In short
The episode covers two main topics: (1) a debate over California’s proposed Proposition 40 wealth tax and what it could do to Silicon Valley and the broader economy; (2) Talkspace’s AI “companion” (T) and how AI could be added to mental health therapy safely.
Guest backgrounds
Ben Harrison, founder of Tenacity Venture Capital, a Silicon Valley investor. Dr. John Cohen, CEO of Talkspace, a tele-mental health platform.
Key claims
Harrison argues the wealth tax is politically motivated, would drive innovation and entrepreneurs out of California, and that California mismanages money (citing a past $95B surplus and high spending without results). Cohen claims Talkspace’s AI companion is “safe,” trained on Talkspace’s mental-health data, HIPAA-type protected, and monitored with clinician “people-in-the-loop” oversight.
Notable examples
Harrison cites high-speed rail spending with “zero miles” and compares it to Elon Musk’s reusable rocket success; Cohen cites Talkspace’s suicide risk algorithm and “60,000 alerts” since 2018, plus “500,000 teens” using Talkspace for free.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOMarket Insights and Economic Concerns
2:18 to 8:02
Discussion on market movements, Bitcoin trends, and economic policies.
“Stand and or buy in 3, 2, 1, cue and it.”
Iran's Economic Pressure and Credibility Issues
8:04 to 10:10
Exploring the U.S. administration's approach to Iran and its implications.
“And then, of course, what happened in Iran was the Oman.”
Video Games and Social Impact
10:12 to 12:14
Debate on the influence of violent video games on society and youth.
“It's the price of the thing,$25 a month each one.”
AI and Future Threats
12:16 to 13:12
Conversation about AI capabilities and potential risks in future scenarios.
“I'm not a person that thinks video games is the root of all evil.”
California Wealth Tax Debate
13:14 to 13:37
Discussion on the proposed wealth tax in California and its implications.
“One of Silicon Valley's investors, Ben Marison, joins the chorus.”
Debating California's Wealth Tax
15:55 to 17:08
Exploring the implications of Proposition 40 and wealth distribution in California.
“Welcome back to Squawk Box, a debate about Proposition 40, that proposed wealth tax in California playing out online and right here on our set.”
Alternative Tax Proposals
17:08 to 18:26
Discussing potential tax reforms and the debate on unrealized gains taxation.
“This is the first time that the preeminent position of Silicon Valley as the innovation hub of the planet has been at threat.”
Concerns Over Government Spending
18:26 to 21:09
Addressing issues of government spending, deficits, and fiscal responsibility.
“Well, but the question is whether the answer to this and nobody seems to be engaged in this conversation is to say, look, we shouldn't be taxing unrealized gains creates all sorts of truly perverse incentives.”
Political Dynamics and Economic Challenges
21:09 to 23:46
Analyzing the impact of political parties on economic policies and challenges.
“In fact, I have a company involved in this right now where it's not as high profile as Doge was, but they're just using data to tease out where actual fraud is happening.”
Reflection on Deficits and Inflation
23:46 to 26:52
Examining the relationship between economic growth, deficits, and inflation.
“Now, yes, there is a huge spread between the absolute dollars of rich and poor.”
Show all 14 chapters
Transition to AI in Therapy
26:52 to 27:24
Shifting the discussion towards the role of AI in mental health.
“Next, can an artificial intelligence-trained therapist help you?”
Talkspace's Evolution and AI Integration
29:37 to 34:16
Explore how Talkspace evolved into a major mental health provider and its AI initiatives.
“So Talkspace is right now the largest in-network provider of mental health support in terms of being in-network with 220 million Americans, including Medicare.”
The Role of AI in Mental Health Therapy
34:16 to 35:38
Understand the benefits and challenges of using AI as a mental health tool.
“I heard the teenage women have considered suicide.”
Personal Insights on AI Interaction
35:38 to 39:19
Hear personal anecdotes about interacting with AI for mental health support.
“We now have about another 10 ,000 people who are using the AI agent.”
Transcript
Automatic transcript. May contain errors.0:00Trading at Schwab is now powered by Ameritrade, bringing you an expanding library of education with even more ways to sharpen your trading skills. Access new online courses, insightful webcasts, articles, engaging videos, and more. All curated just for traders. Plus, guided learning paths with content designed to fit your unique interests. And no sifting to find exactly what you need, so you can spend your time learning to trade brilliantly. Learn more at schwab.com slash trading. Hmm. Interesting. Something amazing is happening when teams brainstorm ideas. Devices are keeping the energy flowing.
