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California gas prices remain high as global and local factors collide
California's high gas prices are being driven by a combination of global events and decades of state policies, according to Jodie Muller, the President and CEO of the Western States Petroleum Association.
Early ballots and how campaigns are using AI with Optiq Data Co-Founder Cole Patterson
Cole Patterson, co-founder of Optiq Data, shared his insight into how political campaigns in California are using artificial intelligence and provided a look at early ballot numbers ahead of the November election.
California Politics 360 full episode | California, US government clash over voter rolls
The Trump administration sued California election officials this week. They asked a judge to block the state from counting mail-in ballots from people the federal government has identified as “likely” non-citizens until their status can be confirmed.
Voter roll fight in California ramps up weeks before election
First Assistant U.S. Attorney Bill Essayli defended the Trump administration's lawsuit against California election officials, alleging that 20,000 non-citizens who are documented immigrants are registered to vote and have received mail-in ballots, just weeks before the upcoming election.
Malia Cohen explains why she should be reelected State Controller
California State Controller Malia Cohen is seeking reelection for an office that is responsible for the state's checkbook at a time when voters across the nation are focused on waste, fraud and abuse of taxpayer money.
Research suggests women living in states with abortion bans bear higher health insurance costs
Ten states with near-total abortion bans were compared with five states that did not implement bans, including Pennsylvania.
Readers respond: Coordination, not isolation, for Oregon State Hospital
Letters to the Editor can be submitted to letters@oregonian.com with full name and place of residence.
Inside California Politics
(Inside California Politics) — This week on Inside California Politics, host Nikki Laurenzo speaks with State Senator Catherine Blakespear about Proposition 45, which would amend the California Env…
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
WCYB NBC 5 Bristol and WEMT Fox 39 Greeneville offer local and national news reporting, sports, and weather forecasts to viewers in the Tennessee, Virginia Tri-Cities area including Bristol, Kingsport and Johnson City.
Woman allegedly hit business owner with a closed fist when he tried to stop robbery
News4 NBC Reno covers news, sports, weather and traffic for the Reno, Nevada area including Sparks, Carson City, Virginia City, Silver City, Stagecoach, Silver Springs, Sun Valley, Cold Springs, Spanish Springs and Fenley, Nevada and Truckee and Tahoe City, California.
To fix California, make its politicians afraid to lose
The state has the nation’s largest homeless population and some of its most expensive housing — yet incumbents rarely pay a price. A slew of new parties is the answer.
Business Briefcase: MAEA schedules HR roundtable
POTTSVILLE — The Northeast Pennsylvania Manufacturers and Employers Association, 250 One Norwegian Plaza, will stage an HR Schuylkill roundtable 11 a.m. to 1 p.m. Nov. 6 titled, “We Did It Right … And Still Faced Backlash: When Good HR Deci…
U.S. taking Putin’s side would be a ‘historic mistake,’ says Zelenskyy
The Ukrainian leader told NBC News’ “Meet the Press” that Ukrainian officials believe the decision to limit Starlink, imposed by Elon Musk’s SpaceX, came from the U.S. government.
Lowell Bicentennial: Caring for Lowell
Many important organizations in Greater Lowell make the region a better place to live. Among them, the Lowell Community Health Center is perhaps the most significant.
Tales of Eternia Remastered Review
I can safely call Tales of Eternia Remastered the definitive version for newcomers, so long as they don't mind a few dated gameplay mechanics.
Contributor: How much would Becerra's healthcare promises cost the state? Not even he knows
The Democratic candidate is campaigning on making California affordable. That's why the missing numbers matter.
'He's everywhere': Carl DeMaio's push to make the GOP relevant again
Assemblymember Carl DeMaio, a conservative from San Diego County, has become a prominent voice for state Republicans. His vehicle this election is Proposition 39, the voter ID measure.
Trump's immigration crackdown tests Republicans' hold on Texas voters
The race between Democrat James Talarico and Republican Ken Paxton is hotly contested and enormously expensive, with total ad spending topping $500 million.
Oregon's governor struggles for reelection despite blue tide
In Oregon, a progressive bastion, voter discontent has incumbent Tina Kotek on the defensive. Her struggle shows the perils of incumbency this angry election season.
