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Death Be Not Proud!

The following is an essay from a 1980 issue of OMNI magazine written by the great science fiction author and editor, Ben Bova. I believe it is even more relevant today than it was 45 years ago.

It was only a small item, down in the corner of a page of the Sunday New York Times:

“… smallpox has been eradicated.”

The World Health Organization (WHO) officially announced that smallpox has been wiped out everywhere on Earth. One of the great killer diseases has itself been killed. No more need for smallpox vaccinations. No more need for international travelers to carry the yellow cards that prove they are not bearers of the dreaded disease as they cross national borders.

The rest of the news that same day was filled with the usual passions: riots, threats of war, terrorism, starvation, population problems in India and Latin America, inflation, unemployment, strikes… on and on and on.

Americans were in the streets, marching in memory of those who were killed in military service. It was Veterans Day, when we honor our dead and remember the wars we have fought.

Iranians were in the streets, too, in Tehran, where they held more than 60 American citizens hostage in the U.S. Embassy and were demanding the return of their deposed shah so that he could face the Ayatollah Ruhollah Khomeini’s version of justice.

No public celebrations greeted the news from WHO. No one cheered from any rooftop. Smallpox is a thing of the past. The scourge that has killed millions and scarred hundreds of millions will never again threaten any child or adult. Ho hum. That’s what scientists are supposed to do, right?

Well, yes, it is. But how often does the public stop to reflect that what scientists do is rather miraculous?

Perhaps I’m prejudiced. I started my writing career as a newspaper reporter back in the late 1940s. Every summer, in those days, newspapers carried a long, ugly running story about polio. It was like covering the baseball season. All summer long we ran box scores every day on the number of children who had died of polio, the number placed in iron lungs, the number crippled for life.

That’s life. What can you do about it?

Then one springtime we carried one single story. Lots of human interest. Plenty of wonderful photographs. Children were being inoculated with the Salk vaccine.

Good front-page stuff: a kid screaming bloody murder as a doctor jabbed a needle into his arm and his anxious mother smiled bravely in the background.

That was a dull summer, poliowise. And there has never been another summer when any newspaper in the land has had to carry a running account of polio’s ravages.

Now we’ve wiped out smallpox. We’ve eliminated another killer disease.

A curious doublethink takes place in most human minds on subjects such as this. Polio, smallpox, tuberculosis, for countless ages were regarded as inevitable natural disasters that humankind just had to bear, scourges sent by the gods to keep us in our place. Then science – the product of human thought – puts an end to these diseases, and people accept their absence as being in the natural order of things.

The same people who unthinkingly accept the gift of life from modern science, as if scientists are supposed to produce miracles the way chickens produce eggs, are quick to blame modern science for many of the problems that our society has not solved.

“No more nukes,” they chant, holding science (and scientists) responsible for Three Mile Island.

“No DNA experiments.” they shout, visions of horror movies dancing in their heads.

“No research on intelligence,” they demand, being told that such studies are done by “elitists.” 

Such people form the shock troops for the armies of ignorance. In another place, or another time, they would be shouting. “Death to the Shah,” or “Down with Galileo,” or even “Sieg Heil!” Like Konrad Lorenz’s ducklings, they will follow whatever or whoever moves across their field of vision at the critical moment when they are ready for imprinting.

Unwittingly, they are destroying our one true hope for a better future: science, the most human activity that human beings engage in, the highest expression of rational human thought.

Yes, the work of scientists can lead to nuclear reactors or genetic engineering or computers that are smarter than we are. Scientific research and experimentation can also lead to the banishment of disease, hunger – and ignorance.

For, beyond all the controversy on the uses of scientific knowledge lies the fact that the ultimate goal of science was summed up beautifully by the English poet John Donne, nearly four centuries ago: 

Death, be not proud, though some have called thee

Mighty and dreadful; for thou art not so ….

And Death shall be no more: Death, thou shalt die!

