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Apple lists unreleased iPad mini accessory ahead of rumored launch
While Apple is rumored to be gearing up to introduce an OLED iPad mini later this month, an oversight on the company’s French site might have just confirmed the product’s existence.
Stockton ethics commission, political consultant registry headed for broader council review
Proposed reforms would require campaign consultants to disclose their clients and establish an independent body to investigate ethics complaints, but questions remain about costs and oversight.
Madison council rejects funding tied to police oversight and business recovery after deadly shooting
The Madison Common Council is deciding Tuesday night on two money requests tied to the deadly police shooting on Williamson Street this summer and its aftermath.
Harms of Public Health Measures Overlooked in COVID-19 Policy Reviews
Investigators link oversight with eroding trust in health authorities and call on future pandemic inquiries to weigh trade-offs.
Prairie Band chairman discusses ICE contract exit and oversight of tribal businesses
Prairie Band Potawatomi Chairman Joseph “Zeke” Rupnick discusses the tribe’s exit from an ICE-related contract and oversight of tribal businesses with Levi Rickert during the Great Lakes Tribal Economic Summit in Mount Pleasant, Mich. (Photo: Tribal Business News)
Audit into public health contract process sparks outrage from Michigan House Oversight members
Audit into public health contract process sparks outrage from Michigan House Oversight members
House Democrats plan vast oversight of Trump administration. Impeachment is an option
“There is a cost to the American people of the out-of-control corruption,” said Democratic leader Hakeem Jeffries of New York, who is in line to become House speaker if Democrats win control at the Capitol.
Utah expands healthcare AI sandbox with August AI, Nolla Health pilots, adds third-party evaluators
Utah is expanding the state's AI regulatory sandbox program with new pilots to test AI-supported prescription renewals, dermatology and physical therapy, while adding physician oversight and indepe | Utah is expanding the state's AI regulatory sandbox program with new pilots to test AI-supported prescription renewals, dermatology and physical therapy, while adding physician oversight and independent third-party evaluators to strengthen safety and accountability.
Scientists Call For International Body To Oversee Advanced AI
In an open letter, the researchers said frontier AI models should initially be air-gapped from external networks and subject to independent oversight.
US commodities regulator proposes new federal crypto oversight rules
The U.S. Commodity Futures Trading Commission proposes new federal rules for crypto exchanges offering leveraged trading to streamline regulation.
NSW regulator upholds Star Entertainment's Sydney casino licence suspension
Australian casino operator Star Entertainment Group said on Friday its Sydney casino licence would remain suspended after the New South Wales gaming regulator extended oversight of the property.
Discover the latest must-read health stories
Top stories: World leaders discuss preparations for next pandemic; WHO calls for stronger ethics oversight of AI in health; Pennsylvania measles outbreak grows.
WATCH LIVE: HHS unveils new crackdown on fraud and abuse in federal health programs
The Health Department announces enforcement and oversight measures designed to identify fraud faster, strengthen accountability and protect federal health programs from abuse.
ANFREL, International IDEA to launch new report on citizen monitoring of political and campaign finance in Asia
The Asian Network for Free Elections (ANFREL) and International Institute for Democracy and Electoral Assistance (International IDEA) are launching a framework for action on monitoring campaign and political finance during the Political Finance Transparency and Oversight International Roundtable in Ulaanbaatar, Mongolia, on 23 September 2026. ANFREL Executive Director Brizza Rosales and International IDEA Senior Programme
Flock is facing a surveillance backlash. Meanwhile, its drone business is booming
As cities push back against its license plate readers, the $8.4 billion surveillance company is betting big on police drones, raising fresh questions about privacy and oversight.
The Democratic Playbook for Investigating Trump
Congressional oversight committees are quietly preparing for next year.
Politics Unplugged (Full Episode) Sept. 13, 2026
This episode of Politics Unplugged features an interview with treasurer candidate Nick Mansour on ESA oversight, followed by a panel discussion on Trumpapalooza, a fake AI endorsement photo, and Arizona's governor's race and data center debate.
Trump downplays need for AI guardrails as industry leaders call for regulation
President Trump is downplaying the need for new guardrails on AI, pushing back against some of the technology’s most prominent leaders who are calling for greater government oversight.