0:36That's because CDW is building modern workplaces with Acer devices. Built-in security, uncompromising processing power, and fast connectivity help fuel collaboration so your team can innovate quickly.
0:48Andrew Ross Sorkin:Wait, guys, that's a great idea. Acer and CDW make amazing happen. Learn more at cdw.com slash Acer. Bring in show music, please.
1:27Actually as stupid as would appear from trying to do things that have never worked. And then let's talk about feelings.
1:35Andrew Ross Sorkin:I will ask large language models all sorts of questions. You've never asked about me. How do I deal with Joe Karnan today? How AI is used in mental health care. Teletherapy platform Talkspace will now reach even more patients through universal health services. And CEO Dr. John Cohen is optimistic about its AI companion, T. It is truly a safe model that's been developed, and it's the only safe model that's out there. Plus the latest on the Besant buyback, the Bitcoin boom, and you get what you pay for. You're paying$50 a month for artificial intelligence? Yes, and in fact, for a period of time, I was paying the$200 max fee on Claude.
2:13It's Friday, August 21st. Squawk Pod begins right now.
2:18Andrew Ross Sorkin:Stand and or buy in 3, 2, 1, cue and it. Good morning. Welcome to Squawk Box right here on CNBC. On this Friday morning, we are live at the NASDAQ market site in Times Square. I'm Andrew Ross Sorkin, along with, ta-da, he's back, Joe Kernan. Meanwhile, Becky Quick is off. Nice to see you, sir. I figure two full weeks, you know, come back on Friday, let people know you're live. And then it's only one, you know, then it's Friday, then the weekend is here. and i figure you know what i leave if if i didn't come in today you're gonna let let the debt be 42 trillion when i get back so that i i would let the debt get to 40 i'm gone and now we're 40 trillion it's 40 trillion we're we're we're doing intervention projects with uh is it different oh yes oh yes oh you don't like this i think this is creating a real because if If it doesn't work, then what do you do?
3:16Andrew Ross Sorkin:Correct. OK. And I think there's a right now, I think there's like a credibility question about how that's all going to play itself out. Maybe on the back of this, and this is maybe the credibility story, it's a boon for Bitcoin jumping again this morning. It's now up close to 20 % just in the last two days, breaking out of a range. It's been in for the last few months. We had a conversation with Brian Armstrong just yesterday from Coinbase about this, about the Clarity Act, whether that would be the driver of some of this. We talked to Anthony Scaramucci earlier in the week, whether actually it's a function of the credibility around our bond, our bonds right now, and whether that would actually inspire people to go buy Bitcoin or gold or things like that.
4:00Always tough, right? With Bitcoin to really point to anything definitely definitive. We do know a pretty good low put in by, well, he's not your buddy, but Grantham. 58 ,000 the day that he was on. But he's not short. So we get some yack, yack, yack, say whatever he wants.
4:22Andrew Ross Sorkin:In fairness, just the last two days, though, the two people who came on around Bitcoin actually did not think that any of this would actually, that there was a catalyst for Bitcoin right now. That's what I mean. Yeah, I don't know. No, I'm saying even Scaramucci, who's in the Bitcoin business. It's been nine weeks where Bitcoin is in the tightest volatility band that it's been in in the last five years. So it really hasn't moved much at all. I mean, when the war started in February, it was roughly the same price that it is today. I'm saying there doesn't have to be one for it to go down or to go up.
4:55Right. Which makes it that much more complicated. Well, same with stocks and everything else. But the thing is, you know.
5:04Andrew Ross Sorkin:Hopefully with stocks and hopefully with bonds, there's things you could point to and say, OK, this is what's driving. Well, it's always supply and demand, though, isn't it? Well, and then there's a question about the supply or the demand of Bitcoin and what it is. But that's a separate matter. Well, I know you thank God you didn't short it at$58 ,000. Short it today. Short it today. That way you actually feel the actual moves instead of just being able to talk about it. I'm not in that business. OK. Let's get back to it would help. Maybe it would help. Let's get back to the story in bond yield.
5:38Treasury Secretary Scott Besson telling CNBC his department could upsize a buyback of government debt. He was speaking with Sarah Eisen on Squawk on the Street. We routinely do buybacks and we're going to increase the size of the buyback. And, you know, Sarah, I would note that it could be more than the four billion per issue. Yields initially fell on Wednesday after the Treasury announced it would be doubling its scheduled$2 billion in buybacks to$4 billion, though by yesterday some of that decline had been erased. Bessett's remarks yesterday caused another easing in yields, but that only lasted a few moments.
