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Stellantis supplier Dakkota to close Detroit plant, lay off 397
The plant opened in 2019 with a $55 million investment to supply the Jeep Grand Cherokee and Dodge Durango.
Officials Estimate 100,000 In Danger Of Losing Healthcare Coverage As ACA Changes Loom
HARTFORD, CT — The estimated 100,000 customers who are projected to lose their healthcare coverage as a result of new requirements mandated by HR1 next year are families, neighbors and community members, Charter Oak Health Center President and CEO Vernette Townsend said Monday.
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters.
Controversial Adobe clones prove desktop Googlebook apps are closer than I thought
If you have spent any time following tech news or developer forums over the past couple of weeks, you have likely run into the massive controversy surrounding ArtCraft. Created by developer Brandon...
Giannoulias opens big lead in Chicago mayoral poll as Johnson loses support
The secretary of state leads in first- and second-choice preferences, while just a quarter of Brandon Johnson's 2023 voters say they'd support him again.
Trump set to sign women's health order Melania helped shape
The order aims to close research gaps and modernize care for women, White House officials wrote on social media.
Trump set to sign women's health order Melania helped shape
The order aims to close research gaps and modernize care for women, White House officials wrote on social media.
CT axe throwing business closes up shop. One customer: ‘we had some amazing date nights here!’
A Connecticut axe throwing business has permanently closed its doors, according to a post on their Facebook page.
Moore Chamber Grows Team, Focus
With the close of the year in sight, the Moore County Chamber of Commerce is eyeing 2027, announcing team member changes and highlighting recent events and growth in a series
Yankees 2026 Roster Report Cards: David Bednar
The Yankees’ closer gave the team a reliable stopper in the ninth for a first time in a while.
Trump doubles down on golf course renovation plan as legal battle continues
President Donald Trump early Monday doubled down on his plan to close and renovate a Washington, DC, golf course, saying construction would begin “IMMEDIATELY” despite a judge’s order to provide three days’ notice ahead of any construction.
Country Stampede drew more than 42,000 people, its largest turnout at Bonner Springs.
Ross is scheduled to discuss the closed $6.1 million sale of Kustom's video business and plans for up to 20 events at Gilley's Park City in 2027.
Scientists discover why some people still can’t taste food after COVID-19
Scientists have uncovered a possible explanation for why some people struggle to taste food more than a year after recovering from COVID-19. By examining taste buds from patients with lingering symptoms, researchers discovered molecular abnormalities that weaken the signals responsible for detecting sweet, bitter, and savory flavors.
Atossa Therapeutics Common Stock to Begin Trading with Stapled Contingent Value Rights After Close of Business Today
/PRNewswire/ -- Atossa Therapeutics, Inc. (Nasdaq: ATOS) ("Atossa" or the "Company"), a clinical-stage biopharmaceutical company developing innovative...
DOJ Revives Business Review Letters, Then Withdraws One
The DOJ relaunched its business review letter program, letting companies seek advance views on proposed conduct. The guidance is narrow, public, nonbinding, and can become outdated as facts or markets change. Companies must disclose substantial information, and the DOJ may decline to respond—so the program offers some guidance, but not immunity or certainty.
Who funded Nebraska Working People, America First parties? Law doesn’t require disclosure.
Nebraska law doesn’t require new political parties to disclose their finances until they are qualified to have candidates on the ballot.
Exclusive: Donors fear the worst for Kennedy Center’s art amid renovations uncertainty
At the height of legal and political tumult at the Kennedy Center last summer, board members discussed moving the iconic eight-foot, 3,000-pound bronze bust of President John F. Kennedy from the Grand Foyer while the main building closed for renovations.
Someone has used computational analysis to decide what Mario 64’s infamous plaque says, and it’s not ‘L is Real 2401’
Millions of tests were run to find the closest possible match…
Flames end the Hurricanes' 7-game winning streak
Yegor Sharangovich scored the go-ahead goal with 4:28 left and the Calgary Flames ended Carolina’s seven-game winning streak, beating the defending champion Hurricanes 3-2 on Saturday night for their second victory of the season.
