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Friday, August 1, 2025

Untold Story In Today's Jobs Report: The Unprecedented Purge Of Illegal Alien Workers

 Any way you cut it, today's jobs report was ugly. Starting at the top, where the July print of just 73K missed most estimates...

... and when combined with the massive downward revision of May and June which removed nearly 260,000 jobs...

...  meant that the employment growth in the past 3 months has averaged a paltry 35,000, the worst since the covid pandemic.

While the unemployment rate was unchanged at the headline level, the unemployment for blacks surged to the highest since October 2021.

It wasn't just the headline (Establishment Survey) data that was ugly: looking deeper reveals more rot, such as the plunge in the number of employed workers tracked by the Household survey. 

The qualitative component was also ugly, with full-time jobs tumbling 440K to 134.837 million, while part-time jobs surged by 237K to 28.437 million.

And yet, amid all the ugliness, there was one saving grace and some may call it quite critical. 

Recall, that starting back in in 2023 we warned that virtually all the job creation since 2018 had gone to foreign-born workers, which as Wall Street subsequently reported, was mostly illegal aliens.

Subsequently, we also correctly predicted that the debate of legal vs illegal workers (and immigration in general) would be the biggest political talking point into the 2024 election.

Which brings us to today when the one aspect of today's jobs report which got zero mentions, was perhaps also the most important one: namely the ongoing purge of all illegal workers from the payrolls. 

As shown in the chart below, in July, the number of foreign born workers tumbled by 467K. It wasn't just July though: as shown below, foreign-born workers (which, again, are mostly illegal aliens) have declined four months in a row...

... as Trump unleashed an unprecedented crackdown on all illegal workers. 

What about native workers? Well, as the chart above shows, in July native-born workers increased by 383K, which was impressive but was less than half the remarkable 830K increase in June; both however were below the massive $1.04 million increase in April. 

And while regular readers are well aware, it may come as a surprise to many that in the five years after 2019, the US had not added a single native-born worker, and instead all the growth in the US labor force was foreign-born. But that finally changed in the past 6 months, since Trump's inauguration.

Here's the bottom line: since Trump took over, foreign-born workers have declined 5 out of 6 months, while native-born have increase 5 out of 6 months!

The chart above, more than any other variable, explains what is going on with the labor market: millions of minimum-wage illegal workers are not only not applying for jobs, but are actively losing their jobs. In the process, wages are increasing on average (since low-paying workers are no longer entering the work force and are being replaced with higher paid native workers). Indeed, we could see that today because while the overall report was very weak, average hourly earnings not only rose sequentially, but printed higher than expected.

But since there is less supply of native-American workers compared to the torrent of foreign-born illegals that defined the Biden administration, the US labor market has hit a bottleneck. And the only thing that will lift that bottleneck is when employers - who clearly still need workers, just not American workers - start paying higher wages.

The only question then will be whether the modest increase in inflation (due to higher wages) will be worth the drop in asset prices, as an increase in overall wages and spending will likely result in a stronger economy. And while we know Wall Street - whose net worth is tied not in income but assets - will hate that outcome, we are also confident which outcome Main Street will prefer. 

https://www.zerohedge.com/economics/untold-story-todays-jobs-report-unprecedented-purge-illegal-alien-workers

Exosomal Liquid Biopsy for the Early Detection of Gastric Cancer

 The DESTINEX Multicenter Study

Key Points

Question  What is the clinical utility of exosome-based microRNA as a liquid biopsy biomarker for early detection of gastric cancer?

Findings  In this multicenter case-control study of 809 specimens from 480 patients in the training and validation cohorts, the 10-microRNA signature Destinex assay demonstrated robust performance for early detection of gastric cancer, achieving high area under the curve values in both the training and validation cohorts. For early-stage (pT1) gastric cancer, Destinex achieved a high sensitivity and specificity in distinguishing gastric cancer in those with the disease vs those without it.

Meaning  These findings suggest that the Destinex assay could enhance the existing toolkit for gastric cancer screening, and its implementation is anticipated to improve patient outcomes significantly.

Abstract

Importance  Gastric cancer (GC) is the third leading cause of cancer-related deaths worldwide, primarily attributed to delayed detection. The invasive and cost-prohibitive nature of endoscopy for GC screening highlights the urgent need for noninvasive biomarkers.

