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Digging Into the Money Behind the US Healthcare System
Healthcare makes up a growing share of the U.S. economy — and household budgets. We break down how much money the nation is spending and on what.
Parkview Health keeps securing more partnerships
The Indiana health system reached another hospital affiliation agreement with Goshen Health and is planning to acquire Ovation Healthcare.
Smart people react to a growing wave of threats to the internet
Execs and analysts are warning that major cybersecurity threats could leave critical systems — from energy and water to healthcare — especially exposed.
OSF HealthCare encourages improving your health literacy
Dr. Dennis Cunningham says health literacy is all about getting people engaged in their care and treating them as a partner with their health team.
Former Vice President Harris joins campaign trail to hear rural healthcare concerns
Former Vice President Kamala Harris joined U.S. Senate candidate Scott Colom and Mississippi health care providers in Clarksdale to hear how limited access to care is affecting rural families.
'This money is a band-aid': Hospital leaders unhappy with rural healthcare fund uses
Laura Gamble, CEO of Pender Community Health, received federal grants for updates to her hospital. She's happy, but says there needs to be a plan for the future.
Arizona healthcare job growth faces staffing challenges
Health care drives much of Arizona’s job growth, but employers struggle to find workers. Training limits and funding pressures could shape how much the industry can expand.
Maine Department of Health and Human Services will hold public hearing on Prime Healthcare
Democratic Representative Julie McCabe requested the public hearing. She represents Lewiston, home to Central Maine Healthcare's flagship hospital.
New Mexico US Rep. Stansbury touts state’s universal healthcare push during Albuquerque visit
Rep. Liz Thomson (D-Albuquerque) said the next session will feature some form of legislation marking early steps to universal coverage.
Department of Health and Human Services and the Justice Department’s Civil Division Announce Anti-Fraud Healthcare Self-Disclosure Pilot Program
HHS launched a six-month Healthcare False Claims Act Self-Disclosure Pilot Program for healthcare companies
Baylor Scott & White Health and Thrive Global partner to enhance customer well-being
Baylor Scott & White Health and Thrive Global today announce a strategic collaboration aimed at helping customers better manage their well-being every day.
As AI transforms patient experience, clinicians see changes too
Panelists at the HIMSS AI in Healthcare Forum explored both sides of a new paradigm where artificial intelligence tools have the potential to both streamline and complexify care delivery, depending who's using them and how.
The 2026 election could reshape healthcare
Why everyone who cares about healthcare reform should vote in the midterms.
Cost of employer-sponsored health insurance plans rises again, nonpartisan survey finds
The price health insurance companies charge for employer-sponsored plans increased again this year, as did the deductible many people must pay before those plans begin covering most healthcare costs, according to a survey released Thursday by the nonpartisan health organization KFF.
P2 Physio Founder Luis Ferrer Joins Vanessa Certain for Pinecrest Business Spotlight
Getting your Trinity Audio player ready... Luis Ferrer, MPT, CSCS, Founder & CEO of P2 Physio, is the featured guest in this Pinecrest Business Association interview hosted by Vanessa Certain, Owner of VEC Development. Ferrer’s professional background spans physical therapy, strength and conditioning, and healthcare leadership. He earned his master’s degree in physical therapy from […]
How both Texas parties have shifted their political ad messaging
Democrats have moved from healthcare to taxes and corruption, while Republicans have ramped up ad spending on property taxes, crime and transgender issues, an analysis of AdImpact data shows.
Pennsylvania Department of Health issues measles alert for pregnant women
The Pennsylvania Department of Health has issued an alert giving healthcare providers guidance for caring for pregnant patients.
Help is available: Resources available for youth mental, behavioral health
Seattle Children’s Hospital recently reported that they are currently experiencing high demand for youth mental and behavioral healthcare in their emergency departments. If you or a young person you know is experiencing an immediate crisis: In addition, here are some resources for youth mental or behavioral healthcare funded by the Seattle Human Services Department (HSD) […]
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.
Medicaid work rules lift Molina Healthcare’s pay, CEO says
Molina Healthcare says six states are boosting the Medicaid insurers pay next year in part because of work requirements and more frequent eligibility checks.
Annual Health Fair for the Homeless Friday, October 23
Franklin Primary Health Center is holding their Annual Health Fair for the Homeless Friday, October 23, from 10:00 a.m. to 2:00 p.m. at Springhill Recreation
UA-PTC lands $3 million healthcare workforce training grant
The University of Arkansas – Pulaski Technical College (UA-PTC) has been awarded a five-year grant of nearly $3 million to boost the healthcare workforce. The $2,997,621 Strengthening Institutions Program (SIP)...
Exploring Careers in Health Institute Inspires Nevada County Students to Pursue Futures in Healthcare
Nevada County high schoolers gained hands-on hospital, nursing lab, and EMS experience during a 4-day healthcare career institute hosted by NCSOS and local partners.
Call for Abstracts — 2027 Petrie-Flom Center Annual Conference: Generative AI in Healthcare: Law & Regulation - Petrie-Flom Center
The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School is pleased to announce our 2027 Annual Conference, Generative AI in Healthcare: Law and Regulation. Generative AI –- artificial intelligence designed to produce output, such as text or images, that normally require human intelligence — has become a…
Sheba sells ARC innovation arm to Redesign Health in deal valued at tens of millions of dollars
The deal transfers management of ARC’s global network and the rights to establish new hospital innovation centers to the U.S. healthcare venture builder, while Sheba retains its stakes in portfolio companies.
