Displaying posts categorized under

MEDICINE AND HEALTH

Will NIH Cuts Boost Public Health—or Destroy It?By David Andorsky and Vinay Prasad

https://www.thefp.com/p/trump-nih-cuts-debate?utm_source=substack&utm_medium=email

Two cancer doctors debate whether Trump’s slashing of billions to the National Institutes for Health will boost public health or destroy it.

During his testimony before the Senate Committee on Health, Education, Labor and Pensions hearing on Wednesday, Jay Bhattacharya, President Donald Trump’s nominee to run the National Institutes of Health, seemed to side with the president’s plan to cut billions of dollars from the nation’s scientific research budget, most of which is controlled by the NIH.

“I have a background as an economist as well as being a doctor,” Bhattacharya told the committee. This helps him “understand that every dollar wasted on a frivolous study is a dollar not spent. Every dollar wasted on administrative costs that are not needed is a dollar not spent on research. The team I’m going to put together is going to be hyper-focused to make sure that the portfolio of grants that the NIH funds is devoted to the chronic disease problems of this country.”

Some of Trump’s cuts have already been made, including the firing of over 1,000 “probationary” workers, and the blocking of this year’s grants through a bureaucratic loophole. The Trump administration also wants to stop paying indirect costs for building space, expensive equipment, and oversight of medical research, though so far that has been stopped by a judge’s temporary order.

What should we make of these cuts? Are they a sensible way to make medical research even more efficient? Or will they threaten the development of cures that could save millions of lives?

We asked two oncologists we trust to debate this important issue.

Sally Satel Medical Schools’ Botched Pass-Fail Experiment The early results of the United States Medical Licensing Exam’s new grading process are worrisome.

https://www.city-journal.org/article/united-states-medical-licensing-exam-pass-fail-grading

Medical schools and institutions are now among the zealous champions of progressive ideology. Within days of George Floyd’s death in May 2020, the Association of American Medical Colleges demanded that the nation’s medical schools “employ anti-racist and unconscious bias training.” The following year, the American Medical Association called on physicians to “dismantle white supremacy, racism, and other forms of exclusion and structured oppression.” But efforts to enhance diversity among the medical student body—too often by compromising standards of excellence—have long been in place at America’s medical schools, from affirmative action policies to pass-fail grading of courses and clinical rotations.

In a recent Journal of the American Medical Association commentary, however, four Stanford University-affiliated scholars pushed back on these changes—a ripple that suggests a potential academic shift. In their essay, Drs. James Agolia, David Spain, and Jeff Choi, and medical student Allen Green, denounce the “diminishing objectivity” of the residency-admissions process. “We believe that some objective standards are necessary,” they write, “for programs to identify candidates who best fit their program in a fair, consistent, transparent, and efficient fashion.”

Specifically, the authors lament that the United States Medical Licensing Exam made its initial test pass-fail. The USMLE, which all would-be doctors take, is administered in three parts. Step 1 is taken after the second year in medical school to test pre-clinical medical knowledge; Step 2 is taken after the fourth or final year to assess clinical knowledge; and Step 3 is taken after the first year of residency to evaluate clinical decision-making.

The change was several years in the making. The exam’s co-sponsors, the National Board of Medical Examiners and the Federation of State Medical Boards, first recommended making Step 1 pass-fail in 2019. Other groups, including the AMA and AAMC, collaborated in developing the proposal, which was eventually adopted in 2022.

Richard T. Bosshardt I’m a Surgeon, and I’ve Never Been More Alarmed About My Profession Today’s surgical residency graduates are increasingly unprepared for professional practice.

https://www.city-journal.org/article/surgery-safe-american-college-of-surgeons

I have been a surgeon for 38 years. Three of those I spent as a general surgeon in the Navy, the remainder as a plastic surgeon in private practice. I have never been more alarmed about the state of my profession than I am today.

My concerns began surfacing about 25 years ago. I was collaborating with a newly trained general surgeon on a bilateral breast reconstruction, a procedure that utilizes tissue flaps from the patient’s abdomen. This is a significant and lengthy operation, and I appreciated the young surgeon’s offer to close the abdominal donor site. To my horror, however, he began taking excessively wide needle “bites” of the abdominal wall using a heavy-gauge suture, visibly distorting the abdominal wall as he pulled these sutures tight. After watching in disbelief for a few minutes, I thanked him and said that I could manage without help. The young surgeon subsequently gained a reputation for handling tissues roughly and for being difficult to work with. It came as no surprise when he left our hospital after less than a year.