House Speaker Mike Johnson draws on faith as he fights to hold the Republican majority
Speaker Mike Johnson says he believes Republicans will hold on to their House majority on election day and defy a surge of Democratic momentum in the final stretch of the midterm campaign
Pols & Politics: Could the Minogue-Healey polls signal an upset?
GOP rival Mike Minogue won the two debates by a country mile over Gov. Maura Healey — according to two Herald online polls. Plus: California Gov. Gavin Newsom to stump for Healey
Uber driver struggles with gas costs in Southern California
Matthew Guerrero, an Uber driver in Southern California, discusses the financial challenges of driving, impacted by high gas costs and low tips.
Local Achievement: Chamber honors seven women at its ‘Women in Business: Women in Bloom’ event
Seven women were honored for their work and service to the community Thursday night at the Henderson Chamber of Commerce’s
Albania protesters clash with police as premier faces pressure
Albanian police clashed with hundreds of protesters in the capital, using tear gas and water cannons to disperse crowds demanding Prime Minister Edi Rama’s resignation for a fifth consecutive day.
Inside a reality show-style incubator for startup founders
A group of startup founders went to eastern Pennsylvania for a lesson in company building. They left with more followers.
CDC sends a ‘disease detective’ to Pennsylvania amid measles outbreak
The Centers for Disease Control and Prevention (CDC) is sending a disease expert to assist with the response to the ongoing measles outbreak in Pennsylvania. “CDC will continue working closely with…
Hundreds seek free health services during WeCareWV Day in Charleston
CHARLESTON, W.Va. (WOWK) – Hundreds of people turned to West Virginia Health Right on Saturday for free medical services during the organization’s annual WeCareWV Day. The one-day event was h…
'No Kings' movement returns to Stockton to bring 'a little bit of light' before the election
“The event today is about voting, and especially right now in American history and the present politics,” said Dawn Griep, a local organizer.
Georgia Tech falls 34-24 to Virginia Tech
Jackets not able to pull off a miracle comeback
Miley Cyrus makes a comeback of sorts at the Hollywood Bowl
The musician and actor played her first full headlining show in years Friday night at the Hollywood Bowl.
Vinyl record junkies find a lot to love at Utica's Record Riots
Kirkland was one of hundreds of vinyl record enthusiasts to brave the chilly temperatures Saturday morning, Oct. 17, to attend the Record Riots traveling convention at the Deerfield Fire Station. Based in New Jersey, Record Riots is one of the largest network of vinyl shows in the country, with pop-ups stretching from Utica to Ohio to Virginia. The Utica Record Riot typically takes place three times a year.
California's billionaire tax promises healthcare relief. The fine print is murkier
It’s unclear how much money Prop. 40 would raise, how quickly the funding would become available, and how lawmakers would spend it.
Newsom offers mental health support for USS Abraham Lincoln sailors
Sailors and Marines who recently returned from an extended deployment aboard the USS Abraham Lincoln were offered mental health services Saturday by California Gov. Gavin Newsom.
Los Retros frontman Mauri Tapia charged with unlawful acts on a child
Mauri Tapia, frontman of SoCal indie rock act Los Retros, has been charged with four felony counts of unlawful acts with a child under 10.
Steve Hilton bets California is ready for something different in the governor's office
Steve Hilton is taking his campaign for governor across California, arguing for change in a state long dominated by Democrats.
AHN takes lifesaving training into western Pennsylvania classrooms
AHN's new Building Bridges program teaches students CPR, Narcan use and other lifesaving skills while introducing health care careers.
AHN takes lifesaving training into western Pennsylvania classrooms
AHN's new Building Bridges program teaches students CPR, Narcan use and other lifesaving skills while introducing health care careers.
Father-Daughter Family Business Navigates Millennial and Boomer Gaps
I’ve learned that boomers and millennials live on different workplace planets. But it’s one of the most-rewarding experiences I’ve ever had.
Trump's decision to waive Russian sanctions outrages Congress, but no quick counter seen
President Trump’s abrupt decision to waive sanctions on Russia is drawing outrage and concern from members of Congress
Erika Lust discusses her new book 'Lust'
Erika Lust on her new book about sex, power and the internet. Plus, we visit an Echo Park bookstore.