Viewpoint: Unlocking Europe’s wildfire data
Europe is already investing in the science, technology and infrastructure needed to understand, prevent and fight wildfires. Copernicus provides satellite-based Earth observation and environmental information, while the European Forest Fire Information System provides information on fire danger and forest fires across Europe. Weather and climate systems add forecasts of heat, drought, wind and humidity; historical fire databases show where fires have occurred; and researchers generate increasingly detailed knowledge about fuels, fire behaviour, forecasting, modelling and risk management. Meanwhile, new European research projects are adding digital twins and other tools to this growing ecosystem.However, these data do not necessarily sit together, nor are they necessarily described, structured or governed in ways that allow them to be used together. Much of the information is public, but some is commercially held. Some is sensitive. Some is subject to legal, security or operational restrictions. Even when data can be legally accessed, different systems may use different formats, terminology and rules.Europe therefore faces an unusual paradox: we have vast amounts of relevant information to respond to the wildfire challenge, but not the means to bring it together. For example, a wildfire researcher or emergency service might need to ask whether a particular combination of vegetation, drought, wind and topography has historically been associated with rapid fire spread. The relevant information may exist in several institutions, using different systems and subject to different conditions of access.The challenge is to conduct an authorised analysis that interacts with these sources, combines the results and respects the rules imposed by each data custodian.An important part of the answer can be found in the Fair principles, the idea that data should be findable, accessible, interoperable and reusable. Developed more than a decade ago, these principles have become a central reference point for modern data stewardship, making it easier for people and machines to find data, understand what it means and determine whether it can be reused.Readability by machines is essential, since AI systems will be key to meeting the data challenge. Bring analysis to the dataThe proposition is not to give an AI system unrestricted access to sensitive databases. Quite the opposite. The goal is to make it possible for approved algorithms to go to the data, rather than requiring sensitive data or large datasets to be copied to wherever the analysis happens.Imagine an analysis asking a series of questions of different data stations. At one station it might examine weather and climate data; at another, historical fire records; at another, experimental measurements of fire behaviour. The algorithm does not need to download everything. It can operate within the environment permitted by each data custodian and return only the results that the rules allow to leave.This is sometimes described as data visiting, and related approaches already exist in areas such as federated analysis and federated learning.Sensitive data should therefore not be treated as a free-for-all for machines. This requires appropriate governance at multiple levels. Access needs to be authenticated and authorised. The purpose of an analysis should be defined. The code or model being run should be controlled. Data custodians should be able to specify what can be queried and what results can leave their environment. Activities should be auditable and human oversight should remain where the consequences require it.In other words, the objective is not to trust AI with the data. It is to design systems in which AI never has more access than it needs.As open as possible, as closed as necessaryFair data should also not be confused with open data. Some wildfire data should be openly available. Other information may legitimately need to remain restricted because it concerns critical infrastructure, security, commercial interests, privacy or operational capabilities. The principle should be: as open as possible, as closed as necessary.The important point is that restricted data should not automatically become unusable data. If machines can discover what information exists, understand its meaning, establish where it came from and determine the conditions under which it can be used, authorised analyses can potentially be carried out without the underlying data ever leaving the environment in which it is protected.Restricted data can still be Fair and machine-actionable.This is also an important question of data sovereignty. European institutions should not have to surrender control of their data to a handful of technology platforms in order to benefit from AI. Nor does Europe need to start again by building one giant repository for every piece of wildfire information. The better approach is to connect what already exists.This is the principle behind emerging approaches such as Tryangle, developed through the Leiden Initiative for Fair and Equitable Science. Rather than creating another centralised data warehouse, the approach seeks to provide an interoperable layer through which approved algorithms can visit distributed data sources while respecting the rules of their custodians.In this way, a data station can remain where it is. Its custodians can retain control. Existing databases and applications do not have to be abandoned. What changes is their ability to communicate with other systems through common, machine-readable descriptions, access rules and interoperability mechanisms.But approaches like this need data that meets the Fair