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August Monthly Review: ChatGPT In Epic

Death, taxes, another frontier lab healthcare launch inspiring truly insane LinkedIn takes. As much as I want to stay away, I repeatedly am the crewman unplugging his ears whenever we pass these sirens. So it’s not the first and probably not the last time we dial up the typewriter rather than tie ourselves to the mast. The full blow-by-blow timeline: Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe The End of the Standalone PHR (Jan 8): ChatGPT Health arrives for consumers, at the time powered by b.well. I was bullish on the approach in that the best way for the PHR to finally solve distribution was to meet consumers were they already are (i.e. When Horizontal Meets Healthcare (Jan 9): OpenAI for Healthcare puts out the shingle for enterprises, with SharePoint ingestion standing in for the EHR integration the product actually needed. Another One: Anthropic’s Healthcare Debut (Jan 16): Claude's version, on HealthEx rails instead of b.well, with Agent Skills for FHIR development as the one true vertical-specific investment. ChatGPT for Clinicians: The Trap Sprung (Apr 24): OpenAI filled in the missing GTM middle with a free product for verified clinicians, effectively peeling the enterprise wrapper off ChatGPT for Healthcare and taking the PLG fight directly to OpenEvidence. OpenAI’s Second Attempt at Health (Jul 31): a relaunch of their patient specific app, now branded Health in ChatGPT, where the privacy partition came out, the connectors thinned, and b.well disappeared in favor of first-party FHIR work against a smaller network Beyond a Shingle So what was announced now? Today, we’re introducing a new electronic health record integration that brings authorized patient context from Epic into ChatGPT for Healthcare, along with the Healthcare Public Data plugin for direct, structured access to official healthcare datasets like PubMed, DailyMed, and CMS Coverage. Together, these capabilities bring ChatGPT closer to the systems and sources healthcare teams trust, while supporting the controls and compliance healthcare work requires. The core portfolio is unchanged from prior announcements we delineated and discussed (aside from the relaunch of patient-facing). Since trade publications still seem to be confusing them by using the wrong names: Enterprise sales motion: ChatGPT for Healthcare Protecting their core product / PLG: ChatGPT for Clinicians Consumer/patient-facing product: Health in ChatGPT So really, this is a feature release (specifically for ChatGPT for Healthcare when it comes to EHR integration). What’s cool about it, though, is that we are moving beyond just putting out a shingle. Everything in the January enterprise launch was horizontalizable: Horizontal tech companies thus generally start verticalization with their “putting out a shingle phase”. Telling the world you’re open for business as a horizontal tech company reliably attracts early inbound interest from buyers who are already trying to force-fit horizontal tools into domain-specific workflows and are eager for any signal that the vendor intends to support their use case more directly. Nothing was really vertical specific, which is exactly what you'd expect from the ultimate hypergrowth horizontal company dipping their toes into specific industries. But eventually you have to stop changing the sign on the door and start changing the product. Can you guess where the horizontal product was going to run out of road? This is the core dilemma writ large: verticalization requires differentiation, while scale economics of consumer and horizontal push toward unification. I’ve buried the lede so deep here it will be painful to some readers, but what should be shocking to no one is that my perspective is that EHR integration is the only path that meaningfully resolves this tension for ChatGPT for Healthcare. Integration with Microsoft Sharepoint is fine, but it is categorically insufficient for any product that hopes to influence clinical decision-making. SMART Money Well here we are, eight months later! Real vertical investment has begun, which surprised a few people. One friend in the industry messaged me: “Absolutely no way Epic gave ChatGPT API access.” Looking forensically at the announcements, the integration is notably read-only across appointment notes, laboratory results, medications, and specialist documentation. So while I’m not a betting man, I'd wager the house this is a SMART on FHIR launch: That sounds a lot like USCDI! The recommended path for the workflow they outline would be SMART on FHIR Their Health AI lead’s post is evocative of both standalone and EHR launch SMART, which another termed “ChartGPT” and “EHR Plugin” The implementation burden for SMART on FHIR is the lowest of the available integrative paths This is the team who literally did patient-facing SMART on FHIR with Epic last month Most importantly, if you’re a horizontal company, you generally still haven’t taken the full plunge and thus (overly) value reusability. SMART on FHIR is the logical compromise: healthcare-specific enough to matter, but standardized enough to reuse. Nobody Asked Judy Another friend asked “I thought they had to go to each health system, or did they go direct to Epic and now health systems opt in?” Given the trust paradigms in healthcare, this functionally cannot be Epic hoovering up all the data for OpenAI and shoving ChatGPT in their customers’ faces (or they would revolt). However, I do believe the aforementioned terrible coverage by TechCrunch and other outlets is probably responsible for that question, given the 325 million reference. When using FHIR as a business associate to an Epic customer, there is no EHR gatekeeping to speak of, as that isn’t how fhir.epic.com works: You register an app You pick your APIs You test against the sandbox APIs You list as “Ready for Production” Hospitals pick your app You test and go live with them Bluntly, nobody had to say yes or no in Verona (nor were they given the chance). Vendor Services (their next developer tier up that I doubt OpenAI is using quite yet in this initial release) certainly has contractual paperwork that some resent, but even there, the twin pressures of mounting antitrust and information blocking make outright gatekeeping increasingly fraught. My friend’s sentiment is, to me, representative of a broader industry neurosis, perhaps a sort of scar tissue of prior eras: people assume the gate is still there and never actually try the door. There are certainly other ways Epic (and any EHR) can put its thumb on the scale, but they are not so dumb as to stand in front of a federally mandated API and play bouncer at this exact moment in time. So I think they can and probably should go deeper, as this release is at best parity and at worst behind vertical-specific competition. OpenEvidence did a basic SMART launch with Sutter Health in February, allowing for more convenient evidence search by providers. They then add patient-context (the equivalent SMART on FHIR flow to what we see here) when Cedars-Sinai went enterprise-wide in May. UpToDate has four distinct applications across deeper workflows like patient engagement listed in Epic Showroom and announced a partnership with Epic to power Art at UGM Abridge and other ambient scribes have invested deeply into the deepest bidirectional clinical copilot workflow with integrations well beyond SMART on FHIR. In that light, the “Who is OpenAI primarily targeting here?” is clear. This release brings them into striking distance of OpenEvidence, but not the others quite yet. They are the only one of the three you can reach without building