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Why this Glendale business owner is suing the U.S. government
Mario Ayala said he is trying to keep the business running, but the uncertainty and damage from the raid has taken a toll. Zach Prelutsky reports.
Musk back in the spotlight, but politics dims the awe
Despite his success in various fields, Elon Musk’s unrelenting commitment to right-wing politics has taken a toll on his public image.
Why this Glendale business owner is suing the U.S. government
Mario Ayala said he is trying to keep the business running, but the uncertainty and damage from the raid has taken a toll. Zach Prelutsky reports.
How hunger is devastating Yemen’s children
Al Jazeera travels to Yemen's displacement camps to measure the toll of malnutrition on the country's children.
You love working from home. It may be taking a toll on your mental health
It’s important to add meaningful social interactions into your day, no matter where you work, experts say.
Your daily coffee habit could be taking a toll on your bones, new study suggests
A Flinders University study links high coffee consumption to lower bone density in postmenopausal women, while tea's catechins may promote bone health.
Health Department launches hotline for pregnancy, prenatal care
The Arkansas Department of Health has launched the Claim Your Care Hotline to help women connect with pregnancy testing, prenatal care, and other services. The toll-free number, 1-844-808-2340, is available...
Vancouver’s Main Street reopens after $26M makeover
The Southwest Washington city celebrates the reopening of Main Street after a nearly two-year redevelopment. The project, first envisioned in the 1990s, took a toll on businesses along the corridor.
The Breakdown: Ravens’ Home Victory Takes Heavy Toll on Health
The mounting injuries will test the Ravens’ next-man-up mentality. The Ravens need to clean up penalties and more but won’t apologize for winning.
How a Minneapolis clinic helped bring healthcare to patients during Operation Metro Surge
Operation Metro Surge took a toll on schools, businesses, restaurants and medical care. Inspire Change Clinic in south Minneapolis responded by changing how it delivered care.
AI Demands Are Taking A Toll On Business Leaders, Says Psychologist
The race to keep pace with AI is testing executives’ resilience, forcing them to rethink how they manage expectations, uncertainty, and their own well-being.
Dignity Health nurse navigator, breast cancer survivor shares advice for women with cancer diagnoses
A breast cancer diagnosis can bring uncertainty and questions about what comes next, but patients don’t have to navigate that journey alone. Tana Toll, a breast cancer survivor and nurse navigator with Dignity Health, joined KCRA 3 to talk about resources that are available.
Remove the blinders about ‘office housework’
Research highlights the invisible labor and emotional toll women in virginia workplaces endure, affecting their time and career advancement.
Health Department launches hotline for pregnancy, prenatal care
The Arkansas Department of Health has launched the Claim Your Care Hotline to help women connect with pregnancy testing, prenatal care, and other services. The toll-free number, 1-844-808-2340, is available...
Tolland warns potential adult entertainment purveyors to follow the laws
TOLLAND, Conn. (WTNH) — The Tolland Town Manager has issued a warning for anyone wanting to reopen an adult entertainment business in the town — follow the laws or they will shut you down. First, i…
25 Years After 9/11, the Health Toll Is Still Unfolding
The toxic dust cloud unleashed by the collapse of the Twin Towers was “really hellish,” said a doctor who has treated New Yorkers who were exposed after the terrorist attacks.
The Science And Lingering Human Toll Of A Recent Midwest Derecho
Two weeks later, many communities in the Midwest are without power. An expert explains the science and human toll of a late-summer derecho.
Money problems may age your brain faster
Persistent financial hardship in early and middle adulthood was linked to poorer thinking skills by the 50s and more signs of brain aging later in life. Researchers say years of chronic stress and financial worry may gradually take a toll on the brain.
Congo’s Ebola outbreak leaves grieving families struggling with fear and stigma
The Ebola outbreak in eastern Congo is taking a psychological toll on families dealing with loss, fear and stigma.
Florida confirms a death from dengue as the state struggles with one of its worst recent outbreaks
Florida is experiencing one of its worst surges of dengue fever in decades, and the toll now includes a death. The Florida Department of Health confirmed the death Friday, though it didn't provide fu...
