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"We need to massively step up our response," said one senior UN official, while another stressed that "Ebola feeds on delay, fear, and hunger."
As the official death toll from the Ebola epidemic in the Democratic Republic of Congo topped 1,500, United Nations officials called for a dramatic expansion of humanitarian assistance to combat what's now the fastest-spreading outbreak of the deadly disease ever recorded.
The DRC's Health Ministry on Friday confirmed more than 3,400 infections and at least 1,556 deaths since the outbreak was declared in May. The ministry said the fatality rate during the current epidemic is 44%.
The epidemic is caused by the rare Bundibugyo strain of the Ebola virus, which has spread across multiple DRC provinces, with the vast majority of cases concentrated in Ituri Province. Unlike the Zaire strain from previous outbreaks, there is currently no approved vaccine or treatment for the Bundibugyo virus.
The current epidemic has killed more people faster than any previous outbreak, including in 2014-16, when more than 28,000 infections and over 11,000 deaths were reported.
"In the last 24 hours, 50 people have died of Ebola in the Democratic Republic of the Congo and the number of cases is growing exponentially, doubling every 20 days,” senior United Nations aiEbola coordinator Julien Harneis said during a Wednesday press conference in New York.
“So, in support of the government, I'm calling that we step up, across the response, the United Nations, nongovernmental organizations, member states,” Harneis continued. "We need to massively step up our response, be it in terms of supplies, specialized supplies like personal protective equipment, staff, specialized medical staff, and logistics as well.”
Harneis spoke at the press conference with acting UN World Food Program Executive Director Carl Skau, who said that "Ebola feeds on delay, fear, and hunger."
“Stopping this outbreak requires all hands on deck and communities at the center," he continued. "Food assistance is frontline Ebola containment. It helps families stay home, supports safe isolation, builds trust with communities, and keeps health teams moving. We know what works; what we need now is the speed and resources to scale it before this outbreak outruns the response.”
Skau noted that around 10 million people are suffering from acute food insecurity in the eastern DRC, with 3 million of those in an Integrated Food Security Phase Classification (IPC)-designated "emergency"—one step away from famine.
“You cannot force people to choose between hunger and health,” he said.
Compounding the crisis, a growing number of Ebola patients are dying outside of treatment centers. Officials said that more than 60% of recent Ebola deaths have occurred in communities, increasing the risk of further transmission through unsafe caregiving and burial practices.
Health workers also continue to endure attacks by armed groups, which have forced aid organizations to suspend operations in some of the hardest-hit areas of the epidemic.
Some experts also pointed to US President Donald Trump’s ideologically driven decision to withdraw the US from the World Health Organization, his administration’s dismantling of the US Agency for International Development, and reduced funding for the US Centers for Disease Control and Prevention’s global public health efforts as adversely affecting the response to the current Ebola epidemic, especially when compared with outbreaks in 2014 and 2019.
Meanwhile, health officials in neighboring Uganda this week declared an end to the country's Bundibugyo outbreak after no new cases were reported for a month. Twenty people were infected, and three died, in Uganda.
“Trump is exploiting African states’ urgent need to restore lifesaving health aid," said one campaigner.
US Department of State text messages detailing health agreements between the Trump administration and African nations have sparked fresh alarm among public health advocates, who warn that the coercive deals could allow the United States to secure access to virus samples and valuable data while failing to guarantee that countries providing them will receive vaccines, treatments, and other benefits in return.
Public Citizen said Thursday that it had analyzed documents concerning the Trump administration's terms for sharing pathogen data in health agreements with African nations. The consumer advocacy group described these terms as "unfair" and said that they threaten "to undermine the core equity bargain of the [World Health Organization's] Pandemic Agreement negotiations."
The conditions of the proposed deals, said Public Citizen, "would require African states to share viral samples and pathogen information with the US and allow the US to share that information with drugmakers, but provide no credible expectation of benefits in return or access to medical tools developed from those samples."
"This undercuts the federated proposal for viral sharing with access benefits put forward this month at WHO negotiations by the Africa+ Group, which includes all countries for which bilateral specimen agreements are available," Public Citizen added.
At the center of the controversy are agreements that tie US health assistance—which has been eviscerated by the Trump administration with widespread deadly consequences—to commitments involving disease surveillance, data sharing, and, in some cases, the exchange of pathogen samples.
Supporters argue the deals strengthen America's ability to detect and respond to emerging infectious diseases while providing partner countries with much-needed funding after devastating cuts to US aid. Public health advocates, however, contend the agreements shift power away from multilateral institutions and toward one-on-one negotiations in which lower-income countries have less leverage against the world's wealthiest and most powerful nation.
As Common Dreams reported last month, President Donald Trump's so-called “America First” approach to global health strategy is characterized by transactional agreements with African governments to restore some funding. Human rights advocates have raised concerns about the possibly coercive nature of this strategy.
“Trump is exploiting African states’ urgent need to restore lifesaving health aid and pushing them to give up a shot at real lifesaving medical access and equity, for which so many people have worked, bled, and died,” Peter Maybarduk, director of Public Citizen's Access to Medicines program, said Thursday in a statement. "African states at WHO have led the way in efforts to secure a fair deal and cooperation to fight pandemics, but individually, these states are vulnerable to Trump’s threats.”
Medicare has become living proof that public, universal health insurance is superior to private insurance in every way.
