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Black and Gold take care of business in Conway
App State football traveled down to Conway, South Carolina Friday. The Black and Gold looked to bounce back after a heartbreaking loss to Old Dominion University in a back and forth shootout with rival Coastal Carolina University. The first quarter was off to a shaky start. App State, who let penalties rule it last week...
South Texas Health System (@stxhealthsystem)
2 likes, 1 comments - stxhealthsystem on October 18, 2026: "Put Your Skills at the Heart of Innovation: South Texas Health System is seeking skilled and dedicated Cardiac Cath Lab Technologists to join the cardiovascular teams at STHS Heart and STHS Edinburg. In this vital role, you’ll support advanced cardiac procedures, help deliver potentially lifesaving care and make a meaningful difference for patients when it matters most. Join a team committed to clinical excellence, innovation and compassionate care. Ready to take your career to the next level? Explore opportunities with the Rio Grande Valley’s largest integrated healthcare network. STHS offers competitive pay, comprehensive benefits and an increased sign-on bonus for qualified applicants. Ready to make your next career move? View current openings and apply at the link in our bio.".
Donaldson’s Finer Chocolates celebrates 60 years
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California gas prices remain high as global and local factors collide
California's high gas prices are being driven by a combination of global events and decades of state policies, according to Jodie Muller, the President and CEO of the Western States Petroleum Association.
California Politics 360 full episode | California, US government clash over voter rolls
The Trump administration sued California election officials this week. They asked a judge to block the state from counting mail-in ballots from people the federal government has identified as “likely” non-citizens until their status can be confirmed.
Voter roll fight in California ramps up weeks before election
First Assistant U.S. Attorney Bill Essayli defended the Trump administration's lawsuit against California election officials, alleging that 20,000 non-citizens who are documented immigrants are registered to vote and have received mail-in ballots, just weeks before the upcoming election.
Malia Cohen explains why she should be reelected State Controller
California State Controller Malia Cohen is seeking reelection for an office that is responsible for the state's checkbook at a time when voters across the nation are focused on waste, fraud and abuse of taxpayer money.
AltaCair Foundation hosts conference on bridging AI and health outcomes
The focus of Accelerator 2026 was on the practical role of AI in healthcare, access, whole person care, and community impact.
Georgia-Carolina State Fair returns to downtown
The Georgia-Carolina State Fair returns downtown this week with rides, entertainment, and food.
Regional Science Consortium Researching Harmful Algal Blooms
If you've noticed large buoys or boats out on the bayfront and wondered what they were, you're not alone. The Regional Science Consortium is collaborating with Princeton Hydro on a research project funded by the U.S. Army Corps of Engineers to study ways to control harmful algal blooms. Dr. Jeanette Schnars, the Executive Director of the Regional Science Consortium, explained the goal of the research."We are researching different ways to control blue-green algae, which creates harmful algal blooms and releases toxins," Dr. Schnars said.The project aims to identify potential techniques for controlling harmful algal blooms in Presque Isle Bay.Schnars explained that people may notice circular floats in the water near Perry's Landing and Liberty Park. Those floats are part of the testing process."You might see a circular float, almost like a hula hoop, that is out in the bay, near Perry's Landing and Liberty Park area, and those limn corrals go all the way to the bottom. And what we will do are some treatments within the limn corral in the bottom," Schnars said.After samples are collected, they are brought back to the laboratory at the Tom Ridge Environmental Center for analysis."A lot of those samples are coming back here. We are going to test them for the harmful algal bloom toxins before, during, and after, and see how effective the testing was," Schnars said.Sarah Magyan, an aquatic biologist with the Regional Science Consortium, explained that the team also collects samples from locations throughout the region."We pull samples every week from 30 different sites, and then we bring those back here, we preserve them and run them through the ELISA test," Magyan said.Schnars said researchers hope the results will help them develop effective ways to reduce harmful algal blooms in the future."If we can do some treatments over space and time in upcoming seasons, we may be able to reduce the number of harmful algal blooms we have in this area," Schnars said.The research is also important for public and animal safety. Magyan explained that toxins produced by certain algae can affect the skin, nervous system or liver.While toxin levels may be low for people, she emphasized the importance of protecting pets that swim in local waterways."Toxins can either be skin toxins, nerve toxins, or liver toxins. While we have low levels for people, it is important that we are keeping our pets safe because we recreate with our animals in the water, and we see hundreds and hundreds of dogs on Presque Isle and the rest of the shoreline," Magyan said.Testing began in September, and Schnars said researchers expect to conduct at least another six to eight weeks of testing to better understand the effectiveness of the treatments.
