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A modernized health plan: Supporting cost management and the employee experience.
The Surest health plan puts prices and care options in plain view. When costs are visible ahead of time, members may choose differently. And those choices have a ripple effect: potentially reducing costs for both members and employers. Win-win.
Who had the best plans? Meet the 2026 Business Plan Competition Winners
Fort Worth Business Plan Competition, in its 15th year, provides entrepreneurs tools and network support to advance their business ideas.
Unpuzzled Parents Connect puts caregiver mental health in focus at Moms Reset Conference
Unpuzzled Parents Connect hosted its Moms Reset: Unplugged conference in Vienna, offering moms raising children with special needs support, resources and time to connect.
Her Health, Her Future holds rally in support of Amendment 3
Her Health, Her Future shares support of Amendment 3 in Jefferson City late Sunday afternoon.
Bragg receives DAISY Award for nursing excellence at Vandalia Health Broaddus Hospital
Criss Bragg, a charge nurse at Mansfield Place, received Broaddus Hospital’s DAISY Award after a colleague nominated him for compassionate care and support of fellow staff.
Hooksett sewer project aims to spur Route 3A business growth
Hooksett approved a $1 million underwater sewer extension near I-93 Exit 10, aiming to support future Route 3A business growth without using residents’ property...
Aaron Rodgers reunites with brother Luke and his kids in rare family photo
The Rodgers family showed up to support Steelers quarterback Aaron Rodgers in rare family photos following the family’s reconciliation.
Newsom makes NH stop to support Democrats
California Gov. Newsom joined New Hampshire Congressman Chris Pappas on the campaign trail Saturday to rally volunteers and supporters across the Granite State.
Memorial Health System receives $15,000 grant for Packaged Meal Program
The Food and Nutrition Services department at Memorial Health System has been awarded a $15,000 grant from the Community Foundation of Dickinson County to support the development of a new
Jenna Dewan’s fiancé shows support after Val Chmerkovskiy “DWTS ”controversy: ‘We got you!’
After Chmerkovskiy was benched for online comments about judge Carrie Ann Inaba, Dewan will dance with eliminated pro Alan Bersten on Tuesday.
Jenna Dewan’s fiancé shows support after Val Chmerkovskiy ‘DWTS’ controversy: ‘We got you!’
Jenna Dewan’s fiancé, stage actor Steve Kazee, is sticking up for the ‘Rookie’ star after her ‘DWTS’ partner, Val Chmerkovskiy, was benched for online comments about judge Carrie Ann Inaba.
Newsom announces mental health support for USS Abraham Lincoln sailors
California Governor Gavin Newsom announced expanded mental health support for Sailors and Marines returning to San Diego following a 321-day deployment on the USS Abraham Lincoln.
Latino voters helped put Trump back in the White House. What's their next move?
The path to a U.S. House majority runs through heavily Latino districts in states such as Arizona, Colorado and Texas, where Democrats are counting on disaffected Trump supporters to swing back their way.
Streaming’s Biggest Show Returns…and a Buzzy Genre Struggles
(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) Obviously, the big news of the week (if not month) is Netflix letting go of executive Bela Bajaria, their chief content officer. I’m going to cover this in my next “Most Important Story of the Week”, but I also have a data angle that I might publish before then. (Too much news this month, am I right?) But first, I have a bonus Streaming Ratings Report issue for you. Today’s article is a bit of a grab bag of topics I’ve wanted to write about, but couldn’t squeeze into the (already very long) Streaming Ratings Report issues. The NFL drives huge viewership numbers, so I’ve got a look at that. A whole bunch of TV shows returned to the traditional broadcast channels, and I have thoughts. And I have a quick look at adult animated shows, since a couple flopped earlier this month. Plus, the Emmys aired earlier this month, and we got some fun data bout how popular those nominated shows are and why I’m not optimistic about the show’s future. That’s a lot, so let’s dive right in. Subscribe Sports - Football Remains the King of Streaming Over the last two Streaming Ratings Reports, I sorta ignored the biggest “show” each week. (I was tempted to say “piece of content” but I know that word bugs folks.) In my database, I call these “specials”, and they sure are special. I speak of the king of American TV: football!!! Streaming football is back and, unlike some other sports, it routinely dominates all viewership. Probably the best way to show