politics
When is a promise not a promise?

STAT/Alex Hogan
When health secretary Robert F. Kennedy Jr. gutted the panel of experts that advises the CDC on vaccines Monday, there was one question on everyone's mind — what will Sen. Bill Cassidy (R-La.) have to say about this?
While Kennedy was trying to get confirmed as health secretary, Cassidy sharply criticized his views on vaccines, then decided to support him anyhow. Cassidy cast the key vote to confirm Kennedy in February, but only after noting that Kennedy had given him reassurances on vaccines. So did the move to fire ACIP members break the promise Kennedy gave Cassidy? In his latest video, STAT's Alex Hogan talks with our new DC reporter Chelsea Cirruzzo about the details of the promise, and how the relationship between these two powerful players in Washington has evolved. Watch the video now.
In the meantime, the ousted members of the ACIP are reeling from their unexpected dismissals, and many are laying low at the request of academic institutions that fear reprisals from the Trump administration. But Helen Chu, a professor of infectious diseases at the University of Washington, agreed to speak with STAT's Helen Branswell about the experience. Read the conversation here, in which Chu discusses her fears for the future of vaccine policy, the prospect of a nation with a patchwork approach to vaccination, and, in her view, the diminished reputation of a committee that has been viewed as the global standard.
medicine
The AMA takes on one of MAHA's favorite issues
The American Medical Association announced yesterday afternoon that its voting members adopted new policies, and they sound…kind of MAHA. One policy calls for promoting public awareness and education about unhealthy ultra-processed foods, and more nutrition classes in medical education. Kennedy has said plans to announce federal funding cuts by next year to medical schools that don't teach "how to treat [disease] with food or to keep people healthy so they don't need the drugs," ABC News reported.
A second policy dives into the national debate about alcohol (which MAHA has yet to take a clear stance on). The AMA said it would boost public — and clinician — awareness of how alcohol increases the risk of certain cancers, with a particular focus on breast cancer. The group also threw its support behind "evidence-based efforts to minimize alcohol use," including stronger language on alcohol risks in the Dietary Guidelines for Americans and better labeling of alcoholic products.
Consumer advocates have for years pushed for more robust ingredient and warning labels on alcohol; federal regulators are considering that, too. "The labels should be prominently displayed and include the number of standard drinks per container and align with current guidelines on alcohol consumption, as well as the best available science," the AMA said in a press release. — Isabella Cueto
health & safety
Surgeons group makes statement on e-bikes
Last week, the American College of Surgeons issued a statement on another hot topic these days: electric bicycle safety and injury prevention. The statement aims to address public safety as the pedelecs become increasingly popular. Two days before ACS issued its statement, New York Mayor Eric Adams announced that he plans to institute a 15 mph citywide speed limit on e-bikes.
Exact speed limits were not mentioned in the recommendations from ACS, first put together by its trauma committee. The group does recommend that regions have specific policies on age limits, helmet requirements, and "rules of the road" for these riders. Here are some of the other recommendations:
- They recommend universal helmet use — but the type of helmet used depends on how fast the e-bike can go. (There are three classes of e-bikes, the first two of which reach around 20 mph, with the third topping out at 28 mph.)
- The group advocates for new International Classification of Disease codes that specifically identify injuries involved with e-bikes and include the type of bike, the circumstances of the crash, and the speeds involved.
- Trauma centers that see high rates of patients with e-bike injuries should consider introducing targeted safety outreach programs.
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