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High prices are testing Latino voter loyalties in a key battleground district
As the Republican president's second term reaches its halfway point, Victor Martinez says he’s sensing that voters are just as frustrated with the economy as they were two years ago.
SpaceX quarterly revenue jumps, beats estimates as AI business surges
Oct 20 (Reuters) - Elon Musk's SpaceX on Tuesday said its third-quarter revenue more than doubled, beating estimates as AI and Starlink grew, while capital spending nearly tripled as it invested in compute infrastructure, sending its shares up about 3%...
OhioHealth Earns Top Hazardous Waste Management Recognition
OhioHealth earns Clean Harbors’ Best-in-Class designation for its safe, compliant and consistent hazardous waste management practices across the system.
Haunted attraction in Kathleen adds mental health mission, with part of sales donated
As Halloween shadows lengthen across Middle Georgia, a haunted attraction in Kathleen is aiming for more than screams, turning fright into support for mental he
Former Las Vegas Councilwoman denies misusing donations during judicial discipline hearing
Michele Fiore testified that she believed a developer paid for a memorial statue honoring slain Metro officer Alyn Beck as she denied misusing donations during a Nevada judicial discipline hearing.
OhioHealth Secures 2026 Chapman Sustainability Leadership Award
OhioHealth receives the 2026 Chapman Sustainability Leadership Award for measurable progress in energy efficiency and environmental stewardship.
Who shapes climate science? The equity question facing the IPCC
Early publication of the next global climate science assessment reports risks excluding scientists and research from the Global South, which are key to ensuring the findings are fair
Planet Fitness acquires Bakersfield’s Body Xchange Health Club locations
Body Xchange Health Clubs announced that they have been acquired by Planet Fitness.The announcement was posted on their social media pages.The company said that
ARTober events aim to bring customers into downtown Chico businesses
A month-long lineup of art and community events is underway in downtown Chico, with organizers hoping it will drive foot traffic into local businesses
Midway Physics Day brings science to life for nearly 2,000 students at the State Fair
WACH WACHFox provides coverage of news, sports, weather and local events in the Columbia, South Carolina area, including Lexington, Elgin, Cayce, Chapin, Peak, Blythewood, Newberry, Camden, Mulberry, Sumter, Eastover, Aiken, and Orangeburg, SC.
Man, You’d Better Not to Break Your iPhone Duo Screen
At this point, the product is basically a walking (er, folding) advertisement for AppleCare.
Trump administration seeks to remove judge in golf course case, accusing her of ‘egregious’ behavior
The Trump administration has requested the removal of the federal judge overseeing a legal challenge to President Donald Trump’s plans to overhaul a Washington, DC public golf course, accusing her of having “bias.”
'Captaincy ends': Harmanpreet Kaur’s top five achievements as India captain
Harmanpreet Kaur has stepped down as India’s all-format captain after a landmark leadership stint. Her tenure featured India’s maiden ODI World Cup title in 2025, a record number of T20I wins as captain, four Asia Cup triumphs, the milestone of captaining 150 T20Is and a historic Test victory at Lord’s. She now returns to playing cricket.
Small business takes aim at DISA’s Enclave expansion
Competitive Range Solutions claims the Defense Information Systems Agency sat on the requirement for three years and now claims this is the only contract it can use to meet deadlines.
Tidelands Health honors babies lost to miscarriage, stillbirth during remembrance ceremony
'Stop playing politics': Ginther, Council trade barbs over $2.5M Barack Center repairs
A fight over $2.5 million in repairs to a tornado-damaged Southside community center has escalated into a public political clash between Columbus Mayor Andrew G
City of Oklahoma City, OKCPS receive grant funding for mental health services
Federal grant funding is going to help expand mental health services for children in Oklahoma City."Every student deserves to feel safe, supported, and ready t
Military Business Market brings local shopping and community together
More than 70 veteran and military spouse owned businesses from across Idaho are coming together for the Military Business Market on Saturday, October 17, from 1
No, No, No—Don't Peel the Nano-Texture Layer off the iPhone Duo's Inner Screen
Don't be the idiot who breaks their $2,000 foldable iPhone because they listened to some 'experts' on social media.