this is to update one of my favorite graphics, the “40 Million Hour Club”1 since football games have joined that club each week they’ve premiered: (Yep, that’s the data through 28-Sep, the first four weeks of the season. As a reminder, I take the average minute audience provided by Nielsen, factor out a percentage of linear TV viewers in home markets, and multiply the run time by the three-hour runtime.) Again, the numbers are huge. Let’s start with Netflix. They grabbed the rights to the bonus opening week NFL Kickoff game (which was on YouTube last year) and it put up 18.5 million viewers on average. That nets out to 47.4 million hours of estimated streaming hours. That’s good! Though, notably, it’s well below Christmas Day games from previous years. Compared to other streamers/broadcasters, that’s a bit of a mixed result. On one hand, Netflix’s 18.5 million average is about what YouTube claimed last year, though Nielsen used a bespoke methodology at that time, so I trust this viewership figure more. So that’s good. (The game also shifted from a Friday to a Thursday and that could have helped the viewership as well.) And Netflix continues to best Prime Video in total viewership—as you’ll see next—though Netflix has had much higher-profile (opening week and Christmas Day) games. NBC/Peacock’s opening game the night before averaged 25.1 million average viewers, which is just much bigger than Netflix (or Prime Video). That’s the big caveat to all streaming viewership records: even in success, they can’t compete with traditional linear TV. Previously, I called this my “hierarchy of viewership”, and the data keeps supporting that thesis. The downside for NBC is that this game’s viewership was down compared to previous years, though it may be a counting issue. Here’s a great chart from Sports Media Watch: Indeed, looking at all the opening week games across all windows, Netflix still lags the other primetime windows, but does well compared to the afternoon games: I saw a few folks make the case that streamers still lag traditional broadcasters in reach, and I’d add they really lag compared to “broadcast plus streaming” options like NBC/Peacock, ESPN/Disney+ and CBS/Paramount+. The best data I saw for this came from Samba TV, who charted reach through the 2025 season, and, wow. (Samba TV’s numbers are historically lower than Nielsen’s, so don’t compare their household figures to Nielsen’s hours, but use them as a proxy for the relative reach of the streamers.) The good news is Prime Video is NOT having a down year. Their opening Thursday Night Football game reached 18.6 million viewers (about what Netflix got), but that’s a high for Prime Video on Thursdays and the biggest Thursday night game since 2015. The TNF games the weeks of 21-Sep and 28-Sep continued this streak, getting 43.1 (16.8 million average viewers) and 42.5 total hours (16.6 million average viewers), which were both up from last year. Still, that continues the (typical) season slide: (For those new-to-streaming-football-numbers folks, the viewership declines for Thursday Night Football as the year goes along.) Overall, it appears as if Prime Video is now part of the “football habit”, be it for customers at home or out at places like bars and restaurants. And its viewership is slowly catching up to broadcast. One last chart shows this. Last season, Nielsen started adding out-of-home viewership to the charts, so I try not to do season-to-season comparisons as I did for the first few years. And while Nielsen added Big Data viewing this year, I’m going to compare the last two seasons. Here’s that chart, which shows the season-over-season gains: When it comes to streaming football, we have to keep a few seemingly contradictory thoughts in our head… First, streaming doesn’t come close to matching broadcast’s reach and, thus, viewership. Second, even with that gap, football is still the biggest “thing” on streaming. It’s very, very popular. Third, while some methodology changes have likely helped Prime Video’s numbers, their viewership does appear to be growing. Lastly, yeah, the NFL started the season off poorly, with week one dragging down the numbers in year-over-year comparisons. However—and again, methodology changes may have helped this—the viewership grew compared to previous seasons over the next couple of weeks. So football is still king. On streaming and off. Television - Adult Animation Continues to NOT Make the Streaming Charts In the last two reports, two adult-animated shows whiffed: Netflix’s animated comedy, Dang! Paramount+’s Sega-video-game-inspired fantasy/comedy, Golden Axe. Neither made the charts, but that’s usually the case for animated shows. I mean, here’s literally every animated show that’s made the Nielsen