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Healthcare shouldn’t be so hard; health literacy can help
OPINION — A visit to the doctor may get you a diagnosis. A trip to the pharmacist fills the needed prescription. Your health plan has all sorts of information about benefits. Healthcare. Straightforward and easy to understand, right? Eye roll. Laugh stifled.
Argonne welcomes Chicagoland mayors to campus for meeting and tours of user facilities
Argonne hosted the Metropolitan Mayors Caucus for its quarterly meeting, where dozens of Chicagoland leaders learned about the lab’s work in super intelligence and resilience planning and toured the Advanced Photon Source and Aurora supercomputer.
Hugging Face’s New AI Biology Model Lets You Chat With DNA
The new open-source model speaks the language of DNA and can help researchers understand the effects of any changes on gene activity and health.
An exploding baseball and a smashed guitar. What went down at Modesto’s State Theatre
The winners of the annual MAMA Awards were announced Tuesday.
How to save money on sports without giving up the games
Current reports on saving money while enjoying sports despite rising costs.
Hundreds of graves buried beneath a Clearwater business despite a $7.5M settlement
A $7.5 million settlement is bringing a three-year legal battle over a historic Black cemetery in Clearwater closer to an end, while questions remain about hundreds of graves buried beneath a local business.
Michigan Senate Candidates Make Dueling Pitches to Business Leaders in Detroit
Mike Rogers and Dr. Abdul El-Sayed, the candidates in the tight race, defended their economic policies at the Detroit Economic Club.
Attack Ad Featuring Candidate’s Mother Turns Ohio Governor’s Race Even Uglier
A Republican ad features Amy Acton’s estranged mother calling her daughter a liar. The two have not spoken since Dr. Acton’s mother backed her husband after his arrest on rape charges.
Can Real Estate Out-Organize Tenants in New York? This Group Will Try.
A new organization, Built for New York, plans to raise money to mobilize voters in the real estate industry, which has endured several political losses in recent years.
Dartmouth Health launches innovative home care initiative with help of $20M gift
With the help of a generous $20 million donation from an alumnus, Dartmouth Health has launched an innovative new program designed to meet the needs of home-bound seniors and their families, particularly those living in rural areas. The program hopes to serve as a national model for other home care programs across the United States.
Clackamas County's mental health has worsened
About 55,500 adults in Clackamas County say their mental health was not good on at least 14 of the last 30 days, according to the newest county estimates from the […]
Sister Monica Heeran, longtime PeaceHealth leader and Northwest healthcare pioneer, dies at 95
SPRINGFIELD, Ore. — PeaceHealth mourns the passing of Sister Monica Heeran, a visionary leader who rose through the ranks of Sacred Heart Medical Center in Eugene and would shape healthcare throughout the Northwest and beyond.Sr. Monica died Oct. 9 at St. Mary on the Lake in Bellevue, Wash. She was 95.She boldly led PeaceHealth through a period of great innovation, guided by her faith, compassion and generosity toward those in need.
Nina Dietz to Discuss the Public Health Impacts of Wildfires at the Milken Institute
Image The Department of Global Health at George Washington University’s Milken Institute School of Public Health will host Pulitzer Center grantee and freelance journalist Nina Dietz at a Research and Practice Seminar. On Thursday, November 12, 2026, from 2:00pm-3:00pm EST, Dietz will present on her Pulitzer Center-supported project The Toxic Side of Climate Change. The project investigates the hazards left behind by urban wildfires in Los Angeles and examines the long-term risks these toxins pose to affected communities. The project also explores what remains in the ash and debris after a fire, and how those materials impact public health. Dietz is a writer, documentarian, and journalist reporting from a background rooted in both science and the humanities. Her work has appeared in New Lines Magazine, Inside Climate News, Science Friday, and at Photoville, among others.
‘Tsunami of sound’ coming to Modesto’s Gallo Center. What it is, when it will play
Expect a mix of music and theater on stage.
