A blueprint for using AI to strengthen democracy

Every few centuries, changes in how information moves reshape how societies govern themselves. The printing press spread vernacular literacy, helping give rise to the Reformation and, eventually, representative government. The telegraph made it possible to administer vast nations like the US, accelerating the growth of the modern bureaucratic state. Broadcast media created shared national audiences, which in turn fueled mass democracy.

We are now in the early stages of another such shift. Faster than many realize, AI is becoming the primary interface through which we form beliefs and participate in democratic self-governance. If left unchecked, this shift could further strain America’s already fragile institutions. But it could also help address long-standing problems, like lagging civic engagement and deepening polarization. What happens next depends on design choices that are already being made, whether we know it or not.

Start with what might be called the epistemic layer—how we come to know things. People are increasingly relying on AI to know what is true, what is happening, and whom to trust. Search is already substantially AI-mediated. The next generation of AI assistants will synthesize information, frame it, and present it with authority. For a growing number of people, asking an AI will become the default way to form views on a candidate, a policy, or a public figure. Whoever controls what these models say therefore has increasing influence over what people believe. 

Technology has always shaped the way citizens interact with information. But a new problem will soon arise in the form of personal AI agents, which can change not only how people receive information but how they act on it. These systems will conduct research, draft communications, highlight causes, and lobby on a user’s behalf. They will inform decisions such as how to vote on a ballot measure, which organizations are worth supporting, or how to respond to a government notice. They will, in a meaningful sense, begin to mediate the relationship between individuals and the institutions that govern them.

We’ve already seen with social media what happens when algorithms optimize for engagement over understanding. Platforms do not need to have an explicit political agenda to produce polarization and radicalization. An agent that knows your preferences and your anxieties—one shaped to keep you engaged—poses the same risks. And in this case the risks may be even more difficult to detect, because an agent presents itself as your advocate. It speaks for you, acts on your behalf, and may earn trust precisely through that intimacy.

Now zoom out to the collective. AI agents and humans could soon participate in the same forums, where it may be impossible to tell them apart. Even if every individual AI agent were well-designed and aligned with its user’s interests, the interactions of millions of agents could produce outcomes that no individual wanted or chose. For example, research shows that agents displaying no individual bias can still generate collective biases at scale. And setting aside what agents do to each other, there is what they do for their users. A public sphere in which everyone has a personalized agent attuned to their existing views is not, in aggregate, a public sphere at all. It is a collection of private worlds, each internally coherent but collectively inhospitable to the kind of shared deliberation that democracy requires.

Taken together, these three transformations—in how we know, how we act, and how we engage in collective governance—amount to a fundamental change in the texture of citizenship. In the near future, people will form their political views through AI filters, exercise their civic agency through AI agents, and participate in institutions and public discussions that are themselves shaped by the interactions of millions of such agents.

Today’s democracy is not ready for this. Our institutions were designed for a world in which power was exercised visibly, information traveled slowly enough to be contested, and reality felt more shared, if imperfectly. All of this was already fraying long before generative AI arrived. And yet this need not be a story of decline. Avoiding that outcome requires us to design for something better.

On the informational layer, AI companies must ramp up existing efforts to ensure that models’ outputs are truthful. They should also explore some promising early findings that AI models can help reduce polarization. A recent field evaluation of AI-generated fact checks on X found that people with a variety of political viewpoints deemed AI-written notes more helpful than human-written ones. The paper is yet to be peer-reviewed, but that is a potentially revolutionary finding: AI-assisted fact-checking may be able to achieve the kind of cross-partisan credibility that has eluded most manual human efforts. Greater understanding of and transparency about how models make these assertions and prioritize sources in the process could help build further public trust.

On the agentic layer, we need ways to evaluate whether AI agents faithfully represent their users. An agent must never have an agenda of its own or misrepresent its user’s views—a technically daunting requirement in domains where users may have not explicitly stated any preferences. But faithful representation also cannot become an accessory to motivated reasoning. An agent that refuses to present uncomfortable information, that shields its user from ever questioning prior beliefs or fails to adjust to a change of heart, is not acting in the person’s best interest.

