Corewell Health is accused of failing to address a nurse practitioner who publicly described herself as a “proud Islamophobe” and shared social media posts calling for discrimination against Muslims, according to a complaint with the state.

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By TERRY TANG and OBED LAMY

INDIANAPOLIS (AP) — Cradling his newborn daughter in his lap in their Indianapolis home, JaKobi Burton’s love for the new lady in his life is evident with each caress.

The first-time dad’s commitment started months earlier. Burton attended every medical appointment and took classes with Dads to Doulas, a program created by the organization Dear Fathers that teaches Black fathers-to-be how to provide physical, mental and spiritual support up to and after childbirth.

He and his wife, Crystal Wilmot-Burton, understood that the pregnancy came with immense risk, not just because they were in their 40s but also because they are Black. Federal health data shows Black women are almost 3.5 times more likely than white women to die around the time of childbirth.

Health professionals and advocates hope that by giving Black fathers-to-be the tools to be more hands-on — through government-funded programs and nonprofit center resources — they can cut into those odds. Organizers say there has been a noticeable shift in the attitudes of some Black men who now openly discuss their pregnancy fears and insecurities.

“I want you to know that I was involved and that I was looking out for you from the very beginning, and I’m always going to be your biggest protector,” Burton tells his 1-month-old daughter. “That’s what I did from the beginning of this experience, trying to learn as much as I could.”

Paternal involvement is ‘directly correlated with better outcomes’

Health disparities, racism and equal access to prenatal care are among the contributing factors for the disparities in mortality rates among women of different races, according to the National Center for Health Statistics. Two recent viral cellphone videos — including one in Indiana — show hospital staff dismissing the concerns of Black women in labor.

The maternal mortality rate for Black women soars above that of other racial groups. They suffered 50.3 deaths per 100,000 live births in 2023, according to the Centers for Disease Control and Prevention. White women experienced 14.5. Hispanic and Asian women faced 12.4 and 10.7, respectively.

The National Healthy Start Association, which was created in 1998 to help improve infant and maternal mortality rates, has “fatherhood practitioners” at its 116 project sites. They, along with case managers, offer men assistance including webinars, a texting service and even cooking lessons.

Kenneth Scarborough, who has been the NHSA’s fatherhood and men’s health consultant for 10 years, has noticed a shift toward including male partners in the efforts to preserve the health of pregnant women.

“There’s more research that is being done to be able to change those narratives, without a shadow of a doubt,” Scarborough said. “The challenge with that is still getting these institutions to understand the value of making sure that Dad is there and he is at the table.”

Doctors still leave Black fathers “on the fringes of the conversation” while society often codifies them as “scary and rough,” said Dr. Ndidiamaka Amutah-Onukagha, founder and director of the Center of Black Maternal Health and Reproductive Justice at Tufts University.

She said she has heard countless anecdotes of fathers being ignored in the exam room, even though paternal involvement is “directly correlated with better outcomes.”

Mothers- and fathers-to-be face racism in medical institutions

Black patients are frequently advised to seek out an OB-GYN who looks like them, and Wilmot-Burton did just that.

“I thought maybe she would be more caring, be more willing to listen to my issues, which she was,” she said.

But Black doctors make up a tiny share of OB-GYNs nationwide. Of the estimated 43,700 practicing OB-GYNs, 7.5% are Black women, according to 2023 data from the American Medical Association and the Association of American Medical Colleges. Even fewer — 2.3% — are Black men.

Deborah Frazier, the CEO of National Healthy Start, said medical organizations must let go of any stigma about paternal involvement. Black and brown fathers still face stereotypes of absenteeism.

“We have data and interviews with fathers, and those fathers have told us that they wanted to be there with their partners, and they wanted be present for their births,” Frazier said.

Charles Johnson IV founded 4Kira4Moms in 2017 after his wife, Kira, bled to death during a cesarean section at Cedars-Sinai hospital in Los Angeles. Johnson sued the hospital in 2022, saying she died because of a culture of racism.

Fathers should be able to walk the line between assertive and aggressive while still being a “force in the room,” the group’s executive director Gabrielle Albert said.

“What if you happen to be 6-foot-5 and 200-something pounds? If you speak up, what’s gonna happen?” Albert said. “Let’s role-play conversations. How do you push back against the doctor?”

From dad to doula

In August — two months before Wilmot-Burton gave birth — Burton was one of a dozen prospective dads holding a Black baby doll at a Dads to Doulas workshop. Facilitator Kyra Betts Patton tells them studies show present fathers-to-be can lower the chances of premature births.

“The largest time frame for maternal mortality, you’re looking at 43 to 100 days after you’ve had a baby. No one’s there but the partner,” Patton said.

Burton said the classes gave him the courage to advocate throughout the pregnancy, and that he took a checklist of questions from the class to every appointment.

“I pushed hard prior to the delivery to make sure that our birth plan was followed, even though it wasn’t completely. But she (Phoenix) still turned out great and was delivered successfully,” said Burton. He also took classes with the Indiana Breastfeeding Coalition.

Wilmot-Burton gives her husband credit for taking these workshops while also working and attending grad school. His presence was vital, especially when she felt unwell or was nervous.

“I would encourage other Black women to make sure their partners are on board to attend some classes or read books,” she said, “and definitely go to as many appointments as they can.”

Tang reported from Phoenix.

By CHEYANNE MUMPHREY

Children living through the latest war in the Middle East or seeing images of the conflict may need help making sense of events that many adults find unnerving. Exposure to war, even if it is indirect, can affect how kids think, feel and behave, according to mental health experts.

Child psychologists and development specialists encourage parents to check in with their children, make time for age-appropriate conversations and to correct misinformation without going into excessive detail.

