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Vance's fraud crackdown may raise costs for US health insurers, enrollees
A crackdown on Obamacare health insurance could raise prices for US consumers and insurers by removing healthy, low-cost enrollees, adding pressure to a shrinking marketplace.
Report shows $1B Maine budget gap
The report comes as Republicans and Democrats battle for control of the Legislature and governor’s mansion.
National Democrats target Eastern WA House race as ‘in play’
National Democrats see Washington's 5th Congressional District as an opportunity to flip a seat in the midterms in its pursuit of House control.
Tom Cruise's latest risky business
Tom Cruise doesn't play things safe. Yes, obviously, I'm referring to him hanging off assorted aircraft and other insane things he does in his cinematic stunt-o-ramas.
Tom Cruise's latest risky business
Tom Cruise doesn't play things safe. Yes, obviously, I'm referring to him hanging off assorted aircraft and other insane things he does in his cinematic stunt-o-ramas. But in his 45-year history in Hollywood, Cruise has done a lot of different roles and navigated through various reinventions.
Maryland Democrats should reject gerrymandering and set a national precedent
Marylanders have a chance in November to turn the tide against one of the worst tactics in American politics.
Is science journalism dying? Comparing a 'science crash' 40 years ago to today
In science media, many efforts fail. They always have.
Karl-Anthony Towns Opens Up About Near-Trade to Bucks
Karl-Anthony Towns played a pivotal role in the New York Knicks' championship run. So much so that it's crazy to think that he could've not been there for it.
Californians are in a sour mood but don't want to change the political status quo
Californians are dissatisfied with the present and sour on the future, but the Democratic Party can expect to maintain its hegemony.
Democrats expand battleground for House, reaching into bloodred districts
The additions include Kansas’s 2nd, Michigan’s 1st, North Carolina’s 13th, New Jersey’s 2nd, Oklahoma’s 5th, Texas’s 9th, Virginia’s 6th and Washington’s 5th.
Is James Talarico about to flip Texas for the Democrats?
Jonathan Freedland speaks to James Henson, founder and executive director of the Texas Politics Project, about why a blue wave in the Lone Star state would be seismic
Crain’s event: UChicago president talks Chicago’s research-to-business challenge
The program is part of Crain’s Most Innovative Companies event, which will celebrate Chicago businesses that are using technology, strategy and new approaches to gain a competitive edge.
Congressional District 4
Republican Lauren Boebert and Democrat Eileen Laubacher are competing in Colorado's 4th Congressional District. Read where the candidates stand on healthcare, immigration, affordability and rural communities.
The Democratic Playbook for Investigating Trump
Congressional oversight committees are quietly preparing for next year.
Cambodia: Imprisonment of Activists, Politicians, and Journalists Amid Unrelenting Crackdown
Human Rights Watch thanks the Special Rapporteur for his report, which describes the deteriorating situation for civil society and the political opposition amid an unrelenting crackdown on freedom of expression.
Was long-awaited win a turning point for Craig Bellamy?
Has the impressive 2-1 victory over Norway changed the mood music for Wales and restored fans confidence in head coach Craig Bellamy?
Could FSU's traditional athletics director job be split into three?
Florida State's ongoing athletics leadership turmoil is about far more than hiring the next athletics director.
Are Democrats Worried About the Wrong Rich People?
As billionaires become a popular political target, a new book urges Washington not to lose sight of a much larger, and quieter, group of wealthy business owners.
With a steel mill and campaign cash, Trump and GOP leaders launch an Iowa rescue mission
Republicans are on a rescue mission in Iowa, touting new plans for a $15 billion steel mill as President Donald Trump and the state’s GOP leaders rush to blunt the political impact of a battered economy and prevent the governor’s office, a Senate seat and three House seats from slipping into Democratic hands in November.
Mike Mazzei, Cyndi Munson face off in gubernatorial debate ahead of midterm election
OETA aired a pre-taped debate between the Republican and Democratic candidates for governor on Thursday.
Ford recalls more than 40,000 trucks and SUVs over visibility risk
Ford is recalling more than 40,000 vehicles due to a headlight issue that could reduce the driver's visibility and increase the risk of a crash.
S.F. House candidates spar over housing, AI in Chronicle-KQED debate
On most issues, the two Democrats vying to replace Speaker Emerita Nancy Pelosi articulated similar policy stances.
With a new breed of candidate, Democrats are challenging in states they usually lose
President Donald Trump’s flagging popularity isn’t the only problem Republicans face this fall.
Scientists Invent Underwater Umbrellas to Protect Coral Reefs—and It Appears to Be Working
The world's coral reefs are in crisis, but a crafty solution could help.
Enjoy Appalachian food favorites at the Valle Country Fair
VALLE CRUCIS — When outdoor festival season rolls around, one question inevitably comes up: “How many fair goodies shall we allow ourselves to consume?” At the Valle Country Fair, there’s
Needlepoint shops see surge as Gen Z seeks creative escape
Crafts like knitting and quilting used to be pastimes for gray-haired ladies wiling away the hours, crocheting sweaters for grandchildren or embroidering lacy handkerchiefs. But today, traditional “Granny Crafts” are
Business in Northern Kentucky badly damaged after car crashes into it
A business in Northern Kentucky was severely damaged after a car crashed into it on Thursday.
