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Can $1 billion power the GOP to victory in the midterms? Some campaigns fear it's too late

Republicans are entering the final month of the midterm campaign increasingly anxious that the $1 billion at their disposal may not be enough to fend off sweeping losses as the party reckons with President Donald Trump's unpopularity, persistent cost concerns and the fallout from the war in Iran.

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Oct 8 • 6:51 PM EDT • Politics • pbs.org
With Americans in a Sour Mood, Democratic Voters Are More Engaged in Midterms

The 2026 midterm election comes amid deep public dissatisfaction with the state of the nation and near-record low approval ratings for Trump.

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Oct 8 • 2:55 PM EDT • Politics • pewresearch.org
The fresh faces that may shake up key Senate committees ahead of midterms

Dozens of Democrats are vying for seats on the House Energy and Commerce and Ways and Means committees, with several members from both parties either leaving or in close races.

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Oct 8 • 11:31 AM EDT • Health • statnews.com
New HRC Data: Despite Political Headwinds, LGBTQ+ People Are Choosing…

Ahead of National Coming Out Day on Oct. 11 and less than one month until the midterms, HRC calls on LGBTQ+ community and allies to come out to vote to…

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Oct 8 • 11:26 AM EDT • Politics • hrc.org
🙂 Positive (33%)
US, Zambia sign $2.49B health financing pact after removing data and specimen-sharing terms

The U.S. and Zambia have signed a $2.49 billion health financing deal after removing clauses on specimen-sharing and patient data

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Oct 8 • 10:58 AM EDT • Health • washingtonpost.com
US, Zambia sign $2.49B health financing pact after removing data and specimen-sharing terms

The U.S. and Zambia have signed a $2.49 billion health financing deal after removing clauses on specimen-sharing and patient data.

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Oct 8 • 10:52 AM EDT • Health • seattletimes.com
US, Zambia sign $2.49B health financing pact after removing data and specimen-sharing terms

The U.S. and Zambia have signed a $2.49 billion health financing deal after removing clauses on specimen-sharing and patient data.

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Oct 8 • 10:51 AM EDT • Health • clickorlando.com
US, Zambia sign $2.49B health financing pact after removing data and specimen-sharing terms

government and Zambia signed a health financing deal on Thursday after agreeing to remove specimen-sharing and patient-data clauses that had stalled the conclusion of the pact.The Zambian government a...

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Oct 8 • 10:51 AM EDT • Health • yahoo.com
Dozens of Democrats vie for slots on key House health committees

Power House health committees could get a lot of new members after the midterms.

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Oct 8 • 4:30 AM EDT • Health • statnews.com
😐 Neutral (14%)
wow
100%
Exclusive: ICE agents told to ramp up daily immigration arrests despite GOP unease as midterms near

Immigration and Customs Enforcement leadership told agents nationwide on Tuesday to increase immigration arrests by 1,000 more people daily, returning to a previous goal of 3,000 daily arrests, according to two sources familiar with the verbal directive.

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Oct 8 • 12:01 AM EDT • Politics • cnn.com
Trump says ‘we protect our cities’ after saying Iran could ‘take out’ Los Angeles or San Diego

The president recast his earlier incendiary statements at a San Antonio rally meant to galvanize voters behind Texas Republicans ahead of the midterms.

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Oct 7 • 10:08 PM EDT • Politics • nbcnews.com
High-Signal Publisher
Who Won August and September: Original Films or Franchises?

