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Alabama to receive $940 million incentive payments, over two years, if the state expands Medicaid under the American Rescue Plan

THE GREENE COUNTY DEMOCRAT – Jane Adams, Executive Director of Cover Alabama, a coalition of organizations supporting Medicaid Expansion says, “This is the very best time for Alabama to expand Medicaid because the Federal government is offering incentives to expand the program and because the state has been limited by the coronavirus pandemic from removing people from the Medicaid rolls. The State is carrying over a million people on its Medicaid rolls and will be receiving the 5% incentive payment for anyone treated that is covered by Medicaid.”

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The State of Alabama would receive 90% reimbursement for all people covered by Medicaid expansion.
The State of Alabama would receive 90% reimbursement for all people covered by Medicaid expansion.

The State of Alabama is eligible to receive $940 million in incentive payments, over two years, if it expands Medicaid to serve people making up to 138% of poverty wages, under provisions of the $1.9 Trillion American Rescue Plan, passed by Congress and signed by President Biden on March 11.

The American Rescue Plan contains funding for $1,400 stimulus checks, $300 weekly supplementary unemployment benefits, child tax credits, and many other provisions to help people deal with the health and financial crisis brought on by the coronavirus pandemic.

The Plan also contains a financial incentive for the 12 states, mostly in the South, that have not agreed to expand Medicaid under the Affordable Care Act. The incentive comes in the form of a five (5%) increase in the Federal matching assistance percentage (FMAP) paid by HHS for all current Medicaid recipients for two years. Alabama currently receives a FMAP of 78% which would rise to 83%, if the state expands Medicaid for 300,000 or more working poor people who make too much to qualify for Medicaid and too little to purchase insurance on the ACA exchanges.

The 5% increase in FMAP would yield the State of Alabama, $940 million in increased government healthcare support for all current Medicaid recipients, e.g., children, seniors in nursing homes, pregnant women, the disabled and others over the next two years.

This $940 million could be used by the State of Alabama to cover the initial cost of initiating healthcare coverage for the working poor, people who make below 138% of the poverty level.

The State of Alabama would receive 90% reimbursement for all people covered by Medicaid expansion. The State would be able to shift some expenses it is currently paying for the disabled, prisoners and others to the Medicaid Expansion Program, saving more in the state budget toward the cost of healthcare for the people of the state.

Medicaid expansion also creates an estimated 30,000 new jobs, mostly in healthcare fields and generates additional sales and income tax revenues to help the state maintain the program after the two years of incentives are reduced. In most states that have adopted Medicaid Expansion, the program has paid for and sustained itself.

Jane Adams, Executive Director of Cover Alabama, a coalition of organizations supporting Medicaid Expansion says, “This is the very best time for Alabama to expand Medicaid because the Federal government is offering incentives to expand the program and because the state has been limited by the coronavirus pandemic from removing people from the Medicaid rolls. The State is carrying over a million people on its Medicaid rolls and will be receiving the 5% incentive payment for anyone treated that is covered by Medicaid.”

“In Alabama, the decision to expand Medicaid falls to Governor Kay Ivey. She can expand Medicaid as soon as she decides it is beneficial to the state to do so. She does not need action by the State Legislature and she can develop an amended state budget based on the promised revenues and incentives,” said Adams.

Johnny Ford of Tuskegee, the Co-chair of the SOS Movement for Justice and Democracy Health Committee said, “Now is the time to get Medicaid Expansion. I do not care if we call it ‘Iveycare’ or whatever but the Governor must agree and help the working poor to get health insurance coverage, as we work our way out of this pandemic. The program creates jobs, helps keep hospitals open and it will pay for itself plus President Biden is giving incentives for the state to adopt the program.”

“Governor Ivey’s objection to expanding Medicaid was that funds were not available to start the program but the funds are there now. There should be no more excuses. Call, write or email Governor Ivey and let her know you support Medicaid Expansion,” said John Zippert, SOS Health Committee Co-chair.

This article originally appeared in The Greene County Democrat.

