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The document presents data from a 2019 nationwide survey and several state-level polls showing that a majority of US voters believe oil and gas companies should pay for climate change damages. It highlights that support for suing these companies and requiring them to cover costs often increases after respondents are informed about the industry's history of deception.

The report identifies 1,135 private equity-backed healthcare deals in 2023, noting a decline from 2021 peaks due to high interest rates and labor shortages. While outpatient care, dental care, and medtech were the most active subsectors, the report warns that the private equity model of short-term profit and high debt leads to cost-cutting and bankruptcies, as seen with Envision Healthcare and GenesisCare. It recommends expanding federal and state pre-merger reviews to protect healthcare quality and access.

In 2023, private equity dealmaking in US healthcare continued a two-year decline from its 2021 peak, driven by high interest rates and labor shortages. Despite this, the Private Equity Stakeholder Project (PESP) identified 1,135 unique deals, with add-on acquisitions comprising 64% of activity. Outpatient care, dental care, health IT, and medtech were the most active subsectors. The report highlights that high debt loads associated with private equity ownership led to several major bankruptcies in 2023, including Envision Healthcare and GenesisCare. PESP argues that the pursuit of short-term returns often results in cost-cutting that harms care quality and recommends expanding federal and state pre-merger review processes to include all private equity-backed healthcare transactions.

The report argues that while the Inflation Reduction Act (IRA) significantly advances U.S. climate goals, it is insufficient on its own to meet the 2030 NDC. Using the Energy Policy Simulator (EPS), the authors propose a comprehensive set of additional federal, state, and local policies across the electricity, industry, transportation, and building sectors. The electricity sector is identified as the primary driver for 2030 reductions due to its ability to decarbonize faster than sectors limited by slow stock turnover. Proposed measures include a nationwide 80 percent clean electricity standard, stricter tailpipe emissions standards, and the electrification of industrial and building heating. The report estimates that this combined policy pathway would create 2.7 million additional jobs, grow GDP by $700 billion, and avoid 3,900 premature deaths by 2030.

Methane is a potent greenhouse gas with over 80 times the warming power of CO2 over 20 years, though it breaks down in about 12 years. Approximately 60% of methane emissions result from human activity, primarily agriculture (40%), the energy sector (35%), and waste management (20%). The five largest global emitters are China, the U.S., Russia, India, and Brazil. In the U.S., the energy sector's contribution is estimated by the IEA at 54%, significantly higher than the EPA's 38% due to underreported 'ultra-emitting events'. Reduction strategies include repairing leaks in oil and gas production, capturing biogas from waste and agriculture, and using alternative livestock feed. Measurement is shifting from 'bottom-up' inventories to 'top-down' remote sensing via satellites and aircraft to better identify point sources. The Global Methane Pledge, launched at COP26, aims for a 30% reduction in global methane emissions from 2020 levels by 2030, though several top emitters have not yet joined.

The document outlines how U.S. local governments can use aggregated procurement—forming buyers' groups to pool demand—to lower costs and accelerate clean energy deployment. It identifies key benefits such as economies of scale and shared expertise, while noting barriers like lack of staff expertise and complex legal requirements. The guide provides five strategies for success, including appointing dedicated project managers and targeting a minimum aggregated demand of 20MW for optimal pricing, and suggests ways to integrate equity and community benefits into these contracts.

A 50-state survey by Global Energy Monitor reveals that major U.S. corporations in the tech, banking, and insurance sectors frequently employ lobbyists who also represent fossil fuel interests. This creates a paradox where companies with public net-zero pledges provide political cover and credibility to lobbyists promoting continued fossil fuel dependence. The report highlights specific companies—such as Amazon, State Farm, and Bank of America—and notes that weak state disclosure laws and the absence of a national database hinder accountability.

The report details the ownership of Prospect Medical Holdings by Leonard Green & Partners from 2010 to 2021, alleging that the firm used dividend recapitalizations and sale-leaseback transactions to siphon $658 million in fees and dividends. This financial extraction occurred while Prospect hospitals suffered from low quality ratings, staffing shortages, and severe financial losses, eventually leading to service cuts and facility closures in states like Pennsylvania and Texas. The document argues that Leonard Green exited its majority stake in 2021, leaving the hospitals with substantial liabilities and diminished resources.

Earthjustice and a coalition of environmental and health organizations petitioned the EPA to revoke PMN exemptions for approximately 600 PFAS. The petitioners argue that the weight of scientific evidence proves PFAS pose unreasonable risks to human health and the environment, including to susceptible subpopulations, thereby failing the legal standard for exemptions under the Toxic Substances Control Act (TSCA). They highlight that current LVE and LoREX thresholds allow contamination levels far exceeding safe drinking water health advisories and that the EPA's voluntary stewardship program has a withdrawal rate of less than 3 percent.

Between 2000 and 2021, the U.S. experienced 1,542 major weather-related power outages, with 83% of all reported major outages attributed to weather. The average annual number of these events increased by approximately 78% in the 2011-2021 decade compared to 2000-2010. Severe weather, winter weather, and tropical cyclones were the primary drivers, with the Southeast, Midwest, and Northeast regions most affected. To address these vulnerabilities, the document suggests solutions such as microgrids, smart grid technologies, grid hardening, and bidirectional charging for electric vehicles.