something truly Epic-specific. When will they go further? Competition is a great motivator to overcome the horizontal demons and start building things that can’t be reused: not across industries, not across EHRs, maybe not past the customer you built them for. That’s the price of actually verticalizing. The question is if and when OpenAI will be willing to pay it. Month in Review Here is the monthly review. As a reminder, this is a regular round-up of the month’s posts and other content to surface things you may have missed across regulation, litigation, interoperability, and beyond. AI assistance is used in these bullet summaries so I can focus on articles. Articles Published: None this month Video Content: The Information Exchange: Standards-based Thruple Edition (Aug 14): Back to school for us too, with Brad reporting in from the CMS Health Tech Ecosystem’s one year anniversary in DC. We get into the January CMS-0057 deadline, the fall rulemaking reading list, and why enrollment still keeps most apps off FHIR. The Information Exchange: Epic Dúnadan Edition (Aug 25): A UGM roundup with Ryan Brickner joining for the first time to check our takes against what the building actually thinks. Rangers, Ergo sitting on top of EHI, and a down-market lineup that needs some cuts. Regulatory: Stacked Deck, Bad Hand (Aug 05): ONC’s website refresh took the entire HIT Policy Committee record with it, so I rebuilt the archive and went looking for the regulatory capture story everyone assumes is buried in there. Stacking the deck and winning the hand turn out to be very different things. The Sixth Generation of Patient Access (Aug 19): A quick catalog of the five generations of patient access we’ve layered on since HIPAA, and the two candidates now competing to be the sixth. One is planned. The other is the market routing around the plan entirely. Court cases: Three Cases Walk Into a Docket (Aug 06): Two surprise settlements cleared the board in a single week, and then Judge Maddox dropped ninety-four pages on Vyne v. Henry Schein. The sleeper is a DMCA holding that makes direct-to-database a considerably riskier business model. Epic v. Health Gorilla: Into the MDL (Aug 10): Nine class actions are headed to Miami, and the Panel signaled it wants to bring the case that spawned them along too. That would leave Epic arguing the requests were obviously fraudulent in one courtroom and unknowable in the other. Amazon v. Perplexity: Agents Are Legalized! (Aug 11): The Ninth Circuit vacated the injunction against Comet, holding that the user is the one accessing the servers rather than the company that built the agent. A real win for agentic access, and a much narrower one than the headline suggests. Veeva v. Epic: Come At Me, Bro (Aug 26): Epic’s response brief wants the dismissal affirmed and, unusually, wants the opinion published as precedent. Buried in it is Epic’s own description of what its non-competes actually prohibit, which current and former employees should read closely. EHRs: The Contract Epic Would Never Sign Today (Aug 04): A 1999 SEC exhibit catches Epic licensing nearly its entire product line, Tapestry included, to the company that became TriZetto. The marketing services menu attached to it is the part that will make you blink. Forecast from Verona (Aug 07): The Epic Almanac makes one argument six different ways: the AI is only as good as the networks behind it. Emmie headlines, Art’s context stack is the most ambitious part, and Penny finally gets an autonomous coding date on the calendar. Works With Epic MyChart (Aug 17): Epic’s first new Showroom category since the death of Workshop certifies hardware instead of software, badge on the box and all. Made for iPhone, but for blood pressure cuffs, and rough news for anyone selling the RPM stack sitting in between. UGM Hot Takes 2026 (Aug 20): Everyone else covered the AI announcements, so I went after Savvy deleting the payment gateway, Rangers as Boost with the timer removed, and a down-market lineup with too many entries. Plus the Health Grid tidbits I cannot help myself on. MyChart Central Grows Up (Aug 24): Device data and Emmie turn Epic’s identity hub into a full consumer platform, which is both a logical answer to ChatGPT and a bit of a mistake. It also happens to be the best scraping target Epic has ever shipped. Industry Analysis: The Wrong Yardstick (Aug 12): Vertical software keeps getting judged against Superhuman and Notion, which is the wrong bar entirely. Your user is comparing your product to a whiteboard and forty phone calls before lunch. Primitives vs. Abstractions (Aug 27): Developers want building blocks, systems of record prefer to hand out business logic, and both sides have a real case. There’s no test from the outside that separates the engineering reason from the competitive one, which is why this keeps ending up in court. Cross-industry Comparisons: The Two Kinds of Platform Power (Aug 18): Attention power and record power are different problems that keep getting handed the same regulatory toolkit. Congress’s latest swing at Big Tech shows both what’s possible and where it falls apart. The Dogs of (Platform) War (Aug 21): A CourtListener alert turned up a property management fight with healthcare’s exact shape and none of the Cures Act. Shell prospects, ghost accounts, a notetaker bot that came back to haunt someone, and a lawyer arguing both sides of the same theory in two states. Fractals All the Way Down (Aug 31): Yardi dominates property management right up until you zoom into one segment, where AppFolio owns it outright and Yardi doesn’t appear at all. Where you draw the line around a B2B software market is about to decide an awful lot of cases. Other News: If Judy Had the Courage (Aug 13): A short eulogy for the era when software was allowed to look insane: WinAMP, bold colors, and everything the grey chatbot era has taken from us. External Media: Portland Monthly Health Tech Meetup: Erin O’Brien channeled my own feelings - maybe it’s just because it’s August and beautiful, but the monthly edition of the PDX Health community meetup was a ripper. Make sure to reach out if interested to join for the next one. STAT’s Coverage of Epic This Month: Brittany Trang of STAT did a fantastic job of breaking the FTC investigation that’s been lurking, as well as UGM related coverage, so I had to give her her wish of a meme. Fall Conferences: I’m pumped to be kicking off my fall conference season in NYC at Nabla Accelerate next month, which Chrissy provided the link to apply for. Here’s the rest of my schedule in case you want to meet up: Commonwell (Redwood Shores, CA): Oct 13-14 Open@Epic (Madison, WI): Oct 21-22 eHealthExchange (Austin, TX): Oct 27 Sequoia Project (Austin, TX): Oct 28-29 HLTH (Vegas): Nov 15-18 RSNA (Chicago): Nov 29-Dec 3 Posts I Liked: HTI-6 Should Unbundle API Certification: Josh Mandel makes the case that HTI-6 should split (g)(10) into separate authorization and data certifications, so a PACS or a genomics platform can certify only the role it actually performs. Imaging is the urgent example, but the structure solves a much bigger problem. On implementing ePrior Auth with Epic: Scott Rossignol’s field notes from a live ePrior Auth build on Epic, including the two app registrations nobody warns you about and the CPT mapping problem waiting at the end. CMS-0057 implementations are going to be such a beast. Healthcare point solutions are starting to look a lot like streaming services: Spencer Dorn runs the cable-to-streaming arc against health IT and lands squarely on the bundling half of the cycle. Bundling can be good! It can also be bad! Life is nuanced. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe

Sep 2 • 5:05 AM EDT • Health • healthapiguy.substack.com

gamescom 2026’s Steam wishlist winners

gamescom wrapped up last weekend, and it was bloody fantastic. It really felt like the industry had a spring in its step again. The show itself was BUZZING, with 368K attendees (+3% over last year), maxed-out exhibit space, and Opening Night Live pulling over 78M online views (+7.5%). Let’s have a look at the games at the event that brought in the most new Steam wishlists between August 23 and 30. One quick thing before we start, and stop me if you’ve heard this one before, but wishlists are NOT a barometer for launch sales (they’re bookmarks, not baskets is what we always say over here at Alinea). With that aside, wishlists are a nice gauge of hype, so let’s dive in. Witche(r)s and Warlocks take the top two spots The biggest game of the event (by new wishlists, anyways) wasn’t a game at all. It was an expansion. The Witcher 3: Wild Hunt’s upcoming expansion, Songs of the Past, nabbed 451K Steam wishlists by the end of the weekend. It’s a big example of something we bang on about constantly: proven IP with built-in fandom is the most powerful force in this market. But said IP can also ripple into other external success stories (more on that later!). Anyway, Songs of the Past debuted at Opening Night Live, and it’s the first Witcher 3 expansion in over a decade, landing next year after a full Witcher 3 remaster (free for existing owners!) arrives next month. The Witcher 3 has sold around 66M copies, and I’ll be one of those owners jumping back in to refresh myself on the core game (like there isn’t enough to play!), then play the expansion next year. This is all part of CDPR’s plan. The studio is clearly whetting everyone’s appetite for The Witcher 4 in 2028 via a classic bridge strategy. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe Releasing a free 4K remaster next month – followed by a proper expansion in 2027 – keeps IP top-of-mind across a huge gap between content (games-wise, anyway). It kind of echoes Capcom’s evergreen catalogue strategy. And outsourcing co-development to Fool’s Theory (a studio led by trusted Witcher 3 veterans) keeps CDPR’s internal headcount focused on The Witcher 4. #2 by wishlists between Aug 23 and 30 went to another giant IP: Warlock: Dungeons & Dragons, published by Wizards of the Coast and developed by Invoke Studios (a team of ex-Far Cry, Watch Dogs, and Splinter Cell devs). It’s due to launch in 2027, and it looks brilliant so far. It’s a dark-fantasy open world with third-person spell-slinging. It’s a very Witcher-ish aesthetic. As you might expect, 48% of Warlock’s Steam wishlisters have played Baldur’s Gate 3, and 46% have played The Witcher 3. One to watch. For sure! Mash-ups: Anime GTA (!?) and a city-builder for kids (and adults) Ananta took #3 with 302K new wishlists. It’s an open-world game that looks like GTA and Persona had a baby. It was published by NetEase, developed by Naked Rain, and got a trailer at Opening Night Live. I got hands-on at the show, and it wears its influences openly; there’s literal web-slinging (very Spider-Man) and a LOAD of mini-games (Like a Dragon). It’s free-to-play and out in January. For Ananta, Naked Rain is taking the free-to-play, cosmetics-only route. That’s certainly a choice for a single-player open-world game. Without gacha mechanics driving high ARPU, Ananta is betting purely on top-of-funnel reach and long-term retention. This puts pressure on skin appeal when there’s no multiplayer lobby to flex in (although, co-op is reportedly coming later). Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe Then there’s Lego Skylines (273K wishlists between Aug 23 and 30), which does exactly what it says on the tin. It’s a cosy Lego twist on the city-builder genre, as shallow or as deep as you fancy (five min quick sesh or ten-hour no-lifer session; latter for me). There’s some family-friendly stuff in there like couch co-op, which is only really viable on console. Iceflake Studios, which Paradox acquired back in 2020 is developing this one. So Paradox is probably looking for a family-friendly onramp to its rad Cities: Skylines games. The overlap there is plain, with 33% of Lego Skylines wishlisters having played Cities: Skylines and 16% Skylines II. There’s no doubt plenty of parents here (and uncles, ahem) planning to indoctrinate the next gen of city-builders. I’ll definitely be playing with my youngest nephew. This one could be big and educational. I’m very curious to see more. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe Mature IP, new and old, rounds out the list As for the rest of the list of gamescom games by new wishlists between Aug 23 and 30: Heroes of Might & Magic III Remake got 189K new wishlists. It remakes the iconic 1999 turn-based-strategy classic in full 3D and 4K. It follows this year’s Heroes of Might & Magic: Olden Era (~1.8M copies sold, as per our estimates), and around a quarter of the III Remake wishlisters have played Olden Era, including 7% of them this month. Wardogs – a $40 PvP shooter – added another 146K to an already massive pile (nearly 1.6M total). It’s published by Team17 and made by Bulkhead. It plays somewhere between the tactical squad stuff of … Squad and the all-out-chaos battlefield of … Battlefield. It’s up to 100 players, and it’s out in about 10 days. It’s already pre-sold over 500K copies on Steam ($16.6M), boosted by a pre-order-only beta. It sold another 70K copies during gamescom, too. Afterworld managed 121K new wishlists. It’s a Paradox-made post-apocalyptic grand-strategy game, and it was announced at the show. It’s a departure from Paradox’s usual historical stuff, and the studio’s first new setting in over a decade. The Paradox purists are into it, with over half its wishlisters having played Hearts of Iron IV (19% this month) and 41% Crusader Kings III (17% this month). Metro 2039 got 110K during the show, tunnelling its total past 1.3M. Nearly 40% of wishlisters have played 2020’s Metro Exodus, the previous mainline title in the series. The Metro novels are Russian, dev 4A Games is Ukrainian, and it’s set in Moscow, so it’s unsurprising that – after the US (17.3% of wishlisters) – the next two countries are Russia (12.7%) and Ukraine (10.0%). The Blood of the Dawnwalker drew in (the blood of) 108K new wishlisters, now totalling an impressive 1.7M (at a $70 price point, though). It’s an open-world dark-fantasy action-RPG set in 14th-century Europe (with vampires!), made by some former Witcher devs at Rebel Wolves. Again, it shows. Over half of Blood of the Dawnwalker’s wishlisters have played The Witcher 3, and its #2 market is Poland, home of Rebel Wolves. That’s that hometown-hero effect we keep banging on about again! And Blood of the Dawnwalker plays very well, by the way. While it looks like a Witcher clone on the surface, it actually brings a lot to the table mechanics-wise. I love the whole time-as-a-currency spin on RPG gameplay. It gives the game a different, refreshing pace. Essentially, you start Blood of the Dawnwalker with a pool of 480 action points spread across 30 days and 30 nights. As for how the game performs, we’ll be posting some numbers next week, so hit subscribe below to get that in your inbox when it’s ready. Subscribe The Witcher’s legacy ripples Make no mistake: on a high level, this was The Witcher‘s gamescom. The #1 game by wishlisters was a Witcher 3 DLC. Warlock is clearly Witcher-inspired – as is Blood of the Dawnwalker, which was made by ex-Witcher devs. There was a lot of other cool stuff on the floor that we’ll no doubt be covering in subsequent newsletters, though! As always, wishlists went through the roof for sequels, remakes, DLC, and licensed IP. As always, though, these wishlists will likely convert to about 5% to 10% of launch-day buyers, with the probable exception of The Witcher DLC – the exception that proves the rule. Either way, we’ve got a nice, diverse list here – one that is very Witcher-y, Paradox-y, and – if you’re a fan of great games on Steam – a bloody good list. We even got a bunch of new IP to get excited for. Great gamescom! Even if we are still processing that unfathomable number of mini Kölsch beers! One more thing: GTA 6 broke the internet (again) Move aside, Spider-Man and The Odyssey (I love you both, really). But the decade’s defining entertainment zeitgeist is round the corner. Unless you’ve been living under a rock, you’ll know that Rockstar dropped an extended look at GTA 6 last week. It was INSANE, the most impressed I’ve ever been by a showcase like this. You can see the budget seeping through every second of the extended look, and this level of game is unobtainable for any other publisher. Everyone’s going nuts, and rightly so. GTA 6 is out in holiday 2026, and it’ll be the biggest entertainment release ever, full stop. For those without a PS5 or Xbox Series console, a $500-$900 console is a big ask in this economy, but GTA will pull a lot of last-generation-console fence sitters over the current-gen fence either way: The autumn timing puts GTA 6 on (digital) shelves for the holidays, meaning a PS5 or Xbox (let’s be honest, mostly the former) will be on many a Christmas and Hanukkah list. Demand will outweigh the struggling supply, though, and PS5 Pros are already sold out and being sold at a markup via scalpers. Every console that isn’t on a shelf is a sale deferred or lost, and worse, it hands scalpers the margin. GTA has cultural clout that reaches everyone. It’s been a mainstream fixture since 2001’s GTA III and its clout has only grown exponentially since then. There’s a touchpoint for every generation alive. The FOMO-word-of-mouth double punch does the rest. Loading... It’ll reactivate the lockdown cohort, the millions who picked up gaming in 2020-21 and churned. GTA 6 will bring them back. Remember when College Football 25 brought a bunch of US gamers to current-gen consoles? GTA will do that globally. Once they’re back (or upgraded), and all GTA’d out, the fresh current-gen-console folks will check out the rest of the current-gen catalogue they missed. GTA Online, if not free to play, will also lead to a boost for PS+ and Xbox Game Pass, another boost for the ecosystem players. Want more free estimates and insights in your inbox twice a week? Subscribe below! Subscribe Even some of the smug PCMR 60FPS crew won’t be able to resist their FOMO and will bite the bullet on a console to play this one early (then double dip). The consoles cost the same as a decent stick of RAM these days anyway lmao… Don’t get me wrong, though. GTA 6 is no silver bullet for the mature console market, but it does prime the current gen for a couple of strong swan-song years. And it’ll also give the consoles more users from which to maximise ARPU. ‘’We are in the latter half of the lifetime cycle of [the PS5],’’ said Sony President and CEO Hiroki Totoki in a Wall Street Journal interview. ‘’That means we do not need to aggressively sell the console today; rather than that, we are focusing on the current revenue from the current user base.’’ The biggest, best premium games always arrive late in a console cycle, so getting more players aboard now, ahead of that content storm (the new current-gen-only Call of Duty included), is a clear win for the platforms. On the Netflix thing, though: let’s all chill out a bit, like. Half my LinkedIn feed was going bonkers treating the reveal debuting on Netflix like it’s the future of entertainment. It wasn’t. It was a six-hour head start, and Netflix left that detail out of the “first-of-its-kind partnership” press release. The extended look hit Netflix at 3pm ET on 27 August, then went up on YouTube and Rockstar’s site for everyone six hours later. And it was all over social immediately, anyways. This reveal was going to reach an untold number of people whether it debuted on Netflix, YouTube, a Times Square screen, or a group chat. The last trailer did nearly half a billion views in a day with no gatekeeper at all. Netflix just stood next to that audience for six hours, borrowing it. It’s was a tidy deal for Netflix, sure. But every outlet on earth was breaking the thing down frame by frame by the evening anyway. Anyway. I’m hype. And we’ll be covering some GTA numbers on the newsletter soon. So hit subscribe below to get that in your inbox when it’s ready! Subscribe The last word Reply to this email – or reach out here – if you have any feedback for the newsletter – or want to request a game for us to cover. [Alinea Analytics boasts the most accurate PC and console estimates in the business. Game makers use our platform to understand their audience, keep an eye on the competition, monitor sales trends, and spot new opportunities. We equip game studios and financial institutions with accurate data and the confidence to make smarter, data-driven decisions. Want to talk about all things games market data? We’d love to chat!]

Sep 1 • 10:27 AM EDT • Technology • alineaanalytics.substack.com

Health Sector Bulletin August 2026

in English on Syrian Arab Republic; published on 1 Sep 2026 by Health Cluster

Sep 1 • 4:52 AM EDT • Health • reliefweb.int

Community Bulletin Board #11

Unlock Coen’s full potential. Becoming a Dawnwalker doesn’t come without its share of burdens… but it also grants access to powerful abilities. Coen doesn’t have to rely on his sword alone.

Aug 31 • 3:00 AM EDT • Entertainment • bandainamcoent.com

Business Bulletin: Delta Dental and ATB win; Sunset Hills Subaru helps

Catch up on local business awards, donations, certifications and openings.

