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Good science requires much more than evidence

Empiricists believe that scientific theories are true only if they make correct empirical predictions: if we can't verify these predictions, then there is no reason to expect that they tell us anything about reality. However, Professor of Philosophy at King's College David Kyle Johnson argues that this is mistaken. In response to Bas van Fraassen, who has written on this subject for the IAI, he argues that we have many reasons for believing a theory to be true, such as it being parsimonious and having large scope — qualities which have been used throughout the history of science as criteria for judging theories. In 2024, Princeton philosopher Bas van Fraassen wrote a short article for IAI News entitled “Science Does not Describe Reality: The Limits and Benefits of Explanation.” At the time, I was working on two projects (a science book and a Great Course) that, when completed, would (among other things) defend science’s ability to describe reality. I wanted to write a response to van Fraassen, but the projects demanded too much of my attention. But now that those projects are complete, I am in a position to explain the objections to van Fraassen’s thesis. Summarizing van Fraassen’s argumentIn a nutshell, his argument is this: What scientists do is make predictions based on theories and then invite others to test to see whether those predictions are borne out. “If theory T is right, result R should happen in experimental condition C.” Many think that running an experiment that shows that R happens in condition C is proof that theory T is true (and should be believed). But, van Fraassen argues, that R happened in condition C is only a reason to think that R happens in condition C. That’s the only observable, or empirical, result we can actually see, so that is all that we are really justified in believing. (The underlying theory that made that prediction still may or may not be true.) That is why he calls those who accept his position “empiricists.”Before I explain what is wrong with this position, let me explain what it gets right. What van Fraassen Gets RightFirst, a theory correctly predicting the results of an experiment is not, strictly speaking, “proof” that the theory is correct. The basic line of reasoning is this:If the theory T is true, result R should happen. Result R did happen. Thus, theory T is true.In other words:“If T then R. R. Thus, T.”This is a deductively invalid, fallacious mode of reasoning, called “affirming the consequent.” Those premises do not guarantee that the conclusion follows. “If I am in Pennsylvania, then I am in the USA. I am in the USA. Thus, I am in Pennsylvania.” Clearly that argument doesn’t guarantee its conclusion; neither does the above argument.However, science is not a deductive method of reasoning; it is an inductive one. And inductive arguments merely try to raise the probability of their conclusion, not “prove” them for certain. Thus, the fact that an experimental result doesn’t prove a theory is true is irrelevant; it’s not supposed to. That is not what scientific reasoning is about.___If the hypothesis that something exists clearly provides the best explanation for what we can observe, then the belief that it exists is what is rational.___Second, it’s also true that a single experimental result doesn’t provide enough justification to believe that a theory is true. Scientists do not come to a consensus about whether a theory is true by looking at a single experiment; they look at all the evidence to determine where the preponderance of evidence points. The mere fact that I am in the USA raises the probability that I am in Pennsylvania, but not nearly enough to conclude that I am in Pennsylvania. However, if I am also regularly encountering people wearing Eagles and Phillies hats and seeing advertisements for Founding Father tours, I probably am. In the same way, a theory successfully predicting the outcome of one experiment is not enough to conclude that it is true; but if a theory makes a wide variety of predictions that are all vindicated by multiple experiments, performed by many different groups and people, all actively trying to prove the theory false (which is what good scientific experiments are designed to do)—that is a good reason to conclude that the theory is true. In other words, if you repeatedly try to prove something false but can’t, that is a very good indication that it isn’t. The problem of underdeterminationIn reply, those whom van Fraassen calls “empiricists” often point to the “problem of underdetermination.” For any given theory that makes successful predictions about what happens in experimental conditions, there are countless other possible theories that make exactly the same predictions—and since they do, the experimental evidence in question is just as much reason to accept any of those theories as it is to accept our original one. Thus, the argument goes, we have no way of knowing whether our original theory is true, or one of the other “predictively equivalent” theories is true. SUGGESTED VIEWING How Occam's Razor changed the world With Johnjoe McFadden As an example of underdetermination, philosophers often offer this example. The evidence of fossils seems to provide reason to conclude that the universe is quite old; ancient fossils are what the “ancient universe” hypothesis predicts. But it’s also possible that God created an ancient-looking universe 200 years ago, complete with a “fake” fossil record for us to find, to make it look old. The existence of fossils is what that theory predicts too. So, the argument goes, the fossil record can’t be used as evidence that the universe is ancient; the fossil record supports the “200-year-old ancient-looking universe” theory just as much. The problem of underdetermination points out that, for any theory with supporting evidence, we could invent another completely different theory that predicts exactly the same evidence, and thus undermine that evidence’s ability to support the original theory.But this “argument from underdetermination” betrays a fundamental misunderstanding of what scientific reasoning is and how it works. To explain, let me use another rather strange (but very real and commonly discussed) philosophical thought experiment called “The Grue Problem.” The “Grue” ProblemSuppose I want to know what color emeralds are, so I observe a few, see that they all appear green, and form the theory that “all emeralds are green.” I thus predict that the next 100 emeralds I find will also appear to be green. And let’s say that happens, and so I thus conclude that my theory that all emeralds are green is true. Now, one might rightly point out that I don’t know for sure that all emeralds are green—I have not seen them all. Maybe some I haven’t found yet are blue. Fair enough. After all, we used to think that all swans were white, until we found some black ones. But let’s say that I go on a quest and collect every emerald in the universe—and, for the sake of the argument, let’s say I can do this, and can even know that I have every one of them. So, I collect them all, look at them all, and verify that they all appear green. Can’t I now rightly conclude that all emeralds are green?Inspired by the problem of underdetermination, a friend might argue that I cannot.Sure, they all appear green now—but there could be another kind of color called “grue.” Something is grue if it is green up to a certain point in time, but then spontaneously turns blue. And there could be an infinite number of “shades” of grue. Something that is one shade of grue will turn blue at noon today, but something that is another shade of grue will turn blue at noon tomorrow, etc. So yes, the emeralds appear green now; and since they haven’t turned blue yet, they are not some “past” shade of grue. But they might be some “future” shade of grue (e.g., they may turn blue at noon tomorrow). And since all future shades of grue are consistent with “being green up to this point in time,” the evidence you have is completely consistent with the notion that all emeralds are some future shade of grue, rather than green. Indeed, that they would appear green until now is what the “some future shade of grue” hypothesis predicts. So, we have just as much reason to conclude that all emeralds are some shade of grue as we do to conclude that they are green.You’re probably thinking “It’s not equally possible that the emeralds are grue; they are obviously green.” You are right! But explaining why your instinctive reaction to my friend’s argument is correct will help inform why van Fraassen’s “empiricist” is wrong and science actually does describe reality.The main mistake my friend makes is in thinking that the “empirical evidence” (of all the emeralds appearing green) is (or even should be) all I am using to draw the conclusion that all emeralds are green. It is not. I am also considering known facts about how colors typically work; things don’t usually change color, and when they do, they don’t do so suddenly, without cause, and all at once. So, even though the simple evidence of the emeralds all appearing green up to this point is consistent with them being some future shade of grue—that is even what the grue hypothesis “predicts”—it is still exceedingly unlikely that they are. The hypothesis that they are green is much more likely. Understanding science refutes the problem of underdetermination The misunderstanding about science that the “empiricist” pointing to “the problem of underdetermination” makes is similar to the one that my friend made. Science is not just about considering experimental evidence; in fact, it’s not even just about considering empirical evidence. As Ernan McMullin and many other philosophers of science have pointed out, the inference that makes science is “inference to the best explanation” (sometimes called “abduction” or “retroduction” by McMullin). While, depending on the circumstances, scientists use many different kinds of reasoning, science as a whole is, simply put, the process of considering multiple competing explanations and comparing them to certain criteria—explanatory criteria (the kinds of things explanations must be and do, by definition, to be a good explanation)—to see which explanation is the best.And these criteria do not deal only with empirical results. Yes, successful predictions raise the probability of a hypothesis, but it’s also the case that the more new assumptions a theory makes, the less likely it is to be true; every new assumption presents an opportunity for the theory to be false. (The fewer assumptions a theory makes, the simpler or “more parsimonious” it is said to be.) Likewise, the more existing evidence a theory contradicts, the less likely it is, because in order for a theory to be true, every piece of evidence it contradicts has to be somehow faulty. (The fewer established theories a new theory contradicts, the more “conservative” it is said to be.) And, obviously, the more something explains, the better explanation it is. (This is called having “scope.”) If a theory raises unanswerable questions, it’s not expanding our understanding, and thus is not wide-scoping. Scientists consider all these things when deciding which theory to accept, because the theory that adheres best to these explanatory criteria is most likely to be true.