Every colleague whom I have spoken with has noticed the same thing: an alarming number of surgical residency graduates are unprepared for professional practice. The problem has only gotten worse. I recently worked with another young surgeon on a breast cancer patient, for example, and was shocked to discover that he had never performed an axillary node dissection—a common operation to remove lymph nodes from a cancer patient’s armpit. How could a surgeon have completed five years of training without learning how to do this?

Leor Sapir The Corruption of The New England Journal of Medicine A leading medical journal has capitulated to transgender activists.

https://www.city-journal.org/article/new-england-journal-of-medicine-transgender-activists

The New England Journal of Medicine is the world’s most prestigious medical journal. It publishes only 5 percent of the original research submissions that it receives. Physician Marty Makary, President Trump’s nominee to head the Food and Drug Administration, has written that publishing a study in the journal “is rocket fuel for your academic career.”

But like so many other institutions, NEJM has allowed a dubious commitment to “social justice” to overtake its pursuit of excellence in medical science—particularly when it comes to youth gender medicine. NEJM’s coverage of this controversial field has abandoned even the pretense of objectivity, declining to hold researchers to scientific standards or air alternative views that would advance scientific knowledge.

“Gender-affirming care” for youth involves the use of puberty-blocking drugs, cross-sex hormones, and surgeries to treat children who experience distress associated with their sex. Once embraced by many Western countries, this protocol has faced criticism in recent years for lacking credible evidence of its safety and benefits, for its potential harms, and for imposing life-altering treatments on children unable to give informed consent. In the U.S., though, medical associations have bucked the growing international consensus, maintaining their commitment to what they regard as a nonnegotiable human right.

In his first days in office, President Trump signed executive orders designed to starve the pediatric gender industry of federal funding. Transgender advocacy groups and several Democratic attorneys general filed lawsuits to block the administration from achieving its goal.

Commentators on all sides lament that this issue has become so politicized. But the politicization is the result of scientific and medical institutions failing to impose high standards and to facilitate open debate.

NEJM’s conduct is a good illustration of that failure. Its refusal to hold the research it publishes to high scientific standards and its documented track record of suppressing debate on these novel, invasive, and risky procedures has directly contributed to the politicized environment we see today.

JAMA Article Promotes “Neurodiversity” in Medical School By Wesley J. Smith

https://www.nationalreview.com/corner/jama-article-promotes-neurodiversity-in-medical-school/?utm_source=recirc-desktop&utm_medium=homepage&utm_campaign=right-rail&utm_content=corner&utm_term=first

This is a delicate matter, but I think it must be confronted. The Journal of the American Medical Association has published an article that urges “neurodiversity” be given “holistic” consideration when accepting students into medical school in keeping with diversity goals. From “Embracing Neurodiversity in Medicine — Building a More Inclusive Physician Workforce:”

The benefits of diversity have long been recognized with respect to persons with minoritized racial and ethnic backgrounds, women, persons who are LGBTQ+, and others, and there has been a wide range of efforts to increase the representation of these individuals among physicians. Currently, however, these same programs and institutions do not similarly prioritize neurodiversity, the range of developmental neurocognitive differences that underlie individual variation in thinking, learning, and behavior.

What conditions are we discussing?

The term neurodiversity broadly describes the breadth of neurocognitive variation in a group or population, similar to variation along any other axis of diversity. However, in an organizational context, it frequently refers to the inclusion of minoritized “neurodivergent” individuals who identify as having 1 of a range of neurodevelopmental conditions (eg, autism, attention-deficit/hyperactivity disorder [ADHD], Tourette syndrome, learning disabilities such as dyslexia or dyscalculia).

This idea seems particularly perilous. Obviously, if someone with a neurodiverse condition has the ability to enter medical school and eventually practice medicine, he or she should not be discriminated against. But because the responsibilities of doctors are so profound, acceptance must not be based on adjusted or “holistic” considerations.