Finally, on the institutional level, policymakers should hurry to harness AI’s potential to make governance more responsive and legitimate. Several states and localities are already using AI-mediated platforms to conduct democratic deliberation at scale, building on research showing that AI mediators can help citizens find common ground. As agents become increasingly common participants in public input processes—and there is already evidence that bots are skewing those processes—identity verification for both humans and their agentic proxies must be built in from the start.

What is needed is a new generation of democratic infrastructure, technological and institutional, built for the world that is actually here. Failing to design for democratic outcomes, in a domain this consequential, means designing for something else. And the history of unaccountable power does not leave much room for optimism about what that something else tends to be.

Andrew Sorota and Josh Hendler lead work on AI and democracy at the Office of Eric Schmidt.

Peer Support in Online Women’s Health Communities: Mixed Methods Formative Analysis of Reddit Discourse

Background: Stigmatized women’s health issues, such as polycystic ovary syndrome (PCOS) and endometriosis, are often marginalized or dismissed in traditional clinical settings. This drives individuals to seek peer support in anonymous online communities such as Reddit. While these digital platforms host critical discussions, they are often designed as static information repositories, failing to account for the complex emotional, temporal, and cultural dynamics that shape users’ support needs. There is a disconnect between the lived experiences of users—particularly feelings of clinical dismissal and the need for culturally specific advice—and the design of the sociotechnical systems they rely on. Objective: This study aimed to deconstruct support practices in online women’s health forums to provide a formative basis for designing more responsive digital health systems. We analyzed the intersections of discussion topics, emotional expression, temporal shifts (specifically the impact of the COVID-19 pandemic), and culturally situated discourse to identify unmet user needs and effective peer-support patterns. Methods: We conducted a large-scale, mixed-methods analysis of 4995 posts and 460,317 comments from 5 major women’s health subreddits (r/WomensHealth, r/TwoXChromosomes, r/BirthControl, r/Endometriosis, and r/PCOS). Computational methods included Latent Dirichlet Allocation for topic modeling, Valence Aware Dictionary for Sentiment Reasoning for sentiment analysis, and the NRC Emotion Lexicon for granular emotion classification. We segmented the data into pre-, during-, and post–COVID-19 periods to analyze temporal shifts. This quantitative analysis was complemented by a 2-phase qualitative thematic analysis to identify and characterize engagement patterns within 147 validated culturally situated threads. Results: Our analysis revealed that the most prevalent and emotionally negative topic was “Pain & Doctor Visits,” which was uniquely characterized by high levels of fear and sadness linked to systemic clinical dismissal. The COVID-19 pandemic triggered a significant topical “turn inward,” with discussions shifting away from social or political issues and toward somatic concerns (eg, “PCOS” “Pain & Doctor Visits”). Paradoxically, this period saw a simultaneous rise in both negative emotions (eg, fear and sadness) and expressions of community trust. Critically, our qualitative analysis of culturally situated discourse uncovered a consistent three-stage “playbook” for effective support: (1) to establish psychological safety and validate cultural experiences; (2) to provide actionable, culturally tailored advice; and (3) to facilitate community-wide learning and empathy. Conclusions: Online health forums operate as essential, resilient sociotechnical infrastructures that actively compensate for failures and gaps in formal health care. The “Affirmation-Scaffolding-Bridging” model identified in our research provides a clear, formative framework for designing future digital health interventions. These findings can guide the development of new platforms that are emotionally aware, culturally responsive, and adaptive to user needs and external crises.

The Role of Trust in Text Messaging for Promoting Patient Portal Activation Among Low-Income Patients: Quality Improvement Project

