“More bombs, less of everything else” is a tough campaign platform.

Trump's Total War Budget

Noah Berlatsky

Donald Trump called for the culmination of a 45-year Republican dream and did so in a way designed to do maximum damage to the GOP — not to mention the country.

That dream is the utter destruction of the US safety net and the unlimited expansion of the US military.

“The United States can’t take care of daycare,” Trump blustered during a speech to faith leaders. “That has to be up to a state. We’re fighting wars. Medicaid, Medicare — they can do it on a state basis. We have to take care of one thing: military protection. But all these little scams that have taken place, you have to let states take care of them.”

Two days later, Trump proposed a 2027 fiscal year budget with a defense spending increase of 42 percent, or $445 billion, to a staggering total of $1.5 trillion. The budget calls for reducing non-defense spending by 10 percent through the elimination of “woke, weaponized, and wasteful programs” — including steep cuts to the Internal Revenue Service, Environmental Protection Agency, NASA, and defunding the National Endowment for Democracy. Trump also called for massive budget cuts to the National Institutes of Health.

Democrats have said the document is dead on arrival — though Trump hopes to pass a big chunk of it through reconciliation without Democratic votes.

The budget does not, at least initially, include cuts to Medicare, Medicaid, or Social Security. It also does not include funding for Trump’s war against Iran, which he also hopes to pass through a reconciliation process without Democratic support. But it points the way clearly toward a distinctively Republican future for America — one in which the populace is transformed into an impoverished mass of hunger and disease, emitting occasional hoarse pleas for castoffs from oligarchs.

Patty Murray, the top democrat on the Senate appropriations committee, said it is a “bleak and unacceptable” vision. It’s one that is likely to be incredibly unpopular, throwing a lead anchor to the GOP’s already rapidly sinking midterm prospects.

Which side are you on

Trump reveals existence of "Vatican Files' (seriously). They're stored next to the Epstein files in his gold-plated bathroom at Mar-A-Largo

SHOCKER: Trump’s nominee to head the CDC does not seem to be crazy and may actually be qualified

Trump nominates Brown Med School graduate Erica Schwartz, former deputy surgeon general, to head CDC

Stephanie Soucheray, MA 

Wikimedia Commons / Mike Olliver

Erica Schwartz, MD, JD, MPH, former Coast Guard officer, is Donald Trump’s nominee to lead the Centers for Disease Control and Prevention (CDC), Trump announced late this afternoon. 

“Erica graduated from Brown University for College and Medical School, and served a distinguished career as a Doctor of Medicine in the United States Military, the Greatest and Most Powerful Force in the World, and then served as my Deputy Surgeon General during my First Term,” Trump wrote in a lengthy Truth Social post. 

Trump also appointed Sean Slovenski as the CDC deputy director and chief operating officer, Jennifer Shuford, MD, MPH, as the CDC deputy director and chief medical officer, and Sara Brenner, MD, MPH, as senior counselor for public health to Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. 

“These Highly Respected Doctors of Medicine have the knowledge, experience, and TOP degrees to restore the GOLD STANDARD OF SCIENCE at the CDC,” Trump said. 

Schwartz is set to inherit a chaotic and hollowed CDC, one that has seen public firings, the resurgence of measles across the nation, and legally disputed changes to routine vaccine recommendations. Polling also shows that Kennedy’s anti-vaccine “Make America Healthy Again” agenda isn’t sitting well with voters and may be a liability in the midterm elections for Republicans. 

The CDC is an agency within HHS.

Measles has arrived in Rhode Island

Thank you, Donald Trump and Bobby Jr.

RI Health Department notice:

The Rhode Island Department of Health (RIDOH) is advising the public that a confirmed case of measles has been identified in Rhode Island. This was a case in a male from Providence County in his 40s who had recent international travel and returned to Rhode Island on April 13.

He went to Atmed Treatment Center on April 15, and he was tested for measles. He is recovering at home.

The last confirmed case of measles in Rhode Island was in January 2025. In addition, customers and staff at Panadería El Quetzal, 445 Hartford Ave., Providence, on April 15 between 4:30 p.m. and 6:30 p.m. may have been exposed.

RIDOH has worked with Panadería El Quetzal and Atmed Treatment Center to notify staff and other people who may have been exposed.

RIDOH is working to identify and contact those people. The Centers for Disease Control and Prevention’s (CDC) Division of Global Migration Health (DGMH) was notified because people on the same flights as these individuals may have been exposed.