“Sometimes adults think if they don’t talk about something that is difficult, than it doesn’t exist. But we know that’s not the reality in children’s lives,” said Rebecca Smith, the global head of child protection at Save the Children, an international aid and advocacy organization. “Ignoring or avoiding the topic of conflict can lead to children feeling lost, alone and scared. … It is essential to have open and honest conversations with children to help them process what is happening.”

Below are suggestions for having conversations with children about war and its impacts.

Create a safe space, then listen and validate feelings

Experts recommend starting with what a child might know about what is happening in Ukraine, Gaza, Iran, Israel, Sudan or other parts of the world before attempting to address any feelings of fear, sadness, anger or anxiety.

Some children may not know that fighting has escalated between the United States and Israel on one side and Iran and its proxies on the other. Other kids may be more aware than their families realize and suppress their emotions. Children visiting or living in Middle Eastern countries directly impacted will have seen weapons light up the sky and may know people killed or have to leave their homes.

“For some children where missiles are now visible in the skies, this might be an entirely new and terrifying experience,” Smith said. “When events like this happen, they disrupt a child and family’s sense of safety. What once felt stable and secure may suddenly feel uncertain.”

To help children work through their emotions, the trusted adults in their lives also need to take care of themselves, according to experts. Guidance from the National Child Traumatic Stress Network says adults sharing their own feelings with children can be an opportunity to convey personal beliefs and values about how to treat others. The key is to not assume what children might be thinking or feeling.

If children do not want to talk or are not ready, experts suggest adults remain patient and tell children they are there for them.

“It is necessary to respect child’s ability to refuse communication, their ability not to talk or not to tell about something. Because they can have their own feelings, their own states, which they might not want to share,” child psychologist Nataliia Sosnovenko said, speaking in Ukrainian. Sosnovenko works with Voices of Children, a Ukrainian organization that provides psychological support and documents children’s experiences in the country during the yearslong war with Russia.

Some children might share what they have seen or heard, how they feel or ask questions when given an opportunity. Experts say this is when adults should validate their feelings and address what’s happening honestly while taking their ages and maturity levels into account.

Let their age guide the conversation

The American Psychological Association recommends giving kids basic, age-appropriate information about war and conflict, and addressing any upsetting images, headlines or conversations they were exposed to without going into details that might make them unnecessarily anxious. But ultimately, parents know their children best, experts say.

Families who have loved ones in the region may need to take the extra time to discuss the safety of their relatives and friends, and the difficulty of uncertainty. Families in the region themselves may need to have a plan in place for what to do if they become separated. Experts with Save the Children say to keep it simple and to practice the plan calmly.

Depending on how young, some children can understand the idea that two countries are fighting. But young children living abroad may not be able to distinguish between what they see on screens and what is happening nearby. For children in the U.S., the Iran war can seem much closer than it is if they are frequently seeing images on TV or social media, meaning they may need additional reassurance they are safe from danger.

Older children are likely to understand war and its consequences, which means they might be more concerned and have more questions, the American Psychological Association says. Adults may want to consider focusing on what is within their control and giving children some agency, such as supporting humanitarian efforts, staying informed and addressing misinformation.

UNICEF, the United Nations agency that provides humanitarian aid and long-term support to children worldwide, says it is OK to not have all the answers.

In Lebanon, some families have sought refuge since Saturday in a brick school building. Nora Ingdal, Save the Children’s Lebanon Country Director, says children there are asking several questions about the reason for conflict and when things might return to normal.

“This one daughter was clinging to her mother and looking up to her mom and asking, ‘Mom, why are they fighting? Why are they attacking us?’ The mother looks at me, but has no answer. Then she’s asking, ‘When are we gonna go home?’ Again, the mom looked at me,” Ingdal said. “I said to her, ‘It’s all right to say that you don’t know, you cannot guarantee anything, but I’m here with you.’”

Limit unnecessary exposure and use this as a teaching opportunity

While some global agencies say children should be aware of what is happening in the world, experts say adults still have a responsibility to keep youngsters safe and limit unnecessary exposure.

Parents are encouraged to pay attention to how exposed children are to the news. The younger the child, the less exposure they should have, according to the National Child Traumatic Stress Network.

Some agencies recommend switching off the news entirely or limiting conversations about distressing events with other adults if children can hear. Others recommend using the opportunity to educate children on the importance of news, understanding where to find accurate facts and how to identify when something is not true or deceiving.

Save the Children says caregivers can model responsible digital behavior, encourage kids not to spread harmful or graphic information and remind them to think twice before sharing content that is possibly inaccurate or emotionally triggering.

It is important for caregivers of children living in conflict zones to remember that some kids do not know a time before war and do not have the ability to disconnect from what is happening around them, Sosnovenko said. That’s where professional help might support conversations and education.

“During the war, the types of people who come to us have changed,” she said. “Thanks to the fact that the psychological culture of the population is improving, people began to understand that therapy is important. These days, help of a psychologist is needed by most people and children as well.”

AP journalist Illia Novikov in Kyiv, Ukraine, contributed to this story.

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By Darius Tahir, Lauren Sausser, KFF Health News

It’s the rare policy question that unites Republican Gov. Ron DeSantis of Florida and the Democratic-led Maryland government against President Donald Trump and Gov. Gavin Newsom of California: How should health insurers use AI?

Regulating artificial intelligence, especially its use by health insurers, is becoming a politically divisive topic, and it’s scrambling traditional partisan lines.

Boosters, led by Trump, are not only pushing its integration into government, as in Medicare’s experiment using AI in prior authorization, but also trying to stop others from building curbs and guardrails. A December executive order seeks to preempt most state efforts to govern AI, describing “a race with adversaries for supremacy” in a new “technological revolution.”

