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Doctors, insurers sue Newsom over health insurance premium increases
The California Medical Association and California Association of Health Plans say the tax violates Proposition 35, passed by voters in 2024.
Liverpool Show Transfer Interest In Sunderland Youngster Amid EFL Loan
Sunderland goalkeeping product Matty Young has reportedly become the subject of transfer interest from Premier League giants Liverpool.
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.
Shirt of the Week: ‘Jeremiah Smith: Are You Not Entertained?’
On Saturday, Jeremiah Smith cemented his name in Ohio State record books with another thrilling performance. Now, you can celebrate the historic accomplishment with this brand new design from BreakingT.
Jeremiah Smith is The Best Player in College Football
Jeremiah Smith showed why he is the frontrunner for the Heisman Trophy in a big road win over Iowa. Jeremiah […]
Iowa Football: Numbers That Stood Out From Ohio State Loss
Ohio State won the time of possession battle by 17 minutes, but the real eye-opening stat was Jeremiah Smith recording 200+ yards for the second straight game.
Manchester City faces uncertain future after 114 charges upheld
Manchester City face renewed uncertainty after reports that an independent commission upheld 114 of 115 Premier League charges. The club denies wrongdoing and has appealed, while potential sanctions remain unknown. The case could have major sporting and financial consequences for City and wider English soccer.
Did You Know Tesla Performance Models Get Free Premium Connectivity?
Lifetime Premium Connectivity comes free with all U.S. Model 3 and Model Y Performance orders, saving $99 a year for the first owner
Tony Gilroy Says Paramount-Warner Bros. Merger Will ‘Destroy’ a ‘Healthy and Beautiful Business’ in ‘The Name of Venture Capital’: ‘It’s Tragic’
Tony Gilroy blasted the “tragic” nature of the Paramount-Warner Bros. merger at the world premiere of his new film, “Behemoth!” Produced on a $36 million budget, “Behemoth!” is representative of the m...
Tony Gilroy Blasts Paramount Merger at ‘Behemoth!’ NYFF Premiere
Tony Gilroy says the impending merger threatens to dismantle the very “healthy and beautiful business” he has worked in for over three decades
TST Best Bets: October 3, 2026
Mississippi State gets a chance to show how far it has come Saturday, welcoming No. 7 Alabama to Starkville for a matchup of unbeaten SEC teams. Kamario Taylor has helped turn the No. 16 Bulldogs into an early surprise, but keeping up with the Crimson Tide will be their biggest test yet.Over in the Big Ten, No. 14 Iowa returns home after its dramatic win at Michigan to face No. 6 Ohio State. The Hawkeyes will lean on their defense again, this time trying to slow down Julian Sayin and Jeremiah Sm
Trump to give $90 to senior citizens for Medicare premiums
President Donald Trump said late Friday he will give around 20 million senior citizens $90 each to help pay for their Medicare Part B premiums, marking his latest effort to dole out funds to certain Americans weeks before the midterm elections.
Doctors, insurers sue Newsom over health insurance premium increases
In June, lawmakers passed a healthcare tax that could increase premiums in order to combat federal Medicaid cuts. A new lawsuit says that tax violates Proposition 35, passed by voters in 2024.
‘No brainer’: Growing trend of Chinese tourists booking business-class flights
Chinese holidaymakers are increasingly upgrading to ‘premium travel’ to make their well-earned leisure time more pleasurable, say insiders.
Anne Hathaway and Dakota Johnson were ’gnawing’ on wood for ‘Verity’ sex scene
The ‘Verity’ cast and crew broke down for Entertainment Weekly how they brought the ‘kinky’ bed frame bite marks to life for the film.
Commentary: Universal public health insurance is the answer
Employer-sponsored health insurance is rapidly deteriorating. In 2027, premiums are expected to see their largest single-year increase in two decades, jumping 11% and closing in on a nearly five-fold increase
Columbine Brutal Reminder on Epidemic of School Violence
Colorado Politics looks back at Ken Salazar’s reflections on the Columbine shooting and a landmark court ruling that reshaped election security standards for Colorado voting machines.
The most surprising things about Etihad's new first and business class
Etihad is bringing a new Airbus aircraft to its fleet in 2027, and I got an early look at its premium seats. Here's what future passengers can expect.
'Gold Rush': Rick Ness Reveals Dangerous Health Issue in Dramatic Season 17 Premiere
Plus, Parker Schnabel finds himself on Tony Beets' property line while a new face joins the treasure hunt.
Doctors, insurers sue Newsom over health insurance premium increases
Doctors and health insurers filed a lawsuit Friday alleging Gov. Gavin Newsom and the Legislature violated the law when they approved a healthcare tax that could substantially increase insurance premiums for Californians.
NJ Reminds Residents to Continue to Take Precautions Against Mosquito-Borne Illnesses
NJ Reminds Residents to Continue to Take Precautions Against Mosquito-Borne Illnesses
UCA trustees approve 12% health insurance premium hike for employees
CONWAY -- University of Central Arkansas employees are set to see their health insurance premiums jump 12% after the university's Board of Trustees unanimously approved the increase Friday morning.
Doctors, insurers sue Newsom over health insurance premium increases
California lawmakers passed a healthcare tax in June that could increase premiums by $100 annually, but groups representing doctors and insurers say it violates the law.
Your health insurance premiums may take a big jump in 2027
Many consumers are likely on the hook for an increase of about 10% or more in 2027, experts said.
Alaska Chamber Announces 2026 Premier Business Award Winners
The Alaska Chamber’s 2026 Premier Business Award recipients exemplify excellent strong leadership and community commitment.
