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TraceLink Announces $1 Million Challenge to Build Agentic Business Processes
/PRNewswire/ -- TraceLink, the world's largest Agentic Business Network, today announced the $1 million OPUS Agentic Business Process Challenge, a global...
TraceLink Announces $1 Million Challenge to Build Agentic Business Processes
/PRNewswire/ -- TraceLink, the world's largest Agentic Business Network, today announced the $1 million OPUS Agentic Business Process Challenge, a global...
Morocco’s not-so-new government faces new challenges
The new cabinet has doubled down on continuity at a time of regional turmoil and domestic anxiety.
Challenging creation of a ‘vaccine injury clinic,’ NIH research scientists rebuke Kennedy for politicizing and undermining science
The board that oversees the National Institutes of Health’s research hospital has publicly rebuked Health Secretary Robert F. Kennedy Jr., voting
China’s new 0.1-nanometre electron microscope ready to challenge US and Japan
Model marks shift from R&D to commercialisation and aligns with country’s effort to cut reliance on imported tech.
Science key to tackling worldwide challenges
Science and technology are immensely important for addressing shared global challenges and achieving the United Nations Sustainable Development Goals, especially in a world where geopolitical tensions are rising, said experts at a global forum in Beijing on Monday.
Proposed New Visa for Home Health Aides and Nursing Assistants: What Healthcare Staffing Companies Need to Know
A new policy proposal published by the Brookings Institution recommends creating a temporary work visa that would let US employers sponsor foreign home health aides, personal care aides, and nursing assistants to help ease a growing shortage of caregivers. The September 29 proposal, authored by Brookings scholar Tara Watson through the Hamilton Project, would create an “H-1D” visa category built specifically for the direct-care workforce, launching as a pilot program of 30,000 visas per year. It would require employers to pay wages near the top of the local market, guarantee workers a minimum number of weekly hours, and contemplate a potential pathway to permanent residence after six years, although implementing that pathway would require additional changes to immigration law. The H-1D is only a proposal at this point. No H-1D legislation has been enacted, and employers cannot currently sponsor workers under this proposed classification. But if the idea gains traction, healthcare staffing companies could find themselves with both a significant recruiting opportunity and a new set of compliance obligations. This Insight walks through the proposal’s general immigration and employment requirements, then turns to the specific opportunities and challenges it could create for staffing firms.
In tight WA House race, sparks fly over safety at challenger’s business
Questions about safety at Braun Northwest have become a flashpoint in a Southwest Washington district grappling with a deadly tank collapse at a Longview mill.
In tight WA House race, sparks fly over safety at challenger’s business
Questions about safety at Braun Northwest have become a flashpoint in a Southwest Washington district grappling with a deadly tank collapse at a Longview mill.
Annual survey available for business owners
The Federal Reserve's 2026 Small Business Credit Survey aims to gather insights into how small businesses seek financing and the challenges they face. The…
Toppenish School District receives $7.5 million federal grant to expand mental health services for students
The BriefThe Toppenish School District has been awarded up to $7.5 million through Project AWARE (Advancing Wellness and Resiliency in Education), a federal grant administered by the Substance Abuse and Mental Health Services Administration (SAMHSA).The grant will provide up to $1.5 million annually over five years to expand mental health services, strengthen substance use prevention and intervention, and improve access to support for students.District officials say the funding will help address identified gaps in services, particularly drug and alcohol counseling at the high school level, and will allow the district to build capacity for long-term mental health support.TOPPENISH, WASHINGTON — The Toppenish School District has been awarded up to $7.5 million through Project AWARE (Advancing Wellness and Resiliency in Education), a federal grant administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), to expand mental health services and substance use prevention for students.District officials said access to mental health resources has been limited, making it difficult for some students and families to get the support they need. The federal Project AWARE grant will help address those challenges by bringing schools and local healthcare providers together to better support students.The grant will provide up to $1.5 million annually over five years to expand mental health services, strengthen substance use prevention and intervention, and improve access to support for Toppenish students. Deputy Superintendent Dr. Jeff Camero said the district is focused on coordinating with service providers in the area to