Homan defends ICE crackdown amid growing GOP criticism: "Give me an example of where we went too far"
Voter ID proponents say California Democrats lying about Trump support
Republicans respond after gubernatorial candidate Xavier Becerra said during a debate Wednesday that President Trump put Proposition 39 on the ballot.
Boston Mayor Wu endorses Gov. Maura Healey after past snub
BOSTON — Boston Mayor Michelle Wu endorsed Gov. Maura Healey after hedging just a few months ago on whether she would back the Democratic governor’s bid for a second term.
Black Democratic candidates talk politics during first Blue Porch Brunch
Several local Black Democratic candidates, from municipal to federal, gathered on the front porch of a house on Chester Street on Thursday morning to talk politics and the coming election.
NASA SmallSats Launch to Advance Science, Technology, Orbital Operations
Three NASA-supported small spacecraft launched at 11:22 a.m. PDT Thursday to demonstrate new propulsion technologies, study how galactic dust and high-energy radiation move through galaxies, and advance capabilities for inspecting inactive satellites.
DiLorenzo attack ad brands rival as 'Silver Spoon Shaheen'
Republican Anthony DiLorenzo’s first attack ad calls Democratic rival Stefany Shaheen “Silver Spoon Shaheen,” escalating the race to succeed Rep. Chris Pappas.
Gears Of War Devs Explain Missing Features: 'We Started E-Day With An Empty Hard Drive Building Our Entire Gameplay Sandbox From Scratch'
Meat shields and private lobbies aren't currently in the game
Trump says planning midterm convention during NFL opener was ‘stupid’
President Donald Trump acknowledged that scheduling the Republican National Committee’s midterm convention during the NFL’s opening game of the 2026 season was not the best idea. The president sat down with Time magazine for an interview this week and was asked about the possibility of Democrats taking control of Congress in the midterm elections. He […]
Ten bucks says you’ll love this community science project
Today marks the first day of Rut Watch 2026 With another season of Deer Spy in the books thanks to community scientists like you, biologists are now on a mission to pinpoint the peak of the white-tailed deer breeding season in Maine. Every observation of deer breeding behavior and sign helps define the timing of the rut, and this project uses the power of community science to collect deer data all fall long. Hunters, hikers, and wildlife watchers - Rut Watch pairs well with any outdoor adventure you have planned this season. It’s a perfect excuse to slow down and connect with nature as you look for clues. So get outside, rack up that deer data and submit rut reports from now through December 1. The online form is science made simple: Location Date and time Breeding behavior observed Submit a Rut Report What to watch for Active Breeding The most obvious breeding behavior to observe is a buck mounting a doe, but that is a rare sight as it only lasts a moment. You are more likely to witness a buck “tending” a doe, following closely, chasing, nuzzling, or pawing at her rump until she is receptive. Sparring After bucks shed their velvet, sparring helps sort out who is who in the dominance hierarchy. Early season matches are often less intense than later season matches between similar sized bucks. Most sparring is complete by the time breeding begins. Rubs Don’t just look for deer, pay attention to the trees. Rubs are marks made by bucks when they rub their antlers on trees, removing bark and leaving their scent calling card in the process. Scrapes Look to the forest floor for this sign of breeding season behavior. Scrapes consist of two parts - a licking branch, and a patch of cleared earth. Bucks break a low branch around head height, then paw at the leaves below to expose the dirt. Covered in scent, a scrape tells does and other bucks, “I’m here!” Learn More More information What’s next for deer community science: Northern Maine Wintering Deer Survey Other active community science projects: Fish Tag Reporting Maine Golden Eagle Study Maine Amphibian & Reptile Atlas Project Maine Deer Management: Maine’s Big Game Management Plan Game Species Conservation & Management Report The Benefits of Hunting: Supporting Wildlife, Conservation, and Community Subscribe Share Leave a comment
Can Donalds convince Black voters to leave the Democratic Party, like he did?
Byron Donalds, the Republican nominee for governor is hoping to capitalize on Black voters’ frustration with the Democratic Party.
The Top Governors' Races to Watch This November
Republicans are on the defensive going into the 2026 midterms, when 36 gubernatorial seats are up for grabs. But it’s not all smooth sailing for Democrats.
The first early vote numbers are in—and there are reasons for Democrats to feel bullish
Another Independence hotel sells, fetching $10.4 million
The hotel appears to have sold without a listing and is at least the third hotel in Independence to sell this year.
How Mainers are weighing the pay-to-play allegation involving Susan Collins
Tom McShane of Windham will likely split his ticket in November. He likes a Republican candidate running for his legislative district but plans to vote for Democrat Troy Jackson for Senate, although reluctantly since his first choice dropped out. His choice in the Senate race is irrespective of the recent corruption allegations against incumbent Republican […]
Toyota opens $50M+ EV battery lab at its R&D center near Ann Arbor
Toyota opened a new electric vehicle battery lab in Saline Township despite the national pullback from electrification.