The Politics of Solar Energy Are Getting Weird, Mean, and a Little MAGA
A mysterious super PAC that doubles as a pro-solar-energy outfit is funding some of the most knives-out attack ads of the midterms season.
Lando Norris makes big business move with investment in £500m hospitality company
The reigning Formula 1 champion has joined a £20million funding round for British hospitality platform Seat Unique
‘Bum rap’: Trump claims Marshall could have been arrested for not suing patients
Trump defended Marshall in a wide-ranging social media post that also cast the Rev. Adam Hamilton as too liberal.
CHIME time, AI transparency in research, ‘Evolution’ on PBS, and faculty honors
Yale researchers help prove the utility of an innovative radio telescope in understanding the expanding universe and offer thoughts on how to best use AI in science. Meanwhile, faculty members in physics and astronomy are honored for breakthroughs across an array of fields.
Keri Russell explains why ‘it’s nice’ spending time apart from Matthew Rhys: ‘A gift’
Keri Russell explains why ‘it’s nice’ spending time apart from Matthew Rhys: ‘A gift’
Marrero Hi: To show real political courage, Rep. De La Cruz must sign the Dream and Promise Act
A guest column from Dani Marrero Hi, deputy director of La Unión del Pueblo Entero and LUPE Votes.
Queen Creek businesses requesting state liquor licenses
The Queen Creek Town Council recommended approving several businesses for liquor licenses from the Arizona Department of Liquor Licenses and Control. Kilkenny's Irish Pub, 20736 E. Munoz St., is …
Oracle Health data breach in 2025 compromised data of 20M people: report
A 2025 data breach of Oracle Health’s legacy Cerner system compromised personal information belonging to nearly 20 million people, Bloomberg
Finding Joy Again: Sarah Adam on Mental Health and High Performance
There is a familiar message in elite sport: Keep going.Push through the hard training. Push through fatigue. Push through doubt. Push through the pressure.For Sarah Adam — the first woman named to the U.S. Wheelchair Rugby Paralympic Team, a silver med...
Lions Trade Buzz Heats Up Around $20M Cornerback
Now that the Detroit Lions have moved on from pursuing Joey Porter Jr., it appears the cornerback most connected to the team is Kristian Fulton of the Kansas City Chiefs. Jeremy Fowler of ESPN poured more fuel on the speculation fire by offering Fulton as a strong option to tie to the Lions before the […] The post Lions Trade Buzz Heats Up Around $20M Cornerback appeared first on HEAVY.
The Science Behind the Nobel-Winning Technology That Controls Neurons With Light
Optogenetics revolutionized neuroscience, but its origins come from an entirely brainless organism—an alga.
Political experts talk midterm issues, expectations at Catawba panel
SALISBURY — The midterm elections loom in the not-too-distant future, and questions on U.S. electoral systems are as pervasive as ever. The “What’s at Stake” panel at the Catawba College […]
Costa’s coffee shops return to profit with iced drinks and matcha on the menu
Costa Limited reports operating profit of £20m in year to 31 December 2025 after losses of £13.5m in 2024
Moving back the clock: Did animal life begin 200 million years earlier than we thought?
In a new study, a research group including Yale paleontologist Derek Briggs suggests animals may have appeared on Earth as early as 800 to 700 million years ago.
‘Comedy royalty’ to perform at Modesto’s Gallo Center. When, how to get tickets
He’s also an actor, producer, writer and film director.
Chautauqua County Health Department Alerts Community of Potential Measles Exposures
People with confirmed measles were at UPMC Chautauqua Hospital on September 26, 27 and 29
Gov. Stein announces $20M fund to increase health care access in rural North Carolina
A new fund will increase access to health care in rural parts of North Carolina.
