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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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Do workers stay quiet about their health conditions?
It’s a stressful situation, researchers from the Institute for Work and Health say.
God Help Me, I Actually Loved Street Fighter
Stupid, surreal, and a little sexy are how best I can describe yet another video game movie.
What a subscription business actually automates when it sets up recurring billing
The word "automatic" in subscription billing can mean two very different things depending on which part of the process it describes.
IU Kelley School of Business Expert Weights in on Prediction Markets and Midterm Elections
As prediction markets play a growing role in election forecasting and increasingly compete with traditional polling, Russell Rhoads, clinical associate professor of finance at the Indiana University Kelley School of Business Indianapolis, is available to provide expert analysis and commentary. Rhoads can help audiences understand how prediction markets work, what market odds actually signal about election outcomes, and why investors, analysts, and political observers are payin
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
David Hamilton powers Brewers to World Series
Is everything in baseball actually about the Red Sox, even when it’s not about the Red Sox? Somehow I feel like the answer is yes. The Milwaukee Brewers defeated the Los Angeles Dodgers last night to complete a four-game sweep of the NLCS and reach their first World Series since 1982. The first out of […]
Opinion: Before you vote for Chicago’s school board, ask candidates these four questions
Voters deserve to know how each candidate for the Board of Education would actually govern, say two Chicago-area professors.
Former Suns owners sues ex-business partners
Sarver alleges a "corporate maneuver" unfairly deprived him of his contractual rights.
Entertainment Virtual Reality Destination to Open in Skillman
A new business, oasisVRX, is opening at Princeton North Shopping Center, 1225 Route 206 in Skillman, NJ on Saturday October 17, 2026 at noon. Friends, corporate groups, families, and gamers will have the opportunity to step inside the 3D digital world using a head-mounted display and motion controllers.
FAU Receives $1.2M Grant to Expand Youth Mental Health Services
FAU’s College of Education has received a $1.2 million grant to launch OWLS-Fly, a three-year initiative expanding access to free, family-centered mental health services for children ages 6 to 17 and their families in Palm Beach County. The program will prioritize underserved families, including those with children with intellectual and developmental disabilities, while training graduate counseling students to address the mental health needs of youth with and without disabilities.
SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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Microsoft Surface Laptop Ultra Review: Complicated, yet So Damn Worth Getting Stuck In
The Microsoft Surface Laptop Ultra isn't just a MacBook Pro for PCs. It's a strong sign that local compute power is what we actually need in the so-called "AI era."
Cigarette Ads Once Promised Absurd Health Benefits. Scientists Just Found One of Them Was Actually True.
A 1959 finding about smokers held up for decades—and researchers now know the likely reason.
This Is the No. 1 Risk Factor for Dementia That You Can Actually Prevent, According to a Geriatrician
In TODAY.com’s Expert Tip of the Day, a geriatrician reveals the top modifiable risk factor for dementia during mid-life, and how to address it.
Amendment 87 will actually lower costs for many Colorado small businesses (Opinion)
As someone who chats regularly with small business owners, I hear one consistent concern: everything is too expensive.
Could a whale swallow a human, “Whalefall” style?
In the new movie “Whalefall,” a scuba diver has a very bad day in the guts of a sperm whale. Could it actually happen?
Sun River Health partners with OwnaHealth for virtual diabetes care
OwnaHealth aims to serve the roughly 100,000 patients across Sun River Health who have type 2 diabetes or obesity, the company said.
Is Milton Friedman to blame for America’s health care woes?
Health policy experts John McDonough and Stuart Butler debate where the U.S. medical system went wrong — and how to fix it.
SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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Trump will rally Georgia Republicans despite party divisions in battleground state
Donald Trump is headed to Georgia on Friday to campaign with Republican candidates for the Senate and governor. But the show of GOP unity actually highlights party divisions and risks
SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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SCAI UCO | Virtual tour generated by Visitas Virtuales Granada
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