Objective  To develop an exosome-based diagnostic signature to facilitate blood-based, early detection of patients with GC.

Design, Setting, and Participants  This was a multicenter, population-based, retrospective, case-control study that analyzed specimens collected between January 1, 2016, and December 30, 2020. The study encompassed the discovery, training, validation, and evaluation phases of biomarker development. This study was conducted at 4 major referral centers: Nagoya University Hospital in Japan and Ajou University Hospital, Asan Medical Center, and Samsung Medical Center in South Korea, providing a broad representation of advanced clinical care settings. The study included patients with GC, classified according to the TNM (tumor-node-metastasis) classification (8th edition), and controls without disease. Key sociodemographic data, including age and sex, were recorded for all participants. Data were analyzed from October 2022 to July 2024.

Exposures  Results were obtained from tissue and serum microRNA (miRNA) profiling and expression analysis. Frozen tissue collection and blood draws were conducted intraoperatively, preoperatively, and 3 months postoperatively.

Main Outcomes and Measures  Diagnostic performance of GC detection using an exosome-based miRNA signature.

Results  A total of 809 specimens from 480 patients (mean [SD] age, 61.9 [9.8] years; 336 male [70%]) in the training and validation cohorts were analyzed. A panel of 8 cell-free miRNAs and 10 exosomal miRNAs was initially developed in the discovery phase, which was subsequently reduced using machine learning algorithms to a panel of 8 cell-free and 9 exosomal miRNAs during the training phase. This 17-miRNA signature robustly identified GC with area under the curve (AUC) values of 96.3% (95% CI, 94.3%-98.4%) and 95.3% (95% CI, 92.8%-97.9%) in the training and validation cohorts, respectively. Additionally, 5 overlapping miRNAs were observed between cell-free and exosomal panels and exhibited a comparable efficacy in identifying patients with GC. Finally, we established a 10-miRNA signature (Destinex), which successfully identified early-stage (pT1) GC (AUC = 96.8%; 95% CI, 93.5%-100%). Finally, a significant decrease in miRNA expression levels in postsurgery serum specimens confirmed the robustness of the panel specificity.

Conclusion and Relevance  Results of this case-control study suggest that the Destinex assay was robust for early detection of GC, highlighting its potential for clinical application in the noninvasive identification of GC.

https://jamanetwork.com/journals/jamasurgery/fullarticle/2837074

COVID's Gut Punch: Some GI Disorders Rose Post-Pandemic

 

  • The prevalence of disorders of gut-brain interaction rose from 38.3% before the COVID-19 pandemic to 42.6% afterward.
  • The largest increases were observed in conditions including functional dyspepsia and irritable bowel syndrome.
  • Factors associated with having these disorders in the post-pandemic era included younger age, female sex, anxiety, depression, increasing number of COVID infections, and experiencing abdominal pain or diarrhea during COVID infections.

Disorders of gut-brain interaction -- such as irritable bowel syndrome (IBS) -- rose significantly in both the U.S. and the U.K. following the COVID-19 pandemic, according to a population-based survey study.

Surveys revealed that the proportion of adults meeting criteria for at least one such disorder increased from 38.3% in 2017 to 42.6% in 2023 (OR 1.20, 95% CI 1.09-1.31), Imran Aziz, MD, of the University of Sheffield in England, and colleagues reported in Clinical Gastroenterology and Hepatologyopens in a new tab or window.

"The COVID-19 pandemic has significantly increased functional gut problems," Aziz told MedPage Today in an email. "Healthcare providers should recognize post-COVID [disorders of gut-brain interaction] as part of the long COVID spectrum."

"These post-COVID gut problems appear more severe, and require more medical care, than similar pre-pandemic conditions," he added.

The study is believed to be the first to directly compare the prevalence and burden of these disorders before and after the pandemic in two separate countries using the same methodology.

Kristen Pogreba-Brown, PhD, MPH, a University of Arizona epidemiologist who was not involved in the study, is leading a similar projectopens in a new tab or window examining IBS and other gastrointestinal symptoms as a condition of long COVID. She told MedPage Today that the study benefitted from a “perfect scenario” and produced a “really nice, rich data set.”

She added that the results are “pretty consistent” with her findings to date.