Sixty one years ago, July 30, 1965, Congress enacted Medicare to provide health insurance for people ages 65 and older and the disabled regardless of income or medical history. At the Harry S. Truman Presidential Library in Independence, Missouri, former President Harry S. Truman and his wife, former First Lady Bess Truman, became the first recipients of the new Medicare health insurance program. President Lyndon Johnson and the US Congress enacted Medicare under Title XVIII of the Social Security Act.
Medicare was a momentous act because it provided new health insurance for people ages 65 and older and the disabled regardless of income or medical history. In the years since, Medicare has become living proof that public, universal health insurance is superior to private insurance in every way. Medicare is more efficient than private health insurance and is administered at a cost of 3-4%, as opposed to private, for-profit health insurance, which has administrative costs above 15%.
Following the successful 1965 grassroots campaign to enact Medicare, many also believed that the dream of a full national, single-payer health insurance system that included all age groups, “Medicare for All,” was right around the corner. Unfortunately decades later, Medicare still has not been expanded. Most of the changes have been contractions with higher out-of-pocket costs for beneficiaries and repeated attempts at privatization by Big Pharma, Big health insurance industry companies-oligarchs-profiteers, and their champions in the White House and Congress.
Big insurance and Big Pharma continue opposing legislation for the new, improved Medicare for All because these resistant, self-serving industries have the most to lose if their huge profits are redirected to direct patient care for all. Individual and corporate predators regard democracy, government, and community as obstacles to their greed and avarice, always placing profits over individual patients, families, and public health. It’s no wonder so many beholden members of Congress want to protect the interests of Big Insurance and Big Pharma, industries that spent $371 million on lobbying in 2017 alone.
The Heritage Foundation’s Project 2025, framed by former Trump administration staffers and secretly endorsed by President Donald Trump himself, proposes changes in Medicare benefits that could destroy Medicare as we know it. Instead, we must fight back and expand Medicare. Although health insurance affordability for the majority of US citizens still remains elusive, President Trump’s health insurance plan still wants to shift many more dollars into private, Wall Street insurance industry hands. The takeover of public health insurance, as with Medicare Advantage plans and others, by private Wall Street entities continues apace as Republicans and Trump propose to increase taxes and give it to the private profit insurance industry—the basic source of our profound administrative waste, along with the costly administrative burdens they place on the delivery system that requires large profits. Profiteering continues unabated as private insurance sells us services we don’t need or want, such as deductibles and other cost sharing and maintenance of narrow networks, requiring prior authorization with increased administrative costs, excessive ongoing paperwork, and documentation requirements, all while avoiding paying for surprise bills and other denied benefits.
No greater disconnect exists between the public good and private interests than in the voracious US system of for-profit Big Insurance and Big Pharma.
Dealing with Covid-19 could have been more lifesaving if Medicare for All had been in place. A New York Times editorial, "Health Care for Some is a Recipe for Disaster," stresses the importance of covering everyone. Even before Covid-19 was known to humans, Northeastern University professor of public health, Wendy Parmet, presciently warned that the push to exclude immigrants from access to healthcare services would be both dangerous and quixotic. “None of us can be self-sufficient in the face of a widespread epidemic,” she wrote in 2018. “That is just as true for noncitizen immigrants as everyone.” In any pandemic, self-sufficiency can be self-deluding; everyone’s health, citizens, immigrants, etc. alike is only as good as our most vulnerable neighbor’s.
Truly a recipe for disaster, vested interests reject the science of public health epidemiology by asserting that only a slow, incremental approach to health insurance reform is possible or acceptable. So, what are we willing to settle for, should we just settle for what we can get? Lower the expectations, turn down the public heat, and keep waiting?. Gradualism, baby steps, extending health insurance coverage to some, but not all, is the mantra of the day; "Medicare for Some," but not "Medicare for All," is fawned over by politicians, profiteers, and advocacy groups alike while reducing communities resources to deal with dangerous epidemics and other health problems.
Virtually all the risky gradual reforms being touted would reinforce a dysfunctional health insurance system with as many standards of insurance as there are dollars to purchase them. It would further lock us into an obsolete private insurance-based model that holds everyone's health hostage to profiteering HMOs and unaccountable big insurance companies for years to come. For these proponents of political expediency, the question remains: Who will be left behind while we wait? Every year many unnecessary deaths are linked to lack of health insurance coverage. Pandemics can quickly increase these numbers.
Big Insurance and Big Pharma dominate our government, and public health takes a back seat to the need for private profit. Many government leaders from both political parties share the same "profits over public health" ideology, even though the Covid-19 pandemic clearly showed how our economic system failed to serve our citizens by allowing these groups to privatize, sabotage, fragment, and cripple our health, public health, and other social services. Many of the changes in traditional Medicare have been contractions with higher out-of-pocket costs for beneficiaries and repeated attempts at privatization by Big Pharma, and Big Health insurance. No greater disconnect exists between the public good and private interests than in the voracious US system of for-profit Big Insurance and Big Pharma and their inherent tendency to invent new needs, disregard all boundaries, and turn everything into an object for sale and big profit.
