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The Verge on Music League

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You should be playing Music League

Music League makes music social in a way that social media algorithms, ironically, do not. Every league I am in has a group chat that erupts when a new playlist drops, and again when the votes are in. The comments on the songs are often very funny and might be my favorite part of the game.

I've been playing Music League with friends for a while and it has been a great way to hear new music. Lots of conversations about music and sharing memories about music that wouldn't happen otherwise. Highly recommended!

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sarcozona
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Pediatric hypertension doubles risk of adult cardiovascular disease - STAT

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Texas Veterinarian Helped Crack the Mystery of Bird Flu in Cows | TIME

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The first calls that Dr. Barb Petersen received in early March were from dairy owners worried about crows, pigeons and other birds dying on their Texas farms. Then came word that barn cats — half of them on one farm — had died suddenly.

Within days, the Amarillo veterinarian was hearing about sick cows with unusual symptoms: high fevers, reluctance to eat and much less milk. Tests for typical illnesses came back negative.

Petersen, who monitors more than 40,000 cattle on a dozen farms in the Texas Panhandle, collected samples from cats and cows and sent them to Dr. Drew Magstadt, a friend from college who now works at the veterinary diagnostic laboratory at Iowa State University.

The samples tested positive for a bird flu virus never before seen in cattle. It was the first proof that the bird flu, known as Type A H5N1, could infect cows. As of Wednesday, 36 U.S. herds had confirmed infections, according to the U.S. Agriculture Department.

“It was just a surprise,” recalled Petersen. “It was just a little bit of disbelief.”

At the same time, on almost every farm with sick animals, Petersen said she saw sick people, too.

“We were actively checking on humans,” Petersen said. “I had people who never missed work, miss work.”

So far, two people in the U.S. have been confirmed to be infected with H5N1, most recently a Texas dairy worker linked to the cattle outbreak, according to the U.S. Centers for Disease Control and Prevention. About two dozen people have been tested and about 100 people have been monitored since the virus appeared in cows, Dr. Demetre Daskalakis, a CDC respiratory diseases official, told reporters Wednesday.

Daskalakis said CDC has seen no unusual flu trends in areas with infected cows, but some experts wonder if anecdotal reports of sick workers mean more than one person caught the virus from the animals.

Petersen said some workers had symptoms consistent with flu: fever and body aches, stuffy nose or congestion. Some had conjunctivitis, the eye inflammation detected in the Texas dairy worker diagnosed with bird flu.

Dr. Gregory Gray, an infectious disease epidemiologist at the University of Texas Medical Branch in Galveston, has been taking samples from livestock and people on two Texas farms. On farms with confirmed cattle infections, there have also been reports of mild illnesses among the workers, he said.

His research has been difficult. Many workers are reluctant to be tested. That may be because they have limited access to health care or fear divulging private health information.

Without confirmation, no one knows if the sick workers were infected with the bird flu virus or something unrelated, Gray said.

“They seem to be linked in time and space, so one would say it’s biologically plausible,” said Gray.

Some of the workers who fell ill sought treatment and were offered oseltamivir, an antiviral drug sold under the brand name Tamiflu, Petersen said.

Some farm workers who were exposed to infected animals or people were offered the medication, CDC spokesman Jason McDonald said. State health officials are responsible for evaluating and providing treatment, according to federal guidelines.

Health officials in Texas provided Tamiflu to the person known to be infected with H5N1 and household members, plus two people on a second dairy farm who tested negative but were exposed to infected animals, said Chris Van Deusen, a spokesman for the Texas Department of State Health Services. He said he wasn't sure if others had been offered the antiviral.

Farmers have been hesitant to allow health officials onto their land, said Dr. Kay Russo, a Colorado veterinarian who consulted about the outbreak with Petersen.

“This particular disease is looked at as a scarlet letter,” Russo said. “It has this stigma associated with it right now.”

Russo called for wider testing of cattle, people and milk.

“We do not know what we do not measure,” she said. “Unfortunately, the horse left the barn and took off a lot faster than we were able to mobilize.”

Gray worries that a recent federal order requiring testing of all lactating dairy cows moving between states could hinder cooperation even further. All labs that conduct tests must report positive results to the Agriculture Department. But many farmers may simply decide against testing, hoping to outlast the outbreak, he said.

