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September Monthly Review: Health MCP Guy?
For all the time I spend talking about APIs and data exchange, this newsletter has had embarrassingly little interoperability of its own. It’s old-school SaaS, baby - UI or bust. Not all of that is my fault! Substack, for all its popularity, is (as mentioned before) really frustrating as my system of record. The primary user it optimizes towards is the reader, whose attention feeds the app, the Notes feed, and the recommendation network that Substack is actually selling. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe They’re falling into the same trap that Medium once sprinted into, albeit at a much more glacial speed. Younger generations may not remember (or never knew) it, but Medium once lured publications like The Ringer and Signal v. Noise onto its platform, only to lose them as it rebuilt itself around a paywall and an algorithmic feed. Substack’s original pitch circa 2020 was the antidote (you own your list), but every new feed feature chips away at it. I get it: writers are generic supply in the eyes of the Substack product team. Generic supply follows demand, so the consistent pressure on the PMs is to generate demand, which leads to every product cycle going toward discovery (Notes, recommendations, the app, live video). The end result lackluster author tools (laggy and broken analytics are truly crippling) all despite the premium price point. The archive is where it crosses from authorial gripes to actual reader impact, though. Across Substack and LinkedIn, I’ve published 1,218 posts and nearly 900,000 words since 2018. Substack’s native search can see only the 464 posts that live on Substack, and even there it’s woefully inadequate at surfacing relevant content (even for the guy who wrote it)! Readers have the same problem, writ large. Ask the Archive Fixing search (for both my readers and my own use) turned out to be extremely non-trivial, unfortunately: There’s no public API for readers to access content RSS exists for new content notification, but it only carries the 20 most recent posts and cuts paid ones off at the preview The only Substack MCP is an admin tool for analytics The export exists for authors, but it’s painfully awkward and slow. So I built something to work around that: the Health API Guy MCP. It’s a private MCP server holding the full text of everything I’ve written across Substack and LinkedIn. Add it to Claude or ChatGPT as a connector and you can ask things like: It pairs keyword search (for acronyms and case names, of which we have many) with semantic search. Every post is also labeled by topic, form, and court case, so you can pull a lawsuit’s (or multiple cases’) entire docket across Substack and LinkedIn in one query: Hail, Healthapiguyhydra This is also a bit of me eating my own cooking. I’ve spent the year arguing that headless healthcare is arriving and that developers want primitives over abstractions. Last week in Hail, Benihydra, I watched Salesforce plug its platform into Claude and bet that the records underneath outlive whatever interface sits on top: Salesforce must believe that the Hydra’s immortal head is the records, permissions, and business logic (in that they will survive whatever happens to the interface). It felt a bit hypocritical to keep my own archive behind a Substack search bar. The archive is the body. Substack is one head, and now whatever tool you might use is another. Will the EHRs follow my lead? Probably not imminently, but one can hope! Why Founding Members Only The MCP is available to Founding Member subscribers. A few reasons: It costs money and time to run. Hosting, the database, Clerk usage and AI compute for search and labeling are significant operational costs (that increase with usage). Substack gives me no way to automate access. There’s no API to check whether someone is a paid subscriber, so every user is manual operations for now. It’s a beta. We’ll need to improve things and parts will break. I’d rather they break for a small group of dedicated readers who will tell me about it. The Founding tier deserved a real benefit. Until now it was mostly a generous tip. Now it comes with something. If you’re already a Founding Member, reply to this email with the address you’d like provisioned. If you’re not and want in, upgrade here. Larger teams (such as companies) can get access too: group subscriptions at the Founding tier come with the group discount. The admin for the subscription can reply with the list of addresses to provision. Get 20% off a group subscription Pricing Founding membership is now a flat $200 a year, replacing the old suggested $150 that readers could adjust. Existing Founding Members will have access grandfathered in at their previous rate. Month in Review Articles Published