Titans vs Colts winners, losers as defense carries the day, Carnell Tate shines
Carnell Tate continues to stake the claim as the Titans' top receiver among Titans vs. Colts winners and losers.
Nutex Health Schedules 2026 Third Quarter Financial Results Release and Conference Call
Nutex Health, Inc. (NASDAQ: NUTX), a physician-led, integrated healthcare delivery system comprised of 28 state-of-the-art micro hospitals and hospital outpatient departments in 12 states and primary care-centric, risk-bearing physician networks, today announced that it plans to file its Form 10-Q for the third fiscal quarter ended Sept. 30, 2026, on Thursday, Nov. 5, 2026, after the market close. The Company will also issue a corresponding press release summarizing financial results on the same
Lone Star Politics: Oct. 18, 2026
Our Lone Star Politics sits down with Governor Greg Abbott to talk about the midterm elections. Plus, a closer look at the race for Tarrant County District Attorney.
Imagicaaworld sells hotel, acquires water park stake, eyes indoor entertainment push
Imagicaaworld Entertainment Limited on Monday disclosed a clutch of strategic moves, including the sale of its hotel asset and a new park acquisition, as it reported a 6 per cent dip in visitor footfalls for the July-September quarter of FY27.The Mumbai-listed amusement and water park operator said…
Meghan Markle’s ‘Charm Offensive’ Has Netflix Insiders Wary
Meghan Markle has reportedly stepped up her efforts to maintain a close relationship with Netflix co-CEO Ted Sarandos and his wife, Nicole Avant, following changes to her professional ties with the st...
China's economy accelerated in the July-September quarter on robust exports
China says its economy grew 4.5% for the July-September quarter from a year ago. That moves the country closer to meeting its annual growth target as the year nears its
Population matters in politics
Population growth has big political impacts. Wisconsin’s population is growing but not as fast as some other states, so political experts predict the state will lose a congressional seat after the 2030 Census. And recent stats show the power of liberal Dane County in state elections — such a boost to statewide Dem candidates that...
Mobile Health Clinic, Library Trustees Meeting, Closed Council Meeting: Princeton This Week
Zufall Health will offer exams, vaccines and more at Monument Hall, with fees based on what patients can pay.
China's economy accelerates on robust exports as domestic weakness persists
China says its economy grew 4.5% for the July-September quarter from a year ago, moving closer to meeting its official annual growth target as the year nears its end. The
Financial struggles at Camden medical center reflect closure risks for Arkansas’ rural hospitals
It has been a difficult year for Ouachita County Medical Center. In January, the Camden hospital became the latest in the state to close its labor and delivery unit. In March, it filed for Chapter 11 bankruptcy. In August, the hospital furloughed dozens of employees as it struggled under the budget constraints of bankruptcy.
Rincon tribe to close brewery, ending nearly a decade in craft beer
The Rincon Band of Luiseño Indians will close its tribally owned brewery at October’s end, citing changes and challenges in the craft beer industry.
A banker’s fight for political survival
Rep. French Hill is defending his time as a banker in his close reelection race against Democrat Chris Jones.