Far western, eastern N.C. issues overshadowed by campaign ads
From Helene recovery to ferry tolls, Tim Boyum tackles some very local issues impacting North Carolinians in the far western and eastern part of the state.
The bell tolls for the Academy of Natural Science's museum
Philly is losing a nearly 200-year-old institution and one of the premier museums along the Benjamin Franklin Parkway.
Boston Red Sox Rookie Lefty Continues to Make Franchise History
Payton Tolle’s incredible rookie season rolls on as he dominates the Baltimore Orioles en route to a sweep.
Rock star says homophobia took toll after coming out following 14-year marriage
Caleb Shomo said homophobic backlash after he came out left him struggling to perform and drove him offline.
The Silent Crisis: Suicide Among Native Americans Reflects Global Mental Health Emergency
Overview: World Suicide Prevention Day, observed annually on September 10, highlights the global toll of suicide while drawing attention to the disproportionately high rates experienced by American Indian and Alaska Native people. AI/AN communities face the highest suicide rates of any racial or ethnic group in the United States, with particularly alarming rates among males, […]
"This is super, super heavy" - Experts test Nvidia's divisive graphics-altering DLSS 5 tech and find it really does tank your game's frame-rate
Nvidia's new game-altering DLSS 5 technology takes a serious toll on a game's frame-rate, experts declare. So is it worth it?
LA residents are feeling the heat as urban oil fields take a toll on health and air quality
Many lifelong residents of Los Angeles have health impacts from growing up so close to oil extraction. Now, the city is trying to close down the worst offenders, but it's an enormous task.
Three years after October 7, Israeli reservists are still fighting to save their businesses
Hundreds of days in uniform have left self-employed reservists struggling with lost clients, stalled projects and businesses that can be difficult to restart. Three business owners describe the financial and personal toll of repeatedly leaving work to serve, and the support helping them prepare for the next call-up.
Payton Tolle Is The Right Choice To Face The Yankees
Red Sox manager Chad Tracy revealed the Wild Card rotation, and putting rookie Payton Tolle in Game 1 is a bold, winning move against the New York Yankees.
Google Home just became a power user’s paradise
Google Home MCP opens the smart home to every AI agent; Android 17 QPR1 and One UI 9 land the same week; Trash: the 39 toll booth for your light bulbs.
Katherine Forster Named to Los Angeles Business Journal’s 2026 Leaders of Influence: Labor & Employment Attorneys List
Munger, Tolles & Olson partner Katherine Forster has been named to the Los Angeles Business Journal’s 2026 Leaders of Influence: Labor & Employment
Leader: Enemy’s Hoped-for Past Will Never Return
TEHRAN (Tasnim) – Leader of the Islamic Revolution Ayatollah Seyed Mojtaba Hosseini Khamenei said the era Iran’s enemies seek to restore has ended forever, stressing that Iran has moved from dependence and humiliation to independence, strength and a prominent position in the Islamic world.
As Ebola spreads in Congo, grieving families face a growing mental health toll
The Ebola outbreak in eastern Congo is taking a psychological toll on families dealing with loss, fear and stigma
Detained Tunisian flotilla activists: Worsening health amid family anguish
As activists’ health deteriorates, families describe the toll of separation, hunger strikes and uncertainty.
Datameds, AI., and Tollo Health Partner with the NFL Alumni Association for Health Lives Here National Campaign Rollout
Stock Titan provides an ultra-fast stock market news feed and multiple tools for traders and investors.
Health Department launches hotline for pregnancy, prenatal care
The Arkansas Department of Health has launched the Claim Your Care Hotline to help women connect with pregnancy testing, prenatal care, and other services. The toll-free number, 1-844-808-2340, is available...
AG’s office says it lacks authority to investigate Choice Lanes contract
Following top state Dem’s questions over toll lane procurement process, Skrmetti’s office claims it has no jurisdiction
War’s Hidden Mental Health Toll on Children with Disabilities
As armed conflicts proliferate around the globe, World Mental Health Day is a reminder that the psychological toll stemming from hostilities result in mental health harms that have lasting effects on people’s lives. Insecurity, trauma, anxiety, and confusion are the norm for many who have endured armed conflict.
Boil-water advisory takes toll on Wichita businesses, forcing closures & shortages
While some businesses felt the rush, others sat empty.
