Driscoll, who is currently the chairman of UConn Health after a 25-year career in health care including a previous position as Walgreens Boots Alliance president, said the policy reversal amounts to “a self‑inflicted wound” that will push costs up for both low‑income families and the affluent professionals who thought they were insulated.​

Driscoll cited CBO estimates that if Congress allows the subsidies to lapse, premiums will jump for roughly 24 million marketplace enrollees, and around 2 million people will lose coverage entirely in the near term. 

Enhanced premium tax credits, introduced during the pandemic and extended through 2025, have helped double marketplace enrollment and kept average subsidized premiums under about $900 a year. When they expire, KFF News projects a roughly 114% increase in average premium payments for subsidized enrollees in 2026. Older adults and rural residents would be especially exposed, with KFF also warning that adults ages 50 to 64 could see average premium hikes of 75% or more.​

​​He had a warning for Republicans, calling this looming mass expiration of health insurance subsidies a “self-inflicted wound” for the party. “They were elected on solving affordability,” he pointed out, and now they’re going to accelerate the problem. But Driscoll said no side is blameless. “The tragic thing is, neither side really wants to have a sensible conversation about how do you really care for more people and get them better care earlier.”

In similar countries, roughly 50%-60% of doctors are primary care, but it’s only one in four in the U.S. The problem is that every doctor wants to be a specialist or a surgeon because they’ll roughly double the salary of a pediatrician or internist that way. “Until you change those incentives people are going to keep going towards those higher compensated areas.”

There’s no one fix to this, but there are steps we could take, Driscoll said. He pointed to expanded drug‑price negotiation, immigration reforms to ease shortages of primary‑care doctors and nurses, “site‑neutral” payment so patients aren’t charged more for identical hospital‑based care, and broader use of value‑based and bundled payment models. But we don’t even seem to be capable of engagement, he argued.

“If the two sides could talk,” Driscoll said, “there probably is a way that they could agree on how to to bridge the difference between what Biden and Trump want to do on drug costs. If we could talk, we could probably agree on how to bring back value-based care that would balance the interests of doctors and hospitals and and patients’ outcomes and the government’s obligation.” If only.

At his sentencing hearing in New York, the judge chastised Kwon, suggesting he had succumbed to the worst elements of an industry known for get-rich-quick swindles. “You have been bitten by the crypto bug and I don’t think that’s changed. You must be incapacitated. If not for your guilty plea, my sentence would have been higher,” said U.S. District Judge Paul Engelmayer, according to a tweet from Inner City Press, which provides reliable reporting on court proceedings. 

The sentencing is the final fallout from 2022, when Kwon’s stablecoins TerraUSD and Luna both suddenly collapsed in value, which led to massive losses for investors. Kwon was charged with committing wire fraud and conspiring to commit securities fraud and commodities fraud, according to a statement by the Department of Justice. 

After his company went bankrupt in 2022, Kwon was on the run for months. He fled South Korea and later Singapore after he was wanted by both the United States and South Korea. He was arrested in March 2023 in Montenegro after he was found in possession of a fake Costa Rican passport. Late last year, Montenegro extradited Kwon to the United States. 

In a 2024 suit by the Securities and Exchange Commission, the regulator found Terraform and Kwon liable for civil fraud. A jury then determined that Kwon and Terraform misled investors. Kwon and Terraform lied about how the company’s blockchain technology was using Chai, a Korean payment application, to make transactions. Kwon and Terraform had also claimed that the stablecoin was algorithmically pegged to the US dollar, which jurors found to be misleading to investors. 

Kwon agreed to pay more than $200 million and Terraform agreed to pay more than $3.5 billion in order to wind down the firm. 

In August, Kwon pleaded guilty to conspiracy and wire fraud. “I knowingly agreed with others to defraud, and did in fact defraud, purchasers of cryptocurrencies issued by my company, Terraform Labs,” Kwon said at the time. “What I did was wrong and I want to apologize for my conduct. I take full responsibility.” 