With the Expansion of Tampa General to DeSoto County, Florida’s Premier Academic Health System Strengthens Access to Exceptional Care in Rural Communities
DeSoto Memorial Hospital is Now TGH DeSoto OCTOBER 2, 2026 – Tampa General Hospital (TGH) today welcomes patients in Florida’s Heartland to TGH DeSoto, formerly DeSoto Memorial Hospital. As Florida’s premier academic health system, TGH continues to expand its reach across the state, bringing greater access to exceptional care and specialized services to rural communities. […]
In brief: 'Reacher' spinoff gets a second season and more
We’ve got an official trailer for NBC’s Newlyweds, the new sitcom starring real-life married couple Tim Daly and Téa Leoni. The show, co-created by Jamie Lee Curtis, follows a later-in-life love story between a free-spirited woman and a professor who marry after a quick courtship. It premieres on Oct. 23 …The Reacher spinoff Neagley is getting a second season, just two weeks after the first season debuted on Prime Video. Maria Sten stars as the fan-favorite character Frances Neagley, a private investigator from Chicago and the former protégé of Jack Reacher, in the action series. The original Reacher series, starring Alan Ritchson, was picked up for a sixth season earlier this week … TNCMS.AdManager.render({region: 'fixed-big-ad-top-asset', slot: 1, fold: "above"}); Bradley Cooper is gearing up to star in Paramount’s new G.I. Joe film. He’ll be playing Duke, the leader of the Joes. Danny McBride is on board to direct. Further details on the project have not yet been revealed …Copyright © 2026, ABC Audio. All rights reserved. Thank you for reading kmaland.comAt KMA, we attempt to be accurate in our reporting. If you see a typo or mistake in a story, please contact us by emailing kmaradio@kmaland.com.
BREAKING: Fabian Hurzeler Wins Premier League Manager Of The Month
Brighton's tactical maestro completes a clean sweep for the Albion
Celebrity Traitors Season 2 Premiere Draws Record UK Audience of About 9 Million
The BBC's Celebrity Traitors returned Thursday with a record UK audience for a Traitors premiere, with viewership peaking at 9 million.
Chicago entrepreneurs plan $250 million deep-tech fund
Jeremie Bacon and Garry Cooper will lead Senu Ventures with help from Chris Gladwin.
🚨 Manchester City appeal Premier League ruling
Manchester City submitted its appeal at 7:00 p.m. on Thursday, October 1, 2026, against the Premier League Commission’s ruling, as the club confirmed in an official statement.The appeal is part of t...
Barcelona explored move for Man City defender Josko Gvardiol
Barcelona looked into the possibility of signing Josko Gvardiol last season, but the Manchester City defender was not interested in leaving the Premier League champions.According to Mundo Deportivo, t...
PBS doc 'Asco: Without Permission' on L.A. Chicano artists
The documentary 'Asco: Without Permission' premieres on PBS on Oct. 2. It follows the '70s and '80s East L.A. revolutionary art group Asco and the next generation of L.A. Chicano artists.
French bond sell-off ‘reminiscent of the euro crisis’ as Paris proposes cuts and tax rises
Rolling coverage of the latest economic and financial news
Arsenal’s International Break Soured by ‘Bad News’
Arsenal began the 2026/27 season in dominant fashion, unbeaten in all competitions, until before the international break when they faced Brighton in the Premier League and were beaten 3-0. Mikel Arteta’s men will be back in action on October 10 against Leeds United, but the Gunners may have to do it without summer signing Christos …
G-Shock's New Stunner Is Eight Times the Price of a Rolex Submariner
Assembled without case screws, the MRGD5000 is G-Shock's most premium watch to date. It's not particularly close.
Forget the Packing Cubes: Émigré Reworks How Professionals Pack for Business Travel
Hong Kong, HONG KONG, Oct. 01, 2026 (GLOBE NEWSWIRE) -- Émigré, the premium business travel apparel and accessories brand, today announced an ex...
Twelve South launches tiny new 'Airfly Drive' wireless CarPlay adapter
Twelve South, the company behind a range of premium Apple accessories, has launched a notable expansion of its Airfly brand....
Chicopee business owner talks about effects of theft
CHICOPEE — With recent theft stores happening across the commonwealth, Chicopee business owner Raj Sanghvi is looking for Massachusetts to either get stricter laws or for people to be more fearful of stealing.
Atlas Entertainment, Culture Genesis Set Creator Development Pact
Charles Roven's Atlas Entertainment and creator representation firm Culture Genesis have struck a film, TV and short-form content development pact.
NVIDIA and Microsoft tease RTX Spark announcements for October 7 Windows event
RTX Spark will be a key focus of Microsoft’s October 7 Windows event with Jensen Huang in attendance. The first systems appear aimed at premium laptops and workstations rather than gaming PCs.
Andy Burnham 'completely out of touch' on Man City, Tories say
The prime minister said he would be "really concerned" if the club's owners sell up after Premier League rule breaches.
DFL Statement on Premium Hikes: Lisa Demuth's Support for Trump Health Care Cuts Should Concern Every Minnesotan
Lisa Demuth praised Trump’s health care cuts, called them“good for Minnesota,” and said she was “really grateful” for them ST. PAUL — Today, the Minnesota DFL released the following statement after the Minnesota Department of Commerce announced new health care premium increases – with an average increase of 17.4% – which come after the Trump […]
The Enemies Project: WashU father-daughter duo fight against political extremism
With over 90000 subscribers on YouTube, senior Sadie Rosen and her father Larry Rosen (B.A. ‘88) reveal the power of empathy through their channel, The Enemies Project. The pair bring together strangers with fundamentally opposed political beliefs for a sit-down conversation. Their docuseries aims to break online echo chambers through vulnerability. It’s working, as across their 16 uploaded episodes, all the enemies have left connected.
Radial Entertainment Launches 'Paranormal Chronicles' FAST Channel
Radial Entertainment Oct. 1 launched Paranormal Chronicles, a premium FAST channel programmed for fans of paranormal investigations, documented hauntings, unexplained phenomena and mystery-driven true crime. Debuting in time for the Halloween viewing window, the channel is available for free on Google TV Freeplay, LG Channels, Plex, The Roku Channel, Dish TV, Bonusview and Sling Freestream … Continue reading "Radial Entertainment Launches ‘Paranormal Chronicles’ FAST Channel"
Ed Sheeran Told U2 He Didn't Want to Get Political on Ukraine Song
Ed Sheeran collaborated with U2 on the song 'Yours Eternally,' but he told Bono that he didn't want to get political on the track about Ukraine war.
Panther Premier Print acquires longtime flag specialist Maximum Promotions
Sioux Falls-based Panther Premier Print has acquired longtime Sioux Falls-based Maximum Promotions, which specializes in flag and flagpole sales and service, along with custom applique banners.