Medicare for All Act (M4A)-2026 is best solution because it meets eight basic standards:
To continue our 61 years of progress, it’s time to upgrade Medicare by establishing a 21st century improved “Medicare for All” health insurance system that covers all age groups, cradle to grave. Newborns will leave the hospital with their new Medicare card, and drop it off years later at life’s end. Two comprehensive M4A bills now filed in Congress, H.R. 3069 and S.1506, propose to insure or cover all medically necessary services. Patients have their choice of physicians, mental health professionals, other healthcare professionals, hospitals, and clinics.
M4A insured health services include:Because our government, instead of private profit health insurance companies, serves us as the health insurance financing authority, co-pays and deductibles paid at health professionals' offices are ended because payment for health insurance is fully prepaid directly into Medicare, much like Social Security, and covered at first dollar amounts. This means the obsolete 80%-20% payment split between private health insurance companies and Medicare is eliminated, with Medicare for All covering 100%.
The major reason private health insurers are more expensive than government health programs in the US is due to profiteering and administrative costs. Those extra taxpayer funds going to private insurers include costs such as advertising and marketing of their plans, costs of contracting for restrictive provider networks, administering prior authorization requirements, complex systems of processing claims including denial of benefits, simple administrative costs of operating large corporate entities, and distributing generous profits to their executives and passive high profiteering by Wall Street investors.
The Medicare for All Act-2026, now filed in Congress, would much better fill our healthcare financing needs without wasting hundreds of billions of dollars on superfluous administrative costs and end immense profiteering by private insurers and Big Pharma. The USA is a country where health insurance for medical and mental healthcare is a function of socioeconomic status. Everyone knows that this inhumane system should have been corrected long ago.
Please tell your legislators that it’s time to end inadequate and dangerous health insurance programs. Insist on real health insurance reform essential for individuals and families. American history is filled with examples of fundamental, democratic change brought about by successful mass action and public pressure against the counseling of the go-slow, vested-interest crowd. No more waiting! Ask your legislators to fully support Medicare For All 2026 now: H.R. 3069 and S. 1506
What will help prevent future outbreaks is restoring and expanding regulatory agencies tracking infectious outbreaks, and breaking up food monopolies while sustaining and strengthening small farms.
The recent, record-breaking outbreak of Cyclospora infections linked to lettuce consumption has left Americans wondering what food is safe to eat.
What brands of lettuce are safe and which aren’t are important questions. But even more important might be why such outbreaks happen in the first place—and how our government has made them increasingly likely.
Nobody wants explosive diarrhea—and yet the way our federal government has left us unprotected is enough to make one sick.
The chief culprit in the cyclosporiasis debacle is our centralized, monopoly-based food system. The outbreak has been linked to Taylor Fresh Foods, which supplies many restaurants. Many brands of bagged lettuce and salad are also Taylor products—whether consumers realize it or not.
Last year the administration weakened the nation’s already thin food safety monitoring service, FoodNet, by making it optional to track numerous types of infections—including cyclosporiasis.
In fact, according to Farm Action, “Just four companies—Taylor Fresh Foods, Cultrale-Safra, Itochu, and Bonduelle—control 54% of the US fresh-cut salad market.” Similarly, only a handful of corporations control meat, dairy, grains, and beverages. Another handful controls food distribution.
This means that the industry practices giving rise to contaminated foods happen on a very large scale—and those foods are then distributed all over the country. That a single outbreak in one company can potentially impact the entire nation is a grave weakness in the food system.
Monopolies like Taylor Farms use the profits they generate from dominating our food supplies to lobby the federal government for weaker oversight. According to Wired, the company has contributed millions of dollars to conservative political committees, including a super PAC called MAGA Inc.
It has also spent hundreds of thousands of dollars to directly lobby against food safety regulations. News even emerged recently of representatives from Taylor Farms calling the White House to try to delay a recall of their lettuce.
The Trump administration has been more than happy to comply with Big Food’s wishes to reap billions in profits with little oversight.
Last year the administration weakened the nation’s already thin food safety monitoring service, FoodNet, by making it optional to track numerous types of infections—including cyclosporiasis. “We’re really gutting one of the cornerstones of food safety,” epidemiologist Elaine Scallan Walter warned The New York Times last September.
Mega monopolies aren’t just bad for our gut. They also contribute to higher prices and reduced access to fresh foods.
Their sheer size gives them what Civil Eats called “enormous power to make decisions about what food is produced how, where, and by whom, and who gets to eat it.” Big Food companies have repeatedly been found guilty of illegal price fixing. They routinely package the same foods under different labels to give the impression of diversity and competition.
Small farms are one important solution. Their supply chains are localized, making it easier to track and stop infections before they spread on a national scale. Independent farmers are selling out of lettuce at farmers markets as people seek out clean greens.
Yet instead of promoting and aiding small farmers—as he promised to do when running for president in 2024—President Donald Trump has cut back support for training new farmers, who might be competitors to companies like Taylor Farms.
His administration also cut a program that matched small producers with food banks—feeding hungry people while financially stabilizing independent farmers—along with a disaster aid program for minority farmers. The funding losses have left small farmers reeling.
What will help prevent future outbreaks is restoring and expanding regulatory agencies tracking infectious outbreaks. And breaking up food monopolies while sustaining and strengthening small farms.
The question is: Will the federal government have the guts to do what it takes to protect the American people’s guts?
"When the Trump administration declares a crisis ‘under control’, it’s time to brace for the worst yet to come," said one critic.