Lawmakers eye micro-hospitals as part of New Jersey's healthcare future
A new bill would allow NJ hospitals to create micro-hospitals, smaller facilities with lower costs that are a growing trend nationwide.
National bus tour brings healthcare affordability fight to Michigan
A new poll from the health policy research organization KFF found more than six in 10 Americans are worried about affording healthcare. The issue took center stage in Kalamazoo this week as the advocacy group Protect Our Care brought its national "Sick of It! Fix Health Care Now" bus tour to the city.
Istios Health Expands Clinical Research Network into Texas Through Kidney Care Associates Partnership
Partnership strengthens Istios’s growing nephrology research network and expands community-based research capabilities across cardiovascular, kidney, and metabolic diseasesPHOENIX, Oct. 22, 2026 (GLOBE NEWSWIRE) -- Istios Health, a healthcare technology and clinical research company, today announced a partnership with Kidney Care Associates, marking its expansion into Texas and strengthening its national network for cardiovascular-kidney-metabolic (CKM) disease research. The partnership builds o
Why health systems, payers back a PACE-like program for kids
Some health systems are investing in pediatric day centers in a bid to keep medically complex children out of the hospital and lower costs.
State allocates $32M in ongoing effort to boost healthcare workforce
The funding is part of a broader state effort to increase staff recruitment and retention in healthcare facilities.
Job-Based Health Plan Costs Rise, With Little Relief in Sight
Employers saw their healthcare premiums rise 5% this year — and some passed on that burden to workers — as the cost of family coverage in job-based insurance exceeds $28,000 for family plans.
How employers are offsetting soaring medical costs
Employers are raising premiums and deductibles while resisting broader GLP-1 coverage, reflecting ongoing pressure from high healthcare costs.
Workers are paying 9% more for family health coverage this year, a higher jump than in the recent past
A KFF survey finds that rising healthcare costs are squeezing both employers and workers.
New unit aims to fill gaps in mental health care for NC youth in juvenile detention
The 10-bed unit will provide intensive treatment to young people with acute behavioral health needs who struggle to find placement in other facilities.
Spokane care providers work to protect services
Despite recent staffing and service reductions across Spokane's healthcare sector, some providers here expect to maintain their workforces and offerings, even as they face rising expenses, growing patient demand, and difficulties with Medicaid compensation.
Spokane care providers work to protect services
Despite recent staffing and service reductions across Spokane's healthcare sector, some providers here expect to maintain their workforces and offerings, even as they face rising expenses, growing patient demand, and difficulties with Medicaid compensation.
BROWARD HEALTH MOBILIZES MORE THAN 500 WALKERS FOR BREAST CANCER AWARENESS - Florida Hospital News and Healthcare Report
The Broward Health team at the 2026 Making Strides Against Breast Cancer walk. October 21, 2026- Broward Health recently rallied 523 employees, friends and family members for the 2026 American […]
6 Pine Belt programs to receive funding to improve state’s rural healthcare, Gov. Reeves says
This year’s awards total $32,606,496.32.
Healthcare, small business advocates urge reversing healthcare cuts, boost Democrats
Healthcare and small business advocates crossed Wisconsin Wednesday to call on the federal government to reverse policies they said were thwarting healthcare access and support Democrats running for C...
Healthcare, small business advocates urge reversing healthcare cuts, boost Democrats
Advocates called on Congress to restore Medicaid and Affordable Care Act insurance premium subsidies and criticized Republicans.
Healthcare, small business advocates urge reversing healthcare cuts, boost Democrats
Advocates called on Congress to restore Medicaid and Affordable Care Act insurance premium subsidies and criticized Republicans.
Reeves awards $32 million in federal funds to develop healthcare workforce and psychiatric services
Gov. Tate Reeves on Wednesday awarded $32 million for healthcare workforce development and psychiatric emergency services as a part of a federal program to improve rural healthcare.
INTEGRIS Health joins Risant Health to improve healthcare in Oklahoma
INTEGRIS Health announced it will join Risant Health, a nonprofit created by Kaiser Permanente, to enhance affordable and accessible healthcare while maintaining its name and staff.
Batesville’s White River Health dropping UnitedHealthcare Medicare Advantage
White River Health will end its relationship with UnitedHealthcare Medicare Advantage on Jan. 1, 2027, due to frequent claim denials and administrative hurdles.
City of Knoxville, KCDC cut ribbon on mixed-use housing with health clinic and arts center
Knoxville’s Community Development Corporation cut the ribbon Wednesday on The Gallery at Beaumont, the second phase of Transforming Western with 52 mixed-income apartments plus on-site healthcare and arts space.
Health and Welfare director to resign by the end of 2026
The change comes as the department scrambles to distribute $186 million in federal rural healthcare grants — money that could have far-reaching implications for higher education and K-12.
CT to make healthcare subsidy available to childcare workers
Eligible childcare workers can receive money annually toward insurance premiums for Access Health CT plans.