10 Democrat-held House seats Republicans could flip to save their majority
President Donald Trump's margins in redrawn districts fuel Republican hopes of flipping 10 Democratic House seats in the battle for Congress.
Prediction markets are going mainstream. What does that mean for public health and democracy?
Prediction markets are becoming mainstream, bringing gambling risks and a novel source of political information to public life.
Ash Center for Democratic Governance and Innovation announces Sports, Democracy, and Civic Health Initiative
The Reimagining Democracy Program at Harvard Kennedy School’s Ash Center for Democratic Governance and Innovation has announced an expanded initiative examining how professional sports and fandom can strengthen civic health and democratic life in the United States. Led by Tova Wang, Director of Research Projects in Democratic Practice at the Ash Center, the Sports, Democracy and Civic Health program brings together scholars, election officials, democracy advocates, professional sports organizations, leagues, athletes, and civic organizations. The initiative will explore how the shared identity and sense of belonging fostered by sports can build trust, reduce polarization, encourage civic participation, and strengthen connections across differences.
Ash Center for Democratic Governance and Innovation announces Sports, Democracy, and Civic Health Initiative
The Reimagining Democracy Program at Harvard Kennedy School’s Ash Center for Democratic Governance and Innovation has announced an expanded initiative examining how professional sports and fandom can strengthen civic health and democratic life in the United States. Led by Tova Wang, Director of Research Projects in Democratic Practice at the Ash Center, the Sports, Democracy and Civic Health program brings together scholars, election officials, democracy advocates, professional sports organizations, leagues, athletes, and civic organizations. The initiative will explore how the shared identity and sense of belonging fostered by sports can build trust, reduce polarization, encourage civic participation, and strengthen connections across differences.
'This is what happened with Claude and me': AI's failed attempt to crack the Riemann hypothesis led mathematician to a breakthrough
An attempt by Anthropic's Claude failed to prove the Riemann hypothesis, but it did produce something genuinely useful: inspiration.
N.C.'s only open House race is a toss-up
Jennifer Balkcom is a former Democrat who said she first voted for a Republican in 2016. Jamie Ager is the Democratic candidate and is the CEO of a sustainable meat family farm in Fairview.
Blizzard Cracks Down on Gold Selling in World of Warcraft Forever — and Streamers Are in the Firing Line
World of Warcraft: Classic has had a gold selling problem for its entire existence, but with Forever, Blizzard seems hard-set on reversing that trend, and some streamers are getting caught in the act.
Pilot crashed and died after mental health battle
Investigators say Peter Beeson's poor mental health make it "likely" he crashed on purpose.
Business pioneer Steve Krenzer to deliver fall 2026 Orser lecture Oct. 5 at Montana State
Krenzer will speak on Monday, Oct. 5, at 5 p.m. in the Strand Union Building’s Procrastinator Theater.
How Washington Funded the Politicization of Science
Over the last half-decade, the National Science Foundation (NSF) has spent hundreds of millions of dollars on projects designed to influence academic policies, both in the sciences and other disciplines. The aim was to foster a progressive conception of social justice in these fields. In pursuit of this end, the foundation earmarked nearly a million dollars for a project titled “Creating Inclusive Scientific Societies through Policies and Practices,” over a million for a project on “Faculty Online Learning Communities for Gender Equity,” and over $2 million to foster “racial equity focused departmental change.” Through a public records request, I’ve obtained the proposals and progress reports for dozens of NSF grants designed to promote social justice. Although funding for these grants was eventually halted by the Trump administration, the projects illustrate an important facet of recent higher-education policy. Many of the university policies that promised “social transformation” didn’t arise in a vacuum. They were actively encouraged by outside funders—often by the federal government itself. Subscribe Accreditation—the peer-review process which enables universities to receive federal grants and student loans—has recently become a policy battleground, with accreditors wielding significant power over both universities and academic disciplines. In 2020, when Oregon Health and Science University’s medical school issued an extensive diversity action plan—which promised “consequences” for employees who failed to support “DEI, anti-racism and social justice”—it specifically pointed to the Liaison Committee on Medical Education (LCME), the medical-school accrediting body, to justify the overhaul. The NSF actively promoted DEI-focused accreditation policies. The proposal for a $1.2 million program on promoting “community engagement” in STEM, which I obtained through a records request, notes that the Accreditation Board for Engineering and Technology was exploring changes to its criteria “that would incorporate JEDI [justice, equity, diversity, and inclusion].” The proposal promised to “support broader JEDI