Decomp Hub Closes Due To AI, Mourns Sense Of Community
An integral step towards mods, ports and patches, the popular decomp.dev decided the platform has been rendered obsolete by 'drive-by contributions'
Streaming’s Biggest Show Returns…and a Buzzy Genre Struggles
(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) Obviously, the big news of the week (if not month) is Netflix letting go of executive Bela Bajaria, their chief content officer. I’m going to cover this in my next “Most Important Story of the Week”, but I also have a data angle that I might publish before then. (Too much news this month, am I right?) But first, I have a bonus Streaming Ratings Report issue for you. Today’s article is a bit of a grab bag of topics I’ve wanted to write about, but couldn’t squeeze into the (already very long) Streaming Ratings Report issues. The NFL drives huge viewership numbers, so I’ve got a look at that. A whole bunch of TV shows returned to the traditional broadcast channels, and I have thoughts. And I have a quick look at adult animated shows, since a couple flopped earlier this month. Plus, the Emmys aired earlier this month, and we got some fun data bout how popular those nominated shows are and why I’m not optimistic about the show’s future. That’s a lot, so let’s dive right in. Subscribe Sports - Football Remains the King of Streaming Over the last two Streaming Ratings Reports, I sorta ignored the biggest “show” each week. (I was tempted to say “piece of content” but I know that word bugs folks.) In my database, I call these “specials”, and they sure are special. I speak of the king of American TV: football!!! Streaming football is back and, unlike some other sports, it routinely dominates all viewership. Probably the best way to show this is to update one of my favorite graphics, the “40 Million Hour Club”1 since football games have joined that club each week they’ve premiered: (Yep, that’s the data through 28-Sep, the first four weeks of the season. As a reminder, I take the average minute audience provided by Nielsen, factor out a percentage of linear TV viewers in home markets, and multiply the run time by the three-hour runtime.) Again, the numbers are huge. Let’s start with Netflix. They grabbed the rights to the bonus opening week NFL Kickoff game (which was on YouTube last year) and it put up 18.5 million viewers on average. That nets out to 47.4 million hours of estimated streaming hours. That’s good! Though, notably, it’s well below Christmas Day games from previous years. Compared to other streamers/broadcasters, that’s a bit of a mixed result. On one hand, Netflix’s 18.5 million average is about what YouTube claimed last year, though Nielsen used a bespoke methodology at that time, so I trust this viewership figure more. So that’s good. (The game also shifted from a Friday to a Thursday and that could have helped the viewership as well.) And Netflix continues to best Prime Video in total viewership—as you’ll see next—though Netflix has had much higher-profile (opening week and Christmas Day) games. NBC/Peacock’s opening game the night before averaged 25.1 million average viewers, which is just much bigger than Netflix (or Prime Video). That’s the big caveat to all streaming viewership records: even in success, they can’t compete with traditional linear TV. Previously, I called this my “hierarchy of viewership”, and the data keeps supporting that thesis. The downside for NBC is that this game’s viewership was down compared to previous years, though it may be a counting issue. Here’s a great chart from Sports Media Watch: Indeed, looking at all the opening week games across all windows, Netflix still lags the other primetime windows, but does well compared to the afternoon games: I saw a few folks make the case that streamers still lag traditional broadcasters in reach, and I’d add they really lag compared to “broadcast plus streaming” options like NBC/Peacock, ESPN/Disney+ and CBS/Paramount+. The best data I saw for this came from Samba TV, who charted reach through the 2025 season, and, wow. (Samba TV’s numbers are historically lower than Nielsen’s, so don’t compare their household figures to Nielsen’s hours, but use them as a proxy for the relative reach of the streamers.) The good news is Prime Video is NOT having a down year. Their opening Thursday Night Football game reached 18.6 million viewers (about what Netflix got), but that’s a high for Prime Video on Thursdays and the biggest Thursday night game since 2015. The TNF games the weeks of 21-Sep and 28-Sep continued this streak, getting 43.1 (16.8 million average viewers) and 42.5 total hours (16.6 million average viewers), which were both up from last year. Still, that continues the (typical) season slide: (For those new-to-streaming-football-numbers folks, the viewership declines for Thursday Night Football as the year goes along.) Overall, it appears as if Prime Video is now part of the “football habit”, be it for customers at home or out at places like bars and restaurants. And its viewership is slowly catching up to broadcast. One last chart shows this. Last season, Nielsen