Public Urged to Comment on Significant USDA Cuts by Sept. 30, 2025

Individuals interested in potentially losing government-provided financial aid amounting to $157.11 billion in 2025 for food, nutrition, and safety, as well as agriculture in general, should join in opposition to the reorganization attempts by Agriculture Secretary (USDA) Brooke Rollins.

Rollins, a Trump appointee and daughter of Helen Kerwin, a member of the Texas House of Representatives, announced plans to send 2,600 of her 4,000 (65%) of her Washington, DC staff to five regional hubs: Raleigh, NC; Kansas City, MO; Indianapolis, IN; Fort Collins, CO; and Salt Lake City, UT.

This relocation move follows the loss of at least 15,000 employees who have accepted Rollins’ “voluntary” resignation offers as she seeks to eliminate 30,000 (30%) of its workforce.[i]

In addition, last month, Rollins announced the elimination of a $360 million program, established during the Biden era, through the American Rescue Plan Act to bolster rural development and build stronger food supply networks in the wake of the COVID-19 pandemic. 

Rollins’ move to cut her Washington, DC staff by 65% masks the actual importance of those people.

Federal agencies place political appointees and hire civil service individuals in their Washington, DC staff for both political and professional reasons.

USDA Washington, DC personnel, both political and civil service, deal with several congressional committees when budgeting, planning, and programming, including House Agriculture, Supplemental Nutrition (SNAP), Livestock and Foreign Agriculture, Nutrition, Oversight and Department Operations, Forestry and Horticulture, Farm Bill Committee, General Farm Committee, and Risk Management and Conservation programs. Additionally, statistical information on farm and agricultural activities comes from the DC office.

Furthermore, political appointees, as expected, serve the whims of the party in power, whereas civil service individuals provide the long-term knowledge, skills, and abilities necessary to run an organization and, sometimes surreptitiously, provide Congress with organizational information that often corrects distorted or misinterpreted political presentations.

Through these collaborative efforts, in 2025, Congress obligated $192.71 billion to the USDA. Of that amount, Congress directed USDA to spend $157.11 billion (81.5% of the total) on private sector contractors (4.6%) and financial assistance (95.4%).

In simple terms, it’s civil service employees who determine the cost-effectiveness of obligation spending. At the same time, political appointees attempt to do the opposite, either by ending funding or diverting those dollars to special interest groups, without oversight.

In Nevada, USDA funds cover aerial photography, conservation programs, daily market prices, disaster assistance, farm loans, outreach and education, and price support for food banks, as well as SNAP.

Unfortualy, under Rollins, as of March 2025, USDA funding for programs supporting Nevada’s food banks, schools, and local businesses, such as the Home Feeds Nevada program and regional food business centers, has been significantly reduced or eliminated.

While some rural development grants continue, Rollins terminated significant funding for locally sourced food purchases, which impacts the state’s agricultural sector and food security efforts. 

According to Jeniffer Solis of Nevada Current, the USDA terminations amount to $3 million, and local small and mid-sized food and farm businesses ended three years ahead of schedule. 

For her part, Rollings, while serving as president and CEO of the Texas Public Policy Foundation, an Austin-based conservative think tank, advocated for the end of agriculture subsidies for farmers and opposed ethanol requirements for fuels.

Meanwhile, as agriculture trade groups sound alarms about price slumps for crops and worsening credit conditions, during Trump’s chaotic trade war, Rollins, in addressing the Northern AG Network in July, congratulated Trump on his trade policies, saying that “I believe with every fiber of my being that prosperity is around the corner because of Trump’s trade negotiations.

As a reminder, it was Rollins who told reporters on July 8, 2025,  that Medicaid recipients could replace farm laborers.

Individuals can provide comments by emailing [email protected] and are also encouraged to contact their senators and representatives. The comment period is open through September 30, 2025.


[i] See: USDA workforce according to Politico.