Trump awarding medals to Musk, Dell, Nadella and other tech execs at science summit
President Trump is giving awards to a number of top tech executives at a summit on Thursday.
National health organization celebrates 40 years of supporting El Paso community
National Alliance on Mental Illness El Paso has invited Borderland residents to take part in its annual NAMIWalks event.
OSU Center for Health Sciences raises more than $800K for wellness center, scholarships
Oklahoma State University Center for Health Sciences hosted its first Orange Impact event Thursday and raised more than $800,000 toward a new wellness center an
Challenging the Conventional Wisdom of Climate Politics | Princeton School of Public and International Affairs
Title“Climate Fault Lines: The New Political Economy of a Warming World” Authors“Climate Fault Lines: The New Political Economy of a Warming World” PublisherPrinceton University Press
DeWolf Foundation gives $3.5 million to support UI business students
The DeWolf Family Foundation of Cedar Rapids is giving $3.5 million to support University of Iowa business students’ well-being and career preparation.The gift
Rep. Ilhan Omar says she will move out of her Washington, DC, home after federal search
U.S. Rep. Ilhan Omar will move out of her Washington, D.C., home that federal agents searched last week, she said Wednesday, noting that attention brought on by the raid has made her feel unsafe there.
AsiaOne
Holly Madison has thrown her support behind the controversial Playmates movie.The 46-year-old beauty — who was the late Hugh Hefner's 'number one girlfriend' when they were together for seven years in the early 2000s — has shared her support for the film and its writer, Lorraine Nicholson, after the Playboy founder's third wife Crystal Harris recently called on Jessica Biel...
TSCG promotes pair to C-suite; Colliers hire chases Philadelphia business; Foundry adds World Series winner as broker
New hires, promotions and other personnel changes
Jeffries says House Democrats aiming to repeat 2018 sweep by flipping Trump districts
The Democratic Party is working to expand the map by going on offense in Republican-held districts, while President Donald Trump hits the trail in a red-state sprint to boost voter enthusiasm and shore up support from his base.
Apple’s Flirtation With Surveillance Tech Could Put Its Reputation to the Test
Will you care if Apple devices see and hear everything, so long as they don’t actually keep the video or audio?
Baptist Health chief medical officer addresses surge in storm-related emergencies
Rock Hill students run real businesses, build skills and fund scholarships
For students at Rock Hill High School, learning about the real world doesn’t always happen inside a traditional classroom.Two student-run businesses are giving
300+ Charleston builders to gather for heart health talk at Hard Hats with Heart event
Hard Hats with Heart will be hosting their annual networking celebration Tueday. They state that theCharleston construction industry leaders build healthier he
Pennsylvania Department of Health reports 5th measles-associated death in Lancaster County
A fifth measles-associated death has been reported in Pennsylvania, according to the state's Department of Health.
Brentwood business owner admits failing to pay employee taxes to IRS, prosecutors say
A Brentwood business owner pleaded guilty to failing to pay federal taxes tied to his employees' wages, a case prosecutors say involved nearly a decade of unpai
Warhammer Tone Pro: The 1-5 system
Five tones, infinite possibilities – dive into the new paints.
Lawsuit puts politics of Frederick County data centers in spotlight
Data centers have become more than a development debate in Frederick County; they are now an election issue, with voters already making their voices heard at th
University of Utah Health moves forward with plans for new Redwood Health Center
The University of Utah Health received approval to acquire 14 acres of land in Salt Lake City’s Power District for a new Redwood Health Center.The announcement
From the school store to the real world: Princeton students put business skills to work
Political debates matter if we treat them as more than theater
Despite being imperfect, debates provide an opportunity that candidates should embrace as a chance to engage honestly with voters.
How Maine voters feel about the high-stakes Senate election
The state is both fired up by this big race and exhausted by its avalanche of ads.
