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A threat to telepsychiatry; the increase in autism diagnosis; biotech and Silicon Valley Bank; and much more

March 26, 2023
Editor, First Opinion

This week, First Opinion authors explained why new regulations for prescribing controlled substances will create headaches for psychiatrists and patients alike, shared the lesson biotech should not take from the failure of Silicon Valley Bank, pleaded for clarity around how a new framework will affect living organ donors, and more. You can read all of the week's essays here. Please keep reading and sending ideas and essays to first.opinion@statnews.com.

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I finally got used to practicing telepsychiatry. Now the DEA wants to change everything

New DEA rules for telehealth prescribing will be an administrative disaster for psychiatrists. Some may even stop seeing certain patients.

By Jessica Gold


There is no epidemic of autism. It's an epidemic of need

The CDC says 1 out of every 36 children has autism, up from 1 in 44 in 2021. But there's no reason to be alarmed about this increase.

By John Elder Robison and Dena Gassner


STAT+ | The lesson biotech absolutely should not take from Silicon Valley Bank's failure

The right-wing media machine's public autopsy of Silicon Valley Bank was striking in its factual and moral bankruptcy.

By Paul J. Hastings



A kidney donor watches as a consent form is signed by a witness before a kidney transplant operation at Johns Hopkins Hospital in Baltimore.
BRENDAN SMIALOWSKI/AFP/GettyImages

Living kidney donors rely on a promise to protect our future health. We're scared it will go away

Living organ donors are told they will be at the top of the transplant waiting list if something goes wrong. A new system is worrying them.

By Martha Gershun


The much-maligned 'quality-adjusted life year' is a vital tool for health care policy

The quality-adjusted life year is a measure of the health gains of treatments, not a measure of the value of people.

By Joshua T. Cohen and Peter J. Neumann and Daniel A. Ollendorf


Will there be any emergency doctors to see you in the future?

The 2023 Match left hundreds of unfilled emergency medicine residency positions, prompting fears about the future of the field.

By Christian Rose and Adaira I. Landry and Kaitlin M. Bowers


Alex Brandon/AP

Americans should be able to register to vote when they apply for health insurance on HealthCare.gov

An estimated 1.2 million people each year could register to vote or update their registration information through HealthCare.gov.

By Andy Slavitt and Don Berwick and Cindy Mann


The surprising biomedical legacy of the Iraq War

Advanced medical techniques born from the devastating Iraq War are benefiting soldiers and civilians alike.

By Luis Alvarez


The lab leak conversation shows it's time to rethink our biosecurity infrastructure, not just policies

New proposals to combat biosecurity threats are being shoehorned into an infrastructure that was designed to keep science apart from society.

By Sam Weiss Evans and David Gillum


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