WASHINGTON — The House passed a $895 billion measure Wednesday that authorizes a 1% increase in defense spending this fiscal year and would give a double-digit pay raise to about half of the enlisted service members in the military. The bill is traditionally strongly bipartisan, but some Democratic lawmakers opposed the inclusion of a ban on transgender medical treatments for children of military members if such treatment could result in sterilization. The bill passed by a vote of 281-140 and next moves to the Senate, where lawmakers sought a bigger boost in defense spending than the current measure allows. The Pentagon and the surrounding area is seen Jan. 26, 2020, from the air in Washington. Lawmakers are touting the bill's 14.5% pay raise for junior enlisted service members and a 4.5% increase for others as key to improving the quality of life for those serving in the U.S. military. Those serving as junior enlisted personnel are in pay grades that generally track with their first enlistment term. People are also reading... Nebraska transportation director: Expressway system won't be done until 2042 At the courthouse, Dec. 7, 2024 Camper total loss after fire north of Beatrice Spreading kindness one butterfly at a time 27-year-old Beatrice man sentenced for May assault Stabler scores 22 in Lady O's season opening win BPS receives a "good" classification Holiday lights travel through downtown Beatrice for annual parade Orangemen open season with win over Nebraska City P.E.O. sponsors Holiday Tour of Homes Missouri man sentenced for attempted sexual assault At the courthouse, Nov. 30, 2024 Community Players open holiday play Amie Just: This recruiting class marks the beginning of a new era — one without walk-ons Lonnie Meyer Lawmakers said service member pay failed to remain competitive with the private sector, forcing many military families to rely on food banks and government assistance programs to put food on the table. The bill also provides significant new resources for child care and housing. "No service member should have to live in squalid conditions and no military family should have to rely on food stamps to feed their children, but that's exactly what many of our service members are experiencing, especially the junior enlisted," said Rep. Mike Rogers, R-Ala., chairman of the House Armed Services Committee. "This bill goes a long way to fixing that." The bill sets key Pentagon policy that lawmakers will attempt to fund through a follow-up appropriations bill. The overall spending tracks the numbers established in a 2023 agreement that then-Speaker Kevin McCarthy, R-Calif., reached with President Joe Biden to increase the nation's borrowing authority and avoid a federal default in exchange for spending restraints. Many senators wanted to increase defense spending about $25 billion above what was called for in that agreement, but those efforts failed. Sen. Roger Wicker, R-Miss., who is expected to serve as the next chairman of the Senate Armed Services Committee, said the overall spending level was a "tremendous loss for our national defense," though he agreed with many provisions in the bill. "We need to make a generational investment to deter the Axis of Aggressors. I will not cease work with my congressional colleagues, the Trump administration, and others until we achieve it," Wicker said. Sen. Roger Wicker, R-Miss., speaks with reporters Nov. 21 on Capitol Hill in Washington. House Republicans don't want to go above the McCarthy-Biden agreement for defense spending and are looking to go way below it for many nondefense programs. They are also focused on cultural issues. The bill prohibits funding for teaching critical race theory in the military and prohibits TRICARE health plans from covering gender dysphoria treatment for children under 18 if that treatment could result in sterilization. Rep. Adam Smith of Washington state, the ranking Democratic member of the House Armed Services Committee, said minors dealing with gender dysphoria is a "very real problem." He said the treatments available, including puberty blockers and hormone therapy, proved effective at helping young people dealing with suicidal thoughts, anxiety and depression. "These treatments changed their lives and in many cases saved their lives," Smith said. "And in this bill, we decided we're going to bar service members' children from having access to that." Smith said the number of minors in service member families receiving transgender medical care extends into the thousands. He could have supported a study asking medical experts to determine whether such treatments are too often used, but a ban on health insurance coverage went too far. He said Speaker Mike Johnson's office insisted on the ban and said the provision "taints an otherwise excellent piece of legislation." Rep. Chip Roy, R-Texas, called the ban a step in the right direction, saying, "I think these questions need to be pulled out of the debate of defense, so we can get back to the business of defending the United States of America without having to deal with social engineering debates." Smith said he agrees with Roy that lawmakers should be focused on the military and not on cultural conflicts, "and yet, here it is in this bill." House Minority Leader Hakeem Jeffries, D-N.Y., responds to reporters Dec. 6 during his weekly news conference at the Capitol in Washington. Rep. Hakeem Jeffries, the House Democratic leader, said his team did not tell Democrats how to vote on the bill. "There's a lot of positive things in the National Defense Authorization Act that were negotiated in a bipartisan way, and there are some troubling provisions in a few areas as well," Jeffries said. The defense policy bill also looks to strengthen deterrence against China. It calls for investing $15.6 billion to build military capabilities in the Indo-Pacific region. The Biden administration requested about $10 billion. On Israel, the bill, among other things, includes an expansion of U.S. joint military exercises with Israel and a prohibition on the Pentagon citing casualty data from Hamas. The defense policy bill is one of the final measures that lawmakers view as a must-pass before making way for a new Congress in January. U.S. Troops Face Mounting Threats from Predatory Debt Collectors U.S. Troops Face Mounting Threats from Predatory Debt Collectors Rising threats from debt collectors against members of the U.S. armed forces are undermining national security, according to data from the Consumer Financial Protection Bureau (CFPB), a federal watchdog that protects consumer rights. To manage the impact of financial stress on individual performance, the Defense Department dedicates precious resources to improving financial literacy, so service members know the dangers of notorious no-credit-check loans. “The financial well-being of service members and their families is one of the Department’s top priorities,” said Andrew Cohen, the director of financial readiness in the Office of the Deputy Assistant Secretary of Defense at the Pentagon. But debt collectors are gaining ground. Last quarter, debt collection complaints by U.S. military service members increased 24% , and attempts to collect on “debts not owed” surged 40%. Complaints by service members against debt collectors for deceptive practices ballooned from 1,360 in the fourth quarter of 2023 to 1,833 in the first quarter of 2024. “There’s a connection between the financial readiness and the readiness of a service member to perform their duty,” said Jim Rice, Assistant Director, Office of Servicemember Affairs at the Consumer Financial Protection Bureau. Laws exist to protect the mission readiness of U.S. troops from being compromised by threats and intimidation, but debt collectors appear to be violating them at an alarming pace. “If they’re threatening to call your commander or get your security clearance revoked, that’s illegal,” says Deborah Olvera, financial readiness manager at Wounded Warriors Project, and a military spouse who’s been harassed herself by a collection agency that tried to extort money from her for a debt she didn’t owe. But after she requested the name of the original creditor, she never heard from them again. “The financial well-being of service members and their families is one of the Department’s top priorities.” —Andrew Cohen, Director of Financial Readiness at the Pentagon Under the Fair Debt Collection Practices Act, it’s illegal for debt collectors to threaten to contact your boss or have you arrested because it violates your financial privacy. The FDCPA also prohibits debt collectors from making false, deceptive, or misleading representations in connection with the collection of a debt, even for borrowers with bad credit scores. But according to the data, debt collectors are increasingly ignoring those rules. “Debt collection continues to be one of the top consumer complaint categories,” said a spokesperson at the Federal Trade Commission. The commission released a report earlier this year revealing that consumers were scammed $10 billion in 2023, a new benchmark for fraud losses. In his book Debt: The First 5,000 Years, David Graeber argues that debt often creates a relationship that can feel more oppressive than systems of hierarchy, like slavery or caste systems because it starts by presuming equality between the debtor and the creditor. When the debtor falls into arrears, that equality is then destroyed. This sense of betrayal and the subsequent imbalance of power leads to widespread resentment toward lenders. Most Menacing Loan Messengers Photo Credit: Olena Yakobchuk / Shutterstock The debt collector reportedly harassing military service members most was Resurgent Capital Services, a subsidiary of collection giant Sherman Financial Group. The company tacks on accrued interest and junk fees and tries to collect on debts purchased for pennies on the dollar from cable companies, hospitals, and credit card companies, among others. Sherman Financial Group is run by billionaire Benjamin Navarro, who has a reported net worth of $1.5 billion, according to Forbes. Sherman Financial also owns subprime lender Credit One Bank and LVNV Funding, which outsource collections to Resurgent Capital. According to CFPB data, the second worst offender is CL Holdings, the parent company of debt-buyer Jefferson Capital Systems. The company has also been named in numerous complaints to the Better Business Bureau for alleged violations of the FDCPA, such as failing to properly validate debts or update credit reports with accurate information. Under the leadership of CEO David Burton, Jefferson Capital Systems is a wholly-owned subsidiary of CompuCredit Corporation, which markets subprime credit cards under the names Aspire, Majestic, and others. The third most referenced debt collector is publicly traded Portfolio Recovery Associates [NASDAQ: PRAA], which was forced to pay $27 million in penalties for making false representations about debts, initiating lawsuits without proper documentation, and other violations. Portfolio Recovery Associates is run by CEO Vikram Atal. Fourth place for alleged worst offender goes to Encore Capital Group [NASDAQ ECPG], which was required to pay $42 million in consumer refunds and a $10 million penalty for violating the Fair Debt Collection Practices Act. Encore collects under its subsidiary Midland Credit Management Group. These debt collectors all operate under a veritable shell game