principles. Only then can an interoperable ecosystem safely begin to turn fragmented information into collective intelligence.Data infrastructure is wildfire infrastructureThe implications of this approach are entirely practical. Firefighters could gain better intelligence about local and evolving risks. Land managers could test prevention strategies using more comprehensive information about fuels, weather and past fires. Researchers could compare evidence across ecosystems without repeatedly moving huge datasets between institutions. Smaller regions and resource-constrained teams could access analytical capabilities without having to build large data infrastructures themselves.Europe is already investing heavily in satellites, databases, research programmes, forecasting systems and scientific expertise. The question is whether we will connect those investments well enough to turn them into actionable intelligence.That requires policymakers and funders to treat data infrastructure as seriously as physical infrastructure. Data generated or supported through European public funding should be Fair, verifiable and machine actionable by design, wherever legally and ethically possible.Related articlesData Corner: Europe’s burning need for wildfire mitigation researchClimate monitoring must remain a global enterprise, experts sayIn practice, that means funding not only the production of data, but also the infrastructure that makes data usable across systems: metadata, provenance, interoperability, access mechanisms and governance. Where data must remain restricted, we should ensure that it can still be securely discovered, verified and used for authorised analysis.Initiatives such as the European Open Science Cloud offer an existing framework through which these principles can be put into practice. What is needed now is to accelerate implementation and make them a standard part of how Europe funds and builds research and innovation systems.We do not need another generation of disconnected databases. The data is already there. The opportunity is to make it work together, securely, responsibly and quickly enough to help prevent the next fire, rather than simply document the last one.Jean-Claude Burgelman is professor emeritus at the Free University of Brussels (VUB) and editor-in-chief at Frontiers Policy Lab. For more than 20 years he held leading roles in research and innovation policy at the European Commission.
Washington's Grant Veto Sets a Warning for British Science
A political oversight board at the NIH is a domestic American story, but its logic travels, and the NHS's own research architecture cannot assume immunity
Vote no on Prop 45 to Protect California’s environment and public health
This November, California voters will have a chance to push back against President Trump’s attacks on our clean air and water, public health, and open space by voting NO on Proposition 45. This deceptive ballot initiative is a 41-page recipe for pollution and sprawl. It would weaken California’s bedrock environmental law and make it easier to build data centers, warehouses and other polluting projects – with severely limited public oversight.
Congressional Report on Potential TBIs, Mental Health Risks in Naval Aviation
The following is “Unseen Impacts: An Investigation into the Navy’s Response to Potential Traumatic Brain Injury and Mental Health Risks in Naval Aviation” published on Sept. 8, 2026, by the House Committee on Oversight and Government Reform Subcommittee on Military and Foreign Affairs. From the Report Executive Summary Following reporting by The New York Times about an epidemic of potential brain injuries in naval aviators contributing to suicide, the House Committee on Oversight and Government Reform launched an investigation to assess the Navy’s knowledge of and actions taken regarding this issue. The findings reveal a disconnect between growing concern and
San Francisco’s public-safety technology isn’t the problem — the politics around it is
Amid a local Democratic Party debate, supervisor makes the case for retaining automated tools while strengthening oversight and protecting against misuse.
Dexter succeeds Gray as CBRE's Charlotte market leader
Denise Dexter has jumped from JLL to join rival CBRE as senior managing director and Charlotte market leader. She succeeds Brett Gray, who has relocated to Atlanta as executive managing director, while retaining oversight of the Carolinas. Dexter will oversee day-to-day operations in Charlotte including leasing, sales, valuations and debt and structured finance. She will […]
House panel recommends contempt charge for billionaire Leon Black in Epstein probe
The House Oversight Committee has voted to recommend holding billionaire Leon Black in contempt of Congress in the investigation of Jeffrey Epstein
Exclusive: House Democrats ask Kimberly Guilfoyle for records related to alleged pay-to-pay scheme
Democrats from the House Oversight Committee on Thursday asked U.S. Ambassador to Greece Kimberly Guilfoyle for financial records and communications with Trump administration officials after allegations that she engaged in a pay-for-play scheme.
Sen. Tillis on Congressional Oversight: ‘If we find that’s something concerning, we should pursue it’
WA lawmaker call for more oversight after Longview disaster
Although the state is facing a budget crisis, Sen. Jeff Wilson, R-Longview, said he “can’t think of a more worthy cause” for lawmakers to pass and fund.
Why businesses have more at stake in food safety than you think
Who is responsible for keeping food safe? Fresno farmer Paul Betancourt weighs business reputation against government oversight. Read his perspective.