The United States under Trump-appointed Health and Human Services Secretary Robert F. Kennedy Jr. is currently experiencing major public health crises, including record-high measles cases, an outbreak of a parasite that causes explosive diarrhea, and potential salmonella contamination that led to a recall of nearly two million egg cartons.
Numbers released by the US Centers for Disease Control and Prevention (CDC) on Friday revealed that there have been 2,318 recorded cases of measles this year, the highest number of cases recorded since the virus was declared eliminated in the country more than two decades ago.
Some public health experts who spoke with The New York Times said that lower uptake of the measles vaccine was to blame for the outbreak.
Jennifer Nuzzo, director of the Pandemic Center at the Brown University School of Public Health, told the Times that "this is just going to keep happening" in the US unless vaccination rates improve.
"It’s going to mean living in a perpetual state of vulnerability and risk until we get vaccination levels up," Nuzzo emphasized.
Dr. Jonathan Temte, a former chairman of the CDC’s vaccine advisory committee, placed blame for the outbreaks on the US Department of Health and Human Services (HHS) under the leadership of Kennedy, who prior to becoming America's top public health official was best known as an anti-vaccine conspiracy theorist.
“We have seen virtually no national messaging," said Temte. "We’ve seen no ad campaigns... I think that really tells us something about their priorities."
Brad Woodhouse, president of Protect Our Care, also slammed Kennedy's leadership at NHS, accusing him and President Donald Trump of being on "a suicide mission to scare America families away from vaccines without cause or evidence."
"What they’ve accomplished is a huge dip in vaccination rates and the worst measles crisis in 35 years," Woodhouse added. "While the nation’s measles elimination status is doomed, the Trump CDC apparently has not spent a dime on public service ads promoting the one thing that will get us out of the woods: the measles vaccine."
Measles isn't the only disease spreading throughout the country, as the US Food and Drug Administration (FDA) announced on Friday that "four new states... are now considered part" of the outbreak of cyclosporiasis, a foodborne illness that causes explosive diarrhea.
The FDA has said that iceberg lettuce sourced from Taylor Farms de Mexico is likely the source of the outbreak, which so far has led to nearly 2,000 infections and almost 100 hospitalizations.
News about the continued spread of the outbreak came two days after the FDA revealed it was investigating another potential source of cyclospora, the parasitic bacteria that causes cyclosporiasis.
Sen. Jon Ossoff (D-Ga.), who earlier this week demanded answers from Kennedy about his decision to terminate the CDC's previously required surveillance of cyclospora, sent the HHS secretary a letter on Friday ripping his leadership of the department.
"Your silence amidst an ongoing outbreak of diarrheal disease," Ossoff wrote, "is indicative of the reckless arrogance with which you demolished America's public health defense."
Woodhouse, in a statement released Thursday, noted that Kennedy had declared the outbreak "under control" this week even though federal data shows it growing.
"If history is any judge, when the Trump administration declares a crisis ‘under control’, it’s time to brace for the worst yet to come," said Woodhouse.
The FDA also announced on Wednesday that Midwest Poultry Services was voluntarily recalling nearly 1.6 million cartons of eggs over potential contamination by the bacteria salmonella.
As the FDA noted, salmonella infections often result in a number of unpleasant conditions, including "fever, diarrhea (which may be bloody), nausea, vomiting, and abdominal pain."
Economist Dean Baker summed up the current situation in the US in a Friday social media post: "War, diarrhea, measles, and now salmonella, that's pretty damn MAGA!"
As the Trump administration’s crusade against democracy and our nation’s public health and healthcare systems continue, we can learn from the lives of Denise Oliver-Velez and Walt Odets.
Two recent deaths highlighted the importance of earlier activist leaders to struggles for health and social justice. Denise Oliver-Velez, who died on July 15, was a founder of the Young Lords Party in New York, a group that mobilized Puerto Rican and other communities to fight for their health and dignity. She also helped set the stage for alignments between movements for the rights of people of color and those focused on the rights of women.
Walt Odets, a psychologist, died on July 5th in Berkeley where he had provided therapy for gay men for decades. His activism had focused on how best to prevent AIDS and ending the stigma that this country imposes on LGBTQI people.
Their stories remind us of the important role activists play in combating injustice and reversing cruel and harmful policies. As the Trump administration’s crusade against democracy and our nation’s public health and healthcare systems continue, we can learn from these two lives lessons for today’s activists who can bring the values and passions of Oliver-Velez and Odets into the present period.
Through the campaigns she helped to organize, Oliver-Velez brought to life an alternative vision of a healthcare system that put serving people first. In 1970, the Young Lords occupied Lincoln Hospital, an underfunded, understaffed public hospital with decaying facilities and low quality of care, known in the community as the Butcher Shop. The Young Lords sent members into the hospital lobby to collect complaints from patients, which they then presented to hospital administrators. When conditions did not improve, the group occupied the hospital, winning an agreement to hire more Puerto Rican doctors committed to serving their community and to support the Lords to set up new community health and substance use programs. At a time when the city was closing public hospitals to save money, Lincoln was rebuilt and a new modern hospital was opened, in part due to persistent pressure from the Young Lords and their healthcare worker allies.
Between them, these two very different activist leaders demonstrated some of the qualities today’s activists most need to fight current threats to health and social justice.