work as a unified team."We made the awareness with the grant. But looking at all the service providers in the area and how can we all together work as a team?" Camero said.Camero said the district wants to use those resources to reach students earlier and provide more support for those struggling with their mental health. The district plans to address a range of mental health challenges, from anxiety and depression to youth suicide risk. Camero emphasized the importance of supporting students in grades eight through twelve, where suicide rates are a particular concern."Making sure from anxiety to depression, making sure that we can help support our students at those levels, but also the youth suicide risk, looking at that as a top in this area, in our grades, you know, eight, for example, eight through 12, looking at suicide rate and looking at how whether we look at the ACES or whatever program we're looking at, that's federal, how that connects and how we can better serve our students with this extra funding," Camero said.The funding will allow the district to bring in additional staff, including mental health and substance use specialists, to work directly with students and connect families with community resources. The district is already posting positions, including a director role, with additional positions expected to follow.District officials are also thinking beyond the grant's five-year timeline. Brittany Kaple, Director of Public Relations for the Toppenish School District, said the intent is to build capacity and establish connections that will sustain mental health services even after the grant funding ends."We do have the director position already posted, with some of our other positions following really close behind that. But the intent is to, you know, it's a five-year grant, so those positions would be funded for that five years. But there's also the intent to build capacity and make those connections so that at the end of the grant, when that money, you know, if that money is not renewed," Kaple said.As student mental health needs continue to evolve, access to drug and alcohol counseling has become an important priority for the district. Kaple said teachers and staff have been raising concerns about the need for more support, especially at the high school level."And that was something that was also an identified need by our high school staff when the superintendent met with them last school year. They said that that was a really great need, something that they felt was a gap in services that we were providing for our students. And so this is going to be one way to help support that need," Kaple said.The Toppenish School District says its goal is to ensure students and families have access to the support they need, both now and in the years ahead. Additional positions, including drug and alcohol counselors and family engagement specialists, are expected to be posted in the coming weeks. News Sunnyside City Council navigates 2027 budget planning Monique Garcia News "Dancing with the Stars" champion J.R. Martinez shares message of resilience during Central Washington visit Tyler Wargo News Toppenish, Mattawa educators honored at state Educator of the Year Awards Erin Wencl News Kennewick educator named 2027 Washington Teacher of the Year Erin Wencl News Voters to decide the next Yakima County Sheriff Monique Garcia COPYRIGHT 2026 BY APPLE VALLEY NEWS NOW. ALL RIGHTS RESERVED. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED.
Li & Baby LLC wins first ever Bismarck Business Pitch Challenge
A mom is the winner of a $15,000 forgivable loan to boost her small business that creates practical and science-driven baby products.
Iowa 55-hour ‘FilmSprint’ comes to Cedar Rapids this fall
Cedar Rapids Independent Filmmakers launches the Iowa 55-Hour FilmSprint, Nov. 6-8, 2026, challenging teams to write, shoot and edit a short film with Iowa-themed secret elements.
U.S. Supreme Court lets Hastings name change remain
The U.S. Supreme Court rejected a challenge by Serranus C. Hastings’ descendants to the removal of his name from San Francisco’s 148-year-old law school.
Paul George welcomes playing under Joe Mazzulla, Boston Celtics challenges
"It's been a fun challenge," said the Fresno State alum. "How can I be myself, how can I find rhythm."
Nebraska Supreme Court Keeps Trans Sports Ban on Ballot
Supporters call it “fairness for girls.” A legal challenge argued that the wording conceals the measure’s targeting of transgender athletes.
2026 NBAA Top Safety Focus Areas
The NBAA Safety Committee has identified the association’s Top Safety Focus Areas for 2026, highlighting multiple priorities in support of a greater commitment to business aviation safety standards.
Facing health challenges, Clay County farmer gets $5,200 gift, harvest help
Multiple organizations rallied behind a Clay County family facing health challenges in October
The Crucial Questions Facing Business Services
Sector insiders offer their take on four big challenges.
Supreme Court passes on Chicago parking-ticket case, but two justices sound alarm
The high court declined to hear a challenge to Chicago's policy of confiscating cars over unpaid parking tickets, but two justices raised serious constitutional concerns.
