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More than one thousand Maine immigrants to lose Medicaid on Oct. 1
More than a thousand immigrants in Maine will lose their health insurance starting Oct. 1, due to Medicaid eligibility changes passed through President Donald Trump’s 2025 budget law. H.R. 1 made significant cuts to the national health insurance program that millions of low-income households rely on, removing certain groups of immigrants, as well as adding […]
Gunvor publicly condemned Russia’s war but continued to do business with Russian energy firms, records show
Even as the trading giant publicly claimed to be winding down its Russia business, Gunvor privately acknowledged the deals to its bank, the Industrial and Commercial Bank of China, saying they complied with sanctions laws.
Health department can’t change Oklahoma gender designations on birth certificate, court rules
State law has never allowed changes to the sex designation on Oklahoman’s birth certificates, the state’s high court ruled.
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
UK fears grow over AI giant Palantir's health service deal
The U.K. government is facing mounting pressure to end a £330 million contract between the National Health Service and AI giant Palantir, as doctors, lawmakers and campaigners warn of ethical risks.
Can law schools learn from computer science programs in the debate on generative AI?
In many university computer science programs, students are not only allowed to use artificial intelligence during exams, they are encouraged to learn about the
Liberty-Delaware Preview
Liberty(3-1 overall, 0-0 CUSA) at Delaware(2-2 overall, 0-0 CUSA)Friday 7 pmDelaware StadiumNewark, Delaware
When The Lease Outlasts The Business Model
At the same time that AI may change the business model for law firms, requiring fewer lawyers, they are leasing more office space
UK fears grow over AI giant Palantir's health service deal
The UK government is facing mounting pressure to end a £330-million contract between the National Health Service and AI giant Palantir, as doctors, lawmakers and campaigners warn of ethical risks."Tha...
Business and Industry Association Ranks Lawmakers for the 2026 Session; Political Winds Shifting
The Business and Industry Association's annual legislative report and legislative rankings is an indication of how much the political landscape has changed in Concord.
Business and Industry Association Ranks Lawmakers for the 2026 Session; Political Winds Shifting
The Business and Industry Association's annual legislative report and legislative rankings is an indication of how much the political landscape has changed in Concord.
WA state lawmaker to resign 3 days before the election
Washington state Rep. Skyler Rude said the job opportunity came after ballots arrived for the August primary.
What Does Your Office Say About Your Business? by Jennifer Kraner
What does your space say about you and your business? More importantly, does it give you the best possible first impression? The minute a client, customer or patient walks through your door, they’re forming an opinion about your business – sometimes consciously, sometimes without even realizing it. Your space is communicating something about you, whether you intend it to or not. At Big Sky Design, we work with all kinds of commercial businesses, including many medical practices, law firms and other corporate offices, and I’ve seen first hand how much thoughtful design can influence that first impression. For businesses in medical, legal, and financial fields, three things are particularly important: trust, privacy and professionalism. Your space should communicate all three while also reflecting who you are as a business. That can be challenging, especially in a new construction project. Often, so much of the budget goes toward the actual construction that things like lighting, comfortable seating, artwork and finishing touches get pushed to the side. But those are often the elements that make a space feel complete – and memorable. Think about your waiting room. Is it comfortable? Is the lighting welcoming? Does the layout make sense? When someone walks through the door, do they immediately know where to go and whom to speak with? In a medical office, there’s another important consideration: privacy. Reception areas can become surprisingly noisy places, with phone calls, conversations between staff and patients, and people discussing personal information. Hard surfaces throughout a space allow sound to bounce around, making it difficult to maintain privacy. We recently worked with an eye doctor's office that had exactly this problem. The reception desk had a large opening, and staff were making and taking phone calls right next to patients who were waiting. We designed an acoustic treatment that acted as a divider between the staff and waiting areas. It absorbed sound, but it also became a branded design element. It was a visual reminder to everyone in the space to be mindful of their voices and what others might be able to hear. Those kinds of thoughtful details can make a tremendous difference. And good commercial design doesn't have to mean making your space flashy. Sometimes it’s as simple as a calming color palette, beautiful artwork, plants, carefully selected lighting or comfortable upholstered furniture. In a medical setting, those touches can help soften what might otherwise feel clinical and reduce anxiety for patients who are already nervous about an appointment. I’ve been in waiting rooms where everyone feels packed together, and you can hear every conversation – even what’s happening in the restroom next door. That’s not the experience you want to create. Your office should also feel like your business. Are you telling people that you’re clean and modern? Sophisticated and unique? Warm and welcoming? Or, unintentionally, are you telling them that your business is outdated? You don’t necessarily need a complete renovation to change that message. Fresh paint, updated lighting, new artwork, better seating or a few branded design elements can make a space feel current and intentional. At Big Sky Design, we’ve worked with radiology, dermatology, and dental practices, among many others. Every practice is different, but the goal is always the same: creating a space that reflects the business behind it and gives every person who walks through the door a positive first impression. Because your office is part of your brand. Make sure it’s telling the story you want people to hear. Read more at bigskydesignonline.com.