“To win, United States AI companies must be free to innovate without cumbersome regulation,” Trump’s order said. “But excessive State regulation thwarts this imperative.”

Across the nation, states are in revolt. At least four — Arizona, Maryland, Nebraska, and Texas — enacted legislation last year reining in the use of AI in health insurance. Two others, Illinois and California, enacted bills the year before.

Legislators in Rhode Island plan to try again this year after a bill requiring regulators to collect data on technology use failed to clear both chambers last year. A bill in North Carolina requiring insurers not to use AI as the sole basis of a coverage decision attracted significant interest from Republican legislators last year.

DeSantis, a former GOP presidential candidate, has rolled out an “AI Bill of Rights,” whose provisions include restrictions on its use in processing insurance claims and a requirement allowing a state regulatory body to inspect algorithms.

“We have a responsibility to ensure that new technologies develop in ways that are moral and ethical, in ways that reinforce our American values, not in ways that erode them,” DeSantis said during his State of the State address in January.

Ripe for Regulation

Polling shows Americans are skeptical of AI. A December poll from Fox News found 63% of voters describe themselves as “very” or “extremely” concerned about artificial intelligence, including majorities across the political spectrum. Nearly two-thirds of Democrats and just over 3 in 5 Republicans said they had qualms about AI.

Health insurers’ tactics to hold down costs also trouble the public; a January poll from KFF found widespread discontent over issues like prior authorization. (KFF is a health information nonprofit that includes KFF Health News.) Reporting from ProPublica and other news outlets in recent years has highlighted the use of algorithms to rapidly deny insurance claims or prior authorization requests, apparently with little review by a doctor.

Last month, the House Ways and Means Committee hauled in executives from Cigna, UnitedHealth Group, and other major health insurers to address concerns about affordability. When pressed, the executives either denied or avoided talking about using the most advanced technology to reject authorization requests or toss out claims.

AI is “never used for a denial,” Cigna CEO David Cordani told lawmakers. Like others in the health insurance industry, the company is being sued for its methods of denying claims, as spotlighted by ProPublica. Cigna spokesperson Justine Sessions said the company’s claims-denial process “is not powered by AI.”

Indeed, companies are at pains to frame AI as a loyal servant. Optum, part of health giant UnitedHealth Group, announced Feb. 4 that it was rolling out tech-powered prior authorization, with plenty of mentions of speedier approvals.

“We’re transforming the prior authorization process to address the friction it causes,” John Kontor, a senior vice president at Optum, said in a press release.

Still, Alex Bores, a computer scientist and New York Assembly member prominent in the state’s legislative debate over AI, which culminated in a comprehensive bill governing the technology, said AI is a natural field to regulate.

“So many people already find the answers that they’re getting from their insurance companies to be inscrutable,” said Bores, a Democrat who is running for Congress. “Adding in a layer that cannot by its nature explain itself doesn’t seem like it’ll be helpful there.”

At least some people in medicine — doctors, for example — are cheering legislators and regulators on. The American Medical Association “supports state regulations seeking greater accountability and transparency from commercial health insurers that use AI and machine learning tools to review prior authorization requests,” said John Whyte, the organization’s CEO.

Whyte said insurers already use AI and “doctors still face delayed patient care, opaque insurer decisions, inconsistent authorization rules, and crushing administrative work.”

Insurers Push Back

With legislation approved or pending in at least nine states, it’s unclear how much of an effect the state laws will have, said University of Minnesota law professor Daniel Schwarcz. States can’t regulate “self-insured” plans, which are used by many employers; only the federal government has that power.

But there are deeper issues, Schwarcz said: Most of the state legislation he’s seen would require a human to sign off on any decision proposed by AI but doesn’t specify what that means.

The laws don’t offer a clear framework for understanding how much review is enough, and over time humans tend to become a little lazy and simply sign off on any suggestions by a computer, he said.

Still, insurers view the spate of bills as a problem. “Broadly speaking, regulatory burden is real,” said Dan Jones, senior vice president for federal affairs at the Alliance of Community Health Plans, a trade group for some nonprofit health insurers. If insurers spend more time working through a patchwork of state and federal laws, he continued, that means “less time that can be spent and invested into what we’re intended to be doing, which is focusing on making sure that patients are getting the right access to care.”

Linda Ujifusa, a Democratic state senator in Rhode Island, said insurers came out last year against the bill she sponsored to restrict AI use in coverage denials. It passed in one chamber, though not the other.

“There’s tremendous opposition” to anything that regulates tactics such as prior authorization, she said, and “tremendous opposition” to identifying intermediaries such as private insurers or pharmacy benefit managers “as a problem.”

In a letter criticizing the bill, AHIP, an insurer trade group, advocated for “balanced policies that promote innovation while protecting patients.”

“Health plans recognize that AI has the potential to drive better health care outcomes — enhancing patient experience, closing gaps in care, accelerating innovation, and reducing administrative burden and costs to improve the focus on patient care,” Chris Bond, an AHIP spokesperson, told KFF Health News. And, he continued, they need a “consistent, national approach anchored in a comprehensive federal AI policy framework.”

Seeking Balance

In California, Newsom has signed some laws regulating AI, including one requiring health insurers to ensure their algorithms are fairly and equitably applied. But the Democratic governor has vetoed others with a broader approach, such as a bill including more mandates about how the technology must work and requirements to disclose its use to regulators, clinicians, and patients upon request.

Chris Micheli, a Sacramento-based lobbyist, said the governor likely wants to ensure the state budget — consistently powered by outsize stock market gains, especially from tech companies — stays flush. That necessitates balance.

Newsom is trying to “ensure that financial spigot continues, and at the same time ensure that there are some protections for California consumers,” he said. He added insurers believe they’re subject to a welter of regulations already.