of company and brand names, almost none of which are disclosed on their websites, sending consumers on a wild goose chase to try and figure out how they’re related to each other. But despite their attempts to hide their tracks behind a smoke screen of subsidiaries, a leopard can’t change its spots, and the CFPB complaint database makes it harder for them to try. Loan Harassment Hotspots Photo Credit: Bumble Dee / Shutterstock Although widely considered a consumer-friendly state, complaints spiked most in California, which saw a 188% increase in complaints filed from the fourth quarter of 2023 to the first quarter of 2024. California is home to 157,367 military personnel, making it the most populous state for active-duty service members. The second-largest increase in debt collection complaints was in Texas, which saw a 66% jump from the fourth quarter of 2023 to the first quarter of 2024. The U.S. Department of Defense reports 111,005 service members stationed in the Lone Star State, which is the third-most populous state for active-duty military. The rising trends do not correlate to the number of military personnel by state. Complaints against debt collectors in Virginia, the second most populous state with 126,145 active duty personnel, decreased by 29% in the same quarter-over-quarter period. And complaints filed quarter-over-quarter in North Carolina, the fifth most populous state with 91,077 military personnel, decreased by 3% in the same period. The third largest percentage increase in debt collection complaints was from service members stationed in Maryland, where alleged harassment reports jumped 112% from the fourth quarter of 2023 to the first quarter of 2024. Maryland ranks number 12 with just 28,059 active duty service members. Fourth place goes to Ohio – the 28th most populous active-duty state – where complaints doubled, followed by Arizona – the 15th most populous military state – where complaints were up 70% in the same quarter-over-quarter period. Billionaire Bets on Bad Credit Photo Credit: PeopleImages.com - Yuri A / Shutterstock In 2007, Congress passed the Military Lending Act to cap the cost of credit to a 36% annual percentage rate, inclusive of junk fees and late charges, for active duty military service members. That rate is still considerably higher than average credit card rates, which range from 8% for borrowers with excellent credit scores to as high as 36% for borrowers with bad credit. But lenders still get hauled into court for violating the MLA. Don Hankey, the billionaire subprime auto lender who funded Donald Trump’s $175 million appeal bond , is among those violators. His company, Westlake Financial, which markets high-interest car loans for bad credit, has been sued twice by the Department of Justice for harassing military service members. In 2017, the DoJ alleged Hankey’s Westlake Financial illegally repossessed at least 70 vehicles owned by military service members. Westlake Financial paid $700,000 to settle the charges. In 2022, Westlake Financial paid $250,000 for allegedly cheating U.S. troops out of interest rates they were legally entitled to. Westlake Financial continues to receive complaints from military service members alleging abusive debt collection practices on its no-credit-check loans. A steady year-over-year increase in the number of complaints filed against Westlake Financial continued from 2020 to 2023. Consumer Financial Protection Bureau data shows a 13% increase in the number of complaints against the company from 2020 to 2021, a 28% increase from 2021 to 2022, and a torrential 119% surge from 2022 to 2023. The numbers suggest systemic complaint-handling processes and inadequate customer service resources. Lenders Try to Shutter CFPB Photo Credit: Cynthia Shirk / Shutterstock On May 16, 2024, a deceptively named predatory lending industry front group dubbed the Community Financial Services Association of America (CFSA) lost a legal attempt to defund the Consumer Financial Protection Bureau. In an effort to deprive Americans of essential consumer protections, the lobby group argued that the Consumer Financial Protection Bureau’s funding structure was unconstitutional. But the Supreme Court denied its claim. In a 7-2 ruling, the Court held that the Consumer Financial Protection Bureau’s funding structure is indeed constitutional. That means the Consumer Financial Protection Bureau cannot be defunded, but it does not mean the agency cannot be defanged. The New York Times suggested that Hankey’s incentive to finance Trump’s $175 million bond could have been a reciprocity pledge to neuter the Consumer Financial Protection Bureau if Trump wins the upcoming U.S. presidential election. If Trump wins a second term, he could replace Consumer Financial Protection Bureau director Rohit Chopra, an American consumer advocate, with a predatory lending advocate. In 2020, the Trump Administration secured a Supreme Court ruling that made it easier for the president to fire the head of the Consumer Financial Protection Bureau. The ruling struck down previous restrictions on when a president can fire the bureau’s director. Like other federal agencies, the Consumer Financial Protection Bureau has also been confronted for overstepping its bounds, pushing too far, and acting unfairly against entities it regulates. Holidays, Interest Rates Not to Blame Photo Credit: Lux Blue / Shutterstock Seasonality and rising interest rates do not explain the increase in debt collection complaints from service members. The surge in complaints is not tied to predictable seasonal fluctuations or changes in interest rates. The increase in debt collection complaints by service members may point to underlying systemic issues, such as aggressive and predatory debt collection practices that exploit the unique financial vulnerabilities of service members, who face frequent relocations and deployments. Debt Complaints by Service Members From Q1 2021 to Q4 2022 Up 4% From Q4 2022 to Q1 2023 Up 6% From Q4 2023 to Q1 2024 Up 24% The 24% spike in debt collection complaints exhibits no correlation to fluctuations in interest rates. 30-Year Fixed Mortgage Rates From 3.08% in Q4 2021 to 3.82% in Q1 2022 From 6.66% in Q4 2022 to 6.37% in Q1 2023 From 7.30% in Q1 2023 to 6.75% in Q4 2024 Pandemic stimulus checks were also not a factor. COVID-19 relief benefit checks went through three major rounds during the pandemic. The final round of Economic Impact Payments went out in March 2021 . To better understand the rising trend of debt collection complaints, we calculated the increase in the total number of complaints and the percentage increase quarter-over-quarter. For example, New Jersey has the second largest percentage increase in complaints quarter-over-quarter, but the total number of complaints increased by just 16. Methodology The data for this study was sourced from the Consumer Financial Protection Bureau (CFPB) complaint database. The dataset specifically targeted complaints filed by U.S. military service members, identified using the tag “Servicemember” within Q4 2023 and Q1 2024. Readers can find the detailed research methodology underlying this news story in the accompanying section here . For complete results, see U.S. Troops Face Mounting Threats from Predatory Debt Collectors on BadCredit.org . Veteran homelessness is on the rise despite government efforts—here's how it happens Veteran homelessness is on the rise despite government efforts—here's how it happens Homelessness reached record levels in 2023, as rents and home prices continued to rise in most of the U.S. One group was particularly impacted: people who have served in the U.S. military. "This time last year, we knew the nation was facing a deadly public health crisis," Jeff Olivet, executive director of the U.S. Interagency Council on Homelessness, said in a statement about the 2023 numbers. He said the latest homelessness estimates from the Department of Housing and Urban Development "confirms the depth of the crisis." At least 35,000 veterans were experiencing homelessness in 2023, according to HUD. While that's about half of what it was in 2009—when the organization began collecting data—things have plateaued in recent years despite active efforts to get that number to zero. Although they make up just 6.6% of the total homeless population, veterans are more likely to be at risk of homelessness than Americans overall. Of every 10,000 Americans, 20 were experiencing homelessness. Of veterans living in the United States, that number jumps to 22, HUD data shows. Complicated by bureaucracy, family dynamics, and prejudice, the path from serving in the military to homelessness is a long one. According to a 2022 study by Yale School of Medicine researchers, homelessness typically occurs within four years of leaving the military, as veterans must contend with the harsh reality of finding a job in a world where employers struggle to see how skills on the battlefield transfer to a corporate environment. These days, veterans also deal with historically high rent and home prices, which causes many to rely on family generosity while figuring out a game plan. Stacker examined academic studies, analyzed government data, and spoke with members of the Biden administration, experts, and former members of the armed forces to see the struggles members of the military face when leaving the armed forces. Veterans struggle to find a path forward The Department of Veterans Affairs offers transition assistance to the roughly 250,000 service members who leave each year. However, those programs can be burdensome and complex to navigate, especially for those who don't have a plan for post-military life. Only a small portion of veterans have jobs lined up when they leave, according to 2019 Pew Research. Many also choose to live with relatives until they get on their feet, which can be longer than anticipated. Some former service members are unsure what kind of career they'd like to pursue and may have to get further education or training, Carl Castro, director of the Military and Veteran Programs at the Suzanne Dworak-Peck School of Social Work at the University of Southern California, told Stacker. "It takes years for that kind of transition," Castro said. Many have trouble finding a job after leaving the service, even if they are qualified. Some employers carry misconceptions about those who have served. A 2020 analysis from the journal Human Resource Management Review found that some veterans face hiring discrimination due to negative stereotypes that lead hiring managers to write them off as a poor culture fit. Underemployment, or working low-wage jobs below their skill level, is also an issue. While the unemployment rate for veterans was 3% in March 2024, a study released by Penn State at the end of 2023 found three years after leaving the service, 61% of veterans said they were underemployed because of perceived skill mismatches . This phenomenon can have long-term economic effects, and eventually, that frustration can boil over, strain relationships, and potentially lead to housing instability. Working, especially a low-wage job, is not protection against homelessness. A 2021 study from the University of Chicago found half of people living in homeless shelters and 2 in 5 unsheltered people were employed, full or part-time. Some veterans struggle to find homes in their budget High rents make it difficult to save up, even when applying for a VA