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BlackPressUSA

Mathew Knowles Shares Breast Cancer Survival Story at Houston’s Inaugural Pearl’s Pink Promise Gala

Breast cancer survivor Dr. Mathew Knowles shared his journey of early detection and self-advocacy at Houston’s inaugural Pearl’s Pink Promise Gala, hosted by Dr. Ashley LaRue to honor her grandmother and raise awareness about breast cancer.

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Dr. LaRue, founder of Pearl's Pink Promise, and Mathew Knowles

On Friday, October 16, Houston-based therapist and television personality Dr. Ashley LaRue hosted the inaugural Pearl’s Pink Promise Gala at the Omni Hotel—turning personal grief into an urgent public health movement.

The gala honored the memory of LaRue’s grandmother, Pearline, who passed away from breast cancer in 2025. What began as a granddaughter’s tribute became an all-pink, curated experience with a pink-carpet arrival, a cocktail reception, and a room packed with advocates, survivors, and civic leaders.

Dr. LaRue, founder of Pearl’s Pink Promise Photo: TotallyRandie

Pink Promise Event. Photo: TotallyRandie

Throughout the evening, 15 distinguished honorees were recognized for their resilience and service. But the night’s emotional centerpiece was the guest of honor: global music executive, author, and breast cancer survivor Dr. Mathew Knowles.

In 2019, Dr. Knowles publicly revealed his diagnosis, shattering cultural taboos around male breast cancer. During an intimate 30-minute fireside chat moderated by Dr. LaRue, Knowles delivered a candid, masterclass-level lesson on self-advocacy. He recounted the exact moment he knew something was wrong after noticing blood on his shirt—a warning sign that prompted him to immediately request comprehensive testing.

Knowles reflected on the difficult conversations that followed with his daughters and family, emphasizing that early detection and understanding personal genetic risk saved his life. The conversation quickly shifted into an open exchange with the room, leaving several attendees moved to tears as audience members shared their own experiences with diagnosis and caregiving.

“This experience has made me so proud, and my heart is filled with joy,” Dr. LaRue shared.
For LaRue, Pearl’s Pink Promise isn’t a one-and-done October event. Moving forward, she plans to expand the initiative to include year-round safe spaces, community resources, and educational programs tailored to both men and women navigating complex medical diagnoses.

To learn more about Pearls Pink Promise, visit: https://www.pearlspinkpromise.com

MathewKnowles,HoustonEvents,Houston,BreastCancerAwarenessMonth,BreastCancer,AshleyLaRue,PearlsPinkPromise,Cancer,Houston,Texas,BreastHealth,Healthcare
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Black Press

Mayor Barbara Lee Holds Special State of the City Address in Deep East Oakland

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Oakland Mayor Barbara Lee, left. moderated a community chat with (l.to r.) Selena Wilson, CEO of the East Oakland Youth Development Center; Carolyn “CJ” Johnson, CEO of the Black Cultural Zone; Dr. Noha Aboelata, CEO of Roots Health Center and Greg Hodge, CEO of the Brotherhood of Elders.
Oakland Mayor Barbara Lee, left. moderated a community chat with (l.to r.) Selena Wilson, CEO of the East Oakland Youth Development Center; Carolyn “CJ” Johnson, CEO of the Black Cultural Zone; Dr. Noha Aboelata, CEO of Roots Health Center and Greg Hodge, CEO of the Brotherhood of Elders.

In partnership with Rise East and the 40×40 Council, Oakland Mayor Barbara Lee held a special 2026 State of the City East Oakland community conversation on Oct. 14.

The purpose of bringing a State of the City address directly to the community was to celebrate East Oakland, highlight the work underway, and look ahead to what neighbors, local businesses, youth, funders, community organizations, and partners can accomplish together.

Held at the Roots Community Health/Parker Elementary School Campus at 7929 Ney Ave., the event was emceed by special guest Mark Curry, Oakland native, comedian, and actor.

Lee shared how Rise East and the 40×40 Council have brought together the knowledge, relationships, and resources of people and organizations committed to East Oakland.

Residents bring lived experience, community organizations bring trusted relationships and philanthropy, and businesses bring resources and opportunity, she said, then turned to the government’s role: public investment, services and policy.

But, Lee intoned, City Hall has a responsibility to help connect those efforts.