US Supreme Court rejects music labels' challenge to copyright termination ruling
By Blake Brittain WASHINGTON, Oct 19 (Reuters) - The US Supreme Court rejected on Monday a challenge by a group of music labels to a judicial decision that said a
Ironworker challenges Rep. Max Miller as the congressman fights to hold seat
Janie Grosjean was torn about voting for embattled Republican Rep. Max Miller this year.
How UGA Reaches Beyond Campus to Support Farmers’ Mental Health
UGA Cooperative Extension is helping Georgia farmers navigate mental health challenges through education, prevention and trusted relationships as financial pressures, unpredictable weather and the demands of farming take a toll.
Dems take the lead in fundraising this quarter in Oregon’s congressional swing districts
The Democratic incumbents representing Oregon in the U.S. House are far outraising their Republican challengers.
Oakridge mayor faces challenge from political newcomer who wants to rebuild
Mayor Bryan Cutchen says Oakridge is headed in the right direction and wants a second term to fix the ambulance deficit and failing pipes. Challenger Shawn Goddard, a first-time candidate, says the town needs a one-time, multimillion-dollar rebuild and a mayor who is a constant presence.
Ironworker challenges Rep. Max Miller as the Ohio congressman fights to hold seat amid abuse claims
Ohio Republican congressman Max Miller faces a tough reelection challenge from Democratic union ironworker Brian Poindexter.
Ironworker challenges Rep. Max Miller as the Ohio congressman fights to hold seat amid abuse claims
Ohio Republican congressman Max Miller faces a tough reelection challenge from Democratic union ironworker Brian Poindexter.
Ironworker challenges Rep. Max Miller as the Ohio congressman fights to hold seat amid abuse claims
Ohio Republican congressman Max Miller faces a tough reelection challenge from Democratic union ironworker Brian Poindexter. Miller has been dogged by allegations of domestic abuse by his ex-wife and two
Ironworker challenges Rep. Max Miller as the Ohio congressman fights to hold seat amid abuse claims
Ohio Republican congressman Max Miller faces a tough reelection challenge from Democratic union ironworker Brian Poindexter.
Candidates for Austin City Council District 9 discuss affordability, public safety and homelessness
Current City Council member Zo Qadri will face off with four challengers on the ballot in November.
What Kills Schrödinger’s Cat? Scientists Just Ruled Out a 60-Year-Old Theory
Gravity has been proposed as a reason quantum superpositions become difficult to observe in everyday objects. A new experiment challenges one longstanding model of this process. A detector buried deep beneath an Italian mountain has challenged a decades-old theory about why quantum behavior disappears from the world we experience. After 62 days of measurements, researchers
Trump to head to Kansas to show support for embattled Marshall
Incumbent Republican senator is facing strong challenge from Democrat Adam Hamilton in state that has been red for almost a century
Does Brian Fitzpatrick’s challenger, Bob Harvie, have ‘FBI files’ to release? Pa. legal experts say it’s unlikely.
Republican Rep. Brian Fitzpatrick's campaign has repeatedly called his Democratic challenger the "subject" of an FBI investigation in attack ads. Here's what to know.
Campaign 2026: Chloe Pierce (D) vs Scott Bendett (R) in NYS 107th Assembly District
Democratic nominee Chloe Pierce is challenging Republican incumbent Scott Bendett.
Amazon's $220 billion AI bet tests the limits of its empire
Amazon's $220 billion AI buildout is draining cash as power shortages, costly Nvidia servers, and construction challenges pile up.
Inside a Republican’s business safety record, under scrutiny in key House race
Public records and interviews with ex-workers shed light on a company run by John Braun, who is challenging Rep. Marie Gluesenkamp Perez (D-Washington).
‘Clean’ energy, local costs: Advocates challenge bioenergy’s climate claims
Companies market wood pellets and hog biogas as climate solutions. Critics say neighbors are exposed to health risks and life quality issues.
Khosla Ventures doubles down on Even Healthcare to challenge India's hospital economics
Even Healthcare reaches a $300 million valuation in a Khosla Ventures-led round as it plans to expand its hospital network in India.
