The Dictatorship

Somalia’s crumbling hospitals show the toll of aid cuts and war

Published

5 months ago

November 29, 2025

Somalia’s crumbling hospitals show the toll of aid cuts and war

MOGADISHU, Somalia (AP) — To save the life of his badly malnourished 3-year-old son, farmer Yusuf Bulle had to travel from a remote area of southern Somalia to the capital, Mogadishu, where a rare health unit presented the only hope.

After 15 days at Banadir Hospital, the child was deemed out of danger.

“Where I come from, there is no hospital,” Bulle said. “That’s why I am here.”

One of the world’s poorest countries faces a crisis of health care exacerbated by the Trump administration’s dismantling of the U.S. Agency for International Development this year. The loss of USAID funding has disheartened many Somalis who believe they can’t depend on their own government, which focuses mostly on defeating the al-Qaida-linked al-Shabab.

Somalia’s deputy health minister, Mohamed Hassan Bulaale, told The Associated Press that the U.S. cuts led to over 6,000 health workers losing their jobs while up to 2,000 health facilities were affected — a massive hit in a country that the Center for Global Development this year said was among the world’s most likely to suffer as donors draw back.

Bomb and gun attacks by the militants — including against health centers — have reduced in frequency and intensity in recent months, leading some to see success in President Hassan Sheikh Mohamud’s “total war” against al-Shabab.

But hospital administrators, civic leaders and others say the latest push to defeat al-Shabab has come at the expense of health care and other public services.

Relying on outside money

Somalia’s Ministry of Health was allocated $91 million of a national budget exceeding $1 billion this year, with those funds tied mostly to projects backed by outside groups. That’s a significant improvement from last year’s $52 million, but almost all of that increase came from donors, said Mahad Wasuge, who runs the Somali Public Agenda think tank.

And as the United States has shown, donor money comes and goes.

Even with major setbacks in overall foreign support this year, including from other key benefactors such as Britain, “security remains the first priority” for Somali authorities, Wasuge told the AP.

Many areas outside Mogadishu don’t have functioning public hospitals, he said, with people forced to trek through often insecure areas to receive care at the ones still functional.

Such facilities in the capital include Banadir Hospital, built with Chinese support in 1977, and De Martino Hospital, established in 1922 by Italian colonialists.

During an AP visit, officials at those hospitals said much of their work would stop without assistance from the United Nations and international groups.

Even at Banadir, Mogadishu’s main public referral hospital, expectations of the Somali government aren’t high. The unit looking after malnourished children depends entirely on donor funds channeled through the humanitarian group Concern Worldwide, said supervisor Dr. Mohamed Haashi.

After 37 people employed in the unit lost their jobs with this year’s U.S. aid cuts, Concern Worldwide still pays the salaries of 13 others in addition to milk and food for mothers and babies, Haashi said.

‘Donors are fatigued’

At De Martino Hospital, director Dr. Abdirahim Omar Amin said he worries what will happen when contracts with two other humanitarian groups expire at the end of 2025.

The hospital was looking after dozens of children suffering from diphtheria, an infectious disease of the throat preventable by vaccination but now spreading in rural areas. Parents are not taking their kids for routine vaccinations because they are afraid of militant attacks, Amin said.

In the medical lab, Amin pointed to the equipment and said everything was acquired with donor funds.

“Now it looks like donors are fatigued,” he said.

Most services at the hospital are provided free of charge, thanks largely to funding from the International Rescue Committee and Population Services International. Patients with conditions not deemed urgent are asked to cover some costs.

“The Ministry of Health is supposed to give support to this hospital because this hospital belongs to the Ministry of Health,” Amin said. “I hope, even if (the humanitarian groups) left, the Ministry of Health will replace their position.”

Bulaale, the deputy health minister, said the government is working with some partners in “developing a contingency plan” after the loss of USAID funding. He didn’t elaborate.