Aug 30 • 7:00 AM EDT • Business • stltoday.com

🎥 Casemiro opens Inter Miami account with bullet header

Casemiro is off and running in the pink shirt of Inter Miami, putting the Herons ahead against CF Montréal at the Nu Stadium. After Miami piled on the pressure in the opening 20 minutes, it took a se...

Aug 29 • 8:08 PM EDT • Sports • sports.yahoo.com

Science Confirms 'Leisure Guilt' Is Real—and You're Likely Wasting Hours on It

A new study published in Personality and Social Psychology Bulletin reveals that Americans spend a full 14 percent of their downtime worrying about productivity instead of resting.

Aug 27 • 5:00 AM EDT • Science • inc.com

Monumental Sports & Entertainment partners with DAZN to stream Wizards, Mystics games

Your best source for quality Washington Wizards news, rumors, analysis, stats and scores from the fan perspective.

Aug 25 • 9:26 AM EDT • Entertainment • bulletsforever.com

Vampire Survivors Meets Spelunky Is My Newest Obsession

Messhof's latest turns bullet heaven into a neat and chaotic platformer

Aug 24 • 12:15 PM EDT • Technology • kotaku.com

Cash-hungry college sports programs are starting nonprofits to make money to stay competitive

NEW YORK (AP) — University of Louisville athletic director Josh Heird says there is no “silver bullet” that will help his department’s current revenue race.

Aug 20 • 12:03 PM EDT • Sports • wral.com

Higher costs, fewer choices: Another health insurance provider pulls out of Deschutes County

Moda Health will pull out of the Deschutes County individual health insurance marketplace in 2027, leaving residents with just two providers to choose from in 2027. The hundreds of Deschutes […]

Aug 19 • 2:23 PM EDT • Health • bendbulletin.com

Prosecutors say bullet engraving shows Charlie Kirk was targeted for his politics

Prosecutors in Charlie Kirk's killing pointed to an engraved bullet, arguing that the inscription “Hey Facist! CATCH!” demonstrates that Kirk was targeted for how the defendant perceived his politics.

Aug 19 • 1:25 PM EDT • Politics • scrippsnews.com

Prosecutors say bullet engraving shows Charlie Kirk was targeted for his politics

Prosecutors in Charlie Kirk 's killing pointed Tuesday to an engraved bullet, arguing that the inscription "Hey Facist! CATCH!" demonstrates that Kirk was targe

Aug 19 • 10:08 AM EDT • Politics • kutv.com

Prosecutors say bullet engraving shows Charlie Kirk was targeted for his politics

Robinson is charged with crimes including aggravated murder and has not yet entered a plea.

Aug 19 • 8:48 AM EDT • Politics • bostonherald.com

Prosecutors say bullet engraving shows Charlie Kirk was shot over his politics

Aug 19 • 7:20 AM EDT • Politics • yahoo.com

Prosecutors say bullet engraving shows Charlie Kirk was targeted for his politics

SALT LAKE CITY (AP) — Prosecutors in Charlie Kirk 's killing pointed Tuesday to an engraved bullet, arguing that the inscription “Hey Facist! CATCH!” demonstrates that Kirk was targeted for how the defendant perceived his politics.

Aug 19 • 1:38 AM EDT • Politics • wral.com

Prosecutors say bullet engraving shows Charlie Kirk was targeted for his politics

Prosecutors in Charlie Kirk’s killing have pointed to an engraved bullet in arguing that Kirk was targeted for how the defendant perceived his politics

Aug 19 • 1:23 AM EDT • Politics • abcnews.com

Business Bulletin: The Victor wins; Hall Render opens; Belle-Clair reopens; Jump Company earns

Catch up on local business awards, openings and projects.

Aug 16 • 1:00 AM EDT • Business • stltoday.com

Beat the clock: The politics of daylight saving time in New Hampshire

The perennial debate over daylight saving time in the U.S. is coming around again, but for one New Hampshire state representative, it's never gone away.

Aug 14 • 5:00 AM EDT • Politics • newhampshirebulletin.com

USPTO Expands Category A Patent Bar Admission Criteria to Include Biomedical Science Degree

The USPTO published a Federal Register Notice Tuesday announcing administrative updates to the General Requirements Bulletin (GRB).

Aug 12 • 10:24 AM EDT • Science • ipwatchdog.com

Why is climate action “easier said than done”? The key lies in the strong coupling between climate and society

A new Perspective in Science Bulletin argues that the persistent gap between climate science and climate action stems from a conceptual blind spot: treating climate and social systems as separate domains rather than as one integrated, co-evolving entity. The authors introduce the Climate-Social Coupling System (CSS) paradigm and, by re-contextualizing the classic Environmental Kuznets Curve, sort national trajectories into “strong,” “weak,” and “de-coupling” states, showing that governance is the decisive, reversible steering mechanism that determines a country’s climate future.

Aug 12 • 8:00 AM EDT • Science • eurekalert.org

Inspector general finds California High-Speed Rail business plan incomplete

California’s high-speed rail project has made progress in meeting legal reporting requirements, but state oversight officials say major gaps and clarity problem

Aug 11 • 5:58 PM EDT • Business • kmph.com

MDHHS Issues Mental Health Framework Provider Enrollment and Billing Updates

The Michigan Department of Health and Human Services (MDHHS) recently released a final policy bulletin updating enrollment, supervision and billing requirements under the state’s Mental Health Framework.

Aug 7 • 8:00 AM EDT • Health • mha.org

I was in my office when bullets hit the CDC. A year later, the agency remains under attack

“It was briefly more dangerous to sit at a desk in Atlanta than to chase a hemorrhagic fever in the field,” writes Daniel Jernigan.

Aug 7 • 4:30 AM EDT • Health • statnews.com

The Bulletin welcomes Sharon Weinberger as editor-in-chief

The Bulletin’s new editor-in-chief, Sharon Weinberger, has dedicated her career to covering the intersection of science, technology, and national security and will guide the Bulletin’s editorial efforts as it enters its eighth decade of informing the public on catastrophic risks.

Aug 3 • 6:00 AM EDT • Science • thebulletin.org

American Nero: Why Trump is trying to burn down the National Academy of Sciences

Carnage in pursuit of power, revenge, personal financial gain, and ego.

Jul 26 • 6:00 AM EDT • Science • thebulletin.org

Eagles Get More Bulletin-Board Material Ahead of 2026 Season

The Philadelphia Eagles are the two-time reigning NFC East champs, and are just 18 months removed from the Super Bowl. The Eagles were 11-6 in 2025, a three-game drop off from the 2024 season where they won 14 games and defeated the Kansas City Chiefs 40-22 in Super Bowl LIX. Plus, Philadelphia fell 23-19 to the San Francisco 49ers in the wild-card round.

Jul 23 • 10:36 AM EDT • Sports • sports.yahoo.com

Grappling Bulletin: FloGrappling & ONE Championship Enter Strategic Partnership

-FloGrappling and ONE Championship have entered into a strategic partnership that aims to more actively ensure the best in the world will be active and available at the biggest events in the world, including ONE, WNO, and Flo-partnered events like ADCC & IBJJF majors. -Helena Crevar scored a big win at ONE: The Inner Circle 22, defeating Paige Ivetter Clymer by decision. Crevar and Clymer will be both in the same bracket at the ADCC World Championships, with the potential for a rematch.

Jul 20 • 1:48 AM EDT • Sports • sports.yahoo.com

Central Bend business owners reject economic improvement district

The city of Bend will end plans to create an economic improvement district for the neighborhood east of downtown Bend after a super-majority of property owners did not support the […]

Jul 16 • 1:58 PM EDT • Business • bendbulletin.com

Bend-based entertainment business in 2026 Jefferson County Fair & Rodeo, replacing carnival

The Jefferson County Fair & Rodeo will have a carnival after all. The 541 Bounce Experience will offer waterslides, bounce houses, carnival games, obstacle courses and “more daring, interactive games” […]

Jul 14 • 1:39 PM EDT • Entertainment • bendbulletin.com

Courts won’t settle the fight over AI and creative work: Politics will

“We’re going to live in a world where all of the capital and power concentrates into the hands of five or six companies. That’s not a free society. That’s

Jul 14 • 6:00 AM EDT • Politics • thebulletin.org

‘The Ring’ star Daveigh Chase left an estate worth $400K after her death at 35

‘The Ring’ and ‘Lilo & Stitch’ star Daveigh Chase left an estate worth $400,000 after her death at 35 from AIDS and drug use.