6:18Bessett said he doesn't think yields reflect the underlying fundamentals of the U.S. economy. He also said there's a good chance U.S. budget deficit under President Trump has peaked. There are other people saying it does reflect the underlying fundamentals of the U.S. economy in that a strong economy would be a reason for rates to go higher.
6:42Andrew Ross Sorkin:Look, the thing I'm hoping for, there was a comment he made, which I am hoping is right. Which is he says, look, I have asymmetric information. He made a comment about Japan. So I wonder whether there's an indication that somehow there's going to be something that the Board of Governors in Japan do with the central bank there, Bank of Japan do. Maybe he knows something else about what's happening in the markets in the U.S. That is my prayer. But obviously there's a lot of people asking a lot of questions. Meantime, more news from the Treasury Secretary. He says the Trump administration is planning to squeeze Iran's economy, probably negates any current need to resume a muscular military campaign.
7:25If we are doing the maximum economic pressure, then that means that likely there will not be a large-scale kinetic restart. But I would emphasize that is for now. And we do have control of the strait.
7:43Andrew Ross Sorkin:Those comments followed a social media post by President Trump earlier this week that said that the U.S. was about to impose what the president called an economic D-Day on Iran. But on that score, you know, we had had you had interviewed the Treasury Secretary just two weeks ago. He told us that there was basically a deal in Iran that was going to be made. Right. The markets popped. Everybody, everybody. This gets to the credibility issue. They listen to what he said. The markets did what he said. And then, of course, what happened in Iran was the Oman. That was when Oman was going to do something.
8:16Andrew Ross Sorkin:Then we got mad at Oman. Turned around. So these are sort of, to me, the sort of longer term questions about how you're supposed to read what the administration says about some of these things. I remember the Treasury Secretary talked to, I remember months ago talking about sort of economic ninjing. Remember he used this, we're ninjing Iran and it's going to force them into a corner. Things aren't great. It has not worked. You kind of have a smile while you're saying all those things. I guess you can't help it. It's okay, though. No, it's the truth. I know, but it sort of shows. But hopefully everything does work out.
8:58I honestly genuinely want it to.
9:01Andrew Ross Sorkin:I know. I do, too. I do. We both do. And Anthropik executives believe the company's IPO will probably match or beat SpaceX's debut in size. A Bloomberg report saying that Anthropik could file publicly for its listing before the end of the month. SpaceX IPO'd in June. It raised$75 billion in what was then the largest ever first time share sale. Bloomberg saying that Anthropik's recent investor briefings have avoided the question of valuation thus far. But we're going to keep our eyes, of course, on this. And I think the entire industry is largely dependent on what valuation Anthropic comes up with, because then it will move towards what valuation OpenAI ultimately comes up with.
9:44Cloud gets backed up. If I pay for it, does it not get backed up?
9:47Andrew Ross Sorkin:You need to pay. Have you heard of it getting backed up? I ask, and it's like I can't do anything for you right now. It's hurtful. I pay. I'm a customer. So I don't know about these situations that you're having. Even after what Alex Karp said, so you're paying. You don't... It's a great service, but I also pay for OpenAI. You pay for both of them? Of course. What are we talking about? And you pay for neither of them. No, are you kidding? What are we talking about? What do you mean? How much? A month? It's the price of the thing,$25 a month each one. You're paying$50 a month for artificial intelligence?
10:29Andrew Ross Sorkin:Yes, and in fact, for a period of time, I was paying the$200 max fee on Claude. But I found that I didn't need it as much. The U.S. Army unit dangling a chance for re-enlisting troops to binge what's sure to be the year's hottest video game. The 9th Brigade Engineer Battalion based at Fort Seward, Georgia, has now offered soldiers four extra days off around the time that Take-Two Interactive releases Grand Theft Auto 6. This is happening in mid-November, if the troops extend their military commitments. Fort Stewart's spokesperson telling the Associated Press an Army career counselor came up with the idea, in part, to remind soldiers of approaching re-enlistment dates.
