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Sept. 29, 2025, 5:02 PM EDTBy Rebecca ShabadWASHINGTON — President Donald Trump on Monday unveiled a comprehensive peace proposal to end the war in Gaza, nearly two years after Hamas’ Oct. 7, 2023, attack on Israel.During his visit with Trump at the White House, Israeli Prime Minister Benjamin Netanyahu publicly backed the 20-point plan, but Trump acknowledged that Hamas had not agreed to it.The key components of the proposal include the release of all living and dead hostages in Gaza, a requirement for Hamas to lay down its arms, a withdrawal of Israeli troops from the territory, the delivery of humanitarian aid and the installation of a civilian governing authority for Palestinians.Trump said that if Hamas rejects the deal, he would back Netanyahu in dismantling and destroying Hamas.Here is the full text of the plan:Gaza will be a deradicalized terror-free zone that does not pose a threat to its neighbors.Gaza will be redeveloped for the benefit of the people of Gaza, who have suffered more than enough.If both sides agree to this proposal, the war will immediately end. Israeli forces will withdraw to the agreed upon line to prepare for a hostage release. During this time, all military operations, including aerial and artillery bombardment, will be suspended, and battle lines will remain frozen until conditions are met for the complete staged withdrawal.Within 72 hours of Israel publicly accepting this agreement, all hostages, alive and deceased, will be returned.Once all hostages are released, Israel will release 250 life sentence prisoners plus 1700 Gazans who were detained after October 7th 2023, including all women and children detained in that context. For every Israeli hostage whose remains are released, Israel will release the remains of 15 deceased Gazans.Once all hostages are returned, Hamas members who commit to peaceful co-existence and to decommission their weapons will be given amnesty. Members of Hamas who wish to leave Gaza will be provided safe passage to receiving countries.Upon acceptance of this agreement, full aid will be immediately sent into the Gaza Strip. At a minimum, aid quantities will be consistent with what was included in the January 19, 2025, agreement regarding humanitarian aid, including rehabilitation of infrastructure (water, electricity, sewage), rehabilitation of hospitals and bakeries, and entry of necessary equipment to remove rubble and open roads. Entry of distribution and aid in the Gaza Strip will proceed without interference from the two parties through the United Nations and its agencies, and the Red Crescent, in addition to other international institutions not associated in any manner with either party. Opening the Rafah crossing in both directions will be subject to the same mechanism implemented under the January 19, 2025 agreement.Gaza will be governed under the temporary transitional governance of a technocratic, apolitical Palestinian committee, responsible for delivering the day-to-day running of public services and municipalities for the people in Gaza. This committee will be made up of qualified Palestinians and international experts, with oversight and supervision by a new international transitional body, the “Board of Peace,” which will be headed and chaired by President Donald J. Trump, with other members and heads of State to be announced, including Former Prime Minister Tony Blair. This body will set the framework and handle the funding for the redevelopment of Gaza until such time as the Palestinian Authority has completed its reform program, as outlined in various proposals, including President Trump’s peace plan in 2020 and the Saudi-French proposal, and can securely and effectively take back control of Gaza. This body will call on best international standards to create modern and efficient governance that serves the people of Gaza and is conducive to attracting investment.A Trump economic development plan to rebuild and energize Gaza will be created by convening a panel of experts who have helped birth some of the thriving modern miracle cities in the Middle East. Many thoughtful investment proposals and exciting development ideas have been crafted by well-meaning international groups, and will be considered to synthesize the security and governance frameworks to attract and facilitate these investments that will create jobs, opportunity, and hope for future Gaza.A special economic zone will be established with preferred tariff and access rates to be negotiated with participating countries.No one will be forced to leave Gaza, and those who wish to leave will be free to do so and free to return. We will encourage people to stay and offer them the opportunity to build a better Gaza.Hamas and other factions agree to not have any role in the governance of Gaza, directly, indirectly, or in any form. All military, terror, and offensive infrastructure, including tunnels and weapon production facilities, will be destroyed