Heat reduces photosynthesis in California redwoods
California redwoods reduce photosynthesis at high temperatures, which may affect their long-term survival and forests’ capacity to store atmospheric carbon.
CDC to send ‘disease detective’ to help tackle Pennsylvania measles outbreak
State has confirmed six measles-related deaths and county at center of outbreak lacks its own health department
Microplastics and water create free radicals, new study finds
When water comes into contact with plastic surfaces, a key chemical reaction does take place, new research indicates.
California redwoods are struggling in the heat — and it's not clear how much damage is being done
When temperatures rise, California redwoods slow down their rate of photosynthesis, a discovery that could have implications for the long-term survival of the iconic species.
Week in Politics: Trump's Russian diesel deal update; why the DOJ is suing California
We look at where things are in the deal President Trump says he made to import Russian diesel, plus the reason why the Justice Department is suing California.
Rabies reports are rising in California. Experts can’t explain why
Rabies reports are up across the U.S., including in one greater Bay Area county where human exposures to rabid animals have tripled, prompting a local advisory to stay away from sick creatures.
Pro-Palestinian politician threatens Berlin left's election victory over Israel stance
Pro-Palestinian politician Vanessa Emde has plunged Berlin's Die Linke into crisis after rejecting Israel's right to exist, prompting the Social Democrats and Greens to suspend coalition talks and threatening the party's chances of forming a government
Detroit summit boosts Israeli business in face of pro-Palestinian wave
Michigan Israel Business Accelerator drew fire ahead of the Innovation Exchange Summit at Huntington Bank HQ, with Rep. Rashida Tlaib demanding state end funding for group
Schmooze: WV natives return to Charleston area for film shoot 20 years in the making
West Virginia natives Chad Smith, Ryan Dorsey, Dustin Kerns and others came together to film a short film, "Schmooze," in Charleston from Oct. 15-19, 2026. The film is a thriller inspired by the movies they used to make together as students at Riverside High School.
Big assertions, sharp exchanges, little clarity define DOJ election battle with California
In the last week, Justice Department and California elections officials have been locked in a contentious standoff over alleged election fraud.
Schmooze: WV natives return to Charleston area for film shoot 20 years in the making
West Virginia natives Chad Smith, Ryan Dorsey, Dustin Kerns and others came together to film a short film, "Schmooze," in Charleston from Oct. 15-19, 2026. The film is a thriller inspired by the movies they used to make together as students at Riverside High School.
Mark Ruffalo calls Gavin Newsom's billionaire tax stance 'disqualifying' ahead of California vote
Mark Ruffalo slammed Gavin Newsom for opposing California's billionaire wealth tax, calling it "disqualifying" for anyone with ambitions for higher office.
Why millennial women are 'leaning out' of the corporate world
Millennial women are increasingly leaving the corporate world, searching for more flexibility and balance in their careers.
Creative Entrepreneur Fellowship applications for 2027 now open
Applications for the Creative Entrepreneur Fellowship are now open to artists working and residing in West Virginia.
Brenda Lucas: Community news for Saturday, Oct. 17
Click for community news in the Huntington, West Virginia, and Tri-State area.
California teachers once had fully paid health coverage. Now they're rallying over premiums
"While your income isn't changing, your purchasing power has absolutely fallen."
California Proposition 4 would allow public funding for political campaigns
California Prop. 4 would allow political campaigns to be publicly funded. Here's what to know.
Springville businesses fear festival losses amid SCE power shutoff
Southern California Edison power safety shutoffs left Springville businesses concerned about communication and potential losses.
Provo businesses hoping for tourism spike from Notre Dame-BYU football game
Irish fans exploring Provo's Center Street Friday afternoon said they had traveled from places like Connecticut, Ohio and California to catch the big game.
Sean Combs transferred to new prison after perks report, head injury
Sean Combs was transferred on Friday to FCI Allenwood, a low-security prison in Pennsylvania, following allegations of special prison perks and a head injury at FCI Fort Dix in New Jersey.
DOJ says California officials who process ballots from suspected noncitizens risk prosecution
The Trump administration is escalating its fight with California ahead of next month's midterm election, warning that local officials who process and tabulate ballots submitted by suspected noncitizen voters are putting themselves at risk of criminal investigation and potential prosecution.