Make Networks Dumb Again (Sep 11): AI is making old analog networks cheaper to use and flooding them with machine traffic in the process. A plea for agent-native rails with the intelligence at the endpoints, and for Washington to drag them to ubiquity. Interoperability, Unbuttoned (Sep 29): Interoperability is a series of workflows in a trenchcoat, and this post finally takes the trenchcoat off. A color-coded map shows which provider workflows went digital, which are fragmented, and which still run on fax. Video Content Antitrust’s System of Record Problem (Sep 3): The FTC’s investigation into Epic prompted a ninety-minute webinar, now posted with chapters and a smoothed transcript. We get into why market definition, missing B2B share data, and the SSNIP test leave antitrust poorly suited to systems of record, plus why information blocking may be doing more than any pending lawsuit. The Information Exchange: Cerner Milking Edition (Sep 18): This was so fucking fun. Ryan Tucker, Ryan Brickner, Brad Thorson, and I try an Around the Horn format, complete with points, penalties, and a mute button. We debate whether Oracle Health is dead, who would actually buy Cerner (IBM enters the chat), p(Doom), and why the front desk still hands you a clipboard. Regulatory Ask Not What Your Network Can Do (Sep 23): CDC’s RFI on public health data intermediaries lists use cases already served, unevenly, by eCR, lab reporting, IZ Gateway, and syndromic surveillance. The real opportunity sits in one question about AI: a network that can handle the next emergency without another interface project. Court cases Particle v. Epic: The Naughty Schoolteacher (Sep 4): After a summer-long vigil, the answer on Epic’s early summary judgment bid is two paragraphs and a remedial assignment. Particle advances to the next grade, and market definition gets another year of discovery. The Epic Discovery Files (Sep 8): Texas’s motions to compel arrive with a 251-page appendix of requests, objections, and meet-and-confer letters with Cravath. Inside: Epic using generative AI for document review, denied interoperability requests in scope, and Noerr-Pennington raised against lobbying discovery. Epic v. Health Gorilla: “Working as Designed” (Sep 9): Epic wants nothing to do with the data breach MDL, and explaining why puts fresh discovery on the public docket. The spiciest allegation: Health Gorilla told GuardDog to scrub its law firm business from its website instead of cutting off access. Veeva v. Epic: Legal Bypass Surgery (Sep 15): Veeva asks the Wisconsin Supreme Court to skip the Court of Appeals, while law professors and three policy groups line up as amici. Meanwhile, Epic’s lawyers apologize for another round of citation errors, including a quote that never existed. Texas v. Epic: Behind the Black Bars (Sep 17): The court portal served up Epic’s unredacted filings, revealing a $5 million document review budget and the AI workflow behind it. Also inside: the 200-plus company names Texas wants searched, and one very expensive Zoom invitation. OpenEvidence v. Doximity: Consequences Will Follow (Sep 25): OpenEvidence tells the court it will not comply with a discovery order, and its own lawyers at Quinn Emanuel say they won’t defend the choice. Add years of Slack reported unrecoverable, and Rule 37 sanctions come into view. Health Tech Keeps Choosing Violence (Sep 28): Doximity moves to end OpenEvidence’s case, Epic asks Texas to show its work, and a sleepy Audacious Inquiry patent fight sprouts antitrust and information blocking counterclaims. The main event is a long-sealed Cognizant v. Infosys ruling that hints where system of record antitrust claims can survive. EHRs One Verb for Oracle Health (Sep 14): Oracle’s earnings call quantifies every data center to the decimal point, while Oracle Health gets a single verb: “accelerate.” Panning the few healthcare mentions turns up an agentic care management system, a research-to-care ledger play, and the question of whether healthcare gets Larry’s patience. Epic’s Forretress Under Siege (Sep 30): Judy Faulkner tells a panel Epic paused hundreds of projects to harden its software and calls it a “shame,” while a spokesperson insists the roadmap hasn’t changed. Project Glasswing, a Pokémon-branded QAN sprint, and a trove of Jodel grievances reconcile the two Epics and preview the Jevons paradox coming for all software. Industry Analysis Scanning for a Network (Sep 1): Scan.com raises $220M to build the imaging network labs never got, speedrunning Zocdoc’s consumer-to-B2B pivot. Its wedge to network density may be the most American one available: personal injury litigation. The Front Desk Wants the Damn Whole Building (Sep 16): Hello Patient buys Converse Health, pushing its AI front desk into referrals, chart work, and prior auth. The copilot categories