___the mere fact that a theory’s predictive success is why it “sticks around” or “becomes accepted” in the scientific community is not a reason to be skeptical about its truth.___The reason the grue hypothesis is no good is because it invents an entirely new kind of color—not just a new shade, but an entirely different category of color (a different way colors work)—and thus is not parsimonious. It raises unanswerable questions about how and why emeralds would just spontaneously change from green to blue (and thus does not have wide scope). And it contradicts what is already well established about how color works (and thus is unconservative).The theories that the problem of underdetermination points to do the same thing. Yes, the theory that God created an “ancient-looking universe” (complete with an ancient-looking fossil record) two hundred years ago is also consistent with the empirical evidence (of a fossil record) that presently exists; but that theory is monumentally unparsimonious (it requires many extra assumptions about infinite entities) and not wide-scoping (it raises unanswerable questions about why God would do such a thing). So, I can rationally conclude that it is false.Indeed, the history of science includes many examples of theories that were rejected because they lacked parsimony and/or scope, even before their falsity (and the truth of their competing theory) was confirmed by observation. As I point out in my book, geocentrism was rejected by the scientific community because it lacked parsimony, almost 200 years before the observation of parallax confirmed that the Earth moves around the sun. And the continuum theory of matter was completely rejected by 1860, because it couldn’t explain chemical reactions or organize matter into a periodic table, even though the experiments that eventually confirmed atomic theory weren’t even proposed until the 1870s. Solving the best of a bad lot problemIn response, the “empiricists” are likely to object, this time pointing to the “best of a bad lot” problem. “We have no reason to conclude that an explanation that has been shown to be better than others is true because we have no guarantee that the true theory was among those that we were considering.” If you have a “lot” (a collection) of poor explanations, even the best one is not true.The responses to this problem, however, are numerous. Peter Lipton argues that the set of hypotheses that scientists consider are not just randomly selected and thus unlikely to contain a theory that is true; they use existing knowledge to home in on what is most likely to be true. A doctor trying to explain abdominal pain is not going to bother wondering whether demons are causing it; they are going to stick with things like appendicitis and kidney stones, because they are most likely. Further, despite its name, inference to the best explanation is not just the process of comparing hypotheses and accepting the best one; we also want one that is a good explanation in its own right. If it’s not, we are going to keep looking until we find an explanation that is. And while that process does not guarantee that we will come across the exact truth, it’s very likely that the theory that emerges as the best will be at least approximately true, and thus we will be justified in believing it. And lastly, as I point out in my book, although many theories not based in scientific evidence (like geocentrism and continuum theory) have been completely overturned, science almost always progresses by the refinement of scientifically established theories—not their replacement. (Although our sun is not the center of the universe, heliocentrism was our first step in understanding the Earth’s true place in the universe.) So even if a theory we accept today may not be completely right, accepting it is a step on the journey toward the complete truth. The example of atomic theoryNow, it’s worth pointing out that most empiricists are not skeptical of all scientific theories; they are only skeptical of the ones that hypothesize the existence of “unobservables.” It’s not like they think that round Earth, heliocentrism, and germ theory are just useful (but untrue) “instruments” for making predictions about how to most efficiently navigate the seas, predict planetary motion, and treat diseases. They admit that the Earth actually is round, that the planets revolve around the sun, and that germs exist and cause disease. These facts and entities can be observed; the theories that suggest they exist are true. It’s only when theories start hypothesizing the existence of unobservables—like electrons, or quantum fields—that can’t be observed directly, that we should start doubting the theories’ truth. And to be fair to van Fraassen, in this published work, he doesn’t really say that we should doubt the truth of such theories. Only that scientific reasoning does not rationally force us to accept them as true. Skepticism, or agnosticism, he argues, is warranted. SUGGESTED READING Science is based in metaphor By Andrew Reynolds But the history of atomic theory throws a monkey wrench into that argument. Atoms used to be unobservable; again, scientists first accepted the theory that they exist because it had such grandiose explanatory power. But then atoms were seen with electron microscopes. They thus moved into the category of the observable. But this didn’t substantially change anything about what scientists were justified in believing; it certainly didn’t change any “atomic skeptics’” minds. It just confirmed what everyone already knew! If the hypothesis that something exists clearly provides the best explanation for what we can observe, then the belief that it exists is what is rational. The fact that the thing itself is not technically observable does not make doubting its existence rational.What’s more, the atoms were seen with an electron microscope. But electrons are themselves unobservable. How can an electron microscope reveal an atom if electrons are not real? This leads us to what is famously known as Hilary Putnam’s “miracle argument.” It’s (not) a miraclePhilosopher Hilary Putnam’s miracle argument is somewhat famous. Basically, he argued that a scientific theory being able to repeatedly make successful predictions—even about unobservables—without being at least approximately true would require a “miracle.” In other words, it would be such an improbable occurrence that it could not rationally be believed—the better explanation for why scientific theories about unobservables make the right predictions is because the unobservable entities and structures they hypothesize exist.Van Fraassen has addressed this argument. Indeed, in his original article, where he references Alison Gopnik’s point about orgasms not being “necessary for procreation” even though the desire for orgasm “drives the creation of progeny,” he is pointing to his own argument about how organisms are not naturally selected by evolution to get true beliefs; to the extent that belief-forming processes are selected for, the ones that are selected are the ones that are useful for survival—not the ones that produce true beliefs. In the same way, van Fraassen argues, scientific theories are accepted, not because they are true, but because they aren’t falsified; they make successful predictions; that’s what makes them “stick around.” So, the fact that they make successful predictions (and thus became accepted) is not a reason to think they are true.This argument is similar to C. S. Lewis’s “argument from reason,” which he used to argue against evolution: “The truth of evolution undercuts our ability to know that it is true.” Lewis’ argument famously failed; Elizabeth Anscombe, by Lewis’s own admission, demolished Lewis in a debate on the topic, and I have explained elsewhere why modified versions of the argument fail as well. In short, it’s because it fails to recognize that a belief-forming process can make an organism more likely to survive because it reliably produces true beliefs. It is therefore not the case that beliefs generated by naturally selected belief-forming processes are automatically false or unjustified.In the same way, the reason a theory “sticks around” could be because it’s not falsified, because it “makes correct predictions.” But the reason it makes correct predictions is most likely because it is true. (In pointing this out, I am echoing the arguments of Musgrave, Lipton, Psillos, and Kitcher, who refuted van Fraassen’s argument and analogy long before his 2024 article.) It would be a huge coincidence that it could do so without being true. And that is the point of Putnam’s miracle argument. Thus, contrary to van Fraassen’s suggestion, the mere fact that a theory’s predictive success is why it “sticks around” or “becomes accepted” in the scientific community is not a reason to be skeptical about its truth. ConclusionLet me close by saying something about the fact that empiricists don’t doubt the truth of all scientific theories, just the ones that hypothesize unobservables. In today’s society, this theory is dangerous to espouse publicly. The nuance between being skeptical about all of science, and just the highly technical theories about unobservables, is guaranteed to be lost to the average reader. And there is so much unjustified skepticism and doubt about the findings of science and experts that a headline like “Science Does Not Describe Reality” could easily fuel the anti-science movement, worsen climate change denial and cause the next pandemic.This is why I believe it was important to still respond to van Fraassen’s article, a full two years after he wrote it. Not only, as I have argued, does it represent a philosophically inaccurate view of how scientific reasoning works and what scientific reasoning can do, but it is a dangerous view to boot. It should thus be rejected.