Executive Director speech at EMA women’s health multi-stakeholder workshop
Emer Cooke spoke about EMA’s role in helping improve health outcomes for women
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
Quincy Community Theatre to stage pirate-themed adventure
QUINCY — Quincy Community Theatre will take audiences on a pirate-themed adventure this fall with “Judy Moody & Stink: The Mad, Mad, Mad, Mad Treasure Hunt,” running Oct. 22-25. The […]
With $20M gift, Dartmouth Health to launch institute and at-home primary care program
Richard Levy donated $20 million to Dartmouth Health and the Geisel School of Medicine at Dartmouth for the establishment of at-home primary care and palliative services and a Family Caregiver Institute to offer resources and train new members of the caregiver force.
Graco CEO Mark Sheahan on firm’s biggest lessons from a century in business
Graco CEO Mark Sheahan on firm’s biggest lessons from a century in business
Beijing warns of retaliation if Europe imposes curbs on Chinese businesses
China must "respond firmly" if the EU introduces restrictions on Chinese businesses or products, the Commerce Ministry said, according to a CNBC translation.
U of A researchers team up to take on major health challenges
Four interdisciplinary U of A-Banner Health teams will receive up to $250,000 each to advance promising health research in cancer detection, lymphoma diagnostics, wound care and chronic pain.
$20M gift launches ‘Dartmouth Health at Home’ program
The presidents of Dartmouth College and Dartmouth Health came together Tuesday to announce a historic $20 million donation launching “Dartmouth Health at Home,” a collaborative initiative to expand healthcare outside hospital walls.
$20M gift launches ‘Dartmouth Health at Home’ program
The collaboration between Dartmouth Health and the Geisel School of Medicine aims to coordinate at-home care.
Dartmouth Health announces at-home program to address rural challenges after $20M gift
Dartmouth Health and the Geisel School of Medicine at Dartmouth College announced Tuesday they’re launching a new at-home health care program, an effort to address healthcare delivery challenges in rural New Hampshire and Vermont where patients often live far from doctors and health facilities.
Homeland Security spending $20M in taxpayer funds for pro-Trump ads
The Department of Homeland Security has tapped $20 million to pay for the campaign-style ads glorifying President Donald Trump that have drawn widespread criticism from Republicans and Democrats as a blatant misuse of taxpayer dollars that likely runs afoul of anti-propaganda law.
Homeland Security taps $20M in taxpayer funds for pro-Trump ads
WASHINGTON (AP) — The Department of Homeland Security has tapped $20 million to pay for the campaign-style ads glorifying President Donald Trump that have drawn
Homeland Security taps $20M in taxpayer funds for pro-Trump ads
The Department of Homeland Security has tapped $20 million to pay for campaign-style ads glorifying President Donald Trump.
Homeland Security taps $20M in taxpayer funds for pro-Trump ads
The Department of Homeland Security has tapped $20 million to pay for campaign-style ads glorifying President Donald Trump.
‘It was a mistake.’ Tax theft tossed for Pierce County roofing company owners
The Washington Attorney General’s Office agreed to dismiss charges against the owners of JS Roofing, but the business will make restitution.
Greektown businesses look to rebound as $20M redesign nears completion
A portion of Brush Street that runs through the neighborhood reopened to traffic Friday, marking a major milestone in a project that has been years in the making.
Conflict mapping research group founded by OSU researcher wins national award for open science
The American Geophysical Union has awarded the 2026 Open Science Recognition Prize to the Decentralized Damage Mapping Group, an international research team co-founded by Oregon State University Professor Jamon Van Den Hoek and postdoctoral scholar Corey Scher.The prestigious award is in recognition of DDMG’s contributions of satellite mapping data of regions beset by war, conflict or natural disasters to the public sphere, particularly to aid in humanitarian response and provide journalists with up-to-date information.
Fact check: What are U.S. Senate candidates’ stances on data centers in KS race?
As some communities seek to leverage projects to offset local taxes, others are preparing to vote on proposals to ban data center developments outright.
Exclusive: Basalt Health raises $20M for post-acute care tech
Admin workflows in post-acute care are less crowded than other parts of health care, but are drawing interest from strategics and investors.