started adding out-of-home viewership to the charts, so I try not to do season-to-season comparisons as I did for the first few years. And while Nielsen added Big Data viewing this year, I’m going to compare the last two seasons. Here’s that chart, which shows the season-over-season gains: When it comes to streaming football, we have to keep a few seemingly contradictory thoughts in our head… First, streaming doesn’t come close to matching broadcast’s reach and, thus, viewership. Second, even with that gap, football is still the biggest “thing” on streaming. It’s very, very popular. Third, while some methodology changes have likely helped Prime Video’s numbers, their viewership does appear to be growing. Lastly, yeah, the NFL started the season off poorly, with week one dragging down the numbers in year-over-year comparisons. However—and again, methodology changes may have helped this—the viewership grew compared to previous seasons over the next couple of weeks. So football is still king. On streaming and off. Television - Adult Animation Continues to NOT Make the Streaming Charts In the last two reports, two adult-animated shows whiffed: Netflix’s animated comedy, Dang! Paramount+’s Sega-video-game-inspired fantasy/comedy, Golden Axe. Neither made the charts, but that’s usually the case for animated shows. I mean, here’s literally every animated show that’s made the Nielsen Original charts since the start of 2025: And one of those shows is G_abby’s Dollhouse_! A kids show! The problem with charts like this is that they don’t give you a sense of how many shows miss the charts. Netflix had at least eleven animated flops, including comedies like Big Mouth (a show everyone assumed was popular in the pre-Streaming Ratings Era), Long Story Short, Haunted Hotel, Mating Season, Strip Law, and Alley Cats, and action shows like Blood of Zeus, Castlevania: Nocturne, Devil May Cry, Splinter Cell: Deathwatch, and Tomb Raider: The Legend of Lara Croft. Prime Video had at least six animated misses, two in the same universe (Hazbin Hotel, Helluva Boss), three more comedies (#1 Happy Family USA, The Second Best Hospital in the Galaxy and Kevin) and an action show (The Mighty Nein). Disney+ had MCU and Star Wars animated misses (Eyes of Wakanda, Marvel Zombies, Star Wars: Visions, Star Wars: Maul – Shadow Lord, and Star Wars: Tales of the Underworld) but I can’t tell how many of those shows were geared towards adults. HBO Max had Harley Quinn and Hulu had Solar Opposites. None of these shows made the charts! That’s a lot of misses! If I remade the chart with all those misses, here’s how it would look: Listen, I know the counter arguments. First, it’s cheaper to produce animated shows than live action. Fair enough, but with viewership this low, even that cheaper price point starts to not matter. Second, just look at the acquired charts. Hit animated comedies can generate viewership for years! Shows like The Simpsons, South Park, Family Guy, and Bob’s Burgers do really, really well. Fair enough, but streaming has failed to recreate the dynamic that Fox has mastered so well. That’s a problem for streaming still. Television - Emmys! The annual Emmys broadcast was a few weeks ago, and I’ve got data on how the nominees performed on streaming, plus hot takes on this year’s viewership (and the big news about the broadcast’s, er, streamcast’s future). We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… The top Emmy-nominated shows… ...why I’m worried about the future of the Emmys telecast... ...the pros of broadcast television ...and the cons... ...please subscribe! We can only keep doing this great work with your support. Coming Soon! Next week, we’ve got a double issue (since the weeks of 21-Sep and 28-Sep were so light), but then I’ll be all caught up after a deluge of streaming ratings data from Nielsen in September. In the meantime, I’m going to try to take a look at Netflix’s stats to explain why Bela Bajaria is out. But even light weeks give me plenty to talk about. The Great British Baking Show returns to Netflix and Apple TV has a buzzy new star-studded comedy. And Netflix has a controversial-but-appears-to-be-popular new game show. Plus big films like Toy Story 5, Backrooms and The Breadwinner head to streaming. And is East of Eden a hit? After that, The Kardashians return to Hulu, Prime Video has a reboot of Carrie, and Netflix has a horror show, Below. Disclosure Day heads to Peacock, The Housemaid heads to HBO Max_,_ a new Ben Affleck film, Animals, lands on Netflix, and Apple TV has a new John Cena action film based on, checks notes, Hasbro’s Matchbox toys. Okay. Longterm, some interesting TV production news. HBO Max ordered How to Survive Without Me, starring Kaley Cuoco, Joshua Jackson, Ray Romano and Rita Wilson, for fifteen episodes! I love that some streamers (or, at least, HBO Max) are finally ordering TV shows with more than eight episodes. In less wise production news, Landman does not appear to be coming back this year, since it just started production. Frankly, I don’t love this (get your shows out on time) but Landman is so popular, I doubt it matters.