At-risk Rural Hospitals in Nevada

In June, several Democratic U.S. Senators sent a letter (1) to President Trump, Speaker Johnson, and Majority Leader Thune outlining the consequences of the soon-to-be-passed reconciliation bill (the Big Ugly Bill). The letter warns that “these cuts will have devastating consequences for health outcomes and costs, jobs, and the economic success of rural communities.”

Attached to the letter is “information provided by the Cecil G. Sheps Center for Health Services Research at the University of North Carolina (that) illustrates what your party’s reconciliation bill will mean for the health of Americans living in rural communities.”

The attached study identified the at-risk rural hospitals by state. The study looked at how “(s)ubstantial cuts to Medicaid or Medicare payments could increase the number of unprofitable rural hospitals and elevate their risk of financial distress. In response, hospitals may be forced to reduce service lines, convert to a different type of health care facility, or close altogether.”

The study named hospitals that meet one or both of two financial criteria: (1) the hospital is in the top 10% (ten percent) Medicaid payer mix of rural hospitals across the country, (2) the hospital has experienced three consecutive years of negative total margin. This means these rural hospitals face greater risk of being forced to stop providing some services, converting, or closing.

In Nevada, two hospitals were specifically identified as “at-risk” under these criteria. These were

1. Battle Mountain General Hospital in Battle Mountain and

2. Humboldt General Hospital in Winnemucca.

While neither of these is in our area (they are both in Congressional District 2), the study does illustrate the situation that rural hospitals face. Should one or both of these institutions be forced to close, the population using their services would then have to find (and travel to) other hospitals that will provide care to them. This will, in turn, increase the economic pressures on the other hospitals and possibly putting them at risk as well. There could be a snowball effect throughout the state.

Recently, the Mesa Valleys Progress published a story (2) about Mesa View Hospital titled “Hospital launches fundraising for critical expansion.”

The article begins “Hospitals can benefit all of us in our most vulnerable time of need. They must focus on providing quality health care, irrespective of costs and patients’ ability to pay; they serve all. However, the reality is hospitals must manage organizational costs, pay their bills and provide levels of service that match their financial position. Oftentimes, the hospital’s range of services fall short of what all local residents need, so patients are forced to travel elsewhere for care. This is the story of Mesa View, a critical access hospital and one of the 14 (fourteen) rural hospitals in Nevada.”

It goes on to describe how Mesa View is planning to expand in the future to meet the growing needs of our communities. The article explains that “(i)n order to fund the expansion, Mesa View Hospital has established a Friends of Mesa View Fund. The fund is a registered 501(c)(3) and is held at the Wyoming Community Foundation. Donations to the fund are tax deductible and directly support expanding specialized health care services, beginning with cardiology. Too many residents are traveling to St. George or Las Vegas for health care services currently unavailable at Mesa View, a trend the hospital is committed to reversing.”

It seems that, even in these uncertain times, Mesa View Hospital is committing to ensuring good health care in northeast Clark County. Having been a patient myself at Mesa View, both in the ER and the regular hospital, I can agree with the article’s assertion that “the real anchor level of services is Mesa View’s emergency room, the gold standard in the community.” Let us hope that the at-risk rural hospitals situation doesn’t negatively affect this fine facility.

(1) https://www.markey.senate.gov/imo/media/doc/letter_on_rural_hospitals.pdf

(2) https://mvprogress.com/2025/07/15/hospital-launches-fundraising-for-critical-expansion/

Impacts of the Big Ugly Bill on Medicaid

Many analyses have been published to parse the effects of the Big Ugly Bill on Medicaid. A number of them differ due to the fact that they are all projections and are based on various assumptions. Also because they were prepared at different times and the text in HR1 kept changing to the very end. In this blog, we have attempted to assemble the most recent and authoritative sources.