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September Monthly Review: Health MCP Guy?

For all the time I spend talking about APIs and data exchange, this newsletter has had embarrassingly little interoperability of its own. It’s old-school SaaS, baby - UI or bust. Not all of that is my fault! Substack, for all its popularity, is (as mentioned before) really frustrating as my system of record. The primary user it optimizes towards is the reader, whose attention feeds the app, the Notes feed, and the recommendation network that Substack is actually selling. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe They’re falling into the same trap that Medium once sprinted into, albeit at a much more glacial speed. Younger generations may not remember (or never knew) it, but Medium once lured publications like The Ringer and Signal v. Noise onto its platform, only to lose them as it rebuilt itself around a paywall and an algorithmic feed. Substack’s original pitch circa 2020 was the antidote (you own your list), but every new feed feature chips away at it. I get it: writers are generic supply in the eyes of the Substack product team. Generic supply follows demand, so the consistent pressure on the PMs is to generate demand, which leads to every product cycle going toward discovery (Notes, recommendations, the app, live video). The end result lackluster author tools (laggy and broken analytics are truly crippling) all despite the premium price point. The archive is where it crosses from authorial gripes to actual reader impact, though. Across Substack and LinkedIn, I’ve published 1,218 posts and nearly 900,000 words since 2018. Substack’s native search can see only the 464 posts that live on Substack, and even there it’s woefully inadequate at surfacing relevant content (even for the guy who wrote it)! Readers have the same problem, writ large. Ask the Archive Fixing search (for both my readers and my own use) turned out to be extremely non-trivial, unfortunately: There’s no public API for readers to access content RSS exists for new content notification, but it only carries the 20 most recent posts and cuts paid ones off at the preview The only Substack MCP is an admin tool for analytics The export exists for authors, but it’s painfully awkward and slow. So I built something to work around that: the Health API Guy MCP. It’s a private MCP server holding the full text of everything I’ve written across Substack and LinkedIn. Add it to Claude or ChatGPT as a connector and you can ask things like: It pairs keyword search (for acronyms and case names, of which we have many) with semantic search. Every post is also labeled by topic, form, and court case, so you can pull a lawsuit’s (or multiple cases’) entire docket across Substack and LinkedIn in one query: Hail, Healthapiguyhydra This is also a bit of me eating my own cooking. I’ve spent the year arguing that headless healthcare is arriving and that developers want primitives over abstractions. Last week in Hail, Benihydra, I watched Salesforce plug its platform into Claude and bet that the records underneath outlive whatever interface sits on top: Salesforce must believe that the Hydra’s immortal head is the records, permissions, and business logic (in that they will survive whatever happens to the interface). It felt a bit hypocritical to keep my own archive behind a Substack search bar. The archive is the body. Substack is one head, and now whatever tool you might use is another. Will the EHRs follow my lead? Probably not imminently, but one can hope! Why Founding Members Only The MCP is available to Founding Member subscribers. A few reasons: It costs money and time to run. Hosting, the database, Clerk usage and AI compute for search and labeling are significant operational costs (that increase with usage). Substack gives me no way to automate access. There’s no API to check whether someone is a paid subscriber, so every user is manual operations for now. It’s a beta. We’ll need to improve things and parts will break. I’d rather they break for a small group of dedicated readers who will tell me about it. The Founding tier deserved a real benefit. Until now it was mostly a generous tip. Now it comes with something. If you’re already a Founding Member, reply to this email with the address you’d like provisioned. If you’re not and want in, upgrade here. Larger teams (such as companies) can get access too: group subscriptions at the Founding tier come with the group discount. The admin for the subscription can reply with the list of addresses to provision. Get 20% off a group subscription Pricing Founding membership is now a flat $200 a year, replacing the old suggested $150 that readers could adjust. Existing Founding Members will have access grandfathered in at their previous rate. Month in Review Articles Published Make Networks Dumb Again (Sep 11): AI is making old analog networks cheaper to use and flooding them with machine traffic in the process. A plea for agent-native rails with the intelligence at the endpoints, and for Washington to drag them to ubiquity. Interoperability, Unbuttoned (Sep 29): Interoperability is a series of workflows in a trenchcoat, and this post finally takes the trenchcoat off. A color-coded map shows which provider workflows went digital, which are fragmented, and which still run on fax. Video Content Antitrust’s System of Record Problem (Sep 3): The FTC’s investigation into Epic prompted a ninety-minute webinar, now posted with chapters and a smoothed transcript. We get into why market definition, missing B2B share data, and the SSNIP test leave antitrust poorly suited to systems of record, plus why information blocking may be doing more than any pending lawsuit. The Information Exchange: Cerner Milking Edition (Sep 18): This was so fucking fun. Ryan Tucker, Ryan Brickner, Brad Thorson, and I try an Around the Horn format, complete with points, penalties, and a mute button. We debate whether Oracle Health is dead, who would actually buy Cerner (IBM enters the chat), p(Doom), and why the front desk still hands you a clipboard. Regulatory Ask Not What Your Network Can Do (Sep 23): CDC’s RFI on public health data intermediaries lists use cases already served, unevenly, by eCR, lab reporting, IZ Gateway, and syndromic surveillance. The real opportunity sits in one question about AI: a network that can handle the next emergency without another interface project. Court cases Particle v. Epic: The Naughty Schoolteacher (Sep 4): After a summer-long vigil, the answer on Epic’s early summary judgment bid is two paragraphs and a remedial assignment. Particle advances to the next grade, and market definition gets another year of discovery. The Epic Discovery Files (Sep 8): Texas’s motions to compel arrive with a 251-page appendix of requests, objections, and meet-and-confer letters with Cravath. Inside: Epic using generative AI for document review, denied interoperability requests in scope, and Noerr-Pennington raised against lobbying discovery. Epic v. Health Gorilla: “Working as Designed” (Sep 9): Epic wants nothing to do with the data breach MDL, and explaining why puts fresh discovery on the public docket. The spiciest allegation: Health Gorilla told GuardDog to scrub its law firm business from its website instead of cutting off access. Veeva v. Epic: Legal Bypass Surgery (Sep 15): Veeva asks the Wisconsin Supreme Court to skip the Court of Appeals, while law professors and three policy groups line up as amici. Meanwhile, Epic’s lawyers apologize for another round of citation errors, including a quote that never existed. Texas v. Epic: Behind the Black Bars (Sep 17): The court portal served up Epic’s unredacted filings, revealing a $5 million document review budget and the AI workflow behind it. Also inside: the 200-plus company names Texas wants searched, and one very expensive Zoom invitation. OpenEvidence v. Doximity: Consequences Will Follow (Sep 25): OpenEvidence tells the court it will not comply with a discovery order, and its own lawyers at Quinn Emanuel say they won’t defend the choice. Add years of Slack reported unrecoverable, and Rule 37 sanctions come into view. Health Tech Keeps Choosing Violence (Sep 28): Doximity moves to end OpenEvidence’s case, Epic asks Texas to show its work, and a sleepy Audacious Inquiry patent fight sprouts antitrust and information blocking counterclaims. The main event is a long-sealed Cognizant v. Infosys ruling that hints where system of record antitrust claims can survive. EHRs One Verb for Oracle Health (Sep 14): Oracle’s earnings call quantifies every data center to the decimal point, while Oracle Health gets a single verb: “accelerate.” Panning the few healthcare mentions turns up an agentic care management system, a research-to-care ledger play, and the question of whether healthcare gets Larry’s patience. Epic’s Forretress Under Siege (Sep 30): Judy Faulkner tells a panel Epic paused hundreds of projects to harden its software and calls it a “shame,” while a spokesperson insists the roadmap hasn’t changed. Project Glasswing, a Pokémon-branded QAN sprint, and a trove of Jodel grievances reconcile the two Epics and preview the Jevons paradox coming for all software. Industry Analysis Scanning for a Network (Sep 1): Scan.com raises $220M to build the imaging network labs never got, speedrunning Zocdoc’s consumer-to-B2B pivot. Its wedge to network density may be the most American one available: personal injury litigation. The Front Desk Wants the Damn Whole Building (Sep 16): Hello Patient buys Converse Health, pushing its AI front desk into referrals, chart work, and prior auth. The copilot categories keep blurring, and your distribution partner is still your final boss. Cross-industry Comparisons A Different Patchwork Quilt (Sep 10): Healthcare loves to envy open banking, but the US version has no mandate, a toll booth at Chase, and data quality problems of its own. The grass isn’t greener; it’s another American patchwork quilt, and perhaps a worse one. Hail, Benihydra (Sep 21): Salesforce brings its platform into Claude, Slack, and its own agent, inviting the interfaces that might replace it. Cut off one head and more grow back, so long as the records underneath stay put. Living on A Trade Secret Prayer (Sep 22): Six credit unions are suing Fiserv, the Epic of core banking, by claiming their own member records as trade secrets. Banking has no Cures Act, so its lawyers reach for legal alchemy that healthcare has already tried. Other News None this month External Media Nabla Accelerate NYC: I kicked off fall conference season at Nabla’s Accelerate event in New York, where Delphine Groll opened by asking the room to picture the company it wants to become and the one it doesn’t. I liked her framework of bureaucracy, fear, and ego as the blockers. I also love vendor conferences/events in general - different vibe than industry biggies. Healthcare 101 with Nikhil Krishnan: I briefly guest lectured Out-Of-Pocket’s Healthcare 101 class. Appreciated Nikhil’s takeaways cover whether AI doctors can query HIEs, why healthcare’s data-liberation rules beat most industries’, and the hi-res graphic is in the comments. HCN: Epic Probed by the FTC: I joined the HCN guys to talk through the FTC’s investigation into Epic. Cedric’s new hairdo was an unexpected plot twist. The episode also covers MFN drug pricing, healthcare M&A and Eli Lilly’s acquisition streak. Fall Conferences: At eHealth Exchange’s Annual Meeting in Austin on Oct 27, I’ll moderate a panel on the tensions between AI, HIEs, and timely patient access with Jean Ross (Primary Record), Therasa Bell (Kno2), Byron Crowe (Doctronic), and Michael Marchant (Freenome). Here’s the rest of my schedule if you want to meet up: CommonWell (Redwood Shores, CA): Oct 13-14 Will be participating in a fun Jeopardy event Open@Epic (Madison, WI): Oct 20-23 Will be enjoying Verona, Willy Street, and other local adventures eHealth Exchange and Sequoia Project (Austin, TX): Oct 27-29 Yeehaw HLTH (Vegas): Nov 15-18 Groundhog Day, Venetian Edition RSNA (Chicago): Nov 30-Dec 2 See me at “Governing AI in Breast Imaging: What Health Systems Are Actually Doing” Digital Health Counsel 2026 AI Summit (Seattle): December 2-3 Will likely be speaking to a bunch of lawyers about information blocking Posts I Liked ChatGPT’s Epic integration: game changer or nothing burger?: Joshua Liu, MD offers five thoughts on OpenAI’s Epic launch, starting from the point that it rides the same open APIs available to anyone. He argues read-only access leaves ordering to Art and the ambient startups, and asks why HCA is piloting it alongside Commure. He’s sorta a must-follow at this point - consistently excellent, thought-provoking takes. Epic, Lilly, and the Discovery pass: Seth Chaney reads Epic’s first major Discovery deal (with Eli Lilly), as well as its revised developer terms on commercial displays, as the pipe finally opening between EHRs and pharma. Life sciences and health continue to collide. Scott Rossignol on EHR payer platforms and ePA fees: Scott argues the top ambulatory EHR vendors are turning the prior auth mandate into a per-member-per-year toll on payers, for an API whose operating cost has nothing to do with covered lives. His fix is two lines of regulatory text: put the CRD/DTR/PAS certification criteria in the Base EHR definition, and bring payer-facing ePA connectivity under § 170.404’s cost-based fee rules. It’s a good solution. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe

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

🔥 Edu Aguirre reveals: how Jorge Jesus betrayed Cristiano Ronaldo

Cristiano Ronaldo feels betrayed and deceived by Jorge Jesus, which explains his departure from Portugal’s training camp. In Portugal’s match against Norway, Cristiano Ronaldo was expected to play...