New renderings offer glimpse of Salt Lake's future sports, entertainment district
Smith Entertainment Group and Salt Lake leaders provided a new look at the upcoming sports, entertainment and culture district set to reimagine the space betwee
IPCC scientists vow to press on with climate reports despite political deadlock
After governments again failed to agree a timeline, nearly 120 IPCC authors pledged to complete their assessment on time and with full scientific rigour
Thieves break into Mountain Feed and Nursery in Coarsegold, steal business checks
A second-generation, family-owned business in Madera County is warning the public not to accept its checks after a break-in that left its office ransacked.Mount
South Carolina State Fair announces new attractions, food and entertainment
The South Carolina State Fair will return Oct. 15-25 with more than 60 rides, new food and entertainment options, and a new performance area at the fairgrounds.
Senate reaches bipartisan deal on permitting bill to speed approvals of new energy projects
Senators from both parties said Wednesday they have reached a bipartisan deal on legislation aimed at speeding up permitting reviews for new energy and infrastructure projects that now face yearslong delays as lawmakers seek to meet growing demand for electricity and other forms of energy.
How proposed cuts to this major national health survey could disadvantage Americans with disabilities
As many as a quarter of wheelchair users and more than a third of people who are blind or deaf could be miscategorized as not disabled because of the shorter survey, according to some advocates and researchers.
5 House districts where Republicans are looking to turn the tables as Democrats eye big midterm wins
Here's a look at places where a cash bump and prime issues might help the party hold their own on election night.
Trump endorses embattled Israeli Prime Minister Benjamin Netanyahu for reelection
Israelis are set to vote Oct. 27, in the first national elections since Hamas attacked Israel on Oct. 7, 2023.
Kimberly Guilfoyle, Trump's ambassador to Greece, resigns after allegations of improper conduct
Guilfoyle insisted she’ll “vigorously defend” herself.
Disappointing 29,000 jobs added in September as unemployment ticks up
Friday's jobs report is the last one that will come out before the Nov. 3 elections that will determine whether President Donald Trump's Republicans maintain full control of Congress.
Here's what's on House Democrats' agenda if they sweep to power in midterm elections
Democratic leader Hakeem Jeffries said Democrats will be united on reinstating Affordable Care Act tax breaks, reversing Republican Medicaid cuts, holding votes against the Iran war and undoing President Donald Trump's tariff regime.
1 injured, 1 in custody after shooting inside business in Dearborn
An individual is injured and another is in custody following a shooting inside a business in Dearborn, Michigan, Saturday evening, police said.
Kentucky warns of health insurance enrollment scams
FRANKFORT – State officials are warning Kentuckians to be on the lookout for scams that affect the annual health insurance enrollment period, which is currently underway. Many people will apply […]
Pine & Mingo business owners seek answers from city council over construction impact
The 'Holy Grail' of baseball cards is up for auction
The rare T206 Wagner card could sell for over $3 million on October 25.
Rajasthan Royals star creates history, surpasses Chris Gayle for highest T20 score
Lhuan-dre Pretorius has made T20 cricket history with his phenomenal score of 188 runs off 79 balls while playing for the Titans against the Knights. This feat breaks Chris Gayle's former record of 175 runs, showcasing Pretorius's exceptional talent as he maintained a striking rate of 237.97. His recent century for South Africa further underscores his remarkable consistency and prowess on the field.
WATCH: Trump announces $54 billion South Korean investment in Alaska natural gas pipeline
The investment marks the second time this week that the Republican president has sought to highlight the promise of foreign investment made possible by his administration's trade policy in states where Republican Senate candidates are in tight election campaigns.
Obama to campaign with El-Sayed in Detroit as ex-president gets more involved in midterms
Obama is upping involvement in the midterm election. He taped two dozen ads last week for Democratic candidates for governor and Senate that will be released in the coming days and weeks.
Democrats want a blue wave. New Hampshire is Exhibit A for why that may not happen
Five weeks before Election Day, Democratic optimism is soaring. But glaring vulnerabilities threaten to undermine the unstoppable blue wave that Democrats believe is coming. Look no further than New Hampshire, where Democratic leaders are sounding the alarm about political challenges that could jeopardize the party’s ability to win in November.
South Carolina State Fair announces new attractions, food and entertainment
The South Carolina State Fair will return Oct. 15-25 with more than 60 rides, new food and entertainment options, and a new performance area at the fairgrounds.