loan—a mortgage backed by the Department of Veterans Affairs that typically has more favorable terms. While the VA does not require a downpayment, some lenders, who ultimately provide the loan, do. They're not entirely risk-free either, and veterans can still lose their homes if they are unable to keep up with their mortgages. In November 2023, the VA put a six-month pause on foreclosures when an NPR investigation found thousands of veterans were in danger of losing their homes after a COVID forbearance program ended. Biden officials pointed to high rents and the end of COVID-era housing restrictions like eviction moratoriums to explain the spike in Americans experiencing homelessness. In the last year, homelessness rose 12%—to more than 650,000 people—the highest level since data began being collected in 2007. Overall, more than half of people experiencing homelessness in 2023 live in states with high living costs. Most were in California, followed by New York and Florida. Western states, including Montana and Utah, experienced massive population growth during the pandemic, becoming hubs for remote workers who drove home prices and rents even further. Vets with mental health issues most at risk for homelessness For veterans, housing costs certainly play a role, but those who leave the military also face systemic barriers. "It's worrying there are people that continue to fall through the cracks," said Jeanette Yih Harvie, a research associate at Syracuse University's D'Aniello Institute for Veterans and Military Families. Just under a quarter of adults experiencing homelessness have a severe mental illness , according to 2022 HUD survey data. They are also likely to have chronic illnesses but are unable to maintain preventative care, which only exacerbates these problems. Veterans facing homelessness are more likely to have experienced trauma , either before or after joining the military, according to Yale researchers who analyzed the 2019-2020 National Health and Resilience in Veterans Study. Childhood trauma was among the most significant commonalities among vets who become homeless. Substance use disorder is also widespread and can indicate an undiagnosed mental illness . Racial and ethnic disparities are at play, too. A 2023 study in the Journal of Psychiatric Research showed that Hispanic and Black veterans were more likely to screen positive for PTSD, and Hispanic veterans were more likely to report having suicidal ideation. Overall, access to mental health care has improved in the last decade or so. In December 2023, the VA announced it would open nine additional counseling centers. However, the stigma of getting help remains, especially after years of being conditioned to be self-reliant and pull oneself up by their bootstraps. That help, in the form of public policy, is slowly working to catch up to the need. In 2023, the Biden administration invested millions into research programs and studies on suicide prevention by the VA office in addition to a proposed $16 billion to improve quality and lower-cost mental health care services for veterans. And, in February of this year, HUD and the VA announced they would give up to $14 million in vouchers to public housing agencies for veterans experiencing homelessness. The program would also offer case management and other services. Still, with a culture that pushes people to keep going, it can be challenging for servicemembers to take advantage of these opportunities, Harvie said. "When you've been doing that for the last 15 or 20 years, it's difficult to stop and say, 'I'm the person that needs help.'" Story editing by Kelly Glass. Copy editing by Kristen Wegrzyn. Stay up-to-date on the latest in local and national government and political topics with our newsletter.A recent study that recommended toxic chemicals in black plastic products be immediately thrown away included a math error that significantly overstated the risks of contamination, but its authors are standing by their conclusions and warn against using such products. Published in the peer-reviewed journal Chemosphere , experts from the nonprofit Toxic-Free Future said they detected flame retardants and other toxic chemicals in 85% of 203 items made of black plastic including kitchen utensils , take-out containers, children's toys and hair accessories. In a blog post, Joe Schwarcz, director of McGill University's Office for Science and Society in Canada, explained that the Toxin-Free Future scientists miscalculated the lower end of what the EPA considered a health risk through a multiplication error. Instead of humans being potentially exposed to a dose of toxic chemicals in black plastic utensils near the minimum level that the EPA deems a health risk, it's actually about one-tenth of that. (Dreamstime/TNS) The study initially said the potential exposure to chemicals found in one of the kitchen utensils approached the minimum levels the Environmental Protection Agency deemed a health risk. But in an update to the study, the authors say they made an error in their calculations and the real levels were "an order of magnitude lower" than the EPA's thresholds. The error was discovered by Joe Schwarcz, director of McGill University's Office for Science and Society in Canada. In a blog post, Schwarcz explained that the Toxin-Free Future scientists miscalculated the lower end of what the EPA considered a health risk through a multiplication error. Instead of humans being potentially exposed to a dose of toxic chemicals in black plastic utensils near the minimum level that the EPA deems a health risk, it's actually about one-tenth of that. Though Schwarcz said the risks outlined in the study aren't enough for him to discard his black plastic kitchen items if he had them, he agreed with the authors that flame retardants shouldn't be in these products in the first place. "The math error does not impact the study's findings, conclusions or recommendations," said Megan Liu, a co-author of the study who is the science and policy manager for Toxic-Free Future . She added that any traces of flame retardants or toxic chemicals in cooking utensils should be concerning for the public. Flame retardants are getting into commonly used items because black-colored products are being made from recycled electronic waste, such as discarded television sets and computers, that frequently contain the additives. When they're heated, the flame retardants and other toxic chemicals can migrate out. If you're wondering whether your old black plastic spoon or other utensils are a part of this group, Liu shared some more guidance. It's nearly impossible to know whether a black plastic product is contaminated. That's because these products that include recycled e-waste don't disclose a detailed list of all ingredients and contaminants in the product. Liu said it's also unclear how many types of flame retardants are in these black plastic products. Some of the products that researchers tested in this recent study "had up to nine different harmful chemicals and harmful flame retardants in them," she said. Anytime you're looking for the type of recycled plastic a product is made of you're going to look for a number within the chasing arrows (that form a triangle) logo. Recycling symbols are numbered 1 to 7 and we commonly associate the numbers with what we can toss in our blue recycling bins. The 1 through 7 numbers stand for, respectively, polyethylene terephthalate, high-density polyethylene, polyvinyl chloride (PVC), low-density polyethylene, polypropylene, polystyrene or Styrofoam, and miscellaneous plastics (including polycarbonate, polylactide, acrylic, acrylonitrile butadiene, styrene, fiberglass and nylon). The study found higher levels of toxic flame retardants in polystyrene plastic, which is labeled with the number 6, said Liu. There isn't a definitive timeline of when recycled electronic-waste started to be incorporated into black plastic products specifically, but e-waste started to get recycled in the early 2000s, Liu said. The way computers, cellphones, stereos, printers and copiers were being disposed of previously was to simply add them to a landfill without reusing salvageable parts. But as the National Conference of State Legislatures notes, electronics production required a significant amount of resources that could be recovered through recycling. Recovering resources such as metals, plastics and glass through recycling used a fraction of the energy needed to mine new materials. However, the study pointed out that flame retardants and other chemical contaminates have been detected in and near e-waste recycling facilities, in indoor air and dust at formal e-waste recycling facilities in Canada, China, Spain and the U.S. It also noted contamination in soil samples surrounding e-waste recycling sites in China and Vietnam. The safest nontoxic material options for kitchen utensil are wood and stainless steel. The 20th century brought airplanes, radio, television, the internet, and plastic. Lots of plastic. That plastic is now showing up on shorelines, forming islands in oceans, and generating mountains of translucent trash on land. Around 700 species of animals in the sea have been found to interact with plastic daily. Companies across every industry face pressure to reduce the amount of plastic they produce. Seventy-two percent of the world's largest have made voluntary commitments to reduce their plastic waste, according to a Duke University analysis. One industry, in particular, has greatly benefited from advancements in single-use plastic technology: the medical industry. Only in recent years have businesses and academics in the field begun to talk about minimizing their impact on our environment like beverage manufacturers and other consumer goods-producing businesses. Medical Technology Schools analyzed academic studies published in the National Library of Medicine , the American Medical Association , and news reports to shed light on the medical community's use of plastics through history, their environmental problems, and proposed solutions to reduce their impact. And the impact can be significant. A single hospital patient generates nearly 34 pounds of waste a day —as much as a quarter of it is plastic. The COVID-19 pandemic only worsened the problem. The pandemic pushed hospital capacity to the brink and led to a massive increase in personal protective equipment and medical supply usage. Medical-grade masks and other protective equipment like face shields, made mostly of nonrenewable plastics, were in high demand. In 2020, the World Health Organization estimated that the international need for PPE manufacturing would boost 40% to address the public health crisis. Hospitals needed an estimated 89 million masks, 76 million gloves, and 1.6 million goggles every month of the pandemic. To date, nearly 677 million COVID-19 vaccine doses have been administered, each requiring their own plastic syringe, according to data from the Centers for Disease Control and Prevention. Global consulting firm Frost & Sullivan estimated that the U.S. would produce a year's worth of medical waste in just two months due to the pandemic. The World Economic Forum warned that the COVID-19 crisis threatened to " stall and even reverse progress " to reduce large plastic waste. It's a challenge researchers acknowledge today as they search for solutions. Plastics introduced an era of ultraconvenience to the world. It makes our