FULL SHOW: Inside INdiana Business 10/18/26
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Being the fun aunt is easy. Building real bonds takes intention.
Of course I take the role of being a fun aunt very seriously. I also know I have a larger responsibility to my nieces and nephews.
14 Cool New Gadgets to Keep on Your Radar
Catching you up on the past week’s most notable product releases.
Scientists Discover a Surprising New Effect of a Popular Blood Pressure Drug
A drug for high blood pressure could inspire future treatments for people with normal readings, thanks to an unexpected effect on the body’s energy-burning fat. Losartan already helps people control high blood pressure. New research suggests it could have a second use in activating brown fat, a tissue that burns energy to produce heat and
‘They Want to Get Into the Taylor Swift Business’ — Media Analyst ‘Rationalizes’ Travis Kelce Possibly Coming in as Troy Aikman’s ESPN Replacement
Kansas City Chiefs tight end Travis Kelce re-signed with the franchise this offseason, and the Chiefs have come flying out of the blocks to a 4-0 record. Once the current season ends, however, there is some speculation about where Kelce may head next, particularly if it comes to a role in the broadcasting booth.
Opinion: The hidden billing practices raising healthcare costs
Written by Tom Stephens, Executive Director of the Kentucky Association of Health Plans The hidden billing practices raising healthcare costs Sophisticated new mark-up schemes, provider consolidation, and dated diagnosis criteria are all impacting Kentuckians There is no single explanation for America’s high healthcare costs. But any serious effort to control them must start with hospitals. […]
Is Teladoc Health (TDOC) Cheap Following Its New AI Tools?
Teladoc Health (TDOC) just rolled out two AI tools inside its Solo platform, SoloVitals and SoloScribe, aimed at contactless vital sign tracking and streamlined clinical note taking for hospital and health system clients. Despite Teladoc Health unveiling AI tools aimed at making virtual visits smoother for hospitals, the 30-day share price return is down 10% and the 90-day move has fallen 41.24%. The 5-year total shareholder return has declined 95.88%, pointing to longer term momentum that...
Opinion | Don’t roll the dice on public health
Massachusetts should care less about gambling competition and more about public health guardrails.
Medicare enrollment underway, more Health Headlines
Medicare open enrollment started Thursday, Oct. 15, with less than two months to compare and potentially change plans before the Dec. 7 deadline.
Chinese scientists develop nanoparticles to improve pesticide
In a study published in the Journal of Controlled Release, researchers mimicked gut bacteria pili-hair-like structures that function as hooks-to design hollow, rough-surfaced silica nanoparticles
Guardians just one part of huge weekend for Ohio sports
Postponements due to inclement weather usually don’t include a positive outcome. But Friday night’s Game 4 postponement, pushing the ALCS back a day, made this weekend in the rock and roll capital of the world that much more jam-packed, with the Guardians' push for their seventh World Series appearance at
Trump approval hits record low, handing Democrats a clear midterm edge
President Donald Trump’s approval rating has fallen to a new low and support for Democrats in the race for control of Congress rising, as inflationary pressures contribute to the acrid mood among voters, according to a Washington Post-ABC News-Ipsos poll.
Castill Health Announces Plans for Philippines Digital Healthcare Launch, Supported by Craig Astill and Caason Group
Singapore, October 18, 2026 -- Singapore-based digital healthcare venture Castill Health has announced plans for its first market rollout in the...
UCLA’s fairy tale was supposed to end. Then Ty Dieffenbach happened
Ty Dieffenbach stepped in for Nico Iamaleava and came up clutch for UCLA to keep the undefeated start rolling for the Bruins.
Scientists Found Dozens of Hammerhead Sharks Hanging Out Near Swimmers. Here’s Why.
Drone surveys spotted groups of up to 100 young hammerheads near Australian swimming beaches, where shark control measures pose a threat.
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…
Castill Health Announces Plans for Philippines Digital Healthcare Launch, Supported by Craig Astill and Caason Group
Singapore, Singapore--(Newsfile Corp. - October 17, 2026) - Singapore-based digital healthcare venture Castill Health has announced plans for its first market rollout in the Philippines, targeted for later in 2026.The company is developing a digital healthcare platform intended to connect wearable health monitoring devices, personal health information and access to participating medical professionals.Australian entrepreneur Craig Astill alongside Caason Group and Castill Family Office, is...
There's a crackdown on sports piracy - but is it already out of control?
The sports industry's lucrative business model is being undermined by dodgy TV sticks and illegal streaming links, writes Theo Leggett.
