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US Healthcare Is ‘F***ed,’ Says Cardano’s Hoskinson, Pitches AI, Blockchain Solutions

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Charles Hoskinson, the founder of Cardano and early co-founder of Ethereum, says the American healthcare system isn’t broken — it’s working exactly as designed. And that, he says, is the problem.

“Healthcare is just fucked in America. It’s just fucked. Everybody knows it’s true,” Hoskinson said in an interview with CoinDesk TV at the Rare Evo conference in Las Vegas. “Yet they all try to continue making the system go because it’s just too profitable.”

While it may sound like a harsh criticism, Hoskinson is putting his money where his mouth is: He is pouring $200 million investment into a medical center in Gillette, Wyoming, that now serves about one-third of the town’s population.

His vision for his multi-million dollar investment? “If they can’t pay, don’t charge ’em,” he said.

The ‘Horrible’ problem

So, what are the main issues with the current healthcare system that made him pour millions into a new type of system? According to Hoskinson, it is how doctors are paid.

«All the financial incentives are just horrible and wrong inside healthcare,» he told CoinDesk TV, using an example of how doctors are incentivized to treat their patients all the same, regardless of their needs.

“Let’s say you’re 75 years old and you have a ton of cool morbidities and you’re just not feeling good … Your doctor will be paid the exact same amount of money to see you … as he or she will be paid to go and see a 16-year-old girl coming in for a UTI and just needs like five minutes and some antibiotics.”

That economic structure, he said, discourages coordination, conversation and long-term planning. “They have every incentive to keep you as sick as possible for as long as possible, because they’ve developed chronic treatments for all those things,” Hoskinson claimed.

And what’s the source that built his scathing claims about the healthcare system? «Because my dad’s a doctor, my brother’s a doctor. Grandfather was a doctor, uncle’s a doctor,» said Hoskinson

The patient-centric solution

To fix this, Hoskinson suggests building a facility centered around the patient, not billing codes or bureaucracies and using cutting-edge technologies such as artificial intelligence and blockchain.

«Let’s build a clinic where we put the patient at the center. We build care teams, we use AI and we do everything in our power to try to just make it patient-centered care that’s affordable.»

AI, for this new system, will be used to support — not replace — the physicians. “Every day it can rag in the totality of all medical knowledge, and you can have agents representing each specialty of medicine… and give an updated care plan at the beginning of the day to the provider.”

The system, he said, can catch “subtle cues in the patient history” and help with real-time auditing. He also described plans for AI tools that can flag drug-to-drug interactions, transcribe patient visits and eventually act as an «AI companion» to help people interpret food labels, medications and supplements.

The project’s architecture may also involve blockchain.

Hoskinson referenced selective disclosure and zero-knowledge technology — cryptographic tools that can verify facts (like age or citizenship) without exposing underlying personal details. “You can satisfy the intent and philosophy of those buckets without revealing the underlying customer,” he said.

He also plans to open-source the entire model — including protocols and software — to allow replication elsewhere. “We’re not here to make money off of [it],” Hoskinson said. “The goal is to open source them, open source the software, you know, get that care system out there.”

He’s also pushing for a broader policy reset. “Health insurance should be the same way you buy it in case you get really fucking sick,” Hoskinson said. “It makes no sense to say, well, it’s there for when you get a paper cut or there for when you want to get birth control or something.”

However, Hoskinson claims that this new model of healthcare is facing pushback from the traditional medical system.

«The hospital there is trying to kill us,» he alleges.

«They do everything in their power to make our life miserable. Uh, they won’t credential our doctors. So it takes six months to 12 months to get credentials to have them practice medicine. I bring a world famous surgeon and a famous transplant surgeon. They won’t give ’em credentials,» Hoskinson said.

While Hoskinson’s fight to revamp the health care system might be a David versus Goliath scenario, he sees this as part of his and his family’s legacy. «I put $200 million of my own money into my clinic and we’ve been building for the last three years, and I legitimately wanna solve this problem,» he said.

«I think it’s my legacy and it’s the family’s legacy and it’s also the single most important thing in America.»

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Fed’s Sept. 17 Rate Cut Could Spark Short-Term Jitters but Supercharge Bitcoin, Gold and Stocks Long Term

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Investors are counting down to the Federal Reserve’s Sept. 17 meeting, where markets expect a quarter-point rate cut that could trigger short-term volatility but potentially fuel longer-term gains across risk assets.

The economic backdrop highlights the Fed’s delicate balancing act.

According to the latest CPI report released by the U.S. Bureau of Labor Statistics on Thursday, consumer prices rose 0.4% in August, lifting the annual CPI rate to 2.9% from 2.7% in July, as shelter, food, and gasoline pushed costs higher. Core CPI also climbed 0.3%, extending its steady pace of recent months.

Producer prices told a similar story: per the latest PPI report released on Wednesday, the headline PPI index slipped 0.1% in August but remained 2.6% higher than a year earlier, while core PPI advanced 2.8%, the largest yearly increase since March. Together, the reports underscore stubborn inflationary pressure even as growth slows.