White River Health leaving UnitedHealthcare Medicare Advantage network in 2027
White River Health announced Wednesday that its hospitals and facility-based services will leave the UnitedHealthcare Medicare Advantage network effective Jan. 1, 2027.
CentraCare healthcare system to acquire Stellis Health in merger of central Minnesota providers
The two organizations already have a history of collaboration, including at CentraCare-Monticello hospital, where Stellis physicians provide care. The move comes as Minnesota’s healthcare systems face increasing financial pressures.
In Annual State of the University Address, President Davis Highlights Position of Strength and Future Plans in Healthcare, Research and Undergraduate Education
President Jim Davis shared a bold and confident vision for the future of The University of Texas at Austin during his annual State of the University
Risant Health to acquire Integris Health
Integris would join Geisinger Health and Cone Health in Risant's portfolio.
This Breast Cancer Awareness Month, make your health a priority....
This Breast Cancer Awareness Month, make your health a priority. Regular mammograms can help detect breast cancer early, even before symptoms appear. Talk to your healthcare provider to schedule...
FSU study finds healthcare provider photos in waiting rooms can strengthen patient trust
A new Florida State University study finds that adding healthcare providers' photographs to clinic welcome signs can strengthen certain aspects of patient
University of Utah Health Recognized for Digital Health Achievement as 2026 Digital Health Most Wired Survey Recipient
University of Utah Health earned Level 10 recognition in CHIME’s 2026 Digital Health Most Wired Survey for advancing digitally enabled care.
Rural hospital independence depends on making technology count
At Nemaha County Hospital, careful IT spending, faster revenue processes and expanded access to care are central to staying viable without joining a larger health system.
Health Foundation of South Florida Opens Nominations for 2027 Inspiring Women of Health Awards - Florida Hospital News and Healthcare Report
Health Foundation of South Florida’s 2026 Inspiring Women of Health honorees and board members The Foundation celebrates seven years of honoring exceptional women advancing health equity in Broward, Miami-Dade, and […]
HCA Healthcare to Host Eighth Annual “Crush the Crisis” National Prescription Drug Take Back Day - Florida Hospital News and Healthcare Report
October 21, 2026 – HCA Healthcare, Inc. (NYSE:HCA), one of the nation’s leading healthcare providers, today announced it will host its eighth annual “Crush the Crisis” national prescription drug take […]
UNC Health CEO Dr. Cristy Page Receives National Leadership Award
Page is recognized for expanding access to care, growing rural residency programs and advancing health system transformation across North Carolina.
Elevance raises full-year guidance on lower medical costs
Elevance spent less premium revenue on medical care in the quarter than Wall Street anticipated.
Sarah Talebagha, M.D., Joins Baptist Health Heart & Vascular Care - Florida Hospital News and Healthcare Report
October 19, 2026 – Vascular surgeon Sarah Talebagha, M.D., has joined Baptist Health Miami Cardiac & Vascular Institute, part of Baptist Health Heart & Vascular Care. Dr. Talebagha specializes in […]
Longitude Health Appoints Chris Shea as Chief Legal and Administrative Officer
/PRNewswire/ -- Longitude Health, a health system-led company focused on advancing healthcare innovation, announced that Chris Shea has joined as Chief Legal...
Handy Youth Develop Smart Fidget Device to Support Mental Health Awareness, Win National Innovation Award - Florida Hospital News and Healthcare Report
Handy Fidgibeat team South Florida teens develop Fidgibeat, a prototype that combines fidgeting with real-time heart rate and usage tracking to help inform conversations about stress and emotional well-being October […]
Insured patients struggle to schedule mental healthcare, study shows
Patients with commercial insurance still struggle to access mental healthcare, according to new data from five state including New Jersey.
Why big insurers are investing in shared provider data
Health insurance partnerships and ventures aim to clean up messy provider directories.
Wisconsin’s seasonal migrant workers lack access to healthcare — until a mobile clinic pulls up to the farm
Thousands of Wisconsin’s migrant seasonal workers face barriers to getting basic healthcare. A Wautoma-based charity is helping fill that gap by taking its mobile clinic to farm fields, providing low-cost primary care medicine to workers mostly from Mexico.
What new insurer entrants think they can do differently
New insurer entrants are promising lower costs and closer care coordination, but analysts warn becoming a health plan remains one of healthcare’s toughest plays.
From Trauma to Hope: Supporting Mental Health in Ukraine
As the war in Ukraine continues, access to mental health care remains critical for people living with the psychological effects of the conflict, including the healthcare workers serving affected co…
Organizations look to consultants for help with tax law
A Modern Healthcare survey found demand for healthcare-related consulting services has increased compared with a year ago.
Rural Health Transformation implementation begins; Here’s what the money will do
Gov. Patrick Morrisey announced the first allocations of the Rural Health Transformation Program Awards, totaling nearly $2.4 million, on Sept. 4, 2026, to fund worksite clinics and employer-based healthcare services across West Virginia.