Anyone who was believed to have had contact with this patient during his infectious period are being contacted and provided with instructions on steps to help prevent any spread. As is protocol, RIDOH is taking additional measures in consultation with CDC.

Those who could have been exposed and begin to develop symptoms of measles should call their healthcare professional before visiting an office, clinic, or emergency department. Visiting a healthcare facility may put others at risk and should be avoided if possible.

Anyone who has had measles in the past or has received two doses of the Measles, Mumps, and Rubella (MMR) vaccine is unlikely to develop measles even if exposed.

 The best way to protect against measles is with the measles, mumps, and rubella (MMR) vaccine. MMR is safe and effective.

Chemical Threats Nearby? Trump’s EPA Doesn’t Want You to Know.

EPA wants to gut recently enhanced safety requirements for hazardous facilities.

By Liza Gross

Charlestown is no stranger to chemical accidents,
such as this fire at Kenyon Industries on Route 2

This article originally appeared on Inside Climate News, a nonprofit, non-partisan news organization that covers climate, energy and the environment. Sign up for their newsletter here.

Raschelle Grandison had just walked out her front door to grab something from her car on a chilly March morning in 2019 when she stopped dead in her tracks. 

Grandison stared in disbelief at what looked like a nuclear mushroom cloud approaching the Houston home she shared with her mother, who ran outside to see what was wrong. They were still watching the giant black cloud hurtling toward their neighborhood from the Houston Ship Channel when the shelter-in-place alerts started blaring. 

“It was just terrifying because when you shelter in place, you’ve got a cloud over you, you can’t leave, you can’t go anywhere and nobody can come in,” Grandison said. “It’s just you and God at that point.”

Bradford Dyeing explosion.
Charlestown-Westerly town line

A massive fire had started at a bulk-liquid storage facility run by the Intercontinental Terminals Co. about 5 miles away after a faulty pump released naphtha, a highly flammable hydrocarbon used to make gasoline and plastic, from an 80,000-barrel tank. 

The flames spread to 14 surrounding tanks, and the apocalyptic cloud menaced the Houston skyline for three days before emergency crews put the fire out. By then, a containment wall had failed and released hundreds of thousands of barrels of toxic compounds into nearby waterways, harming birds and their habitat.

Close to 180 million Americans live near one of the country’s 12,000 facilities capable of producing a “worst-case scenario” chemical disaster. A third of these facilities operate in areas where natural hazards like wildfires, hurricanes and sea level rise could disrupt power supplies or damage infrastructure to trigger a catastrophic accident. These risks grow as the planet warms, the Government Accountability Office reported in 2022, when it advised the Environmental Protection Agency to require plants to plan for climate-supercharged natural hazards.

But Donald Trump, whose 2024 campaign received more than $25 million in donations from the oil and gas industry, is trying to keep fenceline communities in the dark about these risks.

PRIMARY CARE WOES --- Will We Solve Rhode Island's Problem?

Bureaucracy versus medicine

By Dr. Steven Fera for Save Our Health Care 

To the rescue?

Primary care in this country is at a critical juncture. The causes are multiple, but government reforms, demands of private payers and corporate employers, the burden of pre-authorization, and the introduction of electronic medical record (EMR) systems are all important contributing factors.

In the 1990s, managed-care plans emerged which greatly increased insurance company profits at the expense of the physician. Hospital executives and entrepreneurs have capitalized by organizing physicians into groups called Accountable Care Organizations, collecting a substantial percentage of collected income. Nowadays, physicians are required to use electronic medical records, which has transformed daily workflow. 

In many cases, patient visits are dominated by time spent engaged in data entry, which requires searching for the correct medical diagnostic code (currently there are over 69,000) and billing code, along with including sufficient medical “information” to qualify for payment. The companies that developed them are reaping significant profits from hospitals and physician practices. Whether this enhances quality or simply undermines the doctor-patient relationship depends on who you ask.

Over the past decade or so, the costs of practice have outpaced increases in reimbursement. Moreover, administrative demands have steered a majority of physicians into employment models, where they have often found that “protocols” and “productivity” were more important metrics than “quality,” leading to both physician and patient dissatisfaction. A rewarding and successful doctor-patient interaction requires time, a luxury many practitioners can no longer afford within the constraints of shorter patient visits. 

