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HHS issues seven nonconformity letters in crackdown on health data blocking
The Trump administration is seeking to give patients access to electronic health information through the enforcement of regulations and “troubleshooting call[s].”
Prosecutors: Saudi government supported ex-OpenAI employee
Abdulrahman Alfozan had been in contact as recently as October 5 with a member of the Saudi Royal Family, prosecutors said.
President Trump Signs Historic Executive Order to Advance Women’s Health, Championed by First Lady Melania Trump
President Donald J. Trump, with the leadership and support of First Lady Melania Trump, signed an executive order, Advancing Women’s Health to Improve Outcomes in All Phases of Life.
CIM hosts staff health, benefits fair
California Institution for Men (CIM) in Chino recently hosted its annual Employee Health and Benefits Fair.
Six years of SQMS: asking what limits quantum systems and building the answers
The founding director provides perspective on the first six years of a DOE National Quantum Information Science Research Center — the Superconducting Quantum Materials and Systems Center, led by Fermi National Accelerator Laboratory.
GOP focuses on fraud, seeking to redirect voters’ ire over healthcare costs
Heading into the midterm elections, high healthcare costs rank among voters’ biggest concerns. But lately, there’s a twist giving the issue new momentum on campaign agendas: a focus on fraud in government health programs. The administration of President Donald Trump has used claims of widespread wrongdoing to justify investigations, suspensions of billions of dollars in […]
Qatari Fund Reportedly Takes an Interest in Inter
Inter have enjoyed a few years of stability and healthy finances after Oaktree took them over by default after their previous owner failed to repay a loan and had used the club as collateral. The gove...
Michiganders to vote on limiting political donations by utility companies, government contractors
Michigan voters will have a chance to decide whether to limit certain campaign finances through a citizen-led initiative.
West Virginia officials remember Ike Morris for business success, philanthropy
GLENVILLE, W.Va. — West Virginia Gov. Patrick Morrisey and other state officials are remembering Ike Morris as a successful entrepreneur, generous philanthropist and loyal friend whose impact extended from his
200 supporters rally for Hinojosa as Abbott is expected to campaign in Houston-area this week
Democratic candidate for governor Gina Hinojosa rallies with supporters the day before the state of early voting. The race has tightened in recent weeks. Governor Greg Abbott is also expected to spend time in the southeast Texas this week.
Live: Governor candidates Demuth and Klobuchar to talk business issues at forum
The forum hosted by the Minnesota Chamber of Commerce begins at 9 a.m. Monday in Brainerd.
Four questions with ThinkTennessee President Erin Hafkenschiel
Over the next several weeks, Tennesseans will head the polls to elect the state’s next governor. Meanwhile, Tennessee continues to face exponential growth and development — an issue the state’s
IPCC scientists vow to press on with climate reports despite political deadlock
After governments again failed to agree a timeline, nearly 120 IPCC authors pledged to complete their assessment on time and with full scientific rigour
IPCC scientists vow to press on with climate reports despite political deadlock
After governments again failed to agree a timeline, nearly 120 IPCC authors pledged to complete their assessment on time and with full scientific rigour
Flu Clinics & Drug Take Back Day
Take part in upcoming public health events to help keep you and your family well this fall. Flu ClinicsThe Health Department is holding flu clinics in the coming weeks. Getting vaccinated for flu
So you say you hate ‘surveillance pricing’
Local governments are banning “surveillance prices,” or when companies use personal data to set prices. But broad actions could hinder any possible benefits.
Where they stand: Amy Klobuchar and Lisa Demuth on health care
Klobuchar as made lowering health care costs a pillar of her campaign, while Demuth has pointed to her record at the Capitol to show how she would address the issue as governor.
Gina Hinojosa Has Managed to Make Greg Abbott’s Reelection Bid a Real Race
The Austin Democrat’s campaign to unseat the three-term governor looked like a long shot. But she’s been able to capitalize on Texans’ anger on two major issues: data centers and schools.