“I am committed to listening to residents, working across departments and sectors, and helping open doors to opportunity. We must connect neighborhood priorities to the decisions we make about housing, economic development, safety, health and our young people.

City Hall “must be accountable for the results,” Lee said.  “The measure of success is what families experience: greater stability, more opportunity and a stronger sense that they belong and have a future here.

“Tonight is an opportunity to listen to the leaders doing this work, learn what is making a difference and identify where we can do more together,” the mayor said.

Lee went on to moderate a ‘fireside chat’ on the theme: Building Oakland’s Future Together — From Neighborhood Investment to Community Empowerment with:

  • Selena Wilson, CEO, East Oakland Youth Development Center
  • Greg Hodge, CEO, Brotherhood of Elders
  • Carolyn “CJ” Johnson, CEO,  Black Cultural Zone
  • Dr. Noha Aboelata, CEO, Roots Health Center

Mayor Barbara Lee’s media relations department provided this report.

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Black History

Practitioners of African Traditional Spirituality Offer Ancestral Reverence Ritual Oct. 31

The Council for Global Ancestral Reverence will host “Ancestral Souls Rising” from Oct. 31 to Nov. 2, featuring a three-day gathering of prayer and discussion. Led by elders and priests across the African diaspora, the seventh annual ritual honors those lost without traditional rites while addressing current social challenges. This year’s event connects ancestral wisdom with contemporary issues, including a two-day conversation inspired by Afro-Beat music focused on Black community solidarity and the sacred importance of voting. Read more for details on the ritual schedule and participants.

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Oakland native Nedra Williams writes sacred symbols on the ground in San Leandro. Courtesy photo.
Oakland native Nedra Williams writes sacred symbols on the ground in San Leandro. Courtesy photo.

The Council for Global Ancestral Reverence (C4GAR), a group of elders who practice African traditional spirituality, will lead a three-day gathering of prayer and discussion from Oct. 31-Nov. 2.

Called ‘Ancestral Souls Rising,’ the council members and 21 priests will lead the prayers from many parts of the African diaspora: Africa, Portugal, and across the U.S. from Maryland to the Bay Area.

Now in its seventh year, the annual ritual began during the 2020 pandemic when hundreds of thousands of people died alone and were buried in mass graves without rites and rituals according to loved ones’ traditions.

This prayer event was and is intended to give peace to the departed and comfort for the living who still mourn. Each year, we gather names of new ancestors from living elders to elevate them into the “Great Hall of the Titans.”

In ensuing years, C4GAR added themes to the prayer gathering that referenced current events. In 2024, before the consequential presidential election, C4GAR called on people to vote, invoking the memory of Civil Rights Movement heroes and heroines like John Lewis, who urged “Good Trouble,” and Fannie Lou Hamer, who famously declared that she was “sick and tired of being sick and tired.”

The day of global Prayer on Oct. 31 will be followed by a two-day conversation inspired by “The Blueprint,” an Afro-Beat song by UyiosaEl, to write our new blueprint that supports solidarity and action in the Black community.

 “Our elders have, for many generations, known the power of prayer, ritual and breath,” the council said in a statement.

It was and is their intention, then, to use the cultural wisdom, the gift of prayer “and the most sacred thing we have, our breath, to send energy into the world that invokes and honors our ancestors,” the council statement continued.

“Doing this creates a vibration that protects us and employs their ancient wisdom for the well-being of our communities,” the elders said.

The councilmembers, all over the age of 60, recognize that what is now history for so many was once their lived experience. And that history, those joys and sorrows, are now in their bodies.

To them, the uttered prayer and the sacred breath are oaths to an unfolding future that people can still shape.

The council members are Dr. Iyabeji Cathy Royal, Iyalocha Jennifer Dillard, Manbo Charlene Desir (Florida), Nana Sula Spirit (Louisiana), Baba Obafemi Feyemi, Ohen Nedra T. Williams, and Iyalocha Wanda Ravernell-Stewart Emeritus (Oakland).

This year, they also encourage everyone within their reach to VOTE because it is not only a secular and political act, but a sacred one. Remember, the ancestors were denied that right and died for it.