The labor market has softened further.

Nonfarm payrolls increased by just 22,000 in August, with federal government and energy sector job losses offsetting modest gains in health care. Unemployment held at 4.3%, while labor force participation remained stuck at 62.3%.

Revisions showed June and July job growth was weaker than initially reported, reinforcing signs of cooling momentum. Average hourly earnings still rose 3.7% year over year, keeping wage pressures alive.

Bond markets have adjusted accordingly. The 2-year Treasury yield sits at 3.56%, while the 10-year is at 4.07%, leaving the curve modestly inverted. Futures traders see a 93% chance of a 25 basis point cut, according to CME FedWatch.

If the Fed limits its move to just 25 bps, investors may react with a “buy the rumor, sell the news” response, since markets have already priced in relief.

Equities are testing record levels.

Equities are testing record levels. The S&P 500 closed Friday at 6,584 after rising 1.6% for the week, its best since early August. The index’s one-month chart shows a strong rebound from its late-August pullback, underscoring bullish sentiment heading into Fed week.

S&P 500 One-Month Chart From Google Finance

The Nasdaq Composite also notched five straight record highs, ending at 22,141, powered by gains in megacap tech stocks, while the Dow slipped below 46,000 but still booked a weekly advance.

Crypto and commodities have rallied alongside.

Bitcoin is trading at $115,234, below its Aug. 14 all-time high near $124,000 but still firmly higher in 2025, with the global crypto market cap now $4.14 trillion.

Bitcoin One-Month Price Chart From CoinDesk Data

Gold has surged to $3,643 per ounce, near record highs, with its one-month chart showing a steady upward trajectory as investors price in lower real yields and seek inflation hedges.

One-Month Gold Price Chart From TradingView

Gold has climbed steadily toward record highs, while bitcoin has consolidated below its August peak, reflecting ongoing demand for alternative stores of value.

Historical precedent supports the cautious optimism.

Analysis from the Kobeissi Letter — reported in an X thread posted Saturday — citing Carson Research, shows that in 20 of 20 prior cases since 1980 where the Fed cut rates within 2% of S&P 500 all-time highs, the index was higher one year later, averaging gains of nearly 14%.

The shorter term is less predictable: in 11 of those 22 instances, stocks fell in the month following the cut. Kobeissi argues this time could follow a similar pattern — initial turbulence followed by longer-term gains as rate relief amplifies the momentum behind assets like equities, bitcoin, and gold.

The broader setup explains why traders are watching the Sept. 17 announcement closely.

Cutting rates while inflation edges higher and stocks hover at records risks denting credibility, yet staying on hold could spook markets that have already priced in easing. Either way, the Fed’s message on growth, inflation, and its policy outlook will likely shape the trajectory of markets for months to come.

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Your Company Probably Doesn’t Need Its Own L2

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More and more companies are attracted to the idea of launching their own Ethereum layer 2 network. Most of them shouldn’t bother. There’s already a staggering number of them — over 150. Quite a few of these are centralized and linked to a single enterprise and several companies such as Robinhood have recently announced plans to launch their own layer 2 networks.

The attractions for launching an Ethereum layer 2 network are significant, especially when compared to launching your own layer 1 (foundation layer) blockchain. Layer 1 networks must compete with networks like Ethereum and Solana in an already intensely competitive and crowded market. Layer 2 networks that run on top of Ethereum also face an intensely competitive marketplace but can simultaneously draw upon the strength of the Ethereum ecosystem, thanks to deep integration into Ethereum itself.

With Ethereum having turned 10 in July, it remains the dominant smart contract blockchain and it is the largest single home for digital assets, real-world assets (RWA), stablecoins and decentralized finance applications. Ethereum’s share of the overall decentralized finance ecosystem has been stable at about 50% for three years now. When layer 2 networks are included in the total, it appears to be rising modestly.

The temptation to launch your own Ethereum layer 2 network is easy to understand — they look like a useful concept with great economics. A layer 2 network on top of Ethereum offers a bit of “best of both worlds” functionality: you can control your own ecosystem within your layer 2 but retain integration with and access to the overall Ethereum ecosystem. Centralized layer 2 networks can set their own price structures and have nearly all the same controls as a stand-alone private blockchain such as deciding who has access to the network and what kind of data will be visible to others.

This comes with a cost. Layer 2 networks must purchase transaction processing space on the Ethereum mainnet to finalize their transactions (known as blob space) — but those costs are likely to be lower than those associated with starting a network from scratch and competing head-on with Ethereum. In fact, according to Token Terminal, the costs of developing a layer 2 are remarkably low. For Base, a layer 2 network run by Coinbase, during June of 2025, the network generated $4.9 million in fee revenue and spent just $50,000 on layer 1 settlement fees.

Indeed, the layer 1 settlement fees on Ethereum are so low they have set off a fiery debate within the network ecosystem about whether they are too low, and that layer 2 networks represent a transfer of benefits from layer 1 stakeholders to layer 2 networks. It is likely this will result in some re-balancing of fees, but even a 10x increase in fees is not likely to alter the fundamentally good value proposition that comes with scaling with layer 2 networks.