“My takeaway would be that the majority of the increase that they’re seeing is due to the infection itself,” Pogreba-Brown said.

The most significant increase was observed in the gastroduodenal domain, with prevalence rising from 11.9% to 16.4% overall (OR 1.45, 95% 1.28-1.65). This was mainly accounted for by an increase in the prevalence of functional dyspepsia (8.3% vs 11.9%, OR 1.48), which included rises in postprandial distress syndrome, epigastric pain syndrome, chronic nausea and vomiting syndrome, and cyclic vomiting syndrome.

There was also an increase in the esophageal domain (8.8% vs 10.1%, OR 1.16) that was accounted for by an increase in functional dysphagia (4.7% vs 5.7%, OR 1.23).

And there was an increase in the bowel domain (30.1% vs 32.5%, OR 1.12), with an increase in IBS of 4.7% to 6% (OR 1.31). There were also increases in functional bloating and distention.

The researchers noted that the overall increase in prevalence of disorders of gut-brain interaction occurred independently in both the U.S. (39.9% to 44%, OR 1.18, 95% CI 1.04-1.34) and the U.K. (36.7% to 41.2%, OR 1.21, 95% CI 1.07-1.38).

In a multivariate analysis, factors associated with having these disorders in the post-pandemic era included younger age, female sex, anxiety, depression, increasing number of COVID infections, and experiencing abdominal pain or diarrhea during COVID infections, they noted.

"For managing post-COVID IBS, it's crucial to take a holistic approach," Aziz said. "This means addressing not just the gut symptoms but also any accompanying mood disturbances."

While the findings are based on data from two countries, Aziz said they are likely generalizable worldwide due to the global spread of COVID. However, he added that differences in healthcare systems and societal factors could affect the extent of the impact.

"Healthcare services and research funding bodies should prepare for this increase in ... cases and develop optimal management strategies for this growing patient population," Aziz said.

In the absence of targeted clinical trials specifically at these conditions, the researchers recommended clinicians follow existing guidelines for managing functional dyspepsia and IBS.

"The established treatment protocols remain our best approach until more targeted research becomes available," Aziz said.

For their study, the researchers conducted internet-based surveys using pre-defined demographic quotas in 2017 and again in 2023. The surveys included 4,050 participants in 2017 and 4,002 in 2023, matched by age and sex. Both used the Rome IV diagnostic questionnaire and included assessments of somatic symptoms, mood, quality of life, and healthcare utilization.

The 2023 survey also included questions about COVID-19, including infection and illness history.

Limitations included the study's cross-sectional design, reliance on self-reported data, and a lack of pediatric representation. Also, while noting that mood disturbances were associated with disorders of gut-brain interaction, the direction of causality remains unclear.

Disclosures

The 2017 survey was funded by the Rome Foundation and the 2023 survey was funded by Tillotts Pharma AG and Novonesis A/S.

Aziz reported receiving speaker fees from PrecisionBiotics. Co-authors disclosed relationships with AbbVie, Alfasigma, BioGaia, Biocodex, Bromatech, Cinclus, Danone Nutricia Research, Genetic Analysis AS, Kyowa Kirin, Janssen, Mayoly, Pfizer, Renapharma, Sanofi, Tillotts, and Takeda.

Primary Source

Clinical Gastroenterology and Hepatology

Source Reference: opens in a new tab or windowPalsson O, et al "The prevalence and burden of disorders of gut-brain interaction (DGBI) before versus after the COVID-19 Pandemic" Clin Gastroenterol Hepatol 2025; DOI: 10.1016/j.cgh.2025.07.012.


https://www.medpagetoday.com/gastroenterology/generalgastroenterology/116770

Trump Revives Presidential Fitness Test, a Rite of Passage for Schoolkids for Years

 President Donald Trump on Thursday reestablished the Presidential Fitness Test for American children, a fixture of public schools for decades that gauged young people's health and athleticism with 1-mile runs, sit-ups, and stretching exercises.

"This is a wonderful tradition, and we're bringing it back," Trump said of the fitness test that began in 1966 but was phased out during the Obama administration.

