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How Americans’ Financial Health Is Faring In The “K-Shaped” Economy

Hey all, Jason here. Money20/20 is still two weeks away, but I’ve already started packing (not procrastinating for once!). My calendar is already filling up with various sessions I want to catch, meetings, and of course happy hours, dinners, and other side events. If you’ll be in Vegas and want to catch up, let me know by replying to this email, and we can try to find a time amidst the chaos of the Venetian. A big if not totally unexpected piece of news dropped on Friday: the Independent Community Bankers of America, a trade group that represents smaller U.S. banks, filed a lawsuit against the OCC and Comptroller Jonathan Gould, arguing that the regulator’s move to grant trust bank charters to firms seeking to use them to conduct substantial non-fiduciary activities exceeds the authorities granted to the OCC by Congress. I haven’t had time to fully digest the legal filing or speak to folks in my network about it, but you can expect to see coverage and analysis on it in next week’s newsletter. Subscribe or Support by Upgrading The NerdCon agenda just dropped. It’s stacked. Partner content: Nubank built an AI-first bank. Chime built its own banking core. Figure and Valon are rebuilding the mortgage stack. At NerdCon, you’ll hear from the people behind those bets: what they chose, what they learned, and what they’re still figuring out. The agenda is live, with leaders from Nubank, Chime, OpenAI, Remitly, Mercury, Figure, Valon and more. Follow the mainstage conversations, bring the problem your team is wrestling with to a hands-on workshop, or pull up a chair at a roundtable. Pick your quests. Meet us in San Diego, November 18–20. Fintech Business Weekly readers save 20% with code FBW20. Explore the Agenda Things To Know & Other Good Reads Federal Reserve Board finalizes changes to enhance the transparency and public accountability of its stress test and reduce volatility in its stress test-related capital requirements (Federal Reserve Board of Governors) FDIC Announces Conclusion of Independent Monitorship (FDIC) Modernizing Financial Regulation: Initial Observations from eSLR (Fed Vice Chair for Supervision Michelle Bowman) The Data Version of Godzilla versus Kong: FRED Takes on AI (Fed Governor Christopher Waller) Financing the AI buildout (Brookings) Q3’26: Rules for Banks but Not for Crypto (Fintech Takes Banking) The Inevitability of Local Stablecoins (Lombard Notes) Delusions of AI Governance: The Human-in-the-Loop Comfort Blanket (Fintech Snark Tank) Stripe agrees to acquire Parafin to expand revenue opportunities for platforms and help small businesses grow (Stripe) Listen: Fighting Fraud in the Age of AI, with SEON’s Tamas Kadar (Fintech Business Weekly) How Americans’ Financial Health Is Faring In The “K-Shaped” Economy If there is one overarching theme across the economy and politics in the U.S. at the moment, it’s “affordability.” The term is vague enough to encompass a panoply of factors shaping Americans’ day-to-day lives: rising costs for the hallmarks of being “middle class,” including healthcare, housing, childcare, and education, inflation and rising interest rates, and a job market with the specter of AI hovering over it. At the same time, policy shifts under the Trump administration have resulted in reduced subsidies to those who get health insurance under the Affordable Care Act and new restrictions on qualifying for Medicaid and SNAP, the impacts of which have yet to be fully felt. These factors are contributing to declining consumer confidence and general dissatisfaction with the economy, despite continuing GDP growth and stock market records. This divergence is encapsulated in the idea of the “K-shaped” economy, in which a small proportion of Americans have seen their wealth balloon, while the majority of American households struggle to preserve the lifestyle they have. Perhaps the greatest determinant of which branch of the “K” a household is on is whether their wealth and income are primarily derived from employment vs. from assets. Nearly two decades of low interest rates and, more recently, elevated rates of inflation have benefited asset owners, while those whose income is primarily or solely derived from labor have largely seen real purchasing power stagnate or decline. This is reflected in recent Bureau of Labor Statistics data showing that labor share of U.S. GDP — the fraction of economic output that accrues to workers as compensation in exchange for their labor — dropped to just 52.8% in Q2 2026, the lowest since the BLS began keeping records. In 1947, approximately 2/3rds of economic output accrued to workers; even as recently as 2001, labor’s share of GDP was 64.1%. Against this backdrop, we’ve seen the rise of more credit and credit-like products: cash advance apps, “no-fee” overdraft, earned wage access, and buy now pay later, which are often used as small-dollar short-term borrowing mechanisms to meet immediate consumption needs or pay other bills (eg utilities, cell phone, other debt payments). With the markers of a middle class existence and, increasingly, basic financial stability seemingly out of reach for many, it should be no surprise there’s been an increase in “financial nihilism,” something industry peers like Alex Johnson and Frank Rotman have discussed and analyzed the roots of. The explosion of gambling and gambling-adjacent products and services — often marketed under the guise of being an “investment” — is inextricably intertwined with the rise of financial nihilism. Crypto, sports betting, and, more recently, prediction markets offer an escape or even hope of sorts, like a contemporary, digital version of a scratch-off lottery ticket, while leaving the overwhelming number of people who use such products worse off. Share of Households That Are Financially “Vulnerable” Ticks Up The Financial Health Network’s 2026 Financial Health Pulse® report adds context on how American households are faring. (I linked to this report in last week’s newsletter, but wanted to take time to further unpack the data in the report this week.) The Financial Health Network publishes the report annually, providing insight into how Americans’ financial circumstances are changing over time. The 2026 report is derived from a survey fielded in April and May 2026. The report leverages survey responses to assess indicators of financial health across spending, saving, borrowing, and planning/protecting and to determine a zero to 100 “FinHealth” score. Those with scores between 0 and 39 are considered “Financially Vulnerable,” consumers with scores ranging between 40 and 79 are defined as “Financially Coping,” and those with scores of 80 to 100 are “Financially Healthy.” The report found that moderate improvements in 2025 were reversed, with the share of respondents considered financially “vulnerable” rebounding to 17%. The longitudinal data reflect the impact of pandemic-era programs, like expanded unemployment, cash stimulus payments, and pauses of federal student loan payments. The positive impacts of those programs, as reflected in the Financial Health Pulse reports, had largely disappeared by 2023. While pandemic-era inflation — to be fair, in part caused by the various support and stimulus measures — had come down from as high as 9% in 2022, it has rebounded since the start of Trump’s second term, with tariffs and energy market disruptions owing to the war in Iran pushing prices back up. Specific indicators in the survey that deteriorated from 2025 to 2026 include the share of respondents spending less than their income over the past 12 months, the share paying all bills on time over the past 12 months, the share that have a manageable amount or no debt, the share that are “moderately” or “very” confident their insurance is adequate to cover them in an emergency, and the share that “somewhat” or “strongly” agree that their household plans ahead financially. Unsurprisingly, lower- and moderate-income households are more likely to struggle to pay their bills on time and have any funds leftover to save. The share of low-income households whose income exceeded their spending dropped from 35% in 2025 to 31% in 2026, while the share of upper-income households whose income exceeded expenses remained unchanged at 63%. Households with student loans or revolving credit card debt reported having “a bit more” or “far more” debt than was manageable at rates far higher than those not carrying these types of debts. The share of those with student loan debt indicating their debt load was too high to manage increased from 50% in 2025 to 55% in 2026, while the share of those with revolving credit card debt saying the same ticked up from 51% in 2025 to 54% in 2026. Households that had student loans were markedly more likely to be financially “coping” or “vulnerable” vs. those without student loans. In 2026, 27% of households with student loans were considered financially vulnerable, a jump of 6% points vs. 2025. Households without student loans saw just a 1% point increase (not statistically significant) in those considered financially vulnerable. Households’ perception of the affordability of categories of goods and services paints a stark picture, with less than one-fourth considering higher education affordable, about a third deeming childcare affordable, and less than half viewing healthcare as affordable. Fintech Business Weekly is made possible by the generous support of paying subscribers — bringing you independent analysis of banking, fintech, and crypto without fear or favor. You can support my work by becoming a paying subscriber if you aren’t already. Paying subscribers enjoy: access to the entire archive of nearly six years of newsletters extended versions of the weekly newsletter, with additional content and analysis and (for founding member tier) quarterly personal 1:1 fintech Q&A / strategy calls with me, tapping into my unparalleled knowledge of the intersection of banking and fintech and experience working in the sector, including helping to launch Goldman Sachs’ retail bank Marcus Support Fintech Business Weekly You can also support Fintech Business Weekly by sponsoring a newsletter or podcast, putting you in front of 93,000+ of the most influential decision makers in banking, fintech, and crypto. Learn more about sponsor opportunities or request a media kit by dropping me an email. Democratic Senate Report Highlights How Iran Uses Tether to Evade U.S. Sanctions Iran uses stablecoins, specifically Tether, to evade sanctions, fund regional proxies, and to purchase military drones, a report released last week by the Senate Permanent Subcommittee on Investigations says. The report was authored by committee ranking member Senator Richard Blumenthal (D-CT) and the minority staff. Crypto and stablecoin proponents will often push back on criticism that criminals make use of these assets by arguing that, on an absolute dollar basis, far more illicit funds flow through traditional banking systems and payment rails than via crypto and stablecoins. And while that is likely true, it elides the reality presented in news story after news story: whether state actors — Russia, Iran, North Korea — or criminal groups, those looking to engage in illicit transactions increasingly favor stablecoins and, specifically, Tether (USDT). The report from the Senate Permanent Subcommittee on Investigations released last week adds context to how Iran uses Tether has a lynchpin in its shadow banking system. The report analyzed 846 wallets that have been sanctioned or targeted for seizure, finding that 84% of them transacted exclusively or primarily in Tether. The ability to create near limitless, anonymous wallets and to move funds effectively instantaneously and irreversibly have made crypto a favored financial mechanism for bad actors. Stablecoins solved key drawbacks of bitcoin, namely, the original cryptocurrency’s highly volatile value in dollars. And while Tether (the company) has the technical ability to “freeze” or destroy funds, the company is often limited and reactive in its approach to doing so, the Senate report argues. Tether, which is nominally based in crypto-friendly El Salvador, “has stated that its compliance with OFAC sanctions is ‘voluntary’ and that it follows ‘OFAC guidelines,’” the Senate report says. Owing to these favorable attributes, Tether “became a primary cryptocurrency for Iran, Hamas, Hizballah, and the Houthis beginning in 2023 and has expanded in scale since,” according to the report. Tether’s role in Iran’s shadow banking system, the report says, is enhanced by crypto exchanges like Bybit, Kyrrex, OKX, Gate, and Binance, and through “over the counter” exchanges and hawala networks. The consequences of these financial flows aren’t hypothetical. The Senate report links Tether as a funds transfer mechanism to Iranian proxies in the region, including Hizballah, the Houthis, and Hamas. Tether has also been used to make payments to secure components necessary to manufacture drones, the report says. The report concludes by arguing that “[s]tablecoin issuers with a significant nexus to the United States, particularly those that offer dollar-denominated stablecoins, should be subject to American sanctions law rather than being allowed to hide behind foreign jurisdictions.” Stablecoin issuers like Tether must be held accountable for repeated failures to prevent illicit finance and sanctions violations by law enforcement, the Department of Justice, the Securities and Exchange Commission, and OFAC, the report argues. [Paying Subscriber Exclusive] OUSD Goes Live, Make Your Own Neobank, U.S. Sanctions Russia’s A7 Network As “Transnational Criminal Organization” OpenUSD, the stablecoin issued by the Open Standard consortium that includes Stripe, Visa, Mastercard, core providers, crypto firms, and numerous banks, went live last week. Social commerce platform Whop raised eyebrows in fintech by offering creators on its platform the ability to launch their own neobanks, which the company describes as “great businesses that are easy to run,” in just 15 minutes. And OFAC and FinCEN target Russia’s “shadow banking” A7 Network — more on these stories after the paywall.

