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The heartbreak of rare diseases; family caregiving and dementia; abortion and adoption; and more

March 5, 2023
Editor, First Opinion
This week in First Opinion, a mother urged the FDA to be more flexible about clinical trials for rare diseases; a photo essay explored the challenges of being a family caretaker for a loved one with dementia; an adoptee made the case for why adoption isn't a simple alternative to abortion; and more. You can read them, and the week's other First Opinion essays, here.
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My son's time is running out due to a rare disease. The FDA needs to add more clinical trial flexibility

The FDA's once-flexible Division of Rare Diseases and Medical Genetics is taking a more conservative approach to rare disease.

By Judy Stecker


An intimate look at dementia — and the emotional toll it takes on family and caregivers

Leandra Manos took on the role of full-time caregiver for her father, George, who is in the late state of dementia.

By Steven G. Smith


Adoption is not a simple or easy alternative to abortion

The Supreme Court alluded to adoption as an alternative to abortion. What might sound fine in a footnote doesn't translate to the real world.

By Laura Goetz



A flooded neighborhood in Merced, California on January 10, 2023. The HHS Environmental Justice Index doesn't include a measure of the environmental burden of flooding — the deadliest, costliest, and most widely experienced environmental hazard in the U.S.
JOSH EDELSON/AFP via Getty Images

HHS's Environmental Justice Index institutionalizes climate apartheid

The Environmental Justice Index announced by HHS will do many things — except provide environmental justice.

By David Introcaso


How physician wellness programs keep doctors captive

Wellness programs put the onus of resolving burnout on individual physicians. That's wrong, especially since these programs don't work.

By Mark G. Shrime


Nonprofit hospitals are failing Americans. Their boards may be a reason why

A study of 15 top nonprofit hospitals shows glaring inadequacies on their boards of directors, including the lack of frontline workers.

By Sanjay Kishore and Suhas Gondi


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New analysis: CMS vastly overestimates hospital price transparency efforts

A CMS report that 70% of hospitals are transparently publishing their prices is wrong. Only 25% are complying with the two key rules.

By Cynthia A. Fisher


Redefining sustainability in health care: putting patients before profits

Pharmaceutical companies tout their sustainability efforts. They need to walk the walk and make long-term investments in health equity.

By Jayasree K. Iyer and Pat Garcia-Gonzalez


A bipartisan approach to pandemic security? It's within reach

Pandemic security can be attained with action that bridges political divides and provides community-focused options for public health.

By Beth Cameron and Gary Edson and J. Stephen Morrison


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