For tickets, go to:

https://www.eventbrite.com/e/council-for-global-ancestral-reverence-presents-ancestral-souls-rising-26-tickets-2003127345814?aff=oddtdtcreator

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Black Press

It’s Time to Lose Weight Before the Holidays

Licensed internist Dr. H. Geoffrey Watson has joined gastroenterologist Dr. Ralph Peterson at Oakland’s MacArthur GI to address the rising obesity epidemic. With U.S. obesity rates reaching 42.4%, the clinic offers supervised weight-loss programs and screenings for fatty liver disease. Treatments include dietary counseling and various medications, such as GLP-1 receptor agonists, which regulate digestion and appetite. As certain populations continue to be disproportionately affected by chronic health conditions, medical experts are highlighting new tools available to help patients reach their goals before the holiday season. Read more.

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Dr. H. Geoffrey Watson. File photo.
Dr. H. Geoffrey Watson. File photo.

Dr. H. Geoffrey Watson, a licensed internist, has joined renowned gastroenterologist Dr. Ralph Peterson at MacArthur GI in Oakland to address obesity, provide supervised weight-loss programs including GLP-1 therapy, and screen for and treat fatty liver disease.

The Obesity Epidemic

Obesity is associated with numerous chronic health problems, including hypertension, diabetes, heart disease, sleep apnea, asthma, depression, joint disorders, fatty liver disease, and high cholesterol. Its causes include genetics, environment, stress, medication side effects, hormonal imbalances, and other factors.

Since 1999, the prevalence of obesity in the United States has risen from 30.5% to 42.4%. Childhood obesity rates are also climbing, with approximately 19.3% of children and adolescents now affected.

Measuring Obesity: Body Mass Index

Obesity is measured using a formula called the Body Mass Index (BMI). You can calculate your own BMI on most smartphones by searching “BMI calculator” and entering your height and weight. A BMI of 25 to 29.9 is classified as overweight, and a BMI of 30 or greater is classified as obese.

Populations Disproportionately Affected

Obesity affects certain populations at higher rates. Among U.S. adults, obesity prevalence is 49.9% in Black adults, 45.6% in Hispanic adults, 41.4% in White adults, and 16.1% in Asian adults.

Treatment Options

A variety of treatments are available for obesity, including dietary counseling, exercise programs, bariatric surgery, and anti-obesity medications.

Common oral medications include:

• Adipex (phentermine): A stimulant that works by suppressing appetite.

• Contrave (bupropion/naltrexone): A combination of an antidepressant and an anti-addiction medication that helps control appetite and cravings.

• Qsymia (phentermine/topiramate): A combination of a stimulant and an anti-seizure medication that reduces appetite and cravings.

GLP-1 Receptor Agonist Therapy

Glucagon-like peptide-1 (GLP-1) receptor agonists were originally approved to treat type 2 diabetes. GLP-1 is a hormone produced naturally by the body that regulates digestion, blood sugar, and appetite by communicating with GLP-1 receptor cells throughout the digestive tract. These medications reduce cravings, appetite, and food intake by influencing the hunger hormones ghrelin, which stimulates hunger, and leptin, which signals fullness.

What We Offer

Drs. Peterson and Watson provide FDA-approved tirzepatide injections, a GLP-1 receptor agonist medication indicated for weight management. Each patient receives a comprehensive history and physical examination to ensure the safety and appropriateness of the medication as part of an overall weight-loss protocol. Dr. Peterson also offers ultrasound screening for fatty liver disease.

We look forward to helping you reach your weight-loss goals and feel your best this holiday season.

H. Geoffrey Watson, M.D., runs the MacArthur GI Clinic at 10520 MacArthur Blvd., Oakland, CA. He can be reached at (510) 562-7467.

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Black Press

Trader Vic’s Returns to Its Oakland Roots

Trader Vic’s, the internationally recognized brand and birthplace of the original Mai Tai, has officially returned to its roots in Oakland. Originally founded in 1934 on San Pablo Avenue before moving to Emeryville, the hospitality giant has launched Trader Vic’s Outpost at Oakland International Airport’s Terminal 2. The new full-service location offers travelers breakfast, lunch, dinner, and cocktails in a 108-seat space designed to celebrate the city’s status as a top national food destination. Visit the website to read more.