11:14Andrew Ross Sorkin:The spokesperson said that at least 20 of 130 eligible soldiers so far take in the perk. And... But by the way, people are addicted to this game. I have kids who play this game. They shouldn't be playing this game. I don't know if you know how violent this game is. No, we've talked about it with Becky. You run over a hooker and you get extra points or something. It's wild. You're robbing the banks. You're stealing the this. It's pretty crazy. I had to explain to my mother what my kids were doing, which was not the most comfortable conversation. Anyway, I think it is for 18 and above. So I don't know how my kids are even playing this and maybe it's showing that I'm not doing as well as I should as a parent with the parental controls.
12:04Well, it's good that it's 18 year old because if you want to do all that stuff, you're actually in a position to be able to go, you know, buy the firearms and do everything necessary to do the grand theft auto. Right. You're able, you know, to act. I'm not a person that thinks video games is the root of all evil. But don't you think I can't help. It cannot. But overall, don't you think that there's a general decline in sort of civility and everything else? And some of it might be from all of this stuff. It's social media for sure.
12:34Andrew Ross Sorkin:I think video games, social media is all not. It is all not helping. But and it's also something we're just not going to stop anytime soon. I wish I knew. I wish I knew how. Right. Well, now we just got to survive the, you know, the hunter killer Terminator type situation staring us in the face right now. Or the, you know, so good to know that they've designed some viruses from scratch and that AI can do it just like intent. I asked Claude, you know, to help me with, you know, reservations. He couldn't do that, but he's ready to design me a virus for a pandemic. Cheese will be next. Coming up on Squawk Pod, the wealth tax proposed by a union in California that's riling up entrepreneurs, billionaires and investors.
13:21One of Silicon Valley's investors, Ben Marison, joins the chorus. This is the first time that the preeminent position of Silicon Valley as the innovation hub of the planet has been at threat. No other country has been able to do it, no other state, no other city. But now we're going to create self-inflicted wounds to drive out the entire ecosystem that feeds the success that is a majority of our economy. trading at schwab is now powered by ameritrade bringing you an expanding library of education with even more ways to sharpen your trading skills access new online courses insightful webcasts articles engaging videos and more all curated just for traders plus guided learning paths with content designed to fit your unique interests and no sifting to find exactly what you need so you can spend your time learning to trade brilliantly learn more at schwab.com slash trading.
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15:47You're listening to Squawk Pod from CNBC, today with Joe Kernan and Andrew Ross Sorkin. Here's Andrew.
15:55Andrew Ross Sorkin:Welcome back to Squawk Box, a debate about Proposition 40, that proposed wealth tax in California playing out online and right here on our set. Joining us right now to weigh in is Ben Harrison. and he's the founder of Tenacity Venture Capital. Good morning to you. You've seen Mark Cuban's comments. You've seen Bill Ackman's comments. You've seen Palmer Luckey's comments. Ro Khanna, obviously, on the other end of this. And I think we're all trying to figure out, A, what ultimately happens in California, but maybe more broadly, what happens across the country if some version of this passes. So this one won't pass, but the next one probably will.
16:35The reason for that is this was orchestrated by the second sleaziest group of humans on the planet behind politicians, which is a union. And only one union was involved, and they will get most of the benefit. They wouldn't let the other unions play, but when they fail this time, they'll let the other unions play, and it'll be almost impossible to defeat. And it'll be tragic. One of my LPs reached out to me when it was first announced and said, should I be worried? And I was like, I didn't know you were a billionaire. He said, well, I'm not, but I'm worried this will drive innovation and entrepreneurship out of California.
17:06And he is dead right. This is the first time that the preeminent position of Silicon Valley as the innovation hub of the planet has been at threat. No other country has been able to do it, no other state, no other city. But now we're going to create self-inflicted wounds to drive out the entire ecosystem that feeds the success that is a majority of our economy, as far as I can tell.
17:28Andrew Ross Sorkin:Let me ask you a different question, though, which is clearly there's a shifting opinion in at least parts of the country around wealth, around affordability, around all of these issues. And the one thing that people in the industry in the Valley and elsewhere haven't done is say, you know what, there is low hanging fruit and things about our tax system that don't make sense. Whether it's carried interest, you may disagree with these kinds of things. We can debate them. You know, Dave Freeberg, who's on the All In podcast, has suggested that we should have higher capital gains rates for people, perhaps at certain types of numbers that match closer to things like income.