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Oct 4 • 8:59 AM EDT • Health • fintechbusinessweekly.substack.com
Polls open in Bosnia and Herzegovina as pro-Russian politician looms large over race

Bosnians are heading to the polls Sunday in elections that ​could impact their European Union membership bid and the influence that Russia seeks over the small Balkan nation. Bosnia and Herzegovina,…

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Oct 4 • 1:55 AM EDT • Politics • france24.com
Trump told aide to use taxpayer money for TV ads praising him

Four spots have run, at a cost of about $5.5 million, and that is expected to grow, according to media tracker AdImpact and people familiar with the spending.

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Oct 3 • 6:05 PM EDT • Politics • seattletimes.com
South Texas Health System (@stxhealthsystem)

1 likes, 1 comments - stxhealthsystem on October 3, 2026: "A Gathering of Compassion, Commitment & Community: The Texas Association of Healthcare Volunteers (TAHV), a statewide organization dedicated to supporting, training and connecting healthcare volunteers, recently held its District 3 Meeting at South Texas Health System Edinburg. Volunteers from across South Texas and the Coastal Bend gathered to learn, share ideas and strengthen the vital role they play in supporting patients, families and healthcare teams throughout their communities. The Auxiliary to STHS (@auxiliarytosths) is made up of more than 350 student and adult volunteers who help enhance the patient experience across the health system. To help make this year's event a success, auxiliary members from hospitals throughout the Rio Grande Valley came together to plan, coordinate and host the annual meeting. We extend our heartfelt thanks to everyone who attended and contributed to this inspiring event. Your dedication, compassion and service make a lasting impact in hospitals across the Rio Grande Valley and beyond.".

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Oct 3 • 2:17 PM EDT • Health • instagram.com
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Aaron Sorkin says ‘money does not motivate’ Jesse Eisenberg: ‘It’s infuriating’

Aaron Sorkin says he spent three days trying to convince Jesse Eisenberg to return as Mark Zuckerberg for ‘The Social Reckoning,’ but none of his arguments, including a substantial salary, made an impact on the star.

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Oct 3 • 9:00 AM EDT • Entertainment • ew.com
Chang’e-6 lunar soil contains a surprising magnetic time capsule

Scientists studying Chang’e-6 lunar soil have discovered a previously unknown magnetic mineral in natural Moon samples: a form of metallic iron called γ-Fe. Found inside tiny impact-glass particles, the nanoscale iron can preserve a stable magnetic signal, potentially acting like a microscopic fossil of the Moon’s long-lost magnetic field.

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Oct 3 • 8:00 AM EDT • Science • sciencedaily.com
Will rookie slugger take MLB playoffs by storm? Players who could decide division series

Breaking down MLB's best-of-five Division Series and the players who will impact the games.

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Oct 3 • 7:41 AM EDT • Sports • sports.yahoo.com
Stop criticizing your child’s athletic performance on the drive home

Many young athletes are being driven home by parents navigating what to say, if anything. Before you critique their performance, think carefully about your impact.

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Oct 3 • 6:30 AM EDT • Sports • sports.yahoo.com
Wizards Notes: Bilal Coulibaly's Shot, Carrington's Comments

Notes from Friday's practice for the Washington Wizards on Bilal Coulibaly's improved shot, Deandre Ayton's impact and Bub Carrington's comments

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Oct 3 • 6:00 AM EDT • Sports • sports.yahoo.com
Japan's impact on Mississippi takes center stage with 18,000 jobs

Mississippi leaders and Japanese officials discussed trade, jobs and the future of a key international partnership at Millsaps.

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Oct 3 • 5:59 AM EDT • Business • clarionledger.com
Cheaper AI models may strain power grid, consulting firms say

In new reports published this week McKinsey and BCG reveal the impact of falling token prices and impact on the grid.

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Oct 3 • 5:59 AM EDT • Business • businessinsider.com
Fairburn Road bridge replacement project impacts South Fulton businesses

A major road closure along Fairburn Road is sparking concern among South Fulton business owners who say the city failed to give advance notice about the project.

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Oct 2 • 7:11 PM EDT • Business • fox5atlanta.com
A Tiny Piece of Glass Beats Out Data Centers—As the Key to Protecting Human Knowledge for Thousands of Years

This crystal could transform digital data storage, preserving all human knowledge against fire, water, heavy impact, and hacking.

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Oct 2 • 3:35 PM EDT • Science • popularmechanics.com
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How Biotech AI And Robotics Bridge Bottlenecks To Impact Global Health

While biotech increasingly adopts AI for R&D, manufacturing bottlenecks constrain health innovation. AI and robotics have the potential to unlock health impact globally.

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Oct 2 • 2:33 PM EDT • Health • forbes.com
JB MDL Leaders Briefs Businesses on Mission, Local Economic Impact

Joint Base McGuire-Dix-Lakehurst leaders provided local business and government leaders with an overview of the sprawling military installation’s role in

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Oct 2 • 1:57 PM EDT • Business • njbia.org
Experience Intelligence: 3 Insights on Measuring Business Impact

A new methodology is helping brands like IBM design for what matters most. When an industry standard doesn’t exist, create one. It’s the mentality of a

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Oct 2 • 1:46 PM EDT • Business • eventmarketer.com
Recent Oglethorpe graduate builds relationships through Atlanta sports

Karina Lopez '25 has built connections and made an impact in Atlanta’s sports, now working with the Atlanta Braves.