Bournemouth insists two Arsenal targets will not leave in January
Arsenal are among the clubs monitoring Bournemouth’s leading players, with the Cherries continuing to exceed expectations in the Premier League. They have built an impressive squad by signing player...
Titles back? Expulsion? Erase the Gerrard 'slip'?
Liverpool fan and podcaster, Abigail Rudkin, has been speaking to BBC Radio Merseyside about the Premier League's charges brought against Manchester City. The Reds are set to host Enzo Maresca's side next on Sunday 11 October.
Good science requires much more than evidence
Empiricists believe that scientific theories are true only if they make correct empirical predictions: if we can't verify these predictions, then there is no reason to expect that they tell us anything about reality. However, Professor of Philosophy at King's College David Kyle Johnson argues that this is mistaken. In response to Bas van Fraassen, who has written on this subject for the IAI, he argues that we have many reasons for believing a theory to be true, such as it being parsimonious and having large scope — qualities which have been used throughout the history of science as criteria for judging theories. In 2024, Princeton philosopher Bas van Fraassen wrote a short article for IAI News entitled “Science Does not Describe Reality: The Limits and Benefits of Explanation.” At the time, I was working on two projects (a science book and a Great Course) that, when completed, would (among other things) defend science’s ability to describe reality. I wanted to write a response to van Fraassen, but the projects demanded too much of my attention. But now that those projects are complete, I am in a position to explain the objections to van Fraassen’s thesis. Summarizing van Fraassen’s argumentIn a nutshell, his argument is this: What scientists do is make predictions based on theories and then invite others to test to see whether those predictions are borne out. “If theory T is right, result R should happen in experimental condition C.” Many think that running an experiment that shows that R happens in condition C is proof that theory T is true (and should be believed). But, van Fraassen argues, that R happened in condition C is only a reason to think that R happens in condition C. That’s the only observable, or empirical, result we can actually see, so that is all that we are really justified in believing. (The underlying theory that made that prediction still may or may not be true.) That is why he calls those who accept his position “empiricists.”Before I explain what is wrong with this position, let me explain what it gets right. What van Fraassen Gets RightFirst, a theory correctly predicting the results of an experiment is not, strictly speaking, “proof” that the theory is correct. The basic line of reasoning is this:If the theory T is true, result R should happen. Result R did happen. Thus, theory T is true.In other words:“If T then R. R. Thus, T.”This is a deductively invalid, fallacious mode of reasoning, called “affirming the consequent.” Those premises do not guarantee that the conclusion follows. “If I am in Pennsylvania, then I am in the USA. I am in the USA. Thus, I am in Pennsylvania.” Clearly that argument doesn’t guarantee its conclusion; neither does the above argument.However, science is not a deductive method of reasoning; it is an inductive one. And inductive arguments merely try to raise the probability of their conclusion, not “prove” them for certain. Thus, the fact that an experimental result doesn’t prove a theory is true is irrelevant; it’s not supposed to. That is not what scientific reasoning is about.___If the hypothesis that something exists clearly provides the best explanation for what we can observe, then the belief that it exists is what is rational.___Second, it’s also true that a single experimental result doesn’t provide enough justification to believe that a theory is true. Scientists do not come to a consensus about whether a theory is true by looking at a single experiment; they look at all the evidence to determine where the preponderance of evidence points. The mere fact that I am in the USA raises the probability that I am in Pennsylvania, but not nearly enough to conclude that I am in Pennsylvania. However, if I am also regularly encountering people wearing Eagles and Phillies hats and seeing advertisements for Founding Father tours, I probably am. In the same way, a theory successfully predicting the outcome of one experiment is not enough to conclude that it is true; but if a theory makes a wide variety of predictions that are all vindicated by multiple experiments, performed by many different groups and people, all actively trying to prove the theory false (which is what good scientific experiments are designed to do)—that is a good reason to conclude that the theory is true. In other words, if you repeatedly try to prove something false but can’t, that is a very good indication that it isn’t. The problem of underdeterminationIn reply, those whom van Fraassen calls “empiricists” often point to the “problem of underdetermination.” For any given theory that makes successful predictions about what happens in experimental conditions, there are countless other possible theories that make exactly the same predictions—and since they do, the experimental evidence in question is just as much reason to accept any of those theories as it is to accept our original one. Thus, the argument goes, we have no way of knowing whether our original theory is true, or one of the other “predictively equivalent” theories is true. SUGGESTED VIEWING How Occam's Razor changed the world With Johnjoe McFadden As an example of underdetermination, philosophers often offer this example. The evidence of fossils seems to provide reason to conclude that the universe is quite old; ancient fossils are what the “ancient universe” hypothesis predicts. But it’s also possible that God created an ancient-looking universe 200 years ago, complete with a “fake” fossil record for us to find, to make it look old. The existence of fossils is what that theory predicts too. So, the argument goes, the fossil record can’t be used as evidence that the universe is ancient; the fossil record supports the “200-year-old ancient-looking universe” theory just as much. The problem of underdetermination points out that, for any theory with supporting evidence, we could invent another completely different theory that predicts exactly the same evidence, and thus undermine that evidence’s ability to support the original theory.But this “argument from underdetermination” betrays a fundamental misunderstanding of what scientific reasoning is and how it works. To explain, let me use another rather strange (but very real and commonly discussed) philosophical thought experiment called “The Grue Problem.” The “Grue” ProblemSuppose I want to know what color emeralds are, so I observe a few, see that they all appear green, and form the theory that “all emeralds are green.” I thus predict that the next 100 emeralds I find will also appear to be green. And let’s say that happens, and so I thus conclude that my theory that all emeralds are green is true. Now, one might rightly point out that I don’t know for sure that all emeralds are green—I have not seen them all. Maybe some I haven’t found yet are blue. Fair enough. After all, we used to think that all swans were white, until we found some black ones. But let’s say that I go on a quest and collect every emerald in the universe—and, for the sake of the argument, let’s say I can do this, and can even know that I have every one of them. So, I collect them all, look at them all, and verify that they all appear green. Can’t I now rightly conclude that all emeralds are green?Inspired by the problem of underdetermination, a friend