Thamugadi Rises: A Roman City Reclaimed from Africa’s Sands
While the whole city often does not vanish, the Roman colony of Thamugadi was established in the North African province of Mumidia by Emperor Traian about 100 A.D., the city, also known as Timgad or Tamugas.
Home to Veterans of the Third Augustan Legion, Thamugadi flourished for hundreds of years, becoming prosperous and thus an attractive target for raiders. After a Vandal invasion in 430, repeated attacks weakened the city, which never fully recovered and was abandoned during the 700s.
The desert sands swept in and buried Thamugadi. One thousand years would pass before the city received a visit from a team of explorers led by a maverick Scotsman in the 1700s.
Originally founded by Emperor Trajan in 100 AD and built as a retirement colony for soldiers living nearby, within a few generations of its birth, the outpost had expanded to over 10,000 residents of both Roman, African, as well as Berber descent.
Most of them would likely never even have seen Rome before, but Timgad invested heavily in high culture and Roman identity, despite being thousands of kilometers from the Italian city itself.
The extension of Roman citizenship to non-Romans was a carefully planned strategy of the Empire – it knew it worked better by bringing people in than by keeping them out.
In return for their loyalty, local elites were given a stake in the great and powerful Empire, and benefitted from its protection and legal system, not to mention, its modern urban amenities such as Roman bathhouses, theatres and a fancy public library…
Timgad, also known as Thamugadi in old Berber, is home to a very rare example of a surviving public library from the Roman world.
Built in the 2nd century, the library would have housed manuscripts relating to religion, military history, and good governance.
These would have been rolled up and stored in wooden scroll cases, placed on shelves separated by ornate columns. The shelves can still be seen standing amid the town ruins, today a UNESCO World Heritage Site and a monument to culture.
The remains of as many as 14 baths have survived and a mosaic portraying Roman flip-flops was found at the entrance of a house in Timgad dating back to the 1st or 2nd century, with the inscription “BENE LAVA” which translates to ‘wash well’.
This mosaic, along with a collection of more than 200 others found in Timgad, is held inside a museum at the entrance of the site.
Other surviving landmarks include a 12 m high triumphal arch made of sandstone, a 3,500-seat theater is in good condition and a basilica where a large, hexagonal, 3-step immersion baptismal font richly decorated with mosaics was uncovered in the 1930s.
You can imagine the excitement of Scottish explorer James Bruce when he reached the city ruins in 1765, the first European to visit the site in centuries. Still largely buried then, he called it “a small town, but full of elegant buildings.” Clearing away the sand with his bare hands, Bruce and his fellow travellers uncovered several sculptures of Emperor Antoninus Pius, Hadrian’s successor.
Unable to take photographs in 1765, and without the means to take the sculptures with them, they reburied them in the sand and continued on Bruce’s original quest to find the source of the Blue Nile.
Upon his return to Great Britain, his claims of what he’d found were met with skepticism. Offended by the suspicion with which his story was received, James Bruce retired soon after and there would be no further investigation of the lost city for another hundred years.
Step forward Sir Robert Playfair, British consul-general in Algeria, who, inspired by James Bruce’s travel journal which detailed his findings in Timgad, went in search of the site. In his book, Travels in the Footsteps of Bruce in Algeria and Tunis, Playfair describes in detail what he found in the desolate and austere surroundings of the treeless desert plain.
“The whole of this district is of the deepest interest to the student of pre-historic archaeology … we left Timegad not without considerable regret that we could not afford to spend a longer time there. We would fain have made some excavations as there is no more promising a field for antiquarian research.”
Just a few years later, French colonists took control of the site in 1881 and began a large-scale excavation, which continued until Algeria gained independence from France in 1959.
“These hills are covered with countless numbers of the most interesting megalithic remains,” wrote Playfair in 1877.
Lost beneath desert sands for centuries, the Roman city of Thamugadi (Timgad) emerges as a breathtaking archaeological marvel. Founded by Emperor Trajan in 100 AD, this vibrant colony boasted libraries, theaters, and mosaics, only to be abandoned after repeated invasions. Rediscovered by explorers in the 1700s, its ruins reveal a forgotten world of Roman innovation and culture, now a UNESCO World Heritage Site.