Oct 1 • 4:15 AM EDT • Sports • sports.yahoo.com

Australian businesses raise prices as card surcharge ban takes effect

SYDNEY, Oct 1 (Reuters) - Australian businesses said a ban on card surcharges that took effect on Thursday would force them to raise prices, casting doubt on government claims the change would lower living costs by eliminating more than $1 billion in annual card fees.

Oct 1 • 3:08 AM EDT • Business • miamiherald.com

Escape to Key West for the water, nature, serenity

Key West, the continental United States’ southernmost city, blends a colorful 19th-century heritage with a laid-back contemporary vibe. Visitors will find palm-shaded streets, picturesque historic homes, a lively multicultural culinary

Oct 1 • 12:00 AM EDT • Entertainment • keysnews.com

What Tom Brady Loves About 49ers QB Brock Purdy

Tom Brady praised Brock Purdy’s hot start to the 2026 season and explained what has impressed him about the 49ers quarterback.

Sep 30 • 11:55 PM EDT • Sports • sports.yahoo.com

Alix Earle boldly proclaims she’s ‘never read a book’

Influencer Alix Earle was asked about the last book she read, to which she replied she’s ‘never read a book.’

Sep 30 • 11:30 PM EDT • Entertainment • ew.com

Washington Post Osprey Story Blurs the Line Between Science and Special Interests

Article Repeats Unproven Claims Without Explaining Where They Exceed the Scientific and Regulatory Record

Sep 30 • 10:01 PM EDT • Science • voiceofalexandria.com

Washington Post Osprey Story Blurs the Line Between Science and Special Interests

Article Repeats Unproven Claims Without Explaining Where They Exceed the Scientific and Regulatory RecordWASHINGTON, D. / ACCESS Newswire / September 30, 2026 / The Washington Post on September 27 published a story by Mark Robichaux under the headline "Ospreys are disappearing along the East Coast.

Sep 30 • 10:00 PM EDT • Science • finance.yahoo.com

New Guide, 'How Do I Get ChatGPT To Recommend My Business?', Strategy Revealed

Authority Acquisition's new guide explains how ChatGPT recommends businesses based on discoverable published content, not paid placement, and ou...

Sep 30 • 9:47 PM EDT • Business • markets.businessinsider.com

Jaylen Brown Has Perfect Response to 76ers' 'Alpha' Question

Jaylen Brown is going to be a real leader for the 76ers. He explains how his mindset is all about winning.

Sep 30 • 9:00 PM EDT • Sports • sports.yahoo.com

How much caffeine is too much? Local health experts explain the risks

St. Mary's health experts say caffeine can be safely enjoyed in moderation, but hidden sources and energy drinks may push some people beyond recommended daily limits

Sep 30 • 8:21 PM EDT • Health • kjct8.com

US government's new AI chatbot pulls back from debunking Trump

US President Donald Trump unveiled what he called a "damn good" AI chatbot, but it quickly drew attention for contradicting some of his contentious political claims. It was unclear whether the Trump a...

Sep 30 • 8:02 PM EDT • Politics • yahoo.com

UN Decade of Healthy Ageing midpoint report finds progress, calls for greater investment

New evidence in the Secretary-General's report to the 81st UN General Assembly, prepared by the World Health Organization (WHO) in coordination with the UN system, finds more countries acting on healthy ageing than ever before – but longer lives will not become healthy, dignified ones without faster, more sustained investment at country level.(NEW YORK, 28 September 2026) The Secretary-General transmitted to the 81st session of the UN General Assembly the mid-term progress report on the UN Decade of Healthy Ageing (2021–2030), marking the midpoint of the ten-year global effort to improve the lives of older people. The report was prepared by the World Health Organization (WHO) in coordination with the UN Inter-Agency Group on Ageing and with inputs from thirteen UN entities, the World Bank Group and civil society partners. It finds real progress in countries – and persistent gaps that must close before 2030.The number of people aged 60 and over passed 1 billion in 2020 and is projected to reach 2.1 billion by 2050, with the fastest growth in low- and middle-income countries. Longer lives are not automatically healthy ones: globally, the gap between life expectancy and healthy life expectancy at age 60 widened between 2000 and 2023, and an estimated 71% of excess deaths from COVID-19 between 2020 and 2023 were among people aged 60 and over. “Longer lives are one of humanity’s great achievements, but we cannot congratulate ourselves while leaving millions without health and support,” said Dr Pascale Allotey, Director, Department of Sexual, Reproductive, Maternal, Child and Adolescent Health and Ageing, WHO. “The first half of the Decade has shown what is possible. The second half must be about scaling and financing the progress to meet the needs and rights of older persons.”Real progress, unevenly sharedThe report finds that more countries than ever now have legislation against age-based discrimination – up from 44.5% in 2018 to 57.7% today – and over half now have national long-term care policies, up from 49% in 2023 to 56.7%, dedicated programmes to build age-friendly environments (54.6%), and comprehensive health and social assessments of older people (54.6%). New WHO guidance on services for long-term care and for Integrated Care for Older People (ICOPE) delivered in communities is enabling systemic change as an increasing number of countries incorporate these services within national universal health care benefit packages. A host of UN agencies and other partners support training, increasing health workforce competencies and use of digital health tools.“This report shows the Decade of Healthy Ageing is working,” said Dr Ritu Sadana, Head of the WHO Secretariat for the UN Decade of Healthy Ageing. “More countries are legislating against ageism, providing integrated care, strengthening long-term care systems, and creating age-friendly environments than ever before, in all regions and income levels. But progress is uneven and in one area, regressive: fewer countries report active multi-stakeholder forums on ageing, down from 53.1% in 2020 to 43.3% today. The second half of this Decade must turn commitments into results, in every country.”The financing gap: this Decade's binding constraintFinancing remains the binding constraint: more than a third of reporting countries (33.8%) have very little or no dedicated resources to develop long-term care, with similar shortfalls across the Decade’s other priority areas. Less than half of countries (45.4%) have legislation providing access to assistive devices (including hearing aids, spectacles or rollators), which are key to enabling older people to maintain productive, independent and dignified lives. Only 22.7% of countries can track older people’s health over time – the largest gap across the Decade’s core progress indicators. Nationally representative information is needed in each country, as policies and interventions cannot be designed as if all older adults of a given age share similar needs and capacities. The report calls for sustained investment through national budgets, country-owned plans, development cooperation and innovative financing mechanisms to fully close these gaps by 2030.“The Decade was designed as a whole-of-UN effort, and this report shows it in action,” said Amal Abou Rafeh, Chief of the Programme on Ageing Section at the UN Department of Economic and Social Affairs (UN DESA), and Permanent Co-Chair of the UN Inter-Agency Group on Ageing. “Thirteen UN entities, the World Bank group and civil society organizations contributed to this report, with WHO as the lead technical and implementing agency. That is the model of coordination the second half of the Decade will need to scale, with countries leading legislation, funding and implementation, engaging older people.”“Investing in healthy ageing is not simply a cost; it is one of the highest-return investments a government can make,” said Fiona Stewart, Global Lead for Ageing and Pensions at the World Bank Group. “Countries that invest early in integrated and long-term care see savings that outweigh the upfront cost many times over. The evidence in this report makes the economic case; what is now needed is predictable financing at country level to act on it, along with efforts to support older entrepreneurs and the silver economy.”Older people's own voicesThe report also draws on the direct experience of older people themselves, including a multilingual global survey conducted by the International Federation on Ageing that reached more than 1000 older people across 58 countries. WHO and UN partners called on Member States to use the second half of the Decade to accelerate implementation, strengthen data systems, and secure the financing needed so that the gains of longer lives reach older people everywhere. About the UN Decade of Healthy Ageing (2021–2030)Proclaimed by the UN General Assembly in December 2020, the Decade is a global collaboration bringing together governments, UN agencies, civil society, the private sector, academia and older people themselves to improve the lives of older people, their families and communities. It is coordinated by the World Health Organization together with the UN Inter-Agency Group on Ageing. The Decade's mid-term progress report was transmitted to the General Assembly by the Secretary-General, prepared by WHO, and is available in 6 languages.Full Report available: A/81/366 Implementation of the United Nations Decade of Healthy Ageing (2021–2030): Note by Secretary-General [ العربية | 中文 | English | Français | Pусский | Español

Sep 30 • 8:00 PM EDT • Health • who.int

Trajan Langdon Sets His Price for Trading Pistons Picks

Trajan Langdon laid out exactly what it will take for Detroit to trade its draft picks. #Pistons

Sep 30 • 8:00 PM EDT • Sports • sports.yahoo.com

Healthy Kids Healthy Futures: Misleading online health claims

In this edition of "Healthy Kids Healthy Futures," we're revisiting the topic of online health claims, diving deeper into posts made by influencers or created by AI.