Macron faces political firestorm after riots
Worst street violence in years comes six months ahead of one of Europe’s most closely watched elections
Trump says he will close historic D.C. golf course for 15 months of renovations
A judge last week, however, ordered a halt to his redevelopment plans until at least Oct. 26 after scolding the government for starting a large-scale tree removal at the course over a holiday weekend while providing little notice to the court or the plaintiffs trying to stop the makeover.
Scientists Solve a Quantum Mystery Hidden Inside Crystals
Tiny flaws in crystals could become building blocks for quantum sensors, and scientists can now better predict how these imperfections lose energy. A laser can excite electrons at a tiny flaw in diamond or silicon carbide, but the energy does not always return as light. As the defect relaxes toward its lowest-energy, or ground, state,
Donaldson’s Finer Chocolates celebrates 60 years
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Apple Reveals iPhone Duo's Battery Capacity
Apple on Friday published an EU energy label for the iPhone Duo that reveals the device has a total battery capacity of 4,883 mAh. The document appears to confirm a previous leak that showed the iPhone Duo has 2,962 mAh and 1,921 mAh battery cells totaling 4,883 mAh. iPhone Duo is an eSIM-only device, so this battery capacity figure should apply worldwide, as there is no version of the device with a physical SIM card tray that would have a slightly smaller battery.
Hopkinton Posts Survey on Health Care Close to Home
Hopkinton, RI, has posted a survey seeking resident input on local health care access. The town is one of 18 the state designates as rural.
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
WCYB NBC 5 Bristol and WEMT Fox 39 Greeneville offer local and national news reporting, sports, and weather forecasts to viewers in the Tennessee, Virginia Tri-Cities area including Bristol, Kingsport and Johnson City.
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
News4 NBC Reno covers news, sports, weather and traffic for the Reno, Nevada area including Sparks, Carson City, Virginia City, Silver City, Stagecoach, Silver Springs, Sun Valley, Cold Springs, Spanish Springs and Fenley, Nevada and Truckee and Tahoe City, California.
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
KOKH Fox 25 provides, news, sports, weather and local event coverage in Oklahoma City and surrounding areas, including McLoud, Shawnee, Tecumseh, Seminole, Wewoka, Maud, Asher, Wanetted, Goldsby, Norman, Blanchard, Chickasha, Pauls Valley, Purcell, Andarko, Bridgeport, Lawton, Duncan, Okarche, Kingfisher, Guthrie Stillwater and Cushing, Oklahoma.
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
WGXA News Fox 24 and ABC 16 in Macon Georgia provides local and national news, weather, sports and notice of community events in surrounding towns, including Warner Robins, Gray, Forsyth, Musella, Roberta, Milledgeville, Phoenix, Monticello, Hawkinsville and Montezuma, Georgia.
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
WOAI NBC News Channel 4 San Antonio provides local news, weather forecasts, traffic updates, investigations, and items of interest in the community, sports and entertainment programming for San Antonio and nearby towns and communities in South Central Texas, including Windcrest, Uvalde, Universal City, Somerset, Seguin, Schertz, San Marcos, Sabinal, Poth, Poteet, Pleasanton, Pearsall, New Braunfels, Live Oak, Kerrville, Hondo, Helotes, Goliad, Fredericksburg, Floresville, Eagle Pass, Devine, Del Rio, Cuero, Crystal City, Converse, Cibolo, Castroville, Carrizo Springs, Boerne, Bandera.