In some ways, De Martino Hospital’s history mirrors Somalia’s scars. It once sheltered displaced people after the fall in 1991 of Siad Barre, a dictator whose removal triggered fighting by warlords from different clans. Many public facilities across Somalia were destroyed in years of civil war.

Somalia’s federal government, now based in a heavily fortified area near the airport in Mogadishu, struggles to assert itself despite support from African Union peacekeepers, U.S. airstrikes targeting al-Shabab and security consultants from nations jockeying for influence in a country with strategic access to the Indian Ocean and Gulf of Aden.

The countries include Turkey, which bankrolls a hospital with intensive care capabilities in Mogadishu.

“Even the limited number of public hospitals that started functioning properly lately are heavily dependent on donor money,” said Wasuge, the civic leader. “They don’t get direct government budget that allows them to provide better health care services.”

‘No national health care plan’

The Banadir and De Martino hospitals are where the most needy people are referred for care. De Martino, Mogadishu’s main referral hospital for COVID-19 patients during the pandemic, receives the “most vulnerable” wherever they come from, director Amin said.

Amina Abdulkadir Mohamed, a jobless woman who was at De Martino recently to give birth, said she went there because she knew she would not be asked for money.

“I was told there is free medication,” she added.

Mohamed Adam Dini, who represents Somalia’s Puntland state in the national assembly, described the federal government’s priorities as “deficient” because of its overwhelming focus on ending “anarchy.”

“A lot of diseases have been spreading” unchecked, Dini said, adding: ”There is no national health care plan, as we don’t have a national political plan.”

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For more on Africa and development: https://apnews.com/hub/africa-pulse

The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.

The Dictatorship

Dispatch from inside Vatican bubble during remarkable exchange between pope and president…

Published

2 hours ago

April 17, 2026

Blue Light Newsroom

Dispatch from inside Vatican bubble during remarkable exchange between pope and president…

ABOARD THE PAPAL PLANE (AP) — There is an odd sense of isolation when you are covering Pope Leo XIV from inside the Vatican’s traveling press pool: Escorted from venue to venue with police motorcades that clear even the most congested of traffic jams, it’s a membership that has many privileges.

But during Leo’s epic four-nation trip to Africabeing inside the Vatican “bubble” has been an almost surreal experience, as an unprecedented back-and-forth plays out between U.S. President Donald Trump and history’s first American pope.

Every morning this week, waking up to developments in Washington from the evening before, the questions have abounded: Will Leo bite? How will he address the latest criticism, if at all, while focusing on the Africa program he has planned?

That was certainly the case on Wednesday, as Leo, the Vatican delegation and a pool of around 70 accredited reporters boarded the ITA Airways charter for the second leg of Leo’s 11-day odyssey — the flight from Algiers, Algeria to Yaounde, Cameroon.

Much to the reporters’ delight, Leo had responded head-on to Trump at the start of the trip when he gamely came to the back of the plane and greeted journalists traveling April 13 from Rome to Algiers. He responded to those who asked him about Trump’s Truth Social post a day earlier, in which the U.S. president had accused him of being soft on crime, cozy with the left and owed his papacy to Trump.

Trump was responding to Leo’s calls for peace, in reference to the Iran war, and comments that Trump’s threat to annihilate Iranian civilization were “truly unacceptable.”

Stopping to chat as he made his way from row to row that first day, Leo had told journalists that he was merely preaching the Gospel when he called for peace and criticized war, and that he didn’t fear the Trump administration.

A comment about peace

On Tuesday, on the short flight from Algiers to Annaba, the ancient city of Hippo, Leo stayed in the front of the plane where the Vatican delegation sits, dashing the Vatican pool’s hopes for another Trump vs. Leo news cycle.

On Wednesday, with a five-hour flight ahead of us to Cameroon, excitement grew in economy class when Vatican personnel came to the back of the plane, readied the microphone and did sound checks to make sure the whole cabin could hear.