clothes. It's made bike helmets and airbags possible. And it's a cheap material to produce, meaning it's cheap for consumers too. Almost as importantly, it's durable and incredibly easy to make into complex shapes—a trait that helped plastics invented in the mid-20th century quickly replace more expensive metal and wooden goods. That adoption extended to the medical field, where the single-use nature of plastics represented a move toward more hygienic tools for physicians and hospitals. But it wasn't plastic's sanitary qualities that the industry first latched onto. Like so many other technical advancements, convenience and cost were the initial driving factors. That they were more conducive to creating a sterile environment for patients was a benefit that health care began to tout closer to the end of the 20th century. PVC, or polyvinyl chloride, replaced glass bottles previously used to hold IV solution and replaced rubber tubing used throughout hospital settings. Plastic has also become the go-to material for making syringes and catheters. Plastic products are generally made from chemicals derived from the oil and natural gas refining process. Chemists use those byproducts to create synthetic materials with malleable and durable chemical structures. The low cost of these materials has helped medical device-makers support better health outcomes for communities across the U.S. since the 1900s. No longer was health care priced at rates only the elite could afford—it was accessible to a much larger swath of the public. In the last decade, the U.S., in particular, has emerged as a massive market for medical plastics. The country generally accounts for nearly half of the global market for medical devices. Plastic's durability is not only a benefit but a detriment to the environment, as the material can take many years to deteriorate when it enters landfills or trashes oceans. Estimates vary widely, but scientists ballpark that depending on the kind of plastic and the environment in which it decomposes, it could take dozens to thousands of years to break down entirely. COVID-19, which remains a burden for health care systems, isn't the only force raising the stakes for a health care industry pressured to reduce reliance on plastics or find ways to reuse them. Global annual production of plastic has doubled in the last two decades , according to the Environmental Protection Agency. As the U.S. looks toward the future, its aging population is another factor that could exacerbate the rate at which medical plastics end up in landfills. People require more medical care as they age, and aging baby boomers are expected to place increased demand on the medical device industry. At the same time, governments are under pressure to lower health care costs, which have become unaffordable even for those insured . As recently as 2021, researchers lamented a lack of data on efforts to recycle medical plastics. Around 350 hospitals participate in Practice Greenhealth's Environmental Excellence Awards . Practice Greenhealth is an organization working to help hospitals increase their sustainability. It's one of the few sources of hospital sustainability data, and its roster of participating hospitals represents a small fraction of the more than 6,000 hospitals operating in the U.S. To meet the need to reduce plastic waste generation, some hospitals are moving away from using plastic in certain applications. Ronald Reagan UCLA Medical Center replaced health care workers' disposable plastic isolation gowns with reusable cloth gowns at its hospitals in the last decade, saving money and preventing literal tons of medical waste. It also implemented a process for sterilizing and incinerating the boxes that hold used needles, allowing them to be reassembled and reused in a health care setting. Recycling plastic medical waste is complicated by the potential for contamination and the need to separate contaminated and noncontaminated waste; once separated, they can be broken down with heat or treated with chemicals and reprocessed. However, using chemical methods to break down and dispose of plastics has drawbacks. Over 200 nongovernmental organizations signed a letter in 2023 urging the Biden administration to end federal support for methods like these, arguing they generate toxic pollutants. The Vinyl Council of Australia is working with hospitals to recover used materials made of PVC . The materials are broken down into tiny pieces, washed and heated at high temperatures, and remade into things used outside medical settings. In the U.S. and Europe, there's the Healthcare Plastics Recycling Council, a coalition of companies working in the health care device space that includes DuPont, Johnson & Johnson, and Medtronic. In 2021, the HPRC, advised by professionals at Kaiser Permanente and other health systems, rolled out a medical waste recycling pilot project with hopes of scaling it across more hospitals. Story editing by Ashleigh Graf. Copy editing by Paris Close. Photo selection by Clarese Moller. This story originally appeared on Medical Technology Schools and was produced and distributed in partnership with Stacker Studio. Sign up here to get the latest health & fitness updates in your inbox every week!
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A recent study that recommended toxic chemicals in black plastic products be immediately thrown away included a math error that significantly overstated the risks of contamination, but its authors are standing by their conclusions and warn against using such products. Published in the peer-reviewed journal Chemosphere , experts from the nonprofit Toxic-Free Future said they detected flame retardants and other toxic chemicals in 85% of 203 items made of black plastic including kitchen utensils , take-out containers, children's toys and hair accessories. In a blog post, Joe Schwarcz, director of McGill University's Office for Science and Society in Canada, explained that the Toxin-Free Future scientists miscalculated the lower end of what the EPA considered a health risk through a multiplication error. Instead of humans being potentially exposed to a dose of toxic chemicals in black plastic utensils near the minimum level that the EPA deems a health risk, it's actually about one-tenth of that. (Dreamstime/TNS) The study initially said the potential exposure to chemicals found in one of the kitchen utensils approached the minimum levels the Environmental Protection Agency deemed a health risk. But in an update to the study, the authors say they made an error in their calculations and the real levels were "an order of magnitude lower" than the EPA's thresholds. The error was discovered by Joe Schwarcz, director of McGill University's Office for Science and Society in Canada. In a blog post, Schwarcz explained that the Toxin-Free Future scientists miscalculated the lower end of what the EPA considered a health risk through a multiplication error. Instead of humans being potentially exposed to a dose of toxic chemicals in black plastic utensils near the minimum level that the EPA deems a health risk, it's actually about one-tenth of that. Though Schwarcz said the risks outlined in the study aren't enough for him to discard his black plastic kitchen items if he had them, he agreed with the authors that flame retardants shouldn't be in these products in the first place. "The math error does not impact the study's findings, conclusions or recommendations," said Megan Liu, a co-author of the study who is the science and policy manager for Toxic-Free Future . She added that any traces of flame retardants or toxic chemicals in cooking utensils should be concerning for the public. Flame retardants are getting into commonly used items because black-colored products are being made from recycled electronic waste, such as discarded television sets and computers, that frequently contain the additives. When they're heated, the flame retardants and other toxic chemicals can migrate out. If you're wondering whether your old black plastic spoon or other utensils are a part of this group, Liu shared some more guidance. It's nearly impossible to know whether a black plastic product is contaminated. That's because these products that include recycled e-waste don't disclose a detailed list of all ingredients and contaminants in the product. Liu said it's also unclear how many types of flame retardants are in these black plastic products. Some of the products that researchers tested in this recent study "had up to nine different harmful chemicals and harmful flame retardants in them," she said. Anytime you're looking for the type of recycled plastic a product is made of you're going to look for a number within the chasing arrows (that form a triangle) logo. Recycling symbols are numbered 1 to 7 and we commonly associate the numbers with what we can toss in our blue recycling bins. The 1 through 7 numbers stand for, respectively, polyethylene terephthalate, high-density polyethylene, polyvinyl chloride (PVC), low-density polyethylene, polypropylene, polystyrene or Styrofoam, and miscellaneous plastics (including polycarbonate, polylactide, acrylic, acrylonitrile butadiene, styrene, fiberglass and nylon). The study found higher levels of toxic flame retardants in polystyrene plastic, which is labeled with the number 6, said Liu. There isn't a definitive timeline of when recycled electronic-waste started to be incorporated into black plastic products specifically, but e-waste started to get recycled in the early 2000s, Liu said. The way computers, cellphones, stereos, printers and copiers were being disposed of previously was to simply add them to a landfill without reusing salvageable parts. But as the National Conference of State Legislatures notes, electronics production required a significant amount of resources that could be recovered through recycling. Recovering resources such as metals, plastics and glass through recycling used a fraction of the energy needed to mine new materials. However, the study pointed out that flame retardants and other chemical contaminates have been detected in and near e-waste recycling facilities, in indoor air and dust at formal e-waste recycling facilities in Canada, China, Spain and the U.S. It also noted contamination in soil samples surrounding e-waste recycling sites in China and Vietnam. The safest nontoxic material options for kitchen utensil are wood and stainless steel. The 20th century brought airplanes, radio, television, the internet, and plastic. Lots of plastic. That plastic is now showing up on shorelines, forming islands in oceans, and generating mountains of translucent trash on land. Around 700 species of animals in the sea have been found to interact with plastic daily. Companies across every industry face pressure to reduce the amount of plastic they produce. Seventy-two percent of the world's largest have made voluntary commitments to reduce their plastic waste, according to a Duke University analysis. One industry, in particular, has greatly benefited from advancements in single-use plastic technology: the medical industry. Only in recent years have businesses and academics in the field begun to talk about minimizing their impact on our environment like beverage manufacturers and other consumer goods-producing businesses. Medical Technology Schools analyzed academic studies published in the National Library of Medicine , the American Medical Association , and news reports to shed light on the medical community's use of plastics through history, their environmental problems, and proposed solutions to reduce their impact. And the impact can be significant. A single hospital patient generates nearly 34 pounds of waste a day —as much as a quarter of it is plastic. The COVID-19 pandemic only worsened the problem. The pandemic pushed hospital capacity to the brink and led to a massive increase in personal protective equipment and medical supply usage. Medical-grade masks and other protective equipment like face shields, made mostly of nonrenewable plastics, were in high demand. In 2020, the World Health Organization estimated that the international need for PPE manufacturing would boost 40% to address the public health crisis. Hospitals needed an estimated 89 million masks, 76 million gloves, and 1.6 million goggles every month of the pandemic. To date, nearly 677 million COVID-19 vaccine doses have been administered, each requiring their own plastic syringe, according to data from the Centers for Disease Control and Prevention. Global consulting firm Frost & Sullivan estimated that the U.S. would produce a year's worth of medical waste in just two months due to the pandemic. The World Economic Forum warned that the COVID-19 crisis threatened to " stall and even reverse progress " to reduce large plastic waste. It's a challenge researchers acknowledge today as they search for solutions. Plastics introduced an era of ultraconvenience to the world. It makes our clothes. It's made bike helmets and airbags possible. And it's a cheap material to produce, meaning it's cheap for consumers too. Almost as importantly, it's durable and incredibly easy to make into complex shapes—a trait that helped plastics invented in the mid-20th century quickly replace more expensive metal and wooden goods. That adoption extended to the medical field, where the single-use nature of plastics represented a move toward more hygienic tools for physicians and hospitals. But it wasn't plastic's sanitary qualities that the industry first latched onto. Like so many other technical advancements, convenience and cost were the initial driving factors. That they were more conducive to creating a sterile environment for patients was a benefit that health care began to tout closer to the end of the 20th century. PVC, or polyvinyl chloride, replaced glass bottles previously used to hold IV solution and replaced rubber tubing used throughout hospital settings. Plastic has also become the go-to material for making syringes and catheters. Plastic products are generally made from chemicals derived from the oil and natural gas refining process. Chemists use those byproducts to create synthetic materials with malleable and durable chemical structures. The low cost of these materials has helped medical device-makers support better health outcomes for communities across the U.S. since the 1900s. No longer was health care priced at rates only the elite could afford—it was accessible to a much larger swath of the public. In the last decade, the U.S., in particular, has emerged as a massive market for medical plastics. The country generally accounts for nearly half of the global market for medical devices. Plastic's durability is not only a benefit but a detriment to the environment, as the material can take many years to deteriorate when it enters landfills or trashes oceans. Estimates vary widely, but scientists ballpark that depending on the kind of plastic and the environment in which it decomposes, it could take dozens to thousands of years to break down entirely. COVID-19, which remains a burden for health care systems, isn't the only force raising the stakes for a health care industry pressured to reduce reliance on plastics or find ways to reuse them. Global annual production of plastic has doubled in the last two decades , according to the Environmental Protection Agency. As the U.S. looks toward the future, its aging population is another factor that could exacerbate the rate at which medical plastics end up in landfills. People require more medical care as they age, and aging baby boomers are expected to place increased demand on the medical device industry. At the same time, governments are under pressure to lower health care costs, which have become unaffordable even for those insured . As recently as 2021, researchers lamented a lack of data on efforts to recycle medical plastics. Around 350 hospitals participate in Practice Greenhealth's Environmental Excellence Awards . Practice Greenhealth is an organization working to help hospitals increase their sustainability. It's one of the few sources of hospital sustainability data, and its roster of participating hospitals represents a small fraction of the more than 6,000 hospitals operating in the U.S. To meet the need to reduce plastic waste generation, some hospitals are moving away from using plastic in certain applications. Ronald Reagan UCLA Medical Center replaced health care workers' disposable plastic isolation gowns with reusable cloth gowns at its hospitals in the last decade, saving money and preventing literal tons of medical waste. It also implemented a process for sterilizing and incinerating the boxes that hold used needles, allowing them to be reassembled and reused in a health care setting. Recycling plastic medical waste is complicated by the potential for contamination and the need to separate contaminated and noncontaminated waste; once separated, they can be broken down with heat or treated with chemicals and reprocessed. However, using chemical methods to break down and dispose of plastics has drawbacks. Over 200 nongovernmental organizations signed a letter in 2023 urging the Biden administration to end federal support for methods like these, arguing they generate toxic pollutants. The Vinyl Council of Australia is working with hospitals to recover used materials made of PVC . The materials are broken down into tiny pieces, washed and heated at high temperatures, and remade into things used outside medical settings. In the U.S. and Europe, there's the Healthcare Plastics Recycling Council, a coalition of companies working in the health care device space that includes DuPont, Johnson & Johnson, and Medtronic. In 2021, the HPRC, advised by professionals at Kaiser Permanente and other health systems, rolled out a medical waste recycling pilot project with hopes of scaling it across more hospitals. Story editing by Ashleigh Graf. Copy editing by Paris Close. Photo selection by Clarese Moller. This story originally appeared on Medical Technology Schools and was produced and distributed in partnership with Stacker Studio. Sign up here to get the latest health & fitness updates in your inbox every week!
‘I work at a hospital’: From Reddit to 4chan, blue and red readers disagreed on everything. Then came Luigi Mangione
JACKSONVILLE, Fla. — Greg McGarity had reason to be concerned. The Gator Bowl president kept a watchful eye on College Football Playoff scenarios all season and understood the fallout might affect his postseason matchup in Jacksonville. What if the Southeastern Conference got five teams into the expanded CFP? What if the Atlantic Coast Conference landed three spots? It was a math problem that was impossible to truly answer, even into late November. Four first-round playoff games, which will end with four good teams going home without a bowl game, had the potential to shake up the system. The good news for McGarity and other bowl organizers: Adding quality teams to power leagues — Oregon to the Big Ten, Texas to the SEC and SMU to the ACC — managed to ease much of the handwringing. McGarity and the Gator Bowl ended up with their highest-ranked team, No. 16 Ole Miss, in nearly two decades. "It really didn't lessen our pool much at all," McGarity said. "The SEC bowl pool strengthened with the addition of Texas and Oklahoma. You knew they were going to push traditional SEC teams up or down. Texas ended up pushing just about everyone down." The long waiting game was the latest twist for non-CFP bowls that have become adept at dealing with change. Efforts to match the top teams came and went in the 1990s and first decade of this century before the CFP became the first actual tournament in major college football. It was a four-team invitational — until this year, when the 12-team expanded format meant that four quality teams would not be in the mix for bowl games after they lose next week in the first round. "There's been a lot of things that we've kind of had to roll with," said Scott Ramsey, president of the Music City Bowl in Nashville, Tennessee. "I don't think the extra games changed our selection model to much degree. We used to look at the New York's Six before this, and that was 12 teams out of the bowl mix. The 12-team playoff is pretty much the same." Ramsey ended up with No. 23 Missouri against Iowa in his Dec. 30 bowl. A lot of so-called lesser bowl games do have high-profile teams — the ReliaQuest Bowl has No. 11 Alabama vs. Michigan (a rematch of last year's CFP semifinal), Texas A&M and USC will play in the Las Vegas Bowl while No. 14 South Carolina and No. 15 Miami, two CFP bubble teams, ended up in separate bowls in Orlando. "The stress of it is just the fact that the CFP takes that opening weekend," Las Vegas Bowl executive director John Saccenti said. "It kind of condenses the calendar a little bit." Bowl season opens Saturday with the Cricket Celebration Bowl. The first round of the CFP runs Dec. 20-21. It remains to be seen whether non-CFP bowls will see an impact from the new dynamic. They will know more by 2026, with a planned bowl reset looming. It could include CFP expansion from 12 to 14 teams and significant tweaks to the bowl system. More on-campus matchups? More diversity among cities selected to host semifinal and championship games? And would there be a trickle-down effect for everyone else? Demand for non-playoff bowls remains high, according to ESPN, despite increased focus on the expanded CFP and more players choosing to skip season finales to either enter the NCAA transfer portal or begin preparations for the NFL draft. "There's a natural appetite around the holidays for football and bowl games," Kurt Dargis, ESPN's senior director of programming and acquisitions, said at Sports Business Journal's Intercollegiate Athletics Forum last week in Las Vegas. "People still want to watch bowl games, regardless of what's going on with the playoff. ... It's obviously an unknown now with the expanded playoff, but we really feel like it's going to continue." The current bowl format runs through 2025. What lies ahead is anyone's guess. Could sponsors start paying athletes to play in bowl games? Could schools include hefty name, image and likeness incentives for players participating in bowls? Would conferences be willing to dump bowl tie-ins to provide a wider range of potential matchups? Are bowls ready to lean into more edginess like Pop-Tarts has done with its edible mascot? The path forward will be determined primarily by revenue, title sponsors, TV demand and ticket sales. "The one thing I have learned is we're going to serve our partners," Saccenti said. "We're going to be a part of the system that's there, and we're going to try to remain flexible and make sure that we're adjusting to what's going on in the world of postseason college football." Get local news delivered to your inbox!