Apple’s updated App Store rules go after ‘nudify’ AI apps
Developers must prevent and remove sexualized deepfakes.
Geese shred Hollywood Forever (and Dodger fan egos) at their three-night stand in L.A.
Cameron Winter had one last knife to twist for the Dodger faithful in the audience at Hollywood Forever on Thursday night.
Timothy Busfield child sex abuse charges thrown out, judge orders
A New Mexico judge tosses out the multiple child sex abuse charges that actor Timothy Busfield had been facing.
California falls short on Medi-Cal fraud, state report says - The Business Journal California auditor flags Medi-Cal fraud oversight concerns
California's state auditor raises concerns about Medi-Cal fraud oversight, citing millions in questionable claims and thousands of high-risk providers not under investigation.
‘There Should be a Game Award for Hot Dads’ — Castlevania: Belmont’s Curse Devs Are Fully Aware and Loving the ‘Horny’ Fanart for Their Game
The developers behind Castlevania: Belmont’s Curse are enthusiastic about the “horny” fanart they’ve seen of the game’s characters, saying they specifically made them "hot" to appeal to fans.
Trump's team is in chaos as midterms enter final stretch
A White House that has enjoyed relative stability over the past two years has returned to a state of disarray that characterized much of Trump's early political career.
North Carolina could play a key role in this year's midterm elections
Midterm election results in North Carolina could significantly influence the state and shape the national political landscape, says John Dinan, a Wake Forest University professor of political science. Dinan explains what North Carolinians will see on the ballot, the importance of key candidate contests and the potential ripple effects on the state and federal levels.…
In 'Bucks County, USA,' a community torn apart by politics tries to heal
The five-part docuseries on PBS, co-directed by Robert May and Barry Levinson, aims to find common ground between community members in a purple county in Pennsylvania.
Castlevania's Most Iconic Song Should Chain Whip Me To Death, Not Put Me In A Thousand Year Sleep
The Belmont's Curse version of "Bloody Tars" is more restrained than it should be
Billy Joel can't drive or perform following brain disorder diagnosis
Billy Joel shared health updates following his 2025 brain disorder diagnosis, stating that he has to take “a series of tests” before being able to tour and drive again.
Augusta Health to Host Community Career Fair in Waynesboro on October 22 Careers & Connections event will offer job opportunities, same-day interviews, and career resources
FISHERSVILLE, VIRGINIA — Augusta Health invites everyone —from experienced professionals and career changers to students and those simply exploring what’s next —to discover career opportunities at Careers & Connections: More Than a Job Fair. The event takes place Thursday, Oct. 22, 2026, from 10 a.m. to 8 p.m. at the Best Western Plus, 109 Apple […]
Science Museum of Virginia Opens “Rescue” Exhibit
Watch Virginia This Morning each weekday from 9 to 10 a.m. Find the show on Facebook and Instagram at @VirginiaThisMorning.
Gov. Josh Shapiro takes new step into national politics by launching federal PAC
As rumors swirl about Josh Shapiro's potential presidential ambitions, the Pennsylvania governor has taken another step into national politics.
Gov. Josh Shapiro takes new step into national politics by launching federal PAC
As rumors swirl about Josh Shapiro's potential presidential ambitions, the Pennsylvania governor has taken another step into national politics.
David Surkamp dead: Pavlov's Dog lead singer was 74
Rock band Pavlov's Dog is mourning the loss of singer-songwriter and lead vocalist David Surkamp, who died Monday at age 74.
Microplastics Have Been Linked With Myriad Human Health Problems. Scientists May Have Finally Figured Out How They Harm the Body
Lab experiments suggest that tiny bits of plastic can react with water inside us to produce highly reactive molecules. They can lead to damaging oxidative stress and inflammation
Microplastics Have Been Linked With Myriad Human Health Problems. Scientists May Have Finally Figured Out How They Harm the Body
Lab experiments suggest that tiny bits of plastic can react with water inside us to produce highly reactive molecules. They can lead to damaging oxidative stress and inflammation
Tiny, critically endangered bat rescued and released in Pennsylvania
A fungal disease has wiped out up to 97 percent of northern long-eared bats in North America.