The lasting health toll of 9/11, 25 years later
The lasting health toll of 9/11, 25 years later
Dementia is taking a toll on Sept. 11 responders. A federal health program doesn’t cover it.
Doctors and scientists are pushing to get dementia added to a list of medical conditions connected to Sept. 11.
Women's Health Care Affordability Challenges
As health care costs dominate the national political conversation, our 2026 KFF Women’s Health Survey shows the toll those costs are taking on women. Our new nationally representative survey of women and men ages 18–64 finds costs remain a major barrier for women, specifically — causing everything from delayed care to rationed medications to cuts in spending on basic needs.
Measuring the toll of extreme heat on workers’ health | Harvard T.H. Chan School of Public Health
Researchers are working to quantify the impact of working in extreme heat and humidity in order to help identify interventions that make a difference.
KTAG expands service areas again
As of Sept. 1, KTAG is now compatible with additional agencies through a nationwide interoperability effort, expanding access to even more toll roads across the country. KTAG works with 19
Cancer’s toll on 9/11 survivors is accelerating 25 years later
The number of victims receiving aid has tripled in recent years, a Post analysis finds, as the illness’s toll becomes more apparent.
Red Sox News & Links: Payton Tolle enters Pedro territory
This is me ducking a lightening bolt.
Congo’s Ebola outbreak records one of its highest weekly death tolls yet
More than 300 people have died of Ebola in eastern Congo in the past week, according to government data.
An Israeli documentary on the war in Gaza sets off a firestorm at home after Venice award
An Israeli documentary about the civilian death toll from the war in Gaza has sparked a fierce backlash in Israel after being awarded the special jury prize at the Venice International Film Festival.
Wellston firefighter's death highlights toll of wildland firefighting, gaps in health monitoring
A retired truck driver with just four months on the job with the Wellston Fire Department died while trying to protect his community from a wildfire.
Editorial: Dave McCormick dreams of strengthening science, but Trump is researchers’ worst nightmare
In a recently published op-ed extolling the lifesaving virtues of federally funded research at institutions such as Children’s Hospital of Philadelphia, Sen. Dave McCormick called for doubling funding for the National Institutes of Health.
Trump's targeting of Haitian immigrants takes toll on US healthcare system
Like many Haitian healthcare workers in the United States, Rachelle has been forced into hiding by US President Donald Trump's anti-immigrant policies.In Florida, home to a large chunk of the Haitian ...
Comptoller DiNapoli fends off attacks from challenger Hernandez in NY1 debate
Republican challenger Joseph Hernandez assailed incumbent Tom DiNapoli's record and ethics.
Brandon McGinley: The politics of Josh Shapiro's transformation on data centers
The only two times I’ve seen Gov. Josh Shapiro in the flesh, he was extolling AI and data centers as critical to Pennsylvania’s — and...
Hawaiian business owner and resident describes challenges this season as Hurricane Nolo approaches
Brandon Lee, a local business owner, joins us to share firsthand how hurricane season is taking a toll on the Big Island.
An Ebola treatment center was burned down as the death toll in Congo passes 4,000
Congo's Ebola outbreak has killed more than 4,000 people, authorities said, as they struggle to contain what has become the fastest-growing Ebola outbreak in history.
In Scotland, NASA Scientists Search for Clues About Mars’ Past
NASA's Goddard Instrument Field Team hauled equipment up and down the cliffs of Scotland's Clachtoll region on a quest to better understand Earth – and Mars.
Most Major Carbon Emitters Barely Mention Health In Their Climate Plans
Low- and middle-income countries that contribute little to global warming have done the most to plan for its toll on health, while the major economies behind
Leavenworth businesses see lingering impacts from wildfire smoke
Wildfire smoke still lingers in the air in Leavenworth, and though conditions have improved from unhealthy levels earlier this month, it's still taking a toll.
Immigration activity is taking a toll on children’s health, doctors say
Many healthcare providers report that since January 2025, they’ve seen a surge in missed pediatric appointments, delayed preventive care, and sick or injured kids going without treatment. Immigration and Customs Enforcement arrests have continued to climb — with a record 51,000 arrests in July — and experts predict continued unhealthy outcomes among children, causing collateral damage that could extend for years.