Emerging from behind the curtain, Leo didn’t take questions from reporters and kept his remarks focused on his just-concluded visit to Algeria, where he honored the legacy of his spiritual inspiration, St. Augustine of Hippo.

In brief remarks standing at the front of the cabin, Leo didn’t refer to war or Trump. But he spoke in terms that could suggest the latest overnight lobs from Washington certainly hadn’t gone unnoticed. Perhaps tellingly, he spoke exclusively in English.

Trump had kept up the criticism on Truth Social, while U.S. Vice President JD Vance, a Catholic convert, said that Leo should “be careful” when speaking about theology.

For starters, Leo noted the sign of “goodness,” “generosity,” and “respect” that the Algerian government showed him in welcoming him on the first-ever papal visit. He said that the Algerian honors had included a full military aerial escort of the papal plane through Algerian airspace.

He also recalled his visit to the Great Mosque in Algiers, which he said was a significant way to show that “although we have different beliefs, we have different ways of worshipping, we have different ways of living, we can live together in peace.”

He said that St. Augustine’s message of searching for God, searching for truth, building bridges and seeking unity and community “is something which the world needs to hear today and that together we can continue to offer in our witness as we continue on this apostolic voyage.”

A papal press pool

Like other heads of state, the pope travels internationally with both his own media team as well as a group of external news organizations that pay, oftentimes handsomely, to have their reporters travel aboard the papal plane and have special access to cover his events. The Associated Press is always on the plane, paying for as many as four journalists per trip.

Being inside the Vatican bubble has journalistic advantages and disadvantages. You get the best access and are traveling under the Vatican’s security umbrella, meaning there’s little or no hassle from local security organizers. The Vatican facilitates visas and local SIM cards in advance, and arranges hotels and local transportation, allowing reporters to focus on the news rather than logistics.

Journalists in the bubble get the pope’s speeches ahead of time and have occasional access to delegation members, as well as other information in real time from the Vatican spokesman.

But the real reason news organizations choose to spend thousands of dollars per journalist, per trip, to be on the papal plane is to be on hand for the pope’s news conferences. The only time a pope holds such briefings with journalists is at an altitude of 35,000 feet (around 10,000 meters)

Who could forget Pope Francis’ famous line on his maiden trip as pope, in 2013 to Rio de Janeiro, when he uttered the line “Who am I to judge,” when he was asked about a purportedly gay priest.

The downside of being in the Vatican bubble is obvious for many of the same reasons it’s helpful: You are removed from local reality, whether in Algeria or Alaska, and rarely have time to do the type of on-the-ground reporting that makes a news report balanced.

Those news organizations that have the resources have teams on the ground producing such content, or journalists within the bubble break away to do their own reporting, so that the end result is a healthy combination of official Vatican information and local input.

But when the real drama involving the pope is occurring thousands of miles and time zones away, being in the Vatican bubble is a somewhat jarring experience. The news everyone wants to know isn’t necessarily what the pope has on his agenda.

But on this trip, the first by an American pope to Africa, being in the Vatican bubble certainly had its advantages. The next stop is Angola. Who knows what Leo will have to say.

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Associated Press religion coverage receives support through the AP’s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content.

The Dictatorship

Iran negotiator or private investor? Raskin launches investigation into Jared Kushner.

Published

12 hours ago

April 17, 2026

Blue Light Newsroom

Apr. 17, 2026, 5:00 AM EDT

House Judiciary Democrats are launching a new investigation into President Donald Trump’s son-in-law — and Iran ceasefire negotiator — Jared Kushner, citing his “glaring and incurable conflict of interest.”

In a letter obtained first by MS NOW, Rep. Jamie Raskin, D-Md., writes that Kushner’s dual roles as Trump administration peace envoy and leader of a private equity firm have “been haunting American foreign policy since President Trump returned to Washington in 2025,” with the Iran war only compounding concerns that Kushner’s financial work could distort his priorities.