An executive order he signed Thursday also reinvigorates a national sports council that the president stocked with former and current athletes and other figures from the sports world. Several prominent athletes joined Trump and top administration officials, including allies such as friend and pro golfer Bryson DeChambeau; and others who've attracted controversy such as former New York Giants linebacker Lawrence Taylor, a registered sex offender.

It's the latest athletics-related push from Trump, an avid golfer who remains enthralled with the world of sports. He played baseball in high school and plays golf almost every weekend. Much of the domestic travel he has done this year that is not related to weekend golf games at his clubs in Florida, New Jersey, and Virginia was built around attending sporting events, including the Super Bowl, Daytona 500, and UFC matches.

"I was always a person that loved playing sports. I was good at sports," Trump said. "When you are really focused on sports, you've thought about nothing else. To an extent, this is one of the reasons I like golf. You get away for a couple of hours."

The announcement also came as Trump readies the United States to host the 2025 Ryder Cup, 2026 FIFA World Cup games, and the 2028 Summer Olympics. He also signed a different executive order earlier this month mandating that federal authorities clarifyopens in a new tab or window whether college athletes can be considered employees of the schoolsopens in a new tab or window they play for.

Trump on Thursday said the council, known formally as the President's Council on Sports, Fitness, and Nutrition, will also deal with various issues on college athletics, such as the transfer portal that has more easily allowed athletes to switch from school to school. The council, which will have up to 30 members, will also develop criteria for a Presidential Fitness Award. The fitness test will be administered by his health secretary, Robert F. Kennedy Jr.

In the test, children had to run and perform sit-ups, pull-ups, or push-ups and a sit-and-reach test, but the program changed in 2012. It evolved into the Youth Fitness Program, which the government said "moved away from recognizing athletic performance to providing a barometer on students' health." Then-first lady Michelle Obama also promoted her "Let's Move" initiative focused on reducing childhood obesity through diet and exercise.

The Youth Fitness Test, according to an HHS websiteopens in a new tab or window last updated in 2023 but still online Thursday, "minimizes comparisons between children and instead supports students as they pursue personal fitness goals for lifelong health."

Among those who joined Trump on Thursday, in addition to DeChambeau and Taylor, were Kansas City Chiefs kicker Harrison Butkeropens in a new tab or window; Swedish golfer Annika Sorenstamopens in a new tab or window; and WWE chief content officer Paul "Triple H" Levesque, the son-in-law of Trump's education secretary, Linda McMahon.

Taylor, who has appeared on stage with Trump at campaign rallies, pleaded guilty in New Yorkopens in a new tab or window in 2011 to misdemeanor criminal charges of sexual misconduct. He was sentenced to 6 years of probation and ordered to register as a sex offender. He was arrested in 2021 in Broward County, Florida, and charged with failing to report a change of residence as a sex offender. He later pleaded no contest to an amended charge, was ordered to pay $261 in court fees, and the case was closed, court records show.

"I'm just proud to be on this team," Taylor said as he briefly took the microphone at the signing. "I don't know why, I don't know what we're supposed to be doing, but I'm here to serve. And I'm here to serve you."

The NFL distanced itself from comments Butker made last year during a commencement address at a Kansas college, when he said most of the women receiving degrees were probably more excited about getting married and having children than entering the workforce and that some Catholic leaders were "pushing dangerous gender ideologies onto the youth of America." Butker also assailed Pride Month and railed against Democratic President Joe Biden's stance on abortion.

Butker later formed a political action committee designed to encourage Christians to vote for what the PAC describes as "traditional values."

Sorenstam faced backlash for accepting the Presidential Medal of Freedom from Trump on Jan. 7, 2021, the day after rioters spurred by Trump's false claims about his election loss to Biden stormed the Capitol in Washington.

Other well-known figures in athletics are on the council but did not attend the event Thursday. They include retired golfers Jack Nicklaus and Gary Player, former Dallas Cowboys quarterback Tony Romo, Philadelphia Eagles running back Saquon Barkley, hockey legend Wayne Gretzky, and Roger Goodell, commissioner of the National Football League.

The return of the exam brought mixed reactions from some who study exercise.

Trump is putting a welcome focus on physical activity, but a test alone won't make America's children healthier, said Laura Richardson, PhD, a kinesiology professor at the University of Michigan. The exam is only a starting point that should be paired with lessons to help all students improve, she said.