The reluctance of workers and farmers to allow testing is “greatly hampering” understanding of how the virus spreads, how large the outbreak is now and how quickly it may grow, Gray said.

“It’s a negative, very negative, effect,” he said.

Petersen said she understands workers' and farmers' fears. She praised the farmers who had been willing to let her gather the first samples that confirmed the outbreak and reflected on what the results could mean.

“You immediately think about the cows, the people that care for them and the families that have these farms,” she said. “You’re thinking about the big picture, long term. Your mind starts to go down that entire path of concern.”

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sarcozona
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Labor rights go hand in hand with public health.
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U.S. lawmakers are taking aim at private equity in health care. Here's what is happening in Canada | CBC News

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In the U.S., the growing role of private equity firms in health care is coming under heightened scrutiny, with Senate committee hearings and a cross-government public inquiry launched earlier this year. 

"When private equity firms buy out health-care facilities only to slash staffing and cut quality, patients lose out," said Federal Trade Commission Chair Lina M. Khan in a statement.

The U.S. Federal Trade Commission and two U.S. departments are looking at whether consolidated ownership may sacrifice patient care and worker safety to generate profits for private-equity investment firms, while costing taxpayers.

In the U.S., companies backed by private equity firms manage emergency rooms and anesthesiology practices. Private equity firms are even buying whole hospitals in the U.S.

That's not happening in Canada, but private equity investment firms have bought up facilities outside of hospitals, starting about 25 years ago with long-term care homes. That arrangement didn't show up on the public radar until the COVID-19 pandemic emergency, which hit care homes exceptionally hard.

Canadian researchers have found a disproportionate number of deaths in long-term care residences owned by private equity firms and large chains.  

As some provinces welcome private equity in public health care, the firms are increasingly involved in nursing homes and surgery clinics.

Here's what experts say has already happened and what could be around the corner.

Private equity in Canada so far

So far, private equity firms have bought clinics outside of hospitals in Canada offering services including:

  • MRI scans in British Columbia, which the provincial government then brought back into the public system because wait times grew too long.

Provinces still pick up the tab for patients' medically necessary surgeries, such as cataract removals or hip and knee replacements.

One company, Clearpoint Health Network, owns a chain of private surgical centres running 53 operating rooms across the country.

Clearpoint is wholly owned by the $1.5 billion private equity firm Kensington Capital Partners Ltd. Kensington launched the chain through a $35 million purchase of clinics in Ontario, Manitoba, Alberta and B.C. in 2019. 

Private equity defined

A private equity firm is an investment firm that purchases private companies that are not listed on stock exchanges and therefore has less regulatory oversight.

In health care, private equity firms may buy up independent clinics to create chains. The goal is to achieve economies of scale by, for example, purchasing medications in bulk or hiring a bookkeeping firm to manage multiple clinics — creating profits for shareholders.

Economist Armine Yalnizyan in Ottawa observes corporate consolidation in health care, long-term care and child care in Europe, the U.S., and increasingly in Canada. Yalnizyan is the Atkinson Fellow on the Future of Workers.

Private equity ownership usually consists of short-term investments, about four to seven years, before the company is sold.

"Companies are bought and held just long enough to make the whole enterprise more profitable and then they're flipped for a higher price" to another company, Yalnizyan said. "It's kind of like house flipping, except it's corporate consolidation."

What's the evidence?

Various studies have tried to quantify the benefits and harms of private-equity ownership in health care.

A 2023 systematic review published in the BMJ looked at 55 studies from eight countries including Canada, mainly focused on private-equity ownership of nursing homes, hospitals, dermatology clinics and ophthalmology clinics.

In their review, Joseph Bruch of the University of Chicago and co-authors said evidence across studies suggest mixed impacts of private equity ownership on healthcare quality, with greater evidence that this type of ownership "might degrade quality in some capacity rather than improve it."

Research on impacts of private equity ownership on health outcomes and costs to operators were less prevalent, they said.

The American Investment Council, which advocates for the private equity industry, disagrees with FTC's Khan. 

The council said it provided the FTC with independent research and data demonstrating the value of private equity investments "in supporting quality, affordable health care," such as investing in nursing homes that receive less federal support, funding treatments and expanding access to urgent care in rural communities.  