Minnesota state politics showing signs of bipartisan collaboration
In a majority-led political landscape, passing policies can require high levels of collaboration from the minority party. The same can be true for legislative bodies with even representation, like Minnesota's House of Representatives and Senate.
Humor, audience participation: Renowned hypnotist to play Modesto’s Gallo Center
“His performances go far beyond a traditional stage show.”
Mariachi, heavy metal and a little blood spatter: Things to do in Merced in October
A four-time Grammy Award-winning singer-songwriter performs at the Merced Theater.
Heart-brain protection during cardiac surgery pioneer to receive the 2026 Basic Research Prize
DALLAS, Sept. 21, 2026 — A pioneering researcher known for her work to protect the heart and brain during cardiac surgery will be recognized by the American Heart Association at its annual...
Florida voters won’t see a debate between Jolly and Donalds
Is the debate dead in Florida?
Green Brick Partners CEO Jim Brickman explains what makes business model unique
Green Brick Partners CEO Jim Brickman explains what makes business model unique
Cattleman’s Ball honoree Nyle Maxwell discusses journey of reorienting his business toward philanthropy
Former Round Rock Mayor and car businessman Nyle Maxwell is this year’s honoree at the Cattleman’s Ball in recognition of his philanthropic efforts and legacy in Williamson County. The Williamson Museum fundraiser will take place at Kalahari Resorts & Conventions in Round Rock and will feature live entertainment, food and an auction to support the museum’s educational programs. The event takes place from 6:30-9:30 p.m. on October 15.
Free mad science event Saturday in Apache Junction
Grab your lab coat because it’s going to get messy. There will be more than 30 different fun science experiments to watch, touch and experience at a free mad science event in Apache Junction in …
Cost of watching sport in Australia creeps up as streaming services search for long-term viability
Nine and Stan lock up Premier League rights for $120m a year with six major streamers increasing base prices since February 2025
PRC approves Welcome Hall at Griffin Museum of Science and Industry
The Permit Review Committee has approved plans for a new Welcome Hall and entrance to the Griffin Museum of Science and Industry at 5700 S. Jean Baptiste Pointe DuSable Lake Shore Drive. Located on the Chicago Park District-owned lakefront site, the museum occupies the last surviving building from the 1893 World’s Columbian Exposition. The building has undergone several major changes since the fair, including a 1990s renovation that added underground parking and new visitor facilities in front of the historic structure.
Why Bangladesh is struggling against measles epidemic despite 20m vaccines
More than 1,000 people have died from the disease over the past six months, despite record vaccinations this year.
County chamber to host business mixer Oct. 7 at Clarkson in Potsdam
POTSDAM — Local business owners, educators, and community members will gather next month to explore fresh ways to engage with North Country college students beyond traditional job placements. …
UNT receives $20M gift for artificial intelligence college
UNT says its new AI college will go beyond teaching students how to use it.
Skyline Chili names new CEO, a P&G vet, amid more than $20M in investments
Carl Stealey takes over as CEO of the Cincinnati-based chili chain after Dick Williams invested over $20 million in upgrades.
Netflix orders new series based on Larry McMurtry’s ‘Lonesome Dove’
The book originally published in 1985.
66-75: Chart
Mariners Pitchers 2023-2024: Lazaro Montes, +0.20Mariners Pitchers The Other Five Years This Decade: Eduard Bazardo -0.31 WPA, Bryce Miller -0.12 WPA, José Ferrer -0.12 Game Thread Comment(s) of the Day
DGIST marks its 22nd anniversary, pledging to “become a global innovation university leading the future of science and technology”
- Recognizing long-serving and outstanding members of the DGIST community and reaffirming DGIST’s vision for the next 22 years
Will this be year Dolphins get good guard play? And personnel chatter
Dolphins hoping for breakthrough at guard. And news and notes.