Kwon is one of several high profile crypto figures sentenced to jail in the last couple of years. Sam Bankman-Fried, the founder of FTX, was sentenced to 25 years in prison in March of last year. A month later, Changpeng Zhao, co-founder Binance, was sentenced to four months in prison. President Donald Trump has since pardoned Zhao, while Bankman-Fried remains behind bars. 

Sudip Datta, chief product officer at AI-powered software firm Blackbaud, said that image captures exactly what’s taking place in AI today. Companies are advancing swiftly to build the fastest and most powerful systems they can, but there’s a severe lack of trust between the technology and the people using it, causing any new innovation or efficiencies to completely fumble at the handoff. 

“How many times did the U.S. have the fastest athletes, but ended up losing the 4×100 relay?” Datta asked an expert roundtable audience at Fortune’s Brainstorm AI event in San Francisco this week. “Because the trust was not there, where the runner would blindly take it from someone who is passing the baton.”

Datta said the reflexive reach backward on faith alone is what will separate the winners from the losers in AI adoption. And a major challenge looming in building trust is that a lot of companies today treat trust-building as a compliance burden that slows everything down. The opposite is true, he told the Brainstorm AI audience. 

“Trust is actually a revenue driver,” said Datta. “It’s an enabler because it propels further innovation, because the more customers trust us, we can accelerate on that innovation journey.”

Scott Howe, president and CEO of data collaboration network LiveRamp, outlined five conditions that need to be met in order to build trust. Regulation has done a reasonable job in setting up the first two but “we still have a long way to go” on the remaining three, he said. The five conditions include: Transparency into how your data is going to be used; control over your data; an exchange of value for personal data; data portability; and finally, interoperability. Regulations including the EU’s General Data Protection Regulation (GDPR) have secured some minimal progress but Howe said most people don’t “get nearly fair value for the data we contribute.”

“Instead, really big companies, some of whom are speaking on stage today, have scraped the value and made a ton of money,” said Howe. “And then the last two, as an industry and as businesses, we are nowhere on.”

Owning the data

In Howe’s vision of the future, he sees data being viewed as a property right and people being entitled to fair compensation for its use. 

“The LLMs don’t own my data,” said Howe, referring to large language models. “I should own my data and so I should be able to take it from Amazon to Google, and from Google to Walmart if I want, and it should travel with me,”

However, major tech companies are actively resisting portability and interoperability, which has created data silos that entomb customers in their current ecosystems, said Howe. 

Beyond personal data and potential consumer rights issues, the trust challenge takes on a different shape inside various companies, and each has to decide what their own AI systems can safely access and which tasks can be completed autonomously. 

Spencer Beemiller, innovation officer at software company ServiceNow, said the firm’s customers are trying to determine which AI systems can operate without human oversight, a question that remains largely unanswered. He said ServiceNow helps organizations track their AI agents the same way they’ve historically monitored infrastructure by tracking what the systems are doing, what they have access to, and their lifecycle. 

“We’re trying to get a little bit of a grasp on helping our customers determine what points actually matter to create that autonomous decision making,” Beemiller said. 

Issues like hallucinations, where an AI system will confidently provide made-up or inaccurate information in response to a question, require significant risk mitigation processes, he said. ServiceNow approaches it by using what Beemiller called “orchestration layers,” in which queries are directed to specialized models. Small language models handle enterprise-specific tasks that require more precision, while larger models manage natural conversational items, he said. 

“So it’s a little bit of a ‘Yes, and’ conversation of certain agent components will talk to specific models that are only trained on internal data,” he said. “Others called up from the orchestration layer will abstract to a larger model to be able to answer the problem.”

Still, many fundamental issues remain unresolved, including questions about cybersecurity, critical infrastructure, and the potentially catastrophic consequences that could stem from AI errors. And even more so than in other areas of tech, there’s an inherent tension between moving fast and getting it right.

“If we can win the trust, speed follows,” Datta said. “It’s not about only running fast, but also having trust along the way.”

Read more from Brainstorm AI:

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