2026 Health Care Congressional Voter Guide
At NC Health News, we care about you and your family’s health and we think our elected officials should too. We started in September to reach out to all of North Carolina’s Congressional candidates asking them to answer a series of questions about health care issues that you care about: Social Security, Medicare and Medicaid, […]
Duke Endowment makes big investment in NC Children’s hospital
By Anne Blythe Key Takeaways: On a heavily wooded tract near the intersection of U.S. 1 and N.C. 540 — a 220-acre spot in southern Apex so void of infrastructure it shows up only as GPS coordinates on a map, the Duke Endowment announced a transformative $100 million grant Tuesday morning. The investment will help […]
Billionaire Mark Cuban’s 5-step plan to make healthcare affordable targets drug middlemen’s ‘contractual terrorism’
The Cost Plus Drugs cofounder told Texas lawmakers that insured patients are often better off paying cash—and laid out five fixes built around price transparency.
Villegas, advocates slam Valadao voting record at Bakersfield health care roundtable
Healthcare affordability and reproductive rights took center stage at a roundtable in Bakersfield on Tuesday, as Democratic congressional candidate Randy Villeg
Lamont praises UConn health purchase of Waterbury Hospital, Fazio says ‘Nothing was done about it’
WATERBURY, Conn. (WTNH) — On the doorstep of Waterbury Hospital, Gov. Ned Lamont and a set of local political allies hailed UConn Health’s purchase of the Brass City’s largest healthcar…
Twin County Regional Healthcare responding to increased volume of patients related to community incident Tuesday night
Twin County Regional Healthcare announced on its Facebook page Tuesday evening that it is currently responding to an increased volume of patients related to what it called a “community incident”.
Hospitals: Federal changes will worsen Minnesota healthcare crisis
Minnesota hospitals had a record high of over 2 million emergency department visits in 2024. That year, more than a quarter of hospitals lost money on operations. The Minnesota Hospital Association painted a bleak picture of Minnesota healthcare Tuesday in a new report titled “A Statewide Crisis of Care.” The hospitals are gearing up for […]
Healthcare and Life Sciences Leaders Build on NVIDIA to Advance Drug Discovery and Expand Patient Care
NVIDIA today announced collaborations with leading global healthcare and research organizations to advance protein design — including through a newly released open model, RFD4-Proteina — accelerate drug discovery and bring greater precision to cancer care.
Three Valley healthcare organizations earn Newsweek honors
Three Valley healthcare organizations earned national workplace honors from Newsweek, including four awards for FHCN.
Woodside Health adds Phoenix-area medical office building to its portfolio
Healthcare real estate firm purchases Grand Professional Plaza in Surprise, Arizona
Google.org awards $36m to 17 AI science teams | ETIH EdTech News
ETIH edtech news covers Google.org's $36 million commitment to 17 AI for Science projects, including research at the University of Cambridge and MIT. The selected organizations will advance work across climate, clean energy and healthcare, with optional access to Google's six-month accelerator.
Healthcare on the trail in Arizona
The signature Republican reconciliation bill is playing a starring role in Arizona Democratic messaging two weeks out from the midterms.
14 Organizations Earn CHIME's Highest Digital Health Most Wired Designation for 2026
/PRNewswire/ -- The College of Healthcare Information Management Executives (CHIME), the leading professional organization for digital health leaders, today...
WATCH LIVE: Trump holds GOP midterm rally in North Carolina
Early voting got underway in North Carolina last week, a key state in Democrats' efforts to retake control of Congress.
TTUHSC School of Nursing Expands Access to Maternal and Child Healthcare in Lubbock
The Texas Tech University Health Sciences Center (TTUHSC) School of Nursing celebrated the opening of Grand Expectations Health Center with a ribbon-cutting ceremony and open house today.
Hartford HealthCare doctor explains how a misdiagnosis happens
NEW HAVEN, Conn. (WTNH) — Actress Christina Applegate says she was misdiagnosed with multiple sclerosis (MS), which has put her “back at square one” after originally being diagnos…
Kalamazoo commission opposes health board ballot measure
KALAMAZOO, Mich. (WOOD) — Kalamazoo city commissioners are telling voters to be wary of a ballot proposal that would create a citizen-led healthcare advisory board. The commissioners voted unanimo…
Groundbreaking to expand healthcare options in Folsom
Golden shovels and a lighted Folsom sign highlighted the ceremonial groundbreaking of a new comprehensive care center under construction in Folsom.