Free mad science event in September in Apache Junction
Grab your lab coat because it’s going to get messy. There will be more than 30 different fun science experiments to watch, touch and experience at a free mad science event in Apache Junction in …
Ohio health groups pursue $220M merger
The combined organization would generate $220 million-plus in revenue and employ approximately 1,500 people.
Iowa State names Lonergan inaugural Topel Endowed Chair in Meat Science
Steven Lonergan, a Morrill Professor of animal science, was named the inaugural holder of the endowed chair during the Topel Medallion Ceremony on Monday, Aug. 31, on the Iowa State campus.
Mecklenburg Public Health responds to West Nile Virus cases, anticipates more
West Nile virus cases generally peak in September, according to Mecklenburg Public Health.
Flemming feels 'pure excitement' for Liverpool game
New Ipswich signing Zian Flemming says he is feeling "joy and excitement" to experience the Premier League again with Ipswich Town. Flemming could make his debut for the Tractor Boys in Friday night's visit of Liverpool after his £20m move from Burnley on deadline day. The 28-year-old striker scored 11 league goals for the Clarets last season, but could not help them avoid relegation in what has been his only English top-flight campaign so far.
SWFL nonprofit donor consulting firm surpasses $120M in revenue
VeraData, founded by Michael Peterman, has tapped into machine learning and AI to innovate — and influence — the way nonprofits find and connect with donors.
Scientists studying cockroach milk and nose-blowing win Ig Nobel prizes for quirky science
AI boom through 2050 hinges on power supply, politics, PwC says
PwC expects global data center capex will hit $31.6 trillion by 2050 in a base case scenario, with spe | AI may unleash a $31.6 trillion data center buildout by 2050, but PwC says the real race isn’t just for capital — it’s for power, chips and political advantages.
AI boom through 2050 hinges on power supply, politics, PwC says
PwC expects global data center capex will hit $31.6 trillion by 2050 in a base case scenario, with spe | AI may unleash a $31.6 trillion data center buildout by 2050, but PwC says the real race isn’t just for capital — it’s for power, chips and political advantages.
Heliophysics Education Community meeting presentation
Presentation | Grades 6-12+ | This presentation by Dr. Jared Espley explains how the Sun sends a stream of charged particles called the solar wind.
Heliophysics Education Community meeting presentation
Presentation | Grades 6-12+ | In this presentation Dr. Samuel Schonfeld of the Air Force Research Laboratory (AFRL) discusses recent modeling efforts and results in heliophysics.
August Monthly Review: ChatGPT In Epic
Death, taxes, another frontier lab healthcare launch inspiring truly insane LinkedIn takes. As much as I want to stay away, I repeatedly am the crewman unplugging his ears whenever we pass these sirens. So it’s not the first and probably not the last time we dial up the typewriter rather than tie ourselves to the mast. The full blow-by-blow timeline: Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe The End of the Standalone PHR (Jan 8): ChatGPT Health arrives for consumers, at the time powered by b.well. I was bullish on the approach in that the best way for the PHR to finally solve distribution was to meet consumers were they already are (i.e. When Horizontal Meets Healthcare (Jan 9): OpenAI for Healthcare puts out the shingle for enterprises, with SharePoint ingestion standing in for the EHR integration the product actually needed. Another One: Anthropic’s Healthcare Debut (Jan 16): Claude's version, on HealthEx rails instead of b.well, with Agent Skills for FHIR development as the one true vertical-specific investment. ChatGPT for Clinicians: The Trap Sprung (Apr 24): OpenAI filled in the missing GTM middle with a free product for verified clinicians, effectively peeling the enterprise wrapper off ChatGPT for Healthcare and taking the PLG fight directly to OpenEvidence. OpenAI’s Second Attempt at Health (Jul 31): a relaunch of their patient specific app, now branded Health in ChatGPT, where the privacy partition came out, the connectors thinned, and b.well disappeared in favor of first-party FHIR work against a smaller network Beyond a Shingle So what was announced now? Today, we’re introducing a new electronic health record integration that brings authorized patient context from Epic into ChatGPT for Healthcare, along with the Healthcare