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Oakland Mayor Barbara Lee cuts the ribbon at the official opening of Trader Vic’s Outpost and Plum Market at Oakland International Airport. She is assisted by U.S. Rep. Lateefah Simon as Port of Oakland Board President Stephanie Dominguez Walton, left, and representatives from Trader Vic's, Plum Market, look on. Photo courtesy of the mayor’s office.
Oakland Mayor Barbara Lee cuts the ribbon at the official opening of Trader Vic’s Outpost and Plum Market at Oakland International Airport. She is assisted by U.S. Rep. Lateefah Simon as Port of Oakland Board President Stephanie Dominguez Walton, left, and representatives from Trader Vic's, Plum Market, look on. Photo courtesy of the mayor’s office.

Oakland has always been a city of innovators, entrepreneurs, visionaries, and world-class hospitality. Trader Vic’s—the birthplace of the original Mai Tai – first opened in Oakland back in 1934 on San Pablo Avenue, long before becoming an internationally recognized global brand. 

More than 50 years after it moved to Emeryville, Trader Vic’s is returning to its roots. Oakland Mayor Barbara Lee touts the return as another victory for Oakland.

“My administration is deeply committed to backing businesses like Trader Vic’s and Plum Market—partners who invest in our city, uplift our local workforce, and support thousands of local jobs,” Lee said.

The latest Trader Vic’s – called Trader Vic’s Outpost – is located at the Oakland International Airport in Terminal 2 near Gate 25 and had a soft opening in August.

With 108 dining seats, 28 bar seats and a counter for standing-room customers, travelers from around the world can have a full-service restaurant and bar experience or take-out for those with planes to catch.

Open from 6 a.m. to 10 p.m., breakfast, lunch, dinner, cocktails will be served.

Trader Vic’s returning to its roots confirms Condé Nast’s decision to name Oakland the #1 Food City in America two years in a row, and just earlier this month, ranked Oakland #6 on their list of Best Cities in the U.S.! 

“The opening at OAK is incredibly meaningful for us,” said Rhett Rosen, CEO of Trader Vic’s Hospitality Group, according to the company website. “Trader Vic’s was born in the Bay Area, and this new location gives us the chance to welcome travelers with a taste of that original spirit before they take off. It brings together everything people love about Trader Vic’s — great cocktails, flavorful food, warm hospitality and a little sense of escape — in a place that connects Oakland to the world.”

Trader Vic’s is an Oakland institution and one of the region’s most recognizable hospitality brands, said Port of Oakland Director of Aviation Craig Simon on the web site.

“Travelers are increasingly seeking dining options that are memorable, locally rooted, and uniquely representative of the communities they are visiting. Trader Vic’s delivers all of that while providing a high-quality food and beverage experience for our guests. We are proud to welcome this hometown favorite to Terminal 2,”

The original Trader Vic’s in Oakland:  

In 1934, with an investment of $500, Bergeron opened his initially small restaurant at 65th Avenue and San Pablo, serving comfort foods for lunch and dinner and beers and whiskeys. As his clientele grew, so did his restaurant, expanding space and menu options. After visiting this establishment, famed San Francisco Chronicle columnist Herb Caen proclaimed that the “best restaurant in San Francisco is in Oakland.” 

There were as many as 25 franchises worldwide, including the U.S. Trader Vic’s is now headquartered in Martinez.

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Black Press

Oakland Coal Terminal Backed by Trump Would Be Bigger, Dirtier Than Promised, Says Report

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East Bay residents have been fighting alongside No Coal in Oakland for more than a decade. Photo courtesy of No Coal in Oakland.
East Bay residents have been fighting alongside No Coal in Oakland for more than a decade. Photo courtesy of No Coal in Oakland.

A recent feasibility study commissioned by potential investors says an Oakland coal terminal backed by President Donald Trump could export 13 million tons a year — three times the amount estimated in an earlier environmental review.