What bills did Gavin Newsom sign into law — or veto — in his final year leading California?
Gov. Gavin Newsom signed hundreds of bills in his final year leading the state. They include new laws on voting, immigration, data centers and insurance.
Hegseth Talks Tough as Republican Doubts About His Leadership Grow
Pete Hegseth has held onto his job by projecting a tough guy image, but his relationship with Republican lawmakers has never been worse.
Key Takeaways From Zac Taylor's Week 4 Press Conference
Zac Taylor details how Cincinnati must sharpen execution and leverage emerging playmakers to overcome recent adversity as Trevor Lawrence’s explosive Jacksonville offense arrives at Paycor Stadium.
Senator Marsha Blackburn Sues Over Jack Smith’s Subpoena During Trump Inquiry
The lawsuit, brought by Senator Marsha Blackburn of Tennessee, tests the reach of the Constitution’s “speech or debate” clause.
9th Circuit rejects arguments Prop. 211 law disclosing political donations is unconstitutional
There's nothing unconstitutional about a 2022 Arizona law requiring people be informed of exactly who is spending money on campaign ads designed to influence their votes, a federal appeals court ruled Wednesday.
Senate reaches bipartisan deal on permitting bill to speed approvals of new energy projects
Senators from both parties said Wednesday they have reached a bipartisan deal on legislation aimed at speeding up permitting reviews for new energy and infrastructure projects that now face yearslong delays as lawmakers seek to meet growing demand for electricity and other forms of energy.
Newsom signs anti-monopoly bill after bruising legislative battle
California’s new antitrust law will let prosecutors sue businesses for anticompetitive conduct, but not individuals
Crisis responses, H.R. 1 fallout are challenging states' mental health delivery
North Carolina and Wisconsin are working to decouple law enforcement from crisis response, leverage 988 in care entry and conquer longstanding data silos. | State officials spoke frankly about the challenges they face in delivering equitable mental healthcare during policy sessions at the annual Behavioral Health Tech conference last week, held in Nashville.
Jennifer Lawrence to star in 'The Flood' from director Zach Cregger
Jennifer Lawrence attends the Christian Dior Haute Couture Week Spring/Summer 2026 show as part of Paris Fashion Week on Jan. 26, 2026, in Paris, France. (Arnold Jerocki/Getty Images for Christian
Seyfarth Brings On Glaser Weil RE, Entertainment Pro In LA
Seyfarth Shaw LLP has added an attorney specializing in the intersection of real estate and the entertainment industry to its downtown Los Angeles office from Glaser Weil Fink Howard Jordan & Shapiro LLP.
EPA’s Chemical Science Aims to Speed Reviews, Limit Animal Tests
Scientists transferred into the EPA’s chemicals office are working on new methods of assessing chemicals and pesticides to help the agency reduce the backlog of substance assessments it’s charged with doing.
'Very disappointing:' Schools scramble after lawmakers spike behavioral health grants
Ten districts and charters applied for $1.2 million for optional in-school services. A legislative committee abruptly tabled the idea last week.
Health department can’t change Oklahoma gender designations on birth certificate, court rules
State law has never allowed changes to the sex designation on Oklahoman’s birth certificates, the state’s high court ruled.
Clio Acquires Learned Hand, Giving Its New Judiciary Business An Existing Product
Clio today announced that it has acquired Learned Hand, a startup that builds AI exclusively for judges and courts, giving the legal tech company's newly launched judiciary business an existing produc...
VIDEO | Plot Twist: Making Delaware a film and entertainment hub through tax credits
Now that Delaware's film tax credit is up and running, what is the actual potential for making The First State a hub for creators?
Reintroducing ‘By The Horns,’ a Column for the Local Government Nerd in You
INDY’s Justin Laidlaw is here to help readers get a grip on politics and civic life in Durham.
Political Law Quarterly
Political activities sit at the intersection of law, policy, and reputation. Companies operating in highly regulated industries cannot avoid political law
Louisiana adds more public money to host rodeos, college sports events
Louisiana lawmakers increased the amount of public money the state will spend on college sports championships, rodeos and other entertainment events in this fiscal year to at least $12.1 million in direct support. State budget documents show it was previously slated to spend $10.4 million in the current fiscal year.