Editorial: Bend small business program challenged by being new
Bend’s new grant program for small businesses is a challenge for the city because it is new and because the city has to be careful when it is giving away […]
Five Things to Know About the Midterms
A few observations explain what is likely to happen on Election Day 2026 and why it matters.
In sickness and health: Husband and wife share powerful breast cancer survival stories
One local couple is making sure both women and men know the warning signs of breast cancer.
Nashville’s General Jackson Showboat to retire after decades on the Cumberland
The General Jackson Showboat will be retired after more than four decades on the Cumberland River, Opry Entertainment Group said, citing ongoing maintenance cha
National health organization celebrates 40 years of supporting El Paso community
National Alliance on Mental Illness El Paso has invited Borderland residents to take part in its annual NAMIWalks event.
Rincon tribe to close brewery, ending nearly a decade in craft beer
The Rincon Band of Luiseño Indians will close its tribally owned brewery at October’s end, citing changes and challenges in the craft beer industry.
Lombardo check rejected as evidence during Fiore hearing
A Nevada judicial discipline panel rejected Gov. Joe Lombardo’s $5,000 check as evidence in proceedings against suspended Pahrump Justice of the Peace Michele Fiore.
Candidate profile: Jennie Hill wants a thriving future for Wilsonville businesses
The Review is running profiles of all City Council candidates in Lake Oswego, West Linn and Wilsonville prior to the November election. Jennie Hill is a familiar face in Wilsonville. […]
NAMIWalks Charleston brings community together to fight mental health stigma
People gathered at Palmetto Islands County Park on Saturday for NAMIWalks Charleston, an annual event focused on raising awareness, building community and expan
New Flomaton bookstore aims to spark downtown growth amid vacant storefronts
FLOMATON, Ala. -- The town of flomaton's business landscape grew.With a population of just over 14-hundred people, it's downtown landscape is changing.Its done
Sen. Eric Schmitt confused the Hawks and Hawkeyes and the political press had a field day
The Missouri senator accused Jack Smith of perjury over an Atlanta Hawks game. Smith had actually watched Caitlin Clark play … in Maryland.
Amid drama, Clemson clarifies position on Protect College Sports Act. What to know
Despite sending a letter pushes for changes to the bill’s realignment clause, the university said it’s not trying to “derail” the PCSA.
With a congressional seat on the line, political groups race to win over undecided Colorado voters
IPCC scientists vow to press on with climate reports despite political deadlock
After governments again failed to agree a timeline, nearly 120 IPCC authors pledged to complete their assessment on time and with full scientific rigour
McWane’s quirky critters show Birmingham how curiosity keeps science alive
If you’ve ever thought the animal kingdom is all about speed, strength and sharp teeth, a new exhibit at Birmingham’s McWANE Science Center is here to (slowly)
Health officials confirm measles case in Pike County, Ohio
Health officials have confirmed a case of measles in Pike County, Ohio.The Pike County General Health District made the announcement Thursday, stating conduct c
Erik Bright Joins PMK Entertainment as EVP of content and ...
Highly-regarded veteran founded and operated boutique agency Prodigy PR.
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.
Mayor Woodfin responds after wife's business subpoenaed in Birmingham data center lawsuit
Birmingham Mayor Randall Woodfin is pushing back after his wife and her real-estate company were named in a discovery dispute tied to a lawsuit over a proposed
Texas health agency proposes eliminating children's autism program
KVII serves the Amarillo, Texas and Panhandle region with local news, sports and weather for the city and surrounding towns, including Canyon, Hereford, Borger, Pampa, Dalhart, Dumas, Childress, Perryton, Clarendon, Texas; Guymon, Oklahoma; and Clovis, Portales, Tucumcari, New Mexico.
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
Elon Musk gives $276 million to Republican groups, becomes biggest known 2026 midterm donor
Musk’s record midterm election spending comes as the Tesla and SpaceX CEO rebuilds his relationship with Trump and has business ties to the federal government.
The midterms stakes are high for these 2028 presidential prospects
As most of the political world focuses on next month's midterm elections, the shadow primary for the 2028 presidential contest is quietly playing out in public view.
In sickness and health: Husband and wife share powerful breast cancer survival stories
One local couple is making sure both women and men know the warning signs of breast cancer.