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KFF Health Tracking Poll: Health Care Issues in the Lead-Up to the 2026 Midterm Election

With the 2026 midterms about a month away, health care costs remain tied with gas as voters’ top midterm concerns and the Democrats hold a clear edge over the Republicans Party on who voters trust to handle many top electoral issues, including the cost of health care and the cost of living. Two-thirds of U.S. adults now favor Medicare-for-all, a new high in KFF Polling, but support shifts when competing claims from critics and proponents are heard.

Oct 6 • 5:00 AM EDT • Health • kff.org

Current and Historical Public Opinion on Medicare-for-All and Other National Health Plan Proposals

This chart pack summarizes KFF polling data on public opinion on Medicare-for-all and other national health plan proposals. The latest update finds that two-thirds of the public supports Medicare-for-all, while support changes drastically as respondents hear arguments from proponents and critics.

Oct 6 • 5:00 AM EDT • Health • kff.org

Critical Atlassian Flaw Lets Unauthenticated Attackers Read Known Files Across 8 Products

Atlassian fixes a critical path traversal in 8 Data Center products that lets unauthenticated attackers read files if exact paths are known.

Oct 6 • 2:58 AM EDT • Technology • thehackernews.com

Selma Blair breaks silence on fallout after Islamophobic comment apology

More than two years after Selma Blair posted a comment widely criticized as Islamophobic, for which she later apologized, the actress has revealed the alleged repercussions she experienced in her

Oct 5 • 10:24 PM EDT • Entertainment • centraloregondaily.com

Valleywise Health becomes first Arizona hospital to implement LifeBubble NICU technology

The new technology designed to provide a gentler and more secure way to stabilize umbilical lines in premature and critically ill newborns.

Oct 5 • 10:16 PM EDT • Health • aha.org

Selma Blair breaks silence on being 'erased' after Islamophobic comment

More than two years after Selma Blair posted a comment widely criticized as Islamophobic, for which she later apologized, the actress has revealed the alleged repercussions she experienced in her

Oct 5 • 6:55 PM EDT • Entertainment • centraloregondaily.com

Robert De Niro rips 'coward' Trump over voter suppression

Robert De Niro is ramping up his criticism of the Trump administration in the final weeks before the 2026 midterm elections.

Oct 5 • 5:57 PM EDT • Entertainment • centraloregondaily.com

Enabling, Denying, and Spiking the Proverbial Political Football

ANDOVER TOWNSHIP – Republicans are claiming victory over a proposed data center. But it really isn’t that simple. As one critical observer noted on a Stop Andover Data Center social media page: It was the all-Republican township committee that “opened the door (to a data center) in the first place.” This is a local issue to be sure,[...]

Oct 5 • 1:41 PM EDT • Politics • insidernj.com

Gypsy Rose Blanchard addresses 'significant tension' with Ken Urker's sister

Gypsy Rose Blanchard is responding to criticism from Ken Urker's sister following the death of Urker, the father of her daughter.

Oct 5 • 1:39 PM EDT • Entertainment • centraloregondaily.com

The Science Enabling a Steady Supply of Critical Minerals

Researchers are collaborating across disciplines to unlock domestic sources of valuable materials and lower costs.

Oct 5 • 11:00 AM EDT • Science • newscenter.lbl.gov

New Dell System Update flaw lets hackers gain root privileges

Dell warned customers to patch a critical vulnerability in the System Update (DSU) command-line interface (CLI) deployment tool as soon as possible.

Oct 5 • 10:53 AM EDT • Technology • bleepingcomputer.com

Zelda and Banjo Recompiled Devs Go To War With AI Vibe-Coded 'Slopcomps'

AI-assisted projects provoking stark criticism

Oct 5 • 10:22 AM EDT • Technology • kotaku.com

CARTI encourages women to prioritize breast health

As part of its annual breast health campaign, CARTI Cancer Center shared critical information regarding the importance of early detection and debunked common misconceptions about breast cancer risk…

Oct 5 • 9:40 AM EDT • Health • kark.com

Conference to Explore Alternatives to Coercive Mental Health Care

The 18th annual Critical Voices Network Ireland (CVNI) conference will take place at University College Cork November 12 and 13, bringing together speakers and participants to explore critical and alternative responses to human distress.

Oct 5 • 9:00 AM EDT • Health • madinamerica.com

Integral Ad Science to Provide Brand Safety and Suitability Measurement in ChatGPT Ads

NEW YORK, October 05, 2026--As artificial intelligence rapidly reshapes digital advertising, marketers face a critical new challenge: ensuring brand safety and suitability within dynamic, generative AI-native environments. Without independent verification, advertising in conversational channels risks creating a blind spot for enterprise brands seeking reliable media quality standards.

Oct 5 • 7:00 AM EDT • Science • finance.yahoo.com

'Clearly not working': Sam Altman hits AI industry over political spending

In a wide-ranging interview, the OpenAI CEO criticized the flood of AI dollars swamping the midterm elections and suggested a new liability framework is needed for autonomous hacks.

Oct 5 • 6:56 AM EDT • Politics • yahoo.com

‘Clearly not working’: Sam Altman hits AI industry over political spending

In a wide-ranging interview, the OpenAI CEO criticized the flood of AI dollars swamping the midterm elections and suggested a new liability framework is needed for autonomous hacks.

Oct 5 • 6:56 AM EDT • Politics • politico.com

Democratic socialists scored big primary wins. But that’s not the whole story.

DSA-backed candidates, sharp critics of Israel, made historic gains. But a closer look makes clear they’re not taking over the Democratic Party – so far.

Oct 5 • 6:22 AM EDT • Politics • jta.org

​Lawrence Tech launches program to ease automakers’ reliance on rare earth materials

Lawrence Tech's Centrepolis Accelerator and USCAR are partnering to find critical material innovations to make the U.S. auto industry more competitive.

Oct 5 • 5:45 AM EDT • Business • crainsdetroit.com

We're witnessing a critical moment for Amazon Kindles

Amazon is finally listening to Kindle fans, bringing back physical buttons and adding fresh accessories. But, there's a catch.

Oct 5 • 5:30 AM EDT • Technology • androidauthority.com

Rethinking discovery: how powerful screening tools are redefining the search for new medicines

In medicine discovery, identifying the right biological target has always been a critical and complex step. Today, the rise of powerful screening tools is fundamentally reshaping this process, creating a step-change in how we move from scientific hypotheses to transformative medicines. Advances in high-throughput screening, genomics and AI-driven analytics are enabling scientists to interrogate disease biology at unprecedented scale, bringing forward opportunities that were previously beyond reach.

Oct 5 • 5:23 AM EDT • Science • ipsen.com

Trump takes extraordinary steps to target midterms, alarming critics

Trump's election moves include a redistricting push, seeking to restrict voting and floating a $5,000 payment to every American adult if the GOP wins.