The Trump administration seems persuaded. The president’s recent executive order proposed to sue and restrict certain federal funding for any state that enacts what it characterized as “excessive” state regulation — with some exceptions, including for policies that protect children.

That order is possibly unconstitutional, said Carmel Shachar, a health policy scholar at Harvard Law School. The source of preemption authority is generally Congress, she said, and federal lawmakers twice took up, but ultimately declined to pass, a provision barring states from regulating AI.

“Based on our previous understanding of federalism and the balance of powers between Congress and the executive, a challenge here would be very likely to succeed,” Shachar said.

Some lawmakers view Trump’s order skeptically at best, noting the administration has been removing guardrails, and preventing others from erecting them, to an extreme degree.

“There isn’t really a question of, should it be federal or should it be state right now?” Bores said. “The question is, should it be state or not at all?”

©2026 KFF Health News. Distributed by Tribune Content Agency, LLC.

By Darius Tahir, KFF Health News

Republicans think patients should be shopping for better health care prices. The party has long pushed to give patients money and let consumers do the work of reducing costs. After some GOP lawmakers closed out 2025 advocating to fund health savings accounts, President Donald Trump introduced his Great Healthcare Plan, which calls for, among other policies, requiring providers and insurers to post their prices “in their place of business.”

The idea echoes a policy implemented during his first term, when Trump suggested that requiring hospitals to post their charges online could ease one of the most common gripes about the health care system — the lack of upfront prices. To anyone who’s gotten a bill three months after treatment only to find mysterious charges, the idea seemed intuitive.

“You’re able to go online and compare all of the hospitals and the doctors and the prices,” Trump said in 2019 at an event unveiling the price transparency policy.

But amid low compliance and other struggles in implementing the policy since it took effect in 2021, the available price data is sparse and often confusing. And instead of patients shopping for medical services, it’s mostly health systems and insurers using the little data there is, turning it into fodder for negotiations that determine what medical professionals and facilities get paid for what services.

“We use the transparency data,” said Eric Hoag, an executive at Blue Cross Blue Shield of Minnesota, noting that the insurer wants to make sure providers aren’t being paid substantially different rates. It’s “to make sure that we are competitive, or, you know, more than competitive against other health plans.”

Not all hospitals have fallen in line with the price transparency rules, and many were slow to do so. A study conducted in the policy’s first 10 months found only about a third of facilities had complied with the regulations. The federal Centers for Medicare & Medicaid Services notified 27 hospitals from June 2022 to May 2025 that they would be fined for lack of compliance with the rules.

The struggles to make health care prices available have prompted more federal action since Trump’s first effort. President Joe Biden took his own thwack at the dilemma, by requiring increased data standardization and toughening compliance criteria. And in early 2025, working to fulfill his promises to lower health costs, Trump tried again, signing a new executive order urging his administration to fine hospitals and doctors for failing to post their prices. CMS followed up with a regulation intended to up the fines and increase the level of detail required within the pricing data.

So far, “there’s no evidence that patients use this information,” said Zack Cooper, a health economist at Yale University.

In 2021, Cooper co-authored a paper based on data from a large commercial insurer. The researchers found that, on average, patients who need an MRI pass six lower-priced imaging providers on the way from their homes to an appointment for a scan. That’s because they follow their physician’s advice about where to receive care, the study showed.

Executives and researchers interviewed by KFF Health News also didn’t think opening the data would change prices in a big way. Research shows that transparency policies can have mixed effects on prices, with one 2024 study of a New York initiative finding a marginal increase in billed charges.

The policy results thus far seem to put a damper on long-held hopes, particularly from the GOP, that providing more price transparency would incentivize patients to find the best deal on their imaging or knee replacements.

These aspirations have been unfulfilled for a few reasons, researchers and industry insiders say. Some patients simply don’t compare services. But unlike with apples — a Honeycrisp and a Red Delicious are easy to line up side by side — medical services are hard to compare.

For one thing, it’s not as simple as one price for one medical stay. Two babies might be delivered by the same obstetrician, for example, but the mothers could be charged very different amounts. One patient might be given medications to speed up contractions; another might not. Or one might need an emergency cesarean section — one of many cases in medicine in which obtaining the service simply isn’t a choice.

And the data often is presented in a way that’s not useful for patients, sometimes buried in spreadsheets and requiring a deep knowledge of billing codes. In computing these costs, hospitals make “detailed assumptions about how to apply complex contracting terms and assess historic data to create a reasonable value for an expected allowed amount,” the American Hospital Association told the Trump administration in July 2025 amid efforts to boost transparency.

Costs vary because hospitals’ contracts with insurers vary, said Jamie Cleverley, president of Cleverley and Associates, which works with health care providers to help them understand the financial impacts of changing contract terms. The cost for a patient with one health plan may be very different than the cost for the next patient with another plan.

The fact that hospital prices might be confusing for patients is a consequence of the lack of standardization in contracts and presentation, Cleverley said. “They’re not being nefarious.”

“Until we kind of align as an industry, there’s going to continue to be this variation in terms of how people look at the data and the utility of it,” he said.

Instead of aiding shoppers, the federally mandated data has become the foundation for negotiations — or sometimes lawsuits — over the proper level of compensation.

The top use for the pricing data for health care providers and payers, such as insurers, is “to use that in their contract negotiations,” said Marcus Dorstel, an executive at price transparency startup Turquoise Health.

Turquoise Health assembles price data by grouping codes for services together using machine learning, a type of artificial intelligence. It is just one example in a cottage industry of startups offering insights into prices. And, online, the startups’ advertisements hawking their wares often focus on hospitals and their periodic jousts with insurers. Turquoise has payers and providers as clients, Dorstel said.

