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'Only co-pilots' at the FDA & MAHA on tour

April 10, 2025
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Morning Rounds Writer and Podcast Producer

Good morning. The 2025 STATUS List, featuring 50 influential people shaping the future of health and life sciences, is out today. The list isn't an endorsement or an award, but an accounting of power brokers and leaders. So yes, of course, health secretary Robert F. Kennedy Jr. is on the list. But so is Georges Benjamin, director of the American Public Health Association, who just called for Kennedy's resignation on APHA's behalf.

Other notable entries: Mark Cuban, Mike Crapo, Judy Faulkner, Rebecca Gomperts, Scott Gottlieb, and more. Take a look

politics

FDA cuts are like an airline with 'only co-pilots'

If one week after the FDA cut 3,500 jobs seems like odd timing for a congressional hearing on the need for the agency to step up its regulation and enforcement efforts, know that several speakers at the hearing were struck by the disconnect, too.

The House Committee on Oversight and Government Reform hearing Wednesday was nominally about urging the FDA to crack down on illicit imports of products like e-cigarettes and regulate the hemp industry. But Rep. Suhas Subramanyam (D-Texas) shifted focus to potential repercussions of the FDA purge in his opening remarks, noting that health secretary Robert F. Kennedy Jr. has said up to 20% of employees may have been cut by mistake.

"How long will it take them to realize the full extent of the mistakes they've made?" said Rep. Subramanyam, saying that the people eliminated included 170 employees from the Office of Investigations and Inspections along with FDA workers responsible for monitoring drugs' side effects, drug shortages, bird flu, and heavy metals, toxins, and additives in the food supply. "I don't know how much clearer I can be; these health cuts will kill people. They will make us less safe and less healthy."

Later in the hearing, former FDA commissioner David Kessler compared the firings at the FDA to an airline that decided it was going to fire everyone except the co-pilots. He also said that while unsafe products from China are a concern, the bigger risk to the U.S. lies in failing to invest in research and development. "Do you want China to eat our lunch when it comes to science and innovation?" — Sarah Todd


one big number

27%

That's how much maternal mortality increased in the U.S. between 2018 and 2022, according to new research published in JAMA Network Open. "It's a hard time for this to come out," OB-GYN Rose Molina told STAT's Anil Oza. The report comes just a week after much of the department tasked with monitoring and improving maternal and child health at the CDC was placed on leave. Meanwhile, some researchers studying maternal mortality have had funding rescinded. Read more from Anil. 


on the road

MAHA on tour: a STAT dispatch

Kennedy had a lot to say this week as he made his "MAHA Tour" through the Southwest. Major talking points included Utah's first-in-the-nation ban on fluoride in tap water and a pair of bills that passed Arizona's legislature on the day of his visit: one barring food assistance recipients from using the funds to buy soda and another banning chemical food additives in school lunches. 

But there were a few urgent, timely topics of discussion that Kennedy didn't bring up: The growing measles outbreak, now tied to the deaths of two children and an adult, and the layoffs of more than 10,000 of Kennedy's employees at HHS. And despite his calls for "radical transparency," Kennedy and his team often refused to take questions from reporters, or if they did, actively discouraged questions on broader public health topics or the turmoil within his agency.

Read more in the dispatch from STAT's Lev Facher, who followed Kennedy along the tour. There are some really interesting and telling details in the story. One detail I can't get out of my mind: Kennedy saying "From the beginning of our relationship, I felt a close bond with you," to the chairwoman of a Native American tribe. 



on the lawn

Disability advocates rally against Medicaid cuts

A young child with long hair looks right at the camera and holds up a sign that says "my brother is Medicaid!" She's next to a child that is presumably her brother, who has short hair and sits in a wheelchair and holds a sign saying "I am Medicaid."

Courtesy Jackie Dilworth 

"I am Medicaid, don't cut me! I am Medicaid, don't cut me!"

The chants echoed across the grass in front of the Capitol building in Washington yesterday morning as hundreds of disability advocates gathered to protest potential cuts to Medicaid.

It was the second day of rallies from a community desperate to stop the federal government from cutting critical services and programs, including long-term care or home- and community-based services. Cuts could undo the civil rights gains that the disability community has spent decades fighting for, placing many people at risk of returning to subpar institutional care. Republicans have yet to release a firm plan for these cuts, but many disabled folks met with their representatives this week to try and convince legislators to push back against the deeply unpopular plan.

"There are people who want to cut everything in sight, everything that's good for people," said Rep. Danny Davis of Illinois at the rally. "Who would ever think you'd cut Medicaid, the lifeline for individuals who need assistance for health care and for disability care and disability rights?" – O. Rose Broderick


heart health

Stroke deaths and disparities over 20 years

Since the turn of the century, people who die of a stroke are more and more often dying at home as opposed to in medical settings. And that's especially true for Black people and anyone living in rural areas, according to a study published yesterday in PLOS One that looked at CDC data on deaths from ischemic stroke between 1999 and 2020. It's unclear why the shift toward dying at home happened, the researchers wrote — it could be personal preference, or a problem with access. 

There were some other interesting trends: People of Asian and Pacific Islander descent had the lowest death rate from stroke in 1999 at 17.5 per 100,000 — but by 2020, that number had nearly doubled. Black and African American people had the highest rate at the start of the study period at about 88 per 100,000. The rate declined sharply for a few years, but by 2020 had risen right back to where it started. White people, meanwhile, saw a gradual slowing of stroke deaths, going from 64 to 57 per 100,000 over the decades.


first opinion

Remember the animals

The wellness industry is a hotbed for medical misinformation and a distrust of science, often glorifying "natural" alternatives. The result is the proliferation of pseudoscience that harms not just humans, but animals, argues scientist Andrea Love in a new First Opinion. 

The raw pet food industry claims these diets are "biologically appropriate," despite overwhelming veterinary and epidemiological data saying otherwise. Meanwhile, H5N1 bird flu has spread in the past two years into other species like seals, foxes, cats, cows, and more. Read more from Love on how the wellness industry is killing animals, spreading disease, and could even be fueling the next pandemic.

Since the day she joined the team, STAT's First Opinion editor Torie Bosch has been advocating for more coverage of animal health. "Because I love my cats, but also because recent advances in veterinary medicine means there is a lot of money being spent, and the field could use more scrutiny," she said to me in a DM. "And, of course, animal health has tremendous implications for human health. See: H5N1 bird flu." Email Torie if you've got insightful animal-medicine stories or opinions.


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Thanks for reading! More tomorrow,


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