Secretary of state candidates boast business experience but differ on election oversight
All three said they want to ensure no fraud is happening amid Wyoming’s booming rate of new business filings. When it came to voting, they shared different visions for what constitutes fair access and ballot security.
House Democrats may use oversight powers to plan for health care overhaul
Democrats are mapping out their post-election strategy, and see health care probes as a winning issue.
Anthropic adds former Harvard science dean to oversight body
Anthropic adds former Harvard science dean to oversight body
Division I Cabinet approves new transfer windows in several sports
The Division I Cabinet on Wednesday approved changes to the notification of transfer windows for multiple sports, as proposed by each respective sport’s oversight committee.
FBI chief Kash Patel is set to face off with Democrats critical of his leadership at Senate hearing
FBI Director Kash Patel is set to return to Capitol Hill for an oversight hearing before the Senate Judiciary Committee
How healthcare can build a human-in-command approach to AI
Healthcare AI needs human oversight. Risk-based safeguards, meaningful authority and continuous requalification can help build a human-in-command model.
Politics Unusual: Councilwoman Carmen De La Rosa, Rebecca Bennett join
FOX 5 NY's Teresa Priolo speaks to Councilwoman Carmen De La Rosa on AI oversight hearing and Rebecca Bennett on the race for NJ's 7th congressional district on this episode of Politics Unusual.
Nursing home oversight lags, putting residents at risk
A recent KFF analysis of federal nursing home oversight found an association between short staffing and serious harm to residents.
Audit flags oversight lapses as Maryland Department of Health misses $42M in collections
Lawmakers are raising fresh concerns about the Maryland Dept. of Health after a new legislative audit found the agency failed to collect millions of dollars.
Businesses Risk Wave of Democratic Probes on Costs, Corruption
Private businesses risk an onslaught of congressional investigations if Democrats prevail in midterm elections as the opposition party prepares to concentrate sweeping oversight powers on allegations of Trump administration corruption and public anger over the cost of living.
Speaker Mike Johnson on Trump-Xi agreements, AI regulation
Speaker of the House Mike Johnson joins FOX Business to discuss President Donald Trump's agreements with Xi Jinping. He also outlines his upcoming meeting with tech CEOs on AI oversight and analyzes a new Fox News Poll on the cost of living.
Virginia Department of Health officials, food quality professionals detail latest food regulations
PORTSMOUTH, Va. (WAVY) — New food safety regulations that establish updated standards for handling food, sanitation and staff oversight, while adding another food allergen, took effect across Virgi…
Simple math formula predicts when AI chatbots will go rogue
Most of us now carry in our pockets devices capable of running small AI chatbots. These chatbots have little safety oversight to ensure they don't provide information and answers with the potential to ...
New commission works to untangle challenges at health licensing boards
After state audits reported inadequate response times by some health licensing boards to complaints about licensees, and other boards behind on healthcare facility inspections, lawmakers set up a new commission to address the issues causing those oversight issues.
Proposed AI Governance Framework: Risk-Mitigation Recommendations for Health Plans
Senator Maria Cantwell has outlined a comprehensive AI governance framework intended to drive legislative and executive actions addressing potential AI risks — and for health plans, this framework could determine how AI can be used in prior authorization and other consequential clinical and administrative decisions. The framework explicitly calls out AI-assisted prior authorization — including CMS's WISeR model — as an area where meaningful human oversight is required. Read our alert for six risk-mitigation recommendations health plans should take now.
State paid health policy nonprofit $108 million before reviewing work plans, audit finds
Rep. criticizes failures in $435 million deal: ‘Major weaknesses exist in the department’s oversight practices’
FDA has too few staffers to hire more staff
FDA's hiring bottleneck, Dems plan for health care oversight, and more from STAT's D.C. Diagnosis newsletter.
3 business risks of AI-assisted coding executives can’t ignore
Without oversight, AI coding assistants can leak secrets, act sans accountability and spike spend.
Newsom signs bills pushing back on Trump's immigration agenda
The more than 20 bills approved by the governor Tuesday were crafted to thwart tactics used by Immigration and Customs Enforcement agents, while others are meant to boost state oversight of federal detention centers in the state.
