Ruth Reader

@ruthreader.bsky.social

Covering the impact of technology on health care and public health for @politico.com

Last night some 60 health systems wrote a letter to the CEO of the Sequoia Project, a nonprofit that influences governance for two large health data sharing networks, asking for concrete actions to counter fraud. A copy was sent to ONC leadership subscriber.politicopro.com/article/2026...

POLITICO Pro: Over 60 health systems demand new protections for health data

A copy of the letter was sent to Steve Posnack, deputy assistant secretary for technology policy at the U.S. Department of Health and Human Services.

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NEW with @ruthreader.bsky.social: Small states and states that adopt policies favored by the Trump admin (such as restrictions on SNAP) got a much bigger windfall from the fund Congress created to "transform" rural health care. Alaska received more than California, which has 40x its population.

Trump admin doles out billions for rural health

Montana and California will receive near equal amounts in 2026, despite their massive size disparity.

politico.com

The Trump admin offered states a deal: Want more $ for rural health care? Pass pro-MAHA laws. “They’re holding our rural health as a hostage, essentially, for these broader policy goals," one Arizona lawmaker told me. www.politico.com/news/2025/12... with the great @ruthreader.bsky.social

‘Sort of blackmail’: Billions in rural health funding hinge on states passing Trump-backed policies

Democrats and health advocates described the strategy as highly unusual, and some fear it could be wielded to favor political allies.

politico.com

Our analysis shows the U.S. generally performs worse in long-term health outcomes (like life expectancy), certain treatment outcomes (like maternal mortality), some patient safety measures, and health system capacity: https://on.kff.org/42I5t4R

This KFF line graph compares the gap in life expectancy between the U.S. and peer nations. The chart shows that the U.S. saw a significant drop in life expectance during the pandemic, rebounded in 2023, but remains far below peer countries.

NEW: OpenAI CEO Sam Altman said earlier this month that ChatGPT now has 800 million weekly active users. The company’s estimates therefore suggest that every seven days, around 560,000 people may be exchanging messages with ChatGPT that indicate they are experiencing mania or psychosis.

Here's How Many People May Use ChatGPT During a Mental Health Crisis Each Week

OpenAI released initial estimates about the share of users who may be experiencing symptoms like delusional thinking, mania, or suicidal ideation, and says it has tweaked GPT-5 to respond more effecti...

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NEW with @ruthreader.bsky.social: Nearly as many migrants have died in custody so far this year than over the 4 yrs of the Biden admin. ICE is hiring dozens more medical workers, but former insiders are skeptical the deaths will stop w/o more fundamental reforms. www.politico.com/news/2025/10...

ICE is hiring dozens of health workers as lawsuits, deaths in custody mount

Nearly as many migrants have died in detention so far this year than over the four years of the Biden administration.

politico.com

TODAY: PEN Guild heads to arbitration over POLITICO’s contract-breaking use of AI. This fight could set the standard for how AI is used in newsrooms across the country. ✍️ Sign our petition and help us go into arbitration with full support: bit.ly/PENGuild

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We're proud our AI agreement has safeguards for journalists jobs-and company ethics, to allow AI use in a way that works for us, not against us. @politico.com already agreed that AI-generated content should be subject to the same standards as human-written articles. It needs to follow the contract

Politico’s Newsroom Is Starting a Legal Battle With Management Over AI

Politico has rules about AI in the newsroom. Staffers say those rules have been violated—and they’re gearing up for a fight.

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Popping in from vacation for a scoop: Less than four years out of high school, Peter Bowman-Davis is the acting chief AI officer at the Department of Health and Human Services. The Yale undergrad was recently a fellow at Andreessen Horowitz subscriber.politicopro.com/article/2025...

POLITICO Pro: HHS puts Yale undergrad in charge of artificial intelligence

Peter Bowman-Davis has worked at Andreessen Horowitz, the Silicon Valley venture capital firm whose founders endorsed Trump.

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Yes! HHS seems to be moving to rehire probationary workers that were fired in February, complying with a court order issued last week. So far, staff at NIH, CMS, FDA, and ONC have received emails to this effect.

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Noting a couple of scoops here that have been published behind the paywall recently: Since Trump has taken office, his administration has quickly tried to unwind the Biden administration's work regulating AI in health care.

The Senate Commerce Committee advanced the Kids Off Social Media Act, which would ban kids under 13 from social platforms. Expect more online safety bills to come before this committee...

There is a new lawsuit against Character.ai, alleging the platform caused two users under the age of 18 mental health harm and promoted self harm. This is the second lawsuit against Character.ai and part of a larger wave of social platform product liability lawsuits.

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