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At the core of the ongoing government shutdown is a fight over the decision to end subsidies that let some 12 million Americans and legal immigrants get affordable healthcare coverage. To understand why this is so important, BBTW editor Peter Green spoke with long-time health care executive John Driscoll, who is now board chair of the University of Connecticut’s health care system.
Peter Green: One of the main arguments behind the shutdown is over extending government funding of health insurance for American citizens and legal residents. Why does this matter so much?John Driscoll:Right now, over 7 million people will lose their subsidies, and around 5 million will lose their health insurance completely. And the way the reductions work is you’re reducing the higher coverage levels, which typically are the healthier people. At a time when health insurance costs are going to go up, you’re taking the better risks and throwing them off the rolls, which will increase the cost going forward for healthcare in general. In addition to destabilizing the marketplace by taking so many people off the rolls so quickly, you’re also changing the risk profile of the underlying covered lives.
How does that work?What they’re doing is cutting the ACA subsidies for over 400% of the federal poverty level [Currently $32,150 for a family of four]. As you increase the number of people who make more money in the subsidy pool, your risk profile decreases. In addition, with 5 million people losing coverage, what happens is they don’t stop getting care; they just get care when they’re very sick.
How does that raise costs?Those 5 million-ish people will end up accessing care through emergency rooms, getting hospitalized at the highest possible cost level. We know that uninsured people are 40% more likely to die because they don’t have access to primary care or specialists, and only half of them take the drugs that they’re prescribed. It’s a doom loop.
But isn’t Obamacare too expensive?Obamacare was really a public-private compact to extend coverage, but without funding, it’s not like the private sector is going to run in. And the irony here is that two-thirds of those who are the beneficiaries of enhanced subsidies are living in red states.
So how do we keep healthcare costs down? The U.S. spends about $14,000 a year per person, while the European average is about $7,500.We don’t solve high costs in the healthcare system by dumping people off of insurance, particularly when the trade is lower taxes for millionaires and billionaires. Your mortality is much higher if you’re uninsured.
What do you do to bring costs down?Uncovered people are by definition more expensive. And you have to solve the problem of extremely high prescription drug costs, and then invest in chronic care and chronic care support. If you cover everyone and can bring down the cost of prescription drugs, and you start to actually invest in integrated chronic care, you could substantially reduce the cost trend.
Integrated chronic care? How does that work?You give me a budget, but I get to manage all the costs. The only way you reduce the excess costs and the excess trend is if you manage all the costs through one clinical entity that has its patient care at the center. Everybody’s got to get covered and everybody’s got to have access to care they can afford. Otherwise more people are going to suffer. And that shouldn’t be true in the richest country in the world.
This interview has been condensed and edited.
—Peter S. Green
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NEW YORK (AP) — Tesla reported a fourth straight decline in quarterly profit even as sales rose, triggering a drop in its shares in after-hours trading.
The car company run by Elon Musk reported third-quarter earnings plunged 37% to $1.4 billion, or 39 cents a share, from $2.2 billion, or 62 cents a share, a year earlier. That marked the fourth quarter in a row that profit dropped. And even the revenue rise, a welcome relief from a sales plunge earlier in the year due to anti-Musk boycotts, came with significant caveat: Customers rushed to take advantage of a $7,500 federal EV tax credit before it expired on Oct. 1, possibly stealing sales from the current quarter.
Tesla shares fell 3.5% in after-hours trading.
In a conference call with investors Musk sought to shift attention away from selling cars to other businesses: its driverless robotaxi service, its AI product and its Optimus robots for the home and factories.
“It’ll seem so real, that you’ll need to poke it,” he said of the Optimus, predicting what he called a “robot army” will likely become “the biggest product of all time.”
Musk also said he was confident enough in the robotaxi to remove “safety monitors” from the driver’s seat by the end of the year in its first market, Austin, Texas. He added that the service, which is also available in San Francisco, will roll out to as many as 10 other metro areas also by the end of the year.
The revenue surge, to $28.1 billion from $25.2 billion, was not unexpected. Musk had announced earlier this month that sales of electric vehicles, one part of the multipronged business, rose 7% in the quarter after plunging for most of the year.
Tesla was also helped by surging sales from its separate battery storage and electric charging businesses, but the EVs still make up much of the overall revenue figures.
“It’s a positive that they are increasingly diversifying from the auto business, but our primary concern is demand for EVs,” said Garrett Nelson, an analyst at CFRA Research who has a “sell” rating on the stock. “There’s a lot of uncertainty.”