Albany County Flock case fuels push for ALPR guardrails
An Albany County sheriff's investigator is accused of conducting more than 4,000 unauthorized Flock camera searches. The case is renewing debate over privacy, police oversight, and proposed statewide rules for license plate readers.
Minnesota to stop use of hotel rooms to house people in mental health crises
The state said a lack of oversight and safety measures led to the shift away from using hotel rooms to care for and supervise people in a mental health crisis.
County health departments could see cuts as Iowa HHS shifts to regionalized model
Iowa HHS plans to transition the state’s public health system into a regional model by 2028. The move will shift the oversight of funds for each county to a lead entity in each region. Public health officials are warning the new system will leave gaps in services for residents.
NovaOne Launches Next-Generation Platform Uniting Behavioral and Physical Health
NovaOne today announced general availability of its next-generation solution: a modular platform, uniting purpose-built preventive tools, clinically validated assessments, an AI care navigator with deep human clinical oversight and a curated network of evidence-based specialty providers. One platform for integrated preventive and curative healthcare.
Anthropic adds former Harvard science dean to oversight body
Anthropic said on Wednesday that Christopher Stubbs, former dean of science at Harvard University, had joined its oversight body, which holds the power to appoint a majority of the AI startup's board.Here are some details:
IBM ties intelligent operations to agent safety and business value
IBM connects intelligent operations with agent safety, shared infrastructure context and financial oversight to help enterprises assess AI’s business value.
How Investors May Respond To Encompass Health (EHC) First Maine Hospital Opening
Encompass Health has opened Encompass Health Rehabilitation Hospital of Bangor, a 50 bed inpatient facility in Maine that delivers intensive therapy, frequent physician oversight and 24 hour nursing for patients recovering from complex conditions across a 54,000 square foot site with a wide range of on campus clinical amenities. This Bangor facility is Encompass Health's first wholly owned hospital in Maine. It adds owned capacity in a new state alongside its existing joint venture presence...
Amid AI fears, Iowa candidates agree some regulations are needed
As AI company leaders call for a slowdown in the technology's development, Iowa's political candidates agree there's a need for government oversight.
‘It’s not science fiction’: US Air Force must build trust in AI, says expert
The military must work on how to combat fast and reckless enemy AI agents that don’t necessarily operate with the same oversight, according to experts.
Radial Entertainment, Content Partners Announce 20 New Episodes of Legacy True Crime Series 'Forensic Files'
Content Partners and Radial Entertainment Oct. 14 announced 20 new episodes of the landmark true crime series “Forensic Files.” Building on their existing distribution relationship, the companies will jointly finance the new season and share oversight of production, with Radial handling worldwide distribution. ITV America, part of ITV Studios, will produce the episodes. ITV America … Continue reading "Radial Entertainment, Content Partners Announce 20 New Episodes of Legacy True Crime Series ‘Forensic Files’"
Mental Health Board Swears in New Member, Hears Agency Reports
The Geauga County Board of Mental Health and Recovery Services heard outcome reports from nine agencies under its oversight during its Sept. 16 meeting, as representatives reviewed their work during fiscal year 2026. The board also swore in new member Dave Fabiq. Vice Chair Kathy Johnson said she expected Fabiq to bring valuable experience to
Watchdog seeks tighter oversight of private equity-backed insurers
European insurance regulators have urged EU member states to scrutinize private equity-backed insurers more closely, even before they are authorized to operate, The Royal Gazette reported.
Letter: Larger discussion needed on WNC health services
“Until and unless Dogwood Health Trust revisits its oversight of Mission Hospital at the direction of the state, the status quo will prevail.”
‘It’s not science fiction’: US Air Force must build trust in AI, says expert
The military must work on how to combat fast and reckless enemy AI agents that don’t necessarily operate with the same oversight, according to experts.
Health Infrastructure Security Act reintroduced to strengthen healthcare cybersecurity standards, resilience and oversight
Health Infrastructure Security Act reintroduced to strengthen healthcare cybersecurity standards, resilience and oversight
What Does Anthropic’s Wet Lab Mean for Pharma?
Anthropic has established a wet lab in the San Francisco East Bay. In this article, experts explore what this means for scientific oversight, data ownership, and AI’s potential to transform drug discovery and rare disease research.