Oliver-Velez was attracted to the Lords because they were “a puente,” a “bridge between groups, the cultural/nationalists, the Marxists, the whites, the Black and the Asians.” She also wanted to overcome the machismo that divided so many radical groups. She wrote that she and other women in the Lords “made it very clear that we were not going to be just secretaries, that we were warriors too.” Oliver, Iris Morales, and other women leaders in the Young Lords organized a Women’s Caucus which moved the Young Lords Party to adopt feminist principles as central to their political agenda.
These women led campaigns on reproductive justice; against sterilization abuse; for safe, legal abortion; and raised awareness about the institutional oppression of women. Much of their work focused on health—breakfast programs for school children, a campaign to force the city to combat lead poisoning more aggressively, and the fights to improve Lincoln Hospital. Decades before “health for all” became an international rallying call, the Young Lords showed how ordinary people can force government to translate this aspiration into action.
Odets’ practice and tactics were different. He criticized the gay movement’s approach to AIDS prevention, arguing that its guidance on safe sex was ambiguous and failed to prevent infection. He insisted movements had to tell the truth about evidence. He also championed the needs of HIV-negative men, arguing that a movement seeking health for the gay community as a whole at had to consider the needs of these men, even if their lives were not in as imminent peril as those who were HIV+.
“For gay lives,” Odets wrote “the granting of legal rights and authentic acceptance are two different issues in a society steeped in phobic aversion to real diversity.” Odets distinguished between the legal fight for societal recognition, i.e., gay marriage, and the psychological fight for self-acceptance and the rejection of social stigma. He hoped to engage the gay community in addressing both the political and emotional requirement for building solidarity and to prepare gay men to both fight for their rights and insist on their self-worth. Rather than separating these two domains, he strove to integrate them.
Between them, these two very different activist leaders demonstrated some of the qualities today’s activists most need to fight current threats to health and social justice. Both found ways to connect their personal experience to their political beliefs, a prerequisite for authenticity in organizing others.
Oliver-Velez showed the power of bringing people together across the racial-ethnic and gender divides that characterize our society and enable those in power to divide us. Odets emphasized the importance of paying attention to both the political and the psychological dimensions of activism. Activists who appeal to the mind and the heart are more likely to build the long-term support needed to change policies and systems.
Both were willing to acknowledge differences among activists, then look for ways to bridge these divides . Neither Oliver-Velez nor Odets feared conflict, but they did not demonize fellow travelers who disagreed with them, leaving the door open to build bridges.
I have been studying, teaching, writing about, and participating in health activism for more than 50 years. Never have the threats to human and planetary health seemed starker. Never has the responsibility of government to protect health been under such concerted attack. Fortunately, thousands of young and old activists are organizing to combat today’s threats, showing the possibility of an alternative to the dark and cruel view of well-being coming from leaders in Washington. By applying the lessons learned from Oliver-Velez and Odets to today’s battles, we pay tribute to them by strengthening the fights for a healthier, more just world.
After more than a decade of implementation, Fresh Bucks offers evidence that targeted investments in healthy food can improve food security, increase fruit and vegetable consumption, and help reduce nutritional inequality.
Seattle launched Fresh Bucks in 2012. The initiative seeks to “eliminate disparities in healthy food access for communities most burdened by food insecurity, economic hardship, and environmental injustices,” according to the program website. Specifically, according to city data, Black and Hispanic households in Seattle are twice as likely to experience food insecurity—which is defined as “limited or uncertain availability of nutritionally adequate and safe foods, or limited or uncertain ability to acquire acceptable foods in socially acceptable ways” by the US Department of Agriculture (USDA).
Today, Seattle’s Fresh Bucks initiative serves approximately 17,000 income-qualified households each month with benefits dedicated to purchasing fruits and vegetables. Research suggests the investment is paying off. A 2025 study by the University of Washington found that participating households experienced a 31% higher rate of food security than comparable households without the benefit. Additionally, the City of Seattle’s food insecurity dashboard shows aggregate declining insecurity rates since 2018.
The Fresh Bucks program also improves diet quality—not simply by increasing the quantity of food families can buy, but by making nutritious food more affordable. According to the same UW study, Fresh Bucks participants were 37% more likely than households on the program’s waitlist to consume at least three daily servings of fruits and vegetables.
A nationwide Fresh Bucks program would not reverse recent cuts to federal nutrition assistance, but it offers a practical, evidence-based way to reduce hunger while addressing one of inequality’s most basic dimensions: whether families can afford healthy food.
Those gains matter because access to healthy food remains deeply unequal. A 2017 study published in the International Journal of Environmental Research and Public Health found that healthier diets rich in fruits and vegetables often cost significantly more than heavily processed alternatives, which creates a financial barrier that affects lower-income households most. When income determines access to nutritious food, it reinforces broader inequalities in health and well-being.
Community leaders in neighborhoods served by Fresh Bucks say they see those challenges firsthand.
“In White Center and historically underinvested communities across King County, we see every day how rising grocery costs continue to strain working families, seniors, immigrants, and households already navigating increasing housing and living expenses,” Aaron Garcia, executive director of the White Center Community Development Association, said in a press release on new legislation to expand the program. “Access to healthy, culturally relevant food should not be determined by income—it should not be considered a luxury,” Garcia said.
