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Why is no one talking about public health layoffs?; the future of "disruptive science"; and more

February 5, 2023
Editor, First Opinion
The perplexing silence around public health layoffs. Disruptive science is alive and well. The FDA's proposal to end decades of discrimination against gay men donating blood. Those are just a few of this week's wide-ranging First Opinion essays. If you have an idea for an essay, or know someone who should be writing one, let me know at first.opinion@statnews.com.
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I was laid off from a public health job. Trust me, tech layoffs are different

Layoffs in the tech sector are making headlines. Equally big cuts in the public health workforce have gone almost unnoticed.

By Katie D. Schenk


Disruptive science is leaping forward, not limping along

A study claiming that disruptive innovation in science has dramatically and mysteriously declined since 1945 has it wrong.

By Juergen Eckhardt and George Church


FDA: Base blood donation policy on science, not stigma

The FDA should make permanent its plan to include gay men in blood donation programs without stigmatizing restrictions.

By Scott Jelinek



Adobe

Death by missing data: Uncollected racial and ethnic pandemic data will drive inequities for decades to come

Missing data on race and ethnicity has been an issue throughout the Covid-19 pandemic. How bad has the problem been? Far beyond bad.

By Jennifer W. Tsai and Rohan Khazanchi and Emily Laflamme


The FDA is the right agency to regulate CBD products, but it needs help

The FDA is the best agency to regulate CBD products, but needs new tools to manage CBD risks separate from existing food and supplement rules.

By Rosalie Liccardo Pacula


Promises — and pitfalls — of ChatGPT-assisted medicine

ChatGPT could assist with medical education and administrative tasks. But it isn't ready for clinical decision-making.

By Rushabh H. Doshi and Simar S. Bajaj


Adobe

Invasive strep A: bad in affluent countries, far worse in low-income nations

Though low-income countries bear the brunt of severe strep A diseases, there is little funding for research to address this pressing issue.

By Dylan D. Barth and Mark E. Engel


Generics: a missing piece in China's Covid-19 crisis response

By not allowing the importation of foreign-made generics, China is making it difficult for its citizens to get access to Paxlovid.

By Cathy Tie


Unlocking the promise of learning from everyone with cancer

A tool called mCODE could improve cancer care by capturing the characteristics, treatments, and outcomes of every person with cancer.

By Jay J. Schnitzer


Adobe

STAT+ | As it turns 40, the Orphan Drug Act for rare diseases needs a refresh

Science has evolved since the Orphan Drug Act became law in 1983. A version 2.0 is needed to help develop therapies for ultrarare diseases.

By Emil D. Kakkis


How the Biden administration's Covid preparedness policies could narrow America's political divide

The White House's Covid Winter Preparedness plan sidesteps the emerging evidence base and President Biden's pledge to "follow the science."

By Steven Phillips and Robert C. Gallo and Christian Bréchot


STAT+ | A watershed year for biosimilars — if regulators and policymakers step up

2023 could be a banner year for biosimilars if regulators and policymakers require them to be included in Medicare and other formularies.

By Juliana M. Reed


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