keep blurring, and your distribution partner is still your final boss. Cross-industry Comparisons A Different Patchwork Quilt (Sep 10): Healthcare loves to envy open banking, but the US version has no mandate, a toll booth at Chase, and data quality problems of its own. The grass isn’t greener; it’s another American patchwork quilt, and perhaps a worse one. Hail, Benihydra (Sep 21): Salesforce brings its platform into Claude, Slack, and its own agent, inviting the interfaces that might replace it. Cut off one head and more grow back, so long as the records underneath stay put. Living on A Trade Secret Prayer (Sep 22): Six credit unions are suing Fiserv, the Epic of core banking, by claiming their own member records as trade secrets. Banking has no Cures Act, so its lawyers reach for legal alchemy that healthcare has already tried. Other News None this month External Media Nabla Accelerate NYC: I kicked off fall conference season at Nabla’s Accelerate event in New York, where Delphine Groll opened by asking the room to picture the company it wants to become and the one it doesn’t. I liked her framework of bureaucracy, fear, and ego as the blockers. I also love vendor conferences/events in general - different vibe than industry biggies. Healthcare 101 with Nikhil Krishnan: I briefly guest lectured Out-Of-Pocket’s Healthcare 101 class. Appreciated Nikhil’s takeaways cover whether AI doctors can query HIEs, why healthcare’s data-liberation rules beat most industries’, and the hi-res graphic is in the comments. HCN: Epic Probed by the FTC: I joined the HCN guys to talk through the FTC’s investigation into Epic. Cedric’s new hairdo was an unexpected plot twist. The episode also covers MFN drug pricing, healthcare M&A and Eli Lilly’s acquisition streak. Fall Conferences: At eHealth Exchange’s Annual Meeting in Austin on Oct 27, I’ll moderate a panel on the tensions between AI, HIEs, and timely patient access with Jean Ross (Primary Record), Therasa Bell (Kno2), Byron Crowe (Doctronic), and Michael Marchant (Freenome). Here’s the rest of my schedule if you want to meet up: CommonWell (Redwood Shores, CA): Oct 13-14 Will be participating in a fun Jeopardy event Open@Epic (Madison, WI): Oct 20-23 Will be enjoying Verona, Willy Street, and other local adventures eHealth Exchange and Sequoia Project (Austin, TX): Oct 27-29 Yeehaw HLTH (Vegas): Nov 15-18 Groundhog Day, Venetian Edition RSNA (Chicago): Nov 30-Dec 2 See me at “Governing AI in Breast Imaging: What Health Systems Are Actually Doing” Digital Health Counsel 2026 AI Summit (Seattle): December 2-3 Will likely be speaking to a bunch of lawyers about information blocking Posts I Liked ChatGPT’s Epic integration: game changer or nothing burger?: Joshua Liu, MD offers five thoughts on OpenAI’s Epic launch, starting from the point that it rides the same open APIs available to anyone. He argues read-only access leaves ordering to Art and the ambient startups, and asks why HCA is piloting it alongside Commure. He’s sorta a must-follow at this point - consistently excellent, thought-provoking takes. Epic, Lilly, and the Discovery pass: Seth Chaney reads Epic’s first major Discovery deal (with Eli Lilly), as well as its revised developer terms on commercial displays, as the pipe finally opening between EHRs and pharma. Life sciences and health continue to collide. Scott Rossignol on EHR payer platforms and ePA fees: Scott argues the top ambulatory EHR vendors are turning the prior auth mandate into a per-member-per-year toll on payers, for an API whose operating cost has nothing to do with covered lives. His fix is two lines of regulatory text: put the CRD/DTR/PAS certification criteria in the Base EHR definition, and bring payer-facing ePA connectivity under § 170.404’s cost-based fee rules. It’s a good solution. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
Liverpool's ahead-of-the-curve approach to youth recruitment
Liverpool's global talent department - led by Matt Newberry - is responsible for deciding which young talents from overseas should be targeted for a transfer move. Using their wealth of contacts across the world, including dedicated regional scouts, Liverpool are becoming increasingly aggressive in the space - and it helps that new sporting director Julian Ward is well known for his global network. After the Under-17s World Cup, Liverpool made a £1m move for Senegalese Mor Talla Ndiaye and a £2.6m move for fellow centre-back half Ifeanyi Ndukwe, who was representing Austria.
Australian businesses raise prices as card surcharge ban takes effect
SYDNEY, Oct 1 (Reuters) - Australian businesses said a ban on card surcharges that took effect on Thursday would force them to raise prices, casting doubt on government claims the change would lower living costs by eliminating more than $1 billion in annual card fees.