(Welcome to the Entertainment Strategy Guy, a newsletter on the entertainment industry and business strategy. I write a weekly Streaming Ratings Report and a bi-weekly strategy column, along with occasional deep dives into other topics, like today’s article. Please subscribe.) I just heard someone say that if you’re reading a pundit or data analyst, and they don’t tell you that they got anything wrong, they’re not a pundit but an “influencer”. I agree with that. You have to tell your audience when you get things wrong, or they won’t (or shouldn’t) trust you as much. Today, we’ve got another edition of “What I Got Right, What I Got Wrong”. In general, I’m patting myself on the back (and patting very hard) about a few things like IP at the box office, LIV golf, horror films, crowdfunding movies, superheroes, and old people going to the theaters. That said, I also made a couple of data mistakes on the streaming bubble popping and HBO’s datecdotes, so I’m not perfect. But first, I need your feedback... Subscribe Follow-Ups: What Should We Call Mid-Budget Movies Which Aren’t Cinematic Enough for Theaters But Are Too Expensive to Make Money on Streaming? After I asked for feedback on what we should call straight-to-streaming films that are too big to pencil out on streaming but not really big enough to resonate in theaters, I got some great suggestions from you all, including... “Moldilocks” from John Aboud “Little Big Indie” from Travis Frick1 “Midflicks” from Jonathan Funke. “Extra-Medium” from Jona Nwuke. (Read the explanation in the footnote.) Between these and Brandon Katz—who suggested “Bermuda Budget Triangle”, “The Platform Gap” and “The Distribution Deadzone”—we’ve got some excellent suggestions. And they’re better than my suggestion, the “Streaming Budget Dead Zone”, so let’s take a poll! The winning entry becomes the new term. Loading... RIGHT: LIV Golf is Fully Bankrupt…Is Anyone Else Next? A few years ago, I was always a bit perplexed at all the articles I’d read praising LIV Golf and their strategy to disrupt the PGA. LIV Golf, a brand new professional golf league, offered PGA stars ten times what they made on the PGA Tour to join their new league. And folks praised this strategy for its initial “success” in that a lot of big names did indeed leave the PGA. Yeah, of course the players came over. LIV Golf paid them so, so, so much more! But LIV Golf hadn’t discovered a way to increase potential revenue. So think about this in basic business terms… They paid much more in costs… …but had no real way to increase revenue. That’s not a strategy! That’s deficit financing. It won’t work unless you bankrupt the competition (and then turn around and pay those same golfers much, much less). It’s not a sustainable strategy and only lasts as long as the company/person/nation backing it decides they’re cool with losing money. For LIV Golf, that meant Middle East oil wealth, in particular Saudi Arabian money. Clearly, the current Iran War has hurt Middle East finances, so they need to trim their more exorbitant spending. And LIV Golf was part of that trimming. This should be a major warning for others. TGL’s parent company, TMRW Sports, just got a $1 billion valuation, despite TGL’s (the indoor golf league) horrible TV viewership of less than half a million viewers per match. Unrivaled, the women’s basketball league, just secured a $650 valuation, despite its horrible TV viewership and a new rival (Project B) entering the scene next year. To relate this to streaming, Hollywood should ask which streamers may have wealthy patrons funding their losses. (Let’s be clear: Google, Amazon and Apple.) Could those patrons lose their appetite? For Amazon, probably not. But Apple has a new boss, so maybe! WRONG: My Analysis of the Streaming Bubble Was Missing a Week I’m going to be congratulating myself a lot today, but I make mistakes too, like this data goof. When I last compiled the data on the decline in TV shows, I was missing one week at the end of June. If you look at the first image, you can see that one week was mislabelled as “July”. Mainly, this image got updated to show a 27% decline, not 29%: This change doesn’t really impact the overall analysis, but it is two percent better. By the way, through the third quarter, the decline increased and it’s now a 30% decrease since 2022. (I’ll write/visualize this in an upcoming article.) But I want you to trust me and my data. Especially these days, when many people are using LLMs that I know are inserting faulty data into their charts, I want to keep earning my audience’s faith. So that’s the accurate data. RIGHT: IP Remains Very, Very Popular In July, I wrote a giant (and I mean giant) article on Backrooms, Obsession, and the box office, going over what we know, what we don’t know about what works in theaters, looking at YouTubers, IP, the horror genre, comic book movies, and a whole lot more. The month of August really tested a lot of my theses and, being honest, mostly supported my arguments. Let’s start with IP. Looking at 8-Aug (the weekend after Spider-Man: Brand New Day came out) to 18-Sep (the weekend that Resident Evil came out, which I think provides a nice bookend to this time period), there were seven films based on pre-existing IP: Resident Evil (2026) ($126 million) Practical Magic 2 ($65 million) _Insidious: Out of the Furthe_r ($65 million) Coyote Vs. Acme ($59 million) Paw Patrol: The Dino Movie ($53 million) Tony ($15 million) Super Troopers 3 ($7 million) Compare those to the notable original films from the past month—I actually could have included more movies, but here are just thirteen, bringing us to an even twenty films—including.... The End of Oak Street ($54 million) Buddy ($26 million) Mutiny ($15 million) By Any Means ($15 million) The Dog Stars ($14 million) Runner ($14 million) One Night Only ($11 million) Hope ($8 million) Spa Weekend ($7 million) The Uprising ($6 million) Teenage Sex and Death at Camp Miasma ($6 million) Onslaught ($3 million) Eli Roth’s Ice Cream Man ($2.8 million) Here’s that in chart form: Five of the top six films in this time period were all based on IP. I made a big chart of films that grossed over $200 million at the box office before Spider-Man: Brand New Day and The Odyssey hit theaters. Let’s update that chart! By the way, if you want to see how I categorized each film—so another bar chart—here it is: I know that many of my fellow critics/pundits/analysts dislike films based on IP and how Hollywood is making so many of them. And I’m sympathetic to this point of view. As I’ve written many, many times before, you need a balance between existing franchises, new IP, and original films. And Hollywood clearly needs to make more films like Resident Evil (a well-made film from a visionary director) and fewer Practical Magic 2’s (which didn’t get critical or customer buzz). But at some point, critics and pundits need to contend with what audiences are telling them: Movie-goers aren’t showing up to original films. Audiences are speaking with their dollars, telling you they want more IP and franchises. You can try to convince studio heads to make fewer IP-based films and franchises, but the data and numbers aren’t there. Instead, critics need to work harder to convince audiences to show up for original films. Aim your ire/concern at the average person, not studio heads.2 Because they’re just making the films that audiences are telling them to make. WRONG: Original Horror Films Didn’t Break Out I’ll be honest, even though I wrote an article casting some skepticism on the horror genre in July, if you asked me to make a prediction, I would have predicted that, in August, a new, original horror film would have blown up. No, seriously, I just assumed that Obsession and Backrooms presaged a change in audience behavior. But none of the buzzy new original horror films from August—Teenage Sex and Death at Camp Miasma, Onslaught (not an action film in spite of the ads), The End of Oak Street, Eli Roth’s Ice Cream Man, or _Buddy—_broke out. To be clear, exactly one of those films (Buddy) had good “ROI”, but again—I try to be specific in my language—none were “popular” in any broad sense of the word. None of them will be “saving” movies theaters like Backrooms or _Obsession_helped save the summer. The new Insidious film and Resident Evil, both based on IP, were far and away the biggest horror films since July. (We’ll see if this changes in October/Halloween season.) RIGHT: Stay Skeptical about Crowdfunding... I’ve long been skeptical about crowd-investing platforms as one of Hollywood’s saviors, mainly because there’s so much hype/buzz. People need to stay more skeptical about more things, explaining both the potential upside but also the downsides. In particular, the media often hypes crowdfunding at the start and never checks in on the actual results after they’ve come in later. And August gave us our first update! _Ice Cream Man—_directed by Eli Roth—grossed $6 million off of a $5.5 million budget. This is a production of The Horror Section, which was one of the first “crowd investing” studios with 2,400 investors, which means that 2,400 investors probably lost money. They certainly aren’t getting as great of returns as if they had just invested their dollars in the stock market. Hopefully Stiletto (Tagline: “Someone’s Going to Make it Rain Blood!”) does better next month. WRONG: Another Data Goof Here’s another data error. When the first episode of House of the Dragon came out, HBO put out that it had 21.5 million viewers in the first three days, and I read that to mean in the US…but no, it was global. So my US-only datecdotes charts shouldn’t have included it. We never got US-only numbers for the first episode, but for the final episode, HBO put out that it had 11 million US viewers. (And that global dropped to 21 million viewers.) Here’s the updated chart (which I’ve since used in the Streaming Ratings Report): Still, this show is absolutely huge. RIGHT: Superhero Films Remain Very, Very Popular After Supergirl flopped, I read a few takes that “comic book movies are going the way of the Western”. Post-Spider-Man: Brand New Day, that take didn’t age well. To be fair, I have a very nuanced take on the superhero genre right now; it’s down right now, for a lot of reasons. But it’s not “dead”. Maybe _Spider-_Man is just a really popular character? I saw that take, and it’s a fair counter-argument. (But pundits arguing that superhero movies were dead should have mentioned this $1.5 billion counter-argument…) But is it just Spider-Man? The next Avengers film already has $50 million in pre-sales (and I was skeptical that that film would do well) and the Avengers: End Game re-release topped the box office two weekends ago (over three original films). And I wouldn’t bet against Batman or Superman. So maybe it’s just Spider-Man, Batman, Superman and the Avengers. Oh, and Deadpool, of course. And Black Panther. And Wolverine. And probably the X-Men. Plus a well-made Wonder Woman or the Hulk film could break out. But that’s it! It’s just those ten characters/teams. Oh, what’s that? Lanterns is also doing well on HBO? (See previous section…) To be fair, I’m actually pretty sympathetic to the argument that more popular characters—like Spider-Man and Batman—anchor more popular films. In fact, I made that exact argument three years ago when I first wrote about the “Marvel-cession”. In many ways, you can blame The Guardians of the Galaxy for fooling Marvel Studios (and the rest of us) into believing that any character could pop. It turns out, the list of iconic characters is probably smaller than most people think. But it’s probably too early to say that superhero films and comic book movies are dead unless “death” means a slight decline over a longtime. RIGHT: Who Killed Theaters? Old People I get frustrated whenever I see headlines or analysis about how young people are “returning” to theaters. As I’ve detailed(for years), young people have always powered the US box office, despite narratives about “kids these days” and their “phones”. Really, what’s changed post-2020/pandemic is that old people aren’t going to the movies nearly as much. This summer, I saw a movie (from an older director) in a theater near a retirement community, and multiple older people at the theater were talking about how this was their first time seeing a movie in years. I dislike personal anecdotes, so YouGov can fill in the data, best summarized by this headline: “Who killed movie theaters? Not the youths”. According to them, 64% of people aged 18-29 have seen a movie in the last year, but only 30% of 65-and-older. 20% of 18-29 have seen a movie in theaters in the last week and 42% in the last month. Here’s the polling data: Most concerning? Many Americans (17%) think theaters are a worse or much worse experience than watching films at home. Slight WRONG: Hadestown Opens Big A live theater capture of the Broadway musical, Hadestown, made $20 million at the US box office, which begs the question: was I wrong to be skeptical about musicals a few years ago? Yes and no. On the one hand, $20 million is a far cry from being “popular”, so yeah, the genre isn’t that popular overall and Hadestown is one of the more popular musicals from recent years (i.e. the “Taylor Swift Data Fallacy” in action). On the other, I doubt filming this cost all that much, and I don’t think that they spent much on marketing, so this is a good source of ancillary revenue. Smaller Updates WRONG: As I mentioned in a Streaming Ratings Report, I underestimated the budget for Enola Holmes 3. It probably cost more like $50 million, if not more. But... I’m not sure that it really matters? At sub-10 million hours, prices have to come down to make this work. WRONG: Netflix is giving Ink a 27-day in theaters! To quote the kids/YouTubers these days, let’s go! Now I might actually have a chance to see Danny Boyle’s latest in theaters. I’d complained about this in a “Coming Soon” section, but I was heartened to read that Netflix is giving multiple films longer theatrical windows this year. RIGHT: Netflix is sending 4-5 films per year to theaters. Netflix is slowly but surely sending more and more films to theaters, as I cautiously predicted earlier this year. For now, it’s just three big films and a number of awards contenders, but still, this is great news. And they’ll be releasing box office grosses! Just this week, Ted Sarandos confirmed that KPop Demon Hunters 2 will come to theaters (and my guess is it performs in the box office top ten at a minimum). WRONG: Angel has 3 million subscribers! How do I know this? Well, they told Deadline, who reported it. I marked this as “wrong”, since they’ve doubled their subscribers in one year but, you know, they don’t really have a hit film to speak of and they’re still losing money. WRONG: Furious was only renewed for one more season. I accidentally wrote “two more seasons” in my latest “Renewals, Cancellations, Un-Orders and Removals Update”. RIGHT: House of David is ending with its third season. In July, Prime Video renewed House of David for a third season, as I just wrote in my latest “Renewals and Cancellations” report. Well, now it’s ending after that third season. Why? As I’ve been writing, its viewership wasn’t great. I got feedback that this show didn’t cost very much, but it cost enough that its limited viewership didn’t save it. WRONG: Adults was a Hulu original! So I missed Adults when it first came out last year; I saw that it aired on FX and just assumed that it was a linear-first program. Turns out, it aired three episodes on FX, but binge-released the rest of its episodes the next day on Hulu. Huh. So I should have covered it last year! But I just wrote about it. 1 “When I was a kid in the 90s, if you wore a t-shirt to school that wasn’t too big and also wasn’t too small, but somehow didn’t quite fit, we’d say you were wearing an “extra-medium” shirt.” 2 As always, a huge exception is Disney, which barely makes anything original anymore.