Meeting Big Challenges with Big Ideas, Health Centers Pitch ‘Y Combinator-Style’ Solutions for Local Healthcare
With challenges looming like Medicaid cuts, workforce shortages, and resource gaps, health centers across the United States are being asked to do more with less, and it would be easy to picture a g…
Sundar Pichai: Google’s Frontier Imperative, Compute Scarcity Dilemmas, Future AI Products and Businesses
Alphabet CEO Sundar Pichai has little patience for doubts about Google’s willingness or capacity to compete at the frontier of AI. His company’s latest Gemini 4 Argon model — long-promised and recently delivered — beats OpenAI and Anthropic’s latest public models on coding, math, science, and knowledge-work benchmarks and has placed Google’s AI back among the world’s best. Amid chatter that Google was fine with good-enough lightweight ‘Flash’ models, Pichai pushed back hard against any suggestion that company is limiting its research ambitions. “We won’t do it any other way,” he told me in a Big Technology Podcast interview recorded this week at Google’s Mountain View headquarters. Pursuing cutting-edge research is costly for Google, requiring compute and chips that otherwise could be sold at a high markup by its cloud business. But Pichai said allocating resources to frontier AI development is “ground zero” for Google. “Our cloud business is at any given moment in time forgoing short-term revenues because we are making compute trade-offs to support frontier AI development,” Pichai told me. In our conversation, we discussed Argon (which Pichai says processed three times as many tokens as Gemini 3 in the 72 hours after launch), AI’s role in developing better models, the AI interface of the future, competition with OpenAI, Google’s partnerships with Anthropic and Apple, data centers in space, and the nature of his optimism. You can read the full conversation, lightly edited for length and clarity, below, or listen to it on Apple Podcasts, Spotify, YouTube, or your podcast app of choice. Alex Kantrowitz: Google is back at the frontier with Gemini 4 Argon, which beats OpenAI’s and Anthropic’s public models on benchmarks spanning coding, math, science, and knowledge work. The conventional wisdom was that Google had given up on the frontier to focus on fast, good-enough models for its products. That was wrong? Sundar Pichai: Very wrong. Look, we are so committed to being at the frontier. It’s in our DNA. We won’t do it any other way. We’ve been thinking about the AI frontier for well over a decade now. The frontier is very dynamic. It’s very competitive. It’s very exciting. I couldn’t be more pleased with how Argon has come together. We took our time with it. We made sure we tested it safely and deployed it carefully. We took a bit longer than our other models, given its capabilities. Across the board, be it for agentic work, knowledge work, coding, creative tasks, Argon is one of the really good frontier models. The first 72 hours since we launched, it’s almost up to 25 trillion tokens used, which is about three times what Gemini 3.0 had in the first 72 hours. And we are capacity constrained as we are serving it. Excited, but there are always areas….. You know, the frontier is very dynamic, and you have to keep evolving the models. There are areas which we can see we need to improve as well. We’ll be at work on all of that as well. Which areas? On any given model, Argon would be across the board better at everything if you just look even two months back. But the space is so evolving. Even on coding, for example, there are pockets where we know we need to do better, and there’s clear feedback. We’ll make it better. The argument for standard models is that they’re already good enough to build great products, with the frontier valuable only for certain tasks. Meta built Muse with good models rather than the best, and Google could put standard models into Maps, Gmail, and Search. Why isn’t that sufficient? It’s definitely not how I have thought about it at all. We are deeply committed to driving the state of the art and actually pushing where this technology can go, all the way from transformers. That’s a journey we’ve been on. You will see us continue to do that. When you’re at the frontier, you get an earlier look into the emerging capabilities, earlier than others, which helps you better prepare for the future. We are fortunate to have a wide set of opportunities across consumer and enterprise. Some of our cloud customers, for sure, want the model at the frontier. The frontier models will be better at developing the next set of models in an era of recursive self-improvement. I would argue it matters there. Internally, we have definitely seen a steep point of inflection by deploying Argon to our developers. It definitely tackles problems which our previous models could not do. Being at the frontier puts you at the innovation frontier and helps you drive that as well. There is room for models of all sizes and capabilities. That’s why we did Flash, Flash-Lite, etc. I agree with you that you can develop very good product experiences with not necessarily the most frontier model, because they tend to be slower and more expensive too. But we care about the Pareto frontier, and we’re committed to doing all of that. You said developing frontier models gives you a look at what’s coming. What do you see on the horizon? What makes this moment so exciting is you build something which you think is a culmination of months of work, and you put it out. You already see clear headroom ahead. We’ve all been working on these agentic, long-horizon capabilities, but clearly the frontier is going to have multiple of these agents working together to do things. That’s an example of an exciting paradigm underway. It’s also clear to me that users, both in consumer and enterprise, will have access to some multi-agent framework for them, working all the time doing things. It feels like a moment of infinite possibilities. Sergey Brin said one of Argon’s core innovations was relying more on the model to help develop the model. Yet incidents involving OpenAI’s bots breaking containment and Google’s bots accessing a site they shouldn’t have suggest these systems still aren’t perfectly aligned. Isn’t there reasonable cause for concern about accelerating toward recursive self-improvement? There are three parts to your question. Let’s first talk about RSI itself. You’re right, Sergey mentioned RSI being a critical contributor as we are developing Argon. But to be very clear, today, in a continuum, we are pretty far from the end state of RSI or something like that. The right way to describe it is you have RSI loops along with AI researchers in various aspects of model development. You almost have agents helping AI researchers in some automated way work together to build these models. It’s good to at least understand where we are today, and it’s super exciting. I expect that continuum to keep making progress as we go into next year. The second question is around safety. Security comes from defense in depth. You’re talking about alignment, obviously. We all are doing a lot of work to make sure the models are as aligned as possible. But it’s an active area of research, and there are clear gaps. That’s not the only