“Your client Saudi Arabia,” Raskin writes, “wants to see a continuation and escalation of President Trump’s Iran war, but the American people have an interest in minimizing the loss of American lives and treasure in this conflict.”

“To whom do your professional obligations and fiduciary duties belong?” Raskin asks in the letter, which was sent to Kushner, his firm, and the State Department on Thursday.

Kushner, who is married to Trump’s eldest daughter Ivanka, founded the investment firm Affinity Partners in 2021 after serving as a senior adviser during Trump’s first administration.

Affinity’s largest and earliest investor, according to The New York Timesis Saudi Arabia’s Public Investment Fund, which is led by Crown Prince Mohammed bin Salman. The fund invested roughly $2 billion after the first Trump White House ended. Sovereign wealth funds tied to other Gulf nations, such as Qatar and the United Arab Emirates, have also invested.

Affinity has earned a 25% rate of return since 2021, according to a person familiar with the firm’s internal dynamics.

Since Trump returned to the White House, Kushner has taken on the role of peace envoy, working on negotiations between Ukraine and Russia, Israel and Hamas and, most recently, the U.S. and Iran. The latter two, critics note, are in the region that is the source of sizable investments in Kushner’s firm.

“You cannot both be a diplomat and a financial pawn of the Saudi monarchy at the same time,” Raskin writes in the letter. “You cannot faithfully represent the United States with billions of dollars in Saudi and Emirati cash burning a hole in every pocket of every suit you own.”

In a statement shared with MS NOW, Ian Brekke, chief legal officer for Affinity, said Kushner “has complied with all applicable laws and requirements and has always operated in the best interests of the United States.”

“Jared is not raising funds and has not done business in Gaza, Ukraine or Iran and has no intention to do so,” Brekke said.

In response to a March report in The New York Times that Kushner had taken recent steps to raise money for his firm from governments in the Middle East, Brekke wrote, “Affinity had early conversations with its anchor investor and does not intend to take in any additional capital while Jared is volunteering for the government.”

And in a statement to MS NOW, White House spokesperson Anna Kelly said Kushner had “sacrificed time with his family and livelihood” to work on the Trump administration’s initiatives overseas. She called Raskin “an attention-seeking loser who has saved zero lives and hasn’t accomplished anything.”

As part of the new House Judiciary investigation that Democrats are unilaterally launching, Raskin is asking Kushner to hand over a trove of materials tied to his work for Affinity and with the government.

The documents Raskin wants include: records of his communications with Saudi, Emirati, Qatari, and Israeli officials and their state-linked investment funds dating back to 2022; the financial records detailing all investors in his Affinity investment fund; records of meetings with investors dating back to July2024; and all communications relating to financial investments in Gaza, Ukraine, Iran, and other areas where Kushner has played a role as a negotiator.

Raskin is also requesting Kushner’s communications with the White House and the Trump campaign, including with Trump himself, dating back to July 2024 regarding his role in the new administration.

While Kushner is unlikely to play ball with Democrats — and as long as Republicans don’t side with Democrats, Raskin doesn’t have the unilateral ability to subpoena Kushner — the inquiry is a bit of a preview of the investigations Democrats will launch should their party win control of the House.

As the midterms approach, Democrats are pledging to make rooting out corruption in the Trump administration a central focus. And while Kushner could ignore Raskin now, that would be much more difficult next year if Democrats take back the committee gavels.

For Raskin, this is the latest step in a yearslong effort to review Kushner’s activities.

In 2023, while serving as ranking member of the House Oversight Committee, Raskin wrote to Kushner questioning whether his business interests may have influenced his work during the first Trump administration.

In 2024, Raskin and Sen. Ron Wyden, D-Ore., called on the Department of Justice to appoint a special counsel to review possible violations of the Foreign Agents Registration Act.