"It's not just, you get a score and you're doomed," said Richardson, whose teaching focuses on obesity. "But you get a score, and we can figure out a program that really helps the improvement."

https://www.medpagetoday.com/washington-watch/washington-watch/116782

Deion Sanders' Cancer Diagnosis

 After encountering treatment options "that scared me to death," NFL Hall of Famer Deion Sanders anticipates a full recovery from bladder cancer and returning to the sidelines as head coach of the University of Colorado Buffaloes.

Like so many cancers, his was discovered during routine follow-up; in his case, for a previous bout of blood clots in his legs. At a press conferenceopens in a new tab or window in Boulder, Sanders spoke about his own journey through cancer and encouraged others to "get yourself checked out."

"Especially African American men. We don't like going to doctors," said Sanders. "We don't like nothing to do with a doctor. We know that. [But] I'm not just talking to the brothers, I'm talking to my Caucasian brothers, my Hispanic brothers, my Asian brothers, my everybody, and my sisters. All y'all get checked out, because it could have been a whole 'nother gathering."

Sanders was joined by urologic surgeon Janet Kukreja, MD, of the UC Health Grampsas Urologic Cancer Care Clinic in Aurora, Colorado. She described the cancer as "high grade, invading into the bladder wall but not into the muscle layer, something we call very high-risk non-muscle-invasive bladder cancer [NMIBC]."

After discussing all the treatment options, "we elected to undergo bladder removal," Kukreja continued. "We performed a full robot-assisted laparoscopic bladder removal and creation of a new bladder. I am pleased to report that the results from the surgery are that he is cured from the cancer."

Promising "full transparency" to the press in attendance, the 57-year-old Sanders acknowledged that the neobladder is not the same as the original.

"I'm still dealing with going to the bathroom," he said. "I can't pee like I used to pee. It's totally different."

Urologic oncologists who spoke with MedPage Today agreed that Kukreja's description of the cancer suggested a high-risk NMIBC.

"The options for non-high-risk, non-muscle-invasive bladder cancer include intravesical therapy, but in patients with very high-risk features, cystectomy can be preferred," said Matthew Milowsky, MD, of the UNC Lineberger Comprehensive Cancer Center in Chapel Hill, North Carolina. "My sense is there were high-risk features, probably several, such as involvement of the prostatic urethra or lymphovascular invasion."

Fortunately, non-metastatic bladder cancer has a high cure rate, "but requires care from a skilled team of doctors in order to get the best chance at cure," said Elizabeth Plimack, MD, of Fox Chase Cancer Center in Philadelphia.

Neither Sanders nor Kukreja mentioned a specific timeline from diagnosis to surgery. The typical time to recovery of most activities after cystectomy is 4 to 6 weeks, said Jodi Maranchie, MD, of the University of Pittsburgh Medical Center.

"It sounds like he was already standing for the press conference, so I suspect he's already back on his feet," she said.

Follow-up, presumably with a urologic oncologist, usually includes imaging studies at 6-month intervals for a year, and then extended intervals thereafter in the absence of recurrence or complications.

"We also follow with urine cytology to make sure there's no recurrence in the urethra or in the ureters or in the renal pelvis," said Maranchie.

Sanders' observation about urination is typical of the patient experience with a neobladder.

"A neobladder does not contract like a native bladder; instead, patients must learn to void by relaxing the pelvic floor and applying abdominal pressure," said Alexander Kutikov, MD, also of Fox Chase Cancer Center. "Early on, many patients experience urinary leakage, especially at night. Pelvic floor exercises are important to improve continence."

"While many regain daytime continence, up to 20% of patients may continue to leak at night due to loss of the reflex that tightens the sphincter during sleep," he explained. "On the other hand, about 10-15% of patients may have trouble emptying the neobladder and need to use a catheter. A neobladder can restore independence and good quality of life, but it does take time, training, and adaptation."

Neobladder is not for every patient, said Milowsky. Some prefer an ileal conduit and find that "the bag" eliminates some of the worry and nuisance involved with learning to live with a neobladder, including the potential need for catheterization.

Because radical cystectomy involves removal of the prostate, the procedure carries a risk of sexual dysfunction. Men with intact sexual function before surgery have a two-thirds chance of regaining sexual function after a nerve-sparing prostatectomy, said Maranchie. Two thirds of the remaining patients have at least some degree of recovery with medication.