White Center illustrates why programs like Fresh Bucks matter. One of the Seattle area’s most diverse communities, more than 61% of its residents are people of color and 27% were born outside the US. The neighborhood was historically targeted for redlining, which continues to shape poverty rates and income inequality across the Seattle region.
Census data show White Center has below-average household and per capita incomes and a poverty rate higher than the Seattle-Tacoma-Bellevue metropolitan average. Residents of South Seattle, including White Center, face disproportionately limited access to grocery stores offering fresh, nutritious produce. Some advocates describe these neighborhoods not as food deserts, but as examples of “food apartheid”: the racial, geographic, and economic inequities that stratify society and dictate who has access to healthy food and who is relegated to nutritionally deficient diets.
Fresh Bucks was designed to confront those disparities in Seattle by making healthy food more affordable for families who have historically faced the greatest barriers to accessing it.
On the national level, Rep. Pramila Jayapal (D-Wash.), whose congressional district includes Seattle, argued that the city’s local innovation can become a model to address broader food insecurity.
“[…] Seattle is once again leading the way with the Fresh Bucks program, which is successfully keeping people fed with nutritious food and reducing hunger,” Jayapal said. “We must pass this legislation to expand the program nationwide and get families in every corner of the country healthy produce they can afford.”
Jayapal introduced the Fresh Bucks for Fresh Produce Act on July 2. Modeled on Seattle’s program, the legislation would establish a pilot program within the US Department of Agriculture, providing households earning 80% or less of their area’s median income with $60 each month to purchase fresh fruits and vegetables.
The proposal comes as federal food assistance is moving in the opposite direction. Recent analysis from the Center on Budget and Policy Priorities found that participation in the Supplemental Nutrition Assistance Program (SNAP) has fallen by more than 4 million people after Trump’s budget reconciliation bill passed last June—roughly a 10% decline. Meanwhile, the Trump administration recently eliminated roughly $1 billion in food purchases for schools and food banks by ending the Local Food Purchasing Assistance Program.
Other federal policies have also increased food costs. As The New York Times reported in May, executive tariffs on imported steel have driven up the cost of canned fruits and vegetables, because packaging accounts for roughly one-third of wholesale prices. Those increases disproportionately affect households that depend on affordable pantry staples such as canned corn and beans.
Public opinion indicates opposition to these trends. A 2025 Data for Progress survey found broad bipartisan support for SNAP and other efforts to help families afford food. A nationwide Fresh Bucks program would not reverse recent cuts to federal nutrition assistance, but it offers a practical, evidence-based way to reduce hunger while addressing one of inequality’s most basic dimensions: whether families can afford healthy food.
The proposed federal pilot would allow policymakers to test whether Seattle’s results can be replicated elsewhere. After more than a decade of implementation, Fresh Bucks offers evidence that targeted investments in healthy food can improve food security, increase fruit and vegetable consumption, and help reduce nutritional inequality.
That evidence is especially valuable as the USDA has suspended its annual report tracking food insecurity, making it more difficult to measure the full scope of hunger nationwide. Seattle’s experience suggests that local governments can serve as laboratories for policies that address inequality—and that successful municipal innovations may provide models for broader adoption.
"The scale of the outbreak is at least two to four times the number of cases that we have found," said WHO emergencies director Chikwe Ihekweazu.
The Ebola outbreak sweeping the Democratic Republic of Congo is the fastest-growing ever, the World Health Organization warned Tuesday, as a shortage of funding, strained health infrastructure, and a strike by frontline medical workers threaten efforts to contain the deadly virus.
“We've seen the fastest growth in a single month since the outbreak started, and of all the Ebola outbreaks that we have managed,” WHO Health Emergencies Program executive director Dr. Chikwe Ihekweazu told reporters in Geneva. “Over the last few days, we've seen some of the highest numbers of new infections in a single day."
“A few days ago, we saw over 80 cases confirmed in a single day,” he added.
Experts are particularly alarmed that the majority of new infections—roughly 80%—are coming from what the WHO called “unknown chains of transmission."
“You have to imagine that this is a fire,” Ihekweazu said. “There's something driving the fire in its heart, and it's also expanding at the same time.”
The WHO said that 95% of all new Ebola cases are in Ituri province, where the outbreak started in May, but the virus is now spreading to two new provinces, Haut-Uele and Tshopo.
The Ebola virus causes widespread and often catastrophic damage to the body’s blood vessels, immune system, and organs and typically kills between 25% and 90% of infected people, depending upon the strain of the virus and quality of available medical care.
Democratic Republic of Congo (DRC) government figures show nearly 2,000 confirmed infections and more than 700 deaths, but WHO officials say the true scale could be two to four times higher because many infections and deaths are going undetected.
Wessam Mankoula, an epidemiologist with the Africa Centers for Disease Control and Prevention in Ethiopia, noted during a press briefing last week that 112 healthcare workers have been infected with Ebola in DRC, 32 of whom have died.
There have also been around 20 Ebola infections and at least two deaths during the current outbreak in neighboring Uganda.
“Perhaps the most alarming finding is that many newly reported cases are individuals who died in their communities, without ever reaching a health facility and receiving care," Ihekweazu said.
There is some good news, with Ihekweazu noting that "treatment capacity now exceeds 700 beds and continues to increase each week; laboratory capacity has expanded dramatically... and contact follow-up rates are approaching 80%."