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Oct 2 • 12:57 PM EDT • Sports • oglethorpe.edu
Show-Me-State Politics: SNAP changes impacting Missouri; November’s busy ballot

KY3’s Tyler Wayne and KY3 Missouri Capitol Bureau Chief Hannah Falcon look at this week in Missouri politics.

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Oct 2 • 12:45 PM EDT • Politics • ky3.com
Neto: ‘Juventus changed a lot, positive Spalletti impact’

Neto admits Juventus has ‘changed a lot’ since he last played there in 2017, but he is feeling a ‘very positive impact’ with coach Luciano Spalletti.The goalkeeper was snapped up as a free age...

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Oct 2 • 12:40 PM EDT • Sports • sports.yahoo.com
Hispanic Excellence: Business

The Panthers ‘Celebration of Hispanic Excellence’ program recognizes individuals nominated by their peers, colleagues, families or friends for the positive impact they are making in South Florida and beyond. This includes business owners, educators, creators, healthcare workers, public servants, executives and more. Last week, leaders in public service and education

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Oct 2 • 12:30 PM EDT • Business • nhl.com
UAMS Community Health Workers Use Gardening to Help Address Food Insecurities

Sandra Cooper and Wonda Miller are UAMS community health workers who are making a major impact in east Arkansas.

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Oct 2 • 12:20 PM EDT • Health • news.uams.edu
How Digital Innovation Is Reshaping U.S. Small Businesses

The U.S. Chamber of Commerce Technology Engagement Center (C_TEC) report Empowering Small Business: The Impact of Technology on U.S. Small Business examines the pivotal role that diverse technology platforms play in helping small businesses operate and compete.

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Oct 2 • 12:19 PM EDT • Business • texasborderbusiness.com
UT's $25 million health AI project has big ambitions and unanswered questions

Experts say only a few university health systems have launched such comprehensive plans around AI, with the potential to impact millions of patients, students and faculty.

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Oct 2 • 12:00 PM EDT • Health • yahoo.com
Nick Nurse Reveals LeBron James' Role in 76ers' Offense

Nick Nurse feels LeBron James is going to be huge for the team offensively. But, his impact will matter more as the season goes on.

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Oct 2 • 11:54 AM EDT • Sports • sports.yahoo.com
Coffins receive 2026 United Way Tocqueville Society Award

Don and Mary Coffin have received the United Way of Central Iowa’s 2026 Tocqueville Society Award, recognizing individuals whose sustained leadership, philanthropic commitment and service have created lasting impact across Central Iowa. For more than 20 years, the Coffins have been longtime advocates of United Way supporting the organization through campaign leadership, volunteer service, board…

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Oct 2 • 11:49 AM EDT • Business • businessrecord.com
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Everything Paramount will own as Skydance

What brands and IP are impacted by the Paramount-Warner Bros. merger?

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Oct 2 • 11:38 AM EDT • Entertainment • mashable.com
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Gamer Buys Used Ryzen 7 5800X3D, Gets Locked Out of Valorant Because Previous Owner Cheated

A buyer of a Ryzen 7 5800X3D found it banned by Riot's Vanguard anti-cheat, impacting their entire system and highlighting risks in the second-hand PC market.

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Oct 2 • 11:08 AM EDT • Technology • wccftech.com
UT launches $25M healthcare AI initiative with few public details

Experts say only a few university health systems have launched such comprehensive plans around AI, with the potential to impact millions of patients, students and faculty.

houstonchronicle.com logo
Oct 2 • 11:00 AM EDT • Health • houstonchronicle.com
NASA Selects Projects to Engage  Communities Across the US With NASA Science

Science Activation is a nationwide network of competitively-selected, collaborative projects that extend the impact of NASA science by connecting people and

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Oct 2 • 10:50 AM EDT • Science • science.nasa.gov
Coastal forces shape building sciences practice

When Built Environments relocated to Wilmington, the firm’s partners weren’t looking for the lazy tranquility one hopes for when on vacation. Instead, they sought sultry heat. They wanted to understand whipping coastal winds and punishing precipitation – the kind that tropical storms produce. That’s because how materials degrade can reveal a lot about how they can be improved. “We specifically chose the Wilmington market because it does fall within Climate Zone 3A, which is a coastal warm-humid climate,” said Jarrett Davis, who joined Built Environments in 2023 to lead the company’s building science practice. “There’s not a lot of product research in that climate zone, but there are a lot of structures here that get weatherized pretty severely.” Built Environments has provided building science, material testing and code compliance consulting for 25 years, ever since principal materials scientist Steve Doggett founded the company in Minnesota. “There are very few manufacturers that understand fully how their own materials and products work, whereas we know their shortfalls and their benefits out in the real world on jobsites,” Doggett said. “That’s why the original Built Environments was formed, to make buildings better.” He said the 15-employee company is just as comfortable on a jobsite, retrofitting a high-end beachside property, for example, as it is recreating some of the coast’s most intense weather conditions in the great indoors. The company operates an A2LA-accredited ISO/IEC 17025 mechanical testing laboratory on Wright Street. The year-old facility has expanded Built Environments’ in-house capabilities, Doggett said. “We’re able to simulate that hurricane wind (and) rain and perform structural and impact testing on wall assemblies, roof assemblies and glazing assemblies,” he said. “There are certain requirements that those windows and doors need to meet as far as wind ratings and pressure ratings and things of that nature.” Standard Glass Co.-Glass Depots, of Wilmington, is currently testing a new glazing system using Built Environments’ stress testing, the partners said. One method involves what’s called a “large missile cannon.” “We take 8-foot two-by-fours, and we shoot them at assemblies, so they have to withstand that impact,” Davis said. “It’s pretty cool to see, I’m not going to lie.” In many cases, the lab can run a full, wall-scale test of a product in a matter of weeks or months, whereas “it might take midrange manufacturers years,” Doggett said. “We’re nimble. We can cut that time in half.” The lab also develops intellectual property. Doggett, for example, shares a patent with Sustant LLC, of Minnesota, on a fastener patch to increase the air and water tightness within building envelopes. “We have too many ideas and not enough time,” he said. But the partners noted that they or their fellow principals – of which the company has four total, including a principal engineer and a principal codes and standards expert – could be anywhere on a given day, including in the courtroom providing expert testimony in contentious insurance cases. “Let’s say there is a fire on a structure,” Davis said. “We can analyze all the specific materials within that assembly – an exterior wall or something like that – because there are loads that require certain heat release. And so, we can measure each one of those materials, if need be, to say if this was likely or not a code-approved assembly.” Despite what can be inferred in a lab, the partners said nothing beats learning from how materials change over time under real-world strain. Take, for instance, the curious case of the creaking condo. “We recently had a customer that came to us trying to assess a sound issue of a roof. It was making noises that no one could explain or account for. How do you tackle something like that?” Doggett asked rhetorically. “There’s really no generally agreed-upon methodologies.” The problem turned out to be a faulty installation of a commercial roof system. “The building in this particular case was not local,” he said. “In the initial installation, the commercial roofing contractor installed the wrong fasteners in the wrong locations into the deck, and essentially the solar radiation was causing the building to move quite substantially early in the morning when the sun initially hit that assembly after a quite cool evening, causing the threads on the fasteners to kind of jump within the material, within the metal.” Built Environments designed an effective repair methodology that was within budget, the partners said. “We get the bizarre,” Doggett said. “I will say that’s something that has stayed the same over 25 years.” The partners said they are hiring, and that Cape Fear Community College is one of their main recruiting grounds. Davis and Doggett look for talented people who can understand traditional methodologies yet are open to on-the-job training and new understandings, they said. After all, it’s not just weather that can ruin a building. “My favorite saying is,” Davis said, “‘What are the eight most expensive words in construction? That’s how my daddy used to do it.’”