might argue that I cannot.Sure, they all appear green now—but there could be another kind of color called “grue.” Something is grue if it is green up to a certain point in time, but then spontaneously turns blue. And there could be an infinite number of “shades” of grue. Something that is one shade of grue will turn blue at noon today, but something that is another shade of grue will turn blue at noon tomorrow, etc. So yes, the emeralds appear green now; and since they haven’t turned blue yet, they are not some “past” shade of grue. But they might be some “future” shade of grue (e.g., they may turn blue at noon tomorrow). And since all future shades of grue are consistent with “being green up to this point in time,” the evidence you have is completely consistent with the notion that all emeralds are some future shade of grue, rather than green. Indeed, that they would appear green until now is what the “some future shade of grue” hypothesis predicts. So, we have just as much reason to conclude that all emeralds are some shade of grue as we do to conclude that they are green.You’re probably thinking “It’s not equally possible that the emeralds are grue; they are obviously green.” You are right! But explaining why your instinctive reaction to my friend’s argument is correct will help inform why van Fraassen’s “empiricist” is wrong and science actually does describe reality.The main mistake my friend makes is in thinking that the “empirical evidence” (of all the emeralds appearing green) is (or even should be) all I am using to draw the conclusion that all emeralds are green. It is not. I am also considering known facts about how colors typically work; things don’t usually change color, and when they do, they don’t do so suddenly, without cause, and all at once. So, even though the simple evidence of the emeralds all appearing green up to this point is consistent with them being some future shade of grue—that is even what the grue hypothesis “predicts”—it is still exceedingly unlikely that they are. The hypothesis that they are green is much more likely. Understanding science refutes the problem of underdetermination The misunderstanding about science that the “empiricist” pointing to “the problem of underdetermination” makes is similar to the one that my friend made. Science is not just about considering experimental evidence; in fact, it’s not even just about considering empirical evidence. As Ernan McMullin and many other philosophers of science have pointed out, the inference that makes science is “inference to the best explanation” (sometimes called “abduction” or “retroduction” by McMullin). While, depending on the circumstances, scientists use many different kinds of reasoning, science as a whole is, simply put, the process of considering multiple competing explanations and comparing them to certain criteria—explanatory criteria (the kinds of things explanations must be and do, by definition, to be a good explanation)—to see which explanation is the best.And these criteria do not deal only with empirical results. Yes, successful predictions raise the probability of a hypothesis, but it’s also the case that the more new assumptions a theory makes, the less likely it is to be true; every new assumption presents an opportunity for the theory to be false. (The fewer assumptions a theory makes, the simpler or “more parsimonious” it is said to be.) Likewise, the more existing evidence a theory contradicts, the less likely it is, because in order for a theory to be true, every piece of evidence it contradicts has to be somehow faulty. (The fewer established theories a new theory contradicts, the more “conservative” it is said to be.) And, obviously, the more something explains, the better explanation it is. (This is called having “scope.”) If a theory raises unanswerable questions, it’s not expanding our understanding, and thus is not wide-scoping. Scientists consider all these things when deciding which theory to accept, because the theory that adheres best to these explanatory criteria is most likely to be true.___the mere fact that a theory’s predictive success is why it “sticks around” or “becomes accepted” in the scientific community is not a reason to be skeptical about its truth.___The reason the grue hypothesis is no good is because it invents an entirely new kind of color—not just a new shade, but an entirely different category of color (a different way colors work)—and thus is not parsimonious. It raises unanswerable questions about how and why emeralds would just spontaneously change from green to blue (and thus does not have wide scope). And it contradicts what is already well established about how color works (and thus is unconservative).The theories that the problem of underdetermination points to do the same thing. Yes, the theory that God created an “ancient-looking universe” (complete with an ancient-looking fossil record) two hundred years ago is also consistent with the empirical evidence (of a fossil record) that presently exists; but that theory is monumentally unparsimonious (it requires many extra assumptions about infinite entities) and not wide-scoping (it raises unanswerable questions about why God would do such a thing). So, I can rationally conclude that it is false.Indeed, the history of science includes many examples of theories that were rejected because they lacked parsimony and/or scope, even before their falsity (and the truth of their competing theory) was confirmed by observation. As I point out in my book, geocentrism was rejected by the scientific community because it lacked parsimony, almost 200 years before the observation of parallax confirmed that the Earth moves around the sun. And the continuum theory of matter was completely rejected by 1860, because it couldn’t explain chemical reactions or organize matter into a periodic table, even though the experiments that eventually confirmed atomic theory weren’t even proposed until the 1870s. Solving the best of a bad lot problemIn response, the “empiricists” are likely to object, this time pointing to the “best of a bad lot” problem. “We have no reason to conclude that an explanation that has been shown to be better than others is true because we have no guarantee that the true theory was among those that we were considering.” If you have a “lot” (a collection) of poor explanations, even the best one is not true.The responses to this problem, however, are numerous. Peter Lipton argues that the set of hypotheses that scientists consider are not just randomly selected and thus unlikely to contain a theory that is true; they use existing knowledge to home in on what is most likely to be true. A doctor trying to explain abdominal pain is not going to bother wondering whether demons are causing it; they are going to stick with things like appendicitis and kidney stones, because they are most likely. Further, despite its name, inference to the best explanation is not just the process of comparing hypotheses and accepting the best one; we also want one that is a good explanation in its own right. If it’s not, we are going to keep looking until we find an explanation that is. And while that process does not guarantee that we will come across the exact truth, it’s very likely that the theory that emerges as the best will be at least approximately true, and thus we will be justified in believing it. And lastly, as I point out in my book, although many theories not based in scientific evidence (like geocentrism and continuum theory) have been completely overturned, science almost always progresses by the refinement of scientifically established theories—not their replacement. (Although our sun is not the center of the universe, heliocentrism was our first step in understanding the Earth’s true place in the universe.) So even if a theory we accept today may not