18:09Andrew Ross Sorkin:You may be against that. But there are things that, you know, I don't know where you are in a 1031 exchange. I don't know where you are about people taking loans against their stock and then not paying taxes effectively. So that's the trickiest one, I think. Well, but the question is whether the answer to this and nobody seems to be engaged in this conversation is to say, look, we shouldn't be taxing unrealized gains creates all sorts of truly perverse incentives. Right. But there are other things that we could do to raise funds. And by the way, part of it is we need to raise funds. Part of it is we need to cut costs and whether you can actually have that real conversation.
18:48Andrew Ross Sorkin:But it seems to be that either people say we should only be cutting costs on one side, don't raise taxes on me. And the question is whether that is a long term solution. OK, so first, with the basic premise that Silicon Valley wealthy have not proposed other alternatives, I don't think that's fair. I think you just talked about Freeberg's discussion. There should be higher capital gains. Somebody else put forward that anybody that makes under, say, one hundred hundred fifty thousand dollars, no tax at all. Jeff Bezos has made that comment. entirely supportive of that. Look, the top 1 % pays 50 % of California's tax income.
19:22Here's the other issue, though. California is not a good steward of our money. I would be perfectly happy to have a logical conversation about how taxes should be reorganized if I thought something useful would be done for it. We had a$95 billion surplus less than five years ago. They blew through it and more, reset the baseline. It was a one-time gain, and they spent it like it was an annual. What do you think's going to happen? If you hire an extra 100 people on this set because you had a one-time bonus because I dropped$100 million on the table, and then next year, nobody comes along and drops$100 million, oh, woe is us.
19:54We don't have any money to spend. Horrible. We approved$33 billion to build high-speed rail. We spent$15 billion in 18 years, zero miles of high-speed rail. In the same amount of capital spent, Elon put a reusable rocket into base and brought it back and caught it. But we're at 24 percent spending now. We're usually at 20 and we raise the same amount of 18 or 19 percent. So it you know you can say well we could talk about something but all the heat and all the energy and all the discussion is about about raising taxes at the same time that one side is talking about Medicare for all. So there's no genuine impetus to try to cut the 24 percent that we're spending.
20:40That's where the problem, that's why we're at 40 trillion. And working around the edges and its fairness and all these fat cats with their yachts, it doesn't even raise any money. It doesn't even raise any money.
Read the full transcript
20:52Andrew Ross Sorkin:Look at the cutting problem. The cutting problem. You have to do it. No, but look at what happened with Doge. It didn't happen. Look at what's happened to our military budget. Look at all of the things, by the way, that this administration has talked about. Fraud. Look at what's happening with Medicaid fraud. Look at what's happening. And you read about it anywhere? They are catching some of it. They are starting to do so. In fact, I have a company involved in this right now where it's not as high profile as Doge was, but they're just using data to tease out where actual fraud is happening. We should be doing that.
21:21Andrew Ross Sorkin:I'm not suggesting we don't do that at all. It's about Bill Clinton reformed welfare. It's back with a vengeance. Sure. At this point, you can sit at home and make fifty five, sixty thousand dollars a year. But we also have just doubled our defense budget, practically. So just think about it. There might be a good reason for that. And maybe we need to. But for a very long time, we talked about, Republicans, by the way, talked about bringing that number down, not up. It doesn't matter who's in power. Whoever isn't is mad at whatever the people there are doing. I mean, I've become so disenchanted with our political system.
21:53It's the best in the world, but it still sucks. And, you know, we do spend like crazy with no effect.
21:59Andrew Ross Sorkin:Do you think we're at a breaking point? I mean, part of this question is around the bond market. Well, it's been wild to watch what's been happening there. And then they tried to fix it. And of course, that didn't spare to work, right? Because it, you know, one day blip. Somebody said, Band-Aid on a bullet hole. I thought that was a great quote. I don't think we're at a breaking point. You know, first of all, California is a very large state. What is it? You're talking about California. I'm talking about the country. The country we just heard is it's about 70 % of GDP. Whereas, you know, what did Britain get?
22:26He said it got to 270%. Japan's at 130. Yes, and that's a disaster. Right? So it's Japan.
22:31Andrew Ross Sorkin:We can't accept that as where we want to be. But it doesn't mean we're close yet. So one of the things that was interesting to me when I was looking at the historic reality in California, $95 billion deficit, I'm sorry,$95 billion surplus. Why? Taxes. Taxes on capital gains and other income from great IPOs and other companies. We're about to go into the largest creation of wealth across many, many, many human beings through the IPOs that will happen this year and next. And yet, California is actively trying to drive those exact human beings out of the state. The number of people I know and that I've been exposed to that have moved to Austin, Florida, Incline Village, Nevada, where I actually lived for several years.