Karen Palmer, a health policy researcher and analyst at Simon Fraser University in Burnaby, B.C, began her career in the U.S..

"At the moment, one single private equity investment firm owns the company that owns 14 of our surgical centres across Canada," Palmer said, referring to Clearpoint.

"I'm concerned about a monopoly and the power that one company has in our health-care system when they own so much of our surgical capacity."

WATCH | Private equity's growing role in health care in Canada: 

U.S. lawmakers are investigating the practice of private equity firms acquiring hospitals. Although the role of private equity in the Canadian health-care system is more limited, it is growing and some research shows it can lead to worse patient-care outcomes.

In a response to questions from CBC News, Clearpoint said its mission centres on patient safety and patient experience, adding it is a "trusted partner of public health authorities in every province where we operate."

"Delivering essential but lower-acuity, routine day procedures in community surgery centres allows hospital operating rooms to focus on more complex, critical surgeries," Mark Angelo, chief operating officer of Clearpoint Health Network, said in a statement. 

"All centres follow the provincial requirements for staffing and clinical quality standards. Our focus is providing comprehensive surgical procedures that do not typically have optional add-ons or upgrades."

In 2023, U.S. researchers found a 25 per cent increase in infections and falls in private-equity owned hospitals compared with hospitals fully under Medicare, a federal health insurance program in the U.S. that covers seniors. 

Palmer said in long-term care homes in Canada, private equity is also tied to more falls and infections related to having fewer staff. She wonders if corners get cut to carve off funds governments paid to the facilities line the pockets of shareholders. 

Transparency questions raised

Because private equity firms aren't subject to the same rules as publicly traded companies, there's little transparency when it comes to  private equity's involvement in the health sector, Palmer said. 

Also, most provinces don't require facilities to report much on their ownership structure, so the extent of involvement in surgical services is unclear, said Andrew Longhurst, a health policy researcher at Simon Fraser University.

WATCH | Province pays for-profit clinic double hospitals for operations: 

The Ontario government is paying a for-profit clinic more than it pays its public hospitals to perform identical, provincially covered surgeries, according to documents obtained by CBC News.

To increase transparency in the U.S., several state legislatures such as New York now require or have proposed notifications when private equity firms purchase a health-care facility over a certain size. 

In Canada, there is some data on ownership of long-term care homes.

Overall, 54 per cent of long-term care homes in Canada are privately owned, according to the Canadian Institute for Health Information.

Private equity firms are drawn to long-term care homes because of their real estate assets, Yalnizyan said. When the firms move in, it buys the property, cleaves it off to sell for condos for instance and then divests the care portion of long-term care. 

For Dr. Danyaal Raza, a family physician with Unity Health's St. Michael's Hospital in Toronto, it matters who owns long-term care homes in a way that doesn't apply to other businesses. 

"When you're shopping for a cell phone or a car you can compare how many minutes you get per month, or, you know, miles per gallon," said Raza, past chair of Canadian Doctors for Medicare. "But when you're going to a doctor, or you're going to a hospital, you can't tell."

There's a lot more trust involved when getting health care, he said. "That's why we have to treat it as a public good, not one that we can boil down to comparison shopping."

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sarcozona
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Australia's first solar garden sprouts in Grong Grong, taking the renewables boom to the community - ABC News

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Farmer Gemma Purcell doesn't have to worry about the next drought affecting her newest 'crop'. 

All it needs is sunshine.

In a paddock of her farm, a community garden of sorts has sprouted.

But instead of producing grain and livestock, her land now helps generate enough electricity to power about 700 homes.

The first hint of the Haystacks Solar Farm near Grong Grong, about five-and-a-half hour's drive from Sydney, is a subtle glint of sunshine as it bounces off the PV panels.

A plot on Gemma Purcell's land the "size of a Bunnings car park" now hosts several rows of solar panels with the capacity to generate 1.5 megawatts of electricity.

But it's not its size or the technology of her solar farm that makes it special.

As an Australian first, the Haystacks solar farm offers a share in the power of the sun to those otherwise excluded from the solar boom.

Solar inequality

In a country infamous for its political ‘climate wars’, rooftop solar is a national success story – a bipartisan winner. 

Australia has the world’s highest rates of rooftop solar per capita, with around one in every three homes generating their own power, driving a monumental transition in Australia's electricity grid.  