Europe expands access to research data with 13 new open science hubs
Researchers across Europe can now access and share research data and digital services more easily, following the launch of the first 13 hubs in the EOSC Federation
Flames end the Hurricanes' 7-game winning streak
Yegor Sharangovich scored the go-ahead goal with 4:28 left and the Calgary Flames ended Carolina’s seven-game winning streak, beating the defending champion Hurricanes 3-2 on Saturday night for their second victory of the season.
Why the lieutenant governor race is this year's nail-biter
If John Loughlin beats Lt. Gov. Sabina Matos, it would be the first time a Republican toppled an incumbent Democrat for lieutenant governor since 1966
Commentary: What do we need after Nov. 3? Political imagination.
If we're going to have governments that respond to our problems, we have to abandon the idea that the only answers are in the free market.
Opinion: Helping families requires partners to work together
Community partners, businesses, philanthropy, and government came together to make a program like Rx Kids possible, writes Yazeed Moore of the W.K. Kellogg Foundation.
Addressing cascading mountain hazards requires scientific cooperation across borders
Editor's note: The devastating glacier collapse and ensuing debris flow near the China-Nepal border in August underscored the need for stronger cross-border cooperation in addressing mountain hazards. Against this backdrop, the Global Partnership for
Governor Greg Abbott doesn't believe the polls and says Texans will put him in office for a fourth term
In an interview with Lone Star Politics, Republican Texas Governor Greg Abbott makes a lot of news. He commits to tough new data center laws next session. He explains why he doesn’t want to debate his opponent in November, State lawmaker Gina Hinojosa. And he lays out his priorities if elected once again.
Lone Star Politics: Oct. 18, 2026
Our Lone Star Politics sits down with Governor Greg Abbott to talk about the midterm elections. Plus, a closer look at the race for Tarrant County District Attorney.
Trump dangles rural health dollars to push states to change hospital laws
The Trump administration has tied billions in rural health funding for states partly to the policy commitments they make, including ending their certificate of need, or CON, laws governing the construction of new hospitals.
Analysis | Republicans’ grip on state power is also at risk in elections
The GOP has had a majority of governorships for more than a decade.
Elevance Health: Why I Don't Believe In The Stock At This Price
Elevance Health faces structural headwinds, with rising medical costs outpacing reimbursement and government program pressures eroding margin stability. I rate ELV stock a Hold.
More needs to be done to help tackle maternal and child health
A senior Irish Government minister has called for more to be done to help further improve maternal and child health across the world. Speaking in Brussels on Wednesday (14 October), Neale Richmond said it was vital the issue remained a “priority” for policymakers at EU and member state level. Richmond, Minister of State for International […]
Why did Bruce Blakeman go 100% MAGA?
The former Long Island moderate is now facing the music in his run for governor.
France's government under pressure after weekend of widespread violence
Political tension grips France after rioting marred protests over the cost of living and struggling public services, Katya Adler writes.
Autumn Paints Poland’s Bieszczady Mountains
Fall color covers the forested slopes of Bieszczady National Park, while patches of polonina, a type of high-mountain meadow, have turned tan.
Massachusetts GOP ticket rocked by alleged drunken crash as candidate abruptly halts campaign
Massachusetts Republican Shawn Oliver suspended his lieutenant governor campaign after a DUI arrest following a rollover crash in New Bedford.
AI Breach of Australian Healthcare Website Sparks Regulation Debate
Nearly three months after a June attack involving OpenAI on the Australian Medicare website, the Australian government received a five-paragraph email from the company informing officials of the breach. Although the Australian government has promised to take further action, such as establishing task
Lt. Governor candidate Shawn Oliver suspends campaign after being arrested for allegedly drunk driving
Oliver, a 42-year-old Republican, struck five parked cars along Dartmouth Street in New Bedford just before midnight on Saturday.
Newsom makes NH stop to support Democrats
California Gov. Newsom joined New Hampshire Congressman Chris Pappas on the campaign trail Saturday to rally volunteers and supporters across the Granite State.
Massachusetts GOP lieutenant governor candidate suspends campaign after arrest in car crash
The Republican candidate for lieutenant governor in Massachusetts has dropped out of the race hours after he was arrested in a suspected drunk driving crash.