Oct 5 • 3:00 AM EDT • Politics • usatoday.com

New York Jets: Slip Sliding Away

Aaron Glenn is at a crossroads. What happens next is critical for his, and the Jets’, future.

Oct 4 • 10:37 PM EDT • Sports • sports.yahoo.com

Everything Brewers Fans Must Know About Padres Game 3 Starter

Fresh off a dominant return from injury, right-hander Nick Pivetta brings postseason poise and high-strikeout potential to the mound for San Diego’s critical showdown against Milwaukee.

Oct 4 • 3:30 PM EDT • Sports • sports.yahoo.com

Hispanic Heritage Month has culture meet care amid AHA latest studies

Hispanic Heritage Month offers communities across the country a vital opportunity to come together in celebration of culture, art, and history. But health advocates are using local gatherings to shine a light on a critical health shift affecting millions of families nationwide.

Oct 4 • 12:39 PM EDT • Health • spectrumlocalnews.com

Latino voters, souring on Trump, swing toward Democrats, new poll finds

The growing electorate played a critical role in Trump’s 2024 victory. Now, sentiment is dipping, particularly on economic issues, a new NBC/Telemundo poll finds.

Oct 4 • 12:32 PM EDT • Politics • cnn.com

For Unhoused Seniors in LA, Housing Becomes a Critical Health Intervention

For older adults living on the streets, housing can mean more than shelter, it can become a critical part of medical recovery.

Oct 4 • 12:00 PM EDT • Health • sdvoice.info

Congressman Sam Liccardo urges U.S.-China cooperation on AI safety

Representative Sam Liccardo is advocating for Congress to take action on artificial intelligence safety, emphasizing the need for international collaboration with China to address critical risks and establish verification mechanisms.