Public Data plugin for direct, structured access to official healthcare datasets like PubMed, DailyMed, and CMS Coverage. Together, these capabilities bring ChatGPT closer to the systems and sources healthcare teams trust, while supporting the controls and compliance healthcare work requires. The core portfolio is unchanged from prior announcements we delineated and discussed (aside from the relaunch of patient-facing). Since trade publications still seem to be confusing them by using the wrong names: Enterprise sales motion: ChatGPT for Healthcare Protecting their core product / PLG: ChatGPT for Clinicians Consumer/patient-facing product: Health in ChatGPT So really, this is a feature release (specifically for ChatGPT for Healthcare when it comes to EHR integration). What’s cool about it, though, is that we are moving beyond just putting out a shingle. Everything in the January enterprise launch was horizontalizable: Horizontal tech companies thus generally start verticalization with their “putting out a shingle phase”. Telling the world you’re open for business as a horizontal tech company reliably attracts early inbound interest from buyers who are already trying to force-fit horizontal tools into domain-specific workflows and are eager for any signal that the vendor intends to support their use case more directly. Nothing was really vertical specific, which is exactly what you'd expect from the ultimate hypergrowth horizontal company dipping their toes into specific industries. But eventually you have to stop changing the sign on the door and start changing the product. Can you guess where the horizontal product was going to run out of road? This is the core dilemma writ large: verticalization requires differentiation, while scale economics of consumer and horizontal push toward unification. I’ve buried the lede so deep here it will be painful to some readers, but what should be shocking to no one is that my perspective is that EHR integration is the only path that meaningfully resolves this tension for ChatGPT for Healthcare. Integration with Microsoft Sharepoint is fine, but it is categorically insufficient for any product that hopes to influence clinical decision-making. SMART Money Well here we are, eight months later! Real vertical investment has begun, which surprised a few people. One friend in the industry messaged me: “Absolutely no way Epic gave ChatGPT API access.” Looking forensically at the announcements, the integration is notably read-only across appointment notes, laboratory results, medications, and specialist documentation. So while I’m not a betting man, I'd wager the house this is a SMART on FHIR launch: That sounds a lot like USCDI! The recommended path for the workflow they outline would be SMART on FHIR Their Health AI lead’s post is evocative of both standalone and EHR launch SMART, which another termed “ChartGPT” and “EHR Plugin” The implementation burden for SMART on FHIR is the lowest of the available integrative paths This is the team who literally did patient-facing SMART on FHIR with Epic last month Most importantly, if you’re a horizontal company, you generally still haven’t taken the full plunge and thus (overly) value reusability. SMART on FHIR is the logical compromise: healthcare-specific enough to matter, but standardized enough to reuse. Nobody Asked Judy Another friend asked “I thought they had to go to each health system, or did they go direct to Epic and now health systems opt in?” Given the trust paradigms in healthcare, this functionally cannot be Epic hoovering up all the data for OpenAI and shoving ChatGPT in their customers’ faces (or they would revolt). However, I do believe the aforementioned terrible coverage by TechCrunch and other outlets is probably responsible for that question, given the 325 million reference. When using FHIR as a business associate to an Epic customer, there is no EHR gatekeeping to speak of, as that isn’t how fhir.epic.com works: You register an app You pick your APIs You test against the sandbox APIs You list as “Ready for Production” Hospitals pick your app You test and go live with them Bluntly, nobody had to say yes or no in Verona (nor were they given the chance). Vendor Services (their next developer tier up that I doubt OpenAI is using quite yet in this initial release) certainly has contractual paperwork that some resent, but even there, the twin pressures of mounting antitrust and information blocking make outright gatekeeping increasingly fraught. My friend’s sentiment is, to me, representative