California falls short on Medi-Cal fraud, state report says - The Business Journal California auditor flags Medi-Cal fraud oversight concerns
California's state auditor raises concerns about Medi-Cal fraud oversight, citing millions in questionable claims and thousands of high-risk providers not under investigation.
Recent deaths of people with mental health crises prompt probe demand
Mayor Karen Bass has directed the LAPD oversight board to hire an outside auditor to look at the data and find out why. Eric Leonard reports for the NBC4 News at 5 p.m. on Thursday, Sept. 24, 2026.
Utah’s Healthcare AI Sandbox Tests Limits of Regulatory Oversight
Utah is expanding its artificial intelligence sandbox with three healthcare pilots. At the same time, regulators are developing answers to questions about
Microsoft CEO says superintelligence must remain 'under human control'
Microsoft CEO Satya Nadella said that any pursuit of superintelligence must "help humanity" while urging human oversight and broader access to AI.
Axios Live: Health leaders emphasize AI progress with human oversight
AI is already accelerating drug development and predicting disease risk, but real-world applications still require human involvement and safety considerations
Trump downplays the need to check AI development and says he doesn't want to cede edge to China
While acknowledging the need for some regulation, Trump provided no specifics about potential rules and attributed warnings about the technology moving too quickly and with little oversight to “negative forces” he did not identify.
California Gov. Gavin Newsom inks AI oversight executive order to improve safety ‘before it’s too late’
Newsom is the latest Democrat and potential White House contender to call for regulation of AI amid concerns over the rapidly advancing technology.
Medallion Acquires Andros to Expand AI-Native Credentialing Across Health Plans and Provider Organizations
/PRNewswire/ -- Medallion, the only AI-assisted credentialing and enrollment platform with expert oversight, today announced it has acquired Andros, an...
The Business Case for Responsible AI: Enabling Growth by Going Beyond Compliance
Together with CMS, the Principles for Responsible Investment (PRI), the Thomson Reuters Foundation and WBCSD members, we explored why Responsible AI governance is far more than a compliance requirement. It is a business imperative: enabling companies to deliver safe and secure AI-powered services, protect and strengthen workers’ skills and knowledge, maintain oversight of their operations
As public worries about AI grow, Newsom's political calculus is changing
In recent weeks, Newsom has signed a series of AI oversight bills and called for stronger safeguards as some of the industry's own leaders warn about the risks of increasingly powerful AI systems.
Virtual launch: New report on ethics oversight of AI-related health research
WHO will host a virtual launch of its new report, Artificial Intelligence-related Health Research: Ethics Review and Oversight, which provides practical recommendations for researchers, ethics committees, regulators, funders and policy-makers on the responsible conduct of AI-enabled health research.
Top House Oversight Democrat seeks answers about Kushner’s Israeli investment following CNN report
Rep. Robert Garcia, ranking member of the House Oversight Committee, requests investment information from Kushner’s firm, Affinity Partners
House votes to hold billionaire Leon Black in contempt of Congress over Epstein investigation
The House approved a resolution Wednesday holding billionaire Leon Black in contempt of Congress, referring the matter to the Department of Justice after he defied the Oversight Committee's subpoenas in its investigation into disgraced financier Jeffrey Epstein.
Obama Urges Democrats to Move A.I. Oversight to the Center of Their Agenda
During a private fund-raiser, the former president warned that the technology could be “dangerous” if not managed urgently and with a clear plan.
CPA Chairperson and South African Speaker highlight women's, children's and adolescents' health at 69th Commonwealth Parliamentary Conference in South Africa
Parliamentarians and health leaders from across the Commonwealth gathered at the 69th Commonwealth Parliamentary Conference in South Africa to discuss how stronger parliamentary leadership, oversight and collaboration can advance the health and well-being of women, children and adolescents. The session highlighted the need to translate commitments into measurable action, strengthen accountability for health financing and ensure policies deliver meaningful results for communities.
An Indiana psychiatric hospital chain promised reform. Allegations of abuse and neglect continued
A psychiatric hospital chain based in Indiana says a 2022 leadership change brought major improvements. But WFYI found allegations of a patient death, abuse and serious safety violations continued — while state oversight agencies rarely acted.