Will Shawn Oliver's arrest affect governor's race? Political analysts say its unlikely.
Political analysts Mary Anne Marsh and Rob Gray shared their perspectives on Shawn Oliver's recent OUI arrest, emphasizing that it is unlikely to affect the outcome of the race.
Newsom announces mental health support for USS Abraham Lincoln sailors
California Governor Gavin Newsom announced expanded mental health support for Sailors and Marines returning to San Diego following a 321-day deployment on the USS Abraham Lincoln.
Obama calls Trump administration’s investigation into Ilhan Omar ‘appalling’
Former President Barack Obama on Sunday called the Justice Department’s investigation into Rep. Ilhan Omar “appalling,” saying the government is attempting to intimidate and deport one of President Donald Trump’s most outspoken critics.
Amazon, data centers and the race for Oregon governor
Amazon is stepping up political spending and community pledges in Oregon as voters and gubernatorial candidates push for a data center moratorium.
Massachusetts Republican lieutenant governor candidate suspends campaign after OUI arrest
Police said Shawn Oliver’s vehicle overturned after hitting five parked vehicles, two of which were extensively damaged.
Oliver suspends campaign for lieutenant governor
Shawn Oliver, the Republican candidate for lieutenant governor, has suspended his campaign hours after he was arrested on a charge of operating under the influence late Saturday night.
‘This is disgusting’: Nebraska’s independent Senate candidate rips dark money in politics
Democrats are hoping to whittle away at the Republican Senate majority in unexpectedly vulnerable red states like Nebraska. Incumbent Senator Pete Ricketts, a multimillionaire former governor, is defending his seat against independent challenger Dan Osborn, a Navy veteran and industrial mechanic. Osborn says he wants Congress to take back its power, end the war in Iran, lower fuel costs, so we “can worry about little league and bake sales.”
Trump says he will close historic D.C. golf course for 15 months of renovations
A judge last week, however, ordered a halt to his redevelopment plans until at least Oct. 26 after scolding the government for starting a large-scale tree removal at the course over a holiday weekend while providing little notice to the court or the plaintiffs trying to stop the makeover.
After Oliver’s OUI arrest, Minogue asks him to suspend campaign
Shawn Oliver, the Republican nominee for lieutenant governor, was arrested on a charge of operating under the influence late Saturday night, authorities said, leading his running mate Mike Minogue to
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.
David Crowley says Black infant health is a priority; no response from Tom Tiffany
David Crowley, the Democratic candidate for governor, responded to a questionnaire from the Cap Times about Wisconsin’s ongoing Black infant mortality crisis. Tom Tiffany, the Republican nominee, d…
CNBC names Ohio the No. 1 state to do business
In Focus host Mike Kallmeyer heads to Lima for the Lima Chamber of Commerce Big 7 Business Roundtable to sit down with Rick Carfagna, the VP of Government Affairs for the Ohio Chamber of Commerce
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.
'Spooky Scary Politics: A Stand-Up Night' combines politics and comedy on campus
Lt. Gov. Garlin Gilchrist and EMU student Katie George performed stand-up comedy acts at "Spooky Scary Politics: A Stand-Up Night" hosted by Eastern Votes.
I’m a vote for ‘none of them’
I have voted in every election since I turned 18. Except when a race was uncontested, I have always filled out the entire ballot. Not this year. For the first time, I’m leaving an office blank. Let me begin by congratulating Phil Weiser on becoming Colorado’s next governor. Yes, it’s a certainty. Even if they […]
On the issues: Governor candidates talk health care affordability
With more than 9% of Tennesseans uninsured, how does our next governor plan to tackle health care affordability?
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.
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
How Zohran Mamdani governs NYC, according to his public calendar
From May 1 to August 31, NYC Mayor Zohran Mamdani had 249 appointments, 170 of them public. Here's what his calendar says about his governing style.
Speak Up: Readers weigh in on New Mexico politics and Project Jupiter
Readers share views on Project Jupiter, Medicaid, the governor's race, ABQ Ride and more.