America’s biggest measles outbreaks have very different death tolls. Why?
Outbreaks in Pennsylvania, South Carolina, Utah, and West Texas have produced dramatically different numbers of deaths.
Shobeiri Zanjani: The quiet ayatollah who bridged Iran’s political divide
Grand Ayatollah Mousa Shobeiri Zanjani passed away on 20 September at the age of 98
DR Congo rolls out Ebola vaccine for health workers as death toll rises
50,000 frontline staff to receive a jab for a different Ebola strain, with 20,000 enrolled in a one-year clinical trial.
As Rochester builds Destination Medical Center, some businesses say they're falling off the map
The construction of Rochester’s new rapid bus transit line is taking a toll on many businesses. Some have closed, and many of the remaining shops and restaurants say they are just barely hanging on.
How the record setting heat is impacting business on King Street
Sweltering temperatures are taking a toll on foot traffic along downtown Charleston’s King Street, with business owners and shoppers saying the summer heat
Why this Glendale business owner is suing the U.S. government
Mario Ayala said he is trying to keep the business running, but the uncertainty and damage from the raid has taken a toll. Zach Prelutsky reports.
DR Congo rolls out Ebola vaccine for health workers as death toll rises
50,000 frontline staff to receive a jab for a different Ebola strain, with 20,000 enrolled in a one-year clinical trial.
A sea cucumber venture in Zanzibar seeks to balance business and conservation
PEMBA, Tanzania — Like many coastal communities across East Africa, the residents of Shamiani have grown accustomed to watching the sea yield less and less. Warming waters, degraded marine habitats and decades of fishing pressure have all taken a toll on the resources that once sustained local livelihoods, according to community members. On Tanzania’s Pemba […]
Congo’s Ebola outbreak leaves grieving families struggling with fear and stigma
The Ebola outbreak in eastern Congo is taking a psychological toll on families dealing with loss, fear and stigma
Immigration activity taking toll on children’s health, doctors say
In Minnesota, an elementary school child has gone without surgery to treat a rare, life-threatening neck infection that isn't responding to antibiotics.
Influencer pleads guilty to criminal impersonation for viral pranks at Arizona businesses
An influencer known for prank videos pleaded guilty to posing as an employee during chaotic business takeovers in Tempe, Arizona.
Concern at Barcelona over Raphinha: 35,000 kilometres this break
FC Barcelona heads into this international break deeply concerned about the physical toll awaiting Raphinha. The Blaugrana winger will cover around 35,000 kilometers to fulfill his commitments with th...
How UGA Reaches Beyond Campus to Support Farmers’ Mental Health
UGA Cooperative Extension is helping Georgia farmers navigate mental health challenges through education, prevention and trusted relationships as financial pressures, unpredictable weather and the demands of farming take a toll.
Immigration crackdown continues to hurt Sunnyside businesses
The Trump administration’s immigration crackdown continues to take an indirect toll on Latino-owned businesses in Sunnyside.
CDC updates measles toll, now counts 2 deaths
The updated tally comes after Pennsylvania reported four measles-associated deaths in 2026 in a growing outbreak.
Giant tortoises now outnumber people in the Seychelles
About 183,000 individual Aldabra giant tortoises are living on the African atoll, after their numbers dwindled to only 1,000.
Health Toll of WTC Attacks Still Unfolding 25 Years Later
Overview: Nearly 3,000 people died from the attack on the World Trade Center. But the lingering physical and mental health effects have reached far beyond that number. As the nation commemorates the 25th anniversary of the Sept. 11, 2001, attack on the World Trade Center’s twin towers, the health fallout from the attack still affects […]
Your Mental Health: Simone Biles opens up about skin condition
The itching, visible symptoms and uncertainty can take a toll on sleep, confidence and mental health.
Trump names pastor as tobacco health adviser at CDC
… Tobacco-related disease has taken an enormous toll on American Families…”
Vance talks 2028, Ted Cruz and a tough midterm climate that could factor into his future
In an interview with NBC News, Vance said he is cautiously optimistic that Republicans’ numbers are improving even as concerns about the war and gas prices take a political toll.