Kevin Frey is a congressional reporter for MS NOW.

The Dictatorship

House extends surveillance powers until April 30 after late-night revolt sinks GOP plan

Published

12 hours ago

April 17, 2026

Blue Light Newsroom

House extends surveillance powers until April 30 after late-night revolt sinks GOP plan

Apr. 17, 2026, 2:38 AM EDT

WASHINGTON (AP) — The House early Friday approved a short-term renewal until April 30 of a controversial surveillance programused by U.S. spy agencies in a post-midnight vote after Republicans revolted and refused President Donald Trump’s push for a longer extension.

GOP leaders rushed lawmakers back into session to late Thursday with a series of back-to-back votes that collapsed in dramatic failure, before they quickly pushed ahead the stopgap measure as they race to keep the surveillance program running past Monday’s expiration date.

First they unveiled a new plan that would have extended the program for five years, with revisions. Then they tried to salvage a shorter 18-month renewal that Trump had demanded and Speaker Mike Johnson had previously backed. Some 20 Republicans joined most Democrats in blocking its advance.

Shortly after 2 a.m. they quickly agreed to the 10-day extension, which was agreed to on a voice vote without a formal roll call. It next goes to the Senate, which is gaveling for a rare Friday session, as Congress races to keep the surveillance program running.

“We were very close tonight,” said Johnson after the late-night action.

But Democrats blasted the middle-of-the-night voting as amateur hour. “Are you kidding me? Who the hell is running this place?” said Rep. Jim McGovern, D-Mass., during a fiery floor debate.

At the center of the standoff that has stretched throughout the week is Section 702 of the Foreign Intelligence Surveillance Act,which permits the CIA, National Security Agency, FBI and other agencies to collect and analyze vast amounts of overseas communications without a warrant. In doing so, they can incidentally sweep up communications involving Americans who interact with foreign targets.

U.S. officials say the authority is critical to disrupting terrorist plots, cyber intrusions and foreign espionage.

Surveillance program fight is a debate over privacy and security

Its path to passage has teetered all week in a familiar fight, as lawmakers weigh civil liberties concerns against intelligence officials’ warnings about national security risks.

Opponents of the surveillance tool point to past misuses. FBI officials repeatedly violated their own standards when searching intelligence related to the Jan. 6, 2021, attack on the Capitol and racial justice protests in 2020, according to a 2024 court order.

Trump and his allies had lobbied aggressively all week for a clean renewal of the program, without changes.

A group of Republicans traveled to the White House on Tuesday, and on Wednesday CIA Director John Ratcliffe spoke directly with GOP lawmakers. House Majority Leader Steve Scalise said Thursday there had “been negotiations late into the night with the White House and some of our members.”

“I am asking Republicans to UNIFY, and vote together on the test vote to bring a clean Bill to the floor,” Trump wrote on Truth Social this week. “We need to stick together.”

The result of days of negotiations

Thursday’s proceedings came to a standstill as lawmakers retreated behind closed doors and Johnson reached for an agreement to resolve the standoff.

Shortly before midnight GOP leaders announced a new proposal, a five-year extension, with revisions. The changes were designed to win over skeptics of the surveillance program who have demanded greater oversight to protect Americans’ privacy.

Among the changes are new provisions to ensure that only FBI attorneys can authorize queries on U.S. persons, and to require the Office of the Director of National Intelligence to review such cases, said Rep. Austin Scott, R-Ga., during the debate.

But the final product, a 14-page amendment, did not go far enough for some holdouts in either party.

With Johnson controlling a slim majority, he has little room for dissent. As the Republicans fell short on both efforts before the short extension, a handful of Democrats stepped in to try to help them advance the longer extensions, but most Democrats were opposed.

“We just defeated Johnson’s efforts to sneak through a 5-year FISA authorization tonight,” said Democratic Rep, Ro Khanna of California. “Now, they will have to fight in daylight.”