Detroit Lions Sign Wide Receiver, Linebacker Prior to Panthers Game
The Detroit Lions promoted LB Amen Ogbongbemiga to the active roster and brought WR Lawrence Keys III back on the practice squad.
Powell did not break the law with expensive Fed renovations that incensed Trump, report finds
An inspector general review of the Federal Reserve’s headquarters renovation found no sign that then-Chair Jerome Powell broke the law or committed misconduct in his management of the costly project, even as it sharply criticized him and the bank’s board for allowing the price tag to balloon beyond $2 billion.
Senate Democrats block bill to restrict lawmaker stock trading
Senate Democrats on Wednesday blocked a bill to restrict lawmaker stock trading over objections to new voter ID requirements that Republicans added to the legislation.
Public health advocates pitch New Mexico lawmakers on heat, climate change initiatives
Public health advocates on Tuesday proposed initiatives to New Mexico lawmakers track the impact of climate change on public health.
Freedom of speech? Ohio HOAs can restrict that. Here's why, how
Homeowners associations (HOA) can limit political yard sign use, something two Ohio lawmakers have been working to change for years.
Guantanamo Dispatch: Military Ends USS Cole Hearing Early for Health Emergency
Pretrial hearings in the USS Cole bombing case ended abruptly on Wednesday after the defense lawyer had a health emergency.
New Policies Pose Risks to Health of Lawfully Present Immigrant Families and Children, Including U.S. Citizen Children
Several policy changes taking effect this fall will negatively impact immigrants and mixed-status families. As my colleague Leo Cuello has pointed out, undocumented immigrants are not eligible to enroll in Medicaid coverage, therefore, this blog explains changes that apply to lawfully present immigrant families and children (many of whom are U.S. citizens). It’s also worth […]
Debunking political fearmongering over data centers
Americans can meet this new challenge as we always have, leveraging our embrace of the free-market, entrepreneurial spirit, and institutional respect for private property and the rule of law — but …
Secret phone-record seizure sparks personal lawsuit from GOP senator
Marsha Blackburn's lawsuit targets Jack Smith personally, arguing the special counsel was never lawfully appointed and violated her constitutional rights.
Bethesda Maps Fallout 76’s Biggest Year Yet, Expanding the Map toward Fallout 3’s Capital Wasteland by Summer 2027
Bethesda has mapped out a truly exciting year of free updates for Fallout 76, including a new map expansion into the Capital Wasteland.
Medical Records Firm Uses AI Tool to Expose Flaws that Threaten Patient Privacy
Epic’s engineers deployed an Anthropic tool that exposed security risks that could allow undetected access to millions of patient records.
Romanian lawmakers reject a new center-right Cabinet as political crisis deepens
Romanian lawmakers have rejected a new center-right Cabinet proposed by Siegfried Muresan, deepening the country's political crisis
How recovering addicts may help feds take down Quality Behavioral Health
A lawyer said the government wants to shut down a much-needed drug rehab center, but pretends it wants to help patients who've been left high and dry.
Donor dashboard illuminates utility sector political contributions
A new dashboard from the clean energy coalition Mass Power Forward reveals that current Massachusetts lawmakers have received over $223,000 in campaign donations from high-level utility employees since 2002.
As AI political deepfakes go viral, lawmakers struggle to keep up – 2 states’ laws show limits of what they can do
Most states require warnings on AI-generated political ads, but studies show these disclosures do little to alter people’s willingness to share the content. Most states have legislated election deepfakes by requiring a warning 28 states require disclosures on the media
'Law and Order: SVU' star Mariska Hargitay condemns Cornell rape case
Mariska Hargitay is joining the chorus of people demanding accountability for a former Cornell University student's alleged rape.
Alta Hometown Days Returns This Weekend With Expanded Entertainment
Alta Hometown Days returns this weekend with an expanded lineup of entertainment and activities planned throughout the Buena Vista County community. The two-day event is scheduled for Saturday and Sunday, […]
Abortion pills to be offered at California community college health centers under new law
Gov. Newsom has signed a law requiring most community colleges to offer abortion medication as of 2029. Public universities in California already do.
Abortion pills to be offered at California community college health centers under new law
This story was originally published by CalMatters. Sign up for their newsletters. Community colleges in California will be required to offer abortion medication through campus health centers starting in 2029, under a law signed by Gov. Gavin Newsom on Sunday. Through the Community College Student Right to Access Act, California will extend the reproductive health […]
The Mental Health Association Data Breach Settlement Agreed
The Mental Health Association, a Chicopee, Massachusetts-based human services agency that provides substance use recovery and support services for The Mental Health Association, a Massachusetts-based human services agency, has agreed to a settlement to resolve class action litigation over a November 2024 cyberattack and data breach that affected 12,633 individuals.