Surprisingly, the report also contradicts developers’ and project advocates’ repeated pledges that the coal would be stored in a covered terminal. Instead, the millions of tons of coal shipped annually from inland states to the West Gateway terminal in Oakland would be stored in “two open-air bunkers,” with about 150,000 tons of coal per stockpile, before being sent overseas, according to the  recent report cited by the L.A. Times. (https://ruic.utah.gov/wp-content/uploads/2026/09/Port-Study-RUIC-Bulk-Commodity-Ocean-Terminals-Study.pdf)

Residents and clean air advocates have long expressed concerns that coal dust would worsen pollution in West Oakland and throughout the East Bay.

The proposed site of the Oakland Bulk and Oversized Terminal (OBOT) is located at the former Army base near the Port of Oakland, which developer Phil Tagami has been trying for years to turn into a shipping terminal despite determined community opposition.

Trump announced a $75-million investment in the project in June, about a third of its estimated cost. The new terminal would be the largest coal export site on the West Coast, transporting coal to Japan, South Korea, Taiwan, Vietnam and Malaysia, according to the Trump administration.

Opponents say a new terminal would undermine years of progress cleaning up the air in West Oakland, which has a history of disproportionate pollution and high asthma rates due to its proximity to the port and other industry.

According to No Coal in Oakland organizer Ted Franklin, who has been active for 11 years in the fight to stop the coal terminal, the report indicates that investors may be looking for a cheaper way to build the terminal.

“We were shocked but not surprised” by the report, Franklin said. “Basically, it seems that the plan now is to store open piles of coal, which is a less expensive project than creating a completely enclosed facility.”

The threats that the project poses are real, but it faces a lot of economic and legal hurdles, he said.

Coal production is in permanent decline worldwide, he said, wondering who was going to “invest money in an industry that has no future.”

Further, the project has not yet attracted big investors. “There’s no bank, no financing, no financial institution backing this,” he continued.

A major legal hurdle facing the project is the passage of Assemblymember Mia Bonta’s bill, AB 40, the Community-First Coal Review Act, signed into law by Gov. Gavin Newsom on Sept. 30.

The law requires developers of large-volume bulk coal facilities to complete a full Environmental Impact Report (EIR) under the California Environmental Quality Act (CEQA) before they can operate. 

The law was specifically designed to block or delay the coal terminal project.

The report to potential developers was produced by consulting groups Norda Stelo and Wood Mackenzie in July and released this month. It was commissioned by the Rural Utah Infrastructure Coalition, made up of eight Utah counties that are considering investing about $43 million into the terminal to receive Utah coal.

The consultants produced their findings after visiting Oakland, examining engineering documents and holding discussions with Savage Cos., a Utah-based transport and logistics company selected to operate the facility

Research has shown that coal terminal operations can be dangerous to public health. The ports of Los Angeles and Long Beach moved away from open-air coal and petroleum coke storage three decades ago.

The report says that the site could process 12 million metric tons, or 13.2 million tons, of coal each year, three times more than the terminal’s approved environmental impact report from 2002 and its 2012 addendum. Neither document mentions coal specifically, but rather bulk commodities.

The coal arriving in Oakland could also be dirtier then had been previously stated, according to the report. Project officials previously said the terminal would handle only high-grade western bituminous coal from Utah, but the recent report says it will also handle Powder River Basin coal from Wyoming and Montana, known to be much dustier.

Nor does the report mention plans to cover the rail cars to prevent pollution, though project officials previously promised they would only utilize coal transported in covered rail cars.

“It appears the developers want to build something much bigger and more polluting than anything they previously revealed, either in court or to the West Oakland community,” said Colin O’Brien, deputy managing attorney at the nonprofit Earthjustice, speaking to the L.A. Times.

The report indicates that the project may be much more expensive and take longer to complete than anticipated. The Energy Department estimates the terminal will cost about $231 million, but the report places the price at between $430 million and $625 million.

The terminal will take 53 months to complete according to the report, significantly longer than Trump’s promise of exports beginning in 2028.

Ted Franklin’s column, “Utah Study Blesses Investment in Oakland Coal Terminal but Leaves Key Questions Unanswered” is available at https://nocoalinoakland.info/utah-study-blesses-investment-in-oakland/

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