Climate Central's analysis of U.S. power outage data from 2000-2021 reveals a significant increase in large-scale disruptions, with 83% of major outages attributed to weather-related events. The report highlights that the frequency of major outages rose by 64% between 2011-2021 compared to 2000-2010, driven by severe weather, winter storms, hurricanes, extreme heat, and wildfires. It emphasizes the vulnerability of aging infrastructure and the compounding effects of climate change, which simultaneously increases electricity demand for cooling while reducing the capacity of power plants due to water shortages. The report identifies the Southeast as the region with the highest number of outages and notes specific recent surges in Texas, California, and Michigan.

The report finds that strong methane standards in the U.S. oil and gas sector would create significant employment without negatively impacting drilling activity. The CATF 65% plan is projected to create nearly 220,000 total jobs (including 64,000 direct jobs), while the EPA proposal would create 92,000 total jobs (including 27,000 direct jobs). These jobs span manufacturing, installation, and ongoing operations and maintenance, with a significant portion being non-offshorable and potentially unionized.

The analysis finds that 236 counties in 21 US states face cancer risks exceeding the EPA's one-in-a-million threshold due to oil and gas pollution, affecting nearly 14 million people. The report identifies benzene, formaldehyde, and acetaldehyde as the primary drivers of this risk, accounting for 96% of the estimated cancer risk. It highlights that the population living in high-risk counties increased from 9 million in 2016 to 14 million in 2022, primarily due to industry growth. The report argues that implementing proven methane-reduction technologies, such as leak detection and repair and the replacement of gas-driven pneumatic equipment, would also significantly reduce toxic hazardous air pollution.

The report examines the rapid growth of proof-of-work cryptocurrency mining in the U.S. following China's 2021 ban. It argues that the industry's high energy demands drive the revival of defunct fossil-fuel power plants, increase greenhouse gas emissions, and place financial burdens on electricity ratepayers. The document also details local harms, including noise and water pollution, and debunks industry claims regarding sustainability and grid stability.

The 2022 Private Equity Climate Risks Scorecard evaluates eight major private equity firms, finding that most maintain significant fossil fuel holdings and lack transparency. The Carlyle Group ranked lowest (F), while TPG earned a B due to a smaller fossil fuel portfolio. The report advocates for five primary demands, including alignment with 1.5°C warming targets and full disclosure of emissions and fossil fuel exposure.

The report examines the intersection of the U.S. nursing shortage and private equity's expansion into travel nursing. It argues that while the pandemic exacerbated staffing issues, structural problems and profit-seeking by hospitals created a vulnerability that travel nursing agencies and private equity firms have exploited. The document details how private equity firms use leveraged buyouts and dividend recapitalizations to extract value from staffing agencies, while agencies have seen profit margins grow from 15% in 2019 to 62% in 2022. It also covers legislative efforts to address price gouging and the push for mandated staffing ratios.

The Private Equity Climate Risks Scorecard 2022 evaluates eight major private equity firms on their fossil fuel exposure, downstream emissions, and alignment with science-based climate targets. The analysis finds that most of these firms maintain significant fossil fuel holdings and lack transparency, with The Carlyle Group ranking lowest (F) and TPG Capital ranking highest (B). The report argues that private equity firms often acquire polluting assets shed by public markets, thereby increasing climate and financial risks while operating with minimal regulatory oversight. It concludes with five primary demands for the industry, including aligning with 1.5°C warming targets and disclosing full fossil fuel exposure.

The Clean Air Task Force (CATF) outlines four primary criteria for successful clean hydrogen hubs: minimizing greenhouse gas intensity across the production value chain, prioritizing hard-to-abate end-use sectors, committing to environmental justice and community engagement, and delivering immediate local environmental benefits. These recommendations are directed at the U.S. Department of Energy (DOE) following the authorization of $8 billion under the Infrastructure Investment and Jobs Act of 2021 to establish at least four regional hubs.

The document argues that proof-of-work digital currencies, specifically Bitcoin, cause significant environmental harm through soaring electricity demand, increased greenhouse gas emissions, and the generation of substantial electronic waste. It highlights the negative impacts on local communities, such as increased electricity prices and thermal pollution in water bodies, and notes that these operations can strain critical semiconductor supply chains. The authors propose several mitigation strategies, including stringent EPA permit reviews, the creation of a mining operation registry by the OMB, energy efficiency standards from the DOE, and transparency requirements from financial regulators like the SEC and CFTC.

The report documents the physical, mental, and community-level impacts of fracking in Northeastern British Columbia through interviews and surveys. Residents report chronic stress and sleep disruption caused by constant noise, light, and odours, alongside acute symptoms like sore throats and headaches following emissions. Long-term health concerns raised include multiple chemical sensitivities, year-round allergies, respiratory issues, and elevated cancer rates in young people. The document also highlights community degradation, including the loss of social networks as residents move away, food insecurity for Indigenous peoples due to contaminated traditional foods, and public safety risks from transient workers. The authors recommend a moratorium on new natural gas wells in Canada and the implementation of the precautionary principle to protect residents.