“I think nine times out of 10 you will hear them say that the price transparency data is a vital piece of the contract negotiation now,” he said.

Of course, prices aren’t the only variable that negotiations hinge on. Hoag said Blue Cross Blue Shield of Minnesota also considers quality of care, rates of unnecessary treatments, and other factors. And sometimes negotiators feel as if they have to keep up with their peers — claiming a need for more revenue to match competitors’ salaries, for example.

Hoag said doctors and other providers often look at the data from comparable health systems and say, “‘I need to be paid more.’”

©2026 KFF Health News. Distributed by Tribune Content Agency, LLC.

By KAITLYN HUAMANI and BARBARA ORTUTAY The Associated Press

LOS ANGELES (AP) — A young woman who is battling against social media giants took the stand Thursday to testify about her experience using the platforms as she was growing up, saying she was on social media “all day long” as a child.

The now 20-year-old, who has been identified in court documents as KGM, says her early use of social media addicted her to the technology and exacerbated depression and suicidal thoughts. Meta and YouTube are the two remaining defendants in the case, which TikTok and Snap have settled.

The case, along with two others, has been selected as a bellwether trial, meaning its outcome could impact how thousands of similar lawsuits against social media companies are likely to play out.

KGM, or Kaley, as her lawyers have called her during the trial, started using YouTube at age 6 and Instagram at age 9.

A turbulent home life

Kaley took the stand wearing a pink floral dress and a beige cardigan and said she was “very nervous” after her attorney, Mark Lanier, asked how she was doing Thursday morning.

Lanier displayed childhood photos of Kaley and her family and asked about positive memories from her upbringing in a quiet cul-de-sac in Chico, California. She spoke of themed birthday parties, trips to Six Flags and her mom’s consistent efforts to make her childhood special.

Still, Kaley’s relationship with her mother was challenging at times. Kaley said most of their arguments were over the use of her phone.

Both the defendants and the plaintiff have pointed to a turbulent home life for Kaley. Her attorneys say she was preyed upon as a vulnerable user, but attorneys representing Meta and Google-owned YouTube have argued Kaley turned to their platforms as a coping mechanism or a means of escaping her mental health struggles.

When asked about claims that her mother had hit her, abused her and neglected her, Kaley said “she wasn’t perfect, but she was trying her best,” and clarified that she doesn’t think she would label her mother’s past actions as abuse or neglect today.

But later Thursday, during her cross-examination, Kaley did agree that her mother was being physically and emotionally abusive during the time that she was self-harming around when she was in the 6th grade.

Kaley, who works as a personal shopper at Walmart, lives with her mother in the home she grew up in.

Notifications gave her a ‘rush’

As a child, Kaley set up multiple accounts on both Instagram and YouTube so she could like and comment on her posts. She said she would also “buy” likes through a platform where she could like other people’s photos and get a slew of likes in return. “It made me look popular,” she said.

Kaley was asked specifically about the features the plaintiffs argue are deliberately designed to be addictive, including notifications. Those notifications on both Instagram and YouTube gave her a “rush,” she said. She would receive them throughout the day and would go to the bathroom during school to check them — something she still does.

Kaley said while she uses YouTube less often now, she believes she was previously addicted to it. “Anytime I tried to set limits for myself, it wouldn’t work and I just couldn’t get off,” she said.

Filters on Instagram, specifically those that could change a person’s cosmetic appearance, have also loomed large in the case and were also a constant fixture of Kaley’s use. Lanier and his colleagues unfurled a nearly 35-foot-long canvas banner with photos Kaley has posted on Instagram. She said “almost all” of the photos had a filter on them.

The jury was also shown Instagram posts and YouTube videos Kaley posted as a child and young teen. One video showed her saying she was “crying tears of joy” after surpassing 100 YouTube subscribers — but then she quickly turned to her looks, apologizing for her “ugly appearance.”

“I look so fat in this shirt,” the young Kaley says in the video.

Kaley said she did not experience the negative feelings associated with her body dysmorphia diagnosis before she began using social media and filters.

Meta focuses on plaintiff’s home life, contradicting statements

Meta has argued that Kaley faced significant challenges before she ever used social media. The company’s lawyer, Paul Schmidt, said earlier this month that the core question in the case is whether the platforms were a substantial factor in Kayley’s mental health struggles.

Meta attorney Phyllis Jones took a polite, respectful tone in her cross-examination Thursday, acknowledging that it could be uncomfortable for her to speak about her private life in front of a room of strangers. Jones proceeded to zero in on Kaley’s home life and did not ask her any questions about social media addiction within the first hour and a half of the cross-examination.

Jones pulled up text exchanges and posts Kaley had made on Instagram about her mental health and her relationship with her mother and played videos Kaley took of her mother yelling at her.

On nearly 20 occasions during the Meta cross-examination, Jones asked Kaley to look at the transcript from her 2025 deposition, which contradicted some of the responses she gave during her testimony. Many of those questions were about how a specific action by her family members or a specific experience impacted her mental health, with Kaley saying on Thursday they either didn’t have an impact or didn’t significantly contribute to anxiety and depression. Her deposition from about a year ago often said the opposite.

“I tried to answer the questions to the best of my ability, but I may have misspoke at times,” Kaley said of her deposition.

This time, Kaley did agree that her mother was being physically and emotionally abusive during the time that she was self-harming around when she was in the 6th grade. She testified earlier in the day that she doesn’t think she would label her mother’s past actions as abuse or neglect today.

Therapist: Social media and sense of self ‘were closely related’

Victoria Burke, a former therapist Kaley worked with in 2019, testified on Wednesday, and Burke said her social media and her sense of self “were closely related,” adding that what was happening on the platforms could “make or break her mood.”