Sep 30 • 6:43 PM EDT • Health • abc30.com

Looking at the Ugly Side of the Paramount-Skydance Merger...And How I’d Fix It

A Message from Our Sponsor Certified Fresh with 100% on Rotten Tomatoes, FX’s Adults is an ensemble comedy series about a group of twenty-somethings in New York leaning on each other to navigate love, work, friendship and family. Don’t sleep on “The Sitcom of the Moment” - Awards Buzz All Episodes now streaming on Hulu on Disney+. Watch The Teaser Trailer... (Welcome to the Entertainment Strategy Guy, a newsletter on the entertainment industr(Welcome to the “Most Important Story of the Week”, my bi-weekly strategy column analyzing the most important (but often not buzziest) news story of the last two weeks. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. Please subscribe.) Before we dive in, I wanted to congratulate Broadcast Now for being the first to report that Netflix’s How to Get to Heaven from Belfast has been cancelled. (I saw this in a write-up by Kasey Moore of Whats-On-Netflix.) More importantly, I wanted to note that, as of yesterday, none of the other trades had reported the news yet. I have half a guess that eventually one of them will report this. Anyways, it’s time to take a break from my deluge of streaming ratings reports to continue my analysis of the Paramount Skydance Warner Bros. Discovery (PSWbD) saga. As I noted last week, a lot of times when folks use the (sometimes cliched) “the good, the bad and the ugly” framing for an article, “the ugly” section is just more bad. Or very, very bad. In this case, yeah, I do think it’s ugly. In more than one way. Unfortunately, we’re only going to have time to tackle one of those ways today: the ugly pile of debt to finance this deal. (In a future article, I may cover the entire process for how it went down, which was very, very ugly.) Last issue, I explained why I liked this deal in a vacuum. Unfortunately, “vacuums” don’t exist outside of space. Let’s dive in. Subscribe Most Important Story of the Week - The Ugliness of the Paramount/Warner Bros. Merger More than one person sent me a note speculating that the big problem with Paramount Skydance buying Warner Bros. Discovery is the “Warner Bros.” portion of the deal. In fact, that’s a take I read a lot about Warner Bros., ever since they caught Netflix’s, and then Paramount-Skydance’s, eye. In short, multiple companies (Time, AOL, AT&T, Discovery) have bought and then regretted buying Warner Bros. Since it’s nearing Halloween, you could almost say it’s like the folks think WB is cursed! It’s a haunted studio—like the town of Derry in movie studio form—and whoever takes possession of it will fall into misery! Yet...I just don’t like that story, because it doesn’t explain the “why” behind why those deals fell through. Especially when Warner Bros. has continued to succeed as a TV and film studio in the intervening two decades. Lord of the Rings? Harry Potter? Game of Thrones? Everything HBO? Considering it never fully owned a broadcast TV channel, this media company has done pretty well. So what went wrong? Well, in recent years, companies bought Warner Bros. instead of the other, smarter option. Explaining POCD (And Applying It to Mergers & Acquisitions) As I explained last issue, one of my favorite frameworks is the POCD tool for evaluating venture capital investments: People Opportunity Context Deal The bar to invest as a VC is high. (Or I might say “was” since cheap interest rates made life easier last decade.) You review a thousand prospectuses, get pitched by a hundred, and invest in the ten best, with the hopes that one of those ten would pay for the rest. That means every element of a deal needed to pay off: you needed the right people running the companies, who could capitalize on the right opportunity, in the context of an industry that was ripe for disruption. If you could then not overpay, you could make some money in a smart deal. The analogy isn’t perfect here, but close enough. For a merger or acquisition to work, you need the combined company (which is the opportunity) to make more than the price you need to pay (which is the deal). Note: the people and context still matter, but with M&A, it’s a little more straightforward: does the opportunity exceed the cost? And usually with Warner Bros., it hasn’t. If you want to find out the single biggest mistake made by the Warner Bros. suitors over the last few years (and my simple fix) become a paid subscriber. I’ll also touch on who I think Paramount-Skydance could (shockingly) consider buying next, TBD, and more. Sign up here.

Sep 30 • 6:41 PM EDT • Entertainment • entertainment.substack.com

Minnesota has new K-12 academic health standards. What will they look like in the classroom?

The Director of Training and Education at the Center for Healthy Youth Development at the University of Minnesota explains the newly approved state K-12 academic health standards.

Sep 30 • 5:58 PM EDT • Health • mprnews.org

Coralville sues University of Iowa Health Care, alleging breach of contract

The City of Coralville is suing Iowa’s Board of Regents, which oversees the University of Iowa, claiming the university’s health care system promised to build medical offices that never materialized.

Sep 30 • 5:26 PM EDT • Health • kcrg.com

Sean Combs' release pushed up, as report details pampered lifestyle

An earlier release date for Sean 'Diddy' Combs has been set, once again, just as an NBC News report claims the disgraced rapper and producer is living a pampered lifestyle in federal prison.

Sep 30 • 5:16 PM EDT • Entertainment • latimes.com

Christopher Abbott explains why the reaction to his “X-Men” casting was ‘a dream and a nightmare’

Abbott is set to play Professor Xavier in the new “X-Men” movie.

Sep 30 • 5:10 PM EDT • Entertainment • yahoo.com

JOMO Is the Antidote to FOMO—Here’s How to Practice the “Joy of Missing Out”

Mental health experts explain how embracing JOMO can help you prioritize rest and connection—without letting FOMO dictate your social life.

Sep 30 • 5:09 PM EDT • Health • yahoo.com

WATCH: Justice Department files complaint against judges over immigration enforcement surge comments

Sep 30 • 5:01 PM EDT • Politics • pbs.org

Is Purdue a MUST-WIN Game for Illinois This Weekend?

Facing a defensive crisis and coaching shakeup, Bret Bielema’s squad must secure a homecoming victory to stabilize a chaotic season and reclaim momentum in the Big Ten.

Sep 30 • 5:00 PM EDT • Sports • sports.yahoo.com

Vincent D'Onofrio Shuts Down God Of War Laufey Gooner Complaints: 'Buddy Got Bodied By Kingpin'

The Daredevil costar has no time for unhinged gamer conspiracies

Sep 30 • 3:15 PM EDT • Technology • kotaku.com

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.

Sep 30 • 2:03 PM EDT • Politics • indyweek.com

Selma Blair Set for Coming of Age Film 'Schmoolie the Deathwatcher'

In the Theresa Burkhart Gallagher-penned project, Isaac Krasner is set to play the title character Schmoolie alongside a cast that also includes Luenell, Ariel Martin, David Mazouz and Sania Halifa.

Sep 30 • 1:44 PM EDT • Entertainment • hollywoodreporter.com

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.

Sep 30 • 1:41 PM EDT • Sports • lailluminator.com

Chris Koza album release concert Oct. 24

Lanesboro Arts is thrilled to celebrate the release of Chris Koza’s latest album, “Millsmoke on the Skyline,” with a concert at the St. Mane Theatre at 7 p.m. on October 24. Chris Koza is a composer and performer based in Denver and Minneapolis. In his writing, Koza both honors and builds on the vast genre of Americana music. For every song that sounds like it could be strummed from a boxcar clacking slowly across a grassy midwestern plain, there’s a tune sailing from a city rooftop, echoing across a valley of streets and traffic, or a melody twisting and shimmering like a dim frequency deep into the starry night.Both as a solo artist and with his band Rogue Valley, Koza has supported and shared the stage with artists such as Brandi Carlile, Gordon Lightfoot, Ingrid Michaelson, The Jayhawks, Neko Case, Kathleen Edwards, Dan Wilson, and many more. His music regularly appears on ABC’s “General Hospital,” “60 Minutes,” and “Good Morning America.” Koza’s song, “Be Wild,” was also featured in a state of Minnesota tourism campaign.#placement_932485_0_i{width:100%;max-width:550px;margin:0 auto;}var rnd = window.rnd || Math.floor(Math.random()*10e6);var pid932485 = window.pid932485 || rnd;var plc932485 = window.plc932485 || 0;var abkw = window.abkw || '';var absrc = 'https://ads.empowerlocal.co/adserve/;ID=181918;size=0x0;setID=932485;type=js;sw='+screen.width+';sh='+screen.height+';spr='+window.devicePixelRatio+';kw='+abkw+';pid='+pid932485+';place='+(plc932485++)+';rnd='+rnd+';click=CLICK_MACRO_PLACEHOLDER';var _absrc = absrc.split("type=js"); absrc = _absrc[0] + 'type=js;referrer=' + encodeURIComponent(document.location.href) + _absrc[1];document.write('');Koza’s latest offering, “Millsmoke on the Skyline,” grants the newfound outsider perspective of the rich life and golden fleeting days throughout the rural Midwest. Weaving melody and lyrics into vignettes and narratives set in places where love is powerful, dreams are vast, and life is beautiful.The St. Mane Theatre box office will open at 6 p.m. on the day of the concert. Tickets will be sold in person at the door or can be purchased online at lanesboroarts.org. Seating at the St. Mane theatre is first come, first served. Tickets are on sale now for $25 for general admission or $22 for Lanesboro Arts members.The 2026 performing arts season at Lanesboro Arts is made possible by our season sponsor, Poet Refinery, as well as our concert level sponsors, High Court Pub, Krage Insurance Agency & Preble Farmers Mutual, Stone Mill Clothing & Gifts, E2 Boutique/Amish Experience, and The Cottage House Inn, and community sponsors, VIS Plumbing, Granny’s Liquor, Kingsley Mercantile, Batstone CPA, Clara’s Eatery, IGA, Niagara Cave, and Huntington Electric. This event is made possible by the voters of Minnesota through a Minnesota State Arts Board grant, thanks to a legislative appropriation from the Arts and Cultural Heritage Fund. #placement_932489_0_i{width:100%;max-width:550px;margin:0 auto;}var rnd = window.rnd || Math.floor(Math.random()*10e6);var pid932489 = window.pid932489 || rnd;var plc932489 = window.plc932489 || 0;var abkw = window.abkw || '';var absrc = 'https://ads.empowerlocal.co/adserve/;ID=181918;size=0x0;setID=932489;type=js;sw='+screen.width+';sh='+screen.height+';spr='+window.devicePixelRatio+';kw='+abkw+';pid='+pid932489+';place='+(plc932489++)+';rnd='+rnd+';click=CLICK_MACRO_PLACEHOLDER';var _absrc = absrc.split("type=js"); absrc = _absrc[0] + 'type=js;referrer=' + encodeURIComponent(document.location.href) + _absrc[1];document.write('');