be completely right, accepting it is a step on the journey toward the complete truth. The example of atomic theoryNow, it’s worth pointing out that most empiricists are not skeptical of all scientific theories; they are only skeptical of the ones that hypothesize the existence of “unobservables.” It’s not like they think that round Earth, heliocentrism, and germ theory are just useful (but untrue) “instruments” for making predictions about how to most efficiently navigate the seas, predict planetary motion, and treat diseases. They admit that the Earth actually is round, that the planets revolve around the sun, and that germs exist and cause disease. These facts and entities can be observed; the theories that suggest they exist are true. It’s only when theories start hypothesizing the existence of unobservables—like electrons, or quantum fields—that can’t be observed directly, that we should start doubting the theories’ truth. And to be fair to van Fraassen, in this published work, he doesn’t really say that we should doubt the truth of such theories. Only that scientific reasoning does not rationally force us to accept them as true. Skepticism, or agnosticism, he argues, is warranted. SUGGESTED READING Science is based in metaphor By Andrew Reynolds But the history of atomic theory throws a monkey wrench into that argument. Atoms used to be unobservable; again, scientists first accepted the theory that they exist because it had such grandiose explanatory power. But then atoms were seen with electron microscopes. They thus moved into the category of the observable. But this didn’t substantially change anything about what scientists were justified in believing; it certainly didn’t change any “atomic skeptics’” minds. It just confirmed what everyone already knew! If the hypothesis that something exists clearly provides the best explanation for what we can observe, then the belief that it exists is what is rational. The fact that the thing itself is not technically observable does not make doubting its existence rational.What’s more, the atoms were seen with an electron microscope. But electrons are themselves unobservable. How can an electron microscope reveal an atom if electrons are not real? This leads us to what is famously known as Hilary Putnam’s “miracle argument.” It’s (not) a miraclePhilosopher Hilary Putnam’s miracle argument is somewhat famous. Basically, he argued that a scientific theory being able to repeatedly make successful predictions—even about unobservables—without being at least approximately true would require a “miracle.” In other words, it would be such an improbable occurrence that it could not rationally be believed—the better explanation for why scientific theories about unobservables make the right predictions is because the unobservable entities and structures they hypothesize exist.Van Fraassen has addressed this argument. Indeed, in his original article, where he references Alison Gopnik’s point about orgasms not being “necessary for procreation” even though the desire for orgasm “drives the creation of progeny,” he is pointing to his own argument about how organisms are not naturally selected by evolution to get true beliefs; to the extent that belief-forming processes are selected for, the ones that are selected are the ones that are useful for survival—not the ones that produce true beliefs. In the same way, van Fraassen argues, scientific theories are accepted, not because they are true, but because they aren’t falsified; they make successful predictions; that’s what makes them “stick around.” So, the fact that they make successful predictions (and thus became accepted) is not a reason to think they are true.This argument is similar to C. S. Lewis’s “argument from reason,” which he used to argue against evolution: “The truth of evolution undercuts our ability to know that it is true.” Lewis’ argument famously failed; Elizabeth Anscombe, by Lewis’s own admission, demolished Lewis in a debate on the topic, and I have explained elsewhere why modified versions of the argument fail as well. In short, it’s because it fails to recognize that a belief-forming process can make an organism more likely to survive because it reliably produces true beliefs. It is therefore not the case that beliefs generated by naturally selected belief-forming processes are automatically false or unjustified.In the same way, the reason a theory “sticks around” could be because it’s not falsified, because it “makes correct predictions.” But the reason it makes correct predictions is most likely because it is true. (In pointing this out, I am echoing the arguments of Musgrave, Lipton, Psillos, and Kitcher, who refuted van Fraassen’s argument and analogy long before his 2024 article.) It would be a huge coincidence that it could do so without being true. And that is the point of Putnam’s miracle argument. Thus, contrary to van Fraassen’s suggestion, the mere fact that a theory’s predictive success is why it “sticks around” or “becomes accepted” in the scientific community is not a reason to be skeptical about its truth. ConclusionLet me close by saying something about the fact that empiricists don’t doubt the truth of all scientific theories, just the ones that hypothesize unobservables. In today’s society, this theory is dangerous to espouse publicly. The nuance between being skeptical about all of science, and just the highly technical theories about unobservables, is guaranteed to be lost to the average reader. And there is so much unjustified skepticism and doubt about the findings of science and experts that a headline like “Science Does Not Describe Reality” could easily fuel the anti-science movement, worsen climate change denial and cause the next pandemic.This is why I believe it was important to still respond to van Fraassen’s article, a full two years after he wrote it. Not only, as I have argued, does it represent a philosophically inaccurate view of how scientific reasoning works and what scientific reasoning can do, but it is a dangerous view to boot. It should thus be rejected.
Tenet Adds First U.S. Exclusive Commercial Lender to Business Hub and Welcomes New West Coast Business Development Manager
Toronto, Ontario--(Newsfile Corp. - October 1, 2026) - Tenet Fintech Group Inc. (CSE: PKK) (OTCID: PKKFF) (FSE: P0T) ("Tenet" or the "Company"), an innovative analytics service provider, owner and operator of the Cubeler Business Hub, today announced that New York based commercial lender Premium Merchant Funding ("PMF") has signed on to be the first commercial lender on the Business Hub exclusively dedicated to lending and extending credit to U.S. based small and medium-sized enterprises.While..
Is 'time a healer' for O'Neill over Celtic future?
Will Martin O'Neill still be in charge when Celtic resume Premiership action away to Motherwell on 11 October? With O'Neill having said he would consider his future when Celtic headed into the international break on the back of three successive defeats - two of them to Rangers - there has been precious little from the club since. Chief executive Michael Nicholson's message of support nine days ago, which was tucked away in the club's annual accounts statement, hinted at O'Neill staying put.
Spurs CEO 'encouraged by aspects of the underlying performances'
Tottenham chief executive Vinai Venkatesham has given his backing to head coach Roberto de Zerbi after his side's poor start to the season. Spurs are bottom of the Premier League after collecting just two points from their opening five games and they are also out of the Carabao Cup, despite a huge summer transfer spend.
Arsenal Rank Third Among Premier League Clubs for Dictating Play
Arsenal sit third in CIES' latest game dictating index, with their opening five matches showing why possession alone only tells part of the story.