Original charts since the start of 2025: And one of those shows is G_abby’s Dollhouse_! A kids show! The problem with charts like this is that they don’t give you a sense of how many shows miss the charts. Netflix had at least eleven animated flops, including comedies like Big Mouth (a show everyone assumed was popular in the pre-Streaming Ratings Era), Long Story Short, Haunted Hotel, Mating Season, Strip Law, and Alley Cats, and action shows like Blood of Zeus, Castlevania: Nocturne, Devil May Cry, Splinter Cell: Deathwatch, and Tomb Raider: The Legend of Lara Croft. Prime Video had at least six animated misses, two in the same universe (Hazbin Hotel, Helluva Boss), three more comedies (#1 Happy Family USA, The Second Best Hospital in the Galaxy and Kevin) and an action show (The Mighty Nein). Disney+ had MCU and Star Wars animated misses (Eyes of Wakanda, Marvel Zombies, Star Wars: Visions, Star Wars: Maul – Shadow Lord, and Star Wars: Tales of the Underworld) but I can’t tell how many of those shows were geared towards adults. HBO Max had Harley Quinn and Hulu had Solar Opposites. None of these shows made the charts! That’s a lot of misses! If I remade the chart with all those misses, here’s how it would look: Listen, I know the counter arguments. First, it’s cheaper to produce animated shows than live action. Fair enough, but with viewership this low, even that cheaper price point starts to not matter. Second, just look at the acquired charts. Hit animated comedies can generate viewership for years! Shows like The Simpsons, South Park, Family Guy, and Bob’s Burgers do really, really well. Fair enough, but streaming has failed to recreate the dynamic that Fox has mastered so well. That’s a problem for streaming still. Television - Emmys! The annual Emmys broadcast was a few weeks ago, and I’ve got data on how the nominees performed on streaming, plus hot takes on this year’s viewership (and the big news about the broadcast’s, er, streamcast’s future). We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… The top Emmy-nominated shows… ...why I’m worried about the future of the Emmys telecast... ...the pros of broadcast television ...and the cons... ...please subscribe! We can only keep doing this great work with your support. Coming Soon! Next week, we’ve got a double issue (since the weeks of 21-Sep and 28-Sep were so light), but then I’ll be all caught up after a deluge of streaming ratings data from Nielsen in September. In the meantime, I’m going to try to take a look at Netflix’s stats to explain why Bela Bajaria is out. But even light weeks give me plenty to talk about. The Great British Baking Show returns to Netflix and Apple TV has a buzzy new star-studded comedy. And Netflix has a controversial-but-appears-to-be-popular new game show. Plus big films like Toy Story 5, Backrooms and The Breadwinner head to streaming. And is East of Eden a hit? After that, The Kardashians return to Hulu, Prime Video has a reboot of Carrie, and Netflix has a horror show, Below. Disclosure Day heads to Peacock, The Housemaid heads to HBO Max_,_ a new Ben Affleck film, Animals, lands on Netflix, and Apple TV has a new John Cena action film based on, checks notes, Hasbro’s Matchbox toys. Okay. Longterm, some interesting TV production news. HBO Max ordered How to Survive Without Me, starring Kaley Cuoco, Joshua Jackson, Ray Romano and Rita Wilson, for fifteen episodes! I love that some streamers (or, at least, HBO Max) are finally ordering TV shows with more than eight episodes. In less wise production news, Landman does not appear to be coming back this year, since it just started production. Frankly, I don’t love this (get your shows out on time) but Landman is so popular, I doubt it matters.
Learn Why The Bull Case For Madison Square Garden Entertainment Stock Could Change Following Revenue Jump
Madison Square Garden Entertainment reported revenue of US$1.1b, up 13% year on year, supported by the New York Knicks’ NBA Championship run and record sales for its Christmas Spectacular. The 30 day Harry Styles residency now under way at the Garden underscores how concentrated, high profile bookings can deepen event utilization across an already busy venue portfolio. We will look at how Madison Square Garden Entertainment’s investment narrative is affected by this 13% revenue jump and...
Jackson doesn't regret telling Collins to 'shut up' after protester interrupted Maine Senate debate
"She said that it was a Troy supporter. She accused me of setting that up. I had no idea who it was,” Jackson said.
Does science say physical media is better for you than streaming?
Various research findings support the argument that physical media may be better for mental and emotional health than streaming or digital content.