Oct 4 • 11:25 AM EDT • Politics • kcra.com

How Americans’ Financial Health Is Faring In The “K-Shaped” Economy

Hey all, Jason here. Money20/20 is still two weeks away, but I’ve already started packing (not procrastinating for once!). My calendar is already filling up with various sessions I want to catch, meetings, and of course happy hours, dinners, and other side events. If you’ll be in Vegas and want to catch up, let me know by replying to this email, and we can try to find a time amidst the chaos of the Venetian. A big if not totally unexpected piece of news dropped on Friday: the Independent Community Bankers of America, a trade group that represents smaller U.S. banks, filed a lawsuit against the OCC and Comptroller Jonathan Gould, arguing that the regulator’s move to grant trust bank charters to firms seeking to use them to conduct substantial non-fiduciary activities exceeds the authorities granted to the OCC by Congress. I haven’t had time to fully digest the legal filing or speak to folks in my network about it, but you can expect to see coverage and analysis on it in next week’s newsletter. Subscribe or Support by Upgrading The NerdCon agenda just dropped. It’s stacked. Partner content: Nubank built an AI-first bank. Chime built its own banking core. Figure and Valon are rebuilding the mortgage stack. At NerdCon, you’ll hear from the people behind those bets: what they chose, what they learned, and what they’re still figuring out. The agenda is live, with leaders from Nubank, Chime, OpenAI, Remitly, Mercury, Figure, Valon and more. Follow the mainstage conversations, bring the problem your team is wrestling with to a hands-on workshop, or pull up a chair at a roundtable. Pick your quests. Meet us in San Diego, November 18–20. Fintech Business Weekly readers save 20% with code FBW20. Explore the Agenda Things To Know & Other Good Reads Federal Reserve Board finalizes changes to enhance the transparency and public accountability of its stress test and reduce volatility in its stress test-related capital requirements (Federal Reserve Board of Governors) FDIC Announces Conclusion of Independent Monitorship (FDIC) Modernizing Financial Regulation: Initial Observations from eSLR (Fed Vice Chair for Supervision Michelle Bowman) The Data Version of Godzilla versus Kong: FRED Takes on AI (Fed Governor Christopher Waller) Financing the AI buildout (Brookings) Q3’26: Rules for Banks but Not for Crypto (Fintech Takes Banking) The Inevitability of Local Stablecoins (Lombard Notes) Delusions of AI Governance: The Human-in-the-Loop Comfort Blanket (Fintech Snark Tank) Stripe agrees to acquire Parafin to expand revenue opportunities for platforms and help small businesses grow (Stripe) Listen: Fighting Fraud in the Age of AI, with SEON’s Tamas Kadar (Fintech Business Weekly) How Americans’ Financial Health Is Faring In The “K-Shaped” Economy If there is one overarching theme across the economy and politics in the U.S. at the moment, it’s “affordability.” The term is vague enough to encompass a panoply of factors shaping Americans’ day-to-day lives: rising costs for the hallmarks of being “middle class,” including healthcare, housing, childcare, and education, inflation and rising interest rates, and a job market with the specter of AI hovering over it. At the same time, policy shifts under the Trump administration have resulted in reduced subsidies to those who get health insurance under the Affordable Care Act and new restrictions on qualifying for Medicaid and SNAP, the impacts of which have yet to be fully felt. These factors are contributing to declining consumer confidence and general dissatisfaction with the economy, despite continuing GDP growth and stock market records. This divergence is encapsulated in the idea of the “K-shaped” economy, in which a small proportion of Americans have seen their wealth balloon, while the majority of American households struggle to preserve the lifestyle they have. Perhaps the greatest determinant of which branch of the “K” a household is on is whether their wealth and income are primarily derived from employment vs. from assets. Nearly two decades of low interest rates and, more recently, elevated rates of inflation have benefited asset owners, while those whose income is primarily or solely derived from labor have largely seen real purchasing power stagnate or decline. This is reflected in recent Bureau of Labor Statistics data showing that labor share of U.S. GDP — the fraction of economic output that accrues to workers as compensation in exchange for their labor — dropped to just 52.8% in Q2 2026, the lowest since the BLS began keeping records. In 1947, approximately 2/3rds of economic output accrued to workers; even as recently as 2001, labor’s share of GDP was 64.1%. Against this backdrop, we’ve seen the rise of more credit and credit-like products: cash advance apps, “no-fee” overdraft, earned wage access, and buy now pay later, which are often used as small-dollar short-term borrowing mechanisms to meet immediate consumption needs or pay other bills (eg utilities, cell phone, other debt payments). With the markers of a middle class existence and, increasingly, basic financial stability seemingly out of reach for many, it should be no surprise there’s been an increase in “financial nihilism,” something industry peers like Alex Johnson and Frank Rotman have discussed and analyzed the roots of. The explosion of gambling and gambling-adjacent products and services — often marketed under the guise of being an “investment” — is inextricably intertwined with the rise of financial nihilism. Crypto, sports betting, and, more recently, prediction markets offer an escape or even hope of sorts, like a contemporary, digital version of a scratch-off lottery ticket, while leaving the overwhelming number of people who use such products worse off. Share of Households That Are Financially “Vulnerable” Ticks Up The Financial Health Network’s 2026 Financial Health Pulse® report adds context on how American households are faring. (I linked to this report in last week’s newsletter, but wanted to take time to further unpack the data in the report this week.) The Financial Health Network publishes the report annually, providing insight into how Americans’ financial circumstances are changing over time. The 2026 report is derived from a survey fielded in April and May 2026. The report leverages survey responses to assess indicators of financial health across spending, saving, borrowing, and planning/protecting and to determine a zero to 100 “FinHealth” score. Those with scores between 0 and 39 are considered “Financially Vulnerable,” consumers with scores ranging between 40 and 79 are defined as “Financially Coping,” and those with scores of 80 to 100 are “Financially Healthy.” The report found that moderate improvements in 2025 were reversed, with the share of respondents considered financially “vulnerable” rebounding to 17%. The longitudinal data reflect the impact of pandemic-era programs, like expanded unemployment, cash stimulus payments, and pauses of federal student loan payments. The positive impacts of those programs, as reflected in the Financial Health Pulse reports, had largely disappeared by 2023. While pandemic-era inflation — to be fair, in part caused by the various support and stimulus measures — had come down from as high as 9% in 2022, it has rebounded since the start of Trump’s second term, with tariffs and energy market disruptions owing to the war in Iran pushing prices back up. Specific indicators in the survey that deteriorated from 2025 to 2026 include the share of respondents spending less than their income over the past 12 months, the share paying all bills on time over the past 12 months, the share that have a manageable amount or no debt, the share that are “moderately” or “very” confident their insurance is adequate to cover them in an emergency, and the share that “somewhat” or “strongly” agree that their household plans ahead financially. Unsurprisingly, lower- and moderate-income households are more likely to struggle to pay their bills on time and have any funds leftover to save. The share of low-income households whose income exceeded their spending dropped from 35% in 2025 to 31% in 2026, while the share of upper-income households whose income exceeded expenses remained unchanged at 63%. Households with student loans or revolving credit card debt reported having “a bit more” or “far more” debt than was manageable at rates far higher than those not carrying these types of debts. The share of those with student loan debt indicating their debt load was too high to manage increased from 50% in 2025 to 55% in 2026, while the share of those with revolving credit card debt saying the same ticked up from 51% in 2025 to 54% in 2026. Households that had student loans were markedly more likely to be financially “coping” or “vulnerable” vs. those without student loans. In 2026, 27% of households with student loans were considered financially vulnerable, a jump of 6% points vs. 2025. Households without student loans saw just a 1% point increase (not statistically significant) in those considered financially vulnerable. Households’ perception of the affordability of categories of goods and services paints a stark picture, with less than one-fourth considering higher education affordable, about a third deeming childcare affordable, and less than half viewing healthcare as affordable. Fintech Business Weekly is made possible by the generous support of paying subscribers — bringing you independent analysis of banking, fintech, and crypto without fear or favor. You can support my work by becoming a paying subscriber if you aren’t already. Paying subscribers enjoy: access to the entire archive of nearly six years of newsletters extended versions of the weekly newsletter, with additional content and analysis and (for founding member tier) quarterly personal 1:1 fintech Q&A / strategy calls with me, tapping into my unparalleled knowledge of the intersection of banking and fintech and experience working in the sector, including helping to launch Goldman Sachs’ retail bank Marcus Support Fintech Business Weekly You can also support Fintech Business Weekly by sponsoring a newsletter or podcast, putting you in front of 93,000+ of the most influential decision makers in banking, fintech, and crypto. Learn more about sponsor opportunities or request a media kit by dropping me an email. Democratic Senate Report Highlights How Iran Uses Tether to Evade U.S. Sanctions Iran uses stablecoins, specifically Tether, to evade sanctions, fund regional proxies, and to purchase military drones, a report released last week by the Senate Permanent Subcommittee on Investigations says. The report was authored by committee ranking member Senator Richard Blumenthal (D-CT) and the minority staff. Crypto and stablecoin proponents will often push back on criticism that criminals make use of these assets by arguing that, on an absolute dollar basis, far more illicit funds flow through traditional banking systems and payment rails than via crypto and stablecoins. And while that is likely true, it elides the reality presented in news story after news story: whether state actors — Russia, Iran, North Korea — or criminal groups, those looking to engage in illicit transactions increasingly favor stablecoins and, specifically, Tether (USDT). The report from the Senate Permanent Subcommittee on Investigations released last week adds context to how Iran uses Tether has a lynchpin in its shadow banking system. The report analyzed 846 wallets that have been sanctioned or targeted for seizure, finding that 84% of them transacted exclusively or primarily in Tether. The ability to create near limitless, anonymous wallets and to move funds effectively instantaneously and irreversibly have made crypto a favored financial mechanism for bad actors. Stablecoins solved key drawbacks of bitcoin, namely, the original cryptocurrency’s highly volatile value in dollars. And while Tether (the company) has the technical ability to “freeze” or destroy funds, the company is often limited and reactive in its approach to doing so, the Senate report argues. Tether, which is nominally based in crypto-friendly El Salvador, “has stated that its compliance with OFAC sanctions is ‘voluntary’ and that it follows ‘OFAC guidelines,’” the Senate report says. Owing to these favorable attributes, Tether “became a primary cryptocurrency for Iran, Hamas, Hizballah, and the Houthis beginning in 2023 and has expanded in scale since,” according to the report. Tether’s role in Iran’s shadow banking system, the report says, is enhanced by crypto exchanges like Bybit, Kyrrex, OKX, Gate, and Binance, and through “over the counter” exchanges and hawala networks. The consequences of these financial flows aren’t hypothetical. The Senate report links Tether as a funds transfer mechanism to Iranian proxies in the region, including Hizballah, the Houthis, and Hamas. Tether has also been used to make payments to secure components necessary to manufacture drones, the report says. The report concludes by arguing that “[s]tablecoin issuers with a significant nexus to the United States, particularly those that offer dollar-denominated stablecoins, should be subject to American sanctions law rather than being allowed to hide behind foreign jurisdictions.” Stablecoin issuers like Tether must be held accountable for repeated failures to prevent illicit finance and sanctions violations by law enforcement, the Department of Justice, the Securities and Exchange Commission, and OFAC, the report argues. [Paying Subscriber Exclusive] OUSD Goes Live, Make Your Own Neobank, U.S. Sanctions Russia’s A7 Network As “Transnational Criminal Organization” OpenUSD, the stablecoin issued by the Open Standard consortium that includes Stripe, Visa, Mastercard, core providers, crypto firms, and numerous banks, went live last week. Social commerce platform Whop raised eyebrows in fintech by offering creators on its platform the ability to launch their own neobanks, which the company describes as “great businesses that are easy to run,” in just 15 minutes. And OFAC and FinCEN target Russia’s “shadow banking” A7 Network — more on these stories after the paywall.