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Oct 7 • 6:41 PM EDT • Entertainment • entertainment.substack.com
FCC considers allowing more political robocalls before midterms, including those created with AI

The Federal Communications Commission is considering a request to loosen rules on political robocalls, including those with AI-generated voices. Current federal law bans most robocalls to cellphones without prior consent.

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Oct 7 • 4:33 PM EDT • Politics • journalgazette.net
FCC considers allowing more political robocalls before midterms, including those created with AI

The Federal Communications Commission is considering a request to loosen rules on political robocalls, including those with AI-generated voices.

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Oct 7 • 4:12 PM EDT • Politics • koco.com
Trump makes third trip to Texas in less than a month despite Paxton audio leaks

President Donald Trump is making his third trip to Texas in less than a month to stump for a Senate candidate who’s privately questioned his political capital and whom the president has publicly insulted in personal terms.

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Oct 7 • 2:59 PM EDT • Politics • cnn.com
KFF Midterms Data Presentation: What Do Voters Think About Health Care Now?

Join KFF for a virtual event at Noon ET on Wednesday, October 14, featuring KFF public opinion and survey experts who will provide analysis and insights on the latest findings from recent public opinion surveys about health care issues in advance of the midterms, including current public sentiment about Medicare-for-All and how it compares historically. After the presentation, experts will take questions from attendees.

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Oct 7 • 2:34 PM EDT • Health • kff.org
😐 Neutral (10%)
wow
38%
love
37%
ahah
25%
Trump rebukes political advisers for taking other work during midterms

The president, who generally resists admitting fault, has recently made several reversals responding to ethical concerns.

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Oct 7 • 1:04 PM EDT • Politics • washingtonpost.com
FCC considers allowing more political robocalls before midterms, including those created with AI

FCC considers allowing more political robocalls before midterms, including those created with AI

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Oct 7 • 12:36 PM EDT • Politics • clickorlando.com
'Creator Rally' Aims to 'De-Risk' Politics for Influencers Ahead of Midterms

The goal of the virtual confab: to give creators, both budding and established, a framework for how to talk politics ahead of the midterms.

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Oct 7 • 12:00 PM EDT • Politics • campaignsandelections.com
Conservative anti-tax group seeks FCC approval for AI robocalls ahead of US midterms

A Democratic member of the Federal Communications Commission urged the agency on Wednesday not to approve a ​petition to allow political AI-generated robocalls from conservative political group Club for Growth.

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Oct 7 • 11:07 AM EDT • Politics • reuters.com
FCC could allow more political robocalls before midterms

The Federal Communications Commission is considering a request to loosen rules on political robocalls, including those with AI-generated voices.

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Oct 7 • 10:45 AM EDT • Politics • apnews.com
High-Signal Publisher
FCC considers allowing more political robocalls before midterms, including those created with AI

WASHINGTON (AP) — The Federal Communications Commission is considering a request by a conservative group to loosen rules on political robocalls, including those with artificial intelligence-generated ...

yahoo.com logo
Oct 7 • 10:45 AM EDT • Politics • yahoo.com
FCC considers allowing more political robocalls before midterms, including those created with AI

The Federal Communications Commission is considering a request to loosen rules on political robocalls, including those with AI-generated voices.

clickorlando.com logo
Oct 7 • 10:45 AM EDT • Politics • clickorlando.com
FCC Considers Allowing More Political Robocalls Before Midterms, Including Those Created With AI

WASHINGTON (AP) — The Federal Communications Commission is considering a request by a conservative group to loosen rules on political robocalls, including those with artificial intelligence-generated voices, before November’s midterm elections. Federal law currently bans most robocalls to cellphones ...