Background: The increasing reliance on patient portals for electronic health records has widened the digital health care access gap, particularly among low-income and Medicaid-insured populations. However, resources exist to assist low-income patients with portal enrollment; in obtaining a free smartphone; and, in New York, in obtaining low-cost internet. Automated bidirectional SMS text messaging offers a scalable and cost-effective strategy for identifying low-income patients’ digital health needs and eligibility for resources by using screening questions and providing tailored information on how to access available resources. Objective: This study aimed to increase portal access among low-income patients using automated bidirectional SMS text messaging and assess its feasibility and acceptability. Methods: This quality improvement initiative involved sending automated, bidirectional SMS text messages in English to 12,381 Medicaid-insured and/or low-income patients from a primary care practice. Messages assessed patients’ digital health needs and provided adaptive, personalized resources and assistance for enrolling in the patient portal and for accessing digital technology. We assessed response rates and follow-up portal enrollment rates. We surveyed participants regarding the acceptability, appropriateness, and usability of the SMS text messaging intervention, as well as their subsequent use of the patient portal. We performed descriptive statistics and a binomial probability test. Results: In total, 9.2% (1140/12,381) of patients responded to the SMS text messages, with 3.9% (481/12,381) opting out and 5.3% (659/12,381) actively engaging. Among respondents, 71.1% (469/659) completed the follow-up survey. Respondents were predominantly female (336/469, 71.6%), with ages ranging from 18 to 65 years or older. Most respondents rated the message’s clarity (420/469, 89.6%), its usefulness (400/469, 85.2%), and the demonstration of care by their health team (350/469, 74.6%) favorably. Concerns regarding privacy (61/469, 13%) and trustworthiness (71/469, 15%) were noted. Notably, 71% of initially unenrolled patients activated their patient portals after the intervention (=.007), exceeding the hypothesized expectations. Conclusions: Automated bidirectional SMS text messaging had mixed effects on promoting patient portal use among low-income patients. Response rates to SMS text messages were low when delivered from an unknown phone number. Among responders, most reported that these messages were useful and that they would recommend them to others. Research is needed to determine optimal strategies for introducing the program and vendor phone numbers to patients to improve engagement.
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Week one of the Musk v. Altman trial: What it was like in the room

This story originally appeared in The Algorithm, our weekly newsletter on AI. To get stories like this in your inbox first, sign up here.

Two of the most powerful people in AI—Sam Altman and Elon Musk—began their face-off in court in Oakland, California, last week. Musk is suing OpenAI, alleging that the millions he spent to fund it around a decade ago were meant for a nonprofit, not a corporation, and that the company has reneged on that mission since. 

The stakes are high—even a partial win for Musk could set OpenAI back as it reportedly plans to go public this year. But most of the attention comes from the spectacle of a feud on X now playing out in federal court. “Cringey texts, raw diary entries, and endless scheming behind the founding and growth of OpenAI are expected to come to light,” my colleague Michelle Kim wrote before it began. And the trial unfolds as the cultural backlash against AI swells; some of the signs held by protesters outside the courthouse suggest that to a significant number of people, whatever the outcome of Musk v. Altman, we all lose.  

Most of us have had to observe the trial from afar, but Michelle, who also happens to be a lawyer, has been in court each day. I caught up with her to learn what’s unfolded thus far and what might come next.

Can you give us the overview of what this case is actually about? What exactly is being decided, and who is favored right now?

Elon Musk is arguing that Sam Altman and OpenAI president Greg Brockman have breached the company’s charitable trust by effectively converting OpenAI into a for-profit company. Musk alleges that is not what they promised him in the company’s early days. He has asked for several remedies, like a crazy amount of damages and removing Sam Altman. But the main remedy he wants is unwinding OpenAI’s restructuring. [In October 2025 OpenAI struck deals with the attorneys general of California and Delaware that would essentially allow its nonprofit portion to have less day-to-day control of OpenAI. It’s a compromise from what OpenAI originally proposed, but Musk still wants to stop it.] 

OpenAI argues that Elon Musk actually agreed to have the company operate a for-profit arm, because he knew building AI is very expensive. So it’s about proving what Musk knew, what he didn’t know, and whether he really was deceived by Altman and Brockman.

There’s a big debate about when exactly Musk found out about this alleged misconduct. Musk founded OpenAI with Altman and Brockman in 2015, and he brought the suit in 2024. There’s a statute of limitations for charitable trust claims; you need to have brought a claim within three to four years after you find out about the alleged misconduct. So Musk tries to paint a picture that back in the day he was a little suspicious, but that it was really only in 2022 that he realized OpenAI was no longer committed to its original charitable mission, and that he had been scammed. It’s only the first week of trial, but I’m not sure Musk has proved this to the judge and jury.