and not rebuilt. There will be a process of demilitarization of Gaza under the supervision of independent monitors, which will include placing weapons permanently beyond use through an agreed process of decommissioning, and supported by an internationally funded buy back and reintegration program all verified by the independent monitors. New Gaza will be fully committed to building a prosperous economy and to peaceful coexistence with their neighbors.A guarantee will be provided by regional partners to ensure that Hamas, and the factions, comply with their obligations and that New Gaza poses no threat to its neighbors or its people.The United States will work with Arab and international partners to develop a temporary International Stabilization Force (ISF) to immediately deploy in Gaza. The ISF will train and provide support to vetted Palestinian police forces in Gaza, and will consult with Jordan and Egypt who have extensive experience in this field. This force will be the long-term internal security solution. The ISF will work with Israel and Egypt to help secure border areas, along with newly trained Palestinian police forces. It is critical to prevent munitions from entering Gaza and to facilitate the rapid and secure flow of goods to rebuild and revitalize Gaza. A deconfliction mechanism will be agreed upon by the parties.Israel will not occupy or annex Gaza. As the ISF establishes control and stability, the Israel Defense Forces (IDF) will withdraw based on standards, milestones, and timeframes linked to demilitarization that will be agreed upon between the IDF, ISF, the guarantors, and the Unites States, with the objective of a secure Gaza that no longer poses a threat to Israel, Egypt, or its citizens. Practically, the IDF will progressively hand over the Gaza territory it occupies to the ISF according to an agreement they will make with the transitional authority until they are withdrawn completely from Gaza, save for a security perimeter presence that will remain until Gaza is properly secure from any resurgent terror threat.In the event Hamas delays or rejects this proposal, the above, including the scaled-up aid operation, will proceed in the terror-free areas handed over from the IDF to the ISF.An interfaith dialogue process will be established based on the values of tolerance and peaceful co-existence to try and change mindsets and narratives of Palestinians and Israelis by emphasizing the benefits that can be derived from peace.While Gaza re-development advances and when the PA reform program is faithfully carried out, the conditions may finally be in place for a credible pathway to Palestinian self-determination and statehood, which we recognize as the aspiration of the Palestinian people.The United States will establish a dialogue between Israel and the Palestinians to agree on a political horizon for peaceful and prosperous co-existence.Rebecca ShabadRebecca Shabad is a politics reporter for NBC News based in Washington.

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President Donald Trump on Monday unveiled a comprehensive peace proposal to end the war in Gaza, nearly two years after Hamas’ Oct. 7, 2023, attack on Israel.



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Sept. 30, 2025, 5:00 AM EDTBy Fred Schulte, KFF Health NewsNot long after California surgeon Andrew S. Hsu landed a job with a cosmetic surgery chain in Georgia, several of his patients alleged they suffered disfiguring injuries, and even his new employer allegedly had doubts about his competence, court records show.Hsu, a board-certified general surgeon, was one of six out-of-state doctors who joined the Atlanta Goals Aesthetics & Plastic Surgery center during the pandemic. The surgeons received temporary licenses to practice in Georgia, which state officials granted in response to the sudden need for more medical personnel to address the Covid outbreak — even though the center specialized in elective cosmetic surgeries, such as Brazilian butt lifts, or BBLs, and liposuction, paid for in cash or on credit.The Atlanta center announced its opening in March 2021 as an expansion of New York-based Goals Aesthetics & Plastic Surgery, which markets “precision body contouring” for about a dozen surgery clinics in eight states, promising patients a “dream body in just one visit.” But the Atlanta center’s early days were marred by allegations of substandard patient care. Court records show that at least 20 women filed medical malpractice lawsuits, several of which were later dismissed, against the facility, or its owner and surgeons. Hsu was named as a defendant in seven suits filed against the Atlanta center, more than any other physician there. An eighth patient sued Hsu alleging negligence in an operation he performed at a Goals office in New York.Hsu did not respond to requests for comment. Goals declined to comment. Both have denied any negligence in response to the lawsuits.Cosmetic surgery chains across the country are attracting