Two Scientists Killed in Russian Strike on Ukraine’s National Academy of Sciences
The death toll from a Russian strike on the National Academy of Sciences in Kyiv has risen to two scientists, with several colleagues still missing,
Columbus Day weekend brought in high traffic, strong business
Toll data showed this year's Columbus Day weekend had the highest number of cars on the road in the past five years.
Iran's Supreme Leader Khamenei has no 'specific' health issues: President
Masoud Pezeshkian said despite US claims senior cleric was injured, he has held 2 meetings with Ayatollah Mojtaba Khamenei, and calls him 'completely healthy' | Anadolu
Why this Glendale business owner is suing the U.S. government
Mario Ayala said he is trying to keep the business running, but the uncertainty and damage from the raid has taken a toll. Zach Prelutsky reports.
French Business Activity Unexpectedly Weakens as Heat Takes Toll
France’s private sector unexpectedly weakened this month as extreme summer temperatures took a toll on the services sector.
Ebola death toll in DRC passes 4,000, as health workers are fighting to get paid
8,300 cases have been recorded since the outbreak was declared in eastern Congo on May 15.
Glendale business owner sues federal government over 2025 raid
Mario Ayala said he is trying to keep the business running, but the uncertainty and damage from the raid has taken a toll.
Red Sox made questionable Payton Tolle decision vs. Yankees
The Red Sox may regret this decision.
Hardwood Hardship: Kentucky's lumber industry looks for relief
Shrinking exports, man-made wood alternatives and soaring diesel fuel costs are taking a toll on the hardwood lumber industry.
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
Immaculate Tolle and the Sox roll the Royals 4-1
We need to see Payton Tolle on the Fenway mound this October. We NEED to see it. Tolle is forging a real connection with the fans the stands at Fenway. It’s not just the hugs. It’s not just the strikeouts. It’s everything. It’s the way he bounces onto the mound to start each inning. It’s […]
Common bedroom mistake could be quietly taking a toll on your health, experts say
A Tulane University study links sleeping with light on to higher risks of heart failure, atrial fibrillation, stroke and cardiovascular death.
Venice Film Festival adds Gaza doc ‘NAZA' to competition lineup
The Venice Film Festival has added a new documentary about the civilian toll of the Israel-Hamas war to its lineup. Festival organizers say “NAZA,” directed by Yuval Abraham and Rachel
Sudan’s conflict worsening, UN political and peacebuilding chief warns
On 24 August, the Security Council held a briefing on Sudan at the request by Denmark to discuss the protection of civilians and the humanitarian consequences of the ongoing conflict. “The consequences of this conflict will be long-lasting and should shock us all,” said Rosemary DiCarlo, Under-Secretary-General for Political and Peacebuilding Affairs.Civilians face one of the worst humanitarian crises, she said, as they deal with frequent drone attacks against markets, schools, fuel stations and water infrastructure, and the rainy season. Some 13 million people have fled their homes, but access challenges have made it impossible to confirm the true death toll, "it is likely to be in the hundreds of thousands", she said. “Brutal mass killings and atrocities, abductions of women and girls and mass rapes are recurring patterns,” she warned.In North Kordofan, drone attacks continue as both parties compete for control of strategically important towns, she said, reiterating deep concern at the imminent risk of large-scale atrocities by the Rapid Support Forces in and around El abdede. Drone strikes near Tina, on Sudan’s border with Chad, where the refugee influx has intensified pressure on already scarce land, have led to violent disputes over resources. Plus numerous armed movements are pursuing their own territorial and political interests. The UN continues to support efforts of the QUAD - United States, Saudi Arabia, Egypt, United Arab Emirates – for a humanitarian truce. And it is working with the Quintet partners, the African Union, the Intergovernmental Authority on Development (IGAD), the League of Arab States, and the European Union to help advance a viable political path. “Our goal is to build confidence in the political path and pave the way for an inclusive Sudanese-led dialogue for a shared vision for the country’s future,” she said. Sudanese authorities have also bolstered efforts to support civilian dialogue. “Their desire for an inclusive and durable peace is clear,” she said. Both parties must now make concrete commitments on releasing of prisioners, particularly vulnerable groups such as women and children. “The Personal Envoy will travel to Sudan shortly to advance these conversations," she said.
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