efforts in the general criteria for engineering.” Another grant funded a conference designed to “identify and share best practices and strategies to integrate IDEA principles in accreditation criteria”—referring to an acronym that stands for “inclusion, diversity, equity, and accessibility.” Scholarly societies have become another flashpoint in debates over higher education. Critics argue that many of these societies, which have the power to shape entire disciplines, have become increasingly politicized. Again, through its giving, the NSF played a role in promoting this politicization. In one million-dollar grant that received funding in 2024, a group of psychologists proposed a series of social-justice reforms to the Society for the Psychological Study of Social Issues. The proposal, which I obtained via a records request, asserts that “[r]edistributing resources (such as moving different people into leadership roles) is not enough” and that the society’s “governance structures do not yet reflect its stated values of diversity, equity, and inclusion.” Its solution: review and rework the society’s criteria for leadership development, academic awards, conferences, and publications. Adjusting review criteria informed by “intersectionality” designed to fight “epistemic exclusion” is an easy way to introduce de facto ideological litmus tests into the peer-review process. For many of the grants I obtained, such litmus tests seem to be the point. “Academic departments are racialized social systems that produce and sustain the byproducts of systemic racism,” a proposal for a $2.7 million project funded in 2024 asserts, promising to develop “departmentally-focused change efforts that cultivate values, assumptions, and behaviors that advance racial equity.” The University of Illinois Urbana Champaign’s million-dollar “I-ADVANCE” project, which effectively created a small DEI bureaucracy on campus, promised to Embed 28 ADVANCE faculty fellows in STEM departments” to amplify its equity goals. Another $1.2 million project promised to create “faculty online learning communities,” made up of scientists at universities around the country, that would eventually build department-level diversity action plans. “Ultimately,” the proposal asserts, perhaps more perceptively than its authors realized, “both organizational change and intersectionality frameworks deal with power.” Indeed, such grants confer a great deal of power to administrators and scholar-activists, who can even use the mere availability of funding as a tool to advance their causes. That history is worth remembering amid today’s debate over federal involvement in higher education: Washington has been shaping university priorities for years, including by financing efforts to instill progressive ideas about race, gender, and equity into academic institutions—and many of the policies those grants encouraged remain embedded within universities long after the federal money has stopped flowing. John D. Sailer is the director of higher education policy and a senior fellow at Manhattan Institute. Share
‘Survivor 51’ star Ana Sani had unaired ‘crashout’ after popcorn-gate
‘Survivor 51’ star Ana Sani had unaired ‘crashout’ after popcorn-gate: ‘Thankfully, they didn’t show that, but I lost my mind.’
Valve's Poker Face Around the Steam Deck 2 Is Finally Starting to Crack
Valve’s next-gen handheld could run the ‘Gainsborough’ chip, and only nerds will understand the significance.
Phillies Talk: Phillies force decisive Game 3 after CRAZY win in Game 2
Coming off a WILD win in Game 2 against the Braves, Sean Kane and Spencer McKercher break down the win and look ahead to a decisive Game 3.
Candidates keep Iowa’s 4th District debate civil despite policy differences
Republican Chris McGowan and Democrat Dave Dawson disagreed on several issues but also found common ground during their first major debate of the election cycle, hosted by KTIV in Sioux City.
Rock Entertainment Group names new chief commercial officer with Blue Jays, Trail Blazers experience
Galen Davies takes over the role after Allison Howard moved her focus to leading the Cleveland Sirens’ business operations.
NASA’s Webb Provides Crash Course on Planet-Shattering Collisions
In the early history of our solar system, scientists theorize that a Mars-sized object called Theia smashed into the infant Earth, vaporizing massive amounts
Across the Globe, People Increasingly Say Social Media Is Harming Democracy
Most think social media leads to manipulation and division, but they also say it informs people and gives them a voice in politics.
Modders are now merging entire games, from Minecraft in Elden Ring to Mario Kart in COD Zombies
Modders are moving beyond model swaps by combining gameplay systems from entirely different titles. AI agents, recompilation and matching decompilation projects are speeding up the work.
Palm Health Foundation Welcomes New Leadership
Dr. Roger L. Duncan III and Elisa Cramer join board of trustees; Dr. Paul Rashid appointed to Community Investment Committee SEPTEMBER 30, 2026 – Palm Health Foundation today announced the election of two new trustees and the appointment of a new member to its Community Investment Committee.The new leaders bring decades of combined experience in medicine, mental […]
Could Mavs Rookie Force His Way Into Dusty May's Rotation?
The Athletic believes Sergio de Larrea could crack Dallas' rotation immediately and become one of the NBA's most entertaining rookies.