Jul 13 • 10:00 PM EDT • Entertainment • ew.com

New Hampshire student athletes drop lawsuit over state's transgender sports ban

New Hampshire transgender student athletes drop lawsuit against a state law barring them from girls’ sports teams

Jul 9 • 12:51 PM EDT • Sports • newhampshirebulletin.com

Ayotte signs three childcare bills into law, including business tax credit

New Hampshire Gov. Kelly Ayotte has signed three bills related to childcare into law.

Jul 7 • 12:42 PM EDT • Business • newhampshirebulletin.com

Long Reads for the Long Weekend

(Welcome to the Entertainment Strategy Guy, a newsletter on the entertainment industry and business strategy. I write a weekly Streaming Ratings Report and a bi-weekly strategy column, along with occasional deep dives into other topics, like today’s article. Please subscribe.) Happy Fourth of July weekend! As has been a tradition of mine going back to the beginning of the EntStrategyGuy website, I’m sharing my favorite long reads of the last year, like I did in 2019, 2020, 2021, 2024, and 2025. Let’s dive right in! Subscribe “Different Prices for the Same Ride: How Uber and Lyft Use AI to Get More Money Out of You“ by Derek Kravitz in Consumer Reports I don’t think surveillance pricing, like the kind described in this brilliant Consumer Reports article, is long for the world—it’s toxically unpopular—but we’ll see if either party takes on this issue. If I ran a political party focused on affordability, I would focus on a few pro-consumer and pro-market policies: Banning non-compete agreements. Ending surveillance pricing Eliminating junk fees (read more here...) Ensuring “right to repair” for consumer (and military!) products Capping excessive app store fees Stopping digital/algorithmic price-fixing tools. Preventing automatic subscription price increases. And more. If you want to fight inflation, there are a lot of great ways to do it quickly. Speaking of higher prices... “Secret Documents Show Pepsi and Walmart Colluded to Raise Food Prices Across the Economy“ by Matt Stoller in BIG Again, I think a political party should focus on lowering prices for consumers. And deals like this—Walmart making a deal/forcing Pepsi to offer the lowest prices at its stores and nowhere else—hypothetically lower prices at Walmart...but raise them everywhere else. “15 DUIs, still driving: California’s failure to take repeat drunk drivers off the road“ by Robert Lewis and Lauren Hepler in CalMatters CalMatters does terrific reporting in California, something the Golden State desperately needs more of, and this article is a great example of that. “PugLips: The next insanely popular thing you’ve never heard of…” by Simon Carless in Game Discover Co I thought that this parody article (and yes, it’s a parody, but I was definitely unsure at first) was hilarious and totally nailed how much tech/business journalism feels these days. Actually, three of my favorite articles this year were on hype in the video game industry, including Georg Zoller’s “The Video Game Industries Very Dark Night”—which I linked to recently and wrote a follow-up here—and Owen Mahoney’s “Derek Zoolander, Videogame Exec”. In particular, I like Mahoney’s focus on user experience as a guide to what trends will actually grab hold of customers. “The Matrix Lies“ by Evan Shapiro in Media War & Peace Evan Shapiro’s first person account of his experience with AI was hilarious. I think LLMs capabilities have significantly grown from last summer, and yet...my editor/researcher just had an abysmal experience using an LLM to do a quite basic task (which our LLM normally does each week) and the LLM made a mistake on every single data entry...along with seven different mistakes affecting twelve of the twenty or so entries, including mistakes that are explicitly spelled out in the prompt. That’s a brutal failure rate. Again, if you use AI/LLM for data collection, you need to take a lot of extra steps to verify and check the data. “Ghosts in the Balcony: A Cross-Country Trip to 58 Theaters Fighting to Survive“ by Matthew Frank in The Ankler I thought Matthew Frank’s pitch to head across America to visit theaters sounded insane aggressive at the time—at least it felt that way to someone a decade older than him; man, to be in your twenties again, am I right?—but I knew the result would be great. And it was, a terrific feature by a great young writer. Also, I loved Matthew’s recent article on who’s getting the precious few entry level jobs in Hollywood. (Hint: nepotism.) “Disney erased FiveThirtyEight“ and “Did Las Vegas get too greedy?” by Nate Silver in Silver Bulletin I love media history and analysis, and there’s no one better to get the history of FiveThirtyEight than from Nate Silver, who wrote about his personal experience in one of my favorite pieces from this year. I also loved Nate’s breakdown of what’s causing Vegas’ woes, but I’ll offer one criticism, summarized as “Might I suggest antitrust?” Many centrists/center-right/libertarian thinkers (Nate is self-described as the latter) often don’t consider consolidation or antitrust as factors in policy issues like housing, America’s military readiness, or, in this case, Las Vegas. Even if libertarians want to debunk antitrust/consolidation concerns, I’d love to read that debunking. In this case, Vegas is incredibly consolidated (though it also has been for a long time) and I’d have loved to read Nate at least contending with this factor, since he addresses almost every other potential factor for Vegas’ decline. “Why Microsoft’s Carbon Removal Pullback Is Such a Big Deal“ by Robinson Meyer in Heatmap News I’m a big supporter of carbon removal efforts, but this nascent industry faces a lot of headwinds, including this big move most recently. I think it’s clear that solar panels and batteries should be able to get the world to its carbon footprint goals, but effective carbon renewal remains necessary to prevent the worst impacts of global warming. “AI is killing the cheap smartphone“ by David Oks LLMs and AI will impact the world in ways we’re not ready for, and already, third world countries are seeing the prices of cheap cellphones skyrocket due to the cost of chips skyrocketing. This article by David Oks is a terrific breakdown. “100 Days of Madness: Netflix, Paramount, Warner and the Future of Hollywood“ by Wade Major at Hollywood Heretic Wade Major dove deep into Hollywood/streaming’s financials in this must read piece. Not that I agree with everything in this article (read my take on Warner Bros./Paramount here) but the analysis is top notch. I think many people discount how quality thinking, regardless of the argument/conclusion, will make you a better thinker. “Erased by the UFC: Frank Shamrock, The MMA GOAT of the 20th Century“ by Nate Wilcox in The MMA Draw Newsletter Growing up playing the UFC fighting game on the Dreamcast, Frank Shamrock was my favorite MMA fighter, and this history/tribute to him was great. Other Fun Reads “The Hardest Part Of History To Tell Is How It Felt“ by Craig Fehrman at Defector “Unmasking the Sea Star Killer“ by Craig Welch at bioGraphic “What Could Save the Industry? Fin-Syn“ by Richard Rushfield in The Ankler Alex Rollins Berg in Underexposed on movie bumpers, pillow shots, Disney trash cinema, cult films, and Casablanca. David H. Montgomery in YouGov’s The Surveyor on punctuation marks, condiments, dinosaurs, and comic strips and kids media. “How Medium finally pivoted its way to profitability“ and “Why the best journalists on YouTube are all former Vox employees“ by Simon Owens in Simon Owens’s Media Newsletter “It’s Not Just You, Netflix Shows Have Gotten Slightly Shorter: Here’s What the Data Says“ by Kasey Moore at What’s on Netflix “Numlock Awards: How Diane Warren became the biggest loser in Oscar history“ by Nathaniel Rakich and “Numlock Awards: The Oscar Bait era is over. The Oscar Chum era is here.” by Walt Hickey & Michael Domanico at Numlock Awards

Jul 3 • 2:38 PM EDT • Entertainment • entertainment.substack.com

Health Sector Bulletin June 2026 Special Edition SHF Standard Allocation

in English on Syrian Arab Republic; published on 1 Jul 2026 by Health Cluster

Jul 2 • 3:23 AM EDT • Health • reliefweb.int

Annex Health Sector Bulletin June 2026

in English on Syrian Arab Republic; published on 1 Jul 2026 by Health Cluster

Jul 2 • 3:21 AM EDT • Health • reliefweb.int

Wa-Hi junior Lars Sandven selected for prestigious national science camp

The residential summer camp provides academic and leadership experience in STEAM fields.

Jun 29 • 8:30 AM EDT • Science • union-bulletin.com

Ben Wood, longtime three-dot columnist known as ‘Mr. Show Business,’ dies at 94

Ben Wood, a multifaceted copy editor, food and entertainment writer, and three-dot columnist for the Honolulu Star-Bulletin and Honolulu Star-Advertiser for almost 50 years, died June 19 after several years of declining health. He was 94.

Jun 26 • 6:05 AM EDT • Business • staradvertiser.com

What makes New Hampshire business-friendly?