thing we rely on. You have the work you do on alignment, but beyond that, we put a lot of effort into real-time monitoring as these models are working. Making sure you have good telemetry into what’s happening so that you can intervene in real time if you see unexpected behaviors. How you do that, the architecture with which you do that, how you make sure it’s all sandboxed and isolated in a way that it can continue doing its job during real-time monitoring — these are all areas of investment. Obviously, when we deploy these models, giving customers, enterprises, control, both with real-time monitoring, but their ability to decide where they deploy, what type of data which models ever have access to, etc. All that work is very, very important, and we are doing a lot of that. As an industry, we need to constantly up our game and take the time to do all this stuff, including dedicating the compute required to make sure you can safely deploy these models. The third part is: Is it all enough? This is why there are a lot of conversations in the industry, and I think it’s reasonable to be worried. The right way to approach something you worry about is early on thinking about what more we can do. As an industry, you’re definitely seeing increased levels of work on alignment, testing for safety, etc., as we deploy these models. The next step would be developing better standards so there are cross-industry standards of how we do these things, including the ability to evaluate using independent evaluators. If you look at areas like financial controls, we have accounting standards, we have independent auditors. Those are all the next natural steps for us as an industry to work toward, and regulation will end up playing a role as we go through all of that as well. Google pursues both language models and world models, while some other AI companies like OpenAI have focused more heavily on LLMs as the path to AGI. Why is world-model research important to you? As humans, you obviously perceive the world around you, and you’re taking all those inputs. Making sure these models are able to understand the laws of physics, simulate the world in high fidelity. All that, I think, are key enabling blocks for intelligence. We are working across all possible applications of this. Take an area like robotics. It’s not an accident: If you look at embodied reasoning benchmarks, Argon is state of the art. That all comes from our experience building world models. Inherently, I would expect there will be architectures which will converge all of this in the future. But for us, we view this as, today, this jagged frontier that is intelligence. We want to be at the frontier of all the possible approaches, and that will help us both drive better research, better insights, and develop a much better AGI model, is how we think about it. Some people argue Google should focus on selling its computing resources rather than using them for AI research. Cloud wants to sell compute at a high markup, while researchers need a very big computer to build the best models. How do you balance those demands? Ground zero for us is making sure we are investing in the compute that’s needed to be at the AI frontier. In 2015, I set the company to be AI-first. AI is that key horizontal ingredient across everything we do, all the way from Search to Cloud to Waymo. That is ground zero for us, making sure both for research and developing the models that we have enough compute needed. Beyond that, we have these independent businesses which each have their own long-range plans. They’re using those long-range plans to project forward, and we plan for compute for all of them. The cloud team, they have a business and they have a projection and they have demand signals. They have committed contracts. With that help, we can plan on a long-term compute trajectory for them. We’re fortunate to have this wide set of opportunities. There’s no company in the world which isn’t making trade-offs at any given moment in time. But the first principles we operate on is making sure we have enough compute to invest in the frontier, and that’s non-negotiable, and everything else works on top. Remember, we are building our own compute, our own data centers. There are long lead times. The compute we have today is a function of decisions I made in 2024. Even if you think back to a year from today, last year the agentic coding takeoff hadn’t happened. Today, obviously, when you sit and look at anything, everyone is short—not just us, other companies—and everyone wishes you had two times what you had planned for. That comes with the territory. At any given moment in time, we are planning for what we would need two to three years out in the future. You’re going to find some decisions you make may look suboptimal two years out, depending on where the state of the art is. I don’t spend too much time thinking about it. The way I think about compute allocation is making sure Google DeepMind, both for research and frontier model development, is cutting edge in terms of compute access. After that, we plan for all our businesses. It’s great we can provide our compute to other people too, like we have done. It allows us to scale that up, get real tests for it in the widest application set possible, test it in the real world, and make sure we are at the cutting edge of technology at every layer of our AI stack as well. Ben Horowitz relayed on a podcast that Andy Jassy had said compute was sold out until 2028. Are you seeing the same thing? If today a customer is coming out and asking us for compute in ’27, that is incredibly difficult to do. Even last year we went out and leased some short-term compute to accommodate some customers and help them out. But yes, we are all dealing with similar timelines. Every major technology shift seems to involve overbuilding, from railroads to fiber. Do you think that’s happening here? It depends on the time frames you’re looking at. This level of build, if I take a long enough time frame, it makes complete sense to me. We are at early stages of the most consequential technology ever, and this is not like fiber. It’s not dark. We are using it. We are capacity constrained on a daily basis. The applications, the underlying technology is improving rapidly. But running a company, the way I work through the moment is you look at your demand signals. You look at your committed revenue opportunities that you’re getting in the form of contracts. You balance that with the underlying technical capability, or internally you balance how we are using it internally, the model trajectories. Based on all that, you take a disciplined approach—a confident, aggressive, but disciplined approach—to plan out compute. But when you talk about the broader economy as a whole, you’re having people operate with various levels of risk. I focus on what I can control as a company and plan through it. If your question is, can there be an overbuild? Yes, because you can have some constrained components. Remember, what matters is a set of everything you need to build out that compute. Memory, electricity, electricians…. Land. Like 2,000 components or more. You could get constrained at some point. There could be things which cause bottlenecks, and then you could have overbuilds. There