Oct 4 • 8:59 AM EDT • Health • fintechbusinessweekly.substack.com

Now that the WNBA is mainstream, culture wars have come with it

The league’s growth has made its politics more visible while giving its critics a bigger target.

Oct 4 • 6:45 AM EDT • Politics • startribune.com

Dana White answers critics: UFC 332 takeaways as Silva, KOs highlight night

UFC 332 delivered nine first-round knockouts and several major takeaways for the sport's future.

Oct 4 • 12:10 AM EDT • Sports • sports.yahoo.com

HHS cuts minority health budget for RFK Jr.’s security

HHS cut $12 million from its Office of Minority Health as Secretary Robert F. Kennedy Jr.’s security costs rose, prompting criticism from congressional caucus l...

Oct 3 • 5:30 PM EDT • Health • afro.com

Trump, Critic of Voting by Mail, Urges Republicans to Do It in Midterms

It was the latest mixed messaging from President Trump, who regularly votes by mail, but has made baseless claims that the practice is “inherently corrupt.”

Oct 3 • 2:44 PM EDT • Politics • nytimes.com

Ferrari News: Leclerc, Hamilton Exclude Fred Vasseur From Criticism

Lewis Hamilton gave his support to team principal Fred Vasseur, but remains critical of Ferrari's leadership structure.

Oct 3 • 8:45 AM EDT • Sports • sports.yahoo.com

Stop criticizing your child’s athletic performance on the drive home

Many young athletes are being driven home by parents navigating what to say, if anything. Before you critique their performance, think carefully about your impact.

Oct 3 • 6:30 AM EDT • Sports • sports.yahoo.com

How Trump’s Deportation Policies Have Rocked a South Florida House Race

Representative María Elvira Salazar, a Republican, ran an ad criticizing the Trump administration. It may have jolted other Republicans — and drawn attention to her Democratic opponent.

Oct 3 • 5:03 AM EDT • Politics • nytimes.com

'I'm Going To Lose Business:' Shop Owners Irate Over Randolph Street Paid Parking

Business owners along Randolph Street west of Division are furious about the city’s recent implementation of paid parking there. Owners and managers of The Dairy Lodge, Slabtown Barber Shop, Sleder’s Family Tavern and several other longtime or newer businesses are upset they weren’t consulted about the change, critical of the format (visitors must pay by …

Oct 2 • 8:00 PM EDT • Business • traverseticker.com

FBI gives employees a classified 'Patel Report' about times the agency 'fell short'

The document's existence is in keeping with Director Kash Patel's vocal criticism of the leaders who preceded him

Oct 2 • 7:46 PM EDT • Politics • pbs.org

3 Biggest Questions Facing Pirates Entering Critical Offseason

Here are the three biggest questions facing the Pittsburgh Pirates entering a critical offseason.

Oct 2 • 5:34 PM EDT • Sports • sports.yahoo.com

3 Biggest Questions Facing Phillies Entering Crucial Offseason

Here are the three biggest questions facing the Philadelphia Phillies entering a critical offseason.

Oct 2 • 5:23 PM EDT • Sports • sports.yahoo.com

Alito says criticism of Supreme Court from political leaders can be "quite damaging"