An attorney for Meta parsed through Burke’s notes from her sessions with Kaley extensively in a cross examination that lasted about three hours. He highlighted Kaley’s negative experiences with in-person bullying, other school-based sources of stress and anxiety and issues with her family. Mentions of social media in the notes were mostly limited to Kaley saying she didn’t feel she had a place at home, at school or among her peers, but did feel she had a place to be seen on social media.

Burke’s treatment of Kaley lasted about six months and that period took place seven years ago.

The case is expected to continue for several weeks, and the outcome the jury reaches could shape the outcome of a slew of similar lawsuits against social media companies. Meta is also facing a separate trial in New Mexico.

Matthew Nix had driven past the brewery in Sauganash for years, but — not much of a weekday drinker — had never stopped in.

When he finally decided to meet friends at the taproom on a recent Saturday to play some cards, he found bartenders dancing on countertops, dogs wearing sweaters and the last of the beer draining from the tap. It was the farewell party for Alarmist Brewing.

“This is my first time here, first and obviously last,” said Nix, 36, a high school teacher living in the Edgewater neighborhood, about the closure.

In Illinois and across the country, breweries have been struggling as consumers seek healthier drinking habits or have a wider range of options, such as THC-infused drinks, as business costs continue to rise. Many have closed their doors, while others have redefined its meaning as a social space that offers beverage variety and events.

In Chicago alone, a handful of breweries have closed or consolidated in recent years, including Metropolitan Brewing, Revolution Brewing Brewpub and Lo Rez Brewing and Taproom. 

The number of U.S breweries closing outpaced those that opened for the second year in a row in 2025 for a net loss of 179 last year, according to preliminary 2025 data from Brewers Association, a trade group for small American brewers.

It stands in stark contrast from a decade ago — a golden age — for craft brewers when the number of breweries opening was about 10 times higher than those closing, according to Matt Gacioch, staff economist at Brewers Association.

One industry challenge is that Americans are now drinking less. A 2025 Gallup poll showed that only 54% of U.S. adults said they consume alcohol — the lowest percentage in 90 years. 

Figures are even lower among young adults with only 50% reporting that they drink alcohol. These numbers fall in line with healthier drinking trends like “sober curious” and “Dry January,” which seek mindful and moderate drinking.

On top of drinking less, consumers are also seeking wider beverage options from nonalcoholic drinks to hard seltzers, which adds pressure for traditional craft breweries specializing in beer.

Sports and music arena United Center is expected to start selling THC-infused drinks Señorita and Rythm at its stands this month — apparently the largest U.S. arena to do so. 

“Bringing Señorita and Rythm to the United Center reflects a simple truth: Consumers want nonalcoholic options, and leading venues are responding,” Ben Kovler, Rythm, Inc. chairman and interim CEO, said in a statement last month.

Other music venues that sell cannabis-derived drinks are the Salt Shed, Riviera, Ramova Theatre and Thalia Hall, taking up coveted beverage shelf space.

“There’s just so much more competition in terms of consumer attention and physical retail space,” Gacioch said. “There’s this whole world of other options.” 

Rising business expenses and the cost of goods like aluminum have also contributed to the strain, particularly after the pandemic.

“You have the increased cost of just about everything,” said Andrew Heritage, chief economist at the Beer Institute, noting the increase in operating costs, rent and labor. 

Some Chicago breweries were unable to recover, with Lo Rez Brewing in the Pilsen neighborhood closing its doors in 2023 in what cofounder Dave Dahl called a “pandemic casualty.” Another staple in the craft industry, Metropolitan Brewing, one of Chicago’s oldest, closed in 2023 after filing for Chapter 11 bankruptcy.

Most recently, award-winning Alarmist Brewing closed on Feb. 1 after years of struggling with falling business after the pandemic.

“The bottom line is we’re just not selling,” said Alarmist owner Gary Gulley. “It just never recovered since COVID.”

Illinois lost over 30 breweries in two years after 2020, falling to 218 total breweries, according to data from the Beer Institute. By 2024, the number of Illinois breweries rebounded to 251.

Some breweries have adapted to create third spaces, a place to mingle and play trivia with friends — and pups.

“I like a place where you can bring your dog, you can bring a book,” Nix said, likening these breweries to social spaces where you can play card games. 

One brewery that has been bolstering events and activities is Maplewood Brewery and Distillery in the Logan Square neighborhood. The decade-old brewery holds events like its upcoming Pulaski Day Party to celebrate its Pulaski pilsner, trivia nights and beer festivals to cultivate brand loyalty.

“We have our core brand that we make, but we’re always coming out with something new and fun … that’s helped us out,” said Paul Megalis, co-owner and CFO of Maplewood Brewery.

Their expansive beverage options include ready-to-drink rum punch cocktails, in-house coffee liqueurs for espresso martini lovers and seasonal beer concoctions. 

“We’ve essentially been a beverage company since Day 1, and so we’ve always had a diversified portfolio. I mean, we just hustle,” Megalis said.

They plan to open a second location in Glen Ellyn slated for this spring.

Despite the changing tides in the craft beer business, experts believe craft breweries are evolving not disappearing.

“Craft beer industry is nothing if not creative,” Gacioch said.

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That creamy Reese’s peanut butter cup dissolving on your tongue. The next crunchy Dorito you’re reaching for before you’ve swallowed the last one. The first sip of an ice-cold Coke, with a mix of syrup and carbonation; it hits like relief.

Your brain’s reward center is supposed to keep you alive, but a major new study from the University of Michigan, Harvard, and Duke says the food industry learned how to use it against you — engineering products with the same science as cigarettes.

The playbook is this: optimize the craving, accelerate the reward, and make it nearly impossible to stop.