Case Mgmt Profiles – Broward Health North – Genesis Siliezar-Orellana, MSW
For Genesis Siliezar-Orellana, MSW, social work is about making sure patients feel heard, seen and supported. She attended Florida Atlantic University, earning both her undergraduate degree and Master of Social Work, before coming to Broward Health North as a social work intern, where she completed eight months of clinical training. She joined the hospital’s team […]
Sports/Rec calendar: Oct. 2–11, 2026
Upcoming recreation opportunities and college and prep sports
October Starts With An Orange Tint For UConn
Syracuse football will meet the Huskies on Saturday, with a pair of basketball exhibition games still upcoming.
Blitz on 2 Week 6 Win of the Week
NORTH CHARLESTON, S.C. (WCBD) – Leading Ashley Ridge just 6-2 under two minutes to play in the first half, Fort Dorchester scored a touchdown going into half. Then scored again coming out of half to put the game away en route to an impressive 33-12 win. The Fort defense holding AR to just 12 points […]
Michigan State LB Caleb Wheatland on his incoming increased role
Michigan State linebacker Caleb Wheatland talked about the increased role he is going to have this weekend against Wisconsin.
Chamber to host Small Business Development Center Advising Day
The Pagosa Springs Area Chamber of Commerce is pleased to host an upcoming Small Business Development Center (SBDC) Advising Day on Oct. 19, giving local entrepreneurs, prospective business owners …
Camp Storylines: Ace Bailey Feeling 100 Percent
After overcoming summer back spasms and adding twelve pounds of muscle, the All-Rookie standout prepares to battle for minutes in Utah’s crowded, high-upside wing rotation.
Trump’s Mobile rally could be about more than Alabama politics, political columnist says
MOBILE, Ala. (WKRG) — President Donald Trump is coming to Mobile on Friday for a rally expected to draw thousands of supporters. One political columnist says the president’s visit is less abo…
What Does Your Office Say About Your Business? by Jennifer Kraner
What does your space say about you and your business? More importantly, does it give you the best possible first impression? The minute a client, customer or patient walks through your door, they’re forming an opinion about your business – sometimes consciously, sometimes without even realizing it. Your space is communicating something about you, whether you intend it to or not. At Big Sky Design, we work with all kinds of commercial businesses, including many medical practices, law firms and other corporate offices, and I’ve seen first hand how much thoughtful design can influence that first impression. For businesses in medical, legal, and financial fields, three things are particularly important: trust, privacy and professionalism. Your space should communicate all three while also reflecting who you are as a business. That can be challenging, especially in a new construction project. Often, so much of the budget goes toward the actual construction that things like lighting, comfortable seating, artwork and finishing touches get pushed to the side. But those are often the elements that make a space feel complete – and memorable. Think about your waiting room. Is it comfortable? Is the lighting welcoming? Does the layout make sense? When someone walks through the door, do they immediately know where to go and whom to speak with? In a medical office, there’s another important consideration: privacy. Reception areas can become surprisingly noisy places, with phone calls, conversations between staff and patients, and people discussing personal information. Hard surfaces throughout a space allow sound to bounce around, making it difficult to maintain privacy. We recently worked with an eye doctor's office that had exactly this problem. The reception desk had a large opening, and staff were making and taking phone calls right next to patients who were waiting. We designed an acoustic treatment that acted as a divider between the staff and waiting areas. It absorbed sound, but it also became a branded design element. It was a visual reminder to everyone in the space to be mindful of their voices and what others might be able to hear. Those kinds of thoughtful details can make a tremendous difference. And good commercial design doesn't have to mean making your space flashy. Sometimes it’s as simple as a calming color palette, beautiful artwork, plants, carefully selected lighting or comfortable upholstered furniture. In a medical setting, those touches can help soften what might otherwise feel clinical and reduce anxiety for patients who are already nervous about an appointment. I’ve been in waiting rooms where everyone feels packed together, and you can hear every conversation – even what’s happening in the restroom next door. That’s not the experience you want to create. Your office should also feel like your business. Are you telling people that you’re clean and modern? Sophisticated and unique? Warm and welcoming? Or, unintentionally, are you telling them that your business is outdated? You don’t necessarily need a complete renovation to change that message. Fresh paint, updated lighting, new artwork, better seating or a few branded design elements can make a space feel current and intentional. At Big Sky Design, we’ve worked with radiology, dermatology, and dental practices, among many others. Every practice is different, but the goal is always the same: creating a space that reflects the business behind it and gives every person who walks through the door a positive first impression. Because your office is part of your brand. Make sure it’s telling the story you want people to hear. Read more at bigskydesignonline.com.