Sep 30 • 1:18 PM EDT • Entertainment • winonapost.com

DOJ ramps up fight against federal judges after some in Minnesota speak to media about immigration surge cases

The Justice Department is filing a judicial misconduct complaint against nearly all the federal judges in Minnesota, Attorney General Todd Blanche announced Wednesday, in an escalation in tensions between the Trump administration and the judicial branch, which came to a head during the winter surge of immigration enforcement.

Sep 30 • 12:09 PM EDT • Politics • cnn.com

Female Gazan PLC candidate to 'Post': I want a say in the decisions shaping my life

In an interview with the Post, Hiyam Taha explained why she is seeking to enter politics and how she hopes to improve the future of the Palestinian people.

Sep 30 • 11:58 AM EDT • Politics • jpost.com

How Jordan Bardella's political youth was shaped by antisemitic ideology

Accused of writing antisemitic messages when he was a young activist, an allegation he denies, the president of the Rassemblement National came of age politically in a milieu strongly influenced by Alain Soral. An antisemitic polemicist who briefly belonged to the party, Soral remained a popular figure on the French far right throughout the 2010s and, for some, an ideological compass.

Sep 30 • 11:53 AM EDT • Politics • lemonde.fr

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 […]

Sep 30 • 11:52 AM EDT • Health • ccf.georgetown.edu

Paula Patton’s Acclaimed Thriller TV Show Returns Today on Paramount+ After 5 Year Wait

Paula Patton returns to streaming today with the long-awaited second season of her legal drama. Sacrifice Season 2 premieres on Paramount+ on September 30, nearly five years after the first season pre...

Sep 30 • 11:46 AM EDT • Entertainment • yahoo.com

Democrat Troy Jackson apologizes for Holocaust reference

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

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

Dark clouds appear over 'Xbox Cloud Gaming' as it retires apps on some TVs — and the reasons are poorly explained

Microsoft just emailed users of older Samsung TVs that the Xbox Cloud Gaming app is going to be killed off soon, but didn't really explain why.

Sep 30 • 11:00 AM EDT • Technology • windowscentral.com

Julia Stiles and Ezra Sosa put ‘final touches’ on “DWTS” routine at the last minute, after actress’ rib injury

The pair explained their preparation process amid Stiles’ rib injury.

Sep 30 • 10:59 AM EDT • Entertainment • yahoo.com

Julia Stiles and Ezra Sosa put ‘final touches’ on ‘DWTS’ routine at last minute, after rib injury

Julia Stiles and Ezra Sosa explained how they put ‘final touches’ on ‘Dancing With the Stars’ routine at the last minute, following the actress’ rib injury, as shown in the ‘DWTS’ rehearsals.

Sep 30 • 10:58 AM EDT • Entertainment • ew.com

Comic Fans Flock to Ninth Annual IV Entertainment Convention

Heroes and villains came to life at the ninth annual Imperial Valley Entertainment Convention, as attendees got the chance to meet artists and voice actors and have fun dressing up like their favorite fictional characters.

Sep 30 • 10:42 AM EDT • Entertainment • calexicochronicle.com

‘GMA’ personality Will Reeve shares emotional update on health after cancer diagnosis

‘Good Morning America’ personality Will Reeve gave an emotional update on his health after revealing his testicular cancer diagnosis: ‘I worried about being a burden,’ he explained on ‘GMA.’

Sep 30 • 10:32 AM EDT • Entertainment • ew.com

Switch 2 players Can Claim a Free Copy of The Witcher 3 Thanks to a Loophole

Dig up those old cartridges

Sep 30 • 9:27 AM EDT • Technology • polygon.com

HEALTH & WELLNESS @ HOME: Cardiologist discusses heart attack risks ahead of winter

Doctor explains why heart attack cases rise in colder months

Sep 30 • 9:00 AM EDT • Health • wdbj7.com

F1 Grand Slams, explained

George Russell joined an exclusive F1 list at the Azerbaijan Grand Prix

Sep 30 • 8:00 AM EDT • Sports • sports.yahoo.com

Montana's ballot measure on political spending, explained

Frustration over outside groups' political spending, and the mailers and TV ads that go along with it, is what the supporters of Initiative 194 say they’re responding to.

Sep 30 • 8:00 AM EDT • Politics • ktvh.com

Wiegman explains why Chloe Kelly was dropped by England

Sarina Wiegman has explained why Chloe Kelly was left out of the latest England squad, with the decision coming before the forward’s current hamstring problem.Photo by Mike Hewitt/Getty ImagesSarina...

Sep 30 • 7:15 AM EDT • Sports • sports.yahoo.com

Xcel's faulty billing has residents, businesses and cities fired up

Xcel Energy’s billing practices are causing financial and logistical headaches for Minnesota residents, businesses and even municipalities, according to complaints filed with the state utility regulator this year.

Sep 30 • 7:00 AM EDT • Business • minnesotareformer.com

Why Washington Wizards Trade for Jalen Duren Makes Little Sense

The Washington Wizards found themselves tied to a trade rumor, but we explain why Jalen Duran in DC makes no sense

Sep 30 • 6:00 AM EDT • Sports • sports.yahoo.com

When “DEI” research is cut, what happens to community health?