Ultraprocessed foods now make up roughly 60% of what Americans eat. San Francisco has sued 10 major food manufacturers over the harm.

Health Secretary Robert F. Kennedy Jr. has said these foods are poisoning Americans, but he has stopped short of regulating them.

In Detroit, 69% of households face food insecurity and researchers describe the city as a food swamp, where drive-throughs, party stores and gas-station snack aisles vastly outnumber places to buy fresh produce.

Detroit’s numbers make the question sharper: What happens when engineered food is all that’s there?

Ashley Gearhardt, clinical psychologist, addiction scientist at the University of Michigan, creator of the Yale Food Addiction Scale and lead author of the study, joined Robyn Vincent on The Metro to discuss this and more.

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By BARBARA ORTUTAY and KAITLYN HUAMANI, AP Technology Writers

Social media addiction has been compared to casinos, opioids and cigarettes.

While there’s some debate among experts about the line between overuse and addiction, and whether social media can cause the latter, there is no doubt that many people feel like they can’t escape the pull of Instagram, TikTok, Snapchat and other platforms.

The companies that designed your favorite apps have an incentive to keep you glued to them so they can serve up ads that make them billions of dollars in revenue. Resisting the pull of the endless scroll, the dopamine hits from short-form videos and the ego boost and validation that come from likes and positive interactions, can seem like an unfair fight. For some people, “rage-bait,” gloomy news and arguing with internet strangers also have an irresistible draw.

Much of the concern around social media addiction has focused on children. But adults are also susceptible to using social media so much that it starts affecting their day-to-day lives.

Recognizing signs of compulsive use

Dr. Anna Lembke, a psychiatrist and the medical director of addiction medicine at Stanford University’s School of Medicine, defines addiction as “the continued compulsive use of a substance or behavior despite harm to self or others.”

During her testimony at a landmark social media harms trial in Los Angeles, Lembke said that what makes social media platforms so addictive is the “24/7, really limitless, frictionless access” people have to them.

Some researchers question whether addiction is the appropriate term to describe heavy use of social media, arguing that a person must be experiencing identifiable symptoms. These include strong, sometimes uncontrollable urges and withdrawal to qualify as addiction.

Social media addiction is not recognized as an official disorder in the Diagnostic and Statistical Manual of Mental Disorders, which is the standard reference psychiatrists and other mental health practitioners use to assess and treat patients. That’s partly because there is no widespread consensus on what constitutes social media addiction and whether underlying mental health issues contribute to problematic use.

But just because there is no official agreement on the issue doesn’t mean excessive social media use can’t be harmful, some experts say.

“For me, the biggest signpost is how does the person feel about the ‘amount,’ and how viewing it makes them feel,” said Dr. Laurel Williams, professor of psychiatry and behavioral sciences at Baylor College of Medicine. “If what they discover is they view it so much that they are missing out on other things they may enjoy or things that they need to attend to, this is problematic use. Additionally, if you leave feeling overwhelmed, drained, sad, anxious, angry regularly, this use is not good for you.”

In other words, is your use of social media affecting other parts of your life? Are you putting off chores, work, hobbies or time with friends and family? Have you tried to cut back your time but realized you were unable to? Do you feel bad about your social media use?

Ofir Turel, a professor of information systems management at the University of Melbourne who has studied social media use for years, said there was “no agreement” over the term social media addiction, and he doesn’t “expect agreement soon.”

“It’s obvious that we have an issue,” Turel said. “You don’t have to call it an addiction, but there is an issue and we need, as a society, to start thinking about it.”

Noninvasive tips to reduce social media use

Before setting limits on scrolling, it’s helpful to understand how social media feeds and advertising work to draw in users, Williams said.

“Think of social media as a company trying to get you to stay with them and buy something — have the mindset that this is information that I don’t need to act on and may not be true,” she added. “Get alternate sources of information. Always understand the more you see something, anyone can start to believe it is true.”

Ian A. Anderson, a postdoctoral scholar at California Institute of Technology, suggests making small, meaningful changes to stop you from opening your social media app of choice. Moving the app’s place on your phone or turning off notifications are “light touch interventions,” but more involved options, like not bringing your phone into the bedroom or other places where you tend to use it, could also help, Anderson said.

Tech tools can also help to cut back on tech overuse. Both iPhones and Android devices have onboard controls to help regulate screen time.

Apple’s Screen Time controls are found in the iPhone’s settings menu. Users can set overall Downtime, which shuts off all phone activity during a set period of their choice.

The controls also let users put a blanket restriction on certain categories of apps, such as social, games or entertainment or zero in on a specific app, by limiting the time that can be spent on it.

The downside is that the limits aren’t hard to get around. It’s more of a nudge than a red line that you can’t cross. If you try to open an app with a limit, you’ll get a screen menu offering one more minute, a reminder after 15 minutes, or to completely ignore it.

If a light touch doesn’t work

If a light touch isn’t working, more drastic steps might be necessary. Some users swear by turning their phones to gray-scale to make it less appealing to dopamine-seeking brains. On iPhones, adjust the color filter in your settings. For Android, turn on Bedtime Mode or tweak the color correction setting. Downgrading to a simpler phone, such as an old-school flip phone, could also help curb social media compulsions.

Some startups, figuring that people might prefer a tangible barrier, offer hardware solutions that introduce physical friction between you and an app. Unpluq, for instance, is a yellow tag that you have to hold up to your phone in order to access blocked apps. Brick and Blok are two different products that work along the same lines — they’re squarish pieces of plastic that you have to tap or scan with your phone to unlock an app.

If that’s not enough of an obstacle, you could stash away your phone entirely. There are various phone lockboxes and cases available, some of them designed so parents can lock up their teenagers’ phones when they’re supposed to be sleeping, but there’s no rule that says only teenagers can use them.