New federal law puts an end to the hemp industry, Oregon businesses say
Gas stations, convenience stores and supermarkets will soon lose the CBD products on their shelves under new federal law
The Witcher 3 Remastered Crushes GPUs With Path Tracing, but Free Mod Claws Back Up to 30% Performance
Following its surprise announcement during this year's gamescom Opening Night Live, The Witcher 3 Remastered is now available on PC, PlayStation 5, Xbox Series X|S, and Nintendo Switch 2. While the number of improvements to gameplay is staggering and well thought out, what most were looking forward to was the visual uplift, which includes very demanding path tracing support on PC. Thankfully, a mod has already come to the rescue, as it did after the launch of the Next-Gen update, optimizing both ray tracing and path tracing for better performance with minimal loss of quality. "Faster RT/PT in The Witcher […]
Beale Street businesses ride out Memphis law enforcement surge
A year after a coalition of law enforcement agencies converged on Memphis, Beale Street businesses are struggling to stay afloat.
Democratic lawmakers call for protections over third country deportations after ‘indefensible’ court ruling
Lawmakers say ‘Congress must step in’ after supreme court ruled to allow Trump officials to resume deporting people where their lives could be in danger
When “DEI” research is cut, what happens to community health?
“I’m just going to run to the grocery store!” How many times have we said this without thinking about it? For most of us, it's usually an easy walk or a short drive to get the cheese we forgot. In reality, though, 13% of the U.S. population (about 39 million people) live in “food deserts,” which means living more than a mile from a grocery store in urban areas and more than 10 miles in rural areas. This was the case for people in Pittsburgh’s Hill District, where a quick run to buy food wasn’t an option. In the 1930s, federal maps marked the Hill as "hazardous" for lending, a practice known as redlining that steered investment away from Black neighborhoods. Decades of disinvestment followed, and residents went about 30 years without a nearby grocery store. This made it hard to keep healthy eating habits and contributed to chronic disease. When a grocery store finally opened in the area in 2013, researchers saw the opportunity and launched the PHRESH study, which initially compared the health of participants from the Hill district to those in the Homewood district. Over time, the study expanded to other factors such as brain health and Alzheimer's risk. Residents like Roderick Blair overcame initial hesitation to share their health data, trusting it would benefit their neighborhood. Then, in August 2026, the NIH abruptly canceled the study’s grant, citing that it was “subjective” and fell outside their scientific scope—an effect of the administration’s interpretation of diversity, equity and inclusion (DEI). Research like PHRESH can help determine what changes in a neighborhood actually improve health, so cutting it has left that question unanswered. Other canceled studies have examined health issues like maternal health, preterm birth rates, or sickle cell disease. Courts have reversed some of these grant cancellations, but not all of them. If we really want America to be healthier, research into why some communities get sicker than others is absolutely critical. The law that created the federal minority health research institute passed with bipartisan support in 2000. But these days, as evidenced by grant cancellations, the political shift in attitudes toward DEI means we often lose access to the health information we need to help all communities thrive. DEI vs. health equity vs. equality and the overlap (or lack thereof) The letters “DEI” evoke very different reactions depending on who you are in the U.S. DEI programs can address gender, disability, age, and other factors, but the fiercest debate centers on race. For some people, hearing DEI brings to mind policies that may have cost them a job or a college seat because they are white. Others see DEI as a matter of justice: a way to expand representation and opportunity for groups that have been historically marginalized. Both perspectives are rooted in lived experience, and both center on the same question: whether hiring and admissions practices are fair. Hiring and admission practices, though related, are not the same as health equity. Health equity is “the attainment of the highest level of health for all people.” It’s the recognition that some groups of people consistently experience worse health outcomes than others. For instance, black mothers die from pregnancy-related complications at three times the rate of white mothers, and rural Americans are more likely to die from issues such as heart disease and cancer. Equity is also often conflated with “equality,” which leads to misunderstanding of how to actually best support communities. Equality ignores the fact that we aren’t all starting life with the same resources or circumstances, whereas equity is about helping people get what they specifically need based on their situation so they have the chance to achieve the same outcome as anyone else. For example, if every household in Pittsburgh got a $30 grocery gift card, that would be equal. But during the decades the Hill District went without a grocery store, that card wouldn’t have helped much. Equity means making sure everyone can actually access a store in the first place. DEI policies can overlap with health equity in many ways. For example, they may help expand access to quality education and stable, well-paying jobs, which in turn can provide health insurance, safer housing, and improved finances—all of which can reduce health disparities. But to make that happen, we first need data to identify disparities in