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Oct 7 • 10:45 AM EDT • Politics • usnews.com
Can $1 billion power Republicans to victory in the midterms?

Republicans are facing anxiety as they enter the final month of the midterm campaign. They have $1 billion at their disposal but worry it may not be enough to counter

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Oct 7 • 9:22 AM EDT • Politics • lancasteronline.com
Ben Gleib built a late-night show in his house — he’s not the only comedian going DIY

Ben Gleib’s DIY late-night show reflects how comedians are using YouTube and social media to build audiences and create on their own terms.

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Oct 7 • 6:00 AM EDT • Entertainment • latimes.com
Panda Express to open location in Paragould

Haag Brown announced Tuesday (Oct. 6) that Panda Express will open a restaurant in Paragould. It will occupy the former Starbucks location along West Kingshighway. Terms of the deal were...

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Oct 6 • 11:19 PM EDT • Business • talkbusiness.net
Where Duke Football Projects to Play Bowl Game This Season

Where will the Duke Blue Devils end up in terms of their bowl game? The latest projections have them going up against a Big Ten foe.

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Oct 6 • 9:34 PM EDT • Sports • sports.yahoo.com
Democrats eye political shift as key US Senate races take center stage ahead of midterms

A ‘Special Report’ panel discusses energy costs amid the war in Iran, Michigan Democratic U.S. Senate nominee Abdul El-Sayed’s campaign and key races ahead of the 2026 midterm elections.

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Oct 6 • 7:13 PM EDT • Politics • foxnews.com
What did people who went to Trump’s Nebraska rally have to say?

While the perception of Republicans seems gloomy ahead of the midterms, thousands came to see and support President Donald Trump at his rally.

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Oct 6 • 4:51 PM EDT • Politics • nebraskaexaminer.com
Housing costs are the top political issue for young U.S. voters heading into the midterms

A new survey finds 1 in 5 Americans spend half their pre-tax income on housing, and renters are bearing the worst of it

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Oct 6 • 4:01 PM EDT • Politics • qz.com
Researchers find nearly $80 million in AI political ads, most don’t disclose AI

AI is reshaping political advertising landscape ahead of the midterms, but most campaigns aren’t disclosing AI use, making it harder for voters to do a fair assessment.

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Oct 6 • 3:30 PM EDT • Politics • yahoo.com
DOL renews charter for OSHA advisory committee

Eight of the 12-member committee’s seats are vacant, and the terms of the remaining four members are set to expire in January.

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Oct 6 • 1:20 PM EDT • Health • safetyandhealthmagazine.com
Midterm Election Update: Vaccines

Federal vaccine policy has shifted toward fewer recommended routine childhood vaccinations, more emphasis on individual decision-making, and greater skepticism about the safety and efficacy of some vaccines. The changes coincide with declining childhood vaccination rates, rising exemptions from school vaccine requirements, and a major measles resurgence.

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Oct 6 • 12:35 PM EDT • Health • kff.org
Colonial Group completes Foster Fuels purchase

Georgia-based Colonial Group has completed its acquisition of Foster Fuels, the Brookneal-based fuel distributor, for undisclosed terms.

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Oct 6 • 12:00 PM EDT • Business • virginiabusiness.com
Exclusive | Apple News hid stories about how broke the DNC is ahead of the midterms, watchdog alleges
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Oct 6 • 6:00 AM EDT • Technology • nypost.com
Local political polarization is rising sharply ahead of the midterms, survey finds

Cost-of-living issues are driving up tensions in local communities, while immigration is the most polarizing issue nationally, local government officials said in a new survey.

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Oct 6 • 5:00 AM EDT • Politics • nbcnews.com
High-Signal Publisher
KFF Health Tracking Poll: Health Care Issues in the Lead-Up to the 2026 Midterm Election

With the 2026 midterms about a month away, health care costs remain tied with gas as voters’ top midterm concerns and the Democrats hold a clear edge over the Republicans Party on who voters trust to handle many top electoral issues, including the cost of health care and the cost of living. Two-thirds of U.S. adults now favor Medicare-for-all, a new high in KFF Polling, but support shifts when competing claims from critics and proponents are heard.

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Oct 6 • 5:00 AM EDT • Health • kff.org
Trump takes midterms message to deep red Nebraska

President Donald Trump gave supporters a campaign-style speech in Nebraska in a continued effort to fire up the GOP base ahead of the midterms. CNN’s Jeff Zeleny reports.

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Oct 5 • 8:00 PM EDT • Politics • cnn.com
A simple guide to the US midterms

US voters will head to the polls on 3 November in a ballot that could have a major impact on Donald Trump’s presidency.

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Oct 5 • 7:40 PM EDT • Politics • bbc.com
Deep dive
😐 Neutral (9%)
wow
54%
ahah
46%
Democrats release midterms ad featuring family of Epstein victim Virginia Giuffre

(CNN) — The campaign arm working to elect House Democrats released a political advertisement on Monday featuring the family of Virginia Giuffre, who was the first victim of Jeffrey Epstein

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Oct 5 • 3:30 PM EDT • Politics • wqow.com
Obama to campaign with El-Sayed in Detroit as ex-president gets more involved in midterms

Obama is upping involvement in the midterm election. He taped two dozen ads last week for Democratic candidates for governor and Senate that will be released in the coming days and weeks.