RJ Mitte’s story offers insight into life with cerebral palsy and mental health issues
Letter: Dr Denise Al Mari-de Waal and Aaron Hume call for lifelong support and an integrated care pathway that recognises the physical and mental health impacts of cerebral palsy
South Texas Health System (@stxhealthsystem)
2 likes, 1 comments - stxhealthsystem on October 18, 2026: "Put Your Skills at the Heart of Innovation: South Texas Health System is seeking skilled and dedicated Cardiac Cath Lab Technologists to join the cardiovascular teams at STHS Heart and STHS Edinburg. In this vital role, you’ll support advanced cardiac procedures, help deliver potentially lifesaving care and make a meaningful difference for patients when it matters most. Join a team committed to clinical excellence, innovation and compassionate care. Ready to take your career to the next level? Explore opportunities with the Rio Grande Valley’s largest integrated healthcare network. STHS offers competitive pay, comprehensive benefits and an increased sign-on bonus for qualified applicants. Ready to make your next career move? View current openings and apply at the link in our bio.".
Live Nation Entertainment (LYV) Could Be 16% Undervalued As It Resets Its Debt Clock
Live Nation Entertainment (LYV) has just priced a sizeable dual currency bond offering that reshapes its debt calendar. Fresh 2032 USD and euro notes are earmarked to redeem 2027 secured bonds and support broader financing needs. Against this refinancing backdrop, Live Nation Entertainment’s share price has moved to $170.51, with a 30-day share price return of 2.03% and a year-to-date share price gain of 17.34%. The 3-year total shareholder return of 113.27% points to longer term momentum...
Former NFL Quarterback B.J. Daniels Supports Student-Athletes with Their Mental Health Struggles, Says ‘It’s OK to Not Be OK’
“Asking for help doesn’t make you less of an athlete,” Daniels said following an event in Florida on Oct. 9
Vance faces tough questions on Iran war, immigration and more in CBS town hall
The string of sharp queries, some from voters who said they had supported him and President Donald Trump, previewed the rocky path Vance may face trying to answer for the administration’s record if he runs for president himself in 2028.
iOS 27's new CarPlay features are great, but only these iPhones can actually use them
With iOS 27, car owners with CarPlay support can enjoy lots of cool new features. The problem is, only the iPhone 15 Pro and newer can support them all.
Supporting Ohio’s small businesses
In Focus host Mike Kallmeyer sits down with Alex Beohnke with the Ohio Council of Retail Merchants
Donald Trump’s new pitch for Republican candidates
Trump has even knocked the superficial appearance of some candidates he supports.
Trump dominated rural America. Iowa is testing whether Democrats can win them back
Dave Roethler is a former Donald Trump supporter in Iowa who feels disillusioned about the economy and believes middle-class families are suffering while the president benefits.
Trump dominated rural America. Iowa is testing whether Democrats can win them back
Dave Roethler is a former Donald Trump supporter in Iowa who feels disillusioned about the economy and believes middle-class families are suffering while the president benefits.
Trump dominated rural America. Iowa is testing whether Democrats can win them back
Dave Roethler is a former Donald Trump supporter in Iowa who feels disillusioned about the economy and believes middle-class families are suffering while the president benefits.
Trump dominated rural America. Iowa is testing whether Democrats can win them back
Dave Roethler is a former Donald Trump supporter in Iowa who feels disillusioned about the economy and believes middle-class families are suffering while the president benefits.
7-Day Mediterranean Diet Meal Plan for a Healthy Gut, Created by a Dietitian
If you’re looking for a way to support your gut health, look no further. Follow this Mediterranean-diet meal plan created by a dietitian.
Michael and Lori Milken Honored for Transformative Philanthropy | Milken Institute School of Public Health
Michael and Lori Milken received the GW Philanthropy Award at the 2026 Spirit of GW Awards, recognizing their transformative support of public health education.
Cart Smarts: Think pink, eat colorful: A dietitian’s guide to women’s health
This October, keep it simple with more color, more nourishment, more movement and a little less pressure to be perfect. Here are five dietitian-approved ways to support your health; one bite, and one habit, at a time.
Young Investigators Can Receive Free Registration and Travel Support - MASCC
Young Investigators Can Receive Free Registration and Travel Support - MASCC / cancer, MASCC, MASCC27, OncoDaily, Oncology, Young Investigator Award
A Childhood Experience May Lower Mental Health Risk By 11%, New Research Finds
Small moments of support in childhood may have benefits that last into adulthood.
In Ohio, a solidly GOP district is upended by domestic violence allegations
Several Republican voters who spoke to USA TODAY are still supporting Rep. Max Miller of Ohio despite allegations of domestic violence.
Across Farm Country, Economic Discontent Strains Republican Coalition
Farmers and ranchers have supported President Trump for a decade. But the war in Iran, tariffs and other administration policies have soured some on the G.O.P.