Oct 2 • 3:01 PM EDT • Politics • yahoo.com

Studying Science in an Anti-Scientific Time

This Chronicle Review Deep Cut was first published in 2025. By Julianne Werlin Thanks for reading The Chronicle Review! Subscribe for free to receive new posts and support my work. Subscribe The last two decades have not been kind to science studies. Already bruised and battered by the “science wars” of the 1990s, by the 2000s sociologists of science — who had long argued that science had to be understood in its human context — were encountering the funhouse-mirror version of their own views in right-wing critiques of climate scientists. It was enough to give some prominent scholars pause. “Was I wrong to participate in the invention of this field known as science studies?” asked Bruno Latour, the most famous sociologist of science in the world, in 2003. “Should we apologize for having been wrong all along? Or should we rather bring the sword of criticism to criticism itself and do a bit of soul-searching here: What were we really after when we were so intent on showing the social construction of scientific facts?” In response, Latour proposed a change of method and attitude. Science studies, now chastened and contrite, would no longer seek to strip facts of their authority, but to enrich and enhance them. What this meant in practice was never fully clear. But his diagnosis of problems resonated, even if his solutions did not. Latour’s exercise in public hand-wringing signaled a shift in mood. By 2016, with the first election of Donald Trump, the idea that skepticism of science was a right-wing position, not a left-wing one, had become a commonplace, discussed eagerly in The New York Times. For liberals, vaccine denial during the Covid era and Trump’s second-term attacks on the funding of scientific research, covered extensively in these pages, added a new urgency to the defense of science on both practical and principled grounds. There was little appetite for a sociology or philosophy of science that emphasized the messiness and missteps of the scientific process rather than its integrity and triumphs. The distinguished historian of science Peter Dear’s new book, The World as We Know It: From Natural Philosophy to Modern Science (Princeton University Press, 2025), which seeks to tell the story of 18th- and 19th-century science for a general public, may seem comfortably remote from these bitter contests. In its 16 short chapters, Dear draws swift, sure sketches of major discoveries from Newton to Einstein, ably guiding the reader through debates on stellar nebulae, animal taxonomy, atomic chemistry, evolution, and other flashpoints in the history of science. But though a work of history, Dear’s book must still negotiate our polarized present. In a blurb on its back cover, the historian of biology Lynn K. Nyhart alludes to the “present moment, when scientific knowledge is being swamped by misinformation and its institutions are under siege.” Dear himself, in his conclusion, refers to the “yard signs” and “bumper stickers” that proclaim “Science Is Real.” One antidote to both anti-science propaganda and to reductive slogans in science’s defense is a robust history and philosophy of science: exactly what Dear’s scholarship has long offered. But his new book illustrates how difficult such work has become. Dear, an emeritus professor of history at Cornell University, is best known as a creative and philosophically minded historian of the Scientific Revolution. His edited volume The Literary Structure of Scientific Argument (1991) analyzed the rhetoric of Galileo’s thought experiments to brilliant effect. Discipline and Experience: The Mathematical Way in the Scientific Revolution (1995) was a major contribution to the analysis of scientific experiments in early modern Europe and beyond, while Revolutionizing the Sciences: European Knowledge in Transition, 1500-1700 (2001), now in its third edition, remains one of the best overviews of the profound epistemological upheavals of 16th- and 17th-century science. But Dear has also ventured into later periods. Nearly two decades ago, in The Intelligibility of Nature: How Science Makes Sense of the World (2006), he turned to the 18th and 19th centuries to sketch a history and theory of scientific knowledge. Aimed at a generalist audience, Dear’s simple prose belied serious philosophical ambitions. Science, Dear argued, has two aspects: “natural philosophy,” the quest to understand the true nature of the universe, and “instrumentality,” the applied skills and technologies that allow us to manipulate the world for human advantage. Both strands are ancient, but the innovation of the phenomenon we call “science” was to yoke them together. As Francis Bacon wrote, “Human knowledge and human power meet in one; for where the cause is not known, the effect cannot be produced,” an insight typically abridged to “knowledge is power.” Or, in Bertrand Russell’s characteristically blunt phrase, science has two functions, “1. to enable us to know things, and 2., to enable us to do things.” So far, so conventional. But Dear took issue with this familiar story in one respect. Bacon’s formula implied that theory and practice could be fused in a single method. In fact, Dear argued, the quest to understand nature and the desire to manipulate it were coupled only loosely. They could come together, but they could also pull apart. Focusing on natural philosophy, the “knowing” half of the scientific circle, he used a series of case studies from cosmology, taxonomy, chemistry, electromagnetism, and quantum theory to show how theories changed over time, in dialogue with practice, but never reducible to it. Take the case of matter, the basic substrate of the physical world. In the 18th and 19th centuries, scientists not only disagreed about what it was, but also about how well it could be known. In 1789, the chemist Antoine Lavoisier dismissed speculation about the atomic composition of chemicals as “discussions entirely of a metaphysical nature,” as he sought to orient chemistry away from philosophical abstraction and toward laboratory results. But in the 19th century, atoms returned with a vengeance in the atomic chemistry of John Dalton, who wanted to explain the underlying structure of nature. It was not just that Dalton and Lavoisier had a different set of experimental results, or even a different theory, Dear showed. What counted as an explanation had changed. In arguing that scientific theories depended on their intelligibility to human beings with complex arrays of beliefs and commitments, Dear was in sympathy with science studies. Key figures such as the sociologist Steven Shapin emphasized the importance of psychological mechanisms like trust in the formation and acceptance of scientific ideas. But in focusing on the scientific pursuit of knowledge, not its politics or economics, Dear resisted the more cynical perspective of some of his colleagues. The Intelligibility of Nature strikes a very different note than Shapin’s collection of a few years later, Never Pure: Historical Studies of Science as If It Was Produced by People With Bodies, Situated in Time, Space, Culture, and Society, and Struggling for Credibility and Authority (2010), to name just one example. Walking a very fine line, Dear depicted science as driven at once by complex social dynamics and by the intellectual power of real discoveries. It was a testament not only to his own acumen but also to the vitality of the field that he was able to do so. Nearly two decades later, The World as We Know It returns to the questions broached in The Intelligibility of Nature. Like Dear’s earlier study, it begins with the Newtonian cosmos and ends with debates between Einstein and Bohr on quantum physics. Beyond its terminal figures, many of the same characters appear in both studies, including the naturalists John Ray and the Comte de Buffon; the chemists Étienne François Geoffroy, Antoine Lavoisier, and John Dalton; as well as Charles Darwin and Michael Faraday, among others. Its subject is nearly identical: As in The Intelligibility of Nature, The World as We Know It considers natural philosophy as opposed to instrumentality, here defined as the “desire to create a picture of what the world is really like — the world as God knows it — rather than simply having instrumental or operational control over it.” The two books also overlap in insights — and sometimes even in language. The reader who has learned in The Intelligibility of Nature that Buffon’s method of classifying animals “reflected his belief in the importance of the senses and empiricism in learning about nature (a doctrine associated with Newton and the philosopher John Locke)” will experience a sense of déjà vu on reading, in The World as We Know It, that the classification “reflects Buffon’s commitment to the epistemological stance of Newton and his philosophical underlaborer John Locke, who stressed the role of the senses in creating natural knowledge.” Later in the passage, we read that, “because of its stress on understanding the ways of life of animals in their environments, Buffon’s approach could almost be labeled (anachronistically) as ‘ecological.’” And again, “an anachronistic way of putting it would be to say that Buffon recommends an ecological mode of understanding.” Likewise, in The Intelligibility of Nature we read of Dalton that he was initially drawn to meteorology, and that: He did a bit of experimental work on these things, especially having to do with the water-holding capacity of gases, but his real interest lay in understanding what, at an underlying natural-philosophical level, was really going on physically.” Whereas, in The World as We Know It: He did experimental work on these things, especially concerning the water-holding capacity of gases — although not at a very refined level quantitatively — but he was continually trying to develop a theoretical conception of what was happening physically. The final full chapter of each book closes on the same resigned note. Intelligibility: These days, most serious work on the natural philosophical underpinnings and implications of quantum mechanics is performed not by physicists but by philosophers of science. Among scientific practitioners themselves, Bohr’s attempt to use instrumentality as sufficient grounds for a respectable science has met with a high degree of success. And again, in The World as We Know It: Bohr’s and Einstein’s concerns are now questions that are mostly discussed by philosophers of science rather than by physicists themselves. The marginalization of these sorts of questions amounts to the demise of natural philosophy, at least in physics, in the 20th century. Quantum mechanics “works,” and that’s good enough for most scientists who encounter it. Examples could be multiplied. When handling the same subject matter, some echoes are inevitable. Scholars should not feel that because they have written “Isaac Newton died in 1727” in one book, in the next they must describe him as perishing, expiring, or meeting his maker. But the repetitions of language and arguments (not to mention six reproduced images) threaded throughout The World as We Know It are more extensive than that. They should have been caught by Princeton University Press or its reviewers, and revised. Because the two books have so much in common, it is easy to see where they diverge. The World as We Know It is a less theoretical work than its predecessor. The sociology of knowledge that organized The Intelligibility of Nature has been reduced in scale and folded into readings and examples. The taut interplay between history and theory, which gave the earlier study so much interest, is there, but it is subtle. In the earlier book, the case studies demonstrated theoretical claims about the character and development of science. In the later work, each narrative of discovery is an end in itself. Insights emerge from the history, but they do not control the organization of the study. With the theory muted, it can be hard to understand the logic uniting Dear’s sprawling history of more than two centuries of scientific knowledge. The 16 brisk chapters cover an enormous amount of material. But the closer the volume edges to comprehensiveness, the more obvious the missing elements become. A chapter on “Institutions and Pedagogy,” describing the birth of the research university, illustrates the problem. Inserted roughly halfway through the book, the unnumbered chapter is designed as an “entr’acte,” in acknowledgement that it does not fit the study’s organization around scientific discoveries. Yet as Dear is well aware, no general history of the development of modern science can bracket its 19th-century institutionalization and professionalization. It was the 19th-century university, after all, that gave us the “scientist,” a term coined by the Cambridge philosopher William Whewell. Dear’s history of scientific discoveries implies a wider social and institutional history, but it remains largely subterranean, only occasionally extruded under the pressure of the narrative. It must be said that the balance is not all on the side of the earlier study. There are some advantages to the more historical, less theoretical organization of The World as We Know It. Dear’s accounts of paradigm shifts are remarkably lucid, no small accomplishment given that they span fields and centuries. He makes excellent use of the wealth of new scholarship on Darwin and his influences, to which he has himself contributed. It is satisfying to see puzzle pieces from Buffon’s natural history, Georges Cuvier’s animal taxonomy, Thomas Robert Malthus’s demography, and Charles Lyell’s geology recombined seamlessly in the Darwinian jigsaw. Likewise, Dear’s discussion of stellar nebulae, divided between chapters two and 15, shows vividly how Newton, Kant, Herschel, and Hubble reimagined insights and observations as they sought to discover whether the diffuse light that filtered through early telescopes was a glowing, gaseous substance or discrete but distant stars. Yet despite such pleasures, the book remains a more modest work than The Intelligibility of Nature. Dear has clearly not changed his views about the history of science. But in the two decades that have elapsed, the discipline and the world around it have changed, making it harder to write a sociologically and philosophically ambitious history of science for the general reader. That is a shame, because in the age of Silicon Valley and biotechnology, both the reciprocity and the tensions Dear identified between the epistemological and instrumental ambitions of science are more evident than ever. In recent years, some of the most exciting new books on the history of science in early modernity have focused precisely on this pressure point. Important studies such as Pamela H. Smith’s From Lived Experience to the Written Word (2022), James Poskett’s Horizons: The Global Origins of Modern Science (2022), and Vera Keller’s The Interlopers: Early Stuart Projects and the Undisciplining of Knowledge (2023) all shed new light on how early modern science negotiated the relationship between its instrumental and epistemological ambitions, or in Russell’s phrase, knowing and doing. There is every opportunity for a philosophically informed approach to draw new insights from this wealth of material. Dear, unfortunately, has not done so in The World as We Know It. But for future scholars of the history of science, his body of work over nearly four decades may provide just the model. Julianne Werlin is an associate professor of English at Duke University. Thanks for reading The Chronicle Review! Subscribe for free to receive new posts and support my work. Subscribe