However, frontline health workers at an Ebola treatment at Rwampara General Hospital in Ituri province have gone on strike over unpaid salaries and bonuses, poor working conditions, and shortages of protective equipment.
Congolese Health Minister Roger Kamba assured workers that the government has "the means to sort this out."
Critics say US President Donald Trump’s ideologically driven decision to withdraw the US from the WHO, his administration’s dismantling of the US Agency for International Development (USAID), and reduced funding for the US Centers for Disease Control and Prevention’s global public health efforts have also adversely affected the response to the current Ebola epidemic, compared with 2014 and 2019 outbreaks.
The current Ebola outbreak comes in a region already ravaged by armed conflict, displacement, and other challenges. Health officials stress that getting a grip on the outbreak will require not only medical intervention but also rebuilding trust with communities rife with fear and misinformation, and ensuring health workers are paid and protected.
"This outbreak requires resources that match the scale of the challenges that we are facing," Ihekweazu stressed Tuesday. "And this is not a burden DRC can be allowed to carry alone."
The White House and their congressional allies are funding ICE’s brutal dragnet operations in our communities by cutting health coverage, defending clinics, and making it harder for families to get the care they need.
Congress just passed $70 billion in additional funding for Immigration and Customs Enforcement. In cities like Minneapolis, Los Angeles, Chicago, and beyond, children have been detained, families separated, and neighbors stopped based on their skin color or spoken language. ICE violence has killed a mother and an ICU nurse, separated more than 100,000 American children from their families, and left people detained in inhumane facilities.
The decision by congressional Republicans to double down on President Donald Trump’s immigration agenda through new funding is not just another attack on our immigrant friends and neighbors, including those who are legal residents, but it is also a direct attack on our public health and healthcare systems.
The tens of billions in additional funding is on top of an unprecedented $170.7 billion for the Department of Homeland Security (DHS), including $30 billion for ICE and deportation efforts, approved last year under the so-called One Big Beautiful Bill Act (H.R.1)—a law which also slashed more than $1 trillion in federal healthcare funding. These cuts have and will continue to kick people off their healthcare coverage, give Americans fewer options for affordable healthcare, and drive up costs at clinics and hospitals across the country, all while billions of dollars have been funneled into ICE raids and violence that threaten the safety and well-being of immigrants and US citizens alike. All the while, American families are facing an affordability crisis, struggling to make ends meet to pay for essentials like groceries, rent, and healthcare.
Put simply: The White House and their congressional allies are funding ICE’s brutal dragnet operations in our communities by cutting health coverage, defunding clinics, and making it harder to get the healthcare families depend on—and it affects everyone’s health.
What makes our neighborhoods healthier and safer isn’t ICE enforcement. It’s communities that can access the care, services, and resources they need to thrive and remain resilient.
The divergence of federal dollars away from healthcare and into ICE has led to an influx of poorly trained enforcement agents in our cities, in our airports, and on our streets. The aggressive policing and surveillance of our neighborhoods create an environment of fear, turning our streets, schools, workplaces, and hospitals into places of threat rather than safe community spaces. As a result, community members, including vital immigrant healthcare workers, are staying home, unable to contribute to the economic vitality of our neighborhoods or seek and provide necessary healthcare. In addition, as more people lose health coverage, uninsured patients seeking emergency care results in higher uncompensated care costs, putting financial pressure on health facilities, and forcing them to scale back services for all.
We cannot afford to let ICE enforcement gut the health system we all rely on. What makes our neighborhoods healthier and safer isn’t ICE enforcement. It’s communities that can access the care, services, and resources they need to thrive and remain resilient. We should all be treated with dignity and be able to safely access healthcare and other neighborhood resources vital for our health and well-being.
A new poll from the Protecting Immigrant Families coalition finds that most Americans agree. Sixty-four percent of Americans disapprove of how ICE is handling their job, and 83% of Americans support access to healthcare and social services for lawfully present immigrants. The data overwhelmingly show that Americans, no matter where they stand politically, believe in and want to protect the humanity of their immigrant neighbors, despite actions from the federal government.
We urge congressional and state leaders to act. Stand in solidarity with immigrant communities. Codify sensitive locations protections that prohibit ICE raids or presence at schools, places of worship, hospitals and health centers, and other places that are meant to be safe spaces for everyone. Ban local officials from inquiring about immigration status. Secure our sensitive personal and health data from inappropriate federal access. Make future DHS funding conditional on real oversight and accountability for the families being torn apart, the neighborhoods being destabilized, and the dismantling of the healthcare system we all rely on.
The history of the government of the United States in this century, especially under this president, is a history of repeated injuries and usurpations, all tending to the establishment of a corporate despotism over the American people.
When in the course of human events, it becomes necessary for the people to dissolve the bands which have subjected them to a government which has burdened and oppressed them, and to restore the powers and rights to which the laws of nature and nature’s God entitle them, a decent respect to the opinions of humankind requires that they should declare the causes which impel them to the separation.
We hold these truths to be self-evident: That all people are created equal, that they are endowed by their Creator with certain unalienable rights; that among these are life, liberty, and the pursuit of happiness; that to secure these rights, governments are instituted among the people, deriving their just powers from the consent of the governed; that whenever any form of government becomes destructive of these ends, it is the right of the people to alter or to abolish it, and to institute new government, laying its foundation upon such principles, and organizing its powers in such form, as to seem to them most likely to them to effect their future safety and happiness. Prudence, indeed, will dictate that governments long established should not be changed for light and transient causes: and accordingly all experience hath shown that people are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed. But when a long train of abuses and usurpations, pursuing the same object, evinces a design to reduce them under an absolute despotism it is their right, it is their duty, to throw off such government, and to provide new guards for their future security. Such has been the patient suffering of the American people, and such is now the necessity which constrains them to alter their present government.