There's a debate over debates in Mass. politics this election season
In 2026, debates are becoming a point of contention. Republican challengers are chastising Democratic incumbents for not debating enough, or at all.
The Return of Fred VanVleet Will Unlock the Rockets' Offense
The Houston Rockets will be welcoming back their starting point guard. How will he improve the teams offense?
Selma business owner makes donation to Selma University
From the West Alabama Newsroom– A Selma business owner makes a sizable donation to Selma University — to support and promote business. Selma-U President Dr. Stanford Angion was all smiles — at a check presentation on the campus Wednesday morning. “It is really wonderful when you find hometown people who is giving back to help others who are coming along...
Keshaun Singleton Is Becoming More Than Auburn's Leading Receiver
Keshaun Singleton is becoming Auburn football's most trusted playmaker under Alex Golesh. With 22 catches for 268 yards through four games, the Tigers receiver is making clutch catches, delivering key blocks and emerging as one of the SEC's most complete weapons.
Player Availability Report: #SEAvSKC
Player Availability Report is SportingKC.com’s look at the latest status updates around the team ahead of upcoming matches and is presented by Saint Luke's. All details listed are from the league’s official Player Status Report that is submitted the day prior to the match. Sporting Kansas City is set for
Harrison Barnes Uses Winning Pedigree to Outline Spurs' Expectations
Harrison Barnes was on the 73-win Golden State Warriors team that did not win a title, so he knows about overcoming adversity more than anyone else on the San Antonio Spurs.
Flick sets Oct. 5 Capitol events for custody bill
Rep. Jamie Flick (R-Lycoming/Union) announced Oct. 5 Capitol press conference, Judiciary hearing and panel on House Bill 1499 child custody reform.
Democrats want a blue wave. New Hampshire is Exhibit A for why that may not happen
Five weeks before Election Day, Democratic optimism is soaring. But glaring vulnerabilities threaten to undermine the unstoppable blue wave that Democrats believe is coming. Look no further than New Hampshire, where Democratic leaders are sounding the alarm about political challenges that could jeopardize the party’s ability to win in November.
Is Purdue a MUST-WIN Game for Illinois This Weekend?
Facing a defensive crisis and coaching shakeup, Bret Bielema’s squad must secure a homecoming victory to stabilize a chaotic season and reclaim momentum in the Big Ten.
Employers increasingly tie digital health payments to outcomes, PHTI survey finds
Performance-based contracting is becoming the norm for digital health solutions, with the majority of employers and health plans tying vendor payments to clinical and financial outcomes, according | The report drew insights from 321 digital health professionals responsible for purchasing across health plans, employers and health systems.
An immersive 'Dune' experience is coming to downtown Los Angeles
LOS ANGELES — An interactive, floor-to-ceiling walk-through "Dune" attraction is coming to Los Angeles in November, and it promises spectacle, as well as a bit of mystery. Step around, and
Ed Sheeran performs in Atlanta: What to know about the controversy
Ed Sheeran's tour stops at Atlanta's Mercedes-Benz Stadium Saturday. We answer some questions about his upcoming concert and controversy.
Federal health insurance enrollees will pay 10.9% more, on average, toward premiums in 2027
The Office of Personnel Management published information about plan options and premium rates for 2027, ahead of the upcoming Open Season this fall.
iOS 27.2 adds new Messages feature that’s already a favorite
iOS 27.2 is coming soon with several new features for iPhone users, including a Messages addition: Suggestions.
The AI Tamagotchis are coming
Personal AI hardware has mostly crashed and burned. OpenAI and Meta are counting on two selling points: it’s useful, and it’s cute.
Blizzard Survey Suggests New Classes Coming To WoW: Forever
Warden, Necromancer, and what sounds a lot like a vampire are also on the list
ICYMI: Ocarina of Time remake website has tons of footage showing areas, dungeons, items, and more
An abundance of gameplay footage for the upcoming Ocarina of Time remake is available on the game’s official Japanese website, showing many elements that were
Selma Blair Set for Coming of Age Film 'Schmoolie the Deathwatcher'
In the Theresa Burkhart Gallagher-penned project, Isaac Krasner is set to play the title character Schmoolie alongside a cast that also includes Luenell, Ariel Martin, David Mazouz and Sania Halifa.