Review: Top 10 Healthcare Services in the USA
The U.S. healthcare industry is a complex ecosystem of providers, insurers, and technology-driven services, delivering critical care to millions. In 2025, the sector is shaped by rising costs (projected at $4.9 trillion in 2023), technological innovation, and a focus on patient-centric care. Below is a detailed review of the top 10 healthcare services in the USA, based on market presence, patient outcomes, and industry impact.
1. HCA Healthcare
HCA Healthcare, based in Nashville, Tennessee, is the largest health system, operating 220 hospitals and over 40,000 staffed beds across 20 states. Known for comprehensive services, including emergency care, surgery, and specialty treatments, it generates significant net patient revenue. Its scale and advanced technology adoption ensure high-quality care, though accessibility varies by region.
2. Universal Health Services (UHS)
UHS manages 183 hospitals across 40 states, with over 21,000 beds, focusing on acute care and behavioral health. Its facilities in Texas, Florida, and California provide diverse services, from trauma care to psychiatric treatment. UHS’s emphasis on mental health integration aligns with 2025 trends, though high costs can be a barrier.
3. Encompass Health Corporation
With 164 hospitals, Encompass is the largest operator of rehabilitation hospitals, offering specialized post-acute care for stroke, brain injury, and spinal cord injury patients. Based in Birmingham, Alabama, it operates in 37 states, delivering measurable outcomes through therapy-focused programs. Its niche focus limits broader service scope.
4. CommonSpirit Health
A Catholic-affiliated system with 142 hospitals, CommonSpirit provides acute care, outpatient services, and telehealth across 21 states. It excels in community health programs and equitable access, serving underserved populations. Its integration of AI for diagnostics enhances efficiency, but merger-related challenges can affect consistency.
5. Ascension Health
Ascension operates 139 hospitals, focusing on primary care, oncology, and cardiology. With a mission-driven approach, it serves low-income communities through charity care programs. Its adoption of value-based care (VBC) models, projected to cover 90 million lives by 2027, improves outcomes but faces staffing shortages.
6. Kaiser Permanente
Kaiser Permanente is a leading integrated healthcare provider, combining insurance and care delivery for 12.5 million members. Its ACA marketplace plans are top-rated for affordability and quality, with low deductibles and strong preventive care. Operating in eight states, its HMO model ensures coordinated care but limits patient choice.
7. Aetna (CVS Health)
Aetna, under CVS Health, provides health insurance and healthcare services, covering 39 million lives. Its ACA plans offer competitive premiums and broad networks, with telehealth and pharmacy integration via CVS. Aetna’s focus on chronic disease management and AI-driven care navigation boosts outcomes, though rural access is limited.
8. Mayo Clinic
Mayo Clinic, based in Rochester, Minnesota, is renowned for specialized care in oncology, cardiology, and neurology. With 70,000 staff and three major campuses, it serves 1.3 million patients annually. Its research-driven approach and high patient satisfaction earn it top rankings, but costs and geographic reach are drawbacks.
9. Cleveland Clinic
Cleveland Clinic, with 23 hospitals, is a leader in cardiac care and medical innovation, serving patients across Ohio, Florida, and Nevada. Its adoption of cloud computing and AI for diagnostics enhances precision medicine. High costs and limited national presence restrict accessibility for some.
10. Blue Cross Blue Shield (BCBS)
BCBS, a federation of 34 independent companies, insures 115 million Americans, offering PPO, HMO, and EPO plans. Its ACA marketplace plans are widely available, with strong provider networks and wellness programs. BCBS’s focus on digital health tools and equitable access is notable, though premiums vary by state.
Choosing the Right Service
Selecting a healthcare service depends on location, medical needs, and budget. HCA and UHS offer broad hospital-based care, while Kaiser and Aetna excel in integrated insurance and delivery. Mayo and Cleveland Clinic are ideal for specialized treatments, and BCBS provides flexible insurance options. Compare costs (e.g., average ACA premium: $635/month), provider networks, and patient reviews on platforms like Healthgrades or U.S. News. With 26 million uninsured Americans and rising costs, prioritize services with telehealth, preventive care, and VBC to maximize value.
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