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The report details how Pipeline Health, backed by firms including Stanton Road Capital, Davidson Kempner Capital Management, and Deerfield Management, utilized sale-leaseback transactions and complex subsidiary structures to monetize hospital real estate. It highlights the closure of Westlake Hospital in Illinois, which occurred despite promises to regulators, and the sale of Weiss Memorial Hospital's parking lot for luxury housing. The document concludes that these practices led to Pipeline's own Chapter 11 bankruptcy in 2022 and recommends stricter state and federal oversight of private equity acquisitions of safety net hospitals.

The report details how Pipeline Health utilized sale-leaseback transactions to monetize hospital real estate and employed a complex web of subsidiaries to obscure ownership. It specifically highlights the closure of Westlake Hospital in Illinois, which the report claims was planned prior to acquisition despite assurances to regulators, and the sale of Weiss Memorial Hospital's parking lot for luxury housing development.

The report examines how 'heirs' property'—land passed down without clear legal titles—contributes to the systemic loss of Black-owned farmland in the US. It highlights that Black farmers lost nearly 90% of their land during the 20th century, with heirs' property acting as a primary driver of involuntary land loss through forced partition sales and limited access to federal funding. The document argues that the USDA and Congress must provide direct grants, streamline farm number establishment, and fund community-based legal services to resolve clouded titles and support BIPOC farmers.

The report examines the lifecycle of the Philadelphia Energy Solutions (PES) refinery, from its 2012 formation via private equity and public subsidies to its 2019 explosion and subsequent closure. It highlights how a reliance on discounted Bakken crude, high regulatory costs, and private equity management contributed to financial instability. The author argues that the lack of proactive city planning and community capacity left Philadelphia unprepared for the refinery's demise, resulting in a bankruptcy auction that determined the land's fate with minimal public input. Key lessons include the need for technical resources for community oversight, the importance of honest engagement with labor unions for worker transitions, and the increased operational risks associated with financially distressed refineries.

The report argues that US democracy is in peril due to election subversion, restrictive laws, and a dysfunctional party system. It advocates for a bottom-up approach to reform, emphasizing the role of local community organizations in relational organizing to engage underrepresented voters. Key recommendations include securing election integrity through data transparency, reducing voter suppression via institutional reforms like universal vote-by-mail, and expanding representation by increasing the size of legislative assemblies and adopting more proportional electoral systems.

The report profiles 12 private equity firms—including Blackstone, Carlyle, and KKR—detailing their substantial portfolios of oil, gas, and coal assets. It argues that these firms fuel the climate crisis and environmental injustice while their executives accumulate immense wealth and social prestige. The document provides specific examples of environmental violations, such as oil spills and methane leaks, and highlights the firms' tendency to avoid global climate pledges like those made at COP26.

Residential and commercial buildings contribute 13% of U.S. greenhouse gas emissions. The document highlights that adopting cost-effective efficiency and electrification measures can reduce carbon emissions of single-family homes by 24%, with the most significant savings coming from replacing inefficient furnaces and air conditioners with high-efficiency heat pumps.

The July 2021 poll indicates strong support among Pennsylvania likely voters for holding oil and gas companies legally accountable for climate change damages. A majority of respondents believe these companies are not paying their fair share of costs and that businesses and large corporations are the primary cause of climate change. The poll also tests the impact of various messaging strategies on public support for litigation, finding that arguments regarding corporate disinformation and public health costs generally increase support for suing oil and gas companies.

The 2021 State of Cities Climate Finance report finds that annual urban climate finance averaged USD 384 billion in 2017/2018, which is significantly lower than the estimated annual need of USD 4.5 to 5.4 trillion. Investment is heavily concentrated in OECD countries and China, leaving developing regions like Sub-Saharan Africa and South Asia severely underfunded. The report emphasizes a critical gap in adaptation and resilience finance, which accounts for less than 10% of urban climate finance. To bridge this gap, the report recommends strengthening municipal finance capacities, aligning city and national climate policies, and utilizing innovative financial instruments like blended finance and green procurement.

The 2021 report on the state of urban climate finance reveals a significant gap between current investments and the trillions of dollars needed for urban climate action. While global urban climate funding averaged 384 billion USD per year in 2017/2018, these flows are heavily concentrated in OECD countries and China, leaving rapidly urbanizing areas in Sub-Saharan Africa and South Asia severely underfunded. The report emphasizes that mitigation efforts, particularly in transport and buildings, dominate current spending, while adaptation and resilience receive less than 10% of funding. To bridge this gap, the document outlines 'enabling conditions' across national, city, and climate-specific levels, urging a systemic approach to align planning, budgeting, and policy to attract both public and private investment.