of a broader industry neurosis, perhaps a sort of scar tissue of prior eras: people assume the gate is still there and never actually try the door. There are certainly other ways Epic (and any EHR) can put its thumb on the scale, but they are not so dumb as to stand in front of a federally mandated API and play bouncer at this exact moment in time. So I think they can and probably should go deeper, as this release is at best parity and at worst behind vertical-specific competition. OpenEvidence did a basic SMART launch with Sutter Health in February, allowing for more convenient evidence search by providers. They then add patient-context (the equivalent SMART on FHIR flow to what we see here) when Cedars-Sinai went enterprise-wide in May. UpToDate has four distinct applications across deeper workflows like patient engagement listed in Epic Showroom and announced a partnership with Epic to power Art at UGM Abridge and other ambient scribes have invested deeply into the deepest bidirectional clinical copilot workflow with integrations well beyond SMART on FHIR. In that light, the “Who is OpenAI primarily targeting here?” is clear. This release brings them into striking distance of OpenEvidence, but not the others quite yet. They are the only one of the three you can reach without building something truly Epic-specific. When will they go further? Competition is a great motivator to overcome the horizontal demons and start building things that can’t be reused: not across industries, not across EHRs, maybe not past the customer you built them for. That’s the price of actually verticalizing. The question is if and when OpenAI will be willing to pay it. Month in Review Here is the monthly review. As a reminder, this is a regular round-up of the month’s posts and other content to surface things you may have missed across regulation, litigation, interoperability, and beyond. AI assistance is used in these bullet summaries so I can focus on articles. Articles Published: None this month Video Content: The Information Exchange: Standards-based Thruple Edition (Aug 14): Back to school for us too, with Brad reporting in from the CMS Health Tech Ecosystem’s one year anniversary in DC. We get into the January CMS-0057 deadline, the fall rulemaking reading list, and why enrollment still keeps most apps off FHIR. The Information Exchange: Epic Dúnadan Edition (Aug 25): A UGM roundup with Ryan Brickner joining for the first time to check our takes against what the building actually thinks. Rangers, Ergo sitting on top of EHI, and a down-market lineup that needs some cuts. Regulatory: Stacked Deck, Bad Hand (Aug 05): ONC’s website refresh took the entire HIT Policy Committee record with it, so I rebuilt the archive and went looking for the regulatory capture story everyone assumes is buried in there. Stacking the deck and winning the hand turn out to be very different things. The Sixth Generation of Patient Access (Aug 19): A quick catalog of the five generations of patient access we’ve layered on since HIPAA, and the two candidates now competing to be the sixth. One is planned. The other is the market routing around the plan entirely. Court cases: Three Cases Walk Into a Docket (Aug 06): Two surprise settlements cleared the board in a single week, and then Judge Maddox dropped ninety-four pages on Vyne v. Henry Schein. The sleeper is a DMCA holding that makes direct-to-database a considerably riskier business model. Epic v. Health Gorilla: Into the MDL (Aug 10): Nine class actions are headed to Miami, and the Panel signaled it wants to bring the case that spawned them along too. That would leave Epic arguing the requests were obviously fraudulent in one courtroom and unknowable in the other. Amazon v. Perplexity: Agents Are Legalized! (Aug 11): The Ninth Circuit vacated the injunction against Comet, holding that the user is the one accessing the servers rather than the company that built the agent. A real win for agentic access, and a much narrower one than the headline suggests. Veeva v. Epic: Come At Me, Bro (Aug 26): Epic’s response brief wants the dismissal affirmed and, unusually, wants the opinion published as precedent. Buried in it is Epic’s own description of what its non-competes actually prohibit, which current and former employees should read closely. EHRs: The Contract Epic Would Never Sign Today (Aug 04): A 1999 SEC exhibit catches Epic licensing nearly its entire product line, Tapestry included, to the company that became TriZetto. The marketing services menu attached