Japan’s health ministry sets new guidelines for tie-up ads in movies and TV shows
The move came after a poster promoting support for cancer patients that the ministry created in a tie-up with a film drew criticism on social media.
New guided search tool helps Kentuckians navigate treatment, mental health and recovery resources
By Leah Dick University of Kentucky Finding the right support for substance use disorder treatment, mental health care, recovery housing or naloxone distribution can be an important step toward better…
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.
Guardant Health (GH) Stock Looks Below Fair Value On A Huge Run
Guardant Health has turned into a dramatic long term story for shareholders, yet the real question now is whether the current US$158.60 price can be supported by the cash flows its business is expected to produce. With the stock sharply higher over several years and new clinical and regulatory developments landing, the focus has shifted to what the Discounted Cash Flow (DCF) view of its intrinsic value suggests about that price. Over the past 3 years the share price has risen by very large...
Castill Health Announces Plans for Philippines Digital Healthcare Launch, Supported by Craig Astill and Caason Group
Singapore, October 18, 2026 -- Singapore-based digital healthcare venture Castill Health has announced plans for its first market rollout in the...
After deaths at Stryker Sports Complex, Comcare emphasizes mental health support
“Events like this affect far more people than those that were directly involved.”
Castill Health Announces Plans for Philippines Digital Healthcare Launch, Supported by Craig Astill and Caason Group
Singapore, Singapore--(Newsfile Corp. - October 17, 2026) - Singapore-based digital healthcare venture Castill Health has announced plans for its first market rollout in the Philippines, targeted for later in 2026.The company is developing a digital healthcare platform intended to connect wearable health monitoring devices, personal health information and access to participating medical professionals.Australian entrepreneur Craig Astill alongside Caason Group and Castill Family Office, is...
Mental health support available for USS Abraham Lincoln sailors
Support is being offered to sailors and Marines returning from the USS Abraham Lincoln, including help for families during readjustment.
Benefit supports historic Versailles business months after fire
Community members gathered at a benefit car show on Oct. 17 to support the Wilson family as they plan to rebuild Wilson’s Pool Room following a devastating fire.
Veterans Services Fair promotes mental health support
Shingleton said the former Army slogan “Army of One” was a perfect example of the isolation veterans can experience.
Haunted attraction in Kathleen adds mental health mission, with part of sales donated
As Halloween shadows lengthen across Middle Georgia, a haunted attraction in Kathleen is aiming for more than screams, turning fright into support for mental he
Newsom offers mental health support for USS Abraham Lincoln sailors
Sailors and Marines who recently returned from an extended deployment aboard the USS Abraham Lincoln were offered mental health services Saturday by California Gov. Gavin Newsom.
America's politically divided Jewish community braces for Israel's elections
Netanyahu’s supporters, especially among Orthodox Jews, believe he’s protecting a country they love as central to their identity. Many liberal and younger Jewish Americans believe his policies have harmed Israel’s global standing.
Thunder’s Preseason Finale Revealed Their First Real Test
Houston’s barrage exposed cracks in Oklahoma City’s defensive communication, forcing a new-look supporting cast to master complex rotations before the games actually count toward the standings.
Med Center Health Foundation receives $4.2 million donation from Tincher Charitable Foundation
Med Center Health Foundation receives a record $4.2 million donation from the Tincher Charitable Foundation to support pediatric care in Bowling Green.
Supporting quantitative skills in biomedical science with smart worksheets: intentions, impact and barriers to engagement
Every year, hundreds of thousands of students arrive at university with one shared weakness: the maths hiding inside their science. In biomedical science, where pipetting volumes, dilution factors, calibration curves and statistical spread underpin nearly every practical
Addressing mental health proactively for our loved ones
As suicide and mental health concerns continue to impact families and communities, an Atlanta-based mindset expert, Michelle Bryant Johnson, shares how to recognize warning signs, support someone in crisis and navigate grief after devastating loss. You can learn more about SPARK at https://www.michellebryantjohnson.com/spark1000
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...
Pat Davis, longtime Port leader who invited WTO to Seattle, has died
The trailblazing and long-serving Port commissioner broke a glass ceiling with her first election and supported Seattle's growth as an international hub.
Oregon makes girls flag football history. Nike, Seattle Seahawks helped make it happen
With support from some of the Pacific Northwest's biggest names, Oregon makes history for itself and hits a milestone for the nation.