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
KEYE TV CBS Austin is the news, sports and weather leader for the Texas Capitol Region, covering events in the surrounding area including Round Rock Pflugerville, Georgetown, Belton, Killeen, Taylor, Lakeway, Buda, Kyle, San Marcos, Wyldwood, Bastrop, Elgin, Bartlett, Jarrell, Bertram, Burnet and Salado.
Cher Admits She Loves to Ski Despite Ex-Husband Sonny Bono’s Fatal Accident on the Slopes
To fix California, make its politicians afraid to lose
The state has the nation’s largest homeless population and some of its most expensive housing — yet incumbents rarely pay a price. A slew of new parties is the answer.
FULL SHOW: Inside INdiana Business 10/18/26
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Eating blueberries every day may have a surprising effect on your mood
Eating blueberries every day could have surprising effects on mood, according to a small study that found greater reductions in depressive symptoms among older adults who consumed the fruit for three months. Researchers also detected changes in gut microbial enzymes, suggesting a possible gut-brain connection, although the mood benefits were not statistically significant compared with a placebo.
Is Universal Health Services (UHS) Fairly Valued Or Is More Upside Left?
Universal Health Services: Stock Performance Snapshot With no single headline event driving trading, Universal Health Services (UHS) has been moving on recent performance data, including a last close of US$185.10 and mixed short and longer term returns. Over the past week the share price gained 4.4%. The move builds on a gain of 4.8% over the past month and 22.9% over the past 3 months, set against a year to date decline of 15.8%. For investors tracking the bigger picture, Universal Health...
Winner and Loser of the Week in Florida politics
Jimmy Patronis fights Gulf drilling, Amendment 3 struggles and Matt Gaetz faces more accusations.
Netflix co-stars bring Hollywood ambitions to The Rock
Close to signing on the dotted line, American actors Richard Lawson and Ricco Ross are primed to begin shooting film and television projects on The Rock soon for their separate production companies.
Seventeen's hot new JxJ unit are showing off their chemistry — with a little help from Pinterest
Jeonghan and Joshua from the mega K-pop boy band Seventeen are offering fans a dream to lose themselves in and a mood board for shopping
CDC sends a ‘disease detective’ to Pennsylvania amid measles outbreak
The Centers for Disease Control and Prevention (CDC) is sending a disease expert to assist with the response to the ongoing measles outbreak in Pennsylvania. “CDC will continue working closely with…
Crosstown Brewing Company closes after 9 years in business
After nine years at Crosstown, Memphis said goodbye Saturday to Crosstown Brewing Company.
Portsmouth church works to close health literacy gap with community health event
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A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters | WWJ Newsradio 950
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
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SOME CITY SPORTS FIELDS ARE CLOSED TODAY SEE LINK FOR DETAILS 10-16-26
****ALL CITY BASEBALL AND SOFTBALL FIELDS ARE CLOSED TODAY (10-16-26) EXCEPT FOR: GROVE BASEBALL, MAX KEHNE BASEBALL AND SOFTBALL, WALNUT RIDGE BASEBALL, AND WHITTIER BASEBALL FIELD 2.****What “
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Your eyes dilate depending on your thoughts
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Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
Cook Political Report shifts 11 House seats away from GOP
Cook Political Report, a nonpartisan election handicapper, shifted 11 more House seats toward Democrats this week, many in red states as the midterms inch closer. Cook has moved dozens of House sea…
Plague is stoppable. The next health threat may not be.
