This is a policy choice. As Dr. Gottlieb recently put the issue on CNBC: if we substantially reduce vaccination rates, "we're going to have to build new pediatric hospitals." www.youtube.com/watch?v=e8CJ...

Scott Gottlieb, MD@scottgottliebmd.bsky.social · 8mo ago

Shifting many pediatric vaccines into the category of shared clinical decision-making means in many red states governors and legislators will be pressured to strip them from school-entry requirements. Vaccination rates could fall sharply with stark regional differences in protection against disease

Regulating DTC #microbiome tests academic.oup.com/jlb/article/... "...often misleading to consumers..." "...the tests lack analytical and clinical validity." "...may have many 'false positive' or 'false negatives' and can harm consumers." Needed: more stringent regulation!

Is the current regulatory framework for direct-to-consumer microbiome-based tests sufficient to protect consumers from medical, economic, and dignitary harms?

Abstract. This article offers a thorough analysis of an important public health issue–the lack of regulation of companies selling direct-to-consumer (DTC)

academic.oup.com

“The anti-vaccine movement is not a spontaneous expression of grassroots concern. It’s an industry.”

Robert Califf @robcaliff.bsky.social · 8mo ago

Well done and important to digest. There is plenty of human failing in any human endeavor, but the narrative and the reality in this specific situation needs sunlight. substack.com/home/post/p-...

"It is going to get so much worse." For the first of two end-of-the-year episodes of @pandemia.bsky.social, I talked to @drdemetre.bsky.social about what happened in 2025 at the CDC and how he thinks about the future of vaccines and public health in the US. A quick 🧪🧵

Impfen | Es wird noch viel schlimmer werden

Podcast Episode · Pandemia · 22/12/2025 · 40m

podcasts.apple.com

The right answer for marijuana is to legalize and regulate. Instead, we’re going to keep the ridiculous Wild West patchwork gray market we have now for THC (worse w/the new restricted definition of hemp) & both subsidize *and* underregulate CBD, assimilating it to pro-supplement woo.

Dan Diamond@ddiamond.bsky.social · 9mo ago

Trump is expected to announce today that Medicare will begin reimbursing some older Americans for CBD treatments The pilot program is part of Trump’s bigger announcement on easing restrictions around marijuana w @davidovalle.bsky.social @jacobbogage.bsky.social

Very well-deserved congrats, @bridgetdooling.bsky.social, but an even bigger congrats to Ohio State for snagging such a superstar scholar, teacher, and colleague in the first place! We're lucky to have you. (And I-O!)

Bridget Dooling@bridgetdooling.bsky.social · 9mo ago

Folks! I am delighted to share that my @ohiostatelaw.bsky.social colleagues voted to support my application for tenure! The process will take the rest of this academic year but for now I say thank you thank you to everyone who helped me and I take none of this for granted!!!! O-H!

Since 2020, our team has iterated on a model for “rapid research” to help surface, analyze, & resolve rumors about election administration. This work demonstrates an innovative role for researchers to support public sensemaking during rapidly unfolding events. uw.pressbooks.pub/rapidresearc...

Being Sensemakers: A Framework for University-Based Rapid Research of Elections, Crisis Events, and Beyond – Simple Book Publishing

A framework for university-based rapid research of elections, crisis events, and beyond

uw.pressbooks.pub

"One agency source said at least one division is having to pour all of its resources into reviewing drugs that received a voucher, taking time away from other medical products."

Lizzy Lawrence@lizzylawrence.bsky.social · 9mo ago

NEW: I dug deep into new top drug regulator Tracy Beth Høeg's record at the FDA so far, talked to agency staff, and even found some old and interesting blog posts, to get a sense of how she'll lead the drug center. TLDR, staff are worried. More here: www.statnews.com/2025/12/11/t...

Vaccines cause adults

Tanya Lewis@tanyalewis.bsky.social · 9mo ago

COVID vaccines slashed ER visits by 76% in kids 9 mos-4 yrs, and 56% in older kids, CDC's latest MMWR report found (reposting with story): www.scientificamerican.com/article/covi...