Across New Hampshire, small business owners are watching their employees' kids grow up. How nice, right? But it's at the office, because there's nowhere else for them to go.

Jun 23 • 4:55 AM EDT • Business • newhampshirebulletin.com

Netflix's “Gears of War” live-action movie reveals first plot details: 'The origin story of Delta Squad' (exclusive)

David Leitch of "Bullet Train" and "The Fall Guy" will direct the video game-to-film adaptation.

Jun 22 • 12:30 PM EDT • Entertainment • yahoo.com

Starmer says he'll resign as UK prime minister, roiling British politics yet again

British Prime Minister Keir Starmer has announced his resignation, forced out by his party after losing voter support. He will remain as caretaker until Labour chooses a new leader. Former

Jun 22 • 8:48 AM EDT • Politics • union-bulletin.com

Daveigh Chase's mother says late 'The Ring' star struggled with addiction after back injury: 'She was completely gone'

Daveigh Chase's mother said that 'drugs took hold of' the late 'Lilo & Stitch' actress after she was prescribed painkillers for a back injury she sustained in a motorcycle accident around 2016.

Jun 20 • 1:54 PM EDT • Entertainment • ew.com

Business notes: Baker Boyer Bank names new CFO

Baker Boyer Bank has named its new CFO.

Jun 20 • 8:30 AM EDT • Business • union-bulletin.com

CMS approves budget for GO-NORTH, the state’s federally funded rural health program

The Centers for Medicare and Medicaid Services approved New Hampshire’s spending plan for a large tranche of federal money that will go toward rural health initiatives, state officials announced Thursday.

Jun 11 • 2:14 PM EDT • Health • newhampshirebulletin.com

Bulletin Board: Greenfield Garden Cinema outlasts Pipione’s Sports Shop in GGSL action

Greenfield Garden Cinema jumped ahead in the second inning in a 25-16 win over Pipione’s Sports Shop in GGSL action at Murphy Park on Wednesday Night. Greenfield Garden Cinema did not allow a run in the second, pulling ahead 10-5 after the second frame of Ponytail play. Makenna Ward was the winning pitcher in the […]

Jun 10 • 9:46 PM EDT • Sports • recorder.com

Jeffrey Lewis and Herbert Lin join the Bulletin’s Science and Security Board

The Bulletin is honored to welcome nuclear proliferation and arms control expert Jeffrey Lewis and nuclear risk and disruptive technologies expert Herbert Lin to its Science and Security Board (SASB). As SASB members, they will provide their perspective on nuclear issues and technological threats, represent the nonprofit at public events, and participate in setting the time on the Doomsday Clock.

Jun 10 • 12:01 PM EDT • Science • thebulletin.org

Clockwork Revolution: Burlesque, Bullets, and Butterfly Effects

On behalf of the team at inXile entertainment, I’m thrilled to share more of Clockwork Revolution — our time-bending first-person action RPG set in the steampunk city of Avalon, with a cast of unforgettable characters, and a world that reacts deeply to every choice you make. We’re hard at work on the game and can’t wait for you to play it next year.

Jun 7 • 2:00 PM EDT • Technology • news.xbox.com

7-month-old baby killed after Israeli troops open fire on a car, Palestinian health officials say

The Palestinian health ministry said that a 7-month-old baby was killed after Israeli troops opened fired at his parents’ vehicle in the occupied West Bank, with the bullet striking the boy in the face.

Jun 6 • 12:16 PM EDT • Health • pbs.org

California High-Speed Rail board approves business plan that suggests moving downtown Merced station

A business plan that forecasts where Merced’s proposed bullet train station may ultimately end up has received unanimous approval from the California High-Speed Rail Authority’s board.

Jun 5 • 5:10 PM EDT • Business • kvpr.org

MDHHS Finalizes Specialty Behavioral Health Services Location Policy

The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid Policy Bulletin MMP 26-17, effective July 1, 2026, which clarifies reimbursement requirements for specialty behavioral health services provided through Prepaid Inpatient Health Plans in home, community and residential settings.

Jun 4 • 2:13 PM EDT • Health • mha.org

Why the National Science Foundation is ripping monitoring instruments out of the ocean

A spokesperson for the National Science Foundation pointed to a National Academies of Science, Engineering, and Mathematics report as justification for the 'descoping,' but a co-chair of that group said they never wanted to see the program disbanded.

Jun 4 • 12:49 PM EDT • Science • thebulletin.org

The wasting disease threatening US science and ‘Patient Earth’

Ignorance is a wasting disease, a death of a thousand cuts. A gradual “falling behind” the rest of the world, not only in the ability to advance basic science, but also in the ability to educate, innovate, and retain the best and the brightest minds.

Jun 2 • 6:00 AM EDT • Science • thebulletin.org

Black Friday Expands Beyond Retail into Media, AI Commerce, Advertising, and Entertainment Opportunities

MIAMI, Fla., June 1, 2026 (SEND2PRESS NEWSWIRE) — Black Friday, one of the most recognized names in global commerce, is continuing its evolution beyond traditional retail into a broader media,

Jun 1 • 12:38 PM EDT • Entertainment • union-bulletin.com

Headwinds are putting New Hampshire’s health, environment, and economy even more at risk

New Hampshire faces growing environmental and public health headwinds that threaten natural resources.

May 28 • 4:55 AM EDT • Health • newhampshirebulletin.com

The Blogs: Science and Technology as Magic Bullet for Africa

From the blog of Yacoub Hachine at The Times of Israel

May 26 • 7:28 AM EDT • Science • blogs.timesofisrael.com

Providers skeptical business tax credit will move the needle on childcare capacity

New Hampshire Gov. Kelly Ayotte and business leaders celebrated the passage of the Child Day Care Tax Credit Program in the Legislature this month, a bill that would allow businesses to receive a tax credit for creating new childcare spots. However, childcare providers say they are skeptical the bill will increase capacity as intended.

May 26 • 5:00 AM EDT • Business • newhampshirebulletin.com

African countries can still get US funding for public health—if they cough up minerals and data first

New 'transactional' US global health agreements offer US aid for combatting HIV and other health threats in return for what critics say is expansive US access to resources.

May 25 • 6:00 AM EDT • Health • thebulletin.org

Bystander Wounded in White House Shooting Is in Stable Condition

The Metropolitan Police Department is investigating to determine who shot the bystander, who underwent surgery, and how many bullets were fired.

May 24 • 1:38 PM EDT • Politics • nytimes.com

AOC tells New Yorkers to ‘pull up’ to Alabama during rally speech behind bulletproof glass

Rep. Alexandria Ocasio-Cortez sparks controversy with fiery Alabama rally speech urging northern progressives to "pull up" to southern red states.

May 23 • 9:56 PM EDT • Politics • foxnews.com

From red to blue: Deschutes County politics shift left after election

After Tuesday’s election results, the balance of power on the Deschutes County Commission is undergoing what some observers describe as a seismic shift to the left. Democrats and left-leaning candidates […]

May 23 • 9:00 AM EDT • Politics • bendbulletin.com

Far Cry 7 Used To Test Gen AI, Says Insider

Ubisoft admits it's exploring gen AI, and an insider claims that Far Cry 7 is being used for these experiments.

May 21 • 9:45 AM EDT • Technology • thegamer.com

Culinary Chemistry Brings Science and Culture to the Kitchen

In Culinary Chemistry, students at Punahou School are discovering how science and culture connect

May 19 • 2:54 PM EDT • Science • bulletin.punahou.edu

Steam Deletes A Bunch Of Game Tags Like 'Dungeons & Dragons,' 'Warhammer 40K,' And 'Lego' In Rare Purge

It has also made the surge of Vampire Survivors clones official with the new tag 'Bullet Heaven'

May 19 • 9:15 AM EDT • Technology • kotaku.com

At last, The Bullet Heaven genre - popularised by hits like Vampire Survivors - has been sanctioned by Steam

This update has introduced a variety of new game tags for different genres, which should help categorize upcoming genres.

May 19 • 7:23 AM EDT • Technology • eurogamer.net

Knicks Bulletin: ‘I just try to look at the positives’

Nothing better than a Game 7, amirite? Actually, there’s something even better about today’s matchup, as the Knicks aren’t involved and will be just enjoying the bloodbath from afar! Here’s the latest from Tarrytown as New York patiently waits to know its ECF foe. Mike Brown On supporting Mikal Bridges amid benching questions: “I was […]

May 17 • 10:43 AM EDT • Sports • sports.yahoo.com

Business Bulletin: Almost Home honors; Foodbank benefits; St. Johns celebrates centennial

Catch up on local business awards, milestones and projects.