Anthropic’s Jack Clark Sees AI Supercharging Science—and Governments Need to Prepare
Jack Clark outlines how AI-assisted scientific discovery could boost research and growth, with safeguards and human oversight.
The Republican governor candidates walking back some of their abortion stances
The candidates’ retreat suggests that, even as reproductive rights fade from the national spotlight and polls show voters are far more likely to prioritize cost-of-living concerns, the political ramifications of pushing for new abortion restrictions remain substantial.
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.
The Mills-Pingree machine crushed small business in Maine. Hannah Pingree will finish the job.
To protect us against more bureaucratic overreach by Augusta, we need Bobby Charles as our next governor.
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.
Workers Can Govern, but They Need Power First
A new book makes the most rigorous case yet for why so few working-class people hold office. But by treating the lack of workers in office as a law of electoral democracy, its authors underrate how mu...
GBIF at 25: The Open Data Machine Behind Global Biodiversity Science
Twenty-five years ago, a handful of governments bet that the fastest route to saving life on Earth ran through something unglamorous: standardized, freely shared data about where species live. That bet became the Global Biodiversity Information Facility, or GBIF, an
Nearly $2M more comes in for David Jolly against Byron Donalds fundraising juggernaut
Can a Democrat flip the Governor's Mansion without significant help from the national party?
Science icon Bill Nye to speak at RIT’s homecoming
ROCHESTER, N.Y. (WROC) – RIT has a special guest in town for its homecoming weekend. World-class science educator Bill Nye, best known for his Emmy-winning television series Bill Nye The Science Guy, will be this year’s Brick City Weekend & Student Government speaker. Nye will be at the Gordon Field House at 2 p.m. Since […]
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
Pope Leo XIV has brought transparency to Vatican health crises
Pope Leo XIV has brought an American style of governing to the Vatican, including in the way it handles health crises.
An American pope brings American-style governance to the Vatican, even in a health crisis
VATICAN CITY (AP) — There’s a telling anecdote from St. John Paul II’s pontificate that illustrates how Pope Leo XIV and his American style of governing have changed the Vatican and the way i…
An American pope brings American-style governance to the Vatican, even in a health crisis
Pope Leo XIV has brought an American style of governing to the Vatican, including in the way it handles health crises
An American pope brings American-style governance to the Vatican, even in a health crisis
Pope Leo XIV has brought an American style of governing to the Vatican, including in the way it handles health crises.
Michigan Proposal 2 aims to limit corporate money in politics
Michigan voters will decide in November whether to overhaul the state’s campaign finance laws through a citizen-led ballot initiative that would ban utility companies and certain government contractors from donating to state candidates.
Horror, electronic music and Russian politics: Brittany Roberts connects them all
Brittany Roberts, an assistant professor with the App State English department, gave a talk on how Russian electronic music duo IC3PEAK uses horror imagery to critique its government. The talk was part of the Music Humanities Community Conversation Series, a series of presentations and workshops coordinated by Jacob Kopcienski, an assistant professor of musicology with...
Proposed AI Governance Framework: Risk-Mitigation Recommendations for Health Plans
Senator Maria Cantwell has outlined a comprehensive AI governance framework intended to drive legislative and executive actions addressing potential AI risks — and for health plans, this framework could determine how AI can be used in prior authorization and other consequential clinical and administrative decisions. The framework explicitly calls out AI-assisted prior authorization — including CMS's WISeR model — as an area where meaningful human oversight is required. Read our alert for six risk-mitigation recommendations health plans should take now.
Politics Unusual: Governors debate discussion, ballet props
In this episode of Politics Unusual, FOX 5 NY’s political reporter Morgan McKay sits down with politics strategists to discuss the recent New York gubernatorial debate between Gov. Kathy Hochul and Republican nominee Bruce Blakeman. Also, a conversation with the executive director of Citizens Union about the five ballot propositions.