patients by promising “minimally invasive” operations to reshape their bodies or get rid of stubborn fat — even helping arrange outside financing for people who can’t pay upfront. Hundreds of thousands of patients are undergoing such procedures each year, and plastic surgeons can earn more than $500,000 each year in one of the highest-paid specialties in American medicine. An investigation by KFF Health News found that lawsuits filed by injured patients have trailed the industry’s growth, in some cases alleging that surgeons lacked adequate training, had histories of malpractice lawsuits or had faced disciplinary action by state medical licensing boards — yet crossed into another state and kept practicing.With cosmetic surgery chains growing, lawsuits reveal allegations of injuries and deaths04:08In the Atlanta lawsuits, Goals has denied any negligence and won dismissal of several of them because patients had signed papers agreeing to outside arbitration — which requires them to resolve disputes privately and outside the court system.Yet, Goals argued in a separate contract dispute with a medical staffing firm that several of its Atlanta surgeons, including Hsu, were indeed prone to problems — either because they lacked adequate training or had troubled pasts, including investigations by state medical licensing boards into misconduct, court records show. One of Hsu’s Atlanta patients alleged in a separate lawsuit that she suffered in pain for more than a year because a piece of a scalpel was left inside her body after a BBL and liposuction. In a June 2023 court filing in that contract dispute, Goals blamed the problems on a medical staffing firm — Barton Associates, a private equity-owned firm in Massachusetts — it said failed to do adequate background checks on the doctors it supplied. Barton denied the allegations and said it met all terms of the contract.No public database exists to help patients learn the full practice histories of physicians, including cosmetic surgeons. And patients are largely left on their own to decipher which certificates hanging on a surgeon’s office wall, or ballyhooed in web advertising, signify appropriate training and which do not. Disputes among medical specialty groups over whose members are the best qualified to perform cosmetic operations — and deliver the best results — add to the confusion. No government agency tracks injuries or other complication rates at clinics offering cosmetic surgery or any other type of operations. And in many jurisdictions, including Georgia, gaining access to court records — a possible red flag for spotting problems — is laborious and costly.Charleetra Hornes, 52, who lives in the Atlanta suburbs and is suing the Goals center for medical malpractice, said she knew nothing of its alleged early troubles and chose the company because its advertising promised “minimal downtime” for recovery and that she would remain awake during the operation.She said she paid $6,650 for a “double BBL” in which fat is suctioned from the stomach, purified and injected into the buttocks and hips to create what Goals calls a “natural-looking enhancement.” Goals went ahead with her surgery July 2, 2022, even though she had tested positive for Covid that day, according to the suit. Hornes alleged that two days before the surgery, Goals assigned her to surgeon Thomas Shannon, who has worked for Goals in Georgia and Texas. Though staff gave her pills to manage the discomfort, Hornes said, she suffered “excruciating pain” during the procedure, according to the suit.That night, she spiked a fever that sent her to the emergency room. She spent two weeks in the hospital recovering from injuries, including a “severe burn on her side,” according to the suit.“I’ve been disfigured and burned up, and it’s not fair,” she said in an interview.In June 2024, Hornes sued Shannon, the Goals center and Barton Associates, alleging malpractice. On Sept. 2, a Georgia judge dismissed Shannon from the case, ruling that Hornes failed to serve him with the complaint in Texas before the statute of limitations ran out. He did not respond to requests for comment. In a separate order issued on the same day, the judge also dismissed the other defendants, citing the statute of limitations issue and that Hornes had previously signed an arbitration agreement. Some cosmetic surgery chains and other medical practices ask patients to sign such agreements. Hornes wishes she had learned more about the Atlanta surgery center, instead of accepting what she calls its “flashy” come-ons. “I wish I would have taken it more seriously,” she said in an interview, “because it was life-altering.”Malpractice cases and settlements are useful toolsKFF Health News identified more than 200 lawsuits filed against multistate cosmetic surgery companies, mostly over the past seven years, including cases involving a dozen deaths, using databases of court records. Lawsuits by themselves don’t prove wrongdoing. Many cases are settled under