23:12Nevada. It's crazy. Right? Nevada. So, you know, why would you, to do this now, this is all pablum for the proletariat. This is just bribing voters to keep your seat. I don't think any of these politicians like Ro Khanna are actually as stupid as would appear from trying to do things that have never worked. I mean, your own political group here is trying to push socialism through. What was it, Thomas Sowell, that said socialism is a concept so utterly and totally failed that only an intellectual could defend it? Zero success. I don't think these people are stupid. I think they are sly, and I think it's how they buy votes, and it's how they get people to believe maybe, maybe this person will help me.
23:52Now, yes, there is a huge spread between the absolute dollars of rich and poor. However, the overall affluence and just benefit provided to people on all income classes is higher than it has ever been in all of human history.
24:05Andrew Ross Sorkin:And so how do you explain what's happening, not just in California, but in all sorts of parts of the country as we're seeing the DSA, whether it's here in New York, whether it's in Ohio, whether it's in Michigan? I don't get it. I think it's youthful optimism. My favorite quote about politics is, if you're not a liberal when you're young, you have no heart. And if you're not a conservative when you're older, you have no brain. And right now, my own youngest son thinks Momdami is great. And I want to ask him why, but I really don't want to get into that fight. This is, you know, it's just, hey, here's money for you.
24:37Now, that money is never going to come, but you can promise it and get elected. This is time eternal politicians have lied about what they're going to do so that they can get elected and then not do it. I mean, Roe's an interesting example of this because here he goes out and he solicits money from the affluent tech class of Silicon Valley and then totally completely betrays them. And then they negotiate with him to try to get him back.
24:58Andrew Ross Sorkin:I don't disagree with that. But then the other issue is here we are at a time when the economy is growing as much as it is. And we are running massive deficits. And so then and by the way, the entire Washington apparatus is run by one party right now. One party. So you have to say to yourself, there has to be some introspection about how is this possible? How is it possible that the people who have argued that they are supposed to be responsible, that they are the responsible party as it comes to economics, that we are now in a situation where the economy is growing as much as it supposedly is, and yet we are running the deficits we are?
25:36That is challenging. And, you know, while one party is in charge, one person is disproportionately in control of that party. And I would say the word introspective is not in that human being's entire history of life and will not be until the day he dies. So it's tough. I mean, I think everybody likes to tax and spend at different levels. We are in a tricky position here with this massive deficit, with just a crazy amount of bond issuance. I mean, I made one trade ever in the blockchain space in 2014, decided not to play. Decided it was purely speculative. And I'm not a speculator. I'm a long-term investor.
26:14I would rather follow a Buffett model than a Soros model. But within the last year, I've bought a variety of different crypto-oriented assets because I'm very, very, very concerned with inflation. The scoop of ice cream I bought as a teenager is now eight times as expensive. I try to explain to my kids how inflation works. I paid a dollar for Haagen-Dazs, high quality ice cream when I was a kid. And today I pay eight dollars for a scoop of gelato in New York City. That's inflation. It's crushing. So, look, if these things were fixable, they probably would have been fixed. Although I don't know that the politicians that we have or any that we'll ever get will be the ones to fix it.
26:49Because there's very few politicians that are there for the right reasons.
26:52Andrew Ross Sorkin:Ben, I want to thank you. Appreciate it. Thank you. It's a long conversation. Next, can an artificial intelligence-trained therapist help you? I would think AI companions might be part of the problem. Talkspace, a leading tele-mental health platform, was recently acquired by a hospital system. And CEO John Cohen says it can grow safely. Eight billion words, millions of interactions. It's anonymized, de-identified, consented data. Squawk Pod will be right back. Trading at Schwab is now powered by Ameritrade, bringing you an expanding library of education with even more ways to sharpen your trading skills.
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29:19Joining us now, Dr. John Cohen, CEO of Talkspace. You were around before AI, and this is helping your business do more. But can you just give us a quick rundown of exactly how Talkspace works and what needs it addresses and how? So Talkspace is right now the largest in-network provider of mental health support in terms of being in-network with 220 million Americans, including Medicare. So that was the big change for Talkspace about five years ago. So that no longer became just a commercial product, but it became a fee-for-service product. That's what fueled the growth of Talkspace. And it helps people how?