Researchers Clash Over COVID Vaccine Safety R.E. Wermus

https://www.dailysignal.com/2025/02/16/researchers-clash-over-covid-vaccine-safety/

EXCERPT

Concerns Over Clinical Studies 

Dr. David Gortler, a former career FDA medical officer, senior medical analyst, and drug safety expert who later served as the senior advisor to the FDA commissioner under Donald Trump’s first term told The Daily Signal, “The FDA has a history of being remarkably political and selective on how it sees fit to both collect and evaluate product adverse events … mRNA injections are far from being a one-off.”   

He added, “The new FDA commissioner [Dr. Marty Makary] needs to have a very carefully thought through clinically and epidemiologically sound strategy on how to overhaul and centralize safety data collection and evaluation going forward.”   

Dr. Robert Chandler, an orthopedic surgeon and graduate of Stanford University School of Medicine, began working on Pfizer-BioNTech’s documents on COVID vaccines three years ago. He told The Daily Signal he saw concerning trends while reviewing preclinical studies. 

“What I encountered was a series of very disturbing items, beginning with the animal studies,” he said. 

Chandler explained that COVID vaccines are genetically active products that contain manmade genetic code (RNA). Synthetic RNA may cause toxicity, leading to a range of reactions such as cancer, inflammation, or autoimmune disorders. 

By February 2021, over 1,000 disease types were reported to Pfizer and the FDA in relation to COVID vaccines, according to Chandler.  

When asked why few in the medical community are seeking market removal of COVID vaccines, Chandler responded, “It’s almost too big to acknowledge.”

RealClearFoundation Launches the Journal of the Academy of Public Health

https://www.realclearscience.com/articles/2025/02/05/realclearfoundation_launches_the_journal_of_the_academy_of_public_health_1089515.html

The RealClearFoundation announces today the launch of the Journal of the Academy of Public Health, a revolutionary new scientific journal publishing cutting-edge, peer-reviewed and open access research from the world’s leading scholars of epidemiology, vaccinology, global public health, health policy and related disciplines.  

The Journal was co-founded by Dr. Jay Bhattacharya of Stanford University and Dr. Martin Kulldorff, formerly of Harvard University. Their shared vision is presented in Dr. Kulldorff’s inaugural paper, “The Rise and Fall of Scientific Journals and a Way Forward.” 

The Journal of the Academy of Public Health is led by Dr. Kulldorff and Dr. Andrew Noymer, of UC Irvine, as co-Editors-in-Chief. Drs. Kulldorff and Noymer are joined by an Editorial Board of leading public health scholars from a diversity of countries and research specialties, including Dr. Sunetra Gupta of Oxford, Dr. John Ioannidis of Stanford, and Dr. Peter Gøtzsche of the University of Copenhagen. Dr. Bhattacharya is on leave from the JAPH.  

The inaugural issue of the Journal of the Academy of Public Health, published online today, includes original peer-reviewed research as well as essays on the state of public health as a global discipline and a review of previously published vaccine literature. 

NY AG Letitia James Defies Trump’s EO, Orders Hospitals to Comply With State Laws Allowing Transgender Procedures on Children By Debra Heine

https://amgreatness.com/2025/02/03/ny-ag-letitia-james-defies-trumps-eo-orders-hospitals-to-comply-with-state-laws-allowing-transgender-procedures-on-children/

In open defiance of President Trump’s January 28 executive order to “protect children from chemical and surgical mutilation,” New York Attorney General Letitia James on Monday warned hospitals that pausing so-called “gender-affirming care” for gender-confused minors violates state law.

Trump specified in his executive order that the term “child” or “children” referred to individuals under 19 years of age, and the phrase “chemical and surgical mutilation” meant “the use of puberty blockers, including GnRH agonists and other interventions, to delay the onset or progression of normally timed puberty in an individual who does not identify as his or her sex; the use of sex hormones, such as androgen blockers, estrogen, progesterone, or testosterone, to align an individual’s physical appearance with an identity that differs from his or her sex; and surgical procedures that attempt to transform an individual’s physical appearance to align with an identity that differs from his or her sex or that attempt to alter or remove an individual’s sexual organs to minimize or destroy their natural biological functions.”

The EO notes that the above procedures are often referred to as “gender affirming care.”

“Countless children soon regret that they have been mutilated and begin to grasp the horrifying tragedy that they will never be able to conceive children of their own or nurture their children through breastfeeding,” the EO states. “Moreover, these vulnerable youths’ medical bills may rise throughout their lifetimes, as they are often trapped with lifelong medical complications, a losing war with their own bodies, and, tragically, sterilization.”