could be external shocks to the economy. There are macro risks. All that is possible at any given time. But am I confident that the compute we are planning for, we will have uses for it given enough time? Absolutely, yes. I was in the room when you said AI would be as profound as fire and electricity. If you believe that, shouldn’t you give researchers the biggest possible computer, even at the expense of today’s cloud profits? We’re all doing some form of that. Our cloud business is at any given moment in time forgoing short-term revenues because we are making compute trade-offs to support frontier AI development. What you’re seeing is true already. But you want to be thoughtful. Even our AI researchers have some constraints, which are also good. That’s what inspires creativity. That’s what helps you come up with a more efficient algorithmic breakthrough, maybe to use less memory. What we are committed to is to invest what’s needed to stay at the frontier. OpenAI President Greg Brockman told me a few months ago that the ideal AI product might have no interface at all—just as natural as conversation. What do you think the interface looks like in the age of AI? Computing historically has been humans adapting to computing. With AI, it’ll be the other way around. The technology will adapt seamlessly to how humans live and go about their day-to-day life. You want to be able to speak to that AI when you want to. It has context. It can be persistently running somewhere, give you continuity. You’re not dealing with a lot of complexity. It’s natural. All that makes sense to me. That doesn’t mean it won’t have any interface, however. Nowadays, even on my phone, Gemini voice models are so good. I can just press the microphone button. I can just ramble. That’s why we call it Rambler. I can ramble. It intelligently corrects with my personal context. Even my friends’ names, weird names, it gets it right, even if it first guesses it wrong. It’s amazing. I’m not going in, backspacing, editing once I finish saying it. It’s remarkable how good it’s gotten. But there are going to be moments you will need an interface. You may want to entertain yourself. You may want to watch a video. You may ask your AI to create something, and you want to watch it, consume it. The way I think about it is, you want it to be as seamless and as natural as possible, and that you are not doing the hard work adapting to whatever the interface is. The technology is adapting to how you’re working at any given moment in time. When I asked Sam Altman about competition from Google, he argued that OpenAI was building AI-native products and implied Google was bolting AI onto existing ones. Do you accept that framing, and can a “bolt-on” compete with an AI-native product? First of all, it’s a very dynamic moment. We are all pushing each other. OpenAI has pushed us as a company too. This is not just we are doing something to them. Far from it. Yes, Google went into its own version of a code red too. In the AI moment, all of us have to respond with varying levels of urgency at any given moment in time. We are constantly building new products as well. Gemini was built from the ground up as a product—the Gemini app I’m talking about. Or tomorrow, as all of us are adapting to agents, are you bolting agents onto ChatGPT, or are they building it natively? How would you think about that? You can always put these questions back. I don’t think of it that way. I think of it as you want to build world-class product experiences that are AI-native and they are winning. Some of it is adapting products, some of it is rethinking new experiences. They will all be part of how you approach this moment. How do you expect to make money from these AI interfaces? If an agent recommends a product and I buy it, should it take a cut of the sale, even if that’s disclosed? I’m going to put enterprise aside. Consumers are going to increasingly value this technology. Take software developers today. Developers are willing to pay for these coding models because it really helps make them more productive. Nobody would want to code the way they were coding three years ago, or even the same time last year. When you’re delivering value, there’s value to be had. I’ve never seen examples where consumer products really scale to billions of users, where people are using it intensely, and haven’t had monetization to go along with it. If you’re providing value to people, there is inherent value to be had. The nature of it may change. You’re asking a scenario in which agents are doing stuff for you. At the end of the day, you will have commercial needs. The agents need to fulfill those commercial needs. The providers on the other side are going to see value in that. There’s going to be some mechanism by which it gets fleshed out. That’s what an efficient system does. But what matters is that you’re building those world-class consumer experiences. I promised myself one product feature request: Can you make Gemini-powered search in Gmail as good as searching Gmail through ChatGPT? What’s going on here? One of the exciting things we announced recently is the unified Gemini agent for enterprise, and we’re bringing that to consumers. These are persistent agents which run 24/7 in the cloud. We’re spinning up a micro VM effectively for every query, and from the runtime, the harness, the model—it’s all a headless service. It’ll work everywhere, and it has your context with you. You can address this agent whether you’re in Workspace, in Search, in Gemini. Agents are going to drive this unification from a customer experience, which people are looking for. When you have a broad product portfolio and you’re moving forward fast, there are always areas where you’re moving forward faster than some other areas. That’s valid feedback. But we are putting a lot of time and effort into making sure, as we build out our agentic experience, that unification and that capability works well across all these services. People have asked where Google’s equivalent of Muse or Dots is. Do you anticipate creating a new product to compete with them? Our goal with Gemini is to be a personal, proactive, and powerful assistant. That’s what we are working toward. You saw us describe the early versions of it at Google I/O this year with Spark. Effectively, already, if you open the Gemini app as a Pro or an Ultra user, you see Chat and Task, and they start giving you that agentic experience. With Argon now, that capability is dramatically accelerated. What we announced recently in our enterprise event, we are bringing that to consumers as well. Soon in Gemini, you will be able to ask something, and it’s a continuum. You don’t need to think about whether you’re asking a chat or an agentic task. It’ll just automatically do the right thing, and it can work persistently in the background securely and get things done for you. Already, empirically, when I look at what’s coming into Gemini in our app, last year you would have tagged them and most of them would have been chats. But a steadily growing percentage is already agentic tasks in Gemini. Yes, we are going to bring personal agents to our consumers. It’ll work in the Gemini app. It’ll work in Google Search. It’ll work in Gmail. You can address it, call