Time lost to political haggling means lost momentum for research
While it’s not up to universities to set deadlines for EU institutions, “lost time” in the run-up to the launch of the next Horizon Europe would translate into “lost momentum” for universities, according to Dag Rune Olsen, president of the Young European Research Universities Network.“I think it's important to have [the EU budget] in place in order to be able to work on the research funding mechanisms, because we cannot afford to lose more momentum than we already have,” Olsen told Science|Business in an interview in September, just after EU research lobbies gathered in Brussels to push for a €200 billion budget for the next Horizon Europe programme.A funding gap would mean ramping down research activities, said Olsen. “You can do that quite swiftly, that’s not a problem, but ramping up again is much more difficult.”The last-minute push for an ambitious budget, and for a timely adoption of the research programme, comes at a time when the richest EU states have teamed up to call for significant cuts to European Commission’s proposal for the next multiannual budget, which allocates €175 billion for Horizon Europe. At the same gathering of research associations in September, the European Parliament’s budget rapporteur warned that the EU will need to raise its own taxes, otherwise political pressure and tighter national budgets will translate into a limited EU budget with a less ambitious envelope for research. The research sector hopes EU institutions will reach timely agreement on the budget and on Horizon Europe, but progress has been slow. Legislative progress has been delayed, partly because the European Parliament’s budget committee is still haggling over how to apply new EU-wide spending rules, known as the Performance Framework Regulation, and partly because EU governments have yet to agree on the size of the next EU budget. EU research Commissioner Ekaterina Zaharieva told Science|Business in July that she was hoping for an agreement on Horizon Europe by the end of 2026, but the timelines have been pushed back significantly, with the Parliament now aiming to announce its official position on Horizon Europe only in November. Avoid the funding gapAccording to Olsen, delayed EU funds could prompt universities and researchers to move on and do something else, potentially jeopardising years of work building consortia and collaborations. “If funding is interrupted, the networks fall apart in just a few months,” he said. Olsen also noted that an interruption would affect junior researchers first. PhD students and postdocs are on shorter term contracts and universities risk losing them if funding for EU projects is interrupted. Related articlesEU own resources ‘essential’ for future research budget, says leading MEPParliament haggle over EU-wide spending rules delays vote on Horizon EuropeZaharieva hopes for a Horizon Europe deal in 2026Universities usually have more employees, permanent and short-term staff, than they can cover with national funding, and external funding is essential to keep them all on the payroll. In case of an EU funding gap, “there will be a huge number of people that might end up without any contracts,” he said. Apart from the money issue, Olsen said EU projects forces universities to collaborate more which, in turn, increases the quality of teaching and research. In case of a funding dip, people will look around for opportunities elsewhere, in the private sector or abroad. “And then then you have to recruit again, and it's a tedious business,” said Olsen. “A gap is not a good idea, it's actually a waste of money.”According to Olsen, the difficult political context should encourage universities to make a stronger case for the EU increasing research funding, as universities can deliver on competitiveness, technological sovereignty, security and defence. “The reason why we ask for substantial investments in research is exactly what the Commission, what Europe, the Parliament have been discussing,” he said. “You really need to invest in order to thrive in the longer run.”Focus on the member statesBut EU and national R&D expenditure hasn't kept up with the times. EU governments have failed to reach a spending target set almost 25 years ago. Only six EU countries spend 3% or more of their GDP on R&D. Asked whether universities should put more effort into convincing the governments to ramp up their own spending, but also to support a strong budget for Horizon Europe in the ongoing budget negotiations, Olsen said “the answer is yes.”“We are very actively encouraging our members to talk to their ministries in order to enlighten them about the joint effort,” he said. The network is made up of 25 universities from across Europe, all established in the past 60 years or so.Who will call the shots?Budget and timing issues aside, the Parliament’s research committee has been locked in behind-the-scenes negotiations over the future structure of Horizon Europe, with MEPs disagreeing on the degree to which its collaborative research should be governed by councils of experts.The European Parliament’s lead rapporteur on Horizon Europe wants councils of independent experts to decide on the funding agenda, but the Commission, the Council, and parts of the Parliament disagree. For Olsen, it is normal for politicians to point at the big challenges, but when they start detailing how those challenges should be solved, the endeavour “fails utterly.” He does not necessarily think that “bureaucrats who don’t know the field” would be “much better at it” either. “There has to be a combination” of broad political directions and bottom-up implementation, Olsen said.
Gears of War: E-Day Missing Classic Features From Original Games
Classic features such as taking enemies hostage as a "meat shield" and duelling with the chainsaw attachments on Lancer assault rifles won't be in Gears of War: E-Day at launch. According to a developer blog from The Coalition, it wasn't possible to build these features out for launch because this prequel was built from scratch, rather than on the bones of previous Gears of War titles.
Sporting scandals that shook the world: Lance Armstrong, Hansie Cronje, 'Crashgate'
Manchester City are far from the first. The lure of glory and riches on the biggest stages have tempted plenty of other sports stars to break the rules.
The Democrats who bet wrong on ICE
A 2025 vote is haunting Jon Ossoff and other Democrats.
Dems: Blakeman Should Not Get Matching Funds - Long Island Life & Politics
By Hank Russell The New York State Democratic Committee has accused Nassau County Executive and GOP gubernatorial candidate Bruce Blakeman of illegally trying to obtain matching funds with money he raised outside the state of [...]