The word plague is scary. Centuries ago, the Black Death killed tens of millions of people and changed the course of history. Plague still kills people around the world, and the word still evokes catastrophe. New fears of plague surfaced on October 2, when a lab worker in Irkutsk, Russia, died of pneumonia. Reports suggested that she may have contracted plague through a laboratory exposure. Understandably, people were alarmed. On October 7, the World Health Organization called for the Russian Federation to be transparent about what it knew. WHO issued an update on October 10. Russian authorities told WHO that testing did not identify plague and that investigations found no laboratory release. WHO said confidence in its risk assessment remained limited and that further clinical, epidemiological, and laboratory information was needed. The cause of the woman’s illness remains unknown, and WHO says a laboratory-associated exposure cannot be excluded. As I explained in a recent interview, this incident is very unlikely to lead to a pandemic. Plague is still active, including in the U.S., which sees a handful of cases each year. But it is a disease we can prevent and treat. Plague doesn’t spread readily, and it responds to antibiotics. The standard response—isolate the patient, trace contacts, and administer antibiotics and monitor for symptoms among contacts for seven days—works. We have even planned for antibiotic-resistant plague. At CDC, we developed a playbook for antibiotic-resistant plague and ran exercises on how to find and stop it. CDC guidance anticipates engineered resistance and recommends two different classes of antibiotics if there’s reason to suspect it. There is no evidence that resistance—or even confirmed plague—is involved in this incident. We have thought through how to address plague, but we’re not ready for the next major health threat that emerges from a lab or from animal spillover to humans. What should concern people is how little stands between the world and the next pathogen to get loose. Since peak COVID, epidemic preparedness has fallen off the political agenda, but the risk is greater than ever. More labs handle dangerous pathogens with more ways to make those pathogens deadlier, and more people live and work in close contact with animals. There are actions we can take now: We need better lab safety in every country. The number of labs that work with dangerous pathogens has increased worldwide over two decades, but there’s no enforceable international standard and no inspection regime; the Biological Weapons Convention, fifty years on, still has no verification mechanism. Labs that study dangerous germs need strong safety systems, training, and oversight. We need to reduce spillover events. Three in four emerging human infections start in animals, and there’s a lot we can do to reduce spillover risk, but the world is doing very little of it. Live-animal markets are one place to act. For instance, closing live-bird markets helped control H7N9 influenza in China. Reducing opportunities for people to encounter infected animals can prevent infections before they become outbreaks. In The Formula for Better Health, which is now out in paperback along with the hardcover, Kindle, and audiobook versions, I argue that labs do too many risky experiments with too many dangerous pathogens in too many institutions, and that every experiment should first answer one basic question: Is the likely benefit greater than the risk? Spillover risk can also be reduced: In the book, I discuss how Brazil cut its deforestation rate by 70% from 2004 to 2012 while increasing agricultural production and reducing risky contact between people and forest animals. We need faster detection and response. Delay costs lives. Strong surveillance, good labs, and trained responders can turn a single case into a small cluster of infections instead of an epidemic. Resolve to Save Lives has worked for nearly a decade to help countries find and stop outbreaks faster. The 7-1-7 target, which Resolve to Save Lives developed with partners in Uganda and elsewhere, provides a clear standard: detect within 7 days, notify within 1 day and complete all essential early response actions within 7 days. In Uganda’s Kasese district, for example, a review of a measles outbreak using 7-1-7 identified shortages of accessible funds, fuel, and vehicles that delayed the response. District leaders established funds they could access quickly. When, a few months later, the Crimean-Congo hemorrhagic fever appeared, the district detected it in three days, notified authorities in one, and mounted an effective response in two. Only one case was confirmed, and the patient survived. Because funds were available before the emergency, authorities were prepared and able to act. This kind of preparation can’t wait until the next crisis begins. Plague is an old disease we that know how to stop. The next threat may be harder to recognize, harder to treat, and easier to spread. Safer labs, less risk of spillover, and faster outbreak detection and response need sustained investment now, while we still have time to prevent the next emergency. Share
Democrats hope a rematch can dislodge Trump loyalist Perry in Pennsylvania
Few Republican members of Congress in swing districts may be more closely linked to President Donald Trump than Scott Perry of Pennsylvania.
Democrats hope a rematch can dislodge Trump loyalist Perry in Pennsylvania
Few Republican members of Congress in swing districts may be more closely linked to President Donald Trump than Scott Perry of Pennsylvania.
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