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Oct 2 • 9:00 AM EDT • Science • wilmingtonbiz.com
Coastal forces shape building sciences practice

When Built Environments relocated to Wilmington, the firm’s partners weren’t looking for the lazy tranquility one hopes for when on vacation. Instead, they sought sultry heat. They wanted to understand whipping coastal winds and punishing precipitation – the kind that tropical storms produce. That’s because how materials degrade can reveal a lot about how they can be improved. “We specifically chose the Wilmington market because it does fall within Climate Zone 3A, which is a coastal warm-humid climate,” said Jarrett Davis, who joined Built Environments in 2023 to lead the company’s building science practice. “There’s not a lot of product research in that climate zone, but there are a lot of structures here that get weatherized pretty severely.” Built Environments has provided building science, material testing and code compliance consulting for 25 years, ever since principal materials scientist Steve Doggett founded the company in Minnesota. “There are very few manufacturers that understand fully how their own materials and products work, whereas we know their shortfalls and their benefits out in the real world on jobsites,” Doggett said. “That’s why the original Built Environments was formed, to make buildings better.” He said the 15-employee company is just as comfortable on a jobsite, retrofitting a high-end beachside property, for example, as it is recreating some of the coast’s most intense weather conditions in the great indoors. The company operates an A2LA-accredited ISO/IEC 17025 mechanical testing laboratory on Wright Street. The year-old facility has expanded Built Environments’ in-house capabilities, Doggett said. “We’re able to simulate that hurricane wind (and) rain and perform structural and impact testing on wall assemblies, roof assemblies and glazing assemblies,” he said. “There are certain requirements that those windows and doors need to meet as far as wind ratings and pressure ratings and things of that nature.” Standard Glass Co.-Glass Depots, of Wilmington, is currently testing a new glazing system using Built Environments’ stress testing, the partners said. One method involves what’s called a “large missile cannon.” “We take 8-foot two-by-fours, and we shoot them at assemblies, so they have to withstand that impact,” Davis said. “It’s pretty cool to see, I’m not going to lie.” In many cases, the lab can run a full, wall-scale test of a product in a matter of weeks or months, whereas “it might take midrange manufacturers years,” Doggett said. “We’re nimble. We can cut that time in half.” The lab also develops intellectual property. Doggett, for example, shares a patent with Sustant LLC, of Minnesota, on a fastener patch to increase the air and water tightness within building envelopes. “We have too many ideas and not enough time,” he said. But the partners noted that they or their fellow principals – of which the company has four total, including a principal engineer and a principal codes and standards expert – could be anywhere on a given day, including in the courtroom providing expert testimony in contentious insurance cases. “Let’s say there is a fire on a structure,” Davis said. “We can analyze all the specific materials within that assembly – an exterior wall or something like that – because there are loads that require certain heat release. And so, we can measure each one of those materials, if need be, to say if this was likely or not a code-approved assembly.” Despite what can be inferred in a lab, the partners said nothing beats learning from how materials change over time under real-world strain. Take, for instance, the curious case of the creaking condo. “We recently had a customer that came to us trying to assess a sound issue of a roof. It was making noises that no one could explain or account for. How do you tackle something like that?” Doggett asked rhetorically. “There’s really no generally agreed-upon methodologies.” The problem turned out to be a faulty installation of a commercial roof system. “The building in this particular case was not local,” he said. “In the initial installation, the commercial roofing contractor installed the wrong fasteners in the wrong locations into the deck, and essentially the solar radiation was causing the building to move quite substantially early in the morning when the sun initially hit that assembly after a quite cool evening, causing the threads on the fasteners to kind of jump within the material, within the metal.” Built Environments designed an effective repair methodology that was within budget, the partners said. “We get the bizarre,” Doggett said. “I will say that’s something that has stayed the same over 25 years.” The partners said they are hiring, and that Cape Fear Community College is one of their main recruiting grounds. Davis and Doggett look for talented people who can understand traditional methodologies yet are open to on-the-job training and new understandings, they said. After all, it’s not just weather that can ruin a building. “My favorite saying is,” Davis said, “‘What are the eight most expensive words in construction? That’s how my daddy used to do it.’”

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Oct 2 • 9:00 AM EDT • Science • wilmingtonbiz.com
Corbin Advisors Named 2026 Connecticut Business Excellence Award Winner by Hartford Business Journal

Firm recognized in Women-Owned Business category for business excellence, leadership, innovation, and impactFARMINGTON, Conn., Oct. 02, 2026 (GLOBE NEWSWIRE) -- Corbin Advisors, a leading strategic investor relations and investor communications advisory firm, today announced it has been named the inaugural winner of the Hartford Business Journal’s 2026 Connecticut Business Excellence Awards in the Women-Owned Business, 51–250 Employees category. The recognition celebrates Connecticut organizatio

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Oct 2 • 7:35 AM EDT • Business • finance.yahoo.com
How speed cameras in East Canton are impacting local businesses

Some business owners in East Canton claim business has slowed after the village installed automated traffic enforcement cameras around town.

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Oct 2 • 5:59 AM EDT • Business • cantonrep.com
Empowering Small Business: The Impact of Technology on U.S. Small Business

A new Chamber report finds AI use is leading to small business job growth.

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Oct 2 • 5:36 AM EDT • Business • uschamber.com
With a steel mill and campaign cash, Trump and GOP leaders launch an Iowa rescue mission

Republicans are on a rescue mission in Iowa, touting new plans for a $15 billion steel mill as President Donald Trump and the state’s GOP leaders rush to blunt the political impact of a battered economy and prevent the governor’s office, a Senate seat and three House seats from slipping into Democratic hands in November.

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Oct 2 • 5:00 AM EDT • Politics • cnn.com
Southwest baseball coach Nick Mendez reflects on 25-year career, impact on players
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Oct 1 • 11:14 PM EDT • Sports • ksat.com
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Detroit Lions Could Get Unexpected Advantage vs. Panthers

Rain could impact Lions-Panthers on Sunday Night Football, but Jake Bates and Detroit's physical style could give the Lions an unexpected advantage.

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Oct 1 • 9:40 PM EDT • Sports • sports.yahoo.com
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Pajaro Valley Health Care District board hears anticipated federal, state cuts impact report

The Pajaro Valley Health Care District Board of Directors heard a presentation at its Wednesday meeting explaining how impacts from federal cuts are anticipated to increase the number of uninsured patients in Santa Cruz County, a move…

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Oct 1 • 7:03 PM EDT • Health • santacruzsentinel.com
50 children in our area hit by cars every year; toxic pond water in Centennial Park; ‘gas station heroin’; plus other stories with Vanderbilt Health sources

In a news report following a Murfreesboro child who was killed by an automobile, reporter Amber Jayanth from WSMV Channel 4 News cited statistics gathered at Monroe Carell Jr. Children’s Hospital at Vanderbilt about pediatric pedestrian injuries. Trauma registry data from Monroe Carell indicates that about 50 children per year on average are treated after being hit by a car. William Schaffner, MD, Professor of Preventive Medicine, was quoted by several news outlets about public health issues, including: CNN (mRNA flu vaccine); ABC News and the American Journal of Managed Care (Pennsylvania measles outbreak); News Channel 5 (blue-green algae in the pond at Centennial Park, which can release toxins that make people and pets sick). WSMV Channel 4 News interviewed Saumya Aujla, MD, Assistant Professor of Clinical Physical Medicine and Rehabilitation, about the health risks of kratom, sometimes called “gas station heroin,” and why Tennessee banned the drug. WTVF News Channel 5 interviewed Brianna Smith, MD, Assistant Professor of Pediatrics, Hematology/Oncology at Monroe Carell Jr. Children’s Hospital at Vanderbilt for a piece on Childhood Cancer Awareness Month. Prevention interviewed Mitchell Gigandet, MD, Assistant Professor in the Neuro-Sleep Division, for a story about MDPI research on caffeine that used EEG imaging to see how the drug impacts sleep. It was found that caffeine may make sleep less restorative even when you fall asleep normally and stay in bed for eight hours. The Wall Street Journal reporter Laura Landro interviewed Joseph Schlesinger, MD, Professor of Anesthesiology Critical Care Medicine, for a story about ICU alarms keeping patients from getting sleep and creating alarm fatigue for nurses. Billboard reporter Melinda Newman interviewed country star Dasha about her upcoming vocal surgery at Vanderbilt Health. The story was picked up by numerous print and radio outlets including People.

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Oct 1 • 4:34 PM EDT • Health • news.vumc.org
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Ms. Rachel mixes politics with preschool fame as toy expert weighs whether controversy could impact sales

James Zahn, editor-in-chief of "The Toy Book," weighs in on Ms. Rachel’s political statements and explains why controversy may not have much impact on her booming children’s brand.