Sorcerers of the Imperium coming to Invasive Weed Gallery
BELLOWS FALLS — Invasive Weed Gallery will present a special exhibition of Tom Swetland's Sorcerers of the Imperium – from Himmler to Hegseth, from Oct. 3 to Nov. 7. There
New York-based Blank Street Coffee coming to Chicago
New York-based Blank Street Coffee plans to open a 2,300-square-foot store in Wicker Park at 1588 N. Milwaukee Ave., the trendy chain's first Chicago outpost.
Perceived Titans Weakness Slowly Becoming a Strength
Despite a winless start, Tennessee’s retooled offensive line is defying expectations. New faces and emerging starters are finally providing the pocket protection Cam Ward needs to succeed.
Talent Agent Amanda Glazer Joins Innovative Artists
EXCLUSIVE: Amanda Glazer, a talent agent coming off 25+ years at The Kohner Agency, has moved over to Innovative Artists Entertainment. This follows the recent layoffs affecting Kohner’s three talent ...
Check out these 6 Hutto-area business updates
Hutto has several new and coming soon businesses, including a beauty lounge, a new breakfast spot and a hotel.
ABI predicts employer and financial stability for fourth quarter
The Iowa Association of Business and Industry reported that surveyed Iowa employers are looking towards 2026’s fourth quarter with a “neutral outlook”, approaching a stable economy and financially healthy end of the year. Each quarter, ABI surveys its board of directors in order to track business sentiment, identifying common concerns and inform upcoming priorities for […]
Miami-Dade County’s Small Business Certification Program Creates New Pathways to Opportunity
Getting your Trinity Audio player ready... For a small business owner, winning a government contract can be a significant milestone—obtaining steady revenue, scaling up your business , and achieving long-term growth. In Miami-Dade County, an important first step for many businesses is becoming certified through the County’s Small Business Development programs. Today, Miami-Dade County has 1,732 […]
Shelby County Health Department hosts free drive-thru pet vaccination clinic Oct. 17
Pet owners in Shelby County can get their dogs and cats vaccinated and microchipped at no cost during an upcoming drive-thru clinic on October 17.
‘You can speak the language, but can you speak the culture?’: Latine businesses offer welcoming spaces in Alamance County
From coffee, flowers and legal representation, Alamance County’s Hispanic and Latine-owned businesses provide safe spaces for Latines to feel understood and respected. According to the U.S. Census Bureau, Hispanic and Latine people make up almost 17% of the Alamance County population. However, Hispanics own just over 9% of small businesses in North Carolina, according to the U.S. Small Business Association.
Buccaneers ‘Look Poorly Coached,’ Todd Bowles’ Seat ‘Searing’
Pete Prisco of CBS Sports is the latest to criticize the job Todd Bowles has done with the Buccaneers this season. Prisco, like many others, believes Bowles' time as Tampa's head coach may be coming to an end.
Good Times
For more information about upcoming events in Citrus County this weekend and beyond, go to the events calendar at www.chronicleonline.com, events, event calendar. Also, read the daily Local section of
Dolphins re-sign young DL back to their practice squad
The Miami Dolphins released a trio of players earlier in the week, but one of them is coming back on their practice squad.
Salish Kootenai College business students raise scholarship funds for incoming freshmen
SKC business students are raising $10,000 for the Future Bison Scholarship to support incoming freshmen at Salish Kootenai College.
Jared Knapp’s Business Grew Faster Once He Stopped Doing Everyone’s Job
Becoming a father changed the way Knapp wanted to run Jared’s Leads. He now builds breathing, meditation, and even mindfulness check-ins into the workday to keep himself and his team from running at full tilt all the time.
Sylvester Stallone saw Francis Ford Coppola break down crying after failed movie screening years before “The Godfather”
The “Rocky” star was working at a movie theater before becoming an actor.
Packers sign Wisconsin native Kevin Zeitler in latest OL move
The former Badger and Wisconsin native is coming out of retirement and returning home.
Pokémon Legends: Z-A – Nintendo Switch 2 Edition + Mega Dimension Bundle Coming Soon
The Pokémon Legends: Z-A – Nintendo Switch 2 Edition + Mega Dimension bundle is coming soon.
Arnold Schwarzenegger is Santa in Prime Video's 'The Man with the Bag' teaser trailer, coming this Christmas
Schwarzenegger stars alongside Alan Ritchson in this holiday heist movie premiering on Prime Video December 2.
Healthy Aging Month: Orlando man completes chemo after early colon cancer diagnosis
Jason Jose, an Orlando Health Digestive Health Institute employee, shares his experience of overcoming colon cancer after initially hesitating to get a colonoscopy.