BACKGROUND OF MEDICAID

What is Medicaid and who are the recipients? (1)

State & Federal taxpayer-funded health insurance

Covers a core set of benefits for recipients at no cost

Covers about 1 in 4 Nevadans; nearly half are children

Payer of last resort, making up about a quarter of Nevada’s insurance market

Largest source of federal funds for health care in the State (60/40)

800,000 Average number of people in Nevada covered

22% growth pre-COVID

54% Percentage of births covered by Nevada Medicaid; 1 in 2 births

75% Recipients served by Medicaid Managed Care Plans

40% Recipients who are children or youth (0-18)

11% Dually eligible for Medicare & Medicaid (85,897 individuals)

78% Recipients who live in Clark County

66% Percentage of adults enrolled in Medicaid who are employed

71% Nevadans enrolled in Medicaid who are people of color

57% Number of nursing facility residents covered by Medicaid

(1) Sources – State Legislature

https://www.leg.state.nv.us/Session/83rd2025/Exhibits/Assembly/HHS/AHHS70C.pdf

https://dhcfp.nv.gov/uploadedFiles/dhcfpnvgov/content/LegislativeSessions/2026-2027%20Budget%20Overview%20DHCFP_02272025.pdf

HR1 EFFECTS ON INDIVIDUALS

How many people will lose Medicaid coverage nationally? In Nevada? In Congressional District 4? (2) and (3)

Nationally

8,689,000

That translates into one in 10 people currently enrolled in the Medicaid program nationwide losing their coverage.

Nevada

116,000

Out of 787,384 statewide which is approximately15.6%

Clark County alone currently has 623,739 Medicaid recipients

Congressional District 4

30,000

Also about 15.6% (of approximately 192,000 recipients, calculated)

(2) Source – Nevada Office of Analytics

https://app.powerbigov.us/view?r=eyJrIjoiZThjMWU5Y2YtZDE4NC00MDM2LWJkMDctZTgzYjliZGIyMjE3IiwidCI6ImU0YTM0MGU2LWI4OWUtNGU2OC04ZWFhLTE1NDRkMjcwMzk4MCJ9

(3) Source – Manatt Health


https://shvs.org/resource/senate-passed-h-r-1-updated-estimates-on-impact-to-state-medicaid-coverage-and-expenditures-hospital-expenditures-including-impacts-by-congressional-district/


However, there are other estimates that differ such as this one cited in the Washington Post on July 10 although the CBO letter dates from a month before the signing of the bill:

Trump displays magical thinking. How can he enact the biggest spending cut in history and no one feel it? And, contrary to his claim that ‘Medicaid is left alone,’ the nonpartisan Congressional Budget Office estimated that new work requirements and other changes in the health care program for the poor will cause 7.8 million people to lose their coverage. CBO added that changes in the Affordable Care Act and a cutoff of aid to undocumented immigrants will mean a total of 11.8 million people will lose their health coverage under the law.” (4)

(4) Sources

https://www.washingtonpost.com/politics/2025/07/10/trump-democrats-tax-spending-bill-fact-checker

https://www.cbo.gov/system/files/2025-06/Wyden-Pallone-Neal_Letter_6-4-25.pdf

HR1 EFFECTS ON FINANCING

How much money is being taken away from Medicaid nationally? In Nevada? In CD4? (3)

Nationally

-$1,248,773,000,000 ($1.2 trillion)

Nevada

-$12,328,000 ($12.3 million)

CD4

The cited analysis does not include the specific amounts of the overall financing effects by Congressional District. However a prorated calculation based the changes in the number of recipients implies a reduction of about $3 million.

HR1 IMPACTS ON HOSPITALS

What are the impacts on hospitals’ Medicaid funding nationally? In Nevada? In CD4? (3)

These impacts will affect many of the rural hospitals like Mesa View.