What were some standout moments thus far?

At one point one of Elon Musk’s lawyers said, “We could all die as a result of AI.” I think a lot of the people in the room were really shaken by this comment, and the judge told Musk’s lawyer: You talk about all these safety risks that OpenAI has when building AI, but Musk is also creating a company that’s in the same exact space. She basically said, I’m sure there’s plenty of people who also don’t want to put the future of humanity in Elon Musk’s hands. 

And then the lawyers just kept going on and on about the catastrophic risks of AI and whether Elon Musk or OpenAI was in the better position to steward AI safety. And the judge sort of snapped. She said very sternly that this trial was not about whether or not artificial intelligence has damaged humanity. And I thought that was a really striking standout moment of the trial that pointed at how even though it is technically just about whether Elon Musk was really deceived by OpenAI, it’s also become a huge discussion about AI safety and some of the practices that the labs are engaging in when building AI. 

Can you give us a look behind the curtain at how getting into this trial works?

There are tons of reporters. This is a very high-profile suit, so I have to wake up around 4:30 a.m. and show up to the Oakland courthouse at 6 a.m. sharp to get in line. And on some days, even 6 a.m. doesn’t get you into the courtroom. There are lots of photographers in front of the courthouse, especially on days when you know Musk or Altman and Brockman are present. And there’s also some concerned citizens who want to watch the trial. I usually have to wait, like, two hours in line to get in to be one of the 30 people who claim the unreserved seats in the courtroom. 

What has it felt like to see Elon Musk testify? How would you describe his demeanor?

He shows up in a crisp black suit. He can be this inflammatory person on X, but in the courtroom, he is calm, cool, collected, and looks very comfortable. He has been in a lot of lawsuits. He knows how to talk to the jury and how to present himself in front of them and the judge. He’s also cracking jokes with his lawyer and even the opposing party’s lawyer and the judge. 

And he can be witty. There was this one moment when OpenAI’s lawyer was asking Musk a question and sort of fed him an answer. And Musk said “That’s not a leading question, that’s a leading answer.” The judge intervened and said, “You’re not a lawyer, Elon.” And then he was like, “Well, I did take Law 101.”

That said, he does get flustered and uncomfortable when OpenAI’s lawyer asks tough, piercing questions. Which he’s been doing.

What are the biggest things we’ve learned that weren’t clear in the earlier phases of this case?

On the fourth day of the trial, Musk admitted during cross-examination that xAI distills OpenAI’s models to train its own models, which was shocking. Musk followed up by saying that this is standard practice among all the labs now and that xAI wasn’t doing anything beyond what others were already doing. But a lot of the journalists started typing away at their laptops as soon as Musk made this comment. 

I also learned that there’s just so much scheming among Big Tech executives. You know about it vaguely, but to hear firsthand accounts and read their emails and text messages is fascinating. 

For example, there was a text message between Musk and Mark Zuckerberg of Meta, where they’re kind of teaming up to stop OpenAI’s restructuring. They’re even trying to make a bid to buy all the assets of OpenAI’s nonprofit. The level of scheming that goes on among these executives is mind-blowing.

What happens next?

OpenAI’s president, Greg Brockman, who was meticulously taking notes during some of Elon Musk’s testimony, is expected to testify next week. And Stuart Russell, a computer scientist at UC Berkeley, will testify about AI safety. I’m expecting that to open the floodgates to this crazy discussion about who can be trusted to build AI. 

A bunch of other high-profile people are expected to testify, like former OpenAI chief scientist Ilya Sutskever, former CTO Mira Murati, and Microsoft CEO Satya Nadella. 

The trial is supposed to last around three weeks. The nine jurors will deliver an advisory verdict that guides the judge on how to decide Musk’s claims against OpenAI. The judge doesn’t have to listen to the jury and can decide however she wants. If she decides OpenAI is liable, then she’ll decide what sort of remedies are appropriate. 

MIT Technology Review will have ongoing coverage of Musk v. Altman until its conclusion. Follow @techreview or @michelletomkim on X for up-to-the-minute reporting.

Musk v. Altman week 1: Elon Musk says he was duped, warns AI could kill us all, and admits that xAI distills OpenAI’s models

In the first week of the landmark trial between Elon Musk and OpenAI, Musk took the stand in a crisp black suit and tie and argued that OpenAI CEO Sam Altman and president Greg Brockman had deceived him into bankrolling the company. Along the way, he warned that AI could destroy us all and sat through revelations that he had poached OpenAI employees for his own companies. He even confessed, to some audible gasps in the courtroom, that his own AI company, xAI, which makes the chatbot Grok, uses OpenAI’s models to train its own. 

The federal courthouse in Oakland, California, was packed with armies of lawyers carrying boxes of exhibits, journalists typing away at their laptops, and a handful of concerned OpenAI employees. Outside, protesters lined the streets, carrying signs urging people to quit ChatGPT, boycott Tesla, or both. Musk looked calm and comfortable, slipping in the occasional quip in his distinct South African accent. But he also was full of remorse. 

“I was a fool who provided them free funding to create a startup,” Musk told the jury. He said when he cofounded OpenAI in 2015 with Altman and Brockman, he was donating to a nonprofit developing AI for the benefit of humanity, not to make the executives rich. “I gave them $38 million of essentially free funding, which they then used to create what would become an $800 billion company,” he said.

Musk is asking the court to remove Altman and Brockman from their roles and to unwind the restructuring that allowed OpenAI to operate a for-profit subsidiary. The outcome of the trial could upend OpenAI’s race toward an IPO at a valuation approaching $1 trillion. Meanwhile, xAI is expected to go public as a part of Musk’s rocket company SpaceX as early as June, at a target valuation of $1.75 trillion.

This week’s testimony revolved around a central question of the trial: why Musk is suing OpenAI. Musk argued he was trying to save OpenAI’s mission to develop AI safely by restoring the company to its original nonprofit structure. OpenAI’s lawyer, William Savitt, who once represented Musk and his electric-car company Tesla, countered that Musk was “never committed to OpenAI being a nonprofit” and instead was suing to undermine his competitor. 

Who is the steward of AI safety?

During his direct examination early in the week, Musk painted himself as a longtime advocate of AI safety. He said he cofounded OpenAI to create a “counterbalance to Google,” which was leading the AI race at the time. He said that when he asked Google cofounder Larry Page what happens if AI tries to wipe out humanity, Page told him, “That will be fine as long as artificial intelligence survives.” 

“The worst-case scenario is a Terminator situation where AI kills us all,” Musk later told the jury.

Savitt stood at the lectern and argued that Musk was not a “paladin of safety and regulation.” As he cross-examined Musk in his sharp, surgical cadence, Savitt pointed out that xAI sued the state of Colorado in April over an AI law designed to prevent algorithmic discrimination. 

Musk’s lawyer, Steven Molo, sprang to his feet to object. He asked the judge if he, too, could weigh in on ChatGPT’s safety record. 

The lawyers then entered a heated debate about who was the true guardian of AI safety. 

The sparring continued the next morning. “We all could die as a result of artificial intelligence!” said Molo, suggesting that OpenAI could not be trusted to build AI safely.

“Despite these risks, your client is creating a company that’s in the exact space,” Judge Yvonne Gonzalez Rogers said sternly, referring to xAI. “I suspect there’s plenty of people who don’t want to put the future of humanity in Mr. Musk’s hands.”

When the lawyers began talking over each other, the judge snapped. “This is not a trial on whether or not artificial intelligence has damaged humanity,” she said. 

When did Musk think he was being duped?

As Savitt continued to cross-examine Musk, he pressed on the idea that Musk had never been committed to keeping OpenAI a nonprofit. He also claimed that Musk waited too long to sue OpenAI, filing after the statute of limitations ran out. 

Musk explained why he sued in 2024 rather than earlier, describing “three phases” in his views of OpenAI. In phase one, he was “enthusiastically supportive” of the company.” In phase two, “I started to lose confidence that they were telling me the truth,” he said. In phase three, “I’m sure they’re looting the nonprofit.” 

In 2017, Musk and other OpenAI cofounders discussed creating a for-profit subsidiary to raise enough capital to build artificial general intelligence—powerful AI that can compete with humans on most cognitive tasks. Musk wanted a majority interest in the subsidiary and the right to choose a majority of the board members. He also pitched having Tesla acquire OpenAI. (He left OpenAI in 2018.)

“I was not opposed to there being a small for-profit that provides funding to the nonprofit,” he told the jury, “as long as the tail didn’t wag the dog.” 

But it was only in late 2022, Musk testified, that he “lost trust in Altman” and his commitment to keeping the company a nonprofit. The key moment came, he said, when he learned that Microsoft would invest $10 billion in OpenAI. 

“I texted Sam Altman, ‘What the hell is going on? This is a bait and switch,’” he told the jury. Microsoft would give $10 billion only if it expected “a very big financial return,” he said.

Is Musk just trying to kill competition?

But Savitt argued that Musk was really suing to undermine OpenAI as a competitor to his empire of tech companies. While he was on the board of OpenAI, Musk was also running Tesla and his brain-implant company, Neuralink. He founded xAI in 2023.

Savitt pulled up an email that Musk had sent to a Tesla vice president in 2017 after hiring Andrej Karpathy, a founding member of OpenAI, to work at Tesla.“The OpenAI guys are gonna want to kill me. But it had to be done,” he wrote.

When asked about it, Musk was flustered. He claimed Karpathy had already decided to leave OpenAI when he recruited him to work at Tesla. “I believe it’s a free world,” he said.

Savitt pulled up another email that Musk sent to a cofounder at Neuralink in 2017. He wrote that they could “hire independently or directly from OpenAI.” When pressed about it, he sounded frazzled. “It’s a free country,” he said. “I can’t restrict their ability to hire people from other companies.” 

Savitt also pointed out that Tesla, SpaceX, Neuralink, and X were socially beneficial for-profit companies, like OpenAI. He stressed that xAI was also a closed-source, for-profit company.

But Musk claimed that xAI was not a real competitor to OpenAI. “We’re not currently tracking to reach AGI first,” he told the jury. 

In fact, Musk admitted that xAI uses OpenAI’s technology. In response to Savitt’s relentless questioning, he said xAI “partly” distills OpenAI’s models. Some people in the courtroom gasped. 

Distillation is a technique where a smaller AI model is trained to mimic the behavior of larger, more capable models, so it can run faster and more cheaply while performing nearly as well. But OpenAI and other AI companies have pushed back against the practice. In February, OpenAI accused the Chinese AI company DeepSeek of distilling its AI models. In August 2025, Wired reported that Anthropic had blocked OpenAI’s access to Claude for violating the company’s terms of service, which prohibit, among other things, reverse-engineering its services and building competing products. 

“It is standard practice to use other AIs to validate your AI,” argued Musk.

Next week, Stuart Russell, a computer scientist at UC Berkeley, will testify about AI safety. Brockman, who has been taking notes during Musk’s testimony, will also testify.

This story is part of MIT Technology Review’s ongoing coverage of the Musk v. Altman trial. Follow @techreview or @michelletomkim on X for up-to-the-minute reporting.

Applicable Scenarios, Desired Features, and Risks of AI Psychotherapists in Depression Treatment From the Patient’s Perspective: Exploratory Qualitative Study

Background: Depression is a pervasive global mental health issue, yet access to trained professionals remains severely limited. With the rapid advancement of artificial intelligence (AI), digital tools are increasingly seen as a viable way to address this shortage. However, questions remain about how digital platforms for mental health care can be effectively designed. Objective: This study aimed to investigate, from an end user’s (patient’s) perspective, the potential use scenarios, desired features, and perceived risks of AI psychotherapists in depression treatment, providing design guidelines for their development. Methods: A grounded theory approach was applied to analyze qualitative responses from 452 individuals recruited via Amazon Mechanical Turk. Data were collected through a scenario-based online survey on AI-assisted depression treatment administered between March 2023 and May 2023. Participants responded to 3 open-ended questions regarding the potential use of AI in treating depression, the characteristics expected from an AI psychotherapist, and the associated perceived risks, along with demographic, control, and contextual measures. The open-ended responses were inductively coded into themes, with intercoder reliability established (Cohen κ=0.80). In addition, variations in themes were further examined across participant profiles, including social stigma, current depression severity, trust in an AI psychotherapist, and privacy awareness. Results: Participants envisioned AI psychotherapists across 5 primary scenarios: diagnosis, treatment, consultation, self-management, and companionship. Key desired features include professionalism, warmth, precision care, empathy, remote services, active listener, personalization, flexible treatment options, patience, trustworthiness, and basic treatment alternative, while critical concerns include diagnostic inaccuracy, treatment errors, privacy breach, lack of human interaction, technical malfunctions, and lack of emotional engagement. Based on these findings, a general MoSCoW (must have, should have, could have, and won’t have) prioritization framework was proposed to serve as a conceptual starting point for future AI system design and empirical validation in mental health care. Notably, feature prioritization varied across user profiles: individuals with higher stigma placed greater emphasis on privacy protection, those with more severe depression prioritized precision care and timely access, low-trust users de-emphasized remote services, and privacy-sensitive individuals showed reduced preference for features requiring extensive data disclosure. These patterns highlight the need for context-sensitive design. Conclusions: This study provides a patient-centered framework for designing AI psychotherapists and complements the existing literature by highlighting the importance of balancing clinical effectiveness with relational considerations. The findings offer actionable guidelines for designing AI mental health care tools that are aligned with user expectations and sensitive to individual differences.
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The Download: a new Christian phone network, and debugging LLMs

This is today’s edition of The Download, our weekday newsletter that provides a daily dose of what’s going on in the world of technology.

A new US phone network for Christians aims to block porn and gender-related content

A new US-wide cell phone network marketed to Christians is set to launch next week. It blocks porn using network-level controls that can’t be turned off—even by adult account owners.

It’s also rolling out a filter on sexual content aimed at blocking material related to gender and trans issues, optional but turned on by default across all plans.

The trouble is, many websites don’t fit neatly into one category. That leaves its maverick founder with broad, subjective control over what is allowed or banned. Read the full story.

—James O’Donnell

This startup’s new mechanistic interpretability tool lets you debug LLMs

The San Francisco–based startup Goodfire has released a new tool, Silico, that lets researchers peer inside an AI model and adjust its parameters during training. It could give users more control over how this technology is built than was once thought possible.

The goal is to make building AI models less like alchemy and more like a science. Using a technique called mechanistic interpretability, Silico maps the neurons and pathways inside a model and lets developers tweak them to reduce unwanted behaviors or steer outputs.

By exposing the “knobs and dials,” Goodfire hopes to bring AI training closer to traditional software engineering. Read the full story.

—Will Douglas Heaven

With mass firing, Trump deals a fresh blow to American science

This past week delivered another gut punch for science in the US. This time, the target was the National Science Foundation—a federal agency that funds major research projects to the tune of around $9 billion. On Friday, the 22 scientists overseeing those efforts were all fired.

Since 2025, the NSF has faced budget cuts, grant terminations, and mass firings, with staff numbers down sharply and many ambitious projects grinding to a halt. The result is a major shift in how American science is funded and governed. Discover what it means, and what’s next.

—Jessica Hamzelou

This article first appeared in The Checkup, MIT Technology Review’s weekly biotech newsletter. To receive it in your inbox every Thursday, and read articles like this first, sign up here.

China’s open-source bet: 10 Things That Matter in AI Right Now

Silicon Valley AI companies follow a familiar playbook: keep the models behind an API and charge for access. China’s leading AI labs are playing a different game, releasing “open-weight” models that developers can download, adapt, and run on their own hardware.

That approach went mainstream after DeepSeek open-sourced its R1 model, which matched top US systems at a fraction of the cost. It also won something subtler: goodwill with developers. A growing cohort of Chinese labs is now following the same blueprint.

As AI shifts from hype to deployment, open-source models are making the future of AI more multipolar than Silicon Valley expected. Read the full story.