“I’m just going to run to the grocery store!” How many times have we said this without thinking about it? For most of us, it's usually an easy walk or a short drive to get the cheese we forgot. In reality, though, 13% of the U.S. population (about 39 million people) live in “food deserts,” which means living more than a mile from a grocery store in urban areas and more than 10 miles in rural areas. This was the case for people in Pittsburgh’s Hill District, where a quick run to buy food wasn’t an option. In the 1930s, federal maps marked the Hill as "hazardous" for lending, a practice known as redlining that steered investment away from Black neighborhoods. Decades of disinvestment followed, and residents went about 30 years without a nearby grocery store. This made it hard to keep healthy eating habits and contributed to chronic disease. When a grocery store finally opened in the area in 2013, researchers saw the opportunity and launched the PHRESH study, which initially compared the health of participants from the Hill district to those in the Homewood district. Over time, the study expanded to other factors such as brain health and Alzheimer's risk. Residents like Roderick Blair overcame initial hesitation to share their health data, trusting it would benefit their neighborhood. Then, in August 2026, the NIH abruptly canceled the study’s grant, citing that it was “subjective” and fell outside their scientific scope—an effect of the administration’s interpretation of diversity, equity and inclusion (DEI). Research like PHRESH can help determine what changes in a neighborhood actually improve health, so cutting it has left that question unanswered. Other canceled studies have examined health issues like maternal health, preterm birth rates, or sickle cell disease. Courts have reversed some of these grant cancellations, but not all of them. If we really want America to be healthier, research into why some communities get sicker than others is absolutely critical. The law that created the federal minority health research institute passed with bipartisan support in 2000. But these days, as evidenced by grant cancellations, the political shift in attitudes toward DEI means we often lose access to the health information we need to help all communities thrive. DEI vs. health equity vs. equality and the overlap (or lack thereof) The letters “DEI” evoke very different reactions depending on who you are in the U.S. DEI programs can address gender, disability, age, and other factors, but the fiercest debate centers on race. For some people, hearing DEI brings to mind policies that may have cost them a job or a college seat because they are white. Others see DEI as a matter of justice: a way to expand representation and opportunity for groups that have been historically marginalized. Both perspectives are rooted in lived experience, and both center on the same question: whether hiring and admissions practices are fair. Hiring and admission practices, though related, are not the same as health equity. Health equity is “the attainment of the highest level of health for all people.” It’s the recognition that some groups of people consistently experience worse health outcomes than others. For instance, black mothers die from pregnancy-related complications at three times the rate of white mothers, and rural Americans are more likely to die from issues such as heart disease and cancer. Equity is also often conflated with “equality,” which leads to misunderstanding of how to actually best support communities. Equality ignores the fact that we aren’t all starting life with the same resources or circumstances, whereas equity is about helping people get what they specifically need based on their situation so they have the chance to achieve the same outcome as anyone else. For example, if every household in Pittsburgh got a $30 grocery gift card, that would be equal. But during the decades the Hill District went without a grocery store, that card wouldn’t have helped much. Equity means making sure everyone can actually access a store in the first place. DEI policies can overlap with health equity in many ways. For example, they may help expand access to quality education and stable, well-paying jobs, which in turn can provide health insurance, safer housing, and improved finances—all of which can reduce health disparities. But to make that happen, we first need data to identify disparities in communities and to develop solutions that effectively address them. What we lose when the research stops Community data is important to health equity because: You can’t fix what you don’t see: Data show which communities are most affected by health factors such as infection, heart disease, and cancer. If we don’t know what is happening and where, then we can’t develop interventions to help. Poor health costs everyone: Chronic disease is expensive—both to the individual person and to the overall economy. Understanding what groups of people are most at risk allows us to develop interventions that can save everyone money. Disparities exist for many communities: Health equity includes disparities that exist due to a whole host of factors, such as family background, race and ethnicity, rural vs. suburban residence, gender and sexual orientation, veteran status, disability, and lower income. This means many Americans can benefit from research into differences in health outcomes and how to improve them. Trust is easy to lose: Some participants in the PHRESH study were initially vocal about their concerns about participating. But that trust was earned because the researchers kept their promises and centered their work on the community. When projects are canceled mid-cycle, researchers have no choice but to leave behind communities they had promised to help. This hurts trust in the long run. It’s also a very inefficient use of resources, and it will take significant time and effort to redo the work when the government realizes this work is important again. How should we talk about health equity? This is hard because the words “equity” and “DEI” are currently very politically charged. So whether you’re a public health professional, teacher, or friend, how we talk about this topic matters. The right framing can help people who might otherwise be skeptical see why health equity research is important and deserves funding. Here are some suggestions to help your conversations: Choose your words strategically: Who are you trying to reach with your message? Are they likely to be resistant to terms like “diversity” and “equity”? If so, find alternative words to use to still get the message across. It is frustrating to be in that position, but the goal of improving health is too important not to try to make inroads. Sometimes simply reframing can help the message reach those who need to hear it. Focus on the problem: The terms “health equity” and “DEI” are abstract. Make it more specific. For example, discuss differences in maternal death or ways to improve health outcomes in rural communities. These still have equity at their core but will likely be better understood by those you’re talking with. Focus on systems: Disparities exist, but if they are communicated poorly, people can mistakenly think the issue is the individual’s fault. Disparities are largely driven by failures of the system—such as lack of access to health care and a long legacy of racism. When discussing the disparities, frame them around these systemic issues to ensure blame isn’t placed on the individuals impacted. Tell stories: Personalize these policies by using stories from those impacted that connect to the data you’re trying to convey. This helps make the policies and outcomes more concrete and meaningful. Bottom line Some communities end up sicker than others. That’s just the facts. We can argue about the best way to do that research, but canceling it simply because it may be linked to DEI doesn’t make anyone healthier. It just leaves communities like the Hill district behind. And in the end, it causes us all to move backward in our efforts to improve health in this country. Love, EM Big thanks to MacKenzie Isaac & Legairre Radden, who reviewed this piece and generously shared their expertise and lived experience to help improve it. Dr. Liz Marnik, PhD, is Executive Director of The Evidence Collective and a science communicator and immunologist working at the intersection of public trust, science, and public health. To discuss communication training on topics like health equity and storytelling, email Liz at liz@yle.health or learn more on our website. Your Local Epidemiologist (YLE) comprises a team of experts, ranging from physicians to immunologists to epidemiologists to nutritionists, working together with one goal: to “translate” ever-evolving public health science so that people are well-equipped to make evidence-based decisions. The YLE suite of newsletters reaches over 475,000 people across more than 132 countries. This newsletter is free to everyone, thanks to the generous support of fellow YLE community members. To support the effort, subscribe or upgrade below: Your Local Epidemiologist is a reader-supported publication. 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Sep 30 • 5:05 AM EDT • Health • yourlocalepidemiologist.substack.com

Halo’s former creative director urges Activision to hire laid off Bungie, Halo Studios devs

Frank O’Connor shares advice to Activision for how the Halo series could go forward…

Sep 30 • 5:04 AM EDT • Technology • videogameschronicle.com

Xbox’s Millennial C.E.O., Asha Sharma, Isn’t Playing Around

“I think the industry will require disruption,” said Asha Sharma, who has overseen layoffs and divested studios since inheriting Microsoft’s flailing video game division.

Sep 30 • 5:00 AM EDT • Technology • nytimes.com

Ace Combat Zero: The Belkan War’s modern port can’t be sold separately due to fighter jet licenses expiring, devs explain

The 20-year-old game will be distributed exclusively as a pre-order bonus for AC8.

Sep 30 • 3:50 AM EDT • Technology • automaton-media.com

Vaccines may counter Alzheimer's disease. New position paper explains how

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Sep 30 • 3:16 AM EDT • Science • haaretz.com

This Stat Explains Exactly How Rays Won 98 Games

The Tampa Bay Rays won 98 games by dominating close situations, going 25-4 in one-run games and 61-35 in games decided by three runs or fewer. Elite pitching control, MLB's lowest strikeout rate and a versatile offense could make Tampa Bay dangerous in the MLB playoffs.

Sep 30 • 3:13 AM EDT • Sports • sports.yahoo.com

Netflix's East Of Eden Brings Humanity To Cathy Ames: Florence Pugh & Zoe Kazan Explain The Changes

Florence Pugh and Zoe Kazan explain what changed in Netflix's East Of Eden series, and why Cathy Ames was given more humanity.

Sep 30 • 3:02 AM EDT • Entertainment • refinery29.com

Montana's ballot measure on political spending, explained

Sep 30 • 12:11 AM EDT • Politics • yahoo.com

Elaine Hendrix breaks down her ‘complicated, duplicitous’ turn in “R.J. Decker ”season 2

Hendrix, who appears as the poised and pragmatic District Attorney Janis Lake, hopes episode 3’s twist sets off ‘a whole debate’ over Victor Ochoa’s murder.

Sep 29 • 11:00 PM EDT • Entertainment • yahoo.com

New Evanston Art Center exhibit explores mental health, taboos

The lobby of the Evanston Art Center is full of secrets laid bare in its latest exhibit, “Whispers in the Dark.” The exhibition, which had its opening reception Sunday, features the work of seven creators using a variety of artistic mediums. The pieces examine mental health and taboo topics, often utilizing macabre imagery. When entering...

Sep 29 • 10:40 PM EDT • Health • dailynorthwestern.com

LeBron James Discusses Key to 76ers Building Chemistry

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Sep 29 • 8:00 PM EDT • Sports • sports.yahoo.com

Bats may have first evolved in Europe 65 million years ago

A huge genomic and fossil study suggests bats first evolved in Europe around 65 to 60 million years ago before spreading across the globe. The findings also indicate that flight and echolocation emerged near the beginning of bat evolution, potentially helping explain how bats became one of the most successful mammal groups on Earth.

Sep 29 • 8:00 PM EDT • Science • sciencedaily.com

The Witcher 3 Remastered showed 38 FPS with DLSS 5 versus 68 FPS for the Next-Gen version

Detailed performance and visual quality measurements of the updated version have appeared online. The Witcher 3: Wild Hunt Remastered using...

Sep 29 • 7:44 PM EDT • Technology • en.gamegpu.com

Explaining N.C.'s proposed constitutional amendments: Property tax levy limit

North Carolina voters will be facing three proposed constitutional amendments in the upcoming election, and we’re going to explain them all, starting with the property tax levy limit.

Sep 29 • 7:30 PM EDT • Politics • spectrumlocalnews.com

‘DWTS’ pro Witney Carson says she grew up idolizing Julianne Hough: ‘I wanted to be her’

Witney Carson explains how she felt about Julianne Hough as the ‘Dancing With the Stars’ pro and host were growing up in Utah.

Sep 29 • 7:02 PM EDT • Entertainment • ew.com

Xbox's Disc-To-Digital Is Rolling Out Now To All Users

Dust off your boxes, folks, it's time to claim those licenses

Sep 29 • 7:01 PM EDT • Technology • kotaku.com

UWEC science hall to hosts last season of planetarium shows

EAU CLAIRE — During previous semesters at UW-Eau Claire, L.E. Phillips Planetarium was the place to spend nights kicking back and looking at the stars.

Sep 29 • 6:30 PM EDT • Science • leadertelegram.com

Penn Badgley Banned Sex Scenes. His Wife Says It's for 'Mental Health'

Penn Badgley's wife Domino Kirke-Badgley is shooting down claims that she is the reason her husband no longer acts in sex scenes.

Sep 29 • 6:06 PM EDT • Health • variety.com

Explaining the 'Money out of Politics' proposal

Sep 29 • 5:40 PM EDT • Politics • wzzm13.com

Surly Gates: Corte Madera’s Tale of Wealth, a Walking Path and Politics

A wealthy Corte Madera private trust claimed Alta Way, a wooded trail, as their own, but neighbors say it belongs to the community.

Sep 29 • 5:26 PM EDT • Politics • pacificsun.com

The White House Claims Trump’s New Ads Are “Clearly Not Political,” Says Aide

The pre-midterm commercials are “reminding Americans to love their country,” a White House official insists to Vanity Fair, even as both Republican and Democrat lawmakers balk.

Sep 29 • 5:24 PM EDT • Politics • vanityfair.com

Over 640 workers to be laid off in Wayne County

Workers in Livonia and Plymouth face layoffs this fall as Trinity Health and Niagara Bottling cut jobs.

