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First Opinion

This week, authors opined about tackling medical misinformation on social media; took pro and con stances on Medicare's decision to limit coverage for Aduhelm, the controversial Alzheimer's drug; and more. You can read all of the week's essays here. The latest episode of the "First Opinion Podcast," on gender-affirming care, is also live.

The 'bot holiday' and why clinicians can't tackle disinformation alone

By Shikha Jain and Vineet Arora and Eve Bloomgarden

Adobe

While individual clinicians are tackling disinformation on social media, what's really needed is a substantive, multi-pronged approach.

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Medicare got it right: Unproven Alzheimer's drug would have threatened the financial stability of 60 million Americans

By John N. Mafi and Catherine Sarkisian

Adobe

Covering the use of Aduhelm for millions of Americans with Alzheimer's would have accelerated Medicare's path toward bankruptcy.

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CMS made the wrong decision on Aduhelm. But there might be a silver lining

By Dennis J. Selkoe and Jeffrey Cummings

Adobe

CMS's decision to limit coverage of Aduhelm is disappointing. But at least it didn't close the door to related drugs in the pipeline.

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Report: U.S. nursing home care is ineffective, inefficient, inequitable, fragmented, and unsustainable

By David C. Grabowski and Marilyn Rantz and Jasmine L. Travers

Michael Probst/AP

A new report from the National Academies of Sciences, Engineering, and Medicine examines the plight of nursing home care in the U.S.

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Listen: Should gender dysphoria be a required stop en route to gender euphoria?

By Patrick Skerrett

This week, "The First Opinion Podcast" explores why a diagnosis of "gender dysphoria" shouldn't be needed to cover gender-affirming care.

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STAT+: Reimagining R&D can cut drug development costs from billions to millions

By Nicole Paraggio and Nicole van Poppel and Selen Karaca-Griffin

Abobe

Transforming R&D has a pivotal role to play in exponentially reducing the cost of discovering and developing new drugs.

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To spend less on health care, invest more in medicines

By Jean-François Formela and John Stanford

Adobe

New medicines can significantly reduce the need for expensive emergency room visits, surgeries, hospitalizations, and long-term care.

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3 steps ARPA-H needs to take to accomplish its mission

By Travis Whitfill

Adobe

ARPA-H didn't get the funding or independence many pushed for, but it can still emulate DARPA's structure and principles.

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Home care instead of hospital care: Congress should extend a crucial waiver

By Constantinos Michaelidis and Candra Szymanski

Arturo Holmes/Getty Images

Home hospital programs across the country expanded after CMS began to pay for these services in November 2020 amid the pandemic.

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Averting the looming purge of people from Medicaid

By Gerard Vitti

Adobe

When the U.S. public health emergency ends, millions will be kicked off Medicaid, though they qualify. "Redetermination" will be challenging.

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Equal treatment for equal risk: Should race be included in allocation algorithms for Covid-19 therapies?

By David M. Kent and Keren Ladin and O. Kenrik Duru

Adobe

Disparaging all race-aware risk prediction models is misleading when including race can sometimes improve both health outcomes and fairness.

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Sunday, April 10, 2022

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