NJBIZ In the Lead 2026: Women-Owned Businesses
NJBIZ celebrates women entrepreneurs across industries who have built successful businesses, overcome funding challenges and contributed to their communities.
Road projects in St. Clair Shores, Greektown challenge businesses
Businesses navigating adversity, some gains through road construction projects in St. Clair Shores and Greektown
Infleqtion Convenes Business Leaders in London to Chart Quantum Commercial Value
OXFORD, England, October 19, 2026--Infleqtion (NYSE: INFQ), a global leader in quantum computing and quantum sensing powered by neutral atom technology, will host the first Quantum Application Forum, an exclusive one-day event convening senior business and technology leaders on 3 November 2026 at IET Savoy Place in London. Executives responsible for technology, innovation and investment decisions will explore how quantum technology can address critical challenges, unlock commercial value and dri
Josh Allen throws for 255 yards, two TDs in Week 6
Josh Allen throws for 255 yards, two TDs in Week 6
Rincon tribe to close brewery, ending nearly a decade in craft beer
The Rincon Band of Luiseño Indians will close its tribally owned brewery at October’s end, citing changes and challenges in the craft beer industry.
Bills QB Josh Allen Makes History With Wild Touchdown Pass
Buffalo Bills quarterback Josh Allen made team history with a memorable touchdown. The post Bills QB Josh Allen Makes History With Wild Touchdown Pass appeared first on HEAVY.
Champion Teal Knight FNCS Cup Zero Build in NA West: Session 1
Answer the call. Fight for glory. Compete in the Champion Teal Knight FNCS Cup for a chance to earn Champion Teal Knight cosmetic rewards. Put your skills to the test, rise to the challenge, and forge your path to victory. Good luck and have fun!
Champion Teal Knight FNCS Cup Battle Royale in NA West: Session 1
Answer the call. Fight for glory. Compete in the Champion Teal Knight FNCS Cup for a chance to earn Champion Teal Knight cosmetic rewards. Put your skills to the test, rise to the challenge, and forge your path to victory. Good luck and have fun!
The Medical Inflation Trap: Rethinking Private Health Insurance in Southeast Asia
Rising healthcare expenditure is challenging the affordability and sustainability of private health insurance across Southeast Asia. Premium adjustments and cost-sharing may help control financi...
Jarrett Allen Joins Browns Fans in Muni Lot Before Cavaliers Season Opener
Jarrett Allen spent Sunday in Cleveland's Muni Lot playing beer die with Browns fans just days before the Cavaliers open the season.
‘This is disgusting’: Nebraska’s independent Senate candidate rips dark money in politics
Democrats are hoping to whittle away at the Republican Senate majority in unexpectedly vulnerable red states like Nebraska. Incumbent Senator Pete Ricketts, a multimillionaire former governor, is defending his seat against independent challenger Dan Osborn, a Navy veteran and industrial mechanic. Osborn says he wants Congress to take back its power, end the war in Iran, lower fuel costs, so we “can worry about little league and bake sales.”
World Affairs Council of the Upstate to host ‘Supply Chains’ panel discussion on Oct. 29
The program will explore how geopolitical tensions, shifting trade policies, transportation challenges and changing global markets are reshaping supply chains.
Mark Gurman: Apple Made 'Major Mistake' With iPhone Duo Pre-Orders
Despite knowing that the iPhone Duo would face "severe supply constraints" due to manufacturing challenges, Apple chose to begin iPhone Duo pre-orders on Friday instead of waiting until it had more inventory ready, according to Bloomberg's Mark Gurman. In his Power On newsletter today, he called this decision a "major mistake". "Let me cut to the chase: Apple made a major mistake here," he said.
Physicists create a bizarre new quantum state called a fractional fermi sea
Physicists have discovered a strange new state of quantum matter in which ultracold atoms defy familiar organizational rules, forming a highly excited yet surprisingly orderly configuration called a "fractional Fermi sea." The discovery challenges established quantum theories and hints at exotic quasiparticles that scientists have dubbed potential "super-Fermions."