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Oct 1 • 3:40 PM EDT • Politics • foxnews.com
CommonSpirit Health grows operating revenue 8.5% to $42.4B in FY2026

CommonSpirit Health grew its revenues by 8.5% during its 2026 fiscal year while trimming its operating losses by $257 million, notwithstanding the multibillion-dollar hit it absorbed earlier this y | The 156-hospital nonprofit chopped its operating losses down by $257 million, notwithstanding the multibillion-dollar impact of its revenue cycle management breakup with Tenet Health.

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Oct 1 • 3:00 PM EDT • Health • fiercehealthcare.com
GA Sec. State Nominee, NJ-7 & Aviation Politics

GA Sec. State GOP nominee Tim Fleming, the battle for NJ-7 and how aviation is shaping politics—and could be impacted by the midterms.

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Oct 1 • 2:39 PM EDT • Politics • fox7austin.com
GA Sec. State Nominee, NJ-7 & Aviation Politics

GA Sec. State GOP nominee Tim Fleming, the battle for NJ-7 and how aviation is shaping politics—and could be impacted by the midterms.

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Oct 1 • 2:32 PM EDT • Politics • fox4news.com
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GA Sec. State Nominee, NJ-7 & Aviation Politics

GA Sec. State GOP nominee Tim Fleming, the battle for NJ-7 and how aviation is shaping politics—and could be impacted by the midterms.

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Oct 1 • 2:31 PM EDT • Politics • fox5atlanta.com
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TKO Miller Launches Innovative Donor Advised Fund Initiative to Help Business Owners Multiply Their Charitable Impact Following a Business Sale

/PRNewswire/ -- TKO Miller today announced the launch of its TKO Miller Impact Initiative, a Donor Advised Fund-based (DAF) program designed to help business...

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Oct 1 • 12:44 PM EDT • Business • prnewswire.com
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Pflugerville to gain 2 restaurants, plus other business news

Several restaurants are coming soon to Pflugerville, including Ramen Ramen Tatsu-ya and Snooze. The community also welcomed two indoor golf simulator businesses over the summer.

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Oct 1 • 12:00 PM EDT • Business • communityimpact.com
PepsiCo, Monster challenge India 'energy drink' label ban citing business impact

PepsiCo ​and Monster Beverage have sued India's food regulator for banning their use of the "energy drink" label, non-public ‌court filings show, escalating a regulatory fight that has jolted a sector expected to be worth $1.6 billion by 2028.

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Oct 1 • 11:08 AM EDT • Business • reuters.com
'Worrying signs but not a crisis yet'

Paul: League form is not representative of actual form - the Champions League exit is still having an impact. Yes, European results have been bad but that is no surprise and nothing new. Patrick: Out of the Champions League and out of the League Cup, lost twice to Rangers in a week and seemingly have no consistent starting line-up.

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Oct 1 • 10:45 AM EDT • Sports • sports.yahoo.com
Composition of Extreme Debris Disks Across Time

By investigating the compositions of extreme debris disks, scientists inferred that silica-rich disks are produced by high-energy impacts of Mars-sized objects, while silica-poor disks are created by less energetic events from Moon-sized bodies.

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Oct 1 • 9:59 AM EDT • Science • science.nasa.gov
Pi Alpha Xi: Student Plant Sales Paying It Forward

Pi Alpha Xi’s biannual plant sales at NC State University unite horticulture students and the community to raise essential funds that support student scholarships, academic opportunities and impactful outreach initiatives.

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Oct 1 • 9:44 AM EDT • Science • cals.ncsu.edu
90 Ideas in 90 Minutes: Billy Weathers

Impactful leadership takes removal of ego Leaders can unintentionally halt their own mission. Leadership is servitude. Sometimes the idea outgrows you, or was never about you to begin with. The best leaders are able to remove themselves from the equation to focus on the outcome and betterment of the collective. You can build an organization around…

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Oct 1 • 9:00 AM EDT • Business • businessrecord.com
Riverhead asks residents, businesses to report nor’easter damage

Riverhead Town officials are asking residents and business owners to self-report damage from the Sept. 26-27 nor’easter using a New York State online form to help document impacts and support…

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Oct 1 • 8:36 AM EDT • Business • riverheadlocal.com
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Progress On Nutrition Has Stalled But Accountability And Integration Can Accelerate Impact

Progress towards global nutrition targets is too slow, and rising food prices threaten to put healthy diets even further out of reach for many, according to

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Oct 1 • 8:18 AM EDT • Health • healthpolicy-watch.news
Impacts of Vikings Trading Former Top 10 Draft Pick

Minnesota cuts ties with J.J. McCarthy after a disappointing tenure, sending the former first-rounder to Big Blue as Kyler Murray leads the undefeated Vikings into a new era.

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Oct 1 • 7:00 AM EDT • Sports • sports.yahoo.com
Surf Internet Rallies Business Partners to Raise $100,000 for Five Star Life

Surf Internet® turned the strength of its business relationships into local impact this week, raising $100,000 for Five Star Life through its inaugural Surf Internet Charity Golf Classic. The Sept. …

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Oct 1 • 7:00 AM EDT • Business • buildingindiana.com
Global Health & WASH: October 2026 Funding Opportunities (26 new opportunities)