Summarizing the current state of pricing and coverage for GLP1s in the US with @rachelsachs.bsky.social in @nejm.org this week! Read it before things change (again)! www.nejm.org/doi/full/10....

Insurance Coverage and Pricing of Weight-Loss Drugs in the United States | NEJM

The Trump administration’s agreements regarding glucagon-like peptide 1 receptor agonists could reduce prices and improve access for some patients — and lead to substantial additional spending.

nejm.org

I am *really* excited about this work and the opportunity to work with @hollylynchez.bsky.social & @reshmagar.bsky.social, and grateful to @arnoldventures.bsky.social for the support. We're looking to hire a post-doc, please apply or send candidates our way! postdocs.yale.edu/posts/2025-1...

Holly Fernandez Lynch@hollylynchez.bsky.social · 9mo ago

Excited to work with @pzettler.bsky.social and @reshmagar.bsky.social on this new project supported by @arnoldventures.bsky.social with the goal of developing a principles-based approach to rebuilding and re-envisioning FDA. moritzlaw.osu.edu/ohio-state-a...

Now up at Health Affairs Forefront, Kristi Martin and I identify important aspects of the 2027 Medicare drug price negotiation cycle, including its interactions with other IRA drug pricing reforms. www.healthaffairs.org/content/fore...

Lots more detail in the paper (jamanetwork.com/journals/jam...), but our findings provide the first evaluation of FDAAA and its enhanced safety-related regulatory authorities, and its impact on drug safety and public health, and informs current PDUFA VII negotiations! @reshmagar.bsky.social (5/5)

Postmarket Drug Safety−Related Actions Before and After the FDA Amendments Act

This cross-sectional analysis assesses whether the US Food and Drug Administration Amendments Act was associated with differences in time to first postmarket drug safety−related action and whether the...

jamanetwork.com

New paper from @yalecrrit.bsky.social out today in @jamainternalmed.com - The 2007 US Food and Drug Administration (FDA) Amendments Act (FDAAA) expanded the agency's safety-related regulatory authorities, including enhanced postmarketing safety surveillance and new clinical study requirements (1/5)

As @bridgetdooling.bsky.social and I argue in a new paper (link below), corporate directors play a role in law enforcement. They have a special duty to ensure their companies don't break the law. It is heartening, therefore, to see a few companies stand up for the rule of law. As they ought.

Costco sues the Trump administration, seeking a refund of tariffs

The wholesaler is the latest company to sue a federal agency over the president's signature economic policy.

nbcnews.com

Love this optimism! #GoTeam! Chris Whitty: Why health misinformation spreads www.bmj.com/content/391/... "Through every single one of the past 160 years there was extensive misinformation about health—and yet the improvements continued." "This is a battle that is winnable."

Chris Whitty: Why health misinformation spreads—and honesty about uncertainty is the answer

England’s chief medical officer said in a recent lecture that misinformation has always accompanied medical progress—and that the battle is winnable if we can talk honestly about uncertainty “Through...

bmj.com

As many others have posted, a must-read by 12 former FDA commissioners laying out what's so deeply troubling about the substance of and process used for recent changes to vaccine policy at FDA: www.nejm.org/doi/full/10.... But @jasonlschwartz.bsky.social perhaps summed it up best 👇

Jason L. Schwartz@jasonlschwartz.bsky.social · 9mo ago

Imagine doing something at work so troubling that virtually every person alive who ever had your boss’s job spent their Thanksgiving weekend writing something that explained to the world how wrong you are and how harmful—deadly, even—it would be if you weren’t stopped.

Congratulations to the CMS career staff for completing the negotiations for the 2027 cycle of the Medicare drug price negotiation program - the negotiated prices are now public. More later, but for now one note on attempts to compare these savings to the 2026 savings. 1/2 www.cms.gov/files/docume...

It's up! www.yalejreg.com/nc/trump-reg...