Uber driver struggles with gas costs in Southern California
Matthew Guerrero, an Uber driver in Southern California, discusses the financial challenges of driving, impacted by high gas costs and low tips.
Is Teladoc Health (TDOC) Cheap Following Its New AI Tools?
Teladoc Health (TDOC) just rolled out two AI tools inside its Solo platform, SoloVitals and SoloScribe, aimed at contactless vital sign tracking and streamlined clinical note taking for hospital and health system clients. Despite Teladoc Health unveiling AI tools aimed at making virtual visits smoother for hospitals, the 30-day share price return is down 10% and the 90-day move has fallen 41.24%. The 5-year total shareholder return has declined 95.88%, pointing to longer term momentum that...
Global banana business bruised as Iran war pressures producers
The war in Iran has rippled through the global economy in many ways, pushing up prices for oil, fertilizer and other products. It has also created challenges for America's most popular fruit: bananas.
NHS faces more challenging winter than normal, health secretary warns
Yvette Cooper has announced £140m investment in England's urgent care system, after summer heatwaves piled pressure on the NHS.
NHS faces more challenging winter than normal, health secretary warns
Yvette Cooper has announced £140m investment in England's urgent care system, after summer heatwaves piled pressure on the NHS.
Trump approval hits record low, handing Democrats a clear midterm edge
President Donald Trump’s approval rating has fallen to a new low and support for Democrats in the race for control of Congress rising, as inflationary pressures contribute to the acrid mood among voters, according to a Washington Post-ABC News-Ipsos poll.
Scientists who discovered a third form of magnetism win major physics prize
Physicists have uncovered a hidden third form of magnetism that challenges more than 100 years of established physics. Called altermagnetism, the discovery could transform future computing and electronics while opening an entirely new frontier in quantum research.
Postgame Reactions: “Need to Play with More Courage”
(in the mixed zone): “We’re obviously disappointed. I think the team rose to the challenge, playing with great intensity and physicality from the start. Of course, that also made the game a bit di...
The Senate Race Republicans Never Expected to Sweat
With Trump’s help, Kansas Sen. Roger Marshall scrambles to fend off a surprisingly strong Democratic challenger.
Sega pulls Total War: Shogun 2 - Complete Edition from sale amid AI accusations, admitting it has "fallen short"
Sega and Creative Assembly are working with platform holders to remove Total War: Shogun 2 - Complete Edition from sale and bring back the original game.
What to know about menopause and mental health
In honor of Menopause Awareness Month, mental health expert and physician's assistant Rebecca Barbee joins us to discuss how menopause can intensify emotional challenges for women living with mental illnesses including bipolar disorder.
$17 Million Golfer Withdraws From DP World India Championship After Health Scare
The 2026 DP World India Championship has brought several of golf’s leading international players to Delhi Golf Club. The October 15–18 event features a $4 million prize fund and a challenging course that has tested competitors throughout the opening rounds.Min Woo Lee arrived in India for his tournament debut, hoping to compete against a strong […] The post $17 Million Golfer Withdraws From DP World India Championship After Health Scare appeared first on HEAVY.
Trump administration seeks to remove judge in golf course case, accusing her of ‘egregious’ behavior
The Trump administration has requested the removal of the federal judge overseeing a legal challenge to President Donald Trump’s plans to overhaul a Washington, DC public golf course, accusing her of having “bias.”
Is OPKO Health (OPK) Pricing In Too Much For Sales?
OPKO Health has seen sharp swings over the past few years, and the stock now sits at US$1.53 with investors reassessing what its current sales actually support. With such a mixed share price history and a changing business mix, the question is how much of the story around its revenue base is already priced in. Over the past 5 years the share price has fallen 58.5%, which puts the focus firmly on whether the current market value still lines up with what OPKO Health generates from its...
PENN Entertainment (PENN) Slides 16% In A Month, Is The Discount To Fair Value Warranted?
PENN Entertainment (PENN) has been drawing attention after a steep share price slide, with the stock down 16% over the past month and 27% over the past 3 months. The recent slide comes after a mixed stretch for PENN Entertainment, with the share price roughly flat year to date, while the 1 year total shareholder return has declined 8.1% and the 5 year total shareholder return has fallen about 80%. This points to fading momentum and a market that is still reassessing the company’s risk and...