Oct 2 • 2:52 PM EDT • Science • chronicleofhighereducation.substack.com

NFL Analyst Drops Honest Admission on Vikings QB Kyler Murray

Despite a sluggish start for the league's lowest-ranked offense, insiders predict Kyler Murray will finally ignite against Miami to silence critics and secure a dominant 4-0 start.

Oct 2 • 2:13 PM EDT • Sports • sports.yahoo.com

Rabies detected in Crook County bat prompts public health warning

Bend, Ore. (KTVZ) --- Crook County Public Health is advising residents to take precautions to protect their families and pets after rabies was recently detected in a local bat in Crook County, Ore. Health officials noted that rabies has been found in bats throughout the state, making awareness and preventive measures critical. Rabies is a

Oct 2 • 12:34 PM EDT • Health • ktvz.com

Stand Up for Science Endorses Pro-Science Congressional Candidates in Critical Districts

Endorsements promote candidates who will protect science and democracy, replace anti-science members of Congress in 2027.

Oct 2 • 12:12 PM EDT • Science • einnews.com

AWS Launches Aurora Capability to Query Data Lakes Without Moving the Data

Moving enterprise data around is one of the less glamorous parts of the running modern data stack. Nevertheless, it is critical to getting the right data to the right applications when they need it. Companies build their data pipelines to shuttle information between databases and data lakes. This creates a plethora of challenges, including the […]

Oct 2 • 12:05 PM EDT • Science • hpcwire.com

The mental health of politicians is a critical issue

Elected politicians make decisions that can affect millions, but do they receive the support they need?

Oct 2 • 6:14 AM EDT • Health • theconversation.com

The mental health of politicians is a critical issue

Elected politicians make decisions that can affect millions, but do they receive the support they need?

Oct 2 • 6:14 AM EDT • Politics • theconversation.com

Capitol News Illinois | Optimistic data-center report met with criticism

A new study predicts data centers expected to be built in Illinois over the next decade would create thousands of jobs and millions of dollars in property-tax revenue.

Oct 2 • 5:40 AM EDT • Politics • news-gazette.com

What Could Make or Break Florida State Against Virginia

Florida State enters a critical matchup with Virginia needing strong quarterback play and a better defensive performance to pull off the big win.

Oct 2 • 5:33 AM EDT • Sports • sports.yahoo.com

Gears of War: E-Day reviews are in — Critics are loving this flagship Xbox shooter's return to form despite some odd elements

Reviews of Gears of War: E-Day's single-player campaign are in! Here's what the critics had to say about the story and gameplay of the latest entry in the Gears of War series.

Oct 2 • 4:59 AM EDT • Technology • windowscentral.com

Former CDC director on politics of measles: ‘A death is a death’

Dr. Tom Frieden, former CDC director, appeared on “The Final 5” to discuss the nation’s growing measles outbreak. Frieden said the measles vaccine is safe and effective and remains the only way to stop the spread, while criticizing political arguments over how to classify measles-related deaths. Frieden also discussed the growing role of artificial intelligence in medicine, saying AI can be a powerful tool for doctors and patients but cannot replace trained medical professionals.

Oct 2 • 12:07 AM EDT • Politics • fox5dc.com

Watch Live: Connie Chan, Scott Wiener Debate for SF Congressional Seat

San Francisco Supervisor Connie Chan and state Sen. Scott Wiener meet live onstage Thursday night at KQED for a critical debate ahead of the November election.

Oct 1 • 10:05 PM EDT • Politics • kqed.org

After critique, Amazon's Ryan Fitzpatrick wary of Browns' Deshaun Watson

After preseason criticism of Deshaun Watson, Amazon's Ryan Fitzpatrick doesn't change his thoughts on the Browns quarterback.

Oct 1 • 8:00 PM EDT • Sports • sports.yahoo.com

Trump jokingly calls Paxton a ‘pain in the ass’ at Texas event

President Donald Trump jokingly described Texas Republican Senate candidate Ken Paxton as “a pain in the ass” during remarks in Denton, Texas, on Thursday – the latest in a long line of jabs he has made about his staunch ally who is running in a critical race for the GOP.

Oct 1 • 7:14 PM EDT • Politics • cnn.com

World Business Chicago skips City Council ethics hearing about videos featuring Mayor Brandon Johnson

In four videos , the mayor narrates investments on the city’s South, West, Southwest and Northwest sides. To critics, the videos amount to campaign-style promotions rather than an effort to attract global businesses.