41 opportunities on the Global Health & WASH page this cycle, 26 of them new. The health money on this page is mostly research money, and much of it is aimed at people early in their careers. Funder after funder, from the TANGO2 Research Foundation’s Research Pathways grants to the South African Medical Research Council’s Early Investigators Programme to the National Ataxia Foundation and Alex’s Lemonade Stand Foundation, is funding early-career investigators and the institutions that host them, with a clear tilt toward researchers based in or from the Global South, from AMBSO in Uganda to Kenya’s CONNECT-VAX network to Ersilia’s AI Incubator for African drug discovery. The money is organized by disease as much as by need: narrow foundations, the Parkinson’s Foundation, NTAP for neurofibromatosis, the RUNX1 Research Program for an inherited blood disorder, each run their own grant, so the question for an applicant is less which health problem you work on than which foundation owns your disease. The largest European cheques go to consortia only, with the European Innovation Council putting up to EUR €4 million behind a single healthy-ageing project and UNITE up to EUR €1 million behind each cross-border digital health team. Water sits apart, almost entirely in applied utility research: the Water Research Foundation’s cluster of USD $250,000 to $500,000 projects, each built around a utility problem from sewer laterals to reuse treatment. And the biggest single pot is public: HRSA is renewing community health center service areas with awards of up to USD $10 million each. This post is for paid subscribers. This helps support the time and effort it takes to curate and organize these opportunities. Subscribe To keep this accessible to everyone who needs it, we’re happy to offer pay what you can rates. You can find more details here. Open Opportunities 2027 Building the Field of Health Advocacy Grant, Georgia Health Initiative. *New!* *Closing soon!* Georgia Health Initiative, a nonprofit private foundation focused on health equity, is opening its 2027 Building the Field of Health Advocacy Grant to strengthen the organizations that push for healthier systems across the state. The Initiative treats advocacy as infrastructure, backing one-year projects that range from urgent responses to shifting federal policy to longer arc campaigns on housing, behavioral health, care access, and food security. It wants coalitions that elevate community voice, apply an equity lens, and arrive ready to deploy concrete strategies, and it deliberately seeks variety in issues, communities, and organizational size. The optional webinar and required lobbying training signal a funder investing in a durable field, not one grant cycle. The strongest fits are Georgia nonprofits and public agencies ready to turn advocacy readiness into systems change. Geographies: United States. Who can apply: Tax-exempt 501(c)(3) public charities, state or local government agencies, or coalitions/collaboratives using a 501(c)(3) fiscal sponsor, that work in Georgia on behalf of Georgians and align with the mission, vision, and values of Georgia Health Initiative. Only one application per organization, though an organization may be listed as a partner or subcontractor on multiple applications. Funding amount: Organizations can apply for up to USD $80,000 per project; the Initiative anticipates investing a total of USD $1.36 million. Targeted Sectors / SDGs: Governance, Policy & Advocacy · SDG3; SDG10. Deadline: October 2, 2026. Learn more and apply here. TDD Research Pathways Grant, TANGO2 Research Foundation. *New!* *Closing soon!* The TANGO2 Research Foundation, working with a founding gift from Tango2UK, is opening its TDD Research Pathways Grant to fund early-career investigators anywhere in the world who study TANGO2 Deficiency Disorder. The foundation is using this money to seed pilot work and to build a research community around a rare disorder that few labs currently study. It wants to back emerging scientists, clinicians, and trainees who will stay with this field, not one-off projects, which is why it requires a committed mentor and real institutional support and asks each applicant for a plan for future contributions. The design rewards promise and persistence over track record. The strongest fits are students, residents, postdoctoral fellows, and new investigators ready to commit to TANGO2 research. Geographies: Global. Who can apply: Early-career investigators worldwide, including undergraduate, graduate, and medical trainees, postdoctoral fellows, residents, and clinical or research fellows. Early-career investigators must hold a PhD, MD, or equivalent doctoral degree and be within 10 years of that degree or within 5 years of initiating rare disease research, engaged in postdoctoral research at an academic institution, teaching hospital, or nonprofit research institute. Currently enrolled trainees and transitional PhD candidates beginning a postdoctoral appointment at a nonprofit institution by July 1, 2026 are also eligible. All applicants must identify a qualified mentor with relevant TDD or rare disease research experience and demonstrate institutional support. Funding amount: Up to USD $15,000. Targeted Sectors / SDGs: Innovation, Science & Technology. Deadline: October 2, 2026. Learn more and apply here. Call for Expression of Interest (EOI): AMBSO Impact Research Initiative, Africa Medical and Behavioral Sciences Organization (AMBSO). *Closing soon!* The Africa Medical and Behavioral Sciences Organization is inviting expressions of interest for its Impact Research Initiative, which funds early-stage pilot studies and proof of concept work on priority health challenges. AMBSO is a Ugandan research organization backing bold ideas that can grow into larger studies, and its tracks span antimicrobial resistance, epidemic preparedness, artificial intelligence for diagnostics, HIV prevention, climate and health, cancer, maternal and child health, and non-communicable diseases. The small award size and direct-cost-only rule point to a funder that wants evidence rather than overhead, and that favors projects able to attract follow-on money or use AMBSO’s own research infrastructure. Eligibility runs worldwide, welcoming researchers and institutions inside and outside Africa. The strongest fits are researchers with a feasible pilot that generates policy-ready evidence. Geographies: Global. Who can apply: Open worldwide to researchers, academic institutions, and research organizations whose work aligns with generating high-impact health evidence. Independent researchers are eligible if affiliated with an academic or research institution. Doctoral students are encouraged to apply as part of a research team led by a faculty Principal Investigator. Community-based organizations and other eligible entities may apply. Projects may be implemented inside or outside Uganda. Funding amount: Up to USD $10,000 per project, with no minimum funding threshold. Targeted Sectors / SDGs: SDG3. Deadline: October 2, 2026. Learn more and apply here. Entrepreneurs for Resilience 2027 (E4R27), Swiss Re Foundation. *Closing soon!* Swiss Re Foundation is opening the tenth edition of Entrepreneurs for Resilience, which backs healthcare social enterprises expanding affordable, quality primary care for low-income communities across low- and middle-income countries. The Foundation is using catalytic, blended funding plus multi-year advisory to take risk out of scaling, helping proven models reach more people sustainably rather than stay stuck at pilot size. It looks to back brick-and-click enterprises that pair physical care with digital tools and build affordability through savings, payments, or microinsurance, ideally integrated with public health systems. Requiring earned revenue, real customer scale, and gender-inclusive teams signals that this is growth capital for commercially serious ventures, not seed money. The strongest fits are established, revenue-generating healthcare enterprises ready to scale access for underserved populations. Geographies: Global. Who can apply: For-profit and hybrid healthcare social enterprises serving low-income and underserved populations in low- and middle-income countries, using combined physical and digital (brick-and-click) healthcare delivery models. Applicants must demonstrate measurable social impact, generate at least 50% of income through earned revenue, have been established no later than December 2023, already serve at least 50,000 people with potential to scale, and have at least 30% low-income customers. Preference for gender-inclusive enterprises with at least one female founder or at least 30% women in management. Funding amount: Pilot funding of up to USD $45,000 for the 6-8 shortlisted social enterprises; up to USD $1 million in blended funding (up to USD $600,000 unconditional plus up to USD $400,000 conditional) shared among 3-4 finalists over a two-year implementation period; total programme funding approximately USD $1.3 million. Targeted Sectors / SDGs: Innovation, Science & Technology · SDG3; SDG5. Deadline: October 4, 2026. Learn more and apply here. Horizon HealthTech 2026, IIITD Innovation & Incubation Center. *Closing soon!* IIITD Innovation and Incubation Center is opening Horizon HealthTech 2026, a nine-month MedTech incubation cohort run under the aegis of BIRAC EDGE for founders building medical devices, diagnostics, surgical and interventional tools, or remote monitoring. The center is backing teams that already hold a validated proof of concept and want to reach a tested prototype, pairing each founder with a named expert and clinical validation through a hospital partner. What they seek to back is Indian health technology that can survive real clinical scrutiny and regulatory review, not slideware. The structure, with lab access, CDSCO guidance, IP support, and investor connects, signals a program built to make startups ready for follow-on capital. The strongest fits are early-stage MedTech teams with defensible IP and a working path from bench to bedside. Geographies: India. Who can apply: Early-stage teams/startups with a validated idea/proof of concept (TRL 3 onwards) working on medical devices, diagnostics, surgical/interventional technologies, or remote monitoring, holding IP or with potential to generate IP. Funding amount: No cash award amount is stated on the official program page. Benefits are in-kind: prototyping lab and equipment access, clinical/hospital validation (Max Healthcare), expert mentorship, CDSCO regulatory guidance, IP filing support, workspace, cloud credits and tools, and investor connects. Run under the aegis of BIRAC EDGE and builds a path to follow-on Government/VC/Angel funding. Targeted Sectors / SDGs: Innovation, Science & Technology · SDG3; SDG9. Deadline: October 5, 2026. Learn more and apply here. OpenAI AI and Teen Development Research Grant Program, OpenAI. *New!* *Closing soon!* OpenAI is opening its AI and Teen Development Research Grant Program to fund independent studies of how generative AI shapes the lives of young people ages 13 to 17. OpenAI wants a stronger evidence base on how teens actually use these tools and what that use does to their social and emotional development, so that product teams, policymakers, and regulators can act on findings rather than assumptions. It seeks work on emotion regulation, relationships, belonging, and the safeguards that keep teens safer, welcoming interdisciplinary teams and any methodology. That it will fund research whose conclusions may not favor AI providers, and prioritizes studies touching ChatGPT, signals a genuine appetite for credible outside scrutiny. The strongest fits are research groups grounded in adolescent development, well-being, and AI safety. Geographies: Global. Who can apply: Researchers aged 18 or older who are affiliated with a research institution or organization, and/or have significant experience relevant to child or adolescent development, well-being, human-computer interaction, AI impacts, or a closely related field. Multiple institutions may collaborate. OpenAI is seeking to fund research rather than for-profit initiatives and will not prioritize for-profit organizations. Funding amount: Individual research grants up to USD $1 million, totaling up to USD $5 million; maximum 10% of each grant for overhead or indirect costs. Targeted Sectors / SDGs: Social Inclusion & Community Wellbeing; Innovation, Science & Technology. Deadline: October 6, 2026. Learn more and apply here.

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Oct 1 • 6:29 AM EDT • Health • impactfunding.substack.com
Three fixes to correctly price small-business debt in developing economies

Small businesses in developing economies pay far more to borrow than risk justifies. Three fixes could cut a Kenyan firm's cost of debt by over 8 points.

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Oct 1 • 6:09 AM EDT • Business • impactalpha.com
'Very friendly territory': The politics behind President Trump’s Oklahoma rally

With President Donald Trump stumping in our state this evening, StateImpact’s Logan Layden talked with OU political science professor Allyson Shortle about the politics of the visit.

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Oct 1 • 6:00 AM EDT • Politics • kgou.org
U.S. House candidate Jim Kingston hosts business roundtable with Kemp

Governor Brian Kemp appeared alongside the Republican hopeful for Coastal Georgia's U.S. House seat Wednesday, attending a roundtable of local business leaders to discuss issues impacting them.

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Oct 1 • 5:08 AM EDT • Business • thestate.com
2026 Trademark Cases Impacting The Entertainment Industry

This article summarizes 2026 trademark cases that impact the entertainment industry.

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Oct 1 • 4:42 AM EDT • Entertainment • forbes.com
September Monthly Review: Health MCP Guy?