The report finds that while urban climate finance averaged 384 billion USD annually in 2017/18, this is far below the estimated annual need of 4.5 to 5.4 trillion USD. Funding is heavily concentrated in OECD countries and China, with severe deficits in developing regions like Sub-Saharan Africa and South Asia, and a critical lack of investment in adaptation and resilience, which accounts for less than 10% of tracked project data. The document argues that cities must act as both 'providers' of green infrastructure and 'guardians' of regulatory standards to attract private and public capital, requiring stronger alignment between municipal and national climate policies.

Climate Central's analysis indicates that a significant number of sites along the Harriet Tubman Underground Railroad Byway are currently or will become exposed to coastal flood risk by 2100. Under a high-emissions scenario (RCP 8.5), 16 locations will face at least occasional flood risk by 2050, increasing to 25 by the end of the century. Specific historic sites, including the Tubman Visitor Center and Malone's Church, are projected to experience chronic flood risk—defined as at least one event per year—by 2050 or 2060. The report also highlights risks to infrastructure, such as Taylors Island Road, and ecological threats to the Blackwater National Wildlife Refuge, where sea level rise may outpace sediment accumulation and drown habitats.

The document highlights that older adults are disproportionately affected by extreme heat due to physiological vulnerabilities and social isolation. It argues that while air conditioning is critical, it can be inaccessible due to poverty or power failures, and its use contributes to further warming. The report emphasizes that social connection is a primary defense against heat deaths and details successful community interventions in cities like Philadelphia and Phoenix, while warning that the COVID-19 pandemic exacerbates risks by increasing isolation.

The report documents a record-breaking increase in private equity acquisitions within the health care sector, reaching $31 billion in 2018. Through case studies of senior care, hospital systems, physician staffing, and behavioral health, it argues that private equity strategies—such as leveraged buyouts, sale-leaseback transactions, and aggressive cost-cutting—often prioritize short-term investor returns over patient care and long-term institutional stability. Key concerns highlighted include increased health-code violations, facility closures, 'surprise' medical billing, and reduced regulatory oversight due to complex corporate restructuring.

The document advocates for the integration of nature-based solutions (NbS)—including green and natural infrastructure—into U.S. national infrastructure planning. It highlights that NbS are often more cost-effective and resilient than traditional 'gray' infrastructure, providing significant benefits in flood mitigation, heat reduction, and carbon sequestration. The text provides specific economic data on the cost-savings of living shorelines and green storm drainage systems compared to concrete alternatives, while emphasizing the co-benefits of improved water quality and public health.

The analysis finds that Latino, Asian American, and African American residents in the Northeast and Mid-Atlantic are exposed to significantly higher levels of vehicle-related PM2.5 pollution than white residents. The report highlights that white residents comprise 85% of those in the lowest pollution areas, while people of color are overrepresented in the most polluted census tracts, often located near major highways in urban centers. The document argues for targeted investments in clean transportation, such as electric vehicles and buses, to reduce these environmental inequities.

The report explores how large utility customers, including cities and corporations, can achieve high renewable energy goals through various procurement models. It details options such as green tariffs, sleeved PPAs, and community solar, while addressing the critical role of Renewable Energy Certificates (RECs) in accounting and disclosure. The document emphasizes the need for collaboration between utilities, customers, and regulators to ensure that the transition to carbon-free energy is cost-effective, avoids cross-subsidization of non-participants, and maintains grid reliability.

Climate change is extending the freeze-free growing season in the United States, leading to longer periods of pollen exposure for nearly 20 million allergy sufferers. Analysis of 201 cities shows that 83% experienced longer growing seasons since 1970, with the most significant increases in the western U.S. Additionally, rising atmospheric CO2 levels are shown to increase the quantity and allergenicity of pollen from plants like ragweed.

Climate Central's analysis of U.S. weather data from 1970 to 2018 reveals a broad warming trend, with 91% of assessed stations seeing winter temperatures rise by at least 1°F. This warming threatens the winter sports economy, which supported over 191,000 jobs and contributed $11.3 billion to the national economy in the 2015-16 season. The report highlights a decline in below-freezing days and divergent snowfall trends, with significant decreases in the Western U.S. and increases in the Great Lakes region. Future projections suggest that unchecked emissions could rob states like Colorado of more than a month of below-freezing days by midcentury.

The report argues that targeting rental properties for energy efficiency is a high-impact strategy for cities to meet climate goals, as rentals often suffer from a 'split incentive' where owners do not pay utility bills. Using Boulder's 'SmartRegs' program as a model, the document outlines a seven-step roadmap for other cities: determining fit, analyzing impact, consulting stakeholders, developing financing, implementing measurement tools, establishing compliance, and creating disclosure frameworks. RMI's analysis of five US cities suggests that MESR policies could significantly reduce carbon emissions at a relatively low cost to municipal governments.