confidential terms that keep critical details under wraps. Yet, medical authorities and most physician licensing boards regard malpractice cases and settlements as a useful tool for detecting possible patterns of substandard health care that may harm patients. Court files show that surgeons who were sued numerous times for malpractice — and in some cases disciplined by state medical boards for misconduct — have managed to get hired by cosmetic surgery chains. Goals, owned by physician Sergey Voskin, has contracted with eight surgeons with three or more malpractice cases filed against them, including in the Atlanta area, court records allege. Gerald Hickson, founding director of the Vanderbilt Center for Patient and Professional Advocacy and an expert on medical malpractice issues, called that number of suits a “warning” of possible problems, despite their outcome.Earlier this year, a Pennsylvania woman identified in court filings as “P.C.” sued Goals, Voskin and surgeon Peter Driscoll, alleging Driscoll came on board despite an “extensive history of malpractice allegations, licensing suspensions and discipline” in Texas and California, according to medical board records cited in the suit. Companies hiring doctors have ready access to the nonpublic National Practitioner Data Bank, which details disciplinary problems in a doctor’s past. But it’s not clear from court records whether anybody made these standard background checks. Goals did not respond to a request for comment. The suit also accuses Goals of consumer fraud for touting its surgeons as “double if not triple board certified plastic surgeons.” According to the complaint, Driscoll was board-certified by the American Board of Otolaryngology, a specialty that focuses on treatment and surgery of head and neck areas. Driscoll is no longer certified in the specialty, according to the American Board of Medical Specialties website. The woman alleges that Driscoll sexually harassed her and made “unwanted and unwelcome sexual contact” during a BBL procedure in June 2022 at a Goals office in New Jersey. According to the suit, staff members overheard Driscoll watching pornography in an office bathroom multiple times, but Goals did not terminate him at the time. New Jersey’s State Board of Medical Examiners temporarily suspended Driscoll’s license in February 2023 related to the incident, and the woman’s lawsuit is pending in federal court in New Jersey. Goals and Voskin have denied the allegations in the suit and filed a motion to dismiss or compel arbitration of the case. Driscoll, who has not filed a response with the court, could not be reached for comment.Performance issues not ‘disqualifying’Other cosmetic surgery chains have faced multiple malpractice actions targeting surgeons or other health care providers who staff their clinics, court records show. The surgeon roster at Mia Aesthetics, a Miami-based chain that operates 13 cosmetic surgery offices nationwide, lists four doctors with three or more malpractice actions since 2020, court records show.Nearly a dozen injured patients have filed lawsuits criticizing the credentials of doctors and nurse practitioners affiliated with Belle Medical, including the family of a 70-year-old Utah woman with five children who died in the car two days after liposuction as her husband rushed her from home to a hospital, according to court records.Her husband alleges he called Belle Medical’s office the day after the procedure to say his wife was having difficulty breathing and heart palpitations and couldn’t walk more than a short distance, which the lawsuit argued were “textbook symptoms of pulmonary embolism, or blood clot in the lung.” According to the suit, nobody at Belle Medical advised the family to seek immediate medical care. An autopsy found she died from “bilateral pulmonary emboli,” according to the suit.Backed by Peterson Partners, a Utah private equity and investment firm, Belle Medical operates in Utah, Idaho and Oklahoma, offering liposuction and other cosmetic surgery. Neither Belle Medical nor Peterson Partners responded to requests for comment. In court filings, Belle Medical has argued that its medical providers are independent contractors who are solely responsible for any procedures they perform.Private equity-backed Sono Bello, the largest of the cosmetic surgery chains with more than 100 locations nationwide, has defended more than a dozen lawsuits alleging the company contracted with inadequately trained doctors or practitioners previously disciplined by medical licensing boards. In May 2023, Ohio’s medical board revoked the license of a Sono Bello contract surgeon after three of her patients died, two of them following procedures at a Sono Bello office in the Cleveland area, according to medical board records.Robert Centeno, Sono Bello’s medical director for the East region, told KFF Health News that many surgeons have past performance issues, which he called “not, in fact, disqualifying.” Surgeon Robert Centeno is Sono