Committee led by Rep. James Comer seeks brain health study of naval aviators
The House Oversight Committee says the Navy isn’t doing enough to ensure it's protecting the long-term wellbeing of naval aviators.
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
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Plague is stoppable. The next health threat may not be.
The word plague is scary. Centuries ago, the Black Death killed tens of millions of people and changed the course of history. Plague still kills people around the world, and the word still evokes catastrophe. New fears of plague surfaced on October 2, when a lab worker in Irkutsk, Russia, died of pneumonia. Reports suggested that she may have contracted plague through a laboratory exposure. Understandably, people were alarmed. On October 7, the World Health Organization called for the Russian Federation to be transparent about what it knew. WHO issued an update on October 10. Russian authorities told WHO that testing did not identify plague and that investigations found no laboratory release. WHO said confidence in its risk assessment remained limited and that further clinical, epidemiological, and laboratory information was needed. The cause of the woman’s illness remains unknown, and WHO says a laboratory-associated exposure cannot be excluded. As I explained in a recent interview, this incident is very unlikely to lead to a pandemic. Plague is still active, including in the U.S., which sees a handful of cases each year. But it is a disease we can prevent and treat. Plague doesn’t spread readily, and it responds to antibiotics. The standard response—isolate the patient, trace contacts, and administer antibiotics and monitor for symptoms among contacts for seven days—works. We have even planned for antibiotic-resistant plague. At CDC, we developed a playbook for antibiotic-resistant plague and ran exercises on how to find and stop it. CDC guidance anticipates engineered resistance and recommends two different classes of antibiotics if there’s reason to suspect it. There is no evidence that resistance—or even confirmed plague—is involved in this incident. We have thought through how to address plague, but we’re not ready for the next major health threat that emerges from a lab or from animal spillover to humans. What should concern people is how little stands between the world and the next pathogen to get loose. Since peak COVID, epidemic preparedness has fallen off the political agenda, but the risk is greater than ever. More labs handle dangerous pathogens with more ways to make those pathogens deadlier, and more people live and work in close contact with animals. There are actions we can take now: We need better lab safety in every country. The number of labs that work with dangerous pathogens has increased worldwide over two decades, but there’s no enforceable international standard and no inspection regime; the Biological Weapons Convention, fifty years on, still has no verification mechanism. Labs that study dangerous germs need strong safety systems, training, and oversight. We need to reduce spillover events. Three in four emerging human infections start in animals, and there’s a lot we can do to reduce spillover risk, but the world is doing very little of it. Live-animal markets are one place to act. For instance, closing live-bird markets helped control H7N9 influenza in China. Reducing opportunities for people to encounter infected animals can prevent infections before they become outbreaks. In The Formula for Better Health, which is now out in paperback along with the hardcover, Kindle, and audiobook versions, I argue that labs do too many risky experiments with too many dangerous pathogens in too many institutions, and that every experiment should first answer one basic question: Is the likely benefit greater than the risk? Spillover risk can also be reduced: In the book, I discuss how Brazil cut its deforestation rate by 70% from 2004 to 2012 while increasing agricultural production and reducing risky contact between people and forest animals. We need faster detection and response. Delay costs lives. Strong surveillance, good labs, and trained responders can turn a single case into a small cluster of infections instead of an epidemic. Resolve to Save Lives has worked for nearly a decade to help countries find and stop outbreaks faster. The 7-1-7 target, which Resolve to Save Lives developed with partners in Uganda and elsewhere, provides a clear standard: detect within 7 days, notify within 1 day and complete all essential early response actions within 7 days. In Uganda’s Kasese district, for example, a review of a measles outbreak using 7-1-7 identified shortages of accessible funds, fuel, and vehicles that delayed the response. District leaders established funds they could access quickly. When, a few months later, the Crimean-Congo hemorrhagic fever appeared, the district detected it in three days, notified authorities in one, and mounted an effective response in two. Only one case was confirmed, and the patient survived. Because funds were available before the emergency, authorities were prepared and able to act. This kind of preparation can’t wait until the next crisis begins. Plague is an old disease we that know how to stop. The next threat may be harder to recognize, harder to treat, and easier to spread. Safer labs, less risk of spillover, and faster outbreak detection and response need sustained investment now, while we still have time to prevent the next emergency. Share
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