Furthermore, the recent announcement by Robinhood that they will be building their own layer 2 network on Ethereum fundamentally validates the overall layer 2 thesis within Ethereum: layer 2 networks are not only a good scaling option, they also enable a variety of business models that will entice a wide range of companies to join the network.The layer 2 ecosystem is likely to have a range of participants from the fully decentralized to the completely centralized.

And this brings us to the key question: does your company need its own layer 2 network? Chances are, you don’t. The real value proposition of a blockchain ecosystem is the ability to work in cooperation with others without any one party controlling the network. If you’re a manufacturing company, for example, you want to work with your suppliers and customers on a level playing field with your competitors. Blockchains let everyone join in without favoring any one participant. In the long run, working together on a level playing field is much cheaper and preferable to trying to integrate into different systems controlled by each one of your key customers or suppliers.

While some layer 2 networks look very profitable right now, this is only true if you can generate good transaction volume. Many of the layer 2 networks operating are doing little to no business as they struggle to differentiate themselves in a crowded market. According to L2Beat, most of these networks have less than $1mm in TVL bridged in from Ethereum and are averaging less than one user operation per second.

So when does a company need its own layer 2 network? My hypothesis is that this works best for firms that can aggregate significant transaction volume into the network and whose customers do not have the means or the individual volume to make their own direct connection to Ethereum. Right now, that largely means financial services firms that have thousands or millions of retail customers, from Coinbase to Kraken to Robinhood. More firms will surely follow. Having a layer 2 network might be seen, in the future, the way we looked at having a seat on the New York Stock Exchange. Brokerage firms would want them, but a car maker wouldn’t find value in it.

Three questions would be useful in determining if a firm should launch its own Ethereum layer 2 network: first, is the company able to aggregate a significant volume of its own transactions or clients compared to other networks? Second, is transacting on-chain central to the company’s core business model (e.g., are you an intermediary, especially a financial one that presently transacts on traditional financial rails). Lastly, does your layer 2 approach offer a differentiated value proposition compared to the many other network options out there? If you can say yes to all three options, this is a possible path forward.

For most other types of firms, they may find the optimal value proposition to be connecting directly to Ethereum, or one of the other open layer 2 networks. It will be less costly and more private than going through an aggregator who will be able to mark up your transaction costs and see your transaction flow and less costly than running your own network.

I suspect, however, that before we are done, quite a few firms that have no need to run their own layer 2 will launch one anyway for the same reasons many firms launched private chains in the past.

No matter how reliably they have failed, the attraction of private blockchains was always hard to counter. The allure of “controlling your destiny” and “taxing the ecosystem” was hard to resist. Public chains, with their openness, interoperability, and permissionless nature can look scary to business users who would prefer more control.

To the same buyers who wanted private chains, centralized layer 2 networks look like a halfway house that may seem appealing. Unlike private chains, I don’t think they are all doomed to fail, but I do suspect only a few will succeed. History keeps repeating itself — mostly because we’re not very good at paying attention to it. Here we go again.

Disclaimer: These are the personal views of the author and do not represent the views of EY.

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Memecoins Rally as Traders Bet on Fed Rate Cut and U.S. Altcoin ETFs

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The memecoin sector is heating up as fresh altcoin season talks are starting to grow on social media, partly driven by expectations that the Federal Reserve will this coming week cut interest rates, a boon for risk assets.

Bitcoin’s market dominance has dropped 3.5% in the past month, and its underperformance relative to altcoins has now seen altcoin season indexes, which measure the performance of top cryptocurrencies against BTC, enter “altseason” territory.

Altseason, short for altcoin season, refers to a period in which alternative cryptocurrencies significantly outperform bitcoin. It often starts as capital rotates out of bitcoin amid growing risk appetite.

Those include indexes from CoinMarketCap and CoinGlass. Over the last 24 hours bitcoin moved up just 0.3%, while the CoinDesk Memecoin Index (CDMEME) rose 7.1%.

Pushing up prices in the CDMEME index are some tokens like SHIB and BONE, which recently puzzlingly surged after Shiba Inu’s layer-2 network Shibarium suffered a flash loan exploit.

The growing performance of altcoins stems from growing risk appetite, as lowering interest rates makes safer investments like government bonds less appealing. This renewed risk appetite is fueling a cascading rotation of capital across markets.

Traders on prediction market Polymarket now see a 92% chance that the Federal Reserve will cut interest rates by 25 basis points this month, and a 7% chance that rate will be 50 bps. On the CME’s FedWatch tool, odds of a smaller cut are at 93%, while odds of a larger cut are at 6.6%.

Against this backdrop, a wave of altcoin exchange-traded funds (ETFs) is in line to hit U.S. markets in the last quarter of the year if these are approved. These even include a DOGE ETF and a TRUMP ETF.

If approved, these ETFs could bring more retail and institutional investors into the altcoin space by offering regulated access to cryptocurrencies beyond BTC and ETH, whose spot ETFs in the U.S. have amassed billions in assets.

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