Democratic Michigan Senate hopeful Abdul El-Sayed explains how science influences his politics
Scientific American spoke to the Michigan Senate candidate about how his background in medicine has shaped his outlook
Democratic Michigan Senate hopeful Abdul El-Sayed explains how science influences his politics
Scientific American spoke to the Michigan Senate candidate about how his background in medicine has shaped his outlook
Vietnam Pandora Jewelry
Craftspersons create jewelry pieces at the Pandora factory in Ho Chi Minh city, Vietnam, Wednesday, Sept.30, 2026. (AP Photo/Hau Dinh)
Business Aircraft Accident Reports: October 2026
Preliminary and final accident reports, October 2026
Wyoming Officials Say Paying an MLB Game in Grand Teton Is an Error
Would a baseball game in Grand Teton National Park be a home run? A growing chorus of Republicans and Democrats in Wyoming have balked at the idea.
The independents who want to take over the Senate
Republicans are worried about them. Democrats are cheering them on. But what do they really want?
Talarico Talks Personal History, Policy at U.S. Hispanic Business Council Event
The Democratic U.S. Senate discussed the oil and gas industry, healthcare, and rural Texas.
A high-stakes fight for state political power heats up, with Trump's agenda on the line
Political power in state legislatures and governors’ offices is at stake in the November elections in more than one-third of the states. Democrats and Republicans are spending millions to control...
We polled two must-watch House races. There are good signs for Democrats.
Democrat Shannon Taylor is narrowly ahead of Rep. Rob Wittman (R) in Virginia's 1st, while Democrat Tom Perriello is modestly behind Rep. John McGuire (R) in the 5th.
Political climate has so soured for GOP, even Mississippi Democrats are hopeful
A Democrat hasn’t won a Senate race in the state since 1982, but a young district attorney has a message for party officials and donors: “If we try, we win these voters.”
Texas Governor Race Puts Pressure on Andy Beshear and Democratic Governors Association
Allies of Gina Hinojosa want a Democratic group to support her bid for Texas governor — putting pressure on its chairman, Gov. Andy Beshear of Kentucky, who is weighing a run for president.
Doctors say radical plan to merge Scotland's health boards should be scrapped
BMA Scotland says there is no evidence that reducing the number of health boards from 14 to two will improve patient care.
Bernie Sanders muscled left-wing hopefuls through primaries. Democrats say he needs to do more so they can win the general
Bernie Sanders has spent the last decade growing his political movement by muscling left-wing hopefuls through Democrat-on-Democrat primary fights across the country.
Early voting data shows emerging signs of a Democratic advantage in the midterms
Election Day is still a month away, but more than 550,000 Americans have already voted across 29 states. There are signs emerging of the advantage Democrats have in motivating their voters – a trend that’s played out in polling all summer long.
State agencies reach agreements with ICE + Democrats worry about election security
Subscribe to Under the Dome for a daily dose of North Carolina politics news.
Democrats slam Ashley Moody amid a heated U.S. Senate race
Earlier this month, Moody declined to debate Nixon, telling Action News Jax she would bring attention to a “self-proclaimed socialist.”
September Monthly Review: Health MCP Guy?
For all the time I spend talking about APIs and data exchange, this newsletter has had embarrassingly little interoperability of its own. It’s old-school SaaS, baby - UI or bust. Not all of that is my fault! Substack, for all its popularity, is (as mentioned before) really frustrating as my system of record. The primary user it optimizes towards is the reader, whose attention feeds the app, the Notes feed, and the recommendation network that Substack is actually selling. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe They’re falling into the same trap that Medium once sprinted into, albeit at a much more glacial speed. Younger generations may not remember (or never knew) it, but Medium once lured publications like The Ringer and Signal v. Noise onto its platform, only to lose them as it rebuilt itself around a paywall and an algorithmic feed. Substack’s original pitch circa 2020 was the antidote (you own your list), but every new feed feature chips away at it. I get it: writers are generic supply in the eyes of the Substack product team. Generic supply follows demand, so the consistent pressure on the PMs is to generate demand, which leads to every product cycle going toward discovery (Notes, recommendations, the app, live video). The end result lackluster author tools (laggy and broken analytics are truly crippling) all despite the premium price point. The archive is where it crosses from authorial gripes to actual reader impact, though. Across Substack and LinkedIn, I’ve published 1,218 posts and nearly 900,000 words since 2018. Substack’s native search can see only the 464 posts that live on Substack, and even there it’s woefully inadequate at surfacing relevant content (even for the guy who wrote it)! Readers have the same problem, writ large. Ask the Archive Fixing search (for both my readers and my own use) turned out to be extremely non-trivial, unfortunately: There’s no public API for readers to access content RSS exists for new content notification, but it only carries the 20 most recent posts and cuts paid ones off at the preview The only Substack MCP is an admin tool for analytics The export exists for authors, but it’s painfully