Trump Regulatory Policy: 2025 Compendium - Yale Journal on Regulation

As part of my prep for this year’s ABA Administrative Law Conference, I put together a list of the regulatory policy documents that have been issued since the start of President Trump’s second term. L...

yalejreg.com

Tragic. Critical to promote reliable information from the biomedicine community.

Dan Diamond@ddiamond.bsky.social · 10mo ago

CDC has overhauled its website to assert that “the claim ‘vaccines do not cause autism’ is not an evidence-based claim”

Yikes.

Dan Diamond@ddiamond.bsky.social · 10mo ago

CDC has overhauled its website to assert that “the claim ‘vaccines do not cause autism’ is not an evidence-based claim”

This is going to be a terrific discussion re: AI & health insurance coverage decisions that’s open to the public if you are interested. @umnconsortium.bsky.social

University of Minnesota Consortium on Law and Values@umnconsortium.bsky.social · 10mo ago

Join us to discuss the ethics of using AI in health insurance coverage decisions. 📅Wed, Dec 10 ⏰Noon-1:30pm CT 📍Zoom 👤 @danielschwarcz.bsky.social, @umnlawschool.bsky.social 👤 @jennoliva.bsky.social, @iumaurerlaw.bsky.social 👤 Isaac Kohane, @harvardmed.bsky.social 🔗 z.umn.edu/AIHealth

When the evidence in favor of vaccination is compelling, CDC should make a recommendation ... and the American people deserve to hear it. Our case in @jama.com w/ Tom Frieden and William Scaffner jamanetwork.com/journals/jam...

Shared Clinical Decision-Making for COVID-19 Vaccination

This Viewpoint discusses shared clinical decision-making for COVID-19 vaccination.

jamanetwork.com

“We can have an active, robust discussion as a group of medical experts spontaneously, and so we’re doing more of that,” Makary said of his preference for convening roundtables. Guess what roundtables don't have? FACA requirements to occur in public with the opportunity for public comment.

Ridiculous. So maddening. Yes, complex. But there is NO doubt that antivaxx misinformation big part of problem. Canada loses measles elimination status after three decades, health agency says www.reuters.com/business/hea...

Canada loses measles elimination status after three decades, health agency says

Canada has lost its measles elimination status after nearly three decades due to its failure to curb a year-long outbreak, the country's public health agency said on Monday.

reuters.com

Seems like a good time to do a special issue of @jhppl.bsky.social on the Politics of Private Health Insurance. Call for papers will be out soon, so stay tuned. There’s seem to be, uh, a few politically relevant topics to discuss. @mirandayaver.bsky.social @adrianna.bsky.social

Citizen Cohn / Jonathan Cohn@citizencohn.bsky.social · 10mo ago

Republicans waged a relentless, decades-long campaign to privatize Medicare and Medicaid They fought even mild efforts to expand public insurance Now they are objecting to extending extra ACA subsidies, supposedly because money flows to private insurers We are supposed to take this seriously?

For #adlaw folks: Due to logistical issues from the federal gov't shutdown, ABA Admin Law has replaced its usual fall conference with a shorter but free online event on 11/21. Registration is required, but it's 6.5 hrs of free, quality CLE on admin law topics. events.americanbar.org/event/a13a77...

Thanks again to @stemcellnetwork.ca, and all the speakers, poster presenters, and attendees at #TMM2025 - was a delight to be part of this wonderful event!

Stem Cell Network@stemcellnetwork.ca · 10mo ago

(1/2) Day 2 at #TMM2025 was full of inspiration! 👏 👶 Alicia Racine & Mike Cogan shared their story from a world-first SCN lung trial ✨ Congratulations to Dr. Maria Cristina Nostro (Till & McCulloch Award) and Brandon Murareanu (Drew Lyall Award) 🔬 Plenaries, workshops, poster talks, and more!

Perhaps relevant today, a framework for understanding how many election rumors mislead.

Kate Starbird@katestarbird.bsky.social · 2y ago

The 2024 election is upon us. Millions of ballots have already been cast. Mail-in ballots are being returned. Early voting is taking place. And dozens of rumors are spreading. So, let me re-introduce our framework for diagnosing how many “evidence-based” rumors mislead: