Category: The Conversation – USA

Source: The Conversation – USA – By Charli Carpenter, Professor of Political Science, UMass Amherst

As the Trump administration carries out what many observers say are illegal military strikes against vessels in the Caribbean allegedly smuggling drugs, six Democratic members of Congress issued a video on Nov. 18, 2025, telling the military “You can refuse illegal orders” and “You must refuse illegal orders.”

The lawmakers have all served either in the military or the intelligence community. Their message sparked a furious response on social media from President Donald Trump, who called the legislators’ action “seditious behavior, punishable by death.”

One of the lawmakers, Sen. Elissa Slotkin, told The New York Times that she had heard from troops currently serving that they were worried about their own liability in actions such as the ones in the Caribbean.

This is not the first time Trump has put members of the military in situations whose legality has been questioned. But a large percentage of service members understand their duty to follow the law in such a difficult moment.

We are scholars of international relations and international law. We conducted survey research at the University of Massachusetts Amherst’s Human Security Lab and discovered that many service members do understand the distinction between legal and illegal orders, the duty to disobey certain orders, and when they should do so.

The ethical dilemma

With his Aug. 11, 2025, announcement that he was sending the National Guard – along with federal law enforcement – into Washington, D.C. to fight crime, Trump edged U.S. troops closer to the kind of military-civilian confrontations that can cross ethical and legal lines.

Indeed, since Trump returned to office, many of his actions have alarmed international human rights observers. His administration has deported immigrants without due process, held detainees in inhumane conditions, threatened the forcible removal of Palestinians from the Gaza Strip and deployed both the National Guard and federal military troops to Los Angeles, Portland, Oregon, Chicago and other cities to quell largely peaceful protests or enforce immigration laws.

When a sitting commander in chief authorizes acts like these, which many assert are clear violations of the law, men and women in uniform face an ethical dilemma: How should they respond to an order they believe is illegal?

The question may already be affecting troop morale. “The moral injuries of this operation, I think, will be enduring,” a National Guard member who had been deployed to quell public unrest over immigration arrests in Los Angeles told The New York Times. “This is not what the military of our country was designed to do, at all.”

Troops who are ordered to do something illegal are put in a bind – so much so that some argue that troops themselves are harmed when given such orders. They are not trained in legal nuances, and they are conditioned to obey. Yet if they obey “manifestly unlawful” orders, they can be prosecuted. Some analysts fear that U.S. troops are ill-equipped to recognize this threshold.

Compelled to disobey

U.S. service members take an oath to uphold the Constitution. In addition, under Article 92 of the Uniform Code of Military Justice and the U.S. Manual for Courts-Martial, service members must obey lawful orders and disobey unlawful orders. Unlawful orders are those that clearly violate the U.S. Constitution, international human rights standards or the Geneva Conventions.

Service members who follow an illegal order can be held liable and court-martialed or subject to prosecution by international tribunals. Following orders from a superior is no defense.

Our poll, fielded between June 13 and June 30, 2025, shows that service members understand these rules. Of the 818 active-duty troops we surveyed, just 9% stated that they would “obey any order.” Only 9% “didn’t know,” and only 2% had “no comment.”

When asked to describe unlawful orders in their own words, about 25% of respondents wrote about their duty to disobey orders that were “obviously wrong,” “obviously criminal” or “obviously unconstitutional.”

Another 8% spoke of immoral orders. One respondent wrote that “orders that clearly break international law, such as targeting non-combatants, are not just illegal — they’re immoral. As military personnel, we have a duty to uphold the law and refuse commands that betray that duty.”

Just over 40% of respondents listed specific examples of orders they would feel compelled to disobey.

The most common unprompted response, cited by 26% of those surveyed, was “harming civilians,” while another 15% of respondents gave a variety of other examples of violations of duty and law, such as “torturing prisoners” and “harming U.S. troops.”

One wrote that “an order would be obviously unlawful if it involved harming civilians, using torture, targeting people based on identity, or punishing others without legal process.”

Soldiers, not lawyers

But the open-ended answers pointed to another struggle troops face: Some no longer trust U.S. law as useful guidance.

Writing in their own words about how they would know an illegal order when they saw it, more troops emphasized international law as a standard of illegality than emphasized U.S. law.

Others implied that acts that are illegal under international law might become legal in the U.S.

“Trump will issue illegal orders,” wrote one respondent. “The new laws will allow it,” wrote another. A third wrote, “We are not required to obey such laws.”

Several emphasized the U.S. political situation directly in their remarks, stating they’d disobey “oppression or harming U.S. civilians that clearly goes against the Constitution” or an order for “use of the military to carry out deportations.”

Still, the percentage of respondents who said they would disobey specific orders – such as torture – is lower than the percentage of respondents who recognized the responsibility to disobey in general.

This is not surprising: Troops are trained to obey and face numerous social, psychological and institutional pressures to do so. By contrast, most troops receive relatively little training in the laws of war or human rights law.

Political scientists have found, however, that having information on international law affects attitudes about the use of force among the general public. It can also affect decision-making by military personnel.

This finding was also borne out in our survey.

When we explicitly reminded troops that shooting civilians was a violation of international law, their willingness to disobey increased 8 percentage points.

Drawing the line

As my research with another scholar showed in 2020, even thinking about law and morality can make a difference in opposition to certain war crimes.

The preliminary results from our survey led to a similar conclusion. Troops who answered questions on “manifestly unlawful orders” before they were asked questions on specific scenarios were much more likely to say they would refuse those specific illegal orders.

When asked if they would follow an order to drop a nuclear bomb on a civilian city, for example, 69% of troops who received that question first said they would obey the order.

But when the respondents were asked to think about and comment on the duty to disobey unlawful orders before being asked if they would follow the order to bomb, the percentage who would obey the order dropped 13 points to 56%.

While many troops said they might obey questionable orders, the large number who would not is remarkable.

Military culture makes disobedience difficult: Soldiers can be court-martialed for obeying an unlawful order, or for disobeying a lawful one.

Yet between one-third to half of the U.S. troops we surveyed would be willing to disobey if ordered to shoot or starve civilians, torture prisoners or drop a nuclear bomb on a city.

The service members described the methods they would use. Some would confront their superiors directly. Others imagined indirect methods: asking questions, creating diversions, going AWOL, “becoming violently ill.”

Criminologist Eva Whitehead researched actual cases of troop disobedience of illegal orders and found that when some troops disobey – even indirectly – others can more easily find the courage to do the same.

Whitehead’s research showed that those who refuse to follow illegal or immoral orders are most effective when they stand up for their actions openly.

The initial results of our survey – coupled with a recent spike in calls to the GI Rights Hotline – suggest American men and women in uniform don’t want to obey unlawful orders.

Some are standing up loudly. Many are thinking ahead to what they might do if confronted with unlawful orders. And those we surveyed are looking for guidance from the Constitution and international law to determine where they may have to draw that line.

This story, initially published on Aug. 13, 2025, has been updated to include a reference to a video issued by Democratic members of Congress.

Zahra Marashi, an undergraduate research assistant at the University of Massachusetts Amherst, contributed to the research for this article.

Charli Carpenter directs Human Security Lab which has received funding from University of Massachusetts College of Social and Behavioral Sciences, the National Science Foundation, and the Lex International Fund of the Swiss Philanthropy Foundation.

Geraldine Santoso does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Just follow orders or obey the law? What US troops told us about refusing illegal commands – https://theconversation.com/just-follow-orders-or-obey-the-law-what-us-troops-told-us-about-refusing-illegal-commands-270401

Source: The Conversation – USA (2) – By João Marinotti, Associate Professor of Law, Indiana University

In late October 2025, as much as US$2 billion vanished from a digital marketplace. This wasn’t a hack or a bubble bursting. It happened because one company, Valve, changed the rules for its video game Counter-Strike 2, a popular first-person shooter with a global player base of nearly 30 million monthly users.

For years, its players have bought, sold and traded digital cosmetic items, known as “skins.” Some rare items, particularly knives and gloves, commanded high prices in real-world money – up to $1.5 million – leading some gamers to treat the market like an investment portfolio. As a result, many investment-style analytics websites charge monthly fees for financial insight, trends and transaction data from this digital marketplace.

In one fell swoop, Valve unilaterally changed the game. It expanded the “trade up contract,” allowing players to exchange – or “trade up” – a number of their common assets into knives or gloves.

By flipping this switch, Valve instantly upended digital scarcity. The market was flooded with new supply, and the value of existing high-end items collapsed. Prices plummeted, initially erasing half the market’s total value, which exceeded $6 billion before the recent crash. Although a partial recovery brought the net loss to roughly 25%, significant volatility continues, leaving investors unsure whether the bottom has truly fallen out.

Many of those who saw their digital fortunes evaporate immediately wondered whether there was anything they could do to get their money back. Speaking as a law professor and a gamer myself, the answer isn’t what they want to hear: no. In fact, the existing legal structure largely protects Valve’s ability to engage in this sort of digital market manipulation. Players and investors were simply out of luck.

The Counter-Strike 2 crash reveals a troubling reality that extends far beyond video games: Corporations have built exchange-scale investment markets governed primarily by private terms-of-service agreements, rather than the robust set of public regulations that oversee traditional financial and consumer markets. These digital economies occupy a legal blind spot, lacking the fundamental guardrails of property rights, meaningful consumer protection or even securities regulation.

Your digital ‘property’ isn’t really yours

If you spend real money on a digital item, it may feel like you should own it. Legally, you don’t.

The digital economy is built on a crucial distinction between ownership and licensing. When users sign up for Steam, Valve’s platform, they agree to the Steam subscriber agreement. Buried in that contract is a critical piece of legalese stating that all digital assets and services provided by Valve, including the Counter-Strike 2 skins, are merely “licensed, not sold.” The license granted to users “confers no title or ownership” at all. This isn’t meaningless corporate jargon; it’s a legal standard routinely affirmed by U.S. courts.

The legal implication is clear: Because players only license their skins, they have no property rights over them. When Valve changed the game’s mechanics in a way that collapsed the items’ market value, it didn’t steal, damage or destroy anyone’s “property.” In the eyes of the law, Valve simply altered the conditions of a license, something that its terms-of-service agreement allows it to do unilaterally, at any time, for any reason.

Consumer protection laws don’t apply

While the Counter-Strike 2 crash may seem like a violation of consumer rights, current laws are ill-equipped to handle this type of corporate behavior.

Lawmakers have begun addressing concerns about digital goods, primarily focusing on instances where purchased movies or games disappear entirely from user libraries. For example, California recently enacted AB 2426. This law requires transparency, prohibiting terms like “buy” or “purchase” unless the consumer confirms that they understand they will receive only a revocable license.

As commendable as this law is, it protects only against confusion and loss of access, not loss of market value when platforms rebalance virtual economies. Valve can comply with consumer transparency laws and still adjust the supply of digital items, rendering them valueless overnight. Ultimately, current consumer protection laws are designed to ensure users know what they are licensing. They do not, however, create ownership interests or protect the speculative value of those digital items.

Game items are treated like unregulated stocks

Perhaps the most significant legal vacuum is the absence of financial regulation. The Counter-Strike 2 economy, a multibillion-dollar ecosystem with dedicated investors and third-party cash markets, looks and behaves like a traditional financial market. Yet, it remains outside the purview of any financial regulator, such as the U.S. Securities and Exchange Commission.

Under U.S. law, the primary standard for determining whether an asset should be governed as a security is the Howey test. According to this Supreme Court precedent, an asset is a security if it meets four criteria. Securities involve an “investment of money” in a “common enterprise” with a reasonable expectation of “profits” derived from the “efforts of others.”

Counter-Strike 2 skins arguably meet all of these criteria. Participants invest real money in a common enterprise – Valve’s platform – with an expectation of profit. Crucially, that profit depends on the “efforts of others.” The SEC notes this prong is met when a promoter provides “essential managerial efforts” that affect the enterprise’s success. Valve controls the game’s development, manages the platform and – as the recent update proves – dictates item supply and scarcity.

If a publicly traded company unilaterally changed its rules in a way that predictably tanked the price of its own shares, regulators would immediately investigate for market manipulation. So how can Valve get away with this? Three things cut against the skins’ status as securities.

First is their “consumptive intent” – skins are primarily game cosmetics. Second, there’s no way to convert the skins into dollars within Valve’s own ecosystem. In other words, third-party markets allow users to cash out, but these markets operate outside Valve’s own immediate control. And finally, the Howey test generally governs assets, such as stocks and bonds, that grant investors enforceable rights. Valve’s licensing scheme attempts to circumvent this by ensuring players hold nothing but a revocable license.

In my view, the $2 billion crash is a wake-up call. As digital economies grow in financial significance, society must decide: Will these markets continue to be governed solely by private corporate contracts? Or will they require integration into more robust legal frameworks, such as securities regulation, consumer protection and property law?

João Marinotti does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. $2B Counter-Strike 2 crash exposes a legal black hole: Your digital investments aren’t really yours – https://theconversation.com/2b-counter-strike-2-crash-exposes-a-legal-black-hole-your-digital-investments-arent-really-yours-268749

Source: The Conversation – USA (3) – By Julia Meszaros, Associate Professor of Sociology, Texas A&M University-Commerce

Fifteen years ago, when I started studying the international dating industry, few people took the subject seriously. The term “mail-order bride” was treated as a punch line – something outdated, associated with lonely men and poor women who migrated from Eastern Europe, Asia or other places to meet their new husbands in the United States.

But I’ve seen firsthand how ideas about gender, intimacy and global mobility have shifted. In 2025, a man going abroad to look for love might call himself a “passport bro” – and celebrate his lifestyle on TikTok.

This new generation of young men may have rebranded international dating, but they reflect an age-old theme. Social and economic changes shape how people negotiate love and labor across borders, as I explore in my 2025 book, “Economies of Gender.” In a chaotic world, some men and women turn to traditional gender roles as a source of seeming stability – and that often leads them abroad.

Old industry, new look

The term “mail-order bride” dates back to the 19th century, when so-called frontier brides advertised themselves in newspapers to single men in the American West. After the Civil War, when large numbers of men had died on the East Coast, some women saw migrating to the frontier to marry someone sight unseen as a way to secure stability. That narrative still lingers today in Western novels and films.

The modern international matchmaking industry, however, took shape in the 1970s, when catalogs of mostly Filipino women’s photos and addresses were sold to American men. After being pen pals, men would travel to the Philippines to meet and decide whether they wanted to get married. Some scholars consider this a form of human trafficking, but that has been challenged by other scholarship.

These catalogs emerged as more U.S. women were entering the workforce and earning their own money. Some men sought wives abroad who they believed would embody more traditional values – prioritizing domestic work and devoting themselves to men and children.

Over the next few decades, large numbers of stable, well-paying factory jobs disappeared, further challenging some men’s view of themselves as breadwinners.

By 2010, the catalog system had moved online and expanded into a global industry that generated US$2 billion dollars per year. Today, it takes many forms. Most of the industry is online, with email and chat correspondence that charges men but not women. Some agencies provide in-person tours for male clients, and there are higher-end, more personalized matchmaking services as well.

From taboo to televised

What was once stigmatized has become more normalized through reality TV. TLC’s hit series “90 Day Fiance,” which came on air in 2014, has transformed international dating into a lucrative entertainment franchise.

The show and its numerous spin-offs show couples navigating the K-1 visa process, which gives 90 days to marry after a partner enters the country. If the wedding is called off, the foreign fiance or fiancee must return to their country of origin.

Many of the featured couples met randomly, in person. A significant number, however, connected through online dating or language-learning sites. Numerous couples’ storylines highlight family and friends of the American partner who question the girlfriend’s or boyfriend’s motives, accusing them of faking love for financial gain and access to a green card.

Audiences might watch the show for drama or love stories, but the underlying themes mirror what I’ve seen in the field: relationships shaped by economic inequality and migration, with women often exchanging emotional, domestic and sexual labor in return for financial stability.

Rise of the ‘passport bros’

In recent years, the mail-order bride industry has gotten a cultural revamp, with younger and more diverse men who identify as “passport bros.” This crowd is typically younger than men participating in the commercial international dating industry and more likely to identify as men of color.

These men are less likely to pay for formal dating and introduction services. They travel on their own, using free dating apps such as Tinder to meet local women – mostly in Colombia, Brazil and the Dominican Republic.

Passport bros say they travel abroad to meet women who are more traditional than the ones they meet at home. Many of the American men I interviewed between 2010 and 2022 talked about Western women as too focused on career, which challenged their idea of themselves as financial providers.

Similarly, my research in Ukraine, Colombia and the Philippines shows that many men using international dating services are motivated by more than just love or cultural curiosity. They are responding to a changing world in which women’s financial independence has challenged traditional male roles. For some, traveling abroad is a way to reassert control and to find relationships that reaffirm a sense of masculine identity.

In my interviews, American men looking abroad talked about feeling empowered and having choices, while being ignored in the U.S. dating market. Some recognized that their relative wealth is the cause of this. As one man on a romance tour in Ukraine told me in 2012, “I am here to exchange my financial stability for some Ukrainian woman’s youth and beauty, and I am OK with that.”

Appeal of ‘tradition’

Together, many of these daters illustrate the global pattern I’ve seen across my years of fieldwork: anxiety fuels a longing for traditionalism.

What appears to be a return to the past is, in reality, an adaptation to the present. The romance tours, the “90 Day Fiance” phenomenon and the passport bros speak to how people use relationships to navigate the economic instability of the modern world. Gender roles become a way to reestablish order and identity.

In the past two decades, rising inflation, stagnant wages and housing shortages have left many people, especially younger generations, feeling economically trapped. The COVID-19 pandemic deepened these inequalities, forcing millions out of the workforce and amplifying the strain of unpaid caregiving, particularly for women.

In times of uncertainty, societies often retreat to familiar narratives. Traditional gender roles offer an illusion of stability and order, even if they reinforce inequality. The fantasy of the dependable male provider and the nurturing homemaker resurfaces because it seems to resolve anxieties that the modern economy has made harder to bear.

As a sociologist, I study these dynamics not just to understand dating trends but to trace how societies reproduce inequality through intimacy. Until our society addresses stagnant wages, rising costs and the erosion of social safety nets, I believe nostalgia for a clear, gendered hierarchy will continue. In this hierarchy, men are guaranteed women’s labor, and women hold out hope for economic security – which is often seen as romance.

Julia Meszaros receives funding from East Texas A&M and Florida International University to support her research. She volunteers for the nonprofit organization RISE Travel Institute.

– ref. From ‘mail-order brides’ to ‘passport bros,’ the international dating industry often sells traditional gender roles – https://theconversation.com/from-mail-order-brides-to-passport-bros-the-international-dating-industry-often-sells-traditional-gender-roles-268616

Source: The Conversation – USA (3) – By David B. Sarwer, Professor of Social and Behavioral Sciences, Temple University

The Trump administration is making a significant effort to reduce the cost of weight loss drugs. Its agreement with pharmaceutical giants, announced Nov. 6, 2025, will reduce the monthly prices of these medications by hundreds of dollars.

For the past 25 years, I have treated people with obesity and have developed and studied treatments for the condition in both adults and adolescents. One major frustration of my work is the fact that evidenced-based treatments for obesity are woefully underused

These drugs, originally approved to treat Type 2 diabetes, mimic a natural hormone called glucagon-like peptide-1 that regulates blood sugar and reduce appetite.

In my view, by making GLP-1 drugs more accessible to patients, this agreement represents one of the most significant advances the federal government has made to address obesity, one of the country’s most pressing public health issues. However, this reduced price tag alone may not make a meaningful dent in rates of obesity in American adults without additional policy changes.

Treating obesity

The Centers for Disease Control and Prevention estimates that about 40% of adults in the U.S. – more than 70 million people – have obesity. Researchers and clinicians generally define obesity based on a measure called body mass index, or BMI, which is the ratio of a person’s weight in kilograms to their height in meters, squared.

BMI is an imperfect measure, to be sure, but most medical organizations consider a person with a BMI greater than 30 to have obesity.

Between television commercials, advertisements on social media and suggestions from family and friends, Americans are bombarded by approaches to losing weight. For many of these approaches, there’s little to no evidence showing they successfully help people lose weight. However, extensive and rigorous research supports the use of GLP-1s for treating obesity. Studies show that these medications can reliably help people lose about 15% of their body weight in six to 12 months.

There are two other evidence based-approaches. Lifestyle changes, such as consuming fewer calories and increasing physical activity, can help people lose about 5% of their weight in the same period of time. With surgical treatment, now referred to as metabolic and bariatric surgery, patients can achieve a loss of about 30% of their body weight after about 18 months.

Which of these treatment approaches is appropriate for a given person depends on their circumstances and is best discussed with their health care provider. But in my experience, too few health care professionals refer their patients to any of these therapies.

Addressing the cost barrier

According to a November 2025 poll from the Kaiser Family Foundation, 1 in 8 adults in the U.S. have tried a GLP-1 medication. That may sound like a lot, but given that more than 40% of American adults have obesity, it may not be enough.

In clinical trials, people taking GLP-1 drugs to treat obesity generally maintained their weight loss for a year if they stayed on the medication. However, participants in the trials did not have to pay for the medications. Research suggests that more than half of people using the drugs stop taking them after six months, most often because they can’t afford them.

The federal government’s deal with Eli Lilly and Novo Nordisk aims to address this barrier.

GLP-1 drugs currently cost more than US$1,000 per month for people unable to get them covered by health insurance – and many insurance plans do not.

According to the Nov. 6 White House announcement, starting in early 2026, certain GLP-1 drugs covered by the agreement will be available for $350 per month or less through an online marketplace the government plans to launch.

Some drugs will be as cheap as $150, according to the announcement. Companies will also drop the amount that Medicare and Medicaid pay for them, and certain Medicare patients would be able to access them with a $50 co-pay.

These prices are still in flux, news reports suggest. However, for most Americans, paying even $150 a month for a single medication remains a budget buster. That’s especially true given that people from lower socioeconomic groups experience higher rates of obesity and often have other related health conditions that require costly medications.

These costs are not temporary. Most patients with obesity and related health problems will likely need to use these medications indefinitely. According to emerging research, people who stop taking them typically regain the weight they lost. Realistically, very few people who take GLP-1 drugs can maintain their weight loss with lifestyle changes alone.

Beyond cost

The reduced pricing for GLP-1 drugs is an important first step in increasing affordability and access to these treatments. Given that the food environments people live in make it difficult to make healthy choices, I believe that this move will only meaningfully benefit the health of all Americans if it is combined with other policy changes.

While several countries have a national plan to prevent and treat obesity, the U.S. does not. Instead, American public health policies are largely set state by state. They often include strategies such as free school meals for children or more robust insurance coverage for treating obesity and related health conditions. However, most such policies are often too narrow to have significant benefits at the population level.

Broader policy shifts and legislation targeting obesity prevention could move the needle.

For example, research is increasingly showing that ultraprocessed foods play a role in promoting weight gain and potentially other diseases, such as colorectal cancer. Legislators could draw on that research to better regulate these foods – for example, to limit the use of certain especially harmful ingredients, to restrict marketing of ultraprocessed products, or to limit their inclusion in school meals.

Another policy change that may help would be to build more extensive nutrition education into the training that medical students and other health care providers receive. This may better position the next generation of clinicians to help their patients make the healthiest choices to maintain their weight and health.

These and other policy changes will be critically important in efforts to reduce the rate of obesity among Americans in the future.

David B. Sarwer’s program of research has been funded by grants from the National Institutes of Health for over the past 20 years. He also serves as Editor-in-Chief of the journal Obesity Science and Practice.

– ref. Making GLP-1 weight loss drugs cheaper isn’t enough to address America’s obesity problem – here’s why – https://theconversation.com/making-glp-1-weight-loss-drugs-cheaper-isnt-enough-to-address-americas-obesity-problem-heres-why-269361

Source: The Conversation – USA (3) – By Shannon Fyfe, Assistant Professor of Law and Assistant Professor of Philosophy, Washington and Lee University

Following the federal government’s changes to COVID-19 vaccine eligibility and recommendations in 2025, many people are wondering whether they can get COVID-19 vaccines for themselves or their children.

In May 2025, the U.S. Food and Drug Administration limited eligibility for updated COVID-19 vaccines to people ages 65 years and up and to those under 65 with a “high-risk” condition. In September, the Centers for Disease Control and Prevention adopted an “individualized decision-making” approach to COVID-19 vaccination instead of broadly recommending the vaccines.

It’s not just the public that is confused. Many physicians and pharmacists also have questions about whether and how they can administer COVID-19 vaccines.

As philosophers with expertise in bioethics and legal philosophy, we have been following the ethical and regulatory landscape for COVID-19 vaccines since they first became available in late 2020.

In the fall of 2025 that landscape looks a bit different in light of the new guidelines. While it is causing understandable confusion, most people who want to get a COVID-19 vaccine can do so. Broad access is possible, in part, through what in health care is called “off-label use.”

“Off-label” refers to using an FDA-approved product for a different purpose, or with a different population, than that for which it received approval. Off-label prescriptions are common in health care, particularly in pediatrics.

COVID-19 vaccines from 2020-2025

People likely recall that COVID-19 vaccines were developed faster than any vaccine had been previously, thanks to efforts such as the U.S. government’s Operation Warp Speed. Initially limited in supply, the vaccines first became available through “emergency use authorization” in December 2020, with health care workers among the first prioritized by the government to receive them.

In August 2021, the FDA fully approved the first COVID-19 vaccine for people ages 16 and up. Following this, younger children started to become eligible for COVID-19 vaccines. From 2022 through summer 2025, COVID-19 vaccines were available to everyone 6 months and older in doctors’ offices or pharmacies, mostly free of charge, albeit with disparities in access due to an individual’s age, geographic location or vaccine costs.

But in May 2025, the new FDA and CDC leadership appointed by the Trump administration started to change their agencies’ positions on COVID-19 vaccines. Such regulatory changes affect who is considered eligible for the vaccines and whether public and private insurers must provide coverage. Meanwhile, state laws influence the ability of pharmacists, who frequently provide routine vaccinations, to administer COVID-19 vaccines.

Understanding the role of federal agencies such as the FDA and the CDC, as well as medical professional organizations and guidelines, can help untangle the complicated picture for access to COVID-19 vaccines.

2025 changes to FDA and CDC guidance

It’s helpful to understand the process through which vaccines become approved and endorsed by government agencies in the U.S.

First, the FDA approves drugs and other biologic products such as vaccines for specific uses, in specific age groups – in this case, to prevent people from getting COVID-19 or, if they do get it, to reduce the severity of their symptoms.

Next, the CDC recommends products that the FDA has approved or authorized. These recommendations have a different regulatory function than the initial FDA decisions. The CDC issues public health guidelines for which vaccines people should receive and which ones public and private insurance must cover. In some states, the CDC’s recommendations also affect whether pharmacies can administer vaccines.

Until September 2025, when the CDC shifted its stance, the agency broadly recommended COVID-19 vaccines for everyone 6 months of age and older, regardless of their underlying conditions. These recommendations supported public health and ensured that public and private insurance covered 100% of the cost of these vaccines as preventive health care.

Medical and CDC recommendations

Despite the FDA’s updated eligibility criteria and the CDC’s revised guidance, medical professional organizations have continued to broadly recommend COVID-19 vaccines.

In August, the American Academy of Pediatrics issued its own vaccine schedule. In addition to kids who meet FDA eligibility due to heightened risk, the organization recommends that all children between 6 months and 2 years old be vaccinated against COVID-19, as well as any child whose parent or guardian wants them to be vaccinated.

When the Advisory Committee on Immunization Practices, or ACIP – the committee that advises the CDC on vaccine policy – met in mid-September, it voted to recommend that anyone 6 months and older can get a COVID-19 vaccine according to “individual-based decision-making.” The committee also voted to require continued funding of COVID-19 vaccines through private and public health insurance and the Vaccines for Children program that provides free vaccines to children who are Medicaid eligible, uninsured or underinsured. In October, the interim CDC director adopted the ACIP recommendations as the formal guidance from the CDC for the 2025-2026 COVID-19 vaccines.

These recommendations from the CDC and medical professional organizations are difficult to square with the FDA labeling changes for COVID-19 vaccines. The CDC is recommending that people make individual decisions with their medical providers about COVID-19 vaccination, regardless of their eligibility through FDA approval.

This is possible because anyone who doesn’t meet FDA eligibility can get a COVID-19 vaccine through off-label use.

Off-label use of COVID-19 vaccines

Using COVID-19 vaccines off-label means administering them for the same purpose but to a wider population than those who are FDA-eligible. In 2021 the CDC prohibited the off-label use of COVID-19 vaccines purchased by the federal government. This was an unusual move and is no longer the case.

While uncommon, off-label vaccination is sometimes recommended. One example is off-label vaccination against measles, mumps and rubella, or MMR, for children under 12 months old who plan to travel to areas where measles is not eradicated, or are exposed to a disease outbreak.

Moreover, the CDC’s 2025-2026 COVID-19 vaccine recommendations remove certain barriers that typically accompany off-label use.

For example, products used off-label are not always covered by insurance. Many private insurers already committed to covering COVID-19 vaccines as preventive care for the 2025-2026 vaccine season. The recommendations from ACIP and the CDC subsequently guaranteed that private and public health insurance plans would continue to cover COVID-19 vaccines in full. This includes COVID-19 vaccines under the Vaccines for Children program that purchases vaccines for approximately half of U.S. children.

Off-label use of a product is ethically and legally permissible if a physician believes its benefits outweigh its risks for their patient. But the CDC’s recommendation for individual decision-making may also lessen clinicians’ worries about liability. So might the guidance from the American Academy of Pediatrics, as well as the American College of Obstetricians and Gynecologists’ vaccine recommendations that anyone who is pregnant should get an updated COVID-19 vaccine during pregnancy.

Off-label use is typically done via a doctor’s prescription. Yet many COVID-19 vaccines are administered in pharmacies. Getting vaccinated in a pharmacy is especially helpful for people without primary care doctors or the time or money for a clinic visit. Many states have taken steps to remove barriers to obtaining off-label COVID-19 vaccines at pharmacies. The CDC’s October 2025 recommendations for individual decision-making also enable COVID-19 vaccination by pharmacists.

For people who would like to be vaccinated against COVID-19, knowing how off-label use fits into current regulations may be helpful for understanding their access to vaccines this respiratory virus season, and medical treatment in general.

The authors do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines – https://theconversation.com/off-label-use-of-covid-19-vaccines-was-once-discouraged-but-has-become-common-amid-new-guidelines-268345

Source: The Conversation – USA – By Stefani Langehennig, Assistant Professor of Practice, Daniels College of Business, University of Denver

When the Colorado Artificial Intelligence Act passed in May 2024, it made national headlines. The law was the first of its kind in the U.S. It was a comprehensive attempt to govern “high-risk” artificial intelligence systems across various industries before they could cause real-world harm.

Gov. Jared Polis signed it reluctantly – but now, less than a year later, the governor is supporting a federal pause on state-level AI laws. Colorado lawmakers have delayed the law’s enactment to June 2026 and are seeking to repeal and replace portions of it.

Lawmakers face pressure from the tech industry, lobbyists and the practicalities related to the cost of implementation.

What Colorado does next will shape whether its early move becomes a model for other states or a lesson in the challenges of regulating emerging technologies.

I study how AI and data science are reshaping policymaking and democratic accountability. I’m interested in what Colorado’s pioneering efforts to regulate AI can teach other state and federal legislators.

The first state to act

In 2024, Colorado legislators decided not to wait for the U.S. Congress to act on nationwide AI policy. As Congress passes fewer laws due to polarization stalling the legislative process, states have increasingly taken the lead on shaping AI governance.

The Colorado AI Act defined “high-risk” AI systems as those influencing consequential decisions in employment, housing, health care and other areas of daily life. The law’s goal was straightforward but ambitious: Create preventive protections for consumers from algorithmic discrimination while encouraging innovation.

Colorado’s leadership on this is not surprising. The state has a climate that embraces technological innovation and a rapidly growing AI sector. The state positioned itself at the frontier of AI governance, drawing from international models such as the EU AI Act and from privacy frameworks such as the 2018 California Consumer Privacy Act. With an initial effective date of Feb. 1, 2026, lawmakers gave themselves ample time to refine definitions, establish oversight mechanisms and build capacity for compliance.

When the law passed in May 2024, policy analysts and advocacy groups hailed it as a breakthrough. Other states, including Georgia and Illinois, introduced bills closely modeled after Colorado’s AI bill, though those proposals did not advance to final enactment. The law was described by the Future of Privacy Forum as the “first comprehensive and risk-based approach” to AI accountability. The forum is a nonprofit research and advocacy organization that develops guidance and policy analysis on data privacy and emerging technologies.

Legal commentators, including attorneys general across the nation, noted that Colorado created robust AI legislation that other states could emulate in the absence of federal legislation.

Politics meets process, stalling progress

Praise aside, passing a bill is one thing, but putting it into action is another.

Immediately after the bill was signed, tech companies and trade associations warned that the act could create heavy administrative burdens for startups and deter innovation. Polis, in his signing statement, cautioned that “a complex compliance regime” might slow economic growth. He urged legislators to revisit portions of the bill.

Polis convened a special legislative session to reconsider portions of the law. Multiple bills were introduced to amend or delay its implementation. Industry advocates pressed for narrower definitions and longer timelines. All the while, consumer groups fought to preserve the act’s protections.

Meanwhile, other states watched closely and changed course on sweeping AI policy. Gov. Gavin Newsom slowed California’s own ambitious AI bill after facing similar concerns. Meanwhile Connecticut failed to pass its AI legislation amid a veto threat from Gov. Ned Lamont.

Colorado’s early lead turned precarious. The same boldness that made it first also made the law vulnerable – particularly because, as seen in other states, governors can veto, delay or narrow AI legislation as political dynamics shift.

From big swing to small ball

In my opinion, Colorado can remain a leader in AI policy by pivoting toward “small ball,” or incremental, policymaking, characterized by gradual improvements, monitoring and iteration.

This means focusing not just on lofty goals but on the practical architecture of implementation. That would include defining what counts as high-risk applications and clarifying compliance duties. It could also include launching pilot programs to test regulatory mechanisms before full enforcement and building impact assessments to measure the effects on innovation and equity. And finally, it could engage developers and community stakeholders in shaping norms and standards.

This incrementalism is not a retreat from the initial goal but rather realism. Most durable policy emerges from gradual refinement, not sweeping reform. For example, the EU’s AI Act is actually being implemented in stages rather than all at once, according to legal scholar Nita Farahany.

Effective governance of complex technologies requires iteration and adjustment. The same was true for data privacy, environmental regulation and social media oversight.

In the early 2010s, social media platforms grew unchecked, generating public benefits but also new harms. Only after extensive research and public pressure did governments begin regulating content and data practices.

Colorado’s AI law may represent the start of a similar trajectory: an early, imperfect step that prompts learning, revision and eventual standardization across states.

The core challenge is striking a workable balance. Regulations need to protect people from unfair or unclear AI decisions without creating such heavy burdens that businesses hesitate to build or deploy new tools. With its thriving tech sector and pragmatic policy culture, Colorado is well positioned to model that balance by embracing incremental, accountable policymaking. In doing so, the state can turn a stalled start into a blueprint for how states nationwide might govern AI responsibly.

Stefani Langehennig receives funding from the American Political Science Association’s (APSA) Centennial Center Research Center.

– ref. Colorado is pumping the brakes on first-of-its-kind AI regulation to find a practical path forward – https://theconversation.com/colorado-is-pumping-the-brakes-on-first-of-its-kind-ai-regulation-to-find-a-practical-path-forward-269065

Source: The Conversation – USA – By Anya M. Galli Robertson, Assistant Professor of Sociology, University of Dayton

When the center of protests against immigration enforcement switched recently to Charlotte, North Carolina, so did the frogs.

Back in October 2025, an agent with Immigration and Customs Enforcement, the agency popularly known as ICE, deployed pepper spray into the air vent of a peaceful protester’s inflatable frog costume. Video of the incident in Portland, Oregon, quickly went viral. Frogs and other inflatable costumes became a fixture of protests against Trump administration actions everywhere.

As a sociologist who studies social movements and political discourse, I knew when I saw the video that we’d soon see frogs everywhere at protests.

And indeed, the costumes have visually distinguished recent events from earlier anti-Trump demonstrations, softening their public image at a time when Republican officials were calling protesters “violent” and “Antifa people.”

It’s hard to be violent in a frog suit.

Humor is subversive. When used strategically, it can help undermine the legitimacy of even the most powerful opponents.

Playful and potentially protective

Portland activist Seth Todd began protesting in an inflatable frog costume as a way of “looking ridiculous” when federal law enforcement ramped up repressive tactics against his fellow protesters at ICE facilities in October 2025.

“Nothing about this screams extremist and violent,” he told The Oregonian newspaper.

Such costumes are interactive, playful, physically unwieldy and potentially protective. They can help activists appear less threatening to police, evade facial recognition systems and even deflect the blows of police batons or rubber bullets.

Wearing inflatable costumes at demonstrations checks all the boxes for tactics that can be widely imitated: cultural relevance, symbolic power, accessibility and easy participation. My interviews with activists who used glitter bombing in past protests revealed that light-hearted tactics can expand participation by attracting newcomers who are wary of more confrontational forms of protest. This is especially true when the tactics are easy to adopt – notably, wearing inflatable costumes in the weeks leading up to Halloween.

“Protest costumes” are now a category on Amazon.

Unlike the seasoned activists who were early adopters, protesters who wore inflatable animal and character costumes – sometimes because frog costumes had sold out – at No Kings protests on Oct. 18 represented a range of experiences and affiliations, including many first-timers.

“We are middle of the road,” explained one protesting frog in Chicago, “we’re just regular folks who have had enough.”

Bears, unicorns, dinos and raccoons

Activists continue to don frog costumes in solidarity. One group calling itself the Portland Frog Brigade says its goal is “artfully exercising our First Amendment right to free speech.”

Others created Operation Inflation to collect and distribute inflatable costumes to Portland protesters.

Just days after the pepper spray incident, a video circulated showing people outside the Portland ICE facility wearing inflatable bear, unicorn, dinosaur and raccoon costumes, dancing to raucous music in front of a line of law enforcement officers clad in riot gear.

Despite the almost literal novelty value of frog costumes, there’s nothing new about any of this.

Inflatables have long played an important role in outlandish protest tactics. A large inflatable “Trump chicken” was installed outside the White House back in 2017, while a “Trump baby” blimp hovered over Parliament in London during a 2018 state visit by Trump.

During the 1960s, the Bread and Puppet Theater used towering puppets and satirical street performances to protest the Vietnam War and social inequality.

Carnivalesque tactics and clown costumes have been popular responses to police repression at anti-globalization protests.

The Raging Grannies were a mainstay at antiwar and antinuclear demonstrations in the early 2000s, easily recognizable with their colorful costumes and witty songs.

And LGBTQ+ rights advocates have thrown pies and glitter-bombed right-wing politicians, while also staging costumed flash mobs and dance parties outside the offices and homes of prominent public figures.

Absurdist performances and playful public displays are powerful tools of political dissent, especially when they stand in contrast to state violence, authoritarianism and human rights abuses.

Anya M. Galli Robertson does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. The plague of frog costumes demonstrates the subversive power of play in protests – https://theconversation.com/the-plague-of-frog-costumes-demonstrates-the-subversive-power-of-play-in-protests-268327

Source: The Conversation – USA – By Richardson Dilworth, Professor of Politics, Drexel University

Pennsylvania Sen. John Fetterman – among the eight Democrats who voted to end the federal government shutdown – has always been a unique character and a sly self-promoter.

His political brand is that of an anti-politician. It’s reflected in his ultracasual wardrobe, his willingness – and even eagerness – to vote and express opinions across party lines, and his stated inability to socialize or glad-hand.

Even his new book, “Unfettered,” is not your typical political memoir, and thus is entirely on-brand for Fetterman. Most political memoirs are written to advance the politician’s career. Fetterman’s, however, discusses his dissatisfaction with Congress and spends far more time on his battles with depression than his role as a senator.

As a politics professor who studies Philadelphia and Pennsylvania, I find that one of the most unique things about Fetterman is his political rise from mayor of Braddock, Pennsylvania – a small borough outside Pittsburgh with fewer than 2,000 residents – to the U.S. Senate.

And yet, while this sort of political leap is highly unusual, it also reflects a recent trend in American politics. Over the past five years, more mayors of small and midsized cities have developed national political profiles in a way they hadn’t before.

It’s a phenomenon that has roots in suburbanization and 1990s-era political trends, and it’s one we will likely see again in 2028, at least among Democrats.

From small town to Senate chambers

Boroughs are the smallest form of municipality in Pennsylvania, and there are more than 950 of them in the state. The office of borough mayor is so insignificant that in Braddock, it came with a small stipend instead of a salary.

Yet after holding that obscure position for a decade, Fetterman mounted a credible campaign to be the Democratic candidate for a U.S. Senate seat in 2016. He fell short but captured nearly 20% of the primary vote against three other candidates.

In 2018, Fetterman was elected Pennsylvania lieutenant governor, and then in 2022, he ran again for the Senate. He beat Conor Lamb by a landslide in the Democratic primary and then squeaked out a victory against Republican candidate Dr. Mehmet Oz.

It may seem incredible that someone could jump from being a borough mayor to lieutenant governor and then U.S. senator. But other politicians over the past decade have used their positions as mayors of small-to-midsized cities to run for national office, including the U.S. presidency.

Cory Booker, for instance, was elected mayor of Newark, New Jersey, in 2006; U.S. senator in 2013; and briefly ran for the Democratic presidential nomination in 2020.

Booker was joined in the early race to be the Democratic presidential nominee by Pete Buttigieg, who was elected mayor of South Bend, Indiana, in 2011; and Wayne Messam, who was elected mayor of Miramar, Florida, in 2015.

The 2020 presidential primaries also included some big-city mayors like then-New York Mayor Bill DeBlasio and his immediate predecessor, Mike Bloomberg. Eric Garcetti, mayor of Los Angeles at the time, was apparently also considering a presidential run in 2020.

By contrast, before 2020, a grand total of 13 people who had ever served as a mayor later ran for president. Only Grover Cleveland and Calvin Coolidge were successful.

Of course, Fetterman has never run for president, but then, few mayors ever run for U.S. Senate either. As Booker noted in his 2017 memoir, “United,” he was, in 2013, the 1,949th person to ever be sworn in as a U.S. senator, but “only the 21st person since 1789 to ascend directly from mayor to Senator.”

Free trade and fractured bonds

How did this trend start? I trace it back to the eight years of the Clinton presidency, from 1993 to 2001, and more specifically, the North American Free Trade Agreement that went into effect in 1994 and the Clinton administration’s focus on community and civil society.

NAFTA was a treaty signed by the U.S., Mexico and Canada agreeing to lift tariffs and other barriers to trade. It had bipartisan support, but it was also politically divisive, especially with labor unions, historically a key pillar of the Democratic Party, which did not want to see manufacturers move their operations to Mexico to take advantage of lower labor costs.

NAFTA is often blamed for, among other things, the “hollowing out” of U.S. communities in the Rust Belt that stretches from the Northeast to the Upper Midwest states that surround the Great Lakes. In this vast area, there are thousands of small and midsized towns and cities, many of which depended on single industries like paper milling or auto parts manufacturing. Once those businesses relocated, residents found themselves unemployed, underemployed and stranded in increasingly poorer towns.

At the same time, President Bill Clinton convened a series of seminars on American democracy and community at Camp David and the White House. He invited some of the country’s most prominent “communitarian” intellectuals to glean policy and speech ideas from them. He also established the AmeriCorps program, which expanded and provided support for various civic-oriented volunteer opportunities.

Of the mayors who developed national political profiles in the 2010s, arguably the most successful were Booker, Buttigieg and Fetterman. All three came from Rust Belt communities that had suffered severely from the deindustrialization that many residents and analysts of various stripes blamed on NAFTA, and all three spoke effectively about their personal experience with it in their communities.

Each mayor was also able to tell stories about personal interactions and interventions in their cities that spoke to the sense of a lost community that came to define the turn of the 21st century. The hardest evidence for this lost community came from the book “Bowling Alone” by American political scientist Robert Putnam, who participated in the White House seminars on community and American democracy.

It’s also notable that, prior to running for mayor of Braddock, Fetterman worked at an AmeriCorps program in a poor Pittsburgh neighborhood.

Suburbanization and polarization

Immediately after World War II, federal mortgage guarantees and massive investment in highways fueled suburban housing construction, for which the returning GIs and the baby boom created huge demand.

Along with suburbanization has come political polarization. Urban areas are increasingly composed of people with liberal ideologies, while rural areas are increasingly more conservative. Suburban areas fall somewhere in between – often serving as key battlegrounds in statewide elections.

Midsized cities like South Bend or Miramar are often suburban in nature and design. They typically don’t carry the Democratic ideological baggage of large cities, but they are often also dealing with so-called urban problems such as poverty and crime. This is especially true of Braddock, a suburb with uniquely high levels of poverty and unemployment.

A mayor like Fetterman can therefore show how he’s able to address fundamental and widespread problems while at the same time being relatively nonpartisan about it. Among his better-known accomplishments as Braddock mayor were building a new community center, rehabbing properties, establishing an urban farm and running a youth program.

No doubt, Fetterman is a unique politician. But he is also the product of a specific moment in American political development and culture when mayors became viable actors on the national stage. My guess is that this trend will continue in what will most likely be a crowded Democratic presidential primary race in 2028.

Read more of our stories about Philadelphia and Pennsylvania, or sign up for our Philadelphia newsletter on Substack.

Richardson Dilworth does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. John Fetterman is an unusual politician – but his rise from borough mayor to US senator reflects a recent trend – https://theconversation.com/john-fetterman-is-an-unusual-politician-but-his-rise-from-borough-mayor-to-us-senator-reflects-a-recent-trend-269993

Source: The Conversation – USA – By Nelson Phillips, Distinguished Professor of Technology Management, University of California, Santa Barbara

As artificial intelligence tools like ChatGPT become an increasingly popular avenue for people seeking personal therapy and emotional support, the dangers that this can present – especially for young people – have made plenty of headlines. What hasn’t received as much attention is employers using generative AI to assess workers’ psychological well-being and provide emotional support in the workplace.

Since the pandemic-induced global shift to remote work, industries ranging from health care to human resources and customer service have seen a spike in employers using AI-powered systems designed to analyze the emotional state of employees, identify emotionally distressed individuals, and provide them with emotional support.

This new frontier is a large step beyond using general chat tools or individual therapy apps for psychological support. As researchers studying how AI affects emotions and relationships in the workplace, we are concerned with critical questions that this shift raises: What happens when your employer has access to your emotional data? Can AI really provide the kind of emotional support workers need? What happens if the AI malfunctions? And if something goes wrong, who’s responsible?

The workplace difference

Many companies have started by offering automated counseling programs that have many parallels with personal therapy apps, a practice that has shown some benefits. In preliminary studies, researchers found that in a doctor-patient-style virtual conversation setting, AI-generated responses actually make people feel more heard than human ones. A study comparing AI chatbots with human psychotherapists found the bots were “at least as empathic as therapist responses, and sometimes more so.”

This might seem surprising at first glance, but AI offers unwavering attention and consistently supportive responses. It doesn’t interrupt, doesn’t judge and doesn’t get frustrated when you repeat the same concerns. For some employees, especially those dealing with stigmatized issues like mental health or workplace conflicts, this consistency feels safer than human interaction.

But for others, it raises new concerns. A 2023 study found that workers were reluctant to participate in company-initiated mental health programs due to worries about confidentiality and stigma. Many feared that their disclosures could negatively affect their careers.

Other workplace AI systems go much deeper, analyzing employee communication as it happens – think emails, Slack conversations and Zoom calls. This analysis creates detailed records of employee emotional states, stress patterns and psychological vulnerabilities. All this data resides within corporate systems where privacy protections are typically unclear and often favor the interests of the employer.

Workplace Options, a global employee assistance provider, has partnered with Wellbeing.ai to deploy a platform that uses facial analytics to track emotional states across 62 emotion categories. It generates well-being scores that organizations can use to detect stress or morale issues. This approach effectively embeds AI into emotionally sensitive aspects of work, leaving an uncomfortably thin boundary between support and surveillance.

In this scenario, the same AI that helps employees feel heard and supported also generates unprecedented insight into workforce emotional dynamics. Organizations can now track which departments show signs of burnout, identify employees at risk of quitting and monitor emotional responses to organizational changes.

But this type of tool also transforms emotional data into management intelligence, presenting many companies with a genuine dilemma. While progressive organizations are establishing strict data governance – limiting access to anonymized patterns rather than individual conversations – others struggle with the temptation to use emotional insights for performance evaluation and personnel decisions.

Continuous surveillance carried out by some of these systems may help ensure that companies do not neglect a group or individual in distress, but it can also lead people to monitor their own actions to avoid calling attention to themselves. Research on workplace AI monitoring has shown how employees experience increased stress and modify their behavior when they know that management can review their interactions. The monitoring undermines the feeling of safety necessary for people to comfortably seek help. Another study found that these systems increased distress for employees due to the loss of privacy and concerns that consequences would arise if the system identified them as being stressed or burned out.

When artificial empathy meets real consequences

These findings are important because the stakes are arguably even higher in workplace settings than personal ones. AI systems lack the nuanced judgment necessary to distinguish between accepting someone as a person versus endorsing harmful behaviors. In organizational contexts, this means an AI might inadvertently validate unethical workplace practices or fail to recognize when human intervention is critical.

And that’s not the only way AI systems can get things wrong. A study found that emotion-tracking AI tools had a disproportionate impact on employees of color, trans and gender nonbinary people, and people living with mental illness. Interviewees expressed deep concern about how these tools might misread an employee’s mood, tone or verbal queues due to ethnic, gender and other kinds of bias that AI systems carry.

There’s also an authenticity problem. Research shows that when people know they’re talking to an AI system, they rate identical empathetic responses as less authentic than when they attribute them to humans. Yet some employees prefer AI precisely because they know it’s not human. The feeling that these tools protect your anonymity and freedom from social consequences is appealing for some – even if it may only be a feeling.

The technology also raises questions about what happens to human managers. If employees consistently prefer AI for emotional support, what does that reveal about organizational leadership? Some companies are using AI insights to train managers in emotional intelligence, turning the technology into a mirror that reflects where human skills fall short.

The path forward

The conversation about workplace AI emotional support isn’t just about technology – it’s about what kinds of companies people want to work for. As these systems become more prevalent, we believe it’s important to grapple with fundamental questions: Should employers prioritize authentic human connection over consistent availability? How can individual privacy be balanced with organizational insights? Can organizations harness AI’s empathetic capabilities while preserving the trust necessary for meaningful workplace relationships?

The most thoughtful implementations recognize that AI shouldn’t replace human empathy, but rather create conditions where it can flourish. When AI handles routine emotional labor – the 3 a.m. anxiety attacks, pre-meeting stress checks, processing difficult feedback – managers gain bandwidth for deeper, more authentic connections with their teams.

But this requires careful implementation. Companies that establish clear ethical boundaries, strong privacy protections and explicit policies about how emotional data gets used are more likely to avoid the pitfalls of these systems – as will those that recognize when human judgment and authentic presence remain irreplaceable.

The authors do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. AI is providing emotional support for employees – but is it a valuable tool or privacy threat? – https://theconversation.com/ai-is-providing-emotional-support-for-employees-but-is-it-a-valuable-tool-or-privacy-threat-266570

Source: The Conversation – USA (2) – By Ryan Travia, Associate Vice President for Student Success, Babson College

Many high school seniors across the country are in the throes of college applications – often a high-stakes, anxiety-ridden process.

But the stress doesn’t necessarily stop once students are admitted.

Emotional stress, mental health and tuition cost are the top three reasons that college students drop out, according to a 2023 Gallup poll of 14,032 students.

By most standards, there is a mental health crisis among college students. But the University of Michigan’s healthy minds survey, the country’s largest student mental health study to date, recently found that college students are reporting lower rates of depressive symptoms, anxiety and suicidal thoughts for the third year in a row.

Conducted in 2024 and 2025 and surveying more than 84,000 students across 135 American colleges and universities, the study finds that severe depression symptoms among college students dropped in the past two years to 18% – down from 23% who said they experienced severe depression in 2022. Students who have suicidal thoughts dropped from 15% in 2022 to 11% during 2024 and 2025.

I have worked in student affairs and college health for the past 25 years, leading substance abuse prevention and mental health promotion efforts, and overseeing a range of clinical services. Despite these recent optimistic findings, I’m still alarmed by the prevalence and acuity of students’ mental health concerns nationwide.

Taking a break

College students experience high levels of stress due to a confluence of factors, including academic pressures, financial concerns and complex social dynamics. Understanding the root causes of students’ stress is an important precursor for schools to come up with effective ways to help students manage their anxiety and succeed in school.

But even when schools offer extensive mental health support programs, students occasionally need to take a break to focus on their health and well-being.

Over the past 10 years, I have reviewed and approved medical withdrawals for 133 students at Babson College. From fall 2015 to early spring 2020, before the COVID-19 pandemic, an average of 12 students per year left on medical leave out of the nearly 4,000 students enrolled at the school.

The average number of students taking medical leave then increased by about two people a year from fall 2020 through 2025. Approximately 82% of these cases are mental health-related.

Roughly 70% of these students ultimately return to campus and eventually graduate. In general, very few students who take a leave of absence from school end up returning.

However, there are some schools that use proactive, nondisciplinary policies to support students taking a break to pursue more intensive treatment. These policies can provide clear treatment recommendations and instructions on what conditions students need to be met in order to return to school, resulting in a higher likelihood of the students enrolling once again.

Understanding well-being

Well-being is a word that is top of mind for many higher education leaders, yet colleges and universities do not have a single definition of what well-being means, though it is often a term schools use to talk about students’ mental health. Well-being generally encompasses acknowledging and being comfortable with your feelings, and being equipped to manage stress.

While there is movement toward embedding student mental health and well-being into the very fabric of an institution, many colleges and universities still rely on reaching students in more traditional ways – through health fairs and information tables in the student center, for example.

While these strategies certainly serve a purpose in helping to raise awareness of mental health resources, when used in isolation, they are unlikely to result in actual behavioral change among students.

Students of color, particularly Black and Latino students, are more likely than white students to temporarily withdraw from college.

One step institutions can take: Hire more faculty, staff and mental health counselors who are people of color and can better connect with minority students through shared lived experiences.

Well-being is central to students’ success

In 2007, an undergraduate student at Virginia Tech University shot and killed 32 people, and wounded 17 others, before he died by suicide.

Schools since then have adopted early alert systems – often referred to as care teams – to help identify students who are struggling, either academically, socially or emotionally. The idea is that schools can intervene and get students connected with campus resources such as academic advisers, student success coaches, accessibility services, financial aid and mental health support.

Ongoing training for faculty, staff and students on how to activate these systems of support and make referrals to a care team is critical to their success. The goal is to cast a wide net so students do not fall through the cracks and go unnoticed when they are not mentally well, which is what happened with the Virginia Tech shooter.

Dozens of campuses, including New York University, Indiana State University, the University of North Dakota, The Ohio State University and Harvard University, have also embraced mindfulness practices in recent years, offering breath work and other forms of meditation for their students as free services on campus.

Some campus police departments have also begun using therapy dogs to help support students’ mental health and bolster community engagement.

Other schools, like Stevens Institute of Technology and Princeton University, have stopped keeping labs and libraries open 24/7 as a way to encourage students to take a break and rest – though admittedly most institutions that have made these changes have done so as a result of budget cuts, and less so as a proactive, preventive measure.

Positioning students for success

I have long argued that well-being is central to academic, personal and professional success.

In recent years, I have also encouraged schools to position well-being as the key driver to student academic, personal and professional success.

Research has linked students’ well-being to them staying in school, and findings suggest that colleges can develop targeted mental health programs to improve retention rates. In other words, focusing on the health and well-being of students may, in fact, lead to better outcomes – emotionally, physically and academically.

Ryan Travia received funding from the American College Health Foundation for serving as lead author and researcher for a series of papers on framing and measuring well-being from 2019-2022.

– ref. College students are now slightly less likely to experience severe depression, research shows – but the mental health crisis is far from over – https://theconversation.com/college-students-are-now-slightly-less-likely-to-experience-severe-depression-research-shows-but-the-mental-health-crisis-is-far-from-over-267606