Oct 1 • 5:37 PM EDT • Business • chicagotribune.com

'I'll stand in front of the bulldozers': Veterans protest Trump's arch

Since President Donald Trump first began talking about building a Triumphal Arch in Memorial Circle, it’s been met with criticism from the public, lawmakers and even veterans

Oct 1 • 5:10 PM EDT • Politics • spectrumlocalnews.com

'I'll stand in front of the bulldozers': Veterans protest Trump's arch

Since President Donald Trump first began talking about building a Triumphal Arch in Memorial Circle, it’s been met with criticism from the public, lawmakers and even veterans

Oct 1 • 5:10 PM EDT • Politics • spectrumlocalnews.com

Alabama once again among top 10 states in business ranking

The state also earned three No. 1 rankings in critical categories and scored in the top 10 in a dozen others.

Oct 1 • 4:44 PM EDT • Business • al.com

‘Gobsmacked’: Florida parents, teachers decry changes to science education

The state’s education commissioner, responding to criticism, said Thursday he was “not advocating religious influence in the standards.”

Oct 1 • 12:18 PM EDT • Science • orlandosentinel.com

Report: Jamal Shead, Raptors agree to three-year, $24 million contract extension

The former second-round pick turned critical reserve has earned a spot in Toronto's plans for years to come.

Oct 1 • 10:41 AM EDT • Sports • sports.yahoo.com

How Washington Funded the Politicization of Science

Over the last half-decade, the National Science Foundation (NSF) has spent hundreds of millions of dollars on projects designed to influence academic policies, both in the sciences and other disciplines. The aim was to foster a progressive conception of social justice in these fields. In pursuit of this end, the foundation earmarked nearly a million dollars for a project titled “Creating Inclusive Scientific Societies through Policies and Practices,” over a million for a project on “Faculty Online Learning Communities for Gender Equity,” and over $2 million to foster “racial equity focused departmental change.” Through a public records request, I’ve obtained the proposals and progress reports for dozens of NSF grants designed to promote social justice. Although funding for these grants was eventually halted by the Trump administration, the projects illustrate an important facet of recent higher-education policy. Many of the university policies that promised “social transformation” didn’t arise in a vacuum. They were actively encouraged by outside funders—often by the federal government itself. Subscribe Accreditation—the peer-review process which enables universities to receive federal grants and student loans—has recently become a policy battleground, with accreditors wielding significant power over both universities and academic disciplines. In 2020, when Oregon Health and Science University’s medical school issued an extensive diversity action plan—which promised “consequences” for employees who failed to support “DEI, anti-racism and social justice”—it specifically pointed to the Liaison Committee on Medical Education (LCME), the medical-school accrediting body, to justify the overhaul. The NSF actively promoted DEI-focused accreditation policies. The proposal for a $1.2 million program on promoting “community engagement” in STEM, which I obtained through a records request, notes that the Accreditation Board for Engineering and Technology was exploring changes to its criteria “that would incorporate JEDI [justice, equity, diversity, and inclusion].” The proposal promised to “support broader JEDI efforts in the general criteria for engineering.” Another grant funded a conference designed to “identify and share best practices and strategies to integrate IDEA principles in accreditation criteria”—referring to an acronym that stands for “inclusion, diversity, equity, and accessibility.” Scholarly societies have become another flashpoint in debates over higher education. Critics argue that many of these societies, which have the power to shape entire disciplines, have become increasingly politicized. Again, through its giving, the NSF played a role in promoting this politicization. In one million-dollar grant that received funding in 2024, a group of psychologists proposed a series of social-justice reforms to the Society for the Psychological Study of Social Issues. The proposal, which I obtained via a records request, asserts that “[r]edistributing resources (such as moving different people into leadership roles) is not enough” and that the society’s “governance structures do not yet reflect its stated values of diversity, equity, and inclusion.” Its solution: review and rework the society’s criteria for leadership development, academic awards, conferences, and publications. Adjusting review criteria informed by “intersectionality” designed to fight “epistemic exclusion” is an easy way to introduce de facto ideological litmus tests into the peer-review process. For many of the grants I obtained, such litmus tests seem to be the point. “Academic departments are racialized social systems that produce and sustain the byproducts of systemic racism,” a proposal for a $2.7 million project funded in 2024 asserts, promising to develop “departmentally-focused change efforts that cultivate values, assumptions, and behaviors that advance racial equity.” The University of Illinois Urbana Champaign’s million-dollar “I-ADVANCE” project, which effectively created a small DEI bureaucracy on campus, promised to Embed 28 ADVANCE faculty fellows in STEM departments” to amplify its equity goals. Another $1.2 million project promised to create “faculty online learning communities,” made up of scientists at universities around the country, that would eventually build department-level diversity action plans. “Ultimately,” the proposal asserts, perhaps more perceptively than its authors realized, “both organizational change and intersectionality frameworks deal with power.” Indeed, such grants confer a great deal of power to administrators and scholar-activists, who can even use the mere availability of funding as a tool to advance their causes. That history is worth remembering amid today’s debate over federal involvement in higher education: Washington has been shaping university priorities for years, including by financing efforts to instill progressive ideas about race, gender, and equity into academic institutions—and many of the policies those grants encouraged remain embedded within universities long after the federal money has stopped flowing. John D. Sailer is the director of higher education policy and a senior fellow at Manhattan Institute. Share

Oct 1 • 10:31 AM EDT • Science • cityjournal.substack.com

Missouri S&T researcher receives joint appointment with Savannah River National Laboratory

Dr. Michael S. Moats, a professor of materials science and engineering at Missouri University of Science and Technology, has been granted a joint appointment with Savannah River National Laboratory (SRNL). “Savannah River National Laboratory has assembled an exceptional team of researchers advancing critical minerals and materials technologies that are vital to our nation’s energy security...Continue Reading Missouri S&T researcher receives joint appointment with Savannah River National Laboratory

Oct 1 • 10:30 AM EDT • Science • news.mst.edu

Winner of Nikon microscopy photo contest faces criticism over AI usage

The organizers of a highly regarded scientific photography contest are reviewing this year’s winning entry following criticism over the use of AI.

Oct 1 • 10:27 AM EDT • Technology • cnn.com

NFL pregame shows face growing criticism from fans in 2026

rafapress/Depositphotos Fans react to changing NFL pregame shows NFL pregame coverage is drawing fresh attention during the 2026 season. Familiar formats and longtime personalities are facing criticism from some viewers. FOX, ESPN, CBS, and Prime Video have also made lineup changes across their NFL coverage. Major programs continue to attract large audiences, adding another layer…

Oct 1 • 10:15 AM EDT • Sports • sports.yahoo.com

90% of Life Sciences Manufacturers Say Digital Transformation Is Now Business-Critical, According to New Rockwell Automation Report

/PRNewswire/ -- Rockwell Automation, Inc. (NYSE: ROK), the global leader in industrial automation and digital transformation, today released "The New Operating...