Nationally

-$664,954,000 ($665 million)

Nevada

-$6,881,000 ($6.9 million)

CD4

-$2,874,000 ($2.9 million)

FURTHER INFORMATION

There is also a very detailed breakdown of the Medicaid cuts in this article from the NY Times:

https://www.nytimes.com/interactive/2025/06/30/upshot/senate-republican-megabill.html

Western State AG’s Hear Range of Fear

On April 16th, four Western state Attorney Generals (AGs) met in Denver, Colorado, to hear a range of fears concerning Trump’s disastrous Make America Great Again (MAGA) strategy. 

Colorado Attorney General Philip J. Weiser introduced his fellow AGs, including Nick Brown of Washington, Anne Lopez of Hawaii, and Aaron Ford of Nevada. He told a packed house of concerned citizens that “nobody is above the law” and that “we live under the rule of law, not the rule of whim.” [i]

AG Brown followed Weiser, telling those assembled that not one of Trump’s actions, including his orders, is the law. Things we worry about, he said, like education, transportation, and health, are under threat and require actions by federal, state, and local governments and the people to resist Trump’s drive towards oligarchy.

A speaker taking to the microphone expressed concerns about losing Federal Emergency Management Agency (FEMA) funds in Denver. She told the crowd that, in addition, hiring freezes were reducing farm support, impacting families with children, people with disabilities, and transgender individuals.  

The four AGs heard about Trump’s reduction of housing eligibility. A speaker told the AGs that the historical focus on the needs of homeless adults meant providing “Housing First” across all elements of the homelessness response system.

However, Trump moved to criminalize homelessness by appointing Robert Marbut to head the Department of Housing and Urban Development. Marbut proposed the “Housing Fourth” approach to criminalize panhandling, banish homeless services to city outskirts, and treat food and shelter as privileges, thus following Trump’s agenda of criminalizing homelessness.

The AGs and those attending heard that Trump’s Diversity, Equity, and Inclusion (DEI) approach denies life-saving programs to transgender individuals while forcing Businesses to drop DEI programs out of fear of Trump’s retaliatory nature.  

Ola Kukoyi, the Executive Director of the Good Shepherd Organization, expressed her concerns about the acts of Immigration Enforcement to hinder free speech and their illegal deportation actions, which are creating a Constitutional Crisis leading to the end of fundamental human rights not seen since the Holocaust crisis.

When asked what they [AGs] are doing, AG Brown expressed his fear and that of his family, but said that none of that can match those fearing ICE snatching them off the streets. He pointed to Trump, Vance, Steven Miller, Kristi Noem, and Marco Rubio as lying. Brown said, “We cannot get used to it, even though we know it is going to happen,” adding, “We will continue to tell the truth, bring actions, and support people and organizations without a voice.” [ii]

The AGs heard concerns about Small business owners who depend on international cooperation feeling defeated, people going without homes, and a mental health crisis in the short and long term. They heard about Trump’s strategy to undermine transgender health needs.

The crowd and the AGs heard that the current federal administration emboldens a white national agenda while pushing bills to undermine fundamental human rights for millions, all of which require people to hold our federal government accountable to the law and increase awareness of these power abuses.

A speaker told of his friend who lived in a car with his wife and small child. Then, the Speaker said his friend got a job working in construction, but when two men attacked him, those assaulting him blamed him for the altercation, and ICE intervened, took his phone, and put him into custody while being denied legal help. Now, the Speaker said,  the man’s wife and child are on the streets.

Continuing, the Speaker reminded the crowd that Immigration and Customs Enforcement (ICE) continues to take people without due process under the guise of Christianity. The law is a social contract, the Speaker added, that when broken, fascism takes root. The Speaker said that’s where we are right now, then he asked, “Will anyone hold this administration accountable? The Speaker concluded by saying that we have no protection if we don’t do this right now.”

A Federal Firefighter Management Team member told those assembled that they had 44 teams last summer, reduced to 41 now, raising concerns about further drops. Trump has terminated 37% of the Forest Service firefighters, she said. 

Of course, speakers raised concerns about the Supreme Court’s decision to return the authority to regulate or ban abortion to individual states, resulting in criminal penalties in many of the states.