A closely watched measure, gross margins, hit 18%, the highest for this year but still declinedc from the third quarter a year ago. The figure, which shows how much money Tesla makes after paying staff, raw materials and other basic expenses, is also down from 25% four years ago as the company offers discounts and other incentives to fight back against rival EV makers that have been stealing market share.
Earnings excluding certain charges, fell to 50 cents per share from 72 cents per share a year ago and below the 56 cents forecast by Wall Street analysts.
Musk was predicting 20% to 30% sales growth for 2025 at this time last year, but it hasn’t turned out that way.
In addition to alienating potential customers with his embrace of right-wing politicians, sparking boycotts in key markets in the U.S. and abroad, he also has failed to shake up his vehicle lineup with a new, exciting model or introduce a substantially cheaper car to appeal to more buyers.
When he finally did reveal two cheaper offerings earlier this month — stripped down versions of the Model Y and Model X — investors were unimpressed because the discount didn’t seem deep enough. They both cost slightly less than $40,000, much higher than expected.
One Musk watcher on Wall Street was undeterred by the quarterly report.
“It’s nice to have revenue come back,” said Brian Mulberry, a senior client portfolio manager at Zacks Investment Management. “There is still strong demand for Teslas.”
WASHINGTON (AP) — As the United States rapidly builds massive data centers for the development of artificial intelligence, many Americans are concerned about the environmental impact.
Worries about how AI will affect the environment surpass concerns about other industries that worsen climate change, according to a new poll from The Associated Press-NORC Center for Public Affairs Research and the Energy Policy Institute at the University of Chicago.
The results of the poll, conducted in September, suggest that as AI reshapes work, communication and culture, it’s also sparking anxieties about how the growing energy demands could further harm the environment.
It takes massive amounts of electricity to power AI. Electricity consumption from data centers is set to more than double globally by 2030, according to the International Energy Agency. The United States accounts for by far the largest share of the projected increase, followed by China. In many places, the electricity for data centers will come from power plants that burn coal, oil and natural gas. Burning these fossil fuels for electricity emits carbon dioxide, trapping heat in the atmosphere and warming the planet.
The energy needs are so large that major technology companies are investing in next-generation nuclear technology, which can produce electricity without emissions, and quietly scaling back their own goals to cut carbon pollution.
Aidan Collins, a 26-year-old Democrat in New York, said in his view, AI uses an “absurd amount” of energy.
“Using all this energy and contributing to climate change in a bad way, it all just seems very awful to me,” he said.
More worries about AI’s environmental impact than meat and aviationPresident Donald Trump unveiled a plan this summer for America’s “global dominance” in artificial intelligence, which included cutting back environmental regulations to speed up the construction of AI supercomputers. The U.S. Department of Energy has identified federal sites where tech companies could build data centers to power AI. Trump, a Republican, has made sweeping strides to prioritize fossil fuels for electricity generation and hinder renewable energy projects.
About 4 in 10 U.S. adults say they are “extremely” or “very” concerned about the environmental impacts of AI. That’s higher than the share of Americans who are highly concerned about the environmental impact of the cryptocurrency, meat production and air travel industries, all of which contribute to climate change and cause environmental harm. Bitcoin mining uses enormous amounts of electricity. Livestock produce methane, a powerful greenhouse gas. And when airplanes burn jet fuel, it releases carbon dioxide.
Like Collins, several Americans said in follow-up interviews that they are worried about the energy and water required to power AI. Data centers need a tremendous amount of water to keep cool. Some communities strongly oppose data centers because they demand so much energy and water.
Aaron Gunnoe, a 29-year-old independent in Ohio, said he’s very concerned about the increasing electricity demand, when much of it is supplied by fossil fuels.
“They haven’t done anything in the way of offsetting it cleanly,” he said. “They just keep building more and more.”
Democrats are more likely than Republicans to be highly worriedDemocrats are particularly likely to be concerned about the environmental impacts of AI.
“I feel like it’s going to be a greater and greater burden,” said Amy Fennewald, a 61-year-old Democrat in Minnesota.
But while about half of Democrats are “extremely” or “very” concerned, so are about one-third of independents and Republicans. Raymond Suarez, a 60-year-old living in Florida, considers himself a “strong” Republican. He fears data centers will be built on land that should be preserved or used for other things, such as farming, and he worries AI is becoming too pervasive.
“For them to uptick it and for them to think it’s a great thing, no, it’s not,” he said.
On the other hand, James Horner said he’s not at all concerned about the environmental impacts. The 52-year-old Republican living in South Carolina said he thinks artificial intelligence will be the solution to its own energy problem — it will show how clean energy can be built in an efficient, profitable way, and clean energy will be used to power AI.