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
No longer a secret, Nathan Fielder's Elizabeth Holmes doc 'You Can See Everything' lands in New York
No longer a secret, “You Can See Everything,” Nathan Fielder and Lance Oppenheim’s Elizabeth Holmes documentary, has premiered at the New York Film Festival
No longer a secret, Nathan Fielder's Elizabeth Holmes doc 'You Can See Everything' lands in New York
No longer a secret, “You Can See Everything,” Nathan Fielder and Lance Oppenheim’s Elizabeth Holmes documentary, has premiered at the New York Film Festival | KCBS All News 106.9FM and 740AM
No longer a secret, Nathan Fielder's Elizabeth Holmes doc 'You Can See Everything' lands in New York
No longer a secret, “You Can See Everything,” Nathan Fielder and Lance Oppenheim’s Elizabeth Holmes documentary, has premiered at the New York Film Festival | WWL
Man City scandal risks damage to Premier League's booming brand
The Premier League has won a lengthy legal battle with Manchester City over financial impropriety, but the consequences could leave lasting damage for a league that has long since become the envy of world football.But the damage may not be limited to City alone with an entire era of the Premier League now under a cloud.
What Does Your Office Say About Your Business? by Jennifer Kraner
What does your space say about you and your business? More importantly, does it give you the best possible first impression? The minute a client, customer or patient walks through your door, they’re forming an opinion about your business – sometimes consciously, sometimes without even realizing it. Your space is communicating something about you, whether you intend it to or not. At Big Sky Design, we work with all kinds of commercial businesses, including many medical practices, law firms and other corporate offices, and I’ve seen first hand how much thoughtful design can influence that first impression. For businesses in medical, legal, and financial fields, three things are particularly important: trust, privacy and professionalism. Your space should communicate all three while also reflecting who you are as a business. That can be challenging, especially in a new construction project. Often, so much of the budget goes toward the actual construction that things like lighting, comfortable seating, artwork and finishing touches get pushed to the side. But those are often the elements that make a space feel complete – and memorable. Think about your waiting room. Is it comfortable? Is the lighting welcoming? Does the layout make sense? When someone walks through the door, do they immediately know where to go and whom to speak with? In a medical office, there’s another important consideration: privacy. Reception areas can become surprisingly noisy places, with phone calls, conversations between staff and patients, and people discussing personal information. Hard surfaces throughout a space allow sound to bounce around, making it difficult to maintain privacy. We recently worked with an eye doctor's office that had exactly this problem. The reception desk had a large opening, and staff were making and taking phone calls right next to patients who were waiting. We designed an acoustic treatment that acted as a divider between the staff and waiting areas. It absorbed sound, but it also became a branded design element. It was a visual reminder to everyone in the space to be mindful of their voices and what others might be able to hear. Those kinds of thoughtful details can make a tremendous difference. And good commercial design doesn't have to mean making your space flashy. Sometimes it’s as simple as a calming color palette, beautiful artwork, plants, carefully selected lighting or comfortable upholstered furniture. In a medical setting, those touches can help soften what might otherwise feel clinical and reduce anxiety for patients who are already nervous about an appointment. I’ve been in waiting rooms where everyone feels packed together, and you can hear every conversation – even what’s happening in the restroom next door. That’s not the experience you want to create. Your office should also feel like your business. Are you telling people that you’re clean and modern? Sophisticated and unique? Warm and welcoming? Or, unintentionally, are you telling them that your business is outdated? You don’t necessarily need a complete renovation to change that message. Fresh paint, updated lighting, new artwork, better seating or a few branded design elements can make a space feel current and intentional. At Big Sky Design, we’ve worked with radiology, dermatology, and dental practices, among many others. Every practice is different, but the goal is always the same: creating a space that reflects the business behind it and gives every person who walks through the door a positive first impression. Because your office is part of your brand. Make sure it’s telling the story you want people to hear. Read more at bigskydesignonline.com.
Man City guilty: Premier League rivals demanding sanctions imposed before end of season
Plus: Man City are expected to owe the Premier League tens of millions of pounds in compensation for legal costs; Rui Pinto, whose leaks of private documents helped to trigger the Premier Leagues investigation, will no longer be protected as a witness by Portuguese authorities
Federal health insurance enrollees will pay 10.9% more, on average, toward premiums in 2027
The Office of Personnel Management published information about plan options and premium rates for 2027, ahead of the upcoming Open Season this fall.
Punish Man City this season, say other club chiefs
Manchester City's punishment for breaching Premier League rules should be handed down before the end of this season, senior football figures tell BBC Sport.
Sportico’s Invest London Unveils Agenda With Global Sports Leaders
Sportico is bringing the sports business industry’s premier event series to London next week. Taking place Oct. 6 at Fulham Pier, Invest London will convene leaders across sports, finance, media and technology to explore where the industry’s next wave of growth will come from. Today, Sportico unveils an agenda spanning global football ownership, basketball’s European …
'Business as usual' for Man City Women despite Premier League guilty verdicts
Manchester City manager Andree Jeglertz said it was "business as usual" for the women's team despite the Premier League charges against the club.
Paula Patton’s Acclaimed Thriller TV Show Returns Today on Paramount+ After 5 Year Wait
Paula Patton returns to streaming today with the long-awaited second season of her legal drama. Sacrifice Season 2 premieres on Paramount+ on September 30, nearly five years after the first season pre...
UW Planetarium to Premiere New Film, Celebrate Halloween Season During
The University of Wyoming Harry C. Vaughan Planetarium will open October with a new film and celebrate the spooky season with some Halloween-themed events near the end of the month.
Madison Square Garden plans a teriyaki stand for 2026-27
The stand will serve rice bowls and dumplings; Glaze products will be available in select premium areas, with promotions during Knicks and Rangers games.
Fall entertainment overview: Fall theater looks bright and diverse
The fall theater season is upon us. One sign is that Capital Repertory Theater in Albany is opening its season. It’s a world premiere: “The Last American Newspaper.”
Nintendo Reminds Everyone About The Other N64 Classic It Just Remade With A Free Update
The Star Fox remake is getting some new content
Arnold Schwarzenegger is Santa in Prime Video's 'The Man with the Bag' teaser trailer, coming this Christmas
Schwarzenegger stars alongside Alan Ritchson in this holiday heist movie premiering on Prime Video December 2.
'We will get through this together'
Former Manchester City boss Pep Guardiola has posted a message on social media following the news of his former club being found guilty of financial breaches. Guardiola led City to 17 major trophies, including six Premier League titles and a Champions League victory, during his 10-year reign at the club. Among reaction elsewhere, ex-City defender and academy graduate Micah Richards said he felt "absolutely devastated" after reading the Premier League's "damning" guilty verdict on the club's financial charges.