[i] President George W. Bush created the Department of Homeland Security (DHS) in 2002. He formed the largest, most extensive spy and enforcement ring in our Nation’s history. Before its creation, intelligence gathering fell into two separate domains under the National Security Act of 1947, including 1: Defense Agencies and the CIA, and 2: Domestic (FBI). Under that umbrella, powerful national intelligence assets (for example, the National Security Agency) were, with rare and judicially approved exceptions, not available for use within the borders of the United States, primarily to ensure that Constitutional rights remained inviolable and enforceable.

With the formation of DHS came the consolidation and merging of data records (Including recently IRS records), helicopters, planes, drones, Predators, and, most importantly, fusion centers across the country, allowing local and federal law enforcement to collaborate on intelligence gathering and surveillance. The internet also provides a significant source of information for U.S. law enforcement and intelligence agencies. Federal agencies monitor social media platforms for investigations and threat identification. However, the internet can also be used for propaganda, misinformation, secret operations, and counterintelligence.

DHS has a workforce of 260,000 employees and 22 components, including the Transportation Security Agency (TSA, Customs and Border Protection, Cyber Security and Information Security Agency (CISA), Immigration and Customs Enforcement, U.S. Citizenship and Immigration Services, Federal
Emergency Management Agency (FEMA), the Coast Guard, Secret Service, Federal Law Enforcement Training Centers, and the Science and Technology Directorate.

With a Budget of $52.2 billion, Congress confirmed Trump’s pick of Kristi Noem, former Governor of South Dakota, with experience staging phony political stunts, to head HHS in January 2025

See Foley, Hoag, “State AG Insights”  for a list at: State AGs Take the Lead in First Month of Trump Opposition | State AG Insights | Foley Hoag LLP

Legislative Reports 2025

AB123 introduced 3/18/2025 Government Opps & Elections

Assembly member Hanadi Nadeem brought this bill after she ran for office during which time she received death threats as well as threatening emails, etc. When looking at what laws were in Nevada, she found that while there are laws that cover most situations, there wasn’t anything about candidates. 

While this bill does protect the 1st amendment, it also provides for consequences for such threats.

Section 3 states that a person who violates the provisions of subsection 1:First violation will be guilty of a misdemeanor.

Second or any subsequent offense is guilty of a gross misdemeanor. 

SB352 Introduced 3/20/2025 Affordable Care Act (ACA) update to match the federal law for non discriminating on health care insurance. Heard in Commerce and Labor. It was presented by Senator Senator Melanie Scheible.

Existing federal law under the ACA Exchange  prohibits certain health care entities from discriminating on the basis of race, color, national origin, sex, age or disability.

But as in section 3 Protected Characteristics means race, color, national origin, age, physical or mental disability, sexual orientation or gender identity, or expression of sex including, without limitation, sex characteristics, intersex traits and pregnancy or related conditions.  Existing laws prohibit certain public and private policies of health insurance from discriminating against any person with respect to participation or coverage under the policy on the basis of actual or perceived gender identity or expression.

Additionally, it prohibits public and private policies of health insurance including Medicaid from discriminating against any person on the above basis. 

SB 217  Health and Human  was introduced 3/19/2025 by Services Senator Nicole Cannizzaro.

This bill is about in vitro fertilization (IVF). The American Medical Association (AMA) has, for a number of years, referred to fertility issues as a disease just like heart disease or diabetes and cancer. So why is IVF or other products and procedures not covered by insurance? 

Studies have found that one in six have fertility problems, nor is it just a woman’s problem, as men have fertility problems also. With IVF and other methods we now have the ability to help these people. The problem for most of them is the cost. One round of IVF treatment can be as high as $50,000.

As a result, there are many who just can’t afford to use a very helpful procedure that could help them have a child.

This bill changes that and allows that coverage to happen. This bill also allows for Medicaid to cover it as well.