communities and to develop solutions that effectively address them. What we lose when the research stops Community data is important to health equity because: You can’t fix what you don’t see: Data show which communities are most affected by health factors such as infection, heart disease, and cancer. If we don’t know what is happening and where, then we can’t develop interventions to help. Poor health costs everyone: Chronic disease is expensive—both to the individual person and to the overall economy. Understanding what groups of people are most at risk allows us to develop interventions that can save everyone money. Disparities exist for many communities: Health equity includes disparities that exist due to a whole host of factors, such as family background, race and ethnicity, rural vs. suburban residence, gender and sexual orientation, veteran status, disability, and lower income. This means many Americans can benefit from research into differences in health outcomes and how to improve them. Trust is easy to lose: Some participants in the PHRESH study were initially vocal about their concerns about participating. But that trust was earned because the researchers kept their promises and centered their work on the community. When projects are canceled mid-cycle, researchers have no choice but to leave behind communities they had promised to help. This hurts trust in the long run. It’s also a very inefficient use of resources, and it will take significant time and effort to redo the work when the government realizes this work is important again. How should we talk about health equity? This is hard because the words “equity” and “DEI” are currently very politically charged. So whether you’re a public health professional, teacher, or friend, how we talk about this topic matters. The right framing can help people who might otherwise be skeptical see why health equity research is important and deserves funding. Here are some suggestions to help your conversations: Choose your words strategically: Who are you trying to reach with your message? Are they likely to be resistant to terms like “diversity” and “equity”? If so, find alternative words to use to still get the message across. It is frustrating to be in that position, but the goal of improving health is too important not to try to make inroads. Sometimes simply reframing can help the message reach those who need to hear it. Focus on the problem: The terms “health equity” and “DEI” are abstract. Make it more specific. For example, discuss differences in maternal death or ways to improve health outcomes in rural communities. These still have equity at their core but will likely be better understood by those you’re talking with. Focus on systems: Disparities exist, but if they are communicated poorly, people can mistakenly think the issue is the individual’s fault. Disparities are largely driven by failures of the system—such as lack of access to health care and a long legacy of racism. When discussing the disparities, frame them around these systemic issues to ensure blame isn’t placed on the individuals impacted. Tell stories: Personalize these policies by using stories from those impacted that connect to the data you’re trying to convey. This helps make the policies and outcomes more concrete and meaningful. Bottom line Some communities end up sicker than others. That’s just the facts. We can argue about the best way to do that research, but canceling it simply because it may be linked to DEI doesn’t make anyone healthier. It just leaves communities like the Hill district behind. And in the end, it causes us all to move backward in our efforts to improve health in this country. Love, EM Big thanks to MacKenzie Isaac & Legairre Radden, who reviewed this piece and generously shared their expertise and lived experience to help improve it. Dr. Liz Marnik, PhD, is Executive Director of The Evidence Collective and a science communicator and immunologist working at the intersection of public trust, science, and public health. To discuss communication training on topics like health equity and storytelling, email Liz at liz@yle.health or learn more on our website. Your Local Epidemiologist (YLE) comprises a team of experts, ranging from physicians to immunologists to epidemiologists to nutritionists, working together with one goal: to “translate” ever-evolving public health science so that people are well-equipped to make evidence-based decisions. The YLE suite of newsletters reaches over 475,000 people across more than 132 countries. This newsletter is free to everyone, thanks to the generous support of fellow YLE community members. To support the effort, subscribe or upgrade below: Your Local Epidemiologist is a reader-supported publication. 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Ukraine’s Academy of Sciences warns against Russian cooperation after attack
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New laws make incremental tweaks to California’s mental health court, while bigger changes nixed
This story was originally published by CalMatters. Sign up for their newsletters. Gov. Gavin Newsom signed two bills Sunday designed to help his mental health court reach more vulnerable Californians. But two other bills that would have made much bigger, and more controversial, changes to the program died without ever making it to his desk. […]
Holland & Knight Health Dose: September 29, 2026 | Insights
Senate returns for its final legislative session before recess, with FDA and HHS nominations pending and debate continuing over proposed HHS funding rescissions.
New laws make incremental tweaks to California’s mental health court, while bigger changes nixed
Gov. Gavin Newsom signed two laws designed to help CARE Court better connect Californians with mental health care.
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