awkward and slow. So I built something to work around that: the Health API Guy MCP. It’s a private MCP server holding the full text of everything I’ve written across Substack and LinkedIn. Add it to Claude or ChatGPT as a connector and you can ask things like: It pairs keyword search (for acronyms and case names, of which we have many) with semantic search. Every post is also labeled by topic, form, and court case, so you can pull a lawsuit’s (or multiple cases’) entire docket across Substack and LinkedIn in one query: Hail, Healthapiguyhydra This is also a bit of me eating my own cooking. I’ve spent the year arguing that headless healthcare is arriving and that developers want primitives over abstractions. Last week in Hail, Benihydra, I watched Salesforce plug its platform into Claude and bet that the records underneath outlive whatever interface sits on top: Salesforce must believe that the Hydra’s immortal head is the records, permissions, and business logic (in that they will survive whatever happens to the interface). It felt a bit hypocritical to keep my own archive behind a Substack search bar. The archive is the body. Substack is one head, and now whatever tool you might use is another. Will the EHRs follow my lead? Probably not imminently, but one can hope! Why Founding Members Only The MCP is available to Founding Member subscribers. A few reasons: It costs money and time to run. Hosting, the database, Clerk usage and AI compute for search and labeling are significant operational costs (that increase with usage). Substack gives me no way to automate access. There’s no API to check whether someone is a paid subscriber, so every user is manual operations for now. It’s a beta. We’ll need to improve things and parts will break. I’d rather they break for a small group of dedicated readers who will tell me about it. The Founding tier deserved a real benefit. Until now it was mostly a generous tip. Now it comes with something. If you’re already a Founding Member, reply to this email with the address you’d like provisioned. If you’re not and want in, upgrade here. Larger teams (such as companies) can get access too: group subscriptions at the Founding tier come with the group discount. The admin for the subscription can reply with the list of addresses to provision. Get 20% off a group subscription Pricing Founding membership is now a flat $200 a year, replacing the old suggested $150 that readers could adjust. Existing Founding Members will have access grandfathered in at their previous rate. Month in Review Articles Published Make Networks Dumb Again (Sep 11): AI is making old analog networks cheaper to use and flooding them with machine traffic in the process. A plea for agent-native rails with the intelligence at the endpoints, and for Washington to drag them to ubiquity. Interoperability, Unbuttoned (Sep 29): Interoperability is a series of workflows in a trenchcoat, and this post finally takes the trenchcoat off. A color-coded map shows which provider workflows went digital, which are fragmented, and which still run on fax. Video Content Antitrust’s System of Record Problem (Sep 3): The FTC’s investigation into Epic prompted a ninety-minute webinar, now posted with chapters and a smoothed transcript. We get into why market definition, missing B2B share data, and the SSNIP test leave antitrust poorly suited to systems of record, plus why information blocking may be doing more than any pending lawsuit. The Information Exchange: Cerner Milking Edition (Sep 18): This was so fucking fun. Ryan Tucker, Ryan Brickner, Brad Thorson, and I try an Around the Horn format, complete with points, penalties, and a mute button. We debate whether Oracle Health is dead, who would actually buy Cerner (IBM enters the chat), p(Doom), and why the front desk still hands you a clipboard. Regulatory Ask Not What Your Network Can Do (Sep 23): CDC’s RFI on public health data intermediaries lists use cases already served, unevenly, by eCR, lab reporting, IZ Gateway, and syndromic surveillance. The real opportunity sits in one question about AI: a network that can handle the next emergency without another interface project. Court cases Particle v. Epic: The Naughty Schoolteacher (Sep 4): After a summer-long vigil, the answer on Epic’s early summary judgment bid is two paragraphs and a remedial assignment. Particle advances to the next grade, and market definition gets another year of discovery. The Epic Discovery Files (Sep 8): Texas’s motions to compel arrive with a 251-page appendix of requests, objections, and meet-and-confer letters with Cravath. Inside: Epic using generative AI for document review, denied interoperability requests in scope, and Noerr-Pennington raised against lobbying discovery. Epic v. Health Gorilla: “Working as Designed” (Sep 9): Epic wants nothing to do with the data breach MDL, and explaining why puts fresh discovery on the public docket. The spiciest allegation: Health Gorilla told GuardDog to scrub its law firm business from its website instead of cutting off access. Veeva v. Epic: Legal Bypass Surgery (Sep 15): Veeva asks the Wisconsin Supreme Court to skip the Court of Appeals, while law professors and three policy groups line up as amici. Meanwhile, Epic’s lawyers apologize for another round of citation errors, including a quote that never existed. Texas v. Epic: Behind the Black Bars (Sep 17): The court portal served up Epic’s unredacted filings, revealing a $5 million document review budget and the AI workflow behind it. Also inside: the 200-plus company names Texas wants searched, and one very expensive Zoom invitation. OpenEvidence v. Doximity: Consequences