to refill them. An Alabama high school reportedly took the doors off student bathroom stalls to prevent kids from hiding while vaping. And a New Jersey school has installed electronic vaping detectors in student bathrooms that set off an alarm in administrative offices when vaping is detected, according to news reports. Meanwhile, a bill that would ban sweet-tasting nicotine products is gaining momentum in Massachusetts, and lawmakers in Arkansas, New Jersey and Utah are discussing similar restrictions.

Media attention to climate change has been increasing over the past several years, but not all articles on the subject are entirely accurate, and it can sometimes be difficult for non-expert readers to separate the wheat from the misleading chaff. To help with this quandary, Climate Feedback reviews high-profile climate change articles from a wide variety of publications, then annotates and verifies or rebuts their claims; STEM teachers looking for a hands-on unit to pique their students' interest in engineering may want to check out this activity available through TeachEngineering; Instructors of US history, civics, or social studies may be interested in this set of three lesson plans from EDSITEment, the National Endowment for the Humanities' online collection of free teaching resources ... and more.

Rose Madeline Mula writes: I wore frilly, voluminous petticoats that propped up impossibly full dresses. Yes, these may have been ridiculous — but I think far preferable to today’s skirts and dresses that are stretched so tightly across tummies and tushies that they produce a series of unsightly horizontal wrinkles that have somehow become an accepted fashion statement instead of an abomination to be banished by a steam iron. And it’s amazing how women manage to sit while their torsos are bound in those impossibly tight, short frocks. (“Frocks.” Now that’s a word that really dates me.)

Governmentwide coordination, planning, and research in climate change response needs to be improved, as does access to information and technical assistance for decision makers. These areas are part of GAO’s High Risk List designation for climate change. Policymakers have raised questions about climate engineering, or geoengineering — large-scale deliberate interventions in the earth’s climate system to diminish climate change or its impacts — and its role in a broader strategy of mitigating and adapting to climate change.   Key Issues > Climate Change Response Climate Change Response The federal government’s potential respons…

“Congress needs the full and unredacted whistleblower complaint. We need to speak with the whistleblower. We need records of the communications. We need to speak with those knowledgeable about efforts by the President, the Attorney General, and the President’s personal attorney to secure political help from Ukraine, the decision to freeze security assistance, and the attempt to cover it up. We also need the records that our Committees requested from the State Department and the White House — by tomorrow’s deadline — or we will subpoena them. These requirements are especially urgent now that the Department of Justice apparently has chosen to stand down, whitewash this investigation, and block Congress from obtaining this information.  

"My own favorite activity to mark summer's end is one that I discovered during my years as a classroom teacher: finding the caterpillars of Monarch butterflies, bringing them indoors to observe their metamorphoses, and seeing them off on their annual trip south to Mexico for the winter. Anyone who can identify milkweed growing nearby will be able to find Monarch caterpillars in late August or early September. All you need is a jar of water, a pair of scissors, and a bit of patience. This is a great activity to share with your favorite child, but it's also a rewarding experience if the only person involved in it is yourself."

This Week: On Tuesday, the House Financial Services Subcommittee on Diversity and Inclusion will hold a hearing, “Examining the Racial and Gender Wealth Gap in America;” On Wednesday a hearing, “Breaking the Silence: Addressing Military Sexual Trauma in the Military and Veteran Communities;” A bill to prohibit the approval of new abortion drugs, to prohibit investigational use exemptions for abortion drugs, and to impose additional regulatory requirements with respect to previously approved abortion drugs.

Financial Advisor Lex Zaharoff writes: "Given the reality that there will be a recession in our future, there is a natural tendency to want to adjust our investment strategy in advance of a market drop. Ideally we would like to sell stocks and buy longer maturity bonds of higher quality borrowers just before a recession starts. And before others recognize the recovery, we’d like to reverse those trades – buying back into stock markets and reducing our interest rate sensitivity in our bonds. Unfortunately, it is impossible to know the timing of market fluctuations with greater certainty than the rest of the market."

When travel plans go awry, airline passengers may take out their frustrations on customer service agents. We surveyed 104 customer service agents. About half said passengers had verbally threatened them and 10% said passengers had physically assaulted them in the past year. One prosecutor told GAO the transitory nature of airports makes it difficult to get witnesses to testify at trial; when prosecuted, passengers generally face misdemeanor charges. While stakeholders GAO interviewed generally did not identify gaps in resources, some said incidents could be further mitigated if, for example, airports made law enforcement’s presence more visible or airlines provided conflict de-escalation training to customer service agents.

Notable Republicans also are supporting the shift to a state-based model. The previous governor in Nevada, Republican Brian Sandoval, initiated the effort in his state. And the Republican House majority leader in Pennsylvania, Bryan Cutler, has been a strong supporter of the move there. The final Pennsylvania bill passed both chambers this year without a negative vote. Cutler said creating a state marketplace is consistent with traditional GOP values. HHS has not signaled any opposition to state-based exchanges, and Cutler pointed out that President Donald Trump, in an executive order issued the day he took office, trumpeted his administration’s intent to “afford the States more flexibility and control to create a more free and open healthcare market.” That executive order, however, pertained to his goal of repealing the ACA, which has so far eluded him.