—Caiwei Chen

China’s open-source bet is one of the 10 Things That Matter in AI Right Now, our list of the biggest ideas, trends, and advances in AI today. We’re unpacking one item from the list each day here in The Download, so stay tuned.

The must-reads

I’ve combed the internet to find you today’s most fun/important/scary/fascinating stories about technology.

1 Elon Musk has admitted that xAI trained Grok on OpenAI models
“Distillation” is standard practice in AI, despite being legally dubious. (Wired $)
+ The White House has accused Chinese firms using distillation of theft. (BBC)
+ American labs are widely assumed to use similar techniques. (TechCrunch)

2 A “de-extinction” startup wants to resurrect a long-lost antelope
Colossal Biosciences wants to bring back the bluebuck. (Axios)
+ The company is using genomic editing to revive the animal. (Gizmodo)
+ It previously claimed to have cloned red wolves. (MIT Technology Review)

3 ​​An OpenAI model outperformed ER doctors at diagnosing patients
By analyzing health records data and information provided to physicians. (NPR)
+ But it still must be proven in real-world clinical trials. (Vox)

4 Scientists are trying to power AI data centers with tiny nuclear reactors
They could provide a new way to meet AI’s energy demands. (Gizmodo)
+ We did the math on AI’s energy footprint. (MIT Technology Review)

5 Spotify has started verifying human artists
A new badge will distinguish them from AI. (The Guardian)
+ Spotify has faced criticism for its handling of AI. (BBC)

6 The US is backing a Congolese railway to break China’s grip on critical minerals
The old railroad is key to the race for critical metals in Africa. (Rest of World)
+ The US is also searching for alternative sources. (MIT Technology Review)

7 Huawei is set to overtake Nvidia in China’s AI chip market
It’s expected to capture the largest market share this year. (FT $)

8 Japan is building cardboard drones for the battlefield
The flatpack designs are cheap, disposable, and built at scale. (404 Media)

9 The more young people use AI, the more they hate it
Research shows that Gen Z doesn’t trust GenAI. (The Verge)

10 A new organoid can menstruate—and show how tissue repairs itself
It’s revealing how the uterus can shed without scarring. (Nature)

Quote of the day

“I suspect that there are a number of people who do not want to put the future of humanity in Mr Musk’s hands. But we’re not going to get into that.

—Judge Gonzalez Rogers rebukes attempts by Elon Musk’s lawyer to focus on AI’s existential risks as part of his lawsuit against OpenAI, the New York Times reports. 

One More Thing

an aerial view of Mountain Pass rare earth mine and processing facility

TMY350 VIA WIKIMEDIA COMMONS


This rare earth metal shows us the future of our planet’s resources

The materials we need to power our world are shifting from fossil fuels to energy sources that don’t produce greenhouse gas emissions.

Take neodymium, a rare earth metal used in powerful magnets that power everything from smartphones to wind turbines. Its story reveals many of the challenges we’ll likely face across the supply chain in the coming century and beyond.

The question isn’t whether we’ll run out, but how we extract, process, use, and recycle these materials as technology keeps changing. Find out what it reveals about the future of our planet’s resources.


—Casey Crownhart

We can still have nice things

A place for comfort, fun and distraction to brighten up your day. (Got any ideas? Drop me a line.)

+ Here’s a fascinating visual history of exploring the dark side of the Moon.
+ This interactive map lets you compare the actual dimensions of our world.
+ These five tiny homes are proof you don’t need a massive footprint to live with style.
+ Explore the history of “Control Room Green” and why it was the default choice for the Cold War’s highest-stakes environments.

Top image credit: Stephanie Arnett/MIT Technology Review | Adobe Stock

Predicting consequences of new hepatitis B vaccine recs

Get your daily dose of health and medicine every weekday with STAT’s free newsletter Morning Rounds. Sign up here.

Good morning. The other night I watched a shocking episode of “The Vampire Diaries.” A series of cursed, ghost-like hallucinations attempt to convince a teen vampire to end her own life using some disturbingly coercive, cogent arguments. Ultimately, the character is saved. And while this episode aired more than a decade ago, I was surprised by how many parallels there were to current debates about the risks of AI chatbots and people in mental health crises. 

Read the rest…