Vance at the negotiating table

Next, carpet bomb the Vatican

Nearly 70 Acres Conserved for Recreational Use in Richmond

More than open space

The Rhode Island Department of Environmental Management (DEM) has acquired the 68-acre Princess Pine Estate in Hopkinton on Wincheck Pond for public recreational use. The $1.66 million purchase was funded by   $800,000 from the US Fish & Wildlife Service (USFWS) through the Wildlife Restoration Program, $500,000 from the Rhode Island Chapter of The Nature Conservancy (TNC), and $361,000 in Open Space Bond funds.

“We are very pleased to work with our partners at USFWS and TNC to preserve this beautiful property. In completing this acquisition, we are conserving ecologically important habitat while at the same time, expanding public access to an exceptional site for outdoor recreation,” said DEM Director Terry Gray. “This is one of the most beautiful parts of Rhode Island and we hope that people come out and enjoy a hike or just visit and connect with nature. Working with our partners enables us to leverage state open space funds from the Green Bonds overwhelmingly approved by Rhode Island voters to secure open space resources for the good of our environment and the people of the state.”

A closer look at vaccine strength revealed a surprising link to brain health.

Stronger Flu Shot Linked to Nearly 55% Lower Alzheimer’s Risk, Study Finds

By University of Texas Health Science Center at Houston

A routine visit to a public health office led to an unexpected scientific insight, one that may reshape how researchers think about preventing Alzheimer’s disease.

A new study from UTHealth Houston reports that older adults who receive a higher dose of the influenza vaccine may have a significantly lower risk of developing Alzheimer’s disease compared to those who receive the standard dose.

The results were published in Neurology.

Alzheimer’s disease is the leading cause of dementia, affecting more than 7 million Americans age 65 and older as of 2025. That represents about 1 in 9 people in this age group, and the number is projected to more than double by 2050.

Earlier research from 2022, led by Paul Schulz, MD, a professor of neurology at McGovern Medical School at UTHealth Houston and director of the Neurocognitive Disorders Center, found that people age 65 and older had a lower risk of Alzheimer’s disease if they received a flu vaccine.

Now, three years later, Schulz and his team report that the reduction in risk is even greater among those who receive a higher dose of the vaccine.

Unions play key role in keeping direct care workers in the workforce

Unions help prevention worker turnover

By University of California, Los Angeles

Edited by Gaby Clark, reviewed by Robert Egan

Unionization and working for a public employer are associated with significantly lower turnover among direct care workers (DCW), a group that provides daily care for older adults and those who are disabled and unable to care for themselves, UCLA-led research suggests. 

The findings on the role of DCW unionization, published in the peer-reviewed JAMA Network Open, apply to both for-profit and nonprofit organizations, suggesting that unionization can play a significant role in keeping DCWs in the workforce—and save the health care system $1.5 billion a year in turnover costs. It can also lead to improvements in care quality due to increased job satisfaction and lower stress.

Why direct care worker turnover matters

"Direct care workers provide essential daily care for millions of older adults and people with disabilities, but very high levels of worker turnover make it increasingly difficult for people to receive the consistent care they need," said study lead Dr. Geoffrey Gusoff, assistant professor of family medicine at the David Geffen School of Medicine at UCLA. "Reducing turnover and retaining workers in the direct care workforce is essential for meeting the need for high-quality direct care services."

Environmental Council of RI seeks to protect Rhode Island's climate goals, expand conservation funding, decarbonize buildings, and save RIPTA

ECRI pushes green agenda

Steve Ahlquist 

The Environment Council of Rhode Island (ECRI), a coalition of more than 60 organizations “advocating for policies to protect and enhance the environment for all Rhode Islanders,” introduced its 2026 legislative priorities at a State House event on Tuesday. “These priorities were chosen by the membership of ECRI through a month-long democratic process and represent the diversity of the environmental community in Rhode Island,” said ECRI Executive Director Jordan Miller at the opening of the event.

Here’s the video: The Environment Council of RI 2026 Lobby Day; April 14, 2026

This year, ECRI announced four legislative priorities for the 2026 legislative session. As described by ECRI Vice President Tina Munter, “[T]hese priorities, in no particular order, include urging our legislators to oppose the rollback of state clean energy and energy efficiency programs that have been proposed in the governor’s FY2027 budget, the Green Bond plus crucial additional funding for conservation and open space measures, the Save RIPTA legislative package as put together by the Save RIPTA Coalition, and building decarbonization legislation, both building benchmarking and reporting and building performance standards.”

Accidentally true

Fortune Magazine confirms that WE pay Trump's tariffs, not foreign countries, despite Trump claims