"I think his likelihood of recovery is high," she said.

As Sanders acknowledged, early detection and diagnosis, though incidental in his case, made all the difference with respect to hopes for living a full and productive life.

"The goal is cure and the chances are best if bladder cancer is caught early," said Plimack.

https://www.medpagetoday.com/hematologyoncology/othercancers/116723

Jamaal Bowman, Mamdani’s pick for education, operated a radical NYC school without a license

 By 

 


Jamaal Bowman, the scandal-plagued former congressman and fire safety enthusiast, is reportedly on the shortlist to become chancellor of New York City schools.

If the socialist candidate Zohran Mamdani wins the mayoral race later this year, analysts believe Bowman is likely to be tapped to oversee America’s largest public school system, with nearly a million students in more than 1,000 schools.

But a new controversy, tracing back to his days as a school principal, should be enough to give pause: Bowman violated state education law.

Prior to being elected to Congress, a position he held from 2021 to 2025, Bowman was the founder and principal of the Cornerstone Academy for Social Action, a public middle school in the Bronx.

To legally serve as a public school principal, “an individual must hold a valid certificate authorizing such service,” according to the New York State Department of Education. State records indicate that Bowman was issued a School Building Leader Initial Certificate on Feb. 1, 2009, but Bowman allowed the certificate to expire on Jan. 31, 2014, and did not re-establish his certification until Dec. 16, 2015.

In other words, for a period of nearly two years, Jamaal Bowman operated a public school without a license — a violation of New York law.

Bowman ignored multiple requests for comment.

This is hardly the first time Bowman has been in trouble for bending the rules. As we reported last year, Bowman appears to have plagiarized multiple passages of the Ed.D. dissertation.

Before that, while serving in Congress, Bowman pulled a fire alarm as Democrats were attempting to delay a vote on a bill, resulting in an unnecessary evacuation. Initially, Bowman claimed to have pulled the fire alarm by accident, with his office distributing suggested “talking points” to political allies, including a reference to Republicans as “Nazis.” Bowman later admitted to falsely pulling the fire alarm and agreed to pay a fine and write a letter of apology to first responders.

His record as principal at Cornerstone Academy was also checkered with controversy and failure.

During his tenure, Bowman likened standardized testing to “modern-day slavery” and caused outrage by commissioning a “Wall of Honor” that featured portraits of black militants Mutulu Shakur and Assata Shakur, both of whom were convicted of murdering police officers.

In his spare time, Bowman also wrote rambling, paranoid, and incoherent poems that promoted 9/11 conspiracy theories.

Unfortunately, student outcomes at Cornerstone were no better than Bowman’s poetry. In 2019, after a decade with Bowman as founder and president, only 26% of Cornerstone students were proficient in English and only 30% of students were proficient in math — hardly an academic success.

Why, then, is Bowman being considered for New York City schools chancellor? Ideology.

Bowman is a committed socialist, anti-Israel militant and left-wing racialist, who is ready and willing to turn public schools into centers for far-left political propaganda.

For his supporters, the law-breaking, plagiarism and history of academic failure are a small price to pay. The ideology rules.

https://nypost.com/2025/08/01/opinion/jamaal-bowman-zohran-mamdanis-pick-for-education-operated-a-radical-nyc-school-without-a-license/

Performant Healthcare To Be Acquired By Machinify

 Performant Healthcare Inc. (PHLT), a provider of technology-enabled payment integrity, eligibility, and related analytics services, has agreed to be acquired by Machinify, a healthcare intelligence company, for approximately $670 million.

Under the terms of the merger agreement, Performant stockholders will receive $7.75 in cash for each share of Performant common stock outstanding at the closing of the transaction.

The transaction is expected to close by the end of 2025, following which Performant's shares will be delisted from the Nasdaq.

The Form 10-Q for the second quarter ended June 30, 2025, is expected to be filed by Performant on August 7, 2025. The company anticipates reporting revenue of approximately $37.8 million, net income of approximately $2.1 million, and adjusted EBITDA of about $6.2 million for Q2, 2025.

https://www.nasdaq.com/articles/performant-healthcare-be-acquired-machinify-stock-delivers-230-gain-3-months