May 17 • 1:00 AM EDT • Business • stltoday.com

Knicks Bulletin: ‘The humble warrior’

We’ve reached a point where you can say the Cavs and the Pistons are doing this on purpose to prevent Knicks fans from enjoying New York basketball. But hey, seven games on their legs? Can’t complain! We’re the latest four days and a few hours from the ECF Game 1 tip-off. Finally. Mike Brown On […]

May 16 • 10:37 AM EDT • Sports • sports.yahoo.com

State senators keep wraparound mental health initiative alive

After the New Hampshire House sidelined an effort to require private insurers to cover wraparound mental health services, the Senate made a last ditch effort to keep it alive.

May 15 • 2:09 PM EDT • Health • newhampshirebulletin.com

Childcare business tax credit program goes to governor

As the midnight deadline approaches for all remaining bills to be acted on, the New Hampshire Senate voted “ought to pass” on a bill endorsed by Gov. Kelly Ayotte that would create a tax credit for businesses that create more childcare slots.

May 14 • 8:00 AM EDT • Business • newhampshirebulletin.com

National Science Board a victim of the Trump administration’s cancel culture

The proposed cuts to basic science threaten to cede our longstanding leadership to other countries, most notably China.

May 12 • 12:45 PM EDT • Science • thebulletin.org

Ayotte wades into wraparound mental health services debate

After a New Hampshire House committee voted to kick the can down the road on whether to compel insurance companies to cover wraparound mental health services for children, Gov. Kelly Ayotte was “outraged.”

May 8 • 5:18 PM EDT • Health • newhampshirebulletin.com

‘That’s a problem’: Councilor grills health commissioner over childcare workforce grant funding

Executive Councilor John Stephen pointedly questioned officials from the Department of Health and Human Services during this week’s meeting about why a childcare workforce grant program was not funded.

May 7 • 2:07 PM EDT • Health • newhampshirebulletin.com

What we know—and what we don’t—about marijuana’s health effects

Marijuana is far from a “silver bullet” for various illnesses, but it has some promising applications, scientists say

May 4 • 8:45 AM EDT • Health • scientificamerican.com

Medicaid isn’t a line item — it’s the foundation of New Hampshire’s healthcare system

In New Hampshire, we are having an ongoing conversation about the cost of health care — what’s driving it, who pays, and what can be done to bring it under control. Those are important questions. But they are incomplete without another: What happens when access to coverage becomes less stable?

May 4 • 4:55 AM EDT • Health • newhampshirebulletin.com

Pirro on press dinner suspect: ‘It is definitively his bullet’ in vest of Secret Service officer

May 3 • 11:19 AM EDT • Politics • cnn.com

Toronto Blue Jays Dodge Bullet With Latest Injury Concern

Blue Jays slugger George Springer has avoided another serious injury after an early exit from a game against the Minnesota Twins on Saturday

May 2 • 8:14 PM EDT • Sports • sports.yahoo.com

In letter, Hassan raises concerns about methadone clinic's business practices and substandard care

U.S. Sen. Maggie Hassan this week accused a national chain of opioid addiction clinics with multiple locations in New Hampshire of improper business practices that undermine the quality of care in pursuit of profit.

Apr 30 • 5:01 AM EDT • Business • newhampshirebulletin.com

InvestigateTV+: ‘Junk science’ and harassing debt phone calls

We look at the discredited FBI bullet analysis; a method experts now call “junk science,” and the push to reopen convictions

Apr 29 • 10:22 AM EDT • Science • kcrg.com

$1 billion over 5 years: Director of NH’s new rural health program rolls out goals for federal funds

Donnalee Lozeau, director of GO-NORTH, said her philosophy in distributing the hundreds of millions of dollars the federal government is giving New Hampshire to spend on its struggling rural healthcare system will be about long-term investments, not short-term fixes.

Apr 27 • 5:00 AM EDT • Health • newhampshirebulletin.com

How Vampire Crawlers Keeps the Soul of Vampire Survivors Alive in a Whole New Genre

Vampire Crawlers is out today! Read about how it deftly translates the bullet heaven of Vampire Survivors into a roguelite deckbuilding dungeon crawler.

Apr 21 • 12:30 PM EDT • Technology • news.xbox.com

Business notes: Milton-Freewater’s Drive-In theater reopens for the season

Spring is here. And with that comes outdoor movies at the M-F Drive-In.

Apr 18 • 8:30 AM EDT • Business • union-bulletin.com

Marshals Season 1, Episode 7 Recap: “Family Business”

Kayce and the Marshals team make time for little love—between bouts of bullets flying, of course.