Pat Murphy gets major opportunity after Brewers’ historic NLCS triumph
Pat Murphy and the Milwaukee Brewers must now endure a lengthy break before its next challenge. Fresh off a sweep of the Los Angeles Dodgers in the NLCS, the Brewers will face either the Cleveland Guardians or Tampa Bay Rays in the World Series. Milwaukee secured its place in the World Series with Thursday night’s [...]
California teachers once had fully paid health coverage. Now they're rallying over premiums
"While your income isn't changing, your purchasing power has absolutely fallen."
Rep. Ilhan Omar challenges legality of Trump administration search of her home
Democratic Rep. Ilhan Omar is fighting back against the Trump administration’s search of her home earlier this week – disputing its legality and demanding the return of her property seized by federal agents.
Sean Combs transferred to new prison after perks report, head injury
Sean Combs was transferred on Friday to FCI Allenwood, a low-security prison in Pennsylvania, following allegations of special prison perks and a head injury at FCI Fort Dix in New Jersey.
Berkeley Talks: Michael Pollan and Christof Koch talk psychedelics and consciousness
The author and neuroscientist explore how altered states challenge our understanding of the mind — and why consciousness is more than a problem to solve.
Prisco's Family Market celebrating 100 years of business in Aurora
Prisco's Family Market in Aurora is marking a major milestone, celebrating 100 years in business after surviving challenges ranging from the Great Depression and World War II to natural disasters and the pandemic.
Lobo football team treats paradise like a business trip
The real challenge Hawaii may pose could lie in the travel required to visit the islands.
UI receives grant for business student wellness
A multimillion-dollar donation to the University of Iowa’s business college, alongside a matching gift challenge to generate even more funds, will help support a student mental health and success initiative
Small but Mighty: The Path to Prosperity Starts With America’s Small Businesses
Join the Center for American Progress for a discussion on the challenges facing America’s small businesses and the policy solutions that can promote entrepreneurship and economic opportunity.
Sean 'Diddy' Combs transferred to Allenwood prison
Disgraced music producer Sean "Diddy" Combs, who was sentenced for prostitution-related crimes, has been transferred to a new US prison following media reports detailing an alleged brawl and special treatment
Sean ‘Diddy’ Combs transferred to new federal prison after medical emergency
Sean ‘Diddy’ Combs was moved from FCI Fort Dix in New Jersey to FCI Allenwood Low in Pennsylvania days after he reportedly suffered a head injury.
Moore, Crosby spar over economy and growth at Congressional District 2 debate
Rep. Blake Moore and Democratic challenger Peter Crosby discussed where they stand on Utah's economy, tariffs, and housing affordability during Congressional District 2 debate
Long Beach student advances to national science competition finals
Long Beach student Hanna Heitefuss is the only New Yorker among 30 finalists in the 2026 Thermo Fisher Scientific Junior Innovators Challenge, earning national recognition for her research on saltwater intrusion and its effects on plants and aquatic life.
Your Weekly Michigan Political Brief
U.S. Senate Abdul El-Sayed more than tripled the fundraising haul of his Republican challenger, former U.S. Rep. Mike Rogers (R-White Lake), for Michigan’s open U.S. Senate seat. Online records show El-Sayed raised $30,659,157 in the reporting period from July 16 to Sept. 30, while Rogers brought in $9,662,538. Despite that, Rogers’ campaign maintains a nearly […]
Chris Murray challenges Palumbo with affordability, health care focus
Democrat Chris Murray has placed affordability, health care and environmental protection at the center of his campaign as he tries to unseat incumbent Republican state Sen. Anthony Palumbo. Mr. Murray — an attorney who was elected chairman of the Suffolk County Community College Board of Trustees in 2019 and has also chaired the Citizens Campaign...
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.
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Plague is stoppable. The next health threat may not be.
The word plague is scary. Centuries ago, the Black Death killed tens of millions of people and changed the course of history. Plague still kills people around the world, and the word still evokes catastrophe. New fears of plague surfaced on October 2, when a lab worker in Irkutsk, Russia, died of pneumonia. Reports suggested that she may have contracted plague through a laboratory exposure. Understandably, people were alarmed. On October 7, the World Health Organization called for the Russian Federation to be transparent about what it knew. WHO issued an update on October 10. Russian authorities told WHO that testing did not identify plague and that investigations found no laboratory release. WHO said confidence in its risk assessment remained limited and that further clinical, epidemiological, and laboratory information was needed. The cause of the woman’s illness remains unknown, and WHO says a laboratory-associated exposure cannot be excluded. As I explained in a recent interview, this incident is very unlikely to lead to a pandemic. Plague is still active, including in the U.S., which sees a handful of cases each year. But it is a disease we can prevent and treat. Plague doesn’t spread readily, and it responds to antibiotics. The standard response—isolate the patient, trace contacts, and administer antibiotics and monitor for symptoms among contacts for seven days—works. We have even planned for antibiotic-resistant plague. At CDC, we developed a playbook for antibiotic-resistant plague and ran exercises on how to find and stop it. CDC guidance anticipates engineered resistance and recommends two different classes of antibiotics if there’s reason to suspect it. There is no evidence that resistance—or even confirmed plague—is involved in this incident. We have thought through how to address plague, but we’re not ready for the next major health threat that emerges from a lab or from animal spillover to humans. What should concern people is how little stands between the world and the next pathogen to get loose. Since peak COVID, epidemic preparedness has fallen off the political agenda, but the risk is greater than ever. More labs handle dangerous pathogens with more ways to make those pathogens deadlier, and more people live and work in close contact with animals. There are actions we can take now: We need better lab safety in every country. The number of labs that work with dangerous pathogens has increased worldwide over two decades, but there’s no enforceable international standard and no inspection regime; the Biological Weapons Convention, fifty years on, still has no verification mechanism. Labs that study dangerous germs need strong safety systems, training, and oversight. We need to reduce spillover events. Three in four emerging human infections start in animals, and there’s a lot we can do to reduce spillover risk, but the world is doing very little of it. Live-animal markets are one place to act. For instance, closing live-bird markets helped control H7N9 influenza in China. Reducing opportunities for people to encounter infected animals can prevent infections before they become outbreaks. In The Formula for Better Health, which is now out in paperback along with the hardcover, Kindle, and audiobook versions, I argue that labs do too many risky experiments with too many dangerous pathogens in too many institutions, and that every experiment should first answer one basic question: Is the likely benefit greater than the risk? Spillover risk can also be reduced: In the book, I discuss how Brazil cut its deforestation rate by 70% from 2004 to 2012 while increasing agricultural production and reducing risky contact between people and forest animals. We need faster detection and response. Delay costs lives. Strong surveillance, good labs, and trained responders can turn a single case into a small cluster of infections instead of an epidemic. Resolve to Save Lives has worked for nearly a decade to help countries find and stop outbreaks faster. The 7-1-7 target, which Resolve to Save Lives developed with partners in Uganda and elsewhere, provides a clear standard: detect within 7 days, notify within 1 day and complete all essential early response actions within 7 days. In Uganda’s Kasese district, for example, a review of a measles outbreak using 7-1-7 identified shortages of accessible funds, fuel, and vehicles that delayed the response. District leaders established funds they could access quickly. When, a few months later, the Crimean-Congo hemorrhagic fever appeared, the district detected it in three days, notified authorities in one, and mounted an effective response in two. Only one case was confirmed, and the patient survived. Because funds were available before the emergency, authorities were prepared and able to act. This kind of preparation can’t wait until the next crisis begins. Plague is an old disease we that know how to stop. The next threat may be harder to recognize, harder to treat, and easier to spread. Safer labs, less risk of spillover, and faster outbreak detection and response need sustained investment now, while we still have time to prevent the next emergency. Share
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A new Talk Business & Politics-Hendrix College Poll released Thursday (Oct. 15) shows incumbent Republican U.S. Sen. Tom Cotton with a nine-point lead over his Democratic challenger, Hallie Shoffner. The...