Bello’s medical director for the East region.NBC News“The vast majority of our colleagues are extremely professional and committed to their profession,” he said in an interview. “And while there may be a momentary lapse or issue with their practice, most of our surgeons take those sanctions, take that counseling, that advice, and improve their practices and go on to be very, very productive members of the medical community.” Asked about malpractice lawsuits filed against the company, Centeno said that Sono Bello has “performed over 300,000 procedures to date,” which he described as “more procedures for more patients completed safely than anyone else in the industry. It would be natural and understandable to know that at some point during that process, that a patient has actually sued us,” Centeno said.‘Unable to perform’In early 2020, as the pandemic slowed business in New York City, Goals sought to expand to Atlanta — a hot market for its BBLs. In a PR Newswire release, Goals promised patients “amazing contours” and boasted of having “some of the most experienced, and aesthetically forward surgeons in the industry.” BBLs and liposuction make up 95% of its business, marketed to mostly Black and Hispanic women, Goals owner Voskin testified in a deposition filed this year in the Driscoll case. Many Atlanta patients suing the company paid roughly $6,000 to $8,000 for their surgeries, court records show. Goals initially staffed the Atlanta center through Barton Associates. Many hospitals and medical offices rely on such firms to find temporary doctors and other staff. Under the deal, Barton charged Goals $1,400 for each procedure and paid about $600 of that to the surgeon, according to Goals’ court filings.
November 30, 2025
Nov. 30, 2025, 5:00 AM ESTBy Nicole AcevedoThe shriek of whistles and a cacophony of cars honking have taken on new meaning on the streets of major U.S. cities in recent months — a warning to all those in earshot that immigration enforcement is nearby. The warning tactics from activists have become popular in cities recently targeted by Border Patrol immigration operations. In Los Angeles, Chicago and Charlotte, North Carolina, residents protested immigration enforcement actions and began coordinating street patrols, organizing neighborhood watch groups and recording videos of both immigration officers apprehending people and agents carrying out operations largely while masked and in unmarked vehicles. Community activists have denounced what they say are increasingly aggressive tactics by immigration agents as residents patrol and document immigration enforcement activity. Meanwhile, federal authorities have said community members’ actions have gotten in the way of immigration agents doing their job. Officers “will take legal and necessary steps to ensure their own safety and that of bystanders,” Department of Homeland Security spokesperson Tricia McLaughlin said. Heather Morrow, a protester in Charlotte, North Carolina, faces misdemeanor charges after prosecutors allege she blocked the entrance to a Department of Homeland Security facility’s parking lot; she was initially charged with felony assault of a federal officer, but it was dropped a week later at the request of the federal government. Joshua Long, another Charlotte resident who told NBC News he’d been verifying and documenting community reports of U.S. Border Patrol’s presence across the city as part of a local watch group, was also arrested on suspicion of assaulting a federal officer, an allegation he denies. Amid the arrests, as well as flaring tensions and clashes between communities and immigration agents, concerned residents who are afraid the Border Patrol might target their hometowns next are looking to grassroots efforts already adopted in other cities. Many are looking to create their own versions of rapid response teams that can safely monitor immigration enforcement in their communities. “Deportation raids are not new, but what we see in terms of scale and severity is very new, and it requires a whole new response from us regular people, as citizens, as neighbors,” Jill Garvey, a co-director of the pro-democracy group States at the Core, said during the first nationwide virtual “ICE WATCH” training session hosted with the help of community organizers from Chicago on Nov. 21. More than 500 people attended the online training session from dozens of cities, including New York; Memphis, Tennessee; Oakland, California; and New Orleans — where some expect immigration operations to begin in December. Different people expressed fear, heartbreak, anxiety and outrage over the current state of immigration enforcement and asked for tips, including how to adjust ICE Watch strategies to fit the needs of rural communities and how to monitor enforcement efforts around sensitive locations such as churches, schools or workplaces. The trainers told those attending that paying attention to details such as the number of agents at a specific location, what