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

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Oct 1 • 4:36 AM EDT • Health • healthapiguy.substack.com
Buzz and business impact: Where AI is delivering value

Artificial intelligence has become a popular tool for a significant number of senior living and care providers, with many leveraging this technology to create value for residents, patients and staff members alike. But sometimes AI can be used like a hammer in search of a nail, offering oversimplified solutions for complex challenges, experts warn.

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Oct 1 • 12:06 AM EDT • Business • mcknightshomecare.com
Working Ports | Episode 5: Charting the Course - Connecting the Port, Business and Opportunity

Galveston's port does more than move ships, cargo and passengers. Its economic impact reaches into businesses, infrastructure, jobs and industries throughout the community.

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Sep 30 • 10:00 PM EDT • Business • galvnews.com
How Trump’s AI-Generated Memes Impact Political Authority and Masculinity

A new article by sociologists Tristan Bridges (University of California-Santa Barbara) and James W. Messerschmidt (University of Southern Maine) examines how AI–generated memes circulated on social media by President Donald Trump represent a significant transformation in the visual politics of masculinity

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Sep 30 • 9:30 PM EDT • Politics • newswise.com
5 things parents should consider when it comes to kids and AI

The Seattle Times hosted an event about youth safety and AI. Here are tips the experts shared.

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Sep 30 • 6:31 PM EDT • Health • seattletimes.com
Community & Health Impacts and Risks of Gas

Learn about benefits of electrification, community & health impacts and risks, and financial costs

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Sep 30 • 5:08 PM EDT • Health • paloalto.gov
NMSU College of Business to honor 2026 Hall of Fame recipients, community partners

New Mexico State University’s College of Business will celebrate accomplished alumni, valued corporate partners and community leaders whose careers and contributions have made a lasting impact at...

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Sep 30 • 4:50 PM EDT • Business • newsroom.nmsu.edu
American cuisine, Rio Mambo: check out 16 business updates in Grapevine, Colleyville, Southlake

Read about new businesses in Grapevine, Colleyville and Southlake, including Hudson House, Bucketheads, Housewife Rebellion and the closure of Rio Mambo.

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Sep 30 • 3:54 PM EDT • Business • communityimpact.com
Community & Health Benefits of Electrification

Learn about benefits of electrification, community & health impacts and risks, and financial costs

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Sep 30 • 3:42 PM EDT • Health • paloalto.gov
Childhood family environments impact midlife cardiovascular and cognitive health

Doctoral dissertation research investigated how the family environment in childhood affects health in midlife.

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Sep 30 • 2:17 PM EDT • Health • news-medical.net
Check out these 6 Hutto-area business updates

Hutto has several new and coming soon businesses, including a beauty lounge, a new breakfast spot and a hotel.

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Sep 30 • 1:00 PM EDT • Business • communityimpact.com
Aurora ordinance targets concentration of high-risk businesses in lower-income neighborhoods

The Socioeconomic Impact — or SEI — permit will require new high-risk businesses, such as pawn shops and liquor stores, to open at least 2,000 feet away from a similar existing business.

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Sep 30 • 12:48 PM EDT • Business • denver7.com
Public health advocates pitch New Mexico lawmakers on heat, climate change initiatives

Public health advocates on Tuesday proposed initiatives to New Mexico lawmakers track the impact of climate change on public health.

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Sep 30 • 12:39 PM EDT • Health • sourcenm.com
MedStar Health, Georgetown University, and The Coalition Host First Business Local Impact Connection Day -- Construction Edition

/PRNewswire/ -- MedStar Health, Georgetown University, and The Coalition, through its DC Community Anchor Partnership (DCAP) program, held the first Business...

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Sep 30 • 12:00 PM EDT • Health • prnewswire.com
MedStar Health, Georgetown University, and The Coalition Host First Business Local Impact Connection Day -- Construction Edition

/PRNewswire/ -- MedStar Health, Georgetown University, and The Coalition, through its DC Community Anchor Partnership (DCAP) program, held the first Business...

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Sep 30 • 12:00 PM EDT • Business • prnewswire.com
New Policies Pose Risks to Health of Lawfully Present Immigrant Families and Children, Including U.S. Citizen Children

Several policy changes taking effect this fall will negatively impact immigrants and mixed-status families. As my colleague Leo Cuello has pointed out, undocumented immigrants are not eligible to enroll in Medicaid coverage, therefore, this blog explains changes that apply to lawfully present immigrant families and children (many of whom are U.S. citizens). It’s also worth […]

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Sep 30 • 11:52 AM EDT • Health • ccf.georgetown.edu
Tampa General Hospital’s Melissa Golombek Honored With 2026 Apogee Award by Tampa Bay Business & Wealth

Executive vice president and president of Tampa General Hospital recognized for driving organizational excellence, innovation and community impact. Sept. 29, 2026 – Tampa General Hospital (TGH) announced today that Melissa Golombek, executive vice president and president, Tampa General Hospital, has been honored with the 2026 Apogee Award in the President category for large organizations by […]

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Sep 30 • 10:26 AM EDT • Business • southfloridahospitalnews.com
GBTA Report Shows Major Financial Impact of Business Travel on Destinations

Research shows $178 billion in spending across 25 cities globally

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Sep 30 • 9:41 AM EDT • Business • businesstravelexecutive.com
NOAA report highlights how research drives innovation and real-world impact

NOAA’s newly released Fiscal Year 2025 (FY25) Annual Transition Report showcases how research and development across NOAA shifted to operational uses that benefit Americans in FY25.

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Sep 30 • 8:50 AM EDT • Science • research.noaa.gov
Do business plans work? Here's what the data actually says

New business owners often face the same dilemma: spend time writing a business plan, or spend a week finding their first customers. So which one actually matters? Xero’s guide to writing an executive summary covers the how. But often, business owners ask a different question: Why? Does the planning itself really impact what happens next?

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Sep 30 • 8:15 AM EDT • Business • kesq.com
Social media’s impact on teens, mental health and cyberbullying

Steve Scaffidi begins a new Scaffidiology series examining the impact of social media on our culture, mental health and everyday lives. He is joined by

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Sep 30 • 8:05 AM EDT • Health • wtmj.com
Debt service and the Pentagon. Private equity and the politics of the US housing market. The return of black lung disease & the Franco-Prussian War in color.