Annual Rocco’s dinner to support emergency services in Ceredo
The Ceredo Volunteer Fire Department is teaming up with restaurateur Rocco Muriale to raise money to improve local emergency services.
I’ve spent most of the year talking to MAGA supporters. Here are 5 things I’ve learned
CNN’s Donie O’Sullivan has spent 2026 talking to Trump supporters across the country. Many are frustrated about the Iran War, angry over the growth of data centers and unsure about what’s next.
New 4,300-mile-long internet cable will shuttle data along the ocean floor at 1 million gigabits per second
Petal, the world's first petabit transoceanic fiber cable, could theoretically support simultaneous music streaming for 75% of the world's population.
Franciscan Health, Tonn and Blank planning Michigan City medical office building at former Marquette Mall
Press release, Franciscan Health: Project supports healthcare ministry’s regional approach to healthcare MICHIGAN CITY, Ind. – Franciscan Health, in partnership with Tonn and Blank Construction, is planning a medical office building on a portion of the former Marquette Mall property. Franciscan Health plans to operate a 120,000-square-foot medical office building through the renovation of the former J.C. Penney store at the northwest corner of U.S. 421 and U.S. 20. The land is just 2.5 miles north of Franciscan Health Michigan City, which sits at U.S. 421 and Interstate 94. The building will house more than 45 physicians, cost-effective imaging, an
World Mental Health Day highlights support and resources in East Tennessee
Knoxville, TN News, Weather, and Sports
Trump suspends new Russia sanctions following deal to purchase diesel, citing ‘national interests’
Passed by Congress with bipartisan support, the sanctions were intended to limit Russia’s revenue streams as the country continues its war against Ukraine.
Late artist Lil Poppa’s mother launches foundation focused on youth mental health
The mother of Jacksonville late recording artist Lil Poppa is honoring her son’s life by creating a foundation focused on mental health awareness, suicide prevention and youth support.
What To Do With Your Old Nest Gadgets Since Google Ended Support
Wondering what's to be done with your Google Nest gadgets that have now reached their end of support? It turns out there's a few options to choose from.
OPINON: A vote for progress over politics
As the father of four young children the Talbot County Public School system, I am a strong supporter of public schools. I’d love to see all schools succeed, because at
Mission 43 is hosting a Military Business Market to support local veterans
This Saturday, the public is invited out to the Military Business Market at the Idaho Outdoor Fieldhouse to shop local while supporting veterans and active duty service members.
RFK Jr. allocates $11M for NH rural health services
RFK Jr. announces $11 million for New Hampshire rural health, supporting mobile EMS and reducing hospital overcrowding.
Barbara Bush's latest political move backs James Talarico's U.S. Senate bid
Barbara Bush gave $2,500 to Lone Star Rising PAC, which supports Democrat James Talarico in his U.S. Senate race against Republican Ken Paxton.
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
Mountain Dreamers series aims to connect Summit County’s Latino business community
What began as an effort to help Summit County residents navigate their taxes has grown into a broader initiative to support local Latino entrepreneurs. Mountain Dreamers launched its first Café y Emprendimiento in August, inviting...
National 2D materials research hub names new director
Stephanie Law, associate professor of materials science and engineering at Penn State, has been named director and principal investigator of the Two-Dimensional Crystal Consortium-Materials Innovation Platform, a U.S. National Science Foundation-supported national user facility within Penn State’s Materials Research Institute.
Russia Appears to Step Up Efforts to Influence U.S. Voters
One campaign has created social media posts focusing on U.S. support for Israel to sow discord ahead of the midterm elections.
Luxury Yachts, Entertainment, and a Cause: Yacht Rendezvous Returns to Fort Lauderdale
Some of the world’s most spectacular superyachts will arrive at the iconic Pier Sixty-Six for the 37th Annual Boys & Girls Clubs Yacht Rendezvous. The exclusive weekend will bring together yacht owners, business leaders, philanthropists, and special guests for unforgettable experiences, live entertainment, and networking opportunities, all in support of programs that help empower local youth throughout Broward County.
Roger Marshall praises Trump's tariff policies after Kansas executive says they hurt his business
U.S. Sen. Roger Marshall, locked in tight campaign with Democrat Adam Hamilton, throws full support behind President Donald Trump's tariff war.
Oklahoma City, OKCPS receive $11.5M for youth mental health
Oklahoma City and OKC Public Schools received $11.5 million in federal grants to expand youth mental health services and school-based support.
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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