30:01So they would... On the telephone? So we provide virtual services only. That could be texting and messaging. Talkspace did most of the original research to prove that you could text and message people to deliver therapy. The majority now is virtual, face-to-face, virtually. And then we do also phone calls. But the majority, 70%, now are virtual visits. The AI segment. So I could have a, if I'm lonely, I would think AI companions might be part of the problem, not part of the solution. There's a way of doing it where it's part of the solution, where it doesn't make things worse. I don't want to get dependent on it.
30:42Claude's very nice of me at times. There's other times he blows me up. So I understand. So T, which is the talk space developed, it's an AI agent companion, unlike large language model chatbots that are supported by large language model models. The T is actually specifically developed one to be safe. It was also developed by mental health clinicians with oversight and things we call red teaming to prove that it actually works so that it would deliver an agent that you could have available 24-7 to navigate life's daily problems. The problem, as you probably know, is let's say 800 million people are now using chatbots weekly.
31:3140 % of those searches are healthcare-related, and half of them are mental health-related. So that means 150 million people a week are using chatbots for daily problems that are coming up with them. The problem is that they were never designed that way. They were never supposed to be developed and designed to deliver mental health. And as you've reported, the results have been in some cases disastrous. T was purposely developed by Talkspace to address that issue, to develop a safe model through a bunch of four different significant differentiators compared to everybody else that will make it easier to use and safe to use.
32:10So what we did is first, the model was trained with our database. Talkspace has probably at least one of the largest mental health databases in the country, eight billion words, millions of interactions. It's anonymized, de-identified, consented data that we use to train the large language model. That was first. Second, it's HIPAA compliant or HIPAA type compliant. Most people don't know when they're talking to a chat bot, that information is out there. We designed it specifically like we did as a healthcare provider to be HIPAA protected. Third and probably as important is Talkspace back in 2018 reported on the first suicide algorithm, proprietary algorithm, that actually could identify based on the conversation whether or not a patient is at risk for self-harm.
33:02We subsequently developed algorithms for homicide and violence, prediction of substance use, prediction of being abused at home, and five other big clinical entities, including psychosis and OCD, hallucinations, eating disorders, etc. The reason that's important, that's been in play, in use by Talkspace as part of its platform. We now use it in the AI platform. The reason that's important is we now know what's happening on the platform. We have clinical oversight. We have, We call people in the loop, clinicians in the loop that are monitoring all the AI conversations. If there's an issue, a risk alert goes off, we make a decision, real or not real.
33:42Do we need to intervene? Does a clinician need to take you off the platform? Or do we need to actually refer you or actually do a wellness check? Send the police. So it is truly a safe model that's been developed, and it's the only safe model that's out there. So technology, we complain a lot that it's part of the problem. You think in this case it could be part of the solution. So I like to tell people. Ned, I think we're still losing. Social media and everything else, that's why we're in this mess right now. That's why people need, you know, how many young women have, I heard the teenage women have considered suicide.
34:21It's like this ridiculous number that I can't even get my head around. So just to address the suicide, since we put the suicide algorithm in place, we've had close to 60 ,000 alerts. That's since 2018. We have a program. We run the largest mental health support program for teens in the country. 500 ,000 teens in this country have access to Talkspace for free because of our government contract. Since we've put that in place, we've had close to 1 ,000 moderate to high-level suicide alerts, just to give you an idea on the suicide. So let's go back to the chatbots. The genie's out of the bottle. I like to say, horses left the barn, trains left the station, whatever you want to say.
35:02Toothpaces out of the tank. Whatever metaphor you want to use, you're not going to stop this. Our issue, though, is if you're going to use it, and people use it. We're talking to psychiatrists and therapists every day who are saying, after my session, the patient's coming back in the next session and say, oh, by the way, in between my session, I'm using X chatbot. Our plea is to develop a safe model that sets a new standard so that you use a safe model if you're going to use it in between. You're not going to stop it. The question is, can you develop, which we did, a technology solution that will help in between sessions or when you're going to use it?
35:37And quite honestly, the results have been fairly remarkable. We did a beta test of 2 ,000. We now have about another 10 ,000 people who are using the AI agent. And it's been really interesting. So what do people go on for? They go on for relationships. Or I wake up in the morning. I had an argument. I'm upset about my child in school. You know, something is going on that's really bothering me at work. So one is relationships. Second, anxiety, depression and a fair degree of stress. Low self-esteem. The other is compulsive behavior that's stigmatized. So what I mean by that? A lot of people nowadays are found it acceptable to see a therapist.