BEND, OREGON (AP) — Eliza Wilson is a little nervous as she draws the microphone close, but she is determined to share her life story. “My father was a disabled veteran,” she says. “I first experienced homelessness when I was 5 years old.” Wilson, who’s 36, leads programs focused on unhoused youth. On a recent Saturday, she is addressing a citizen assembly, a grassroots gathering seeking solutions to tough local challenges. Her audience consists of 30 ordinary Oregonians. They are acupuncturists and elk hunters; house cleaners and retired riverboat pilots. None are public policy experts. All the same, these participants have been asked to recommend new strategies for combating youth homelessness — a major problem in this affluent Oregon city and the surrounding rural areas of Deschutes County. This unusual experiment in small-D democracy is underwritten by more than $250,000 in grants from backers such as the Rockefeller Foundation and Omidyar Network. As a key early presenter, Wilson wins rapt attention, clicking through data-rich slides and sharing her story of crisis and recovery. That’s how citizen assemblies should work, says Kevin O’Neil, an innovation specialist at the Rockefeller Foundation. His research shows Americans are frustrated with what they perceive as aloofness and gridlock within civic institutions. “People want to be directly involved in decision-making,” O’Neil says. “They recognize the value of expertise, but they don’t want to delegate decision-making to experts.” Assemblies can help “overcome polarization and strengthen societal cohesion,” says Claudia Chwalisz, founder of DemocracyNext . Her nonprofit, launched in Paris in 2022, champions such assemblies worldwide, hoping they can “create the democratic spaces for everyday people to grapple with the complexity of policy issues, listen to one another, and find common ground.” At least, that’s the theory. To succeed, citizen assemblies can’t settle for a few days of harmonious dialogue among well-intentioned strangers. They need to inspire policy changes or new programs from government and other civic institutions. In Europe, such wins abound. In the United States, results are spottier. The most fruitful U.S. effort to date was a 2021 people’s assembly in Washington State that produced 148 ideas — including more solar canopies and food composting — to combat climate change. More often, progress is challenging. An assembly in 2022 in Petaluma, California, spun up ideas to repurpose a long-time county fairground site. Two years later, the fair still operates under short-term leases; its long-term destiny remains in limbo. In Colorado’s Montrose County , enacting an assembly’s bold ideas for improving rural day care has been “more of a marathon than a sprint,” says organizer Morgan Lasher. Can central Oregon do better? It may take years to know, but evidence so far shows both the assembly system’s opportunities and the challenges. Bend’s local economy is strong, with a jobless rate of just 4.2% and median household income of more than $80,000. As housing costs have skyrocketed, though, the spectacle of people living in tent and trailer encampments has become more common. A January count found more than 1,800 people were homeless in Deschutes County, up from 913 in 2020. In 2023, DemocracyNext and Healthy Democracy , a Portland, Oregon, nonprofit, connected with Bend officials interested in bringing the assembly idea to central Oregon. Josh Burgess, an Air Force veteran, who moved to Bend and became the proverbial “advance man” for DemocracyNext. Operating in a county evenly divided between Democrats and Republicans, Burgess built rapport with both liberal and conservative members on the Deschutes County Board of Commissioners. “It took four or five meetings to get there,” Burgess recalls. Organizers decided to focus on homelessness among ages 14 to 24, where opportunities for progress seemed greatest. To pick citizens for the assembly, organizers contacted 12,000 county residents before selecting just 30. Everything was balanced by age, race, gender, and geography – a slow, costly requirement. Even so, advocates such as Michelle Barsa of Omidyar Network says assemblies’ big edge comes from using “an actual representative sample of the community, not just the people who always show up at town-hall meetings and yell into a microphone for three minutes.” At the northern edge of Oregon State’s Bend campus, a few hundred yards from the Deschutes River, is the McGrath Family atrium, a sunlight-drenched space with panoramic woodland views. It feels almost like a spa. As the Bend assembly gets started, black tablecloths at a huge, U-shaped table convey gravity. Name tags identify attendees as “Noelle,” “Dave,” “Alex.” The first few hours go slowly, but everything perks up after lunch. Eliza Wilson takes command, introducing herself as director of runaway and homeless youth services at J Bar J , a social-services organization. Her voice is unfailingly steady, but emotions race fast across her face: hope, frustration, empathy, resolve, and more. “Teens get really good at hiding their homelessness,” Wilson explains. “We don’t share family business outside of the family. I was really fortunate that a high-school counselor pointed me, at age 15, to the first youth shelter that had just opened in Bend. I stayed there for three years, until I graduated from high school. I finally got on my feet at age 21.” As Wilson finishes, questions stream in. “Are there any programs advocating for children to get back to their parents?” one woman wants to know. “Is there open communication between you guys and the school district?” a man asks. Wilson and other presenters respond with a road map of what exists today. They point out how homeless youth are in a precarious but not hopeless situation, counting on allies for a couch to sleep on. Less than 20 percent live outside in encampments. Practically everyone in the audience takes notes. The next day, assembly members strike up conversations with young adults who were once homeless. Chronic problems — and glimmers of ideas about how to address them — tumble forth. Flaws in the foster parent system. The risk of sexual abuse. The unique challenges that LGBTQ youth face. Attendees — who shared their thoughts with the Chronicle on the condition they be identified only by their first name — regarded those conversations as eye-opening breakthroughs in their hunt for policy recommendations. “I’m coming away with a whole different point of view,” Ken told me. He had arrived believing that poor parenting and drug abuse led to homelessness, and that affected families should personally address such challenges. Now, he said, he was interested in broader solutions. Several local officials stopped by to watch the assembly proceedings. Phil Chang, a Deschutes County commissioner, said the broad-based assembly creates “social license for us to do things that the community wants.” Conservative county commissioner Tony DeBone worries that Oregon’s rollback of drug-offense laws has worsened social problems; he also believes that an economic upturn would do the most good. Still, he says, he’s willing to see what the assembly can offer. Ultimately, the assembly’s effectiveness will depend on whether its recommendations can overcome bureaucratic inertia, says Tammy Baney, executive director of the Central Oregon Intergovernmental Council . Proposed changes in police interactions with homeless youth could be acted on within a month or two if local law enforcement is receptive, she says. Improving Oregon’s gridlocked foster-care system might be much harder. “It all depends on how much political will there is,” Baney says. George Anders is editor-at-large at the Chronicle of Philanthropy, where you can read the full article . This article was provided to The Associated Press by the Chronicle of Philanthropy as part of a partnership to cover philanthropy and nonprofits supported by the Lilly Endowment. The Chronicle is solely responsible for the content. For all of AP’s philanthropy coverage, visit https://apnews.com/hub/philanthropy . Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission. Get local news delivered to your inbox!
Can ordinary citizens solve our toughest problems?