Thank you for opening your Chartbook email. RALPH BALSON. 1890—1964. Oil and enamel, signed. Source: Gavekal This going to hurt - the two 7s in the US: diesel and mortgage rates Source: Gavekal In the US housing market, costs are soaring and the role of corporate, private equity-backed buyers is high on the mid-term election agenda. HEY READERS, THANK YOU for opening the Chartbook email. I hope it brightens your day. I enjoy putting out the newsletter, but tbh, what keeps this flow going is the generosity of those readers who clicked the subscription button. If you are persuaded to click, please consider the annual subscription of $60. It is both better value for you and a much better deal for me, as it involves only one credit card charge. Why feed the payments companies if we don’t have to. Subscribe It is striking how, since 2020, big banks have dropped out of the political spotlight in the US. For contributing subscribers only. Subscribe Rates of the lung disease pneumoconiosis among working US coal miners have risen to levels not seen in nearly 40 years Source: Bloomberg Chinese Clean Technology Exports For contributing subscribers only. Subscribe Ralph Balson (1939) Portrait of Grace Crowley Cole, G. O. & Haseman, S. M., (2023) “‘The Substance of Paint’: Class and Materiality in the Work of Ralph Balson”, Open Library of Humanities 9(2). Ralph Balson (1890–1964) was an English plumber and house painter who emigrated to Australia in 1913 and subsequently became a key member of Sydney’s artistic avant-garde. He is credited with having the first solo exhibition of purely abstract painting in Australia in 1941. Despite his role in developing Australian non-objective painting, Balson remained principally a house painter, working on his art practice at weekends. In 1955 he retired on a state pension and became a full-time artist. Balson’s artistic education and methods were critically shaped by his working-class background. He did not travel abroad until 1960 and was an avid auto-didact. His materials, palette, techniques and compositional strategies were likewise informed by his trade. Balson’s profession as a painter-decorator made him conspicuous within the predominantly middle-class Sydney art scene, though his painting partner Grace Crowley considered it an advantage in their pursuit of constructive painting. This paper explores the impact of Balson’s trade on his trajectory towards pure abstraction. While his art was at odds with the predominantly figurative mode of class-conscious art in Australian Modernism, we argue that it is embedded in the experience of class through its creative adaptation of labour into aesthetics. Source: OLH Svetlana Alexievich, The Art of Oral History No. 1 Paris Review Issue 257, Fall 2026 Interviewed by Elena Kostyuchenko INTERVIEWER How were you able to go to Chernobyl? Did you need special papers? ALEXIEVICH It was a time of chaos. They let me right into the zone. … More than anything, there was confusion. Adamovich [Ales Adamovich, the Soviet Belarusian writer], I remember, persuaded Gorbachev to send in the scientists, who showed up without even bringing their shaving kits. They were told that there had been an explosion at a nuclear power plant, but for some reason they thought that they’d be there for only a day or two. The first time I went was several months later, and people kept telling me about things they didn’t understand—how the fishermen couldn’t find worms, because they’d burrowed deep into the earth, how the milk wouldn’t curdle at the cheese factories. The honeybees wouldn’t come out of their hives. The evacuations started, I think, in the first month. The old women hid, they wouldn’t leave. I mentioned radiation to one of them and she said, “I’ve seen that radiation, all right! It’s yellow with green in it. I saw puddles of it in my garden, and I told the other women, and we ran and looked, and she had it in her garden, and the other one, too!” God, it was wild, the way the mind made sense of it. There was a story going around about Gorbachev telling the scientists to show him the radiation. “We can’t, it’s invisible.” “But I want to see it!” I also ran into the soldiers who’d been flown in on helicopters from Afghanistan. I asked them, “What are you doing here with your machine guns?” They said, “We’re collecting the radiation, that’s what.” So you had some of them running around with their guns, others out in the village washing off firewood or burying soil in the soil. These were the kinds of things that exploded our worldview. They made you realize that culture was just a chest filled with old manuscripts. There were no books in there that could help me. Our philosophers turned out to be useless when faced with the unprecedented. Derrida, Baudrillard—philosophy fell silent. What was happening? How would we live with it? That’s when I decided it simply needed to be witnessed. Which is what I did. INTERVIEWER I wanted to ask about how you talk to people. … ALEXIEVICH Yes, we sit and we talk—about what interests me and about life in general. About love, about everything in the world. That way, what comes out is three-dimensional. If you cut straight to the part you need, which is what journalists do, it won’t be interesting, and it won’t be the truth, either. Not the whole truth. INTERVIEWER Do people always open up when you ask questions, or can questions get in the way? ALEXIEVICH You have to ask questions, of course. Your job is to scour away the banality and return people to their true selves, to make them face what they rarely tap into. With every new person, you have to find a new way to do it. When you ask an interesting question or you share what happened to you, you help people really think about what they’re saying and not just repeat whatever they’ve picked up from the newspaper. But not everybody is capable of it, not everyone wants to put themselves through that. Either the chemistry starts to kick in or it doesn’t. A person might be wonderful, but you can tell that the conversation just isn’t going to happen. You can try to push it, but it will be a product of your own intellect, rather than of that mysterious connection. Life doesn’t come from the mind. Some people I can call two years after our last conversation, and they’ll say, “Oh, Svetochka! I think of you all the time,” and we’ll start talking again. With others, that won’t happen. That doesn’t mean they’re not extraordinary people, just that you can’t connect with them. They might have some insight, but you don’t have the right antenna to pick up their signal. Source: The Paris Review Colorized Franco-Prussian war … the ruins of Strasbourg with a French photographer and his mobile dark room. Ralph Balson (1961) Matter Painting If you’ve scrolled this far, you know you want to click: Subscribe

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Sep 30 • 6:25 AM EDT • Politics • adamtooze.substack.com
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Immigrants with legal status at risk of being dropped from Medicaid

The One Big Beautiful Bill ends eligibility for refugees, asylees, trafficking victims and others, and its impact could be larger than initially predicted.

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Sep 30 • 6:00 AM EDT • Health • washingtonpost.com
Newly proposed federal rules would have “disastrous” impact on Medicaid, insurance funding, state says

Proposed federal rules could cut hundreds of millions of dollars annually for Medicaid and also impact health insurance programs, state says.

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Sep 30 • 5:54 AM EDT • Health • coloradosun.com
When “DEI” research is cut, what happens to community health?

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

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Sep 30 • 5:05 AM EDT • Health • yourlocalepidemiologist.substack.com
Stacked contests impact Cincinnati girls volleyball power rankings

After a consequential night of matches on Sept. 29, here is the latest power rankings for Greater Cincinnati girls volleyball.

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Sep 30 • 12:05 AM EDT • Sports • sports.yahoo.com
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Rosie’s Gaming Emporium’s on ballots in Pulaski, Amherst

Rosie’s Gaming Emporium is on the ballot in Pulaski and Amherst counties, with potential for new facilities and local economic impact.

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Sep 29 • 11:53 PM EDT • Business • virginiabusiness.com
Report: LA County fell short in addressing Chiquita Canyon health impacts

Los Angeles County showed “shortcomings” from the beginning, the State Auditor said.

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Sep 29 • 8:40 PM EDT • Health • nbclosangeles.com
AI Has Already Impacted How Creatives Are Pitching Films, According to FoxNXT Head

Jon Flynn, EVP and head of FoxNXT, took the stage during TheWrap's first-ever AI Creator Day ahead of TheGrill.

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Sep 29 • 7:36 PM EDT • Entertainment • thewrap.com
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GTA 6's Advanced Weather System Officially Confirmed By Rockstar

Grand Theft Auto 6 not only has a revamped weather system, but there will be some major weather events that could impact gameplay in some capacity.

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Sep 29 • 5:49 PM EDT • Technology • svg.com
Why Diamondbacks Missed The Playoffs

I am an optimist. My definition of Diamondbacks success is reaching the playoffs. Today, my thoughts are making a rare walk through the dark side to address what kept the Diamondbacks from success. Let’s look at eleven reasons. My view is that 4 reasons had no negative impact, 3 reasons had low negative impact (perhaps […]

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Sep 29 • 5:00 PM EDT • Sports • sports.yahoo.com
Citizens Research Council outlines impacts of Mop Up Michigan initiative

As absentee ballots make their way to voters, Michigan residents this election season are faced with another question beyond just candidates running for various offices.

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Sep 29 • 4:51 PM EDT • Politics • michiganadvance.com
‘It’s certainly a challenge for Nebraska families’: GOP senator who supports war in Iran on its economic impact
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Sep 29 • 2:12 PM EDT • Politics • cnn.com
War shocks Ukrainian mental health with widespread trauma and PTSD

A national survey of Ukrainian residents provides one of the clearest estimates to date of the psychological impact of the ongoing war.

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Sep 29 • 2:09 PM EDT • Health • news-medical.net
Valley West Mall sold; site plan to be finalized

Brian Martin likes to do “impactful” developments that will help transform the communities where he works. That’s why the president and CEO of Threshold Capital and Threshold Development decided to invest in the redevelopment of Valley West Mall. The $11 million deal closed on Monday, and as the new owner, he is ready to begin…

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Sep 29 • 2:07 PM EDT • Business • businessrecord.com
Fever’s Stephanie White admits mental health impact of toxic WNBA discourse

White and the Fever have had an especially trying season. Little of which has had to do with basketball.

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Sep 29 • 12:43 PM EDT • Health • sports.yahoo.com
Brightline Files for Chapter 11 Bankruptcy Protection

Florida rail line says move will not impact operations with new funding committed

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Sep 29 • 11:30 AM EDT • Business • businesstravelexecutive.com
Q&A: The legacy of 100 years of physics graduate studies at Penn State

In 2026, Penn State celebrates the centennial anniversary of awarding its first doctoral degree — in physics — to Marsh White. Recently, the Eberly College of Science spoke with several physics alumni from different decades about their experiences at Penn State and what it means to be celebrating 100 years of the doctoral degree, as well as White’s legacy impact on undergraduate education in the department.

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Sep 29 • 9:10 AM EDT • Science • psu.edu
Quentin Coleman Projected to Be Illinois’ Second-Leading Scorer

Freshman five-star Quentin Coleman is expected to make an immediate impact for Illinois, with Bart Torvik projecting him to be the Illini’s second-leading scorer.

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Sep 29 • 9:00 AM EDT • Sports • sports.yahoo.com
Poll: Voting to repeal WA 'millionaires tax' hinges on ballot details

A new poll suggests an initiative to repeal Washington's new high-earners tax is trailing badly, influenced by ballot language that discloses its budget impact.

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Sep 29 • 9:00 AM EDT • Politics • seattletimes.com