Extended Interview: Ava Bunn on "Scrubs"
Actress Ava Bunn talks with ABC12 Entertainment Producer Darren Garrett about season 2 of "Scrubs". New episodes premiere September 30th at 8pm on ABC12.
Pep Guardiola gives backing to Man City after guilty verdict: ‘We will get through this’
Pep Guardiola has broken his silence after Manchester City were found guilty of the majority of the 115 charges against them, reiterating his backing of the owners and the chairman. An independent commission, which was appointed following a four-year investigation to rule over the charges which stretch between 2009 and 2018, ruled that the current Premier League leaders had "sham contracts" arranged for a number of its commercial partners, finding that their income over eight seasons was “hugely overstated by over £830m”. The club vehemently deny the breaches with chief executive Ferran Soriano branding the process a “Premier League conspiracy theory” in a message to players and staff, while City have confirmed they will appeal against the ruling.
Tottenham, Brighton and Everton monitoring Eintracht Frankfurt and Germany forward
Eintracht Frankfurt forward Younes Ebnoutalib has reportedly emerged as a transfer target for three Premier League clubs.According to a report from TEAMtalk, Tottenham, Brighton & Hove Albion and Ever...
O'Neill has made rod for his own back as daunting run looms
Just when I thought not much else could surprise me in Scottish football, Martin O'Neill casually threw in his post-match press conference quip about whether it's time for him to "wrap things up" at Celtic. If it comes at Fir Park a week on Sunday, Celtic will have lost four in a row and may well cede Premiership top spot.
'Damning' and 'extreme' - Football Daily on Man City charges
"I think we have all started to understand the severity of this now," said former Premier League goalkeeper Paul Robinson on the latest episode of BBC Radio 5 Live's Football Daily. In the wake of the Premier League publishing their verdict on Manchester City's charges, Kelly Somers is joined by Robinson, BBC Sport's football issues correspondent Dale Johnson, football finance expert Kieran Maguire and BBC Radio 5 Live's senior football correspondent John Murray on Football Daily, as they break down the "damning statement".
Liverpool told how they can sign Andoni Iraola favourite
Andoni Iraola has done a decent job as Liverpool's manager so far.The Spaniard has led his team to an unbeaten start across all competitions and, although they may be sixth in the Premier League table...
Conference League 'very winnable'
Brighton owner Tony Bloom says he is looking forward to seeing what the Seagulls can achieve after results he described as the "best in the history of the football club". In a rare interview, Bloom told BBC South East victory over Manchester United in the Carabao Cup, a 3-0 win over Premier League champions Arsenal and beating Coventry City 5-0 had boosted confidence at the club. Bloom helped transform Brighton's fortunes after he became majority shareholder in 2009, when the team were struggling in the third tier of English football and playing at a temporary ground.
'We won the trophies on the pitch'
Man City will rise from the ashes. Man City are a team to continue to believe in. A set of Premier League clubs don't like the idea of a new team breaking into their cartel, as it will affect the money they are making.
Virginia Democrats warn more healthcare strains loom after November election
Christina Rivera kept her health insurance this year because she needed major back surgery. But maintaining coverage meant absorbing a monthly premium that rose from $235 in 2025 to $1,336 in 2026 — with a higher deductible. “That’s just not reasonable for anybody who is relying on the ACA for healthcare,” said Riviera, a Charlottesville-area resident and founder of the nonprofit Called to Justice. “I don’t have that sitting around. It’s not in the cushions of the couch.” Small nonprofits often depend on the Affordable Care Act marketplace because reasonably priced group coverage is out of reach, Rivera said. After enhanced federal premium tax credits expired last December, her insurance bill became another financial burden alongside groceries, gasoline and utilities.
Manchester City stars now fearing Premier League relegation
Manchester City players are worried that they face relegation, after the Premier League’s confirmation of the guilty verdicts from their financial rule breach hearing.Photo by Carl Recine/Getty Imag...
Ex-City star Richards 'absolutely devastated' amid calls for demotion
Former Manchester City defender Micah Richards says the Premier League’s damning verdict on the club has left him devastated and heartbroken. City were found to have engaged in an almost £1 billion ($1.
Boxed into a corner?
The Premier League has opened a Pandora's box of problems which cannot be closed. This looks like a gigantic mess, but could also become a bit of a joke, especially if they attempt to rewrite history, and change the winners' names on the Premier League and cup trophies over these past 15 years.
Manchester City players fear Premier League relegation
The Premier League confirmed on Tuesday that Manchester City had been found guilty of 114 of the 115 charges against them. Those charges relate to serious breaches of financial rules, dating all the w...
The Premier League footballers studying to become sporting directors
Kiernan Dewsbury-Hall, Taiwo Awoniyi and others have been juggling education with a football career - even studying on the team bus during away trips.
The Premier League footballers studying to be sporting directors
Kiernan Dewsbury-Hall, Taiwo Awoniyi and others have been juggling education with a football career - even studying on the team bus during away trips.
Tottenham Step Up Interest in Bayer Leverkusen’s Ibrahim Maza
North London rivals are monitoring the versatile Algerian playmaker as Premier League heavyweights weigh up a move for one of the Bundesliga’s most technically gifted rising stars.
Union, governor’s office strike deal on state employee healthcare costs
The deal softens a proposed deductible spike, but leaves monthly premium increases in place.