Solar players benefit from cheaper electricity bills and the knowledge they are helping to reduce Australia's greenhouse gas emissions.

But not everyone can enjoy these benefits.

With a third of Australians renting, home ownership is one of the biggest barriers for people to participate in solar.

Most landlords haven't invested in solar panels because they don't get the benefit of lower power bills. Another reason is landlords remain unconvinced that tenants would want to pay more for a property with solar.

As a result, 90 per cent of renters don't have access to solar, a Macquarie University study shows.

Haystacks director Kristy Walters says the project is attractive to those keen to be part of the solar juggernaut, who for various reasons can't host their own solar panels.

“One of the key one is renters, or people living in apartments … but also people that have a shady roof, or it might be heritage listed, or it has shale or something that isn't suitable for installing rooftop solar on it," she says.

Harvesting the sun's energy

More than 170 people have now become 'solar gardeners', having purchased a 'plot' on the privately owned farm in Grong Grong. The solar farm started producing energy this month.

Each 'plot' cost $4,200, which buys approximately three kilowatts of solar panels in the array.

Haystacks says the solar gardeners, who mostly live in cities hours away, will get at least $455 off their power bills for the next decade, with $505 a year for the first five years locked in.

This amount isn't dependent on how the solar farm performs, and Haystacks predicts the returns will actually be higher with any future corporate power agreement.

The returns are credited directly to their electricity bills.

As well as buying their solar plot, each of them is also a member of the cooperative that oversees the project.

"We specifically chose a co-op, because we really liked the democratic values that are baked into that model, where everyone who becomes a member has a vote in any major decision," Walters said.

Haystacks might be a small fish in the pond of renewables developments, but has its own benefits.

Like large-scale projects, it's situated in an ideal location for sunshine, and uses the same single-axis tracking panels that rotate to follow the sun's journey across the sky each day.

Whereas major solar farms require expensive transmission infrastructure upgrades to take the power from the panels to people's homes, Haystacks can plug into the existing grid with only minor adjustments.

"It connects to the poles and wires and the distribution line that we see in all of our streets, so it's a lot more accessible," Walters said.

The energy equivalent to a shared garden, Haystack lets its owners 'grow' power away from the place they live.

"If you live in a tiny apartment and you want to grow some tomatoes but you don't have anywhere to grow them, you would rent a plot in the community garden, " Walters says.

"If you want to generate solar energy, but you don't have a rooftop to do that on, you purchase a plot and you get solar energy from that."

Furrows in solar schemes

Community solar gardens are no perfect replacement for rooftop solar and lack some of the financial benefits.

Households with rooftop solar avoid some of the network fees by using the electricity before it goes into the grid, according to Dr Bjorn Sturmberg, an energy research fellow at the Australian National University.

"Your electricity bill has network charges on it, and those are calculated on a per unit basis. So the more electricity you use, the more you pay towards the upkeep of the poles and wires in your area," he explained.

Rooftop solar also reduces demand when there is pressure on the grid, such as during heatwaves, whereas solar garden owners continue to draw electricity from the grid.

"It's important to be clear that initiatives like the solar gardens are not as financially rewarding as rooftop solar, and that they're never going to be," Dr Sturmberg said.

While some experts see community renewable projects as an empowering way for communities to share in the financial windfalls from the energy transition, others say they merely highlight the frustrating gaps in policy and the lack of mandated energy efficiency standards for rentals.

"Community energy is a pretty broad term to describe how different collections of citizens acting to try and generally to try and speed up the energy transition, and often many cases, also to try and make that transition a bit fairer," Dr Sturmberg said.

But the energy system is favoured toward large-scale projects, according to Dr Sturmberg.

"The energy system is kind of becoming bifurcated into really large generators, such as huge wind farms and solar farms that produce hundreds of megawatts of power … and then rooftop solar," he explained.

"It's very difficult to kind of be in that middle ground between those two. In the case of this community solar garden, it's fantastic to see it actually come to fruition."

But, in the absence of either carrots or sticks to coerce landlords into providing efficient homes with rooftop solar, some renters are forging ahead with community schemes to invest in renewable energy.

Sowing seeds for a cleaner future

Justine Lloyd had rented the same Randwick apartment for 17 years, a dark brick art deco block of six, typical of Sydney's eastern suburbs.