Bowls miss out in 4 CFP teams in latest postseason twist
A recent study that recommended toxic chemicals in black plastic products be immediately thrown away included a math error that significantly overstated the risks of contamination, but its authors are standing by their conclusions and warn against using such products. Published in the peer-reviewed journal Chemosphere , experts from the nonprofit Toxic-Free Future said they detected flame retardants and other toxic chemicals in 85% of 203 items made of black plastic including kitchen utensils , take-out containers, children's toys and hair accessories. In a blog post, Joe Schwarcz, director of McGill University's Office for Science and Society in Canada, explained that the Toxin-Free Future scientists miscalculated the lower end of what the EPA considered a health risk through a multiplication error. Instead of humans being potentially exposed to a dose of toxic chemicals in black plastic utensils near the minimum level that the EPA deems a health risk, it's actually about one-tenth of that. (Dreamstime/TNS) Dreamstime/Dreamstime/TNS The study initially said the potential exposure to chemicals found in one of the kitchen utensils approached the minimum levels the Environmental Protection Agency deemed a health risk. But in an update to the study, the authors say they made an error in their calculations and the real levels were "an order of magnitude lower" than the EPA's thresholds. The error was discovered by Joe Schwarcz, director of McGill University's Office for Science and Society in Canada. In a blog post, Schwarcz explained that the Toxin-Free Future scientists miscalculated the lower end of what the EPA considered a health risk through a multiplication error. Instead of humans being potentially exposed to a dose of toxic chemicals in black plastic utensils near the minimum level that the EPA deems a health risk, it's actually about one-tenth of that. Though Schwarcz said the risks outlined in the study aren't enough for him to discard his black plastic kitchen items if he had them, he agreed with the authors that flame retardants shouldn't be in these products in the first place. "The math error does not impact the study's findings, conclusions or recommendations," said Megan Liu, a co-author of the study who is the science and policy manager for Toxic-Free Future . She added that any traces of flame retardants or toxic chemicals in cooking utensils should be concerning for the public. Flame retardants are getting into commonly used items because black-colored products are being made from recycled electronic waste, such as discarded television sets and computers, that frequently contain the additives. When they're heated, the flame retardants and other toxic chemicals can migrate out. If you're wondering whether your old black plastic spoon or other utensils are a part of this group, Liu shared some more guidance. It's nearly impossible to know whether a black plastic product is contaminated. That's because these products that include recycled e-waste don't disclose a detailed list of all ingredients and contaminants in the product. Liu said it's also unclear how many types of flame retardants are in these black plastic products. Listen now and subscribe: Apple Podcasts | Spotify | Stitcher | RSS Feed | SoundStack | All Of Our Podcasts Some of the products that researchers tested in this recent study "had up to nine different harmful chemicals and harmful flame retardants in them," she said. Anytime you're looking for the type of recycled plastic a product is made of you're going to look for a number within the chasing arrows (that form a triangle) logo. Recycling symbols are numbered 1 to 7 and we commonly associate the numbers with what we can toss in our blue recycling bins. The 1 through 7 numbers stand for, respectively, polyethylene terephthalate, high-density polyethylene, polyvinyl chloride (PVC), low-density polyethylene, polypropylene, polystyrene or Styrofoam, and miscellaneous plastics (including polycarbonate, polylactide, acrylic, acrylonitrile butadiene, styrene, fiberglass and nylon). The study found higher levels of toxic flame retardants in polystyrene plastic, which is labeled with the number 6, said Liu. There isn't a definitive timeline of when recycled electronic-waste started to be incorporated into black plastic products specifically, but e-waste started to get recycled in the early 2000s, Liu said. The way computers, cellphones, stereos, printers and copiers were being disposed of previously was to simply add them to a landfill without reusing salvageable parts. But as the National Conference of State Legislatures notes, electronics production required a significant amount of resources that could be recovered through recycling. Recovering resources such as metals, plastics and glass through recycling used a fraction of the energy needed to mine new materials. However, the study pointed out that flame retardants and other chemical contaminates have been detected in and near e-waste recycling facilities, in indoor air and dust at formal e-waste recycling facilities in Canada, China, Spain and the U.S. It also noted contamination in soil samples surrounding e-waste recycling sites in China and Vietnam. The safest nontoxic material options for kitchen utensil are wood and stainless steel. The 20th century brought airplanes, radio, television, the internet, and plastic. Lots of plastic. That plastic is now showing up on shorelines, forming islands in oceans, and generating mountains of translucent trash on land. Around 700 species of animals in the sea have been found to interact with plastic daily. Companies across every industry face pressure to reduce the amount of plastic they produce. Seventy-two percent of the world's largest have made voluntary commitments to reduce their plastic waste, according to a Duke University analysis. One industry, in particular, has greatly benefited from advancements in single-use plastic technology: the medical industry. Only in recent years have businesses and academics in the field begun to talk about minimizing their impact on our environment like beverage manufacturers and other consumer goods-producing businesses. Medical Technology Schools analyzed academic studies published in the National Library of Medicine , the American Medical Association , and news reports to shed light on the medical community's use of plastics through history, their environmental problems, and proposed solutions to reduce their impact. And the impact can be significant. A single hospital patient generates nearly 34 pounds of waste a day —as much as a quarter of it is plastic. The COVID-19 pandemic only worsened the problem. EleniyaChe // Shutterstock The pandemic pushed hospital capacity to the brink and led to a massive increase in personal protective equipment and medical supply usage. Medical-grade masks and other protective equipment like face shields, made mostly of nonrenewable plastics, were in high demand. In 2020, the World Health Organization estimated that the international need for PPE manufacturing would boost 40% to address the public health crisis. Hospitals needed an estimated 89 million masks, 76 million gloves, and 1.6 million goggles every month of the pandemic. To date, nearly 677 million COVID-19 vaccine doses have been administered, each requiring their own plastic syringe, according to data from the Centers for Disease Control and Prevention. Global consulting firm Frost & Sullivan estimated that the U.S. would produce a year's worth of medical waste in just two months due to the pandemic. The World Economic Forum warned that the COVID-19 crisis threatened to " stall and even reverse progress " to reduce large plastic waste. It's a challenge researchers acknowledge today as they search for solutions. LookerStudio // Shutterstock Plastics introduced an era of ultraconvenience to the world. It makes our clothes. It's made bike helmets and airbags possible. And it's a cheap material to produce, meaning it's cheap for consumers too. Almost as importantly, it's durable and incredibly easy to make into complex shapes—a trait that helped plastics invented in the mid-20th century quickly replace more expensive metal and wooden goods. That adoption extended to the medical field, where the single-use nature of plastics represented a move toward more hygienic tools for physicians and hospitals. But it wasn't plastic's sanitary qualities that the industry first latched onto. Like so many other technical advancements, convenience and cost were the initial driving factors. That they were more conducive to creating a sterile environment for patients was a benefit that health care began to tout closer to the end of the 20th century. PVC, or polyvinyl chloride, replaced glass bottles previously used to hold IV solution and replaced rubber tubing used throughout hospital settings. Plastic has also become the go-to material for making syringes and catheters. Plastic products are generally made from chemicals derived from the oil and natural gas refining process. Chemists use those byproducts to create synthetic materials with malleable and durable chemical structures. The low cost of these materials has helped medical device-makers support better health outcomes for communities across the U.S. since the 1900s. No longer was health care priced at rates only the elite could afford—it was accessible to a much larger swath of the public. In the last decade, the U.S., in particular, has emerged as a massive market for medical plastics. The country generally accounts for nearly half of the global market for medical devices. Plastic's durability is not only a benefit but a detriment to the environment, as the material can take many years to deteriorate when it enters landfills or trashes oceans. Estimates vary widely, but scientists ballpark that depending on the kind of plastic and the environment in which it decomposes, it could take dozens to thousands of years to break down entirely. InkheartX // Shutterstock COVID-19, which remains a burden for health care systems, isn't the only force raising the stakes for a health care industry pressured to reduce reliance on plastics or find ways to reuse them. Global annual production of plastic has doubled in the last two decades , according to the Environmental Protection Agency. As the U.S. looks toward the future, its aging population is another factor that could exacerbate the rate at which medical plastics end up in landfills. People require more medical care as they age, and aging baby boomers are expected to place increased demand on the medical device industry. At the same time, governments are under pressure to lower health care costs, which have become unaffordable even for those insured . sirtravelalot // Shutterstock As recently as 2021, researchers lamented a lack of data on efforts to recycle medical plastics. Around 350 hospitals participate in Practice Greenhealth's Environmental Excellence Awards . Practice Greenhealth is an organization working to help hospitals increase their sustainability. It's one of the few sources of hospital sustainability data, and its roster