Zelda: Ocarina of Time remake reveals new display modes, other settings, controls
The remake of The Legend of Zelda: Ocarina of Time will feature new display modes on Nintendo Switch 2, preview footage has revealed. This comes from Zeltik. There’ll be “Standard,” “Pro,” and “Master” options. With “Standard,” this is what the game will look like for most players. If you choose “Pro,” other minimal information will be shown. Finally, with “Master,”...
Graham breaks with Trump over Russia sanctions law her brother championed
Darline Graham has only been a senator for a few months, but she has cited her role in passing the sanctions package, a major part of her brother’s legacy, as a top achievement.
Is 99% Screening Adherence Altering The Investment Case For Guardant Health (GH)?
Guardant Health reported new data from its Shield blood-based colorectal cancer screening test, including modeling and rural clinic results, indicating very high real world adherence and meaningful impact on screening pathways for average risk adults. The 99% completion rate for Shield in two rural South Carolina clinics highlights how a simple blood draw can address screening gaps in medically underserved communities and reshape demand across Guardant Health's screening franchise. This...
The Watch: Hidden PFAS Found in Bottled Drinks, Tap Water
Sports drinks and electrolyte waters contained high levels of contaminants … ED visits spike when ‘peaker’ power plants fire up … and more.
House Speaker Mike Johnson draws on faith as he fights to hold the Republican majority
Ever the optimist, Speaker Mike Johnson said he believes Republicans will hold on to their U.S. House majority, defying a surge of Democratic momentum in the final stretch of the midterm elections that will determine control of Congress.
2026 Nobel Prize in Medicine Honors Breakthrough That Lets Scientists Control the Brain With Light
An algal protein helped scientists reactivate a fear memory in mice, turning light into a tool for testing what specific brain cells do. Scientists who worked out how to control brain cells with light have won this year’s Nobel Prize in Physiology or Medicine. Karl Deisseroth, Peter Hegemann, and Georg Nagel were honored for their
Captain Price Actor Sends Message to Fans as Call of Duty: Modern Warfare 4 Campaign Praise Rolls in
Barry Sloane, the actor behind Call of Duty's Captain Price, has shared a message with fans as praise for Modern Warfare 4's campaign rolls in.
Iconic musician gives health update, reveals he’s not allowed to drive
The 77-year-old singer has a neurological condition that affects his balance and other functions.
Trump's Diesel Deal With Russia Won't Lower Gas Prices for Americans
Donald Trump's diesel deal with Russia is a big favor to Vladimir Putin, but it won't lower prices for Americans ahead of the midterm elections.
North Carolina Football vs. Duke: Betting Lines, Injury Report
Fresh off an upset at Pitt, the underdog North Carolina Tar Heels visit Durham to battle the Duke Blue Devils.
Samsung Leak Claims 6 Galaxy Z Foldables for 2027
A leak claims Samsung could launch 6 Galaxy Z foldables in 2027, including a rollable Z Slide and a 3-tier Fold 9 line. Here is what is confirmed.
SEC’s Greg Sankey warns of conference-only rules if Congress fails on college sports
Speaking at SEC basketball media days, Sankey emphasized the need for federal help but noted the conference might take a more active role if Congress falls short.
Mikel Arteta Defends Viktor Gyökeres: 'This is just a phase!'
Despite a prolific international break, Arsenal’s £55million man remains goalless for his club this season. Mikel Arteta has defended the Swede’s work rate, insisting small margins will soon transform his fortunes at the Emirates.
US Army will detonate unstable explosives near ammo plant
The controlled detonation of the toxic degraded material will occur in the coming weeks, with temporary evacuations planned for residents.
Is the brain actually 2 nervous systems smooshed together? A new study claims it is.
A recent study may reshape our understanding of brain evolution and open new avenues for studying neurological diseases.
Microsoft updates Windows 11 Xbox mode with easier access to desktop and power controls
Microsoft is making it easier to return to Windows from Xbox mode. The latest Insider builds introduce a refreshed Gaming Task View with desktop and power shortcuts.
Biggest storylines for Panthers vs. Eagles in Week 6
Can the Panthers and the red-hot Bryce Young deliver a knockout punch to the wounded Eagles in Week 6?
Hims & Hers Health (HIMS) Dropped, So What Is Driving Attention Now?
Hims & Hers Health (HIMS) is back in focus after fresh product news, with Hers Hair now rolling out in the UK as a clinician-led subscription hair loss service for women. Recent price action tells a mixed story for Hims & Hers Health, with the share price down 4.46% over the last day and 9.22% over the past week, yet roughly flat over one month and weaker year to date. The 1-year total shareholder return has declined 43.61%, while the 3-year total shareholder return is very large at roughly...