Cannabis users were twice as likely to commit violence, review finds
A review of more than 265,000 people found that cannabis use was associated with higher rates of both committing violence and becoming a victim of it. The researchers say the link is significant but does not prove cannabis itself is the cause.
🚨 Major blow: Madrid issue Asencio medical report
Real Madrid will have to face the coming months of competition without Raúl Asencio."Our player Raúl Asencio will undergo surgery tomorrow due to a stress fracture in the tibia of his right leg," th...
Resident Evil Remakes Will Eventually "Catch Up" With The Main Series
Confirmation that Resident Evil's remake timeline will catch up to the numbered entries has convinced fans that an RE6 remake is coming. Eventually.
Dentsu is making a bigger Hollywood bet with 'Angry Birds 3'
Ad agency group Dentsu is becoming one of Hollywood's newest players, and "Angry Birds Movie 3" is the most visible part of its push.
Wiegman explains why Chloe Kelly was dropped by England
Sarina Wiegman has explained why Chloe Kelly was left out of the latest England squad, with the decision coming before the forward’s current hamstring problem.Photo by Mike Hewitt/Getty ImagesSarina...
Orioles news: More upgrades are coming to Camden Yards
The playoffs are underway, and the Orioles assess what went wrong.
Openings, closings and coming soon: 8 Centre County business updates
Wawa, Climb Nittany and new shops were all part of a busy month of business news in Centre County.
Liverpool Could Trigger €70m Jarell Quansah Clause
The Reds face a high-stakes decision as their academy graduate dominates the Bundesliga, with a strategic buy-back clause offering a cut-price path to an Anfield homecoming.
Massachusetts Republicans respond to harassment of Cape Cod restaurant
A swath of Massachusetts Republicans are coming together to support a Cape Cod restaurant hit with online threats and harassment, even a hoax 911 call, in retaliation for hosting a GOP fundraiser.
When “DEI” research is cut, what happens to community health?
“I’m just going to run to the grocery store!” How many times have we said this without thinking about it? For most of us, it's usually an easy walk or a short drive to get the cheese we forgot. In reality, though, 13% of the U.S. population (about 39 million people) live in “food deserts,” which means living more than a mile from a grocery store in urban areas and more than 10 miles in rural areas. This was the case for people in Pittsburgh’s Hill District, where a quick run to buy food wasn’t an option. In the 1930s, federal maps marked the Hill as "hazardous" for lending, a practice known as redlining that steered investment away from Black neighborhoods. Decades of disinvestment followed, and residents went about 30 years without a nearby grocery store. This made it hard to keep healthy eating habits and contributed to chronic disease. When a grocery store finally opened in the area in 2013, researchers saw the opportunity and launched the PHRESH study, which initially compared the health of participants from the Hill district to those in the Homewood district. Over time, the study expanded to other factors such as brain health and Alzheimer's risk. Residents like Roderick Blair overcame initial hesitation to share their health data, trusting it would benefit their neighborhood. Then, in August 2026, the NIH abruptly canceled the study’s grant, citing that it was “subjective” and fell outside their scientific scope—an effect of the administration’s interpretation of diversity, equity and inclusion (DEI). Research like PHRESH can help determine what changes in a neighborhood actually improve health, so cutting it has left that question unanswered. Other canceled studies have examined health issues like maternal health, preterm birth rates, or sickle cell disease. Courts have reversed some of these grant cancellations, but not all of them. If we really want America to be healthier, research into why some communities get sicker than others is absolutely critical. The law that created the federal minority health research institute passed with bipartisan support in 2000. But these days, as evidenced by grant cancellations, the political shift in attitudes toward DEI means we often lose access to the health information we need to help all communities thrive. DEI vs. health equity vs. equality and the overlap (or lack thereof) The letters “DEI” evoke very different reactions depending on who you are in the U.S. DEI programs can address gender, disability, age, and other factors, but the fiercest debate centers on race. For some people, hearing DEI brings to mind policies that may have cost them a job or a college seat because they are white. Others see DEI as a matter of justice: a way to expand representation and opportunity for groups that have been historically marginalized. Both perspectives are rooted in lived experience, and both center on the same question: whether hiring and admissions practices are fair. Hiring and admission practices, though related, are not the same as health equity. Health equity is “the attainment of the highest level of health for all people.” It’s the recognition that some groups of people consistently experience worse health outcomes than others. For instance, black mothers die from pregnancy-related complications at three times the rate of white mothers, and rural Americans are more likely to die from issues such as heart disease and cancer. Equity is also often conflated with “equality,” which leads to misunderstanding of how to actually best support communities. Equality ignores the fact that we aren’t