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Politics

Trump extends Iran ceasefire, says move came after request from Pakistan’s Munir and Shehbaz

Last updated: April 22, 2026 12:11 pm
Mabruka Khan
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Trump extends Iran ceasefire, says move came after request from Pakistan’s Munir and Shehbaz
Trump extends Iran ceasefire, says move came after request from Pakistan’s Munir and Shehbaz
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President Donald Trump said Tuesday he was extending the ceasefire with Iran until Tehran’s leadership produces what he called a “unified proposal,” adding that the decision came at the request of Pakistan’s Field Marshal Asim Munir and Prime Minister Shehbaz Sharif. In a post cited by multiple outlets, Trump said the United States would hold off on further attacks on Iran while waiting for its leaders and representatives to come forward with a common negotiating position.

The wording was striking, and not just because Trump publicly named both Pakistan’s civilian and military leadership. It underlined something that has been building for days: Pakistan is now firmly at the center of efforts to keep the U.S.-Iran track from collapsing altogether. The original two-week truce had been due to expire Wednesday, while Islamabad was still trying to salvage another round of talks.

That does not mean the crisis is close to being resolved. CBS reported that Trump extended the deadline even as uncertainty persisted over whether Iran would actually rejoin negotiations in Islamabad. The same coverage said Vice President JD Vance was expected to lead a U.S. negotiating team if talks resume, but Iranian participation remained unclear.

So, in practical terms, Trump’s announcement buys time, not peace. It keeps the ceasefire alive a little longer and gives mediators room to work, but it also puts the burden squarely on Tehran. Washington is now signaling that the next move must come from Iran, and not in fragments. It wants one proposal, one line, one negotiating position.

For Pakistan, the statement is politically important. Trump did not refer vaguely to “regional partners” or “friendly governments.” He named Munir and Shehbaz directly, which effectively credits Islamabad with helping prevent the immediate collapse of the truce. That is a notable diplomatic moment for Pakistan, especially as it tries to present itself as a serious intermediary rather than a bystander in a fast-moving regional conflict.

Still, the pause looks fragile.  Iran had been hesitant to resume talks, and broader tensions were still high, including pressure around maritime routes and continued military signaling. So the extension should be read less as a breakthrough and more as a last-minute reprieve. The guns may stay quiet for now, but only because diplomacy has been given one more narrow opening.

The immediate question now is simple: will Iran answer with a workable proposal, or will this ceasefire become just another temporary halt before the next round of escalation? That answer, more than Trump’s announcement itself, will decide whether this episode is remembered as the start of real negotiations or merely a delay in renewed conflict.

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Previous Article WASHINGTON: UnitedHealth has warned that the Trump administration’s planned Medicare obesity-drug pilot faces “notable challenges,” casting doubt over how smoothly the program can move ahead if major insurers stay cautious. Recent market reporting said the model depends heavily on participation from Medicare drug plans that cover most Part D enrollees, which makes the stance of large insurers especially important. The concern centers on a broader CMS effort to expand access to GLP-1 weight-loss medicines for seniors. Under CMS’s published framework, the longer-term BALANCE Model would begin in Medicare Part D in January 2027, while a temporary Medicare GLP-1 Bridge is designed to start earlier and give eligible beneficiaries short-term access before that main model begins. What makes this a little more complicated is that the short-term bridge and the longer pilot are not the same thing. CMS says the Medicare GLP-1 Bridge operates outside the normal Part D coverage and payment flow, meaning Part D sponsors are not directly involved in that bridge arrangement. In other words, insurer participation is a much bigger issue for the 2027 BALANCE rollout than for the bridge itself. That distinction matters because investors and drugmakers are watching this closely. Reports said shares of obesity-drug makers fell after UnitedHealth’s comments, largely because Medicare coverage is seen as a huge growth opportunity for drugs such as Wegovy and Zepbound. If major insurers hesitate, the program could struggle to achieve the scale CMS appears to want. There is already some evidence of resistance. MarketWatch reported that CVS Health has opted out, while UnitedHealth is still evaluating the structure and discussing possible changes with Medicare officials. That does not mean the program is dead, not yet anyway, but it does suggest the administration may need to revise the design or sweeten the terms if it wants broader insurer buy-in. The bigger backdrop here is cost. Medicare has long been wary of broad obesity-drug coverage because GLP-1 therapies are expensive and potentially involve very large patient populations. Earlier policy debates around these drugs were shaped by concerns that wide coverage could drive up federal spending sharply, even as supporters argued the medicines could reduce longer-term health costs tied to obesity. So the headline problem for CMS is pretty straightforward: it has created a short-term bridge that can move without direct Part D plan involvement, but the more ambitious long-term Medicare model still appears to need insurers on board. UnitedHealth’s warning does not shut the door, but it does signal that one of the industry’s biggest players thinks the current setup may not be ready for easy launch. UnitedHealth raises red flags over Medicare obesity-drug pilot
Next Article Trump reportedly weighs Congo option for Afghans who helped U.S. forces Trump reportedly weighs Congo option for Afghans who helped U.S. forces
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