The history of the government of the United States in this century, especially under this president, is a history of repeated injuries and usurpations, all tending to the establishment of a corporate despotism over the American people. To prove this, let facts be submitted to a candid world.
On repeated occasions, the current government has manipulated elections from which officials have assumed their offices.
A government whose character is thus marked by actions that exhibit such arrogance is unfit to be the government of a free people.
Its current president has allowed his subordinates to suggest a postponement of the constitutionally required date of a presidential election, a step unprecedented in United States history, even in times of war and civil rebellion. While doing so, he has suggested that no further national elections will be necessary.
The current government has repeatedly undermined access to equal voting rights, and has promoted the power of the dollar to replace the voice of the people in elections.
It has compromised the security of the people in their persons, homes, workplaces, schools, travels, papers, and effects by sponsoring actions that harass the people with both open and clandestine searches and surveillance.
It has denied immigrants their rights under asylum law and the Constitution, subjecting them to arbitrary arrest and cruel and unusual punishment.
It has refused detainees under its authority access to counsel and security from physical mistreatment, in violation of international covenant, the supreme law of the land, and the English-speaking tradition of law dating from Magna Carta.
As has been the case for nearly two generations, it has failed to erect adequate safeguards against domestic terrorism and the massacre of children and young people in our schools and colleges.
It has long evaded international covenants for the protection of the environment, the humane treatment of prisoners of war, the security of nations from invasion, and the prevention of war crimes, thereby subverting the law of nations and the supreme law of the land. The current president’s actions in this respect are especially cruel and malign.
It has acted to render the military independent of, and superior to, the civil power.
It has weakened enforcement of environmental laws most wholesome and necessary to the public good, has compromised others, and has allowed corporations to poison the environment on which the public’s health, prosperity, and well-being depend.
It has hollowed out the nation’s civil service and established bribery as standard government practice.
It has further endangered public health by weakening legislation that would remedy the people’s woefully inadequate access to essential medical care.
It has reduced benefits and medical care to veterans of current and previous wars and their families.
It has created a population that lags behind the rest of the developed world in educational attainment, life expectancy, access to decent housing, and prevention of infant and maternal mortality.
It has eaten away at the substance of ordinary people by denying them a living wage, and initiated class warfare in our nation by promulgating laws and taxes that favor the already wealthy at the expense of the people at large.
It has failed to protect the people’s hard-won savings from obscure and deceptive investments, and usurious mortgages on their homes, thereby undermining their material security and driving hard-working citizens into the street.
It has lavished financial support on failed investment banks and corporations while denying the working class, the poor, and the jobless minimal support for their existence.
It has at times deprived federal workers pledged to protect the nation’s security the right to bargain collectively to secure fair compensation for their labors.
It has promoted international trade regulations that deprive laborers of rights protected by international agreement.
Through economic policies that have extended over a generation, it has plunged one-eighth of its population and one-fourth of its children into a permanent state of poverty and hunger.
It has undermined the security of future generations and burdened them with debt by turning record federal surpluses into unprecedented deficits.
It has on occasion neglected to provide its troops at war personal equipment that is necessary to their safety and comfort in the field, and violated the terms of their original enlistments.
It has promoted the development of weapons systems beyond any rational military requirement, and equipped its armed forces with weapons dangerous to their users.
In like manner, it has evaded the obligations of international law and common decency by holding all humanity hostage to an existentially perilous nuclear arms race.
It has distracted the nation from the necessary struggle against terrorism and arms proliferation by initiating offensive war abroad without sufficient cause and has subjected civilians abroad to the horrors of combat, in violation of international covenant, its own rules of engagement, and the supreme law of the land.
In defiance of international law, it has threatened neighboring and allied nations with invasion and annexation, and misused our tax money to finance and abet genocide directed against a foreign people.
It has replaced the world’s respect for the United States of America with apprehension, contempt, and fear.
In every stage of these oppressions, which our current president has encouraged and promoted, the American people have petitioned for redress in most humble terms; our repeated petitions and supplications have been answered chiefly by repeated delays and indifference. A government whose character is thus marked by actions that exhibit such arrogance is unfit to be the government of a free people.
Nor have we been wanting in our attentions to its individual members. We have warned them, from time to time, of attempts to extend an unwarranted jurisdiction over us. We have reminded them of the circumstances of our common heritage here. We have appealed to their sense of decency; and we have conjured them, by the ties of common kindred, to disavow these usurpations, which would inevitably interrupt our connections and correspondence. More often than not, they, too, have been deaf to the voice of justice and common citizenship.
We, therefore, the people of the United States of America, appealing to the Supreme Judge of the world for the rectitude of our intentions, do solemnly publish and declare, that all political connection between ourselves and the present federal administration is hereby abandoned. And for the support of this declaration and the restoration of our liberty, with a firm reliance on the protection of Divine Providence, we mutually pledge to each other our lives, our fortunes, and our sacred honor.