A lifelong renter, she knew it was unlikely her landlord would agree to put solar on their apartment block roof.

"The landlord doesn't want to do any repairs, let alone improvements, so we knew straight away when we moved in that we couldn't have solar," she said.

Ms Lloyd jumped at the opportunity to become a "solar gardener" and invest in the co-op model, where as a member she would have a say in decisions regarding the project.

"I feel principles behind the solar garden are really great, because you're actually sharing the infrastructure. No one person has to set it up and be responsible for it," she said.

The benefits of being a 'solar gardener' really hit home when Ms Lloyd recently got her notice that she had to move from the place she called home for almost two decades.

"I don't have to pick up my solar panels and take them with me every time I move," she said.

"As a renter, my housing is probably short-term. You just never know where you're going to be living next year."

Justine recognises this isn't the same as having solar on your roof, but she sees it as an opportunity to invest in renewable energy.

"The power's going in the grid and doesn't necessarily come exactly to my house but it is by taking away the need for building more coal fired power stations or more fossil fuel investment," she said.

"I get to be part of that climate and energy solution."

It was the same driver for fellow 'solar gardener' Haryana Dhillon, who rents a city terrace house with a skylight and attic window, making the roof space too small for solar.

"So climate change was a really big factor, wanting to do whatever we could to minimise the impact of climate change," she explained.

"It was the potential that this was actually something that was feasible and could be a demonstration for other people around the country.

"And the more that other people and the government and politicians see that, I think, the more likely they are to take it more seriously."

Bjorn Sturmberg from ANU and other energy experts believe there's an ultimate fix to these issues.

"The best thing we can do is to accelerate the transition of the whole national electricity grid to be more renewables, [that's] therefore cleaner and cheaper.

"Once that's the case, there'll be less of an imbalance between those who rent than those who own properties and have solar."

He also thinks governments should focus on the demand side of electricity: that is, how it's used in Australian homes.

"It is absolutely inescapable, and of utmost importance that we also help rental properties, apartments and social housing have more efficient and electrified homes," he said.

A new crop

Farmer Gemma Purcell is the perfect embodiment of the power of community energy to bring people together.

Her resentment at the lack of climate action drove her to plant the first seeds for the solar farm about eight years ago, after meeting experts at a community renewables event.

"I was becoming eternally grumpy and frustrated with the inertia at government level in terms of climate action, emissions reduction, and the energy transition," she explained, surrounded by the red dirt and gleaming metal of the panels.  

Having the solar farm in the mix also helped her future-proofing her operations.

"It’s an income stream as well, which just hedges your risks through times of drought or difficulty. Goodness knows it just gets tougher and tougher,” she commented. 

“Taking action is a bit of a survival tactic in a way.” 

She said she hadn't faced any opposition to the project from the local community, which had minimal impact on its surroundings.

"People are happy to see some medium-scale infrastructure. We have big wheat silos in the landscape, things that are of a scale of this," she said.

Paving the way with the first community model for renewable energy wasn't easy, she admitted, but she hoped others would soon follow her example.

“Most farmers are in favour of renewable energy, they're across it, they understand it, and farmers are very high tech operators," she said.

The solar farm has also helped Gemma Purcell future-proof her business.

“It's exciting because it is a proof of concept, it's replicable.

"Hopefully, the what part of the community energy side of it is that the entire process is templated, which means now that the next one should be much simpler."

The federal government committed $100 million in funding for solar banks, a shared solar system to help households that can't install their own.

Haystacks director Kristy Walters is hopeful this funding will see more projects like the farm near Grong Grong blossom.

"It's really popular in the United States and in Europe, and countries like Germany. But this is the first time it's come to Australia," she said.

Despite its imperfections, it seems like community energy and projects like this are here to stay, with all the plots at the solar farm sold out, and the desire to participate in the energy transition still motivating many Australians.

Credit

Reporter: Jo Lauder

Video and images: Clint Jasper, Jess Davis

Producer: Fran Rimrod

Editors: Tim Leslie and Edwina Farley

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sarcozona
11 hours ago
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Karen Wyld (@KarenWyld@aus.social)

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sarcozona
13 hours ago
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I think a lot about how many Ukrainian refugees there are living in my country and how many Palestinian Canadians and their relatives are still trapped in Gaza
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