The Streamers Tried To Conquer Labor Day…and Whiffed
(Welcome to my weekly streaming ratings report, the single best guide to what’s popular in streaming TV and what isn’t. I’m the Entertainment Strategy Guy, a former streaming executive who now analyzes business strategy in the entertainment industry. If you were forwarded this email, please subscribe to get these insights each week.) What? Another Streaming Ratings Report already? You betcha. Nielsen has moved up the release of their Streaming Ratings data by two weeks, which means I’ve got two extra issues to get out. But I love this change because it will make this report more timely and easier to publish regularly. This week—with the viewership data for the week of 31-Aug—we’ve got some huge, huge topics to discuss. On the film side, two theatrical films (The Mandalorian and Grogu on Disney+ and Scary Movie on Paramount+) contend with two non-Netflix straight-to-streaming films (Mayday on Apple TV and The Runner on Prime Video). The streamers went all in to win Labor Day weekend in America. And we have a bunch of TV shows to analyze, both new shows (Netflix’s The Gentleman, Hulu’s Chad Powers, and an Alix Earle reality show) and weekly shows like Reacher, Ted Lasso, House of the Dragon and Lioness. All that, plus nepotism in Hollywood, some eye-popping fantasy football stats, all the flops, bombs and misses, and a whole lot more. Let’s dive right in! (Reminder: The streaming ratings report focuses on the U.S. market and compiles data from Nielsen’s weekly top ten viewership ranks, Luminate’s Top Ten Data, JustWatch and Reelgood interest data, Samba TV household viewership, company datecdotes, Netflix hours viewed data, Google Trends, and IMDb to determine the most popular content. While most data points are current, Nielsen’s data covers the weeks of August 31st to September 6th, 2026. You can find a link to my terminology here.) Subscribe Film - A Slew of Labor Day Disappointments? A lot of streamers released big new films this week, why? My theory is that the streamers know that four-day weekends can propel streaming films to glory. But if you’ve been reading more over the last two years, you know that big holiday weekends aren’t driving big viewership numbers the way they did post-Covid. And interestingly enough, Netflix didn’t put out a big new film this week. But four other streamers did, trying to take advantage of the holiday with some (not cheap) swings, including… The Mandalorian and Grogu on Disney+ (a Star Wars film that cost $165 million and made $177 million at the US domestic box office) Mayday on Apple TV (rumored $100 million budget, no theatrical release) The Runner on Prime Video (at least a $40 million budget, but likely $50 to $80 million, no theatrical release). Scary Movie on Paramount+ ($30 million budget, made $108 million domestically). (Paramount+ also released a made-for-streaming film based on the Thundermans IP, and I’ll discuss that later.) So…how’d they do? The Mandalorian and Grogu Leads The Way (But That Isn’t Enough) Let’s start with The Mandalorian and Grogu (which I’ll abbreviate to Mando for most of this article). We’re just getting started with this issue, but the rest is for paid subscribers of the Entertainment Strategy Guy, so if you’d like to find out… How Mando, Mayday, The Runner and Scary Movie performed on streaming... How the powerhouse weekly released shows (Reacher, Ted Lasso and Lioness) have accumulate a LOT of viewership… How House of the Dragon finished its run… The latest Netflix show to have a sophomore slump… Whether top creators can drive viewers to their shows… Nepotism in Hollywood and the music business... All the flops, bombs and misses for the week… And more… ...please subscribe! We can only keep doing this great work with your support. Coming Soon! Since Nielsen has accelerated their streaming data release schedule, I’ve got a lot of Streaming Ratings Reports coming your way! Next issue, I’ll be looking at the second season of Peacock’s The Paper, the latest season of Hulu’s The Secret Lives of Mormon Wives, and a very, very expensive Daily Wire fantasy series that’s now on Prime Video. Plus Crew Girl and Dang! on Netflix, a new Tyler Perry film, and one of the biggest bombs of the summer, Supergirl. In the next two issues, I’ll take a look at the return of the NFL to streaming, Toy Story 5 on Disney+, Backrooms on HBO Max, and The Breadwinner on Netflix. On the TV side, we’ve got Netflix’s Monster: The Lizzie Borden Story, Dancing with the Stars on Disney+, Apple TV’s Slow Horses, a Reacher spinoff on Prime Video, and Paramount+’s MobLand, a Woody Harrelson and Matthew McConaughey comedy on Apple TV, a sequel to a Cosby Show spinoff on Netflix, The Great British Baking Show, and the Unabomber film. And while doing all that, I want to take a look at adult animated shows, Ride or Die’s cancellation, and Netflix’s summer films. So much great stuff! Long term, two bits of comic book news. The X-Men cast has been announced, and go ahead and color me bull-ish, if not very, very bull-ish on this bit of comic book IP. In weirder news, HBO Max ordered a “true crime” show by Jimmy Olsen about Gorilla Grodd being falsely convicted of murder. I mean, what? I don’t know, let’s see what happens.
United Airlines Debuts Polaris Studio Business Class For Global Premium Travelers
United’s new Polaris Studio adds larger suites, privacy doors, 27-inch 4K screens, upgraded dining and wine. Here’s how the experience compares.
The White House Claims Trump’s New Ads Are “Clearly Not Political,” Says Aide
The pre-midterm commercials are “reminding Americans to love their country,” a White House official insists to Vanity Fair, even as both Republican and Democrat lawmakers balk.
Here’s what a 34% hike in health costs could mean for Camden and hundreds of other N.J. school districts in 2027
Camden, Pemberton and Evesham are among the districts that will be affected after the School Employees Health Benefits Commission approved a premium increase.
'Chaos and uncertainty'
If you had the impression that the saga over Manchester City's 115 charges was almost over, think again. Two years since the hearing began, the Premier League has confirmed that City have been found guilty of all charges related to breaches of its financial rules between the 2009-10 and 2017-18 seasons. City have said they are "innocent of the accusations made by the Premier League" and would pursue "appeal avenues open to it, on the basis that the opinion contains clear material errors, of law, principle and fact, and is unsafe."
Calciopoli to Spygate – Previous heavy penalties to scare City fans
Manchester City have been found guilty of all charges related to breaches of Premier League financial rules between 2009-10 and 2017-18 by an independent commission. With the issue of sanctions being addressed separately in a further hearing, the Press Association recalls some of the heaviest penalties handed out in the history of sport.
Timeline of the Premier League vs. Manchester City
The verdict has been delivered in the seismic case between the Premier League and Manchester City. City was found guilty of nearly all of the 115 financial charges laid by the Premier League, the competition said Tuesday in an explosive statement. City faces a severe punishment, potentially even expulsion from the world's most popular league, but has vowed to appeal.
Josh Hartnett and Dakota Johnson react to ‘insane’ conspiracy theory about ‘Verity’
Josh Hartnett and Dakota Johnson spoke with EW about the conspiracy theory surrounding the opening scene of ‘Verity,’ which sees their characters meet for the first time.