36:16It's no longer as much as stigma that used to be 20 years ago. the problem is that there is behavior that you won't tell your therapist. So, first off, we found that men are much more likely to use an agent than women. Women are much more likely to use life therapy than an agent. Having said that, there's a fair amount of stigmatized behavior that occurs. Is it problems with relationships at work?
36:45Andrew Ross Sorkin:Well, yeah, so my question is... Were you going to ask about me? When I talk to, you know, my wife jokes, you know, you're talking to your girlfriend, Claudette. Oh, Claudette. Claudette. Claudette as in Claudette. Yeah, yeah, yeah. So my question is how different, and I will ask it. I will ask large language models all sorts of questions. About self-esteem? How to deal with this, how to deal with that. You never ask about me. How do I deal with Joe Karnan today? How am I going to deal with Joe Karnan? I have to ask this every day, actually, like on the hour. And so the question is, how different is the reaction that I might be getting from one of the models different than what I'd be getting from you?
37:26Andrew Ross Sorkin:Highly significantly different. First off, it's trained in mental health to deal with the issues. You know, mental health therapy is, there's a reason people are licensed, the reason why psychiatrists are trained to figure out how to deliver it. So the answers you're going to get, what you're not going to get from T is the delusional pathways, the hallucinations, the bad results that happen. You know, I like to say it's mirror, mirror on the wall from Snow White. You know, it's the cracked mirror syndrome. Like you don't want something to continue to validate something. You want to be in reality.
38:01The problem people have is they go down the delusional pathway. Okay. Thank you. Doctor, thank you. And we're seeing it played out in real time with this crazy... Now it's a metaphor for all that's wrong with the mental health. Instead of the poor kids that were strangled, we're now thinking it's not her fault. It's bizarre what we're seeing. The good news is there are people who have cancer, postpartum depression. they have weight loss, they have financial concerns that are going on to these chat agents.
38:40Andrew Ross Sorkin:And the answer is, give them a real answer. Right, okay. Just so you know, I just asked it, because on the hour I ask, I say, how can I handle working with Joe Kernan? That's what I asked Claude or Claudette. It says, the Sorkin-Kernan dynamic has always worked on air precisely because it's genuine friction. Viewers can tell neither of you is performing disagreement. Performing. Performing disagreement, in other words. So it's real. It's real. It's real. So that you were hoping for something. It's much longer. I'm going to ask about you. Okay, we can do this. You should ask T. Yeah, I'll ask T.
39:18Ask T. Thank you. And that is Squawk Pod for today and for the week. It's Friday. Thanks for listening. Squawk Box is hosted by Joe Kernan, Becky Quick, and Andrew Ross Sorkin. Great to have the guys back together again today. You can tune in weekday mornings on CNBC starting at 6 Eastern. To get the smartest takes and analysis from our TV show right into your ears, follow Squawk Pod wherever you get your podcasts. We'll meet you right back here on Monday. Have a great weekend. We are clear. Thanks, guys.
39:57This episode is brought to you by Schwab Market Update, an original podcast from Charles Schwab. Join host Keith Lansford for this information-packed daily market preview delivered in 10 minutes or less, including projected stock updates, monetary policy decisions, and key results and statistics that may impact your trading. Download the latest episode and subscribe at schwab.com slash market update podcast or find Schwab Market Update wherever you get your podcasts.
From the publisher
Proposition 40, a proposed wealth tax in California, has sparked heated debate among investors, tech founders, and billionaires. Venture capitalist Ben Narasin argues that the tax and the solutions put forward by politicians including Rep. Ro Khanna (D-CA) would harm the businesses that drive a large portion of America’s economy. Teletherapy platform Talkspace is betting that AI can do more good than harm in mental healthcare. CEO Dr. Jon Cohen explains how therapists and patients are using AI in and outside of traditional therapy. Plus, Joe Kernen and Andrew Ross Sorkin discuss the latest on bitcoin’s boom, Treasury Secretary Scott Bessent’s debt buyback plan, and Anthropic executives expect an IPO the same size or larger than SpaceX’s.
Ben Narasin - 15:31
Dr. Jon Cohen - 28:42
In this episode:
Joe Kernen, @JoeSquawk
Andrew Ross Sorkin, @andrewrsorkin
Katie Kramer, @Kramer_Katie
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