uniforms they’re wearing and the scope of their activity are key to effectively documenting immigration enforcement in their communities, understanding the tactics and identifying potential civil rights violations. The trainees were told to not touch or physically interact with agents and to keep a safe distance while documenting any immigration enforcement activity. McLaughlin told NBC News that “being near unlawful activities in the field does come with risks — though our officers take every reasonable precaution to mitigate dangers to those exercising their protected First Amendment rights. However, when faced with violence or attempts to impede law enforcement operations, our officers will take legal and necessary steps to ensure their own safety and that of bystanders, up to and including use of force.” She added that immigration authorities “clearly identify themselves as law enforcement while wearing masks to protect themselves from being targeted by highly sophisticated gangs” and other criminals at a time when assaults against agents have increased. Community efforts to monitor Immigration and Customs Enforcement operations started to solidify in June when the Border Patrol first began sustained immigration enforcement operations in Los Angeles and intensified in Chicago during a three-month immigration enforcement operation dubbed Operation Midway Blitz. The Border Patrol defended its use of tear gas and rubber bullets, which residents and local officials denounced.When asked if people who record immigration authorities or participate in neighborhood watch group should be worried about being targeted or arrested for engaging in these activities, McLaughlin stated, “This sure looks like obstruction of justice.” “When individuals broadcast the location of ICE, they are putting a target on the backs of officers,” she stated, “anyone who impedes, obstructs, or assaults law enforcement will be arrested and prosecuted.” Xavier T. de Janon, a criminal attorney in North Carolina who represents Morrow and Long, said several of his clients who participated in neighborhood watch efforts to keep tabs on Border Patrol as it conducted Operation Charlotte’s Web in the city of Charlotte are facing charges. Long, one of de Janon’s clients, said he was following a Border Patrol vehicle to verify community reports his neighborhood watch group received about its presence in Charlotte. At one point, Long said, he was trying to move his car out of the way in a dead-end street to allow agents’ SUVs to leave. Instead, the agents used their vehicles to try to box him in, he said. In an attempt “to pull myself out of a dangerous situation,” Long said, he drove forward, going up on a curb and around one of the SUVs trying to block him. The Border Patrol claimed Long skimmed the front of its vehicle, though “my car has no scratches on it,” he said. As the Border Patrol followed him, Long said, he dialed 911 and told dispatchers that agents were driving aggressively toward him. He said he kept driving and stopped the minute one of the SUVs began flashing its red and blue lights, fearing matters could worsen. Long said a Border Patrol agent opened his car door while he was pointing a gun, pulled him out, put him against the ground and handcuffed him. Long, who said he was compliant and did not resist, was placed in the back of an SUV and taken to an FBI office, where he was questioned. About six hours later, he was released with a federal citation for “simple assault on a federal officer,” a misdemeanor charge. Long’s court hearing is scheduled for May. “This was a CBP violent and unnecessary arrest for someone documenting,” de Janon said. Asked about Long’s arrest, McLaughlin stated, “While conducting an immigration enforcement operation near the intersection of Central Ave and Eastway Dr, Border Patrol arrested this US citizen for vehicular assault against a federal agent.” De Janon said that when federal agents sign up for enforcement roles, they accept the legal reality that they can be documented and that the public can access the information. “Unfortunately, we are living under a federal government that disagrees with this,” he said. “So there might be more risks in people just doing what they’re allowed to do and legally protected to do.” At the same time, the Department of Homeland Security also said there have been 238 reports of assaults against ICE agents this year, compared with 19 reports last year — signaling nationwide tension around immigration enforcement tactics. In the session, trainers emphasized the importance of conducting ICE Watch and street patrols in groups. “We’re safer when we stick together,” said Garvey, of States at the Core. She emphasized that neighborhood watch groups are for documenting immigration enforcement happening in communities and not about interference. “It is a nonviolent tactic,” she said. Nicole AcevedoNicole Acevedo is a news reporter for NBC News.
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