all starting life with the same resources or circumstances, whereas equity is about helping people get what they specifically need based on their situation so they have the chance to achieve the same outcome as anyone else. For example, if every household in Pittsburgh got a $30 grocery gift card, that would be equal. But during the decades the Hill District went without a grocery store, that card wouldn’t have helped much. Equity means making sure everyone can actually access a store in the first place. DEI policies can overlap with health equity in many ways. For example, they may help expand access to quality education and stable, well-paying jobs, which in turn can provide health insurance, safer housing, and improved finances—all of which can reduce health disparities. But to make that happen, we first need data to identify disparities in communities and to develop solutions that effectively address them. What we lose when the research stops Community data is important to health equity because: You can’t fix what you don’t see: Data show which communities are most affected by health factors such as infection, heart disease, and cancer. If we don’t know what is happening and where, then we can’t develop interventions to help. Poor health costs everyone: Chronic disease is expensive—both to the individual person and to the overall economy. Understanding what groups of people are most at risk allows us to develop interventions that can save everyone money. Disparities exist for many communities: Health equity includes disparities that exist due to a whole host of factors, such as family background, race and ethnicity, rural vs. suburban residence, gender and sexual orientation, veteran status, disability, and lower income. This means many Americans can benefit from research into differences in health outcomes and how to improve them. Trust is easy to lose: Some participants in the PHRESH study were initially vocal about their concerns about participating. But that trust was earned because the researchers kept their promises and centered their work on the community. When projects are canceled mid-cycle, researchers have no choice but to leave behind communities they had promised to help. This hurts trust in the long run. It’s also a very inefficient use of resources, and it will take significant time and effort to redo the work when the government realizes this work is important again. How should we talk about health equity? This is hard because the words “equity” and “DEI” are currently very politically charged. So whether you’re a public health professional, teacher, or friend, how we talk about this topic matters. The right framing can help people who might otherwise be skeptical see why health equity research is important and deserves funding. Here are some suggestions to help your conversations: Choose your words strategically: Who are you trying to reach with your message? Are they likely to be resistant to terms like “diversity” and “equity”? If so, find alternative words to use to still get the message across. It is frustrating to be in that position, but the goal of improving health is too important not to try to make inroads. Sometimes simply reframing can help the message reach those who need to hear it. Focus on the problem: The terms “health equity” and “DEI” are abstract. Make it more specific. For example, discuss differences in maternal death or ways to improve health outcomes in rural communities. These still have equity at their core but will likely be better understood by those you’re talking with. Focus on systems: Disparities exist, but if they are communicated poorly, people can mistakenly think the issue is the individual’s fault. Disparities are largely driven by failures of the system—such as lack of access to health care and a long legacy of racism. When discussing the disparities, frame them around these systemic issues to ensure blame isn’t placed on the individuals impacted. Tell stories: Personalize these policies by using stories from those impacted that connect to the data you’re trying to convey. This helps make the policies and outcomes more concrete and meaningful. Bottom line Some communities end up sicker than others. That’s just the facts. We can argue about the best way to do that research, but canceling it simply because it may be linked to DEI doesn’t make anyone healthier. It just leaves communities like the Hill district behind. And in the end, it causes us all to move backward in our efforts to improve health in this country. Love, EM Big thanks to MacKenzie Isaac & Legairre Radden, who reviewed this piece and generously shared their expertise and lived experience to help improve it. Dr. Liz Marnik, PhD, is Executive Director of The Evidence Collective and a science communicator and immunologist working at the intersection of public trust, science, and public health. To discuss communication training on topics like health equity and storytelling, email Liz at liz@yle.health or learn more on our website. Your Local Epidemiologist (YLE) comprises a team of experts, ranging from physicians to immunologists to epidemiologists to nutritionists, working together with one goal: to “translate” ever-evolving public health science so that people are well-equipped to make evidence-based decisions. The YLE suite of newsletters reaches over 475,000 people across more than 132 countries. This newsletter is free to everyone, thanks to the generous support of fellow YLE community members. To support the effort, subscribe or upgrade below: Your Local Epidemiologist is a reader-supported publication. 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