Apr 12 • 9:01 PM EDT • Business • townandcountrymag.com

“AI polls” are fake polls

A few weeks after Donald Trump’s second presidential win, I took the train up from London (where I was living at the time) to Oxford to attend a conference on polls and forecasts of the 2024 election. Most of the attendees were pollsters or academics, but I also watched presentations from Aaru and Electric Twin, two companies that do what is interchangeably called synthetic sampling, silicon sampling, or synthetic audiences. Stripped of startup jargon, that means they use large language models (LLMs) to simulate responses to public opinion polls by having AI agents take on the role of survey respondents. I had already heard of Aaru thanks to some articles with eye-catching headlines like “No people, no problem: AI chatbots predict elections better than humans” in the months leading up to Election Day. The founders were making some big, some might even say far-fetched claims, such as: “within two years, we will simulate the entire globe — from the way crops are grown in Ukraine to how that impacts production of oil in Iraq, trade through the strait of Malacca, and elections for the mayor of Baltimore.” When Semafor asked Aaru’s cofounders — Cameron Fink and Ned Koh — about my boss, they said “we respect all those who came before us.” Nate (as he so often does) shared his thoughts on Twitter: Fink and Koh were relatively good-natured about this back-and-forth when we spoke at Oxford. They even offered to mail me one of the t-shirts featuring Nate’s quote they apparently had made. I never took them up on the offer, which I now somewhat regret. These synthetic sampling companies fell off my radar for a while, but they do still exist. In fact, Aaru recently received a $1 billion valuation. Is what they’re doing anywhere close to the most important frontier in AI development? Not by a longshot, especially when Anthropic just developed a model so adept at exploiting software vulnerabilities that it’s only being released to 40 companies. Still, silicon sampling is increasingly finding its way into public polling. Axios reported in March that “a majority of people trust their own doctors and nurses” based on findings from Aaru — without mentioning that the “people” in that sentence were actually LLMs. Around the same time, the Public Sentiment Institute “boosted” their online sample of 373 real survey respondents with 114 AI agents.1 (Spoiler alert: even the co-founder of Electric Twin doesn’t think that’s a particularly defensible approach.) Polling companies like Qualtrics and Ipsos are also developing synthetic data panels. So, what should we make of these … “polls”? Let’s get one thing out of the way: whatever they are, they’re not polls in the way that term is usually defined. Subscribe You can’t replace polls with AI On one hand, using LLMs to essentially make up fake survey respondents sort of sounds like the dumbest idea ever, one that will at best imperfectly replicate real polls while introducing all sorts of biases. On the other hand, with LLMs improving at a remarkable, perhaps even alarming rate, maybe that means I’m a dinosaur at the ripe old age of 24 because I still want to rely on polls that talk to actual people. I’m not going to argue that synthetic samples are completely useless. In fact, as I’ll return to later, there is evidence that some techniques can replicate topline survey results quickly and cheaply. But the marketing from certain companies can be slightly optimistic. “No traditional poll will exist by the time the next general election occurs,” said Fink in 2024. We’re just 206 days away from the midterms, and based on the fact that I still have to collect a bunch of polls every day, I’d say he should have run that prediction by a sample of AI agents before the interview.2 To see why synthetic samples can’t replace polls, here’s a quick primer on how they work. The simplest version of these models involves taking a LLM (like ChatGPT or Claude), giving it a demographic profile (e.g., a white, college-educated woman who lives in Utah and makes $70k a year), and then asking it to respond to a survey question. You repeat that process a few thousand times using different demographic profiles and end up with a sample of synthetic survey responses. The actual models used by private companies are more sophisticated than this, usually because they incorporate more hypothesized demographic characteristics for each agent and provide them with extra information. Aaru, for example, feeds agents a diet of news and information they’d be likely to consume, while Electric Twin incorporates their customers’ proprietary data about the audience they’re trying to replicate. The way Ben Warner, the co-founder of Electric Twin, explained it to me was “we have a large amount of data on […] for instance, 5,000 people. Can we make an accurate prediction of how they would respond to another question?” Still, it should be obvious why synthetic samples can’t replace polls. Polling is fundamentally a data collection process. We might use surveys to make predictions by feeding them into election forecasts, but the main purpose of a poll isn’t prediction, it’s gathering new data about what people think and how they feel. Silicon sampling, on the other hand, produces no new data. It’s simply a model: you input LLM training data, demographic prompts, and a bunch of other information, and it spits out a prediction for what a poll would say. We love models here, but models aren’t polls. That difference is an important philosophical sticking point for most pollsters I talk to. “I think politics should stay away from [synthetic sampling], because we’re trying to […] represent the voice of the people,” said Natalie Jackson, a vice president at GQR Insights. Democratic pollster John Hagner told me: “I think I’m just incredibly skeptical of this idea. I don’t think it’s research. At that point, you’re asking the machine to tell you what you already believe.” Hagner has seen some presentations of early synthetic sampling experiments, but so far, “if it’s being used in a campaign, people are keeping it incredibly quiet.”3 But Eli, I hear you saying, aren’t polls themselves increasingly governed by modeling decisions? Indeed they are: pollsters’ choices on which sampling method to use, how to define their likely voter models, and how to weight their samples can and do lead to dramatic differences in the results they publish. Aaru even referenced these limitations in the methodology statement included with that maternal mortality “poll” — although I’m using the term “methodology statement” loosely here, because it doesn’t really explain how the model works at all. We can ignore the (frankly preposterous) implication that synthetic sampling isn’t subject to a separate set of biases. The important point is that there’s still a meaningful difference between using weighting and other statistical techniques on actual polling data and using a model to predict what a poll would say. The latter is far closer to election forecasts or techniques like MRP — potentially useful models, but not a replacement for polls.4 To be fair, other synthetic sampling companies are perfectly happy with the distinction between polls and models. Warner compared polling and synthetic sampling to different tools in a toolbox. “The mistake I think we make is we think that these new tools should either work in exactly the same way or somehow replace these old tools,” he said. “Rather than thinking of it as, okay, so we’ve always had the hammer, we’ve always had the screwdriver, now we’ve got a saw. But don’t use a saw to try [to] do the job of a hammer.” A quick comment from Nate Eli didn’t ask me for a comment — rather rude of him, don’t you think? But since I’m editing this story, I figured I’d add a few quick thoughts rather than putting words in his mouth. Beyond the frequently misleading marketing, what bothers me about the AI “poll” hype is that as AI tools make statistical inference cheaper and/or better (note that these are not synonyms) that actually increases the comparative value of collecting original data. You might be able to train a model to make a reasonable estimate of what some hard-to-reach poll respondent would say — say, a young Black man who voted for Trump. (Such a person checks a number of boxes for a voter who is usually hard to reach in surveys.) Indeed, this is closely related to what models like the Silver Bulletin forecast already do. They essentially smooth out the kinks in noisy survey data by making inferences based on past voting patterns or national polls or surveys of other states. But you don’t actually know what these voters think unless you’re reaching them directly. If there’s a shift in opinion among this subgroup, you’re not going to detect it. So if I were running a campaign, I’d invest more in going the extra mile to find a representative sample of those voters. And then I’d hire some smart quants — or Claude? — to figure out the implications for campaign strategy based on proprietary data that my competitors didn’t have access to. -Nate Silver Are these models any good? If synthetic surveys are just a new type of model, the next obvious question is whether the models are at least accurate. The answer very much depends on who you ask. On one end of the spectrum, you have the maximalist argument that synthetic sampling is more accurate than actual polls. “It’s an incredibly challenging problem to go to someone and say ‘hey, we’re going to be more accurate at predicting human behavior than you, even when you talk to your customers directly’,” Koh recently told CNBC. In his view, synthetic sampling isn’t a saw to polling’s hammer, it’s “magic.” There’s certainly evidence that synthetic samples can replicate certain survey toplines. But if Aaru does have any examples of their approach outperforming the polls, they’re keeping those to themselves.5 Aaru’s 2024 election model, for example, had Kamala Harris leading in Michigan, Nevada, Pennsylvania, and Wisconsin on November 4th. And although they’ve since taken down their forecast page, they gave Harris a 50.5 percent chance of winning the race on November 2nd.6 After the election, Fink told Semafor he was happy enough with those results because they were “within margin of error,” a term that is completely meaningless when applied to a “sample” of AI agents. And of course, Aaru says their models have improved since 2024, so supposedly now they’d be more accurate than the polls? Still, their stronger argument is on cost: “We are significantly faster and cheaper than traditional polling, and still more accurate,” said Fink. The first two claims are undeniably true, but the third brings us to the opposite end of the spectrum. Both Jackson and Hagner are skeptical that these models are reliable for anything beyond replicating common survey toplines. “I just […] don’t think the machines are what we want when we’re looking for nuanced views. My example on this is people in Arizona and Nevada in 2024 who voted for Trump and voted for expanding abortion in their states on ballot initiatives,” said Jackson. Hagner identified another issue. Maybe the synthetic respondents, like sycophantic LLMs, are inhuman in one important way: they’re too nice. “The reports that have come through at the meetings that I’ve been at are that the early experiments on this, they cannot get respondents to be as racist or sexist or, frankly, as negative as human respondents,” he said. Academic research mostly agrees on this point. While there are some papers that show promising results when using LLMs to replicate polling data, most show that LLMs suffer from various quirks like producing too few “don’t know” responses and can seriously overpredict the favorability of politicians like Donald Trump and Kamala Harris. They also seem to struggle with too little variation between demographic subgroups, so the difference in predicted opinion between Democrats and Republicans, for example, is too small. When I asked Warner about these studies, his response to these papers was that just because academics can’t get synthetic sampling to work doesn’t mean that the technique doesn’t work in general. “Actually, the argument is, okay, yours does not [work]. That does not mean […] for this complex set of machinery, which uses a lot of investment, a lot of time, a lot of money, you can’t get it to work.” Cards on the table, I’m somewhat sympathetic to this argument because academics aren’t exactly great at making election forecasts. Usually, the people with skin in the game are the most accurate. Warner’s argument is that the approach Electric Twin takes — which includes, for example, making multiple predictions for each synthetic respondent using different models and prompts and subsequently averaging those to get a final prediction in a sort of ensemble forecast — produces better results than the simpler academic models. Warner shared a comparison between his method and the method from a recent academic paper with me, and Electric Twin was indeed able to get more accurate replication. But even still, he acknowledged that synthetic sampling “is not a crystal ball.” “If you asked me, do I think using other data sources will be more accurate than asking somebody who they will vote for, I would probably say no. But if you asked me ‘would your system be useful for our turnout modeling today?’ I would say yes.” For better or worse, it looks like the method is already getting more popular in the market research world. Most of the clients Aaru touts these days are businesses like EY and McDonald’s. And AI will probably begin to pop up in other parts of the political polling process. Pollsters are already using it to code open-ended survey responses, and some firms, like YouGov, are testing using LLMs to ask survey respondents questions. More worryingly, one danger to actual polls is that AI agents can be used to infiltrate online surveys. Most online polls use various checks to prevent that from happening, but there’s conflicting evidence on how effective those filters are and how prevalent AI agents currently are in online panels. If those agents ever become impossible to detect, it might spell the end of online polling, but the solution isn’t to replace all of your respondents with ChatGPT. Silver Bulletin is a reader-supported publication. To receive new posts and support our work, consider becoming a subscriber. Subscribe 1 That particular poll obviously doesn’t meet Silver Bulletin standards for aggregation. But we exclude all Public Sentiment Institute polls from our averages because we classify them as an amateur polling firm. 2 You could argue that Fink meant the next presidential election, but (a) I’m also confident we’ll still have real polls in 2028 and (b) in that case he should have asked an LLM to define “general election.” 3 Quick caveat: that’s reporting from a Democratic pollster. It’s possible that Republicans are more willing to use AI in political campaigns. 4 Indeed, Silver Bulletin does not include “polls” produced by MRP in our forecasts or averages, and we think it’s extremely misleading when their practitioners describe them in a way that suggests original data had been collected among a large number of states or Congressional districts. 5 A recent report from Aaru and EY did show two examples of a synthetic estimate being closer than a survey to a real-world benchmark — but I’d take those findings with a grain of salt because the report reads more like an ad and didn’t involve any sort of prediction being made ahead of time. 6 For comparison, our odds for Harris on the same day were 48.2 percent.

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