The EO continues: “Accordingly, it is the policy of the United States that it will not fund, sponsor, promote, assist, or support the so-called “transition” of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures.”

The Experts, Science, Medicine––All Amazing, All Fallible By Joan Swirsky

https://www.israpundit.org/the-experts-science-medicine-all-amazing-all-fallible/

PERSONAL NOTE

I am a longtime Registered Nurse, with years of clinical experience and a lifetime of writing about health-science-and-medical issues; the author and co-author of 12 books (most of them about those issues); and a longtime health-and-science writer for The New York Times (for over 20 years) as well as many other publications. There are no people on earth I respect and admire more than medical doctors and research scientists. I know the education, training, long hours and personal sacrifices they undergo before attaining their degrees and well-deserved status. But there are always bad apples in every profession, hence my contempt expressed in this article for the frauds––including in the media––and the fraudulence inflicted on America during the Covid-19 pandemic.

 

For thousands of years, going back to the Bible, women have wept and grieved and pleaded to God over their miscarriages. Indeed, it took all these millennia for modern-day pharmaceutical companies to develop solutions to this ongoing nightmare.

In the 1940s, they were happy to offer doctors the ability to prescribe diethylstilbestrol (DES) to prevent miscarriage. “You can tell them you would give it to your wife,” the marketing mavens from Big Pharma suggested to physicians.

And with good reason. This “miracle drug” worked! Women who had experienced no trouble conceiving but were plagued by constant miscarriages were now able to carry their babies to term and deliver quite “perfect” bundles of joy!

But then disaster hit with unspeakable horror. After one or two years of watching their beautiful babies smile and roll over and teethe and then walk and speak and thrive, the little girls began developing hideous vaginal cancers, and those who survived to adulthood experienced higher-than-normal premature births, miscarriages, and ectopic pregnancies.

The little boys, too, had horrible anomalies in their urogenital tracts and are still being watched for higher-than-average cases of testicular and prostate cancers.

In 1971, the Food and Drug Administration (FDA) took DES off the market.

SECOND TIME’S A CHARM

In 1957, another miracle medication, originally marketed as a sleeping pill but also found to prevent miscarriages, was developed in West Germany, and soon found its way to America, where women eagerly took the drug––approved by the FDA––and, again, were thrilled to carry their babies to term.

But unlike DES, where the monstrous effects took months to years to develop, the grotesque and tragic effects of the new drug––Thalidomide––were obvious from the moment of birth: children born with missing arms and legs, eye and urinary tract anomalies, heart problems, et al. The list of horrors went on and on.

‘We Never Gave Up’: Texas Whistleblower Went Toe-to-Toe with the Gender-Industrial Complex — and Won By David Zimmermann

https://www.nationalreview.com/news/we-never-gave-up-texas-whistleblower-went-toe-to-toe-with-the-gender-industrial-complex-and-won/

Just last week, Dr. Eithan Haim came days away from going to federal prison — and he has no regrets.

As federal prosecutors were preparing to accelerate the now-dismissed criminal case against the Texas Children’s Hospital whistleblower, President Donald Trump’s Justice Department stepped in just in time.

On Friday, the Justice Department’s new leadership dropped the second superseding indictment against the surgeon, who had been accused by the Biden Justice Department of violating the privacy of patients protected under the Health Insurance Portability and Accountability Act (HIPAA). The only problem is he didn’t.

Haim disclosed carefully redacted medical records in May 2023, showing that Texas Children’s physicians were surgically inserting hormonal devices into gender-dysphoric pediatric patients as part of the hospital’s transgender program. No individually identifiable health information was unethically revealed. Furthermore, he exposed that the Houston-based hospital was secretly continuing trans medical procedures in violation of Texas law after it had supposedly ended them.

Haim felt it was his moral obligation to tell the truth, even if he was punished for his actions.

“In the very beginning, I knew if I was gonna blow the whistle that we’d have to go fully in no matter the consequences,” Haim told National Review. “I asked my wife, ‘Is this something you’re willing to die for?’ And she said, ‘Yes.’ And I said, ‘Yes,’ too. It sounds kind of hyperbolic, but that was the only way we would do it.”