it, etc. We want to make sure we’re getting it right. It’ll be powered by Argon, and we are very excited to bring it to our users. Google has invested and committed tens of billions of dollars to Anthropic. What do you see in Dario Amodei that makes you want such a deep investment and partnership? Very early on, when we looked at the founding team of Anthropic, it was very clear to us this was a world-class team which was involved in some of the earliest GPT models. We were quickly able to assess that they would be at the frontier. We’ve always tried to identify and partner with companies which would be at the cutting edge of technology. We’ve done that with SpaceX. We’ve done that with Anthropic. That’s what we saw, and we had a chance to partner. Is your partnership with Apple to license Gemini for Siri expanding, contracting, or standing still? For both us and Apple, that partnership was about translating the capabilities of AI into better experiences for users. I thought Apple has done a phenomenal job of incorporating—they customize these models and build it into Siri—and it’s been great to see the reception. We are committed to doing more. You’re going to do more with them? There’s nothing specific to comment, but it’s a partnership. It’s working well. What have you learned so far about the feasibility of data centers in space? It’s a very exciting project. Projects like this remind me—I still recall that moment in the desert for the DARPA Grand Challenge, watching the Stanley car compete in it, which ended up being the basis for Waymo. With all these technologies, you’re at a moment in time where it looks a bit like sci-fi, but 10 to 20 years down the line, it’s actually working in a meaningful way. I feel the same in space. We’ve always believed in betting big on these technologies. Quantum has been a great example of it. We’re probably 10 years into the journey. Waymo, we are almost 20 years into the journey. Space, we are two to three years into the journey. It’s clear to me that it’s an approach which will make a lot of sense in the future. Being in sub-synchronous orbits with 24/7 access to the most abundant form of energy we have access to will make a lot of sense for this exponential increase in compute that we are going to need. Having said that, this is a challenging project. The team has disciplined milestones. It was a super exciting milestone to send the TPUs up to space. Sometime, as we are speaking, we are expecting a “hello world” moment from them. I look forward to seeing that happen, and we’ll continue investing here too. You previously said 25% of the code written within Google was written by AI. What’s the number today? That number in our world today is meaningless in the sense that every part of what we now touch is influenced by AI deeply. What we are tracking with Argon, for example, it’s been a point of inflection. People are using Argon to really go tackle complex projects, including projects which affect millions of lines of code. In the four weeks since we have launched Argon, we have seen a 30% increase in CLs, and more importantly, almost a similar increase—a one-third decrease in rollbacks. People are writing code more productively and better code with it. We are tracking it with newer metrics now. How are you dealing with opposition to data centers? If you can’t build in the U.S. the way you want to, where else do you go? We’re very committed to building our data centers very responsibly. When I look at our largest data centers in some of the communities where we have been the longest, I visit them, I talk to people. There are people who come and tell us their kids have gone to college because of our investments in these communities, and we’ve grown in those communities. To me, this is about doing it right. Engaging with the communities early, doing it transparently. We are committed to making sure we are bringing incremental power, and we cover 100% of the cost of our power needs for these projects. It’s understanding the impact on neighborhoods and making sure you’re working thoroughly to address them. Done rightly, you can continue making progress. But we are constantly taking feedback into account. I do worry not everyone operates the same way. People have been surprised by data centers showing up in their backyard. Those are all important. As an industry, we should continue to do better. But part of the reason, in a 20-year time frame, we are thinking about things like data centers in space is making sure we are able to put these data centers where maybe the trade-offs will be different. What unproven area of AI is Google working hardest to crack? Is it continual learning—getting models to keep updating after release—or something else? There are multiple parallel paths. You saw with Argon we have a million output tokens. With our Gemini models early on, we had a one-million context window on the input side. These are all examples of breakthroughs we are constantly working on. How do you think about synthetic data? How do you think about continual learning? How do you think about more efficient architectures? We do dedicate a meaningful percentage of our compute to these research bets too. It always goes hand in hand, including our world models. Those are all bets we are placing. Sometimes, as part of these bets, there are ideas that emerge which just make their way into the mainline models. Maybe we don’t fully talk about it, but we have multiple steps in these areas. Working in technology requires optimism that building something will improve the world, but those bets can leave real consequences when they fail. I recently returned to a town in El Salvador where enthusiasm for Bitcoin had given way to unfinished construction and something resembling a ghost town. How do you maintain the optimism you spoke about in your Stanford commencement address while accounting for those risks? I genuinely have a deep conviction that improving technology and improving access to technology makes people’s lives better. It’s been my personal experience in my life, out of which comes that deep conviction, optimism. But with that, I’ve always felt humanity’s journey is always about working hard to harness that technology to make it work well for society. The optimism is not an optimism that you just build whatever you want, whenever. You work hard to make sure you’re building technology in the service of humanity, to make the human condition better. That’s got to be the defining goal as we are approaching it. With that framework, I’m very, very optimistic. We are in very early stages of the kind of progress that we are going to see on many areas. We’re all talking about areas like healthcare. A lot of the progress is ahead. The ability to make things in a fundamentally cheaper way on many things where things have been getting expensive for a long, long time, discovering new materials, etc., which really bend the curve—it’s tough to step today and understand the impact of all that, but they’re going to be very profound. I’m very optimistic, but we have to be rightfully concerned about all the ways this technology can go wrong. Sundar, I know you don’t do many of these. Thank you. Thanks, Alex. Appreciate it.
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