of participating hospitals represents a small fraction of the more than 6,000 hospitals operating in the U.S. To meet the need to reduce plastic waste generation, some hospitals are moving away from using plastic in certain applications. Ronald Reagan UCLA Medical Center replaced health care workers' disposable plastic isolation gowns with reusable cloth gowns at its hospitals in the last decade, saving money and preventing literal tons of medical waste. It also implemented a process for sterilizing and incinerating the boxes that hold used needles, allowing them to be reassembled and reused in a health care setting. Recycling plastic medical waste is complicated by the potential for contamination and the need to separate contaminated and noncontaminated waste; once separated, they can be broken down with heat or treated with chemicals and reprocessed. However, using chemical methods to break down and dispose of plastics has drawbacks. Over 200 nongovernmental organizations signed a letter in 2023 urging the Biden administration to end federal support for methods like these, arguing they generate toxic pollutants. The Vinyl Council of Australia is working with hospitals to recover used materials made of PVC . The materials are broken down into tiny pieces, washed and heated at high temperatures, and remade into things used outside medical settings. In the U.S. and Europe, there's the Healthcare Plastics Recycling Council, a coalition of companies working in the health care device space that includes DuPont, Johnson & Johnson, and Medtronic. In 2021, the HPRC, advised by professionals at Kaiser Permanente and other health systems, rolled out a medical waste recycling pilot project with hopes of scaling it across more hospitals. Story editing by Ashleigh Graf. Copy editing by Paris Close. Photo selection by Clarese Moller. This story originally appeared on Medical Technology Schools and was produced and distributed in partnership with Stacker Studio. Watchara Chuenchomnoi // ShutterstockPORT-AU-PRINCE, Haiti (AP) — Two reporters were killed and several were wounded Tuesday in a gang attack in Haiti on the reopening of Port-au-Prince’s biggest public hospital , the country's online media association said. A police officer was also killed in the attack. Street gangs forced the closure of the General Hospital early this year and authorities had pledged to reopen the facility in Haiti's capital on Christmas Eve. But as journalists gathered to cover the event, suspected gang members opened fire. It was the latest violence in Haiti, crippled by an unprecedented crisis that has seen coordinated gang attacks on prisons, police stations and the main international airport. Robest Dimanche, a spokesman for the Online Media Collective, identified the killed journalists as Markenzy Nathoux and Jimmy Jean. Dimanche said an unspecified number of reporters were also been in the attack, which he blamed on the Viv Ansanm coalition of gangs. The Haitian Association of Journalists confirmed two reporters and a police officer were killed, and seven reporters were wounded in what it called “a macabre scene comparable to terrorism, pure and simple.” Haiti’s interim president, Leslie Voltaire, said in an address to the nation that journalists and police were among the victims of the attack. He did not specify the casualty numbers or provide a breakdown. “I send my sympathies to the people who were victims, the national police and the journalists,” Voltaire said. Later, the government put out a statement saying it is “responding firmly to the attack." "This heinous act, which targets an institution dedicated to health and life, constitutes an unacceptable attack on the very foundations of our society," it said. Related: Earlier, a video posted online by the reporters trapped inside the hospital shows what appeared to be two lifeless bodies of men on stretchers, their clothes bloodied. One of the men had a lanyard with a press credential around his neck. Radio Télé Métronome initially reported that seven journalists and two police officers were wounded. Police and officials did not immediately respond to calls for information on the attack. Another video posted online, which also could not be immediately verified, showed reporters inside the building and at least three lying on the floor, apparently wounded. Street gangs have taken over an estimated 85% of Port-au-Prince and have also targeted the main international airport and Haiti’s two largest prisons. Johnson “Izo” André, considered Haiti’s most powerful gang leader and part of the Viv Ansanm group of gangs, which that has taken control of much of Port-au-Prince , posted a video on social media claiming responsibility for the attack. The video said the gang coalition had not authorized the hospital’s reopening. Haiti has seen journalists targeted before. In 2023, two local journalists were killed in the space of a couple of weeks — radio reporter Dumesky Kersaint was fatally shot in mid-April that year, while journalist Ricot Jean was found dead later that month. In July, former Prime Minister Garry Conille visited the Hospital of the State University of Haiti, more widely known as the General Hospital, after authorities regained control of it from gangs. The hospital had been left ravaged and strewn with debris. Walls and nearby buildings were riddled with bullet holes, signaling fights between police and gangs. The hospital is across the street from the national palace, the scene of several battles in recent months. Gang attacks have pushed Haiti’s health system to the brink of collapse with looting, setting fires, and destroying medical institutions and pharmacies in the capital. The violence has created a surge in patients and a shortage of resources to treat them. Haiti’s health care system faces additional challenges during the rainy season, which is likely to increase the risk of water-borne diseases. Poor conditions in camps and makeshift settlements have heightened the risk of diseases like cholera, with over 84,000 suspected cases in the country, according to UNICEF. ___ Follow AP’s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america Copyright 2024 The Associated Press . All rights reserved. This material may not be published, broadcast, rewritten or redistributed.The last six years have landed Canadian Kurtis Rourke firmly in the U.S. college football limelight. The 24-year-old Oakville, Ont., native will lead the upstart Indiana Hoosiers (11-1) into South Bend, Ind., to face the Notre Dame Fighting Irish (11-1) on Dec. 20 to open American university football's expanded playoff bracket. Rourke transferred to Indiana last December to boost his NFL draft stock after five years at Ohio University, where he began as a backup to his older brother, Nathan, then captured the 2022 MAC offensive player of the year award despite suffering a season-ending knee injury before heading to Indiana after the 2023 season. A win over Notre Dame would extend Indiana's stellar campaign while a loss would mark the end of Rourke's collegiate career. "Having six years is something not many people can say," Rourke told Canadian reporters Wednesday. "(It has been) very much a roller-coaster but I'm just grateful. "I've had four surgeries in college and only missed a handful of games. That's the biggest thing I come back to, that I've been so lucky to still play and have an opportunity to play (maybe) four more games and hopefully at a professional level." The six-foot-five, 223-pound Rourke will be eligible for the '25 NFL draft. Rourke has played a big role in Indiana — traditionally known as a basketball school — emerging as a Big Ten contender in head coach Curt Cignetti's first season. Rourke completed 202-of-287 passes (70.4 per cent) for 2,827 yards with 27 TDs and just four interceptions in 11 games and last week was named a finalist for the Manning Award, given annually to American college football's top quarterback. The only blemish on Indiana's record was a 38-15 loss to Ohio State before 105,751 spectators in Columbus, Ohio, on Nov. 23. Rourke was eight-of-18 passing for 68 yards in that contest and sacked five times. It's that experience Rourke and the Hoosiers are drawing upon as they prepare to visit Notre Dame Stadium, which has a seating capacity of roughly 77,000 but held 84,000 spectators for a 2018 Garth Brooks concert. "I don't know if it will be as crazy or as hostile an environment as Ohio State ... but I do expect it to be a pretty good environment," Rourke said. "We have some plans in place with the silent count if we need at any point to go to ... but ultimately just learning from the experience of Ohio State to handle it individually as well as an offence." Former CFL player Tino Sunseri is Indiana's quarterback coach/co-offensive co-ordinator. Sunseri spent three seasons with the Saskatchewan Roughriders (2013-15), winning a Grey Cup as a rookie. Reaching the expanded playoff format in Cignetti's first season is a huge accomplishment for Indiana. But the school reportedly added 31 players via the transfer portal before the 2024 campaign. When asked how he appealed to incoming players, Cignetti said, "It's pretty simple, I win. Google me." Cignetti came to Indiana after posting a 52-9 record over five seasons at James Madison. Rourke said Hoosiers' players draw inspiration from their brash head coach. "Seeing your head coach on a national stage say what he said, 'Google me,' ... that just shows how confident he is in himself and the coaches," Rourke said. "And that just makes us feel like, 'Yeah, we're coming along with you coach.' "As the season went on we were like, 'Yeah, we can do this.'" Rourke suffered a right thumb injury that required surgery in Indiana's 56-7 win over Nebraska on Oct. 19. Fortunately, he missed only one start (31-17 victory over Washington) and returned to throw four TD passes in 47-10 decision over Michigan State on Nov. 2. "My thumb feels 100 per cent now," Rourke said. "It was hard missing that Washington game ... but I knew the team would have my back." It's no surprise Rourke has leaned upon his brother throughout his college tenure. The two are very close and Rourke said he began playing quarterback after watching Nathan do so growing up. Nathan Rourke rejoined the Lions in August after spending time in the NFL with Jacksonville, New England, Atlanta and the New York Giants. "We've been able to talk about ball but (also) life," the junior Rourke said. "Just having someone who's done it, who's been through the college experience, been through the NFL experiences and now the CFL to learn from and also bounce questions off him, it's been quite beneficial to have him in my corner." Rourke has hired an agent — Octagon's Casey Muir — and will work out this off-season in Fort Myers, Fla. As of Wednesday, Rourke said he's not been invited to the NFL combine, which begins Feb. 27 in Indianapolis. "I'd love to get an invite to the combine," he said. "That was one of my goals, honestly, when I got to college, which seems forever ago. "That would be awesome." This report by The Canadian Press was first published Dec. 11, 2024. Dan Ralph, The Canadian Press