Yondr, which makes portable phone locking pouches used at concerts or in schools, also sells a home phone box.

Seeking outside help

If all else fails, it may be a good idea to look for deeper reasons for feeling addicted to social media. Maybe it’s a symptom of underlying problems like anxiety, stress, loneliness, depression or low self-esteem. If you think that’s the case, it could be worth exploring therapy that is becoming more widely available.

“For people struggling to stay away — see if you can get a friend group to collaborate with you on it. Make it a group effort. Just don’t post about it! The more spaces become phone free, the more we may see a lessened desire to be ‘on,’” Williams said.

Young people’s brains are changing.

Research shows social media activates the same dopamine-driven reward pathways in the brain as addictive substances. The scroll, the like, the notification — each one is a quick hit of pleasure that keeps you coming back.

The U.S. Surgeon General has warned that teens who use social media for more than three hours a day face double the risk of depression and anxiety, and the vast majority of American teenagers use social media. More than a third say they use it “almost constantly.” 

The platforms keep us sucked in so long that we now have new terms for our interactions with these devices, like “doomscrolling” and “brain rot.”

Now, the courts are getting involved. In Los Angeles, a jury is hearing claims that Meta and YouTube deliberately designed their platforms to get children addicted. In New Mexico, the state attorney general is suing Meta for allegedly failing to protect minors from sexual exploitation. 

In Michigan, legislators are cracking down on phones in schools. This month, Michigan banned smartphones in the classroom, affecting students in the fall. 

State Representative Mark Tisdel, a Republican representing Rochester Hills, sponsored the cell phone ban. He joined Robyn Vincent on The Metro to discuss how he believes lawmakers should stand up to Big Tech.

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On Wednesday, the Great Lakes Water Authority will vote on a nearly 7% water rate increase and a 6% sewer increase.

Last year, GLWA proposed an even bigger hike — close to 8% for water — but public testimony at the hearing pushed the board to lower it. Wednesday’s hearing is another chance for residents to weigh in. What’s driving these increases — and why does water keep getting more expensive?

Suzanne Coffey is CEO of the Great Lakes Water Authority or GLWA. She spoke with The Metro‘s Robyn Vincent.

On The Metro, we also spoke about GLWA rate hikes — and why utility costs are rising — with Nick Schroek, dean of the University of Detroit Mercy School of Law. You can listen to that conversation here.

Listen to The Metro weekdays from 10 a.m. to noon ET on 101.9 FM and streaming on demand.

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Wayne State University researchers are looking for ways to help people with multiple sclerosis move better.

MS is a degenerative neurological disease that makes it hard for some patients to walk and keep their balance. 

Scientists wanted to know whether a physical therapy regimen that includes walking backward could improve mobility and balance. Their new study suggests it can.

They started small

Dr. Nora Fritz led the research team. She’s the director of research for WSU’s Department of Health Sciences. She’s also a physical therapy professor.

She says they’ve been looking at this in the lab for some time.

“We noticed that some individuals tend to fall backward more frequently than forward,” Fritz says. “We also noticed that individuals tend to have more trouble walking backward than they do walking forward.”

Researchers asked eight MS patients to take part in an eight-week case study. They came to the lab once a week to do backward walking training with a neurologic physical therapist. Subjects walked on a treadmill and on the ground. They also did back-stepping exercises in the lab and at home.

Fritz says the results were encouraging.

“It seems that everyone who’s participating is experiencing some level of improvement,” she says. “They really like it and they’re finding it useful.”

The team also conducted MRI screenings before and after the eight-week program.

“We looked at how the brain changed during this period,” Fritz says. “We saw evidence that there was actually some changes in structures of the brain related to balance in just a short time.”

Results could lead to new treatment

Fritz says it’s too early to reach any conclusions from the study, but the results were good enough to begin a larger, randomized control study with 90 MS patients. That lasted six months.

“Everyone has completed the training, and we’re just in the monitoring period now,” Fritz says. “We anticipate the first papers from that study to come out within the next several months.”

The findings of the eight-week trial appear in the Journal of Neurologic Physical Therapy.

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When a government agency decides whether a chemical in your food is safe, where does the science come from? Most of us assume it’s independent. In the case of Roundup — the world’s most widely used weedkiller — the manufacturer wrote the research, and it went unchallenged for 25 years.

In 2000, a study published in the journal Regulatory Toxicology and Pharmacology concluded Roundup posed no health risk to humans. But internal Monsanto emails released in 2017 litigation revealed company employees had ghostwritten the paper. Despite that, it remained in the scientific record, cited without caveat in hundreds of academic papers and dozens of government documents worldwide.

Harvard historian of science Naomi Oreskes and researcher Alexander Kaurov changed that. Their 2025 analysis found the ghostwritten paper ranked in the top 0.1% of all cited glyphosate literature. They requested the journal retract it. In November 2025, it did, citing “serious ethical concerns.” Oreskes and Kaurov also wrote about their findings in Undark.

The retraction comes as Bayer, which acquired Monsanto in 2018, faces roughly 65,000 Roundup cancer lawsuits. On February 17, the company proposed a $7.25 billion class settlement. The U.S. Supreme Court has agreed to hear a related case this term. Bayer maintains glyphosate is safe.

Oreskes, author of “Merchants of Doubt,” joined Robyn Vincent on The Metro to discuss how one ghostwritten paper shaped pesticide policy for a generation, and what it means now that it’s been thrown out.

Hear the full conversation using the media player above.

 

Listen to The Metro weekdays from 10 a.m. to noon ET on 101.9 FM and streaming on demand.

Subscribe to The Metro on Apple Podcasts, Spotify, NPR.org or wherever you get your podcasts.

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