“It’s going to help everybody,” he said. “I think it’s going to be able to figure out these processes happening in our body that scientists, as smart as they are, haven’t figured out yet. With supercomputers taking all that data, I think it will help everything, health care, the environment. If it’s used correctly, it will do good.”
The expected legacy of AI is more negative than positiveAmericans are more likely to think that over the next decade, artificial intelligence will do more to hurt than help the environment, the economy and society as a whole.
Doug Bowen, a 79-year-old moderate Republican living in Kansas, said he thinks artificial intelligence will do more to hurt. The demand on the planet’s resources will be greater as AI and the number of companies involved in the field grow, he said.
Americans are divided on whether AI will do more to help or hurt them personally. About one-quarter say AI will do more to help them, and about the same share say it will do more to hurt them. About half say that it won’t make a difference in their lives or that they are unsure.
Amanda Hernandez, a 24-year-old Democrat in California, said she grew concerned after watching TikTok videos about the immense energy and water demands. Hernandez said she thinks she will be personally hurt by AI because she works as a cashier at a fast food restaurant.
“I’m more concerned, as AI continues to grow and advance, that we’re just not going to need any cashiers or customer service people altogether,” she said.
Fennewald, in Minnesota, said she doesn’t know whether she will be personally helped or hurt by AI in the future.
“I think it’s a black box. I don’t know how we can know,” she said. “We really have no idea what’s ahead.”
___
McDermott reported from Providence, R.I.
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The AP-NORC poll of 3,154 adults was conducted Sept. 2-18, 2025, using a combined sample of interviews from NORC’s probability-based AmeriSpeak Panel, which is designed to be representative of the U.S. population, and interviews from opt-in online panels. The margin of sampling error for all respondents is plus or minus 2.4 percentage points. The AmeriSpeak panel is recruited randomly using address-based sampling methods, and respondents later were interviewed online or by phone. To incorporate the nonprobability sample, NORC used TrueNorth calibration, an innovative hybrid calibration approach developed at NORC to explicitly account for potential bias associated with the nonprobability sample.
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The Associated Press’ climate and environmental coverage receives financial support from multiple private foundations. The AP is solely responsible for all content. Find the AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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Follow the AP’s coverage of artificial intelligence at https://apnews.com/hub/artificial-intelligence.
Why would you make a third “Tron” movie? The first two, despite their groundbreaking technology that revolutionized the film industry multiple times over, bombed at the box office. Making a third from a business standpoint is a horrible decision, unless you have a theme park ride that costs somewhere in the nine-figure region that you need to promote.
For companies like Disney and Universal, the actual film division is little more than a rounding error when compared to their theme park revenues. Disney didn’t spend 4 billion on “Star Wars” just so they could run the film series into the ground, it’s because their toy sales are more valuable than some countries. Where better to sell toys than a place themed after the toy? These companies aren’t so much film studios, they are theme park companies, at least if you go by some of their recent filmmaking decisions.
This summer’s “How To Train Your Dragon” live-action remake was a massive hit, making $635.4 million worldwide off a $150 million budget, but it was greenlit to promote “How To Train Your Dragon - Isle of Berk”, a ride opening this past summer at Universal’s new Epic Universe theme park, which cost between $6 and $7billion to construct.
Why sink hundreds of millions upon hundreds of millions into James Cameron’s “Avatar” series besides them being some of the best and highest grossing films of all time (the original film made $2.9 billion worldwide off a $237 million budget and the second made $2.3 billion worldwide off a budget between $350 to 400 million)? To promote the already existing “Pandora” ride in Walt Disney World’s Animal Kingdom (which cost around $500 million to build) and the upcoming “Pandora” ride in Disneyland’s California Adventure (part of a $1.9 billion DisneylandForward expansion project).
The 2023 “Super Mario Bros Movie: was a colossal success (making $1.3 billion worldwide off a $100 million budget), and its upcoming sequel “The Super Mario Galaxy Movie” most likely will be too. However, those movies exist to drive to you the incredible “Super Nintendo World,” which can be found in Universal’s Epic Universe, Universal Studios Hollywood, Universal Studios in Osaka, Japan (and cost $575 million to make).
Pixar’s “Coco” (which made nearly $800 million off of a $175 million budget) is a perfect film that doesn’t need a sequel, but one is on the way because a ride based on the original film is coming soon (part of the same DisneylandForward initiative as California’s “Pandora”).
“Tron: Ares” makes much more sense as production and advertising cost for a theme park than as a movie in its own right. Disney and Universal know that making movies that get audiences to fall in love with characters and worlds they can visit will be more effective than anything an advertising firm can cook up. Let’s just hope the firms remember that these films do have to be kinda good for the strategy to work.
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