to it is the part that will make you blink. Forecast from Verona (Aug 07): The Epic Almanac makes one argument six different ways: the AI is only as good as the networks behind it. Emmie headlines, Art’s context stack is the most ambitious part, and Penny finally gets an autonomous coding date on the calendar. Works With Epic MyChart (Aug 17): Epic’s first new Showroom category since the death of Workshop certifies hardware instead of software, badge on the box and all. Made for iPhone, but for blood pressure cuffs, and rough news for anyone selling the RPM stack sitting in between. UGM Hot Takes 2026 (Aug 20): Everyone else covered the AI announcements, so I went after Savvy deleting the payment gateway, Rangers as Boost with the timer removed, and a down-market lineup with too many entries. Plus the Health Grid tidbits I cannot help myself on. MyChart Central Grows Up (Aug 24): Device data and Emmie turn Epic’s identity hub into a full consumer platform, which is both a logical answer to ChatGPT and a bit of a mistake. It also happens to be the best scraping target Epic has ever shipped. Industry Analysis: The Wrong Yardstick (Aug 12): Vertical software keeps getting judged against Superhuman and Notion, which is the wrong bar entirely. Your user is comparing your product to a whiteboard and forty phone calls before lunch. Primitives vs. Abstractions (Aug 27): Developers want building blocks, systems of record prefer to hand out business logic, and both sides have a real case. There’s no test from the outside that separates the engineering reason from the competitive one, which is why this keeps ending up in court. Cross-industry Comparisons: The Two Kinds of Platform Power (Aug 18): Attention power and record power are different problems that keep getting handed the same regulatory toolkit. Congress’s latest swing at Big Tech shows both what’s possible and where it falls apart. The Dogs of (Platform) War (Aug 21): A CourtListener alert turned up a property management fight with healthcare’s exact shape and none of the Cures Act. Shell prospects, ghost accounts, a notetaker bot that came back to haunt someone, and a lawyer arguing both sides of the same theory in two states. Fractals All the Way Down (Aug 31): Yardi dominates property management right up until you zoom into one segment, where AppFolio owns it outright and Yardi doesn’t appear at all. Where you draw the line around a B2B software market is about to decide an awful lot of cases. Other News: If Judy Had the Courage (Aug 13): A short eulogy for the era when software was allowed to look insane: WinAMP, bold colors, and everything the grey chatbot era has taken from us. External Media: Portland Monthly Health Tech Meetup: Erin O’Brien channeled my own feelings - maybe it’s just because it’s August and beautiful, but the monthly edition of the PDX Health community meetup was a ripper. Make sure to reach out if interested to join for the next one. STAT’s Coverage of Epic This Month: Brittany Trang of STAT did a fantastic job of breaking the FTC investigation that’s been lurking, as well as UGM related coverage, so I had to give her her wish of a meme. Fall Conferences: I’m pumped to be kicking off my fall conference season in NYC at Nabla Accelerate next month, which Chrissy provided the link to apply for. Here’s the rest of my schedule in case you want to meet up: Commonwell (Redwood Shores, CA): Oct 13-14 Open@Epic (Madison, WI): Oct 21-22 eHealthExchange (Austin, TX): Oct 27 Sequoia Project (Austin, TX): Oct 28-29 HLTH (Vegas): Nov 15-18 RSNA (Chicago): Nov 29-Dec 3 Posts I Liked: HTI-6 Should Unbundle API Certification: Josh Mandel makes the case that HTI-6 should split (g)(10) into separate authorization and data certifications, so a PACS or a genomics platform can certify only the role it actually performs. Imaging is the urgent example, but the structure solves a much bigger problem. On implementing ePrior Auth with Epic: Scott Rossignol’s field notes from a live ePrior Auth build on Epic, including the two app registrations nobody warns you about and the CPT mapping problem waiting at the end. CMS-0057 implementations are going to be such a beast. Healthcare point solutions are starting to look a lot like streaming services: Spencer Dorn runs the cable-to-streaming arc against health IT and lands squarely on the bundling half of the cycle. Bundling can be good! It can also be bad! Life is nuanced. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
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