Will Follow (Sep 25): OpenEvidence tells the court it will not comply with a discovery order, and its own lawyers at Quinn Emanuel say they won’t defend the choice. Add years of Slack reported unrecoverable, and Rule 37 sanctions come into view. Health Tech Keeps Choosing Violence (Sep 28): Doximity moves to end OpenEvidence’s case, Epic asks Texas to show its work, and a sleepy Audacious Inquiry patent fight sprouts antitrust and information blocking counterclaims. The main event is a long-sealed Cognizant v. Infosys ruling that hints where system of record antitrust claims can survive. EHRs One Verb for Oracle Health (Sep 14): Oracle’s earnings call quantifies every data center to the decimal point, while Oracle Health gets a single verb: “accelerate.” Panning the few healthcare mentions turns up an agentic care management system, a research-to-care ledger play, and the question of whether healthcare gets Larry’s patience. Epic’s Forretress Under Siege (Sep 30): Judy Faulkner tells a panel Epic paused hundreds of projects to harden its software and calls it a “shame,” while a spokesperson insists the roadmap hasn’t changed. Project Glasswing, a Pokémon-branded QAN sprint, and a trove of Jodel grievances reconcile the two Epics and preview the Jevons paradox coming for all software. Industry Analysis Scanning for a Network (Sep 1): Scan.com raises $220M to build the imaging network labs never got, speedrunning Zocdoc’s consumer-to-B2B pivot. Its wedge to network density may be the most American one available: personal injury litigation. The Front Desk Wants the Damn Whole Building (Sep 16): Hello Patient buys Converse Health, pushing its AI front desk into referrals, chart work, and prior auth. The copilot categories keep blurring, and your distribution partner is still your final boss. Cross-industry Comparisons A Different Patchwork Quilt (Sep 10): Healthcare loves to envy open banking, but the US version has no mandate, a toll booth at Chase, and data quality problems of its own. The grass isn’t greener; it’s another American patchwork quilt, and perhaps a worse one. Hail, Benihydra (Sep 21): Salesforce brings its platform into Claude, Slack, and its own agent, inviting the interfaces that might replace it. Cut off one head and more grow back, so long as the records underneath stay put. Living on A Trade Secret Prayer (Sep 22): Six credit unions are suing Fiserv, the Epic of core banking, by claiming their own member records as trade secrets. Banking has no Cures Act, so its lawyers reach for legal alchemy that healthcare has already tried. Other News None this month External Media Nabla Accelerate NYC: I kicked off fall conference season at Nabla’s Accelerate event in New York, where Delphine Groll opened by asking the room to picture the company it wants to become and the one it doesn’t. I liked her framework of bureaucracy, fear, and ego as the blockers. I also love vendor conferences/events in general - different vibe than industry biggies. Healthcare 101 with Nikhil Krishnan: I briefly guest lectured Out-Of-Pocket’s Healthcare 101 class. Appreciated Nikhil’s takeaways cover whether AI doctors can query HIEs, why healthcare’s data-liberation rules beat most industries’, and the hi-res graphic is in the comments. HCN: Epic Probed by the FTC: I joined the HCN guys to talk through the FTC’s investigation into Epic. Cedric’s new hairdo was an unexpected plot twist. The episode also covers MFN drug pricing, healthcare M&A and Eli Lilly’s acquisition streak. Fall Conferences: At eHealth Exchange’s Annual Meeting in Austin on Oct 27, I’ll moderate a panel on the tensions between AI, HIEs, and timely patient access with Jean Ross (Primary Record), Therasa Bell (Kno2), Byron Crowe (Doctronic), and Michael Marchant (Freenome). Here’s the rest of my schedule if you want to meet up: CommonWell (Redwood Shores, CA): Oct 13-14 Will be participating in a fun Jeopardy event Open@Epic (Madison, WI): Oct 20-23 Will be enjoying Verona, Willy Street, and other local adventures eHealth Exchange and Sequoia Project (Austin, TX): Oct 27-29 Yeehaw HLTH (Vegas): Nov 15-18 Groundhog Day, Venetian Edition RSNA (Chicago): Nov 30-Dec 2 See me at “Governing AI in Breast Imaging: What Health Systems Are Actually Doing” Digital Health Counsel 2026 AI Summit (Seattle): December 2-3 Will likely be speaking to a bunch of lawyers about information blocking Posts I Liked ChatGPT’s Epic integration: game changer or nothing burger?: Joshua Liu, MD offers five thoughts on OpenAI’s Epic launch, starting from the point that it rides the same open APIs available to anyone. He argues read-only access leaves ordering to Art and the ambient startups, and asks why HCA is piloting it alongside Commure. He’s sorta a must-follow at this point - consistently excellent, thought-provoking takes. Epic, Lilly, and the Discovery pass: Seth Chaney reads Epic’s first major Discovery deal (with Eli Lilly), as well as its revised developer terms on commercial displays, as the pipe finally opening between EHRs and pharma. Life sciences and health continue to collide. Scott Rossignol on EHR payer platforms and ePA fees: Scott argues the top ambulatory EHR vendors are turning the prior auth mandate into a per-member-per-year toll on payers, for an API whose operating cost has nothing to do with covered lives. His fix is two lines of regulatory text: put the CRD/DTR/PAS certification criteria in the Base EHR definition, and bring payer-facing ePA connectivity under § 170.404’s cost-based fee rules. It’s a good solution. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
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