Gina Hinojosa talks governor race as early voting begins | Inside Texas Politics: Oct. 18, 2026
Trump rallies with top Republicans in critical battleground state of Georgia
Donald Trump flew to Georgia to campaign with Republican candidates for the Senate and governor. Senate candidate Mike Collins faces Democratic Sen. Jon Ossoff. Gubernatorial nominee Rick Jackson is taking
Top global climate science body suspends meeting without deal on major review timeline
By Sudarshan Varadhan Oct 16 (Reuters) - A meeting of the members of the Intergovernmental Panel on Climate Change (IPCC) was suspended without an agreement on a timeline to publish its next review of
Top global climate science body suspends meeting without deal on major review timeline
By Sudarshan VaradhanA meeting of the members of the Intergovernmental Panel on Climate Change (IPCC) was suspended without an agreement on a timeline to publish its next review of the latest science on the warming planet, the IPCC said on Friday.The impasse over the timeline, which has lasted near…
Gov. Ferguson may not get a pay raise next year
Voters established the salary commission in 1987 to end the practice of politicians deciding their own pay.
SBA Offers Relief to Small Businesses and Nonprofits Impacted by Grand Canyon Flooding
Congressman Eli Crane
Gov. Hochul calls inquiry into Rich Schaffer and Suffolk Dems 'political hit job'
At three Suffolk Democrats were questioned by the FBI.
It’s time to bring back science in campaign policy discussions
Despite the politicization of science, a majority of both liberals and conservatives feel that government investment in scientific research is worthwhile for society.
TGIF: Ian Donnis’ Rhode Island politics roundup for Oct 16, 2026
A closer than expected governor’s race between Foulkes and Block
Board of Regents: Candidates talk issues ahead of Nov. 3 election
Name: Edie Hooton Office Sought: Colorado Board of Regents, District2 Party: Democrat How should the Board navigate curriculum debates that have become politically polarized? Curriculum decisions must be anchored in the principle of “shared governance,” as defined in Regent Laws. The responsibility for academic excellence lies with the faculty and subject matter experts, as they […]
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.
Park City business groups express concerns about employee retention, worker housing
The Park City municipal government recently compiled comments from business groups in preparation for a discussion about economic development issues.
Georgia's Senate and governor races test Trump's political influence
Trump plays a significant role in Georgia's races, with Democrats working to tie their GOP opponents to Trump’s unpopular policies on the economy and war with Iran.
Small Business Administration loans approved for Aspen Acres Fire
The U.S. Small Business Administration has approved Colorado's request for disaster assistance loans following the Aspen Acres Fire in Pueblo and Custer Counties, Gov. Jared Polis announced Friday.
R.I. Health and Human Services head to replace Roger Williams, Fatima hospitals CEO
Revolving door? Richard Charest’s jump from government to industry raises ethics questions.
Exclusive-US Strikes One-Year Deal to Fund Maternal and Newborn Health Donations in Poorest Countries
By Ammu Kannampilly, Jennifer Rigby and Victoire Mukenge NAIROBI/LONDON/NYANGEZI, Democratic Republic of Congo, Oct 16 (Reuters) - The US government has struck a deal to continue supplying some of the world's poorest nations with free life-saving medication and equipment for mothers, infants and ...
NCAA sues Ohio gov. over eligibility order for 5th-year athletes
The NCAA has filed a federal lawsuit against Ohio Gov. Mike DeWine three days after he signed an executive order giving the state's colleges and universities the option of allowing athletes who graduated from high school in 2022 to play a fifth year.
NCAA sues Ohio Gov. Mike DeWine after executive order flouting new eligibility rules
DeWine’s executive order comes against a backdrop of eligibility chaos that has enveloped college sports this summer.
Texas Adds 154,300 Jobs, Outpacing National Growth
Governor Greg Abbott touted the strength of the Texas economy as Texas employers added 154,300 nonfarm jobs over the last 12 months for an annual growth rate of 1.1 percent, outpacing the national rate by 0.8 percentage points.
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.
To the editor: The taint of corporate involvement in politics and government
hen we hear Republican candidates earnestly talking about reducing regulations, cutting government programs and lowering taxes to help ordinary Americans, we need to recognize the distinction between tactics and strategy. These proposals are tactics. The broader strategy behind them is to drastically reduce the role of government in our lives. We have watched this strategy