Bridge winners
HUNTINGTON DUPLICATE BRIDGE ASSOCIATION: Monday, Oct. 5 — Elaine Whitt and Bob Hardin, Patricia Crews and Fuzzy Harrold. Wednesday, Oct. 7 — Bennie Shields and Bob Hardin, Elaine Whitt and
Television Q&A: When will 'The Rookie' be back on patrol?
ABC’s “The Rookie” is set to return for a ninth season in 2027, likely in January, alongside new spinoff “The Rookie: North.”
Hurricanes @ Jets: Preview and Game Thread
The Carolina Hurricanes (6-1-1) begin their annual “State Fair road trip” with a match against the Winnipeg Jets (4-1-2) on Saturday afternoon. The Canes have won six games in a row and have looked good doing it. Sebastian Aho with 13 points (6G 7A), Andrei Svechnikov 11 points (6G 5A), and Mark Jankowski are each […]
Prison healthcare takeover put on hold as Arizona’s appeal moves forward
Arizona prison healthcare receivership: An appeals court delays the takeover, keeping the state in control pending its appeal
Anthony Tyus III will be elevated in Week 6
Carolina Panthers RB Anthony Tyus III will be elevated for matchup with Philadelphia
Detroit Tigers Reportedly Hiring World Series Champion
The Detroit Tigers are reportedly hiring Martin Maldonado as quality control coach, reuniting him with A.J. Hinch and Framber Valdez.
Scientists discover how deep sleep builds muscle, burns fat, and boosts the brain
Scientists have discovered a surprising two-way relationship between sleep and growth hormone, revealing how the brain carefully balances physical recovery with wakefulness. The findings could help explain why poor sleep harms metabolism and brain health, potentially opening the door to new treatments for sleep and neurological disorders.
‘Business-like’ win for Cadets over Warriors
BEVERLY – It was just another “business-like” effort for the visiting Fort Frye Cadets Friday night as they rolled to a 34-6 win over the Warren Warriors. The Cadets didn’t do anything new or fancy or different they simply did what they do on most Friday nights and that is execute their game plan to […]
‘Business-like’ win for Cadets over Warriors
BEVERLY – It was just another “business-like” effort for the visiting Fort Frye Cadets Friday night as they rolled to a 34-6 win over the Warren Warriors. The Cadets didn’t do anything new or fancy or different they simply did what they do on most Friday nights and that is execute their game plan to […]
Sports is a $1 trillion business. More students want in on the action
As the global sports industry booms, enrollment in MSU Denver’s Sports Management program has more than doubled.
Sports is a $1 trillion business. More students want in on the action
As the global sports industry booms, enrollment in MSU Denver’s Sports Management program has more than doubled.
10 things that lasted longer than Zacharia's WH press secretary role
From space missions to a hard-boiled egg, here are 10 things that lasted longer than Katie Zacharia's tenure as White House press secretary.
Financial advisor advises to review health plans before cutting costs
Open enrollment is underway, and one financial advisor says there are specific places to cut costs and places not to.
‘Whalefall’ ending explained: Who survives? What happened on the boat? How does it differ from the book?
Austin Abrams and Josh Brolin star in Whalefall, a heart-racing thriller based on Daniel Kraus’ novel. Who survives? What happened on the boat? How does it differ from the book? Here’s the answers.
A Look at the Computer Science Degree in 2026
In 2018, a student published an article in this paper titled “YC’s Computer Science Major is on the Rise.” His piece proved prescient for the next four years, as enrollment in Intro to Computer Science continued to increase, indicating a growing interest in the field. Enrollment in this introductory course in Yeshiva College reached an […]
Jennifer Balkcom looks to continue her growth in public service
Balkcom is a mortgage loan officer and a two-term state representative in the North Carolina House.
Eagles Sign Joe Milton After Jalen Hurts Injury News
Philadelphia Adds Quarterback Depth The Philadelphia Eagles are making a move to strengthen their quarterback room, signing Joe Milton III off the Dallas Cowboys’ practice squad following the news that Jalen Hurts will miss Sunday’s game against the Carolina Panthers. The move comes at a difficult time for Philadelphia, which enters Week 6 at 2-3…
Android 17 QPR2 Beta 7.1 rolling out for Pixel
Google is rolling out Android 17 QPR2 Beta 7.1 today a week after the last preview for Pixel devices. This small update...