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Oct 5 • 1:17 PM EDT • Politics • pbs.org
Apple notifies Apple Cash users about two upcoming changes

Apple Cash’s terms and conditions have just been updated, and Apple is notifying users about two upcoming changes in particular.

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Oct 5 • 1:14 PM EDT • Technology • 9to5mac.com
Top crypto group to pour millions into bipartisan slate of House races after key legislation stalls

WASHINGTON (AP) — A top cryptocurrency campaign organization is unveiling a bipartisan list of House members that it will support in the November midterms, as o

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Oct 5 • 9:25 AM EDT • Politics • wtop.com
Democrats release midterms ad featuring family of Epstein victim Virginia Giuffre

The campaign arm working to elect House Democrats released a political advertisement on Monday featuring the family of Virginia Giuffre, who was the first victim of Jeffrey Epstein to go public with allegations of abuse.

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Oct 5 • 8:03 AM EDT • Politics • cnn.com
Who’s Winning the Battle for Congress?

It’s Oct. 5 — 29 days away from the midterms. Here’s the state of play.

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Oct 5 • 5:03 AM EDT • Politics • nytimes.com
How the Midterms Could Complicate the Supreme Court’s New Term

Even before the justices start their new term on Monday, the court has spent the summer resolving fast-moving requests on election-related disputes.

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Oct 5 • 5:02 AM EDT • Politics • nytimes.com
How the Midterms Could Complicate the Supreme Court’s New Term

Even before the justices start their new term on Monday, the court has spent the summer resolving fast-moving requests on election-related disputes.

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Oct 5 • 5:02 AM EDT • Politics • nytimes.com
Voters are increasingly using AI chatbots to fact-check and compare candidates

Voters are already voting in the midterms. This year, some voters are trying something new to get ready for the election: asking AI to help research their ballot and even decide who to vote for.

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Oct 5 • 5:00 AM EDT • Politics • kgou.org
Voters are increasingly using AI chatbots to fact-check and compare candidates

Voters are already voting in the midterms. This year, some voters are trying something new to get ready for the election: asking AI to help research their ballot and even decide who to vote for.

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Oct 5 • 5:00 AM EDT • Politics • npr.org
High-Signal Publisher
3 years after the Oct. 7 attacks, Israel still grapples with its mental health crisis

More than a third of Israelis have shown symptoms of mental health conditions, a report found. Three years after the October 7 attack, the country's health system is still struggling to come to terms with its effects.

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Oct 5 • 4:52 AM EDT • Health • dw.com
Trump takes extraordinary steps to target midterms, alarming critics

Trump's election moves include a redistricting push, seeking to restrict voting and floating a $5,000 payment to every American adult if the GOP wins.

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Oct 5 • 3:00 AM EDT • Politics • usatoday.com
US midterms: 470 seats, $12 billion and one absent president

Americans go to the polls on November 3 for elections that will shape the final two years of Donald Trump's presidency -- although the president himself will not be on any ballot.44: House races on No...

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Oct 4 • 9:04 PM EDT • Politics • yahoo.com
Trump faces midterm verdict as Democrats close in on US Congress

A month before the US midterms, Democrats are eyeing control of Congress -- and the power to put President Donald Trump on the defensive for the rest of his term by investigating his administration an...

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Oct 4 • 9:00 PM EDT • Politics • yahoo.com
At Trump’s Rallies, a Familiar Mix of Rituals and a Plea to ‘Please Pretend’

President Trump is doggedly lending his support to Republican candidates facing a rough midterm season. He is the same campaigner he has always been, but his crowds have changed.

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Oct 4 • 5:53 PM EDT • Politics • nytimes.com
Trump Is Promising Health Care Checks Before the Midterms. How Far Will They Go?

Trump’s promised rebates come as Americans worry about health care costs. For Medicare recipients, a one-time payment may offer limited relief from rising premiums.

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Oct 4 • 4:38 PM EDT • Health • time.com
Medicare for All remains key pressure point for Democrats ahead of midterms

The idea of universal health coverage in the US is embraced by party’s left but is often considered a liability by centrists

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Oct 4 • 10:00 AM EDT • Health • theguardian.com
The counties to watch on the massive midterm elections battlefield

The breadth of the public backlash against President Donald Trump’s tumultuous second term is rapidly widening the campaign battlefield for 2026.

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Oct 4 • 6:00 AM EDT • Politics • cnn.com
How Democrats hope to reverse Trump’s changes to the presidency

As the midterms approach, some of the president’s foes are working to ensure his aggressive approach to executive power doesn’t outlast him.

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Oct 4 • 6:00 AM EDT • Politics • washingtonpost.com
Some Democrats, Scarred by 2024, Take a Harder Line on Trans Athletes

Democrats competing in historically conservative territory in the midterms are more aggressively responding to Republican attacks casting them as extreme.

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Oct 4 • 5:02 AM EDT • Politics • nytimes.com
'SNL' skewers Trump, Mitch McConnell in midterms-themed cold open

"Saturday Night Live" is ready for the midterms.

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Oct 4 • 12:42 AM EDT • Entertainment • centraloregondaily.com
Trump, campaigning in Ohio, says the midterms will bring a ‘big surprise’

The president rallied Saturday for Sen. Jon Husted, who faces a tough race against Democrat Sherrod Brown, and for Vivek Ramaswamy, the state’s GOP candidate for governor.

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Oct 3 • 10:22 PM EDT • Politics • nbcnews.com
High-Signal Publisher
As midterms near, Justice Alito shares his feelings about retirement

Speaking to CBS News, Alito described the calculation as a natural one that comes with age. At 76, Alito is the second-oldest justice on the court.

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Oct 3 • 8:41 PM EDT • Politics • seattletimes.com
Trump rally attendees react to war and the economy ahead of the midterms

CNN’s Alayna Treene speaks with Trump supporters about their views on issues like the Iran war, gas prices and the economy, as the US president campaigns in Vandalia, Ohio in a bid to help Republicans retain control of Congress in next month’s midterm elections.

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Oct 3 • 8:00 PM EDT • Politics • cnn.com
Ted Cruz blasts JD Vance as ‘insecure,’ says he’s focused on helping GOP win midterms

A clash between two potential candidates for the 2028 Republican presidential nomination spilled into public this week.

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Oct 3 • 4:15 PM EDT • Politics • yahoo.com
Trump, Critic of Voting by Mail, Urges Republicans to Do It in Midterms

It was the latest mixed messaging from President Trump, who regularly votes by mail, but has made baseless claims that the practice is “inherently corrupt.”

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Oct 3 • 2:44 PM EDT • Politics • nytimes.com
Republicans tried to punt health care cuts until after the midterms. It didn’t work.

While most GOP-enacted cuts to Medicaid and other safety net programs won’t happen until 2027, Democrats are speaking to the voters already feeling the squeeze.

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Oct 3 • 2:00 PM EDT • Health • politico.com
As Midterms Near, Justice Alito Says He Considers Each Year Whether to Retire

The justice, the second oldest on the court at 76, told CBS News that he decided against stepping down last term. He could face pressure should Democrats win the Senate in November.

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Oct 3 • 1:46 PM EDT • Politics • nytimes.com
Trump makes pitch to Ohio voters as midterms approach

President Donald Trump will lead a rally in a Dayton suburb Saturday in hopes of energizing GOP voters. He'll be joined by Sen. Jon Husted and others.

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Oct 3 • 12:37 PM EDT • Politics • cincinnati.com
Our Best Stuff on Politics as the Midterms Draw Near

Could a blue wave prompt multiple impeachments?

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Oct 3 • 8:00 AM EDT • Politics • thedispatch.com
As midterms near, some Republicans are starting to question Trump

WASHINGTON — The most striking thing about the U.S. Senate leaving town early to campaign was all the grousing Republicans did about President Donald Trump before going.

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Oct 3 • 5:28 AM EDT • Politics • nola.com
A record number of Native Americans are running in the 2026 midterms

At least 355 Native American and Indigenous candidates ran or are running in local, state and federal primary and general elections this year — a record number.

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Oct 3 • 5:00 AM EDT • Politics • washingtonpost.com
Trump on possibly invoking Insurrection Act around midterms: ‘We’ll see’
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Oct 2 • 6:54 PM EDT • Politics • cnn.com
😐 Neutral (0%)
As Trump's proposed arch looms over D.C., protesters pin their hopes on the midterms

Democratic lawmakers, veterans and concerned citizens gathered in Memorial Circle to protest the arch Trump wants to build there. Their hopes lie primarily in a lawsuit and next month's midterms.

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Oct 2 • 5:44 PM EDT • Politics • npr.org
High-Signal Publisher
Hispanic Voters, Souring on Republicans, Could Decide the Midterms

Hispanic voters are souring on Republicans. Here’s why.

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Oct 2 • 5:38 PM EDT • Politics • nytimes.com
Trump revisits the scene of his political ascent as Republicans struggle

A month before the midterms, the president is returning to Alabama and other places where his movement remains strongest.

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Oct 2 • 4:48 PM EDT • Politics • washingtonpost.com
Midterms monitor: NH and Maine could decide control of the U.S. Senate

As national headlines reverberate at the local level, voters have no shortage of concerns. Journalists from New Hampshire and Maine joined 1A’s weekly news roundup Friday to help take the pulse of the 2026 midterm elections.

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Oct 2 • 3:19 PM EDT • Politics • nhpr.org
The Road to the Texas Midterms

Co-hosts Brandon Rottinghaus and Jeronimo Cortina delve into the latest news in politics

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Oct 2 • 11:59 AM EDT • Politics • houstonpublicmedia.org
Presidio Investors Sells Podium Entertainment To Flexpoint Ford And Shamrock Capital

Presidio Investors has sold Podium Entertainment to Flexpoint Ford and Shamrock Capital, completing an investment that began in 2019 when Podium was an early-stage, founder-led audiobook publisher. GoldState Music is joining the new ownership group as a minority investor. Financial terms of the transaction were not disclosed.