Sean ‘Diddy’ Combs transferred to new federal prison after medical emergency
Sean ‘Diddy’ Combs was moved from FCI Fort Dix in New Jersey to FCI Allenwood Low in Pennsylvania days after he reportedly suffered a head injury.
Fanatics plans flagship Atlanta Hawks store at Centennial Yards
Fanatics plans to open a flagship Atlanta sports store at Centennial Yards through a new retail partnership with the Atlanta Hawks.
Hometown’s Best: Vote for your favorite Southwest Virginia live music, entertainment, or sports venue finalist in 2026
The search is on for Southwest Virginia’s favorite live music, entertainment, or sports venue, and the finalists for this year’s Hometown’s Best have officially been announced.
Hometown’s Best: Vote for your favorite place to watch sports in Southwest Virginia
The search is on for Southwest Virginia’s favorite place to watch sports, and the finalists for this year’s Hometown’s Best have officially been announced.
Hometown’s Best: Vote for your favorite Southwest Virginia pet care business finalist in 2026
The search is on for Southwest Virginia’s favorite locally owned pet care business, and the finalists for this year’s Hometown’s Best have officially been announced.
Kaley Cuoco welcomes 2nd daughter with Tom Pelphrey, reveals name
Kaley Cuoco and Tom Pelphrey attend the 78th Primetime Emmy Awards at Peacock Theater on Sept. 14, 2026, in Los Angeles, California. (Monica Schipper/Getty Images)
Alliance for Health releases H.R. 1 predictions | The Pajaronian
About one in three people who rely on Santa Cruz County Alliance Medi-Cal—25,000 people—will lose benefits by the end of 2028, said Central California Alliance for Health CEO Michael Schrader.
Business taking action for nature at CBD COP17
At the UN Biodiversity Conference (CBD COP17) in Yerevan, Armenia, from 19-30 October, IUCN will show how business can use science, data and technology to scale up its contribution to the Kunming-Montreal Global Biodiversity Framework.
Wildfires, heat waves and access to care among health-related problems facing Californians
The latest annual California Health Interview Survey (CHIS) offers a more precise look at how the 2025 wildfires affected Californians’ health and well-being. The data also reveal trends in the health of immigrants, low-income individuals, and transgender and gender-expansive communities. The 2025 CHIS data show: 500,000 more California adults said their mental health was harmed...
Virginia health leaders strongly encourage vaccines at Riverside Health flu shot event
NEWPORT NEWS, Va. (WAVY) — Riverside Health hosted a flu vaccine event at their Internal Medicine Warwick location Thursday morning. Multiple state leaders and stakeholder were in attendence,…
Sean ‘Diddy’ Combs moved to new prison after reports of luxury lifestyle
The hip-hop mogul has been moved to a federal prison in Pennsylvania after reports that the he was living the high life and was injured in a fight at his New Jersey lockup, a source said
Realtor Hosts Local Artist
ST. JOHNSBURY — Four Seasons Sotheby’s International Realty is pleased to showcase the work of local artist Mardi McGregor at its St. Johnsbury office, located at 1184 Main Street.
Veteran Western Swing Band Plays Bethlehem Oct. 24
BETHLEHEM, N.H. — The Colonial Theatre welcomes legendary Western swing band Asleep at the Wheel to the stage on Saturday, October 24 at 8 p.m. for an evening of American
Sean 'Diddy' Combs moved to a new prison after reports of a luxury lifestyle behind bars
Sean “Diddy” Combs has been moved to a federal prison in Pennsylvania after reports that the hip-hop mogul was living the high life and was injured in a fight at his New Jersey lockup | WBBM Newsradio 780 AM & 105.9 FM
More than 4,400 measles cases reported in US as CDC plans to send 'disease detective' to Pennsylvania
More than 4,400 measles cases have been reported in the U.S. as the CDC says it plans to send a "disease detective" to Pennsylvania.
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
Albania: Protesting students demand political change and resignation of longtime Prime Minister Edi Rama
Empty lecture halls, burning buildings and demands for change: Albanian students are spearheading a protest movement that has become the biggest challenge to Prime Minister Edi Rama in years.
Google revealed as company considering Roanoke County site
Google is considering Roanoke County’s Wood Haven Technology Park for a data center, with a due diligence period running through March 2027.