Sony Just Put Audiophiles on Notice with Its New Portable Hi-Fi Players
Sony says the three new models are "engineered to deliver exceptional sound."
North Carolina could play a key role in this year's midterm elections
Midterm election results in North Carolina could significantly influence the state and shape the national political landscape, says John Dinan, a Wake Forest University professor of political science. Dinan explains what North Carolinians will see on the ballot, the importance of key candidate contests and the potential ripple effects on the state and federal levels.…
What Does Hims & Hers Health (HIMS) Expansion Into The UK And Australia Mean?
Hims & Hers Health (NYSE:HIMS) announced the launch of Hers personalised hair loss and wellness care in the UK in October 2026. The Hers UK rollout introduces tailored treatment plans for women's hair loss alongside broader wellness services through the company's telehealth platform. The business is also expanding its Hers care platform into Australia, adding another English speaking market to its international footprint. The Hers UK hair loss launch and Australia expansion open new chapters...
NFL World Reacts To Eagles’ Joe Milton Addition From Cowboys
Since the Philadelphia Eagles are going to be down a quarterback on Sunday against the Carolina Panthers, the team added some depth at the position. The Eagles dipped into the bag of the Dallas Cowboys, scooping up their practice squad quarterback Joe Milton. Over the past two years, Milton has been one of the NFL’s […] The post NFL World Reacts To Eagles’ Joe Milton Addition From Cowboys appeared first on HEAVY.
Nathan Fielder called in this Oscar-nominated star for a surprise role in “You Can See Everything”
A familiar face joins Fielder in his examination of Elizabeth Holmes.
M+C Saatchi Sport & Entertainment Promotes Conall McAteer to UK Executive Creative Director
October, 2026 - M+C Saatchi Sport & Entertainment has promoted Creative Director Conall McAteer to the newly created role of
Trump says press secretary Katie Zacharia should ‘reconsider’ her role
“Maybe it’s not for her,” President Donald Trump told reporters on Friday, saying that he would ultimately leave the decision to Zacharia.
Democrats are up in the polls. They’re sick to their stomachs.
Polls show Democrats with a clear path to controlling the House and maybe the Senate. But they have burned before.
Katie Zacharia reportedly leaving as Trump’s press secretary just 5 days into the job
President Donald Trump's new press secretary, Katie Zacharia, is "transitioning out of the role" after he told her to reconsider the job just five days in, according to a White House official.
Trump asks Zacharia to reconsider White House press secretary role
President Donald Trump has told press secretary Katie Zacharia to reconsider her role as his top spokesperson, he told reporters at the White House.
Duke Health, CaroMont Health Partner To Develop Two New Hospitals In Charlotte, North Carolina
Duke Health and CaroMont Health are partnering to develop a 120-bed hospital and an 80-bed hospital in Charlotte, N.C.
Georgia's Senate and governor races test Trump's political influence
Trump plays a significant role in Georgia's races, with Democrats working to tie their GOP opponents to Trump’s unpopular policies on the economy and war with Iran.
Kristi Noem quietly moves to her third job in Trump administration
(CNN) — Former Homeland Security Secretary Kristi Noem has quietly moved into a new role at the State Department after her special envoy status expired last month.
NC Life Sciences News: Labcorp’s $722M Acquisition, IQVIA’s Veeva Partnership & More
North Carolina – Regional Life Sciences Roundup -October 16th, 2026 Each week, our Regional Roundup delivers the most important and timely life sciences…
Can social media bans protect young people's mental health? Early research suggests that bans aren't the answer
The year 2026 has been an expensive one for social media platforms. Since March, YouTube and Meta, the parent company of Instagram and Facebook, have settled or paid out in multiple lawsuits totaling ...
Local health insurance broker highlights changes coming to Medicare, healthcare policies in 2027
As over a million Coloradans review their healthcare plans for Medicare’s open enrollment period — running from Oct. 15 to Dec. 7 — a local health insurance broker is preparing
Arizona Cardinals Daily Links:
The Cardinals select South Carolina edge rusher Dylan Stewart in a new 2027 NFL mock draft.
IU Kelley School of Business Expert Weights in on Prediction Markets and Midterm Elections
As prediction markets play a growing role in election forecasting and increasingly compete with traditional polling, Russell Rhoads, clinical associate professor of finance at the Indiana University Kelley School of Business Indianapolis, is available to provide expert analysis and commentary. Rhoads can help audiences understand how prediction markets work, what market odds actually signal about election outcomes, and why investors, analysts, and political observers are payin
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.
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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
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