Oct 1 • 10:00 AM EDT • Business • prnewswire.com

90% of Life Sciences Manufacturers Say Digital Transformation Is Now Business-Critical, According to New Rockwell Automation Report

/PRNewswire/ -- Rockwell Automation, Inc. (NYSE: ROK), the global leader in industrial automation and digital transformation, today released "The New Operating...

Oct 1 • 10:00 AM EDT • Business • prnewswire.com

State paid health policy nonprofit $108 million before reviewing work plans, audit finds

Rep. criticizes failures in $435 million deal: ‘Major weaknesses exist in the department’s oversight practices’

Oct 1 • 8:44 AM EDT • Health • michigancapitolconfidential.com

In Hindsight, the Packers Should Have Never Traded Dontayvion Wicks

Jayden Reed’s devastating season-ending injury exposes a critical depth chart void, leaving the Green Bay Packers to rue an offseason trade that sent a potential rising star to Philadelphia.

Oct 1 • 8:41 AM EDT • Sports • sports.yahoo.com

As Xbox swings the axe, Gears of War: E-Day developers fear they'll be laid off straight after launch - and right before they'd be due their bonuses

Eurogamer speaks to anonymous sources from The Coalition on the change in morale over the past few months, linked to layoffs and Metacritic bonuses.

Oct 1 • 5:52 AM EDT • Technology • eurogamer.net

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

Oct 1 • 4:36 AM EDT • Health • healthapiguy.substack.com

October will be Critical Month for Florida State Football

As the sports calendar changes, the month of October is a critical one for Florida State, beginning with Virginia on Saturday at home. Then the Seminoles hit the road for a brutal two weeks, facing of against Louisville and Miami in back-to-back weeks. The defense will be challenged.

Oct 1 • 4:07 AM EDT • Sports • sports.yahoo.com

Scott Jennings to Paxton: ‘Keep Trump criticism to yourself’

Sep 30 • 11:32 PM EDT • Politics • cnn.com

Capitalism and Its Critics: the Return of Political Economy at Bard College

Events and Performances at Bard College.

Sep 30 • 8:00 PM EDT • Politics • bard.edu

Steve Hilton presses Xavier Becerra on AI regulation and legislation

During CNN’s debate, Hilton pressed Becerra on harsh criticism attributed to former Biden policy adviser Susan Rice in an Axios report from 2024. Rice denied those remarks.Becerra responded by pointing to his record, saying he “helped create millions of jobs” during his time in Congress, as California’s attorney general and as HHS secretary.

Sep 30 • 8:00 PM EDT • Politics • cnn.com

CNN hosts California gubernatorial debate ahead of critical midterm contest

Xavier Becerra and Steve Hilton will take the CNN debate stage as they argue to voters they are the best pick to lead the country’s most populous state. Follow for live news updates.

Sep 30 • 4:58 PM EDT • Politics • cnn.com

GOP senator blocks resolution that criticized Trump’s taxpayer-funded ads

A GOP senator blocked a resolution on Tuesday that criticized the Trump administration’s recent taxpayer-funded ads promoting President Donald Trump.

Sep 30 • 4:07 PM EDT • Politics • cnn.com

New in Home Entertainment: "Wonka's The Golden Ticket" & "Family"

Screen Chatter Film Critic reviews the game show "Wonka's The Golden Ticket" and "Family", a horror/ thriller.

Sep 30 • 3:51 PM EDT • Entertainment • fox13now.com

Business management expert urges farmers to focus on liquidity and cost control heading into 2027

A production business management expert says preserving liquidity and managing working capital will be critical as producers face another year of tight margins. Barry Ward with Ohio State University Extension says stronger corn and soybean prices have improved the profit picture for 2026, but… “We’ve got elevated cost structures that we’re not going to be […]

Sep 30 • 3:43 PM EDT • Business • brownfieldagnews.com

Pete Davidson slams ‘f---ed up’ criticism of ex Ariana Grande’s body: ‘I don’t like it at all’

The “Saturday Night Live” alum defended his ex as she navigates a lengthy hiatus from public appearances after the release of her “Petal” album.

Sep 30 • 1:56 PM EDT • Entertainment • yahoo.com

Powell did not break the law with expensive Fed renovations that incensed Trump, report finds

An inspector general review of the Federal Reserve’s headquarters renovation found no sign that then-Chair Jerome Powell broke the law or committed misconduct in his management of the costly project, even as it sharply criticized him and the bank’s board for allowing the price tag to balloon beyond $2 billion.

Sep 30 • 1:00 PM EDT • Politics • cnn.com

Federal regulator probing Trump critic Adam Kinzinger for betting on his own pardon

Federal regulators are investigating former Rep. Adam Kinzinger for trading on the prediction platform Kalshi about a pardon he received from former President Joe Biden, two sources familiar with the matter told CNN.

Sep 30 • 12:25 PM EDT • Politics • cnn.com

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.

Sep 30 • 12:09 PM EDT • Sports • sports.yahoo.com

Democrat Troy Jackson apologizes for Holocaust reference

The Senate nominee’s bid to unseat incumbent Susan Collins (R) is critical to Democrats’ hopes for reclaiming control of the chamber.

Sep 30 • 11:35 AM EDT • Politics • washingtonpost.com

Is 'Verity' worth watching? Anne Hathaway's dark new thriller divides critics.

Anne Hathaway, Dakota Johnson and Josh Hartnett star in the adaptation of Colleen Hoover's bestselling psychological thriller.

Sep 30 • 11:07 AM EDT • Entertainment • yahoo.com

Anthony Gordon Takes Aim at English Football After Barcelona Start

Anthony Gordon fit Barcelona like a glove. Although his signing drew widespread criticism, especially over the cost, the forward has responded by helping the culé side secure victories. After a strong start in Spanish football, the English player has responded to his critics. The blaugrana side paid €80 million to Newcastle United to secure the […] The post Anthony Gordon Takes Aim at English Football After Barcelona Start appeared first on HEAVY.

Sep 30 • 5:23 AM EDT • Sports • sports.yahoo.com

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. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe

Sep 30 • 5:05 AM EDT • Health • yourlocalepidemiologist.substack.com

Naval Station Norfolk leader charts course for problem solving

Naval Station Norfolk commanding officer Capt. Ray Glenn discusses a $450 million sailor housing project and critical infrastructure funding shortfalls.

Sep 29 • 11:55 PM EDT • Business • virginiabusiness.com

Voice of America Cuts Hurt ‘U.S. National Interests,’ Internal Watchdog Says

The assessment by the State Department’s inspector general echoes concerns raised by critics of the move to shutter V.O.A., including some Republicans in Congress.

Sep 29 • 9:40 PM EDT • Politics • nytimes.com