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Oct 2 • 11:02 AM EDT • Entertainment • pulse2.com
Bernhard Capital completes exit from inaugural fund with sale of Epic Piping

The sale of United Weld Holdings, the parent company of Epic Piping and BendTec, to One Equity Partners has closed, according to Bernhard Capital Partners. Epic Piping is UWH’s flagship operating company. Financial terms of the deal were not disclosed. Bernhard announced in July it had agreed to a deal to sell UWH. “Epic has […]

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Oct 2 • 10:26 AM EDT • Business • businessreport.com
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.

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Oct 2 • 10:04 AM EDT • Politics • seattletimes.com
Is Trump too focused on political content creators as midterms approach?

With Republicans deeply worried about the looming midterms, is President Trump focusing too much on politically obsessed content creators and consumers instead of ordinary voters? Join The Hill’s s…

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Oct 2 • 8:22 AM EDT • Politics • thehill.com
New Postseason Projections Favor Carolina Panthers

The latest postseason projections are favorable for the Carolina Panthers in terms of the NFC South.

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Oct 2 • 7:00 AM EDT • Sports • sports.yahoo.com
Douglas County should increase number of commissioners

As three former Douglas County commissioners, we endorse the citizen-led initiative to expand Douglas County’s Board of County Commissioners from three members to five. Three ballot questions on the Douglas County ballot address the board’s expansion. Together, we endorse these positions: Our terms as Douglas County commissioners spanned most of the past 30 years. We […]

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Oct 2 • 2:45 AM EDT • Politics • coloradopolitics.com
Deep dive
😐 Neutral (13%)
wow
61%
ahah
39%
Trump Puts on a Midterms Show for an Audience That’s Already Sold

President Trump spent the day preaching to his most fervent fans, not the voters he will need to help elect or re-elect a slate of Republicans fighting in states from Alaska to Maine.

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Oct 1 • 11:58 PM EDT • Politics • nytimes.com
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.

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Oct 1 • 2:56 PM EDT • Politics • governing.com
GA Sec. State Nominee, NJ-7 & Aviation Politics

GA Sec. State GOP nominee Tim Fleming, the battle for NJ-7 and how aviation is shaping politics—and could be impacted by the midterms.

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Oct 1 • 2:39 PM EDT • Politics • fox7austin.com
GA Sec. State Nominee, NJ-7 & Aviation Politics

GA Sec. State GOP nominee Tim Fleming, the battle for NJ-7 and how aviation is shaping politics—and could be impacted by the midterms.

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Oct 1 • 2:32 PM EDT • Politics • fox4news.com
☹️ Negative (-10%)
ahah
100%
GA Sec. State Nominee, NJ-7 & Aviation Politics

GA Sec. State GOP nominee Tim Fleming, the battle for NJ-7 and how aviation is shaping politics—and could be impacted by the midterms.

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Oct 1 • 2:31 PM EDT • Politics • fox5atlanta.com
☹️ Negative (-10%)
ahah
100%
Losing Baleba and Champions League ambition

Colin asked: Has the departure of Baleba helped team spirit and what can the club do to start retaining our stars so that we can take the next step to trophy success? Johnny: The midfield has coped really well without Baleba. If he progresses at Manchester United it may be seen as a loss, but in terms of team spirit, I don't think he had a detrimental effect.

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Oct 1 • 11:19 AM EDT • Sports • sports.yahoo.com
Renewable Energy Super PAC Targets 7 Republicans With $15 Million War Chest

Most of the Republicans, such as Lauren Boebert of Colorado and Victoria Spartz of Indiana, are incumbents in districts that President Trump won comfortably in 2024.

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Oct 1 • 9:36 AM EDT • Politics • nytimes.com
What early voting data is showing ahead of the 2026 midterms

It’s possible that as many two-thirds of all votes in the midterm elections will come in the mail or will be cast during early voting.

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Oct 1 • 5:00 AM EDT • Politics • cnn.com
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.

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Oct 1 • 5:00 AM EDT • Politics • cnn.com
How 16 undecided voters are weighing their 2026 election options

The voters, who participated in a recent NBC News poll and spoke to reporters afterward, are laser-focused on high prices and largely disappointed with both parties.

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Oct 1 • 5:00 AM EDT • Politics • nbcnews.com
High-Signal Publisher
Trump loses favor with crypto fans who call him out for cashing in

The president’s 2024 campaign leaned into crypto to attract young men, a demographic that is deserting Republicans in the midterms.

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Oct 1 • 5:00 AM EDT • Politics • washingtonpost.com
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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Oct 1 • 4:36 AM EDT • Health • healthapiguy.substack.com
Senate leaves town until after the midterms as final bills founder

Democrats block several pieces of legislation pushed by Republicans looking for victories ahead of Election Day.

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Sep 30 • 11:41 PM EDT • Politics • washingtonpost.com
Senate blocks data center, stock trading bills ahead of November midterms

Battleground Republicans were hoping to campaign on the bills, but Democrats blocked both measures, saying they don’t go far enough

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Sep 30 • 4:57 PM EDT • Politics • spectrumlocalnews.com
WATCH LIVE: Data center bill falls short as Senate holds final votes before the midterms
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Sep 30 • 3:45 PM EDT • Politics • pbs.org
Editor's picks: Highlights in Bend music, art events

First Friday Art Walk You can’t do much better in terms of free entertainment than heading to downtown Bend or the Old Mill District for the monthly First Friday Art […]

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Sep 30 • 2:00 PM EDT • Entertainment • bendbulletin.com