Sep 29 • 5:00 PM EDT • Business • detroitnews.com

‘Dazzling’ globetrotting adventure in history of alchemy wins 2026 Royal Society Trivedi Science Book Prize

The Age of Alchemy: How Early Innovators Shaped Modern Chemistry by self-proclaimed science adventurer Kit Chapman has been announced as the winner of the 2026 Royal Society Trivedi Science Book Prize.

Sep 29 • 4:52 PM EDT • Science • royalsociety.org

iPhone 18 Pro Owners Complain of Speaker Crackling or Popping

Some iPhone 18 Pro owners have noticed an unusual crackling sound coming from the speaker of the device, leading to complaints on the MacRumors forums and Reddit. Users have called it a crackle, a faint tick or pop, or random clicking. Many say the problem is with the earpiece speaker, and both the iPhone 18 Pro and iPhone 18 Pro Max appear to be affected.

Sep 29 • 4:44 PM EDT • Technology • macrumors.com

Coming to America – pandas and international politics at a zoo

Zoo Atlanta’s new pandas are part of China’s panda diplomacy. Northeastern political scientists explain what Beijing gains from the loan.

Sep 29 • 3:58 PM EDT • Politics • news.northeastern.edu

The Family Business Advantage: Third Quarterly Power Breakfast of 2026 explores how family businesses balance legacy and innovation

Photo by GFBJAnother successful Power Breakfast is in the books. The Greater Fayetteville Business Journal hosted its third quarterly Power Breakfast of 2026 on Tuesday, Sept. 29. Local leaders and decision-makers gathered to network and learn from the panel about how established principles drive long-term stability while allowing for operational evolution. The panel featured Managing Partner of Luigi’s Italian Chophouse & Bar, Nate Ernst; Inside Sales at Hubbard Supplyhouse, Mary Grace Hurley; Chief Operations Officer for Copiers Plus, Drew Smith; and CEO of Holmes Security Systems, Stephen Wheeler. The panel was moderated by Lauren Willets, director of the Family Enterprise Center at UNC’s Kenan-Flagler Business School. Throughout the discussion, the panelists returned to a common idea: family businesses thrive when they preserve the relationships and values at their core while remaining open to change.Each panelist shared personal stories that carried practical lessons. Stephen Wheeler emphasized the role of relationships with customers and employees, saying, “What makes a family business successful today is relationships.” Mary Grace Hurley echoed Wheeler’s sentiment, describing relationships as a lasting inheritance, including a customer connection that began when she was young and continued into her working life. “If something’s given to you, that’s going to cost you too,” added Nate Ernst. He explained this philosophy by sharing that, in his view, earning responsibility builds credibility and confidence.Another hot topic was the idea of tradition versus change. For these businesses that have been around for a century or even more, it can be difficult to escape the “we’ve always done it this way” caveat, but these speakers emphasized how change has been an integral part of their growth and longevity. A family business can honor its history without being bound by it.“Innovation and tradition–they don’t have to be competing with one another,” shared Hurley. She pointed to changes in how businesses operate, including the adoption of computers and new management practices. Ernst stressed that adaptation is essential, while Wheeler described how his family’s electrical contracting business had evolved into a security-focused company. The details of the work may change, but identifying and upholding core values is key to embracing change while maintaining the character of a business. “I think it’s just important to remember why you started in the first place. What was your mission? What are your core values? And to reevaluate those,” shared Drew Smith.In addition to the first-hand accounts and wisdom shared by panelists, Moderator Lauren Willets recommended two novels during the panel for those seeking additional educational resources. Those two novels are “Hug of War: How to Lead a Family Business with both Love and Logic”by Cathy Carroll and “In the Company of Family: How to Thrive When Business Is Personal” by Melissa Mitchell-Blitch. Preparing the next generation requires more than handing over a title or company. Wheeler argued that future leaders need genuine passion and a vested interest in the business. The panelists were in agreement that succession is a process, and there is not one clear answer for how to perfectly prepare for it. Leaders must cultivate readiness, keep communication open and make room for the next generation to earn responsibility while being sure not to neglect the business in the here and now. “Today’s Power Breakfast was one of our best events yet! Between the passion and in-depth knowledge of the panelists, the great audience questions and the guidance and expertise of Mrs. Willets, the conversation was both engaging and informative,” shared GFBJ Publisher Faith Hatton. “A lot of small businesses in Fayetteville are family-owned and grown, and it’s great to be able to spotlight some of the businesses that have stood the test of time by strengthening the next generation of leadership and preparing them for ownership. I hope everyone received some inspiration and ideas that they can bring back to their own businesses and organizations!”We thank everyone who attended this Power Breakfast and hope you’ll all join us for the next Power Breakfast on Dec. 8. Details about the event will be shared on our social media and in future email updates. To learn about becoming a Power Breakfast sponsor, contact the Greater Fayetteville Business Journal at 910.240.9697 or marketing@bizfayetteville.com.

Sep 29 • 3:42 PM EDT • Business • bizfayetteville.com

New proclamation highlights respiratory health awareness across Phoenix, Arizona

At the request of the American College of Chest Physicians (CHEST), the City of Phoenix and Mayor Kate Gallego officially proclaimed October 18, 2026, as Love Your Lungs Day for Phoenix, Arizona.

Sep 29 • 3:22 PM EDT • Health • news-medical.net

Democrats accuse DiLorenzo of misreporting wealth and campai...

New Hampshire Democrats plan an ethics complaint alleging GOP House nominee Anthony DiLorenzo omitted assets and may have used corporate loans for his campaign....

Sep 29 • 3:00 PM EDT • Politics • unionleader.com

State Senate Democratic Committee: Robyn Vining earns Recombobulation Area endorsement, highlighting her effective legislative record

MADISON, WI – State Representative Robyn Vining’s campaign for State Senate has earned the endorsement of The Recombobulaiton Area and Dan Shafer. During their conversation on The Recombobulaiton Area podcast, Robyn and Dan highlighted her path to political life, her...

Sep 29 • 2:31 PM EDT • Politics • wispolitics.com

Explainer: Five things to know about the college sports bill that passed the US Senate

The US Senate passed legislation this week to regulate ‌college sports, a multibillion-dollar industry that has been upended in recent years by increased earning opportunities for student athletes.

Sep 29 • 2:31 PM EDT • Sports • reuters.com

Explainer-Five Things to Know About the College Sports Bill That Passed the US Senate

By Nolan D. McCaskill WASHINGTON, Sept 29 (Reuters) - The US Senate passed legislation ⁠this ⁠week to regulate college sports, a multibillion-dollar ⁠industry that has been upended in recent years by increased earning opportunities for student athletes. Here are five things to know about the bill's ...

Sep 29 • 2:30 PM EDT • Sports • usnews.com

Lady A's Charles Kelley diagnosed with rare blood cancer after painful health scare

Lady A's Charles Kelley shared a video revealing that unexplained rib fractures led doctors to discover multiple myeloma, a rare blood cancer.

Sep 29 • 1:51 PM EDT • Health • foxnews.com

Q&A: Why are the world’s big sporting events coming to the US?

A Darden School of Business professor explains the economics behind the growing number of major international sporting events coming to the U.S.

Sep 29 • 1:34 PM EDT • Sports • news.virginia.edu

Timeline of the Premier League vs. Manchester City

The verdict has been delivered in the seismic case between the Premier League and Manchester City. City was found guilty of nearly all of the 115 financial charges laid by the Premier League, the competition said Tuesday in an explosive statement. City faces a severe punishment, potentially even expulsion from the world's most popular league, but has vowed to appeal.

Sep 29 • 1:29 PM EDT • Sports • sports.yahoo.com

Newsom vetoes insurance-claim bills: Is it ‘petty’ politics?

California governor rejects legislation sponsored by LA fire victims, who had spoken out against his wildfire-liability effort.

Sep 29 • 1:29 PM EDT • Politics • laist.com

Mental health claim frequency rises 47% in comp: WCRI

Mental health claims’ share of paid workers compensation claims rose 47% from 2015 to 2024, with the rate more than doubling in health care, according to a Workers Compensation Research Institute…

Sep 29 • 12:59 PM EDT • Health • businessinsurance.com

Mario Hezonja Explains Dramatic Body Transformation Before Cavaliers Return

Mario Hezonja says he has grown from a 190-pound rookie into a 260-pound forward, giving the Cavaliers more versatility in his NBA return.

Sep 29 • 12:00 PM EDT • Sports • sports.yahoo.com

Kyle MacLachlan details ‘struggles’ with ‘grim’ plumbing on 'Dune' set, claims he lost 15 pounds

Sep 29 • 11:44 AM EDT • Entertainment • yahoo.com

Representative Nathaniel Moran introduces H.R. 10582: Motion Picture, Television, and Entertainment Revitalization Act

We have received text from H.R. 10582: Motion Picture, Television, and Entertainment Revitalization Act. This bill was received on 2026-09-24, and currently has 9 cosponsors.Here is a short summary of the bill: This bill would create a new federal tax credit for certain U.S.-based film and television productions. In general, eligible productions could claim a credit equal to a percentage of their qualified compensation costs, meaning wages and c

Sep 29 • 11:42 AM EDT • Entertainment • quiverquant.com