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The 'dirty little secret' of hospitals: A STAT investigation

September 22, 2025
sarah-todd-avatar-teal
Commercial Determinants of Health Reporter

Welcome back to the work week, folks, and what are you reading these days? I'm enjoying "Free Food for Millionaires" by Min Jin Lee, the author of "Pachinko."

infectious diseases

The votes are in for new guidance on Covid shots

GettyImages-1237457512

Pierre Crom/Getty Images

Lots of news came out of the Centers for Disease Control and Prevention's vaccine advisory committee meeting at the end of last week. Most notably, according to my STAT colleagues: How Robert F. Kennedy Jr.'s handpicked new committee members, some of whom share his criticisms of vaccines or have even spread misinformation about them, have "moved away from the science-based framework for decision-making" the group once relied upon. Read more of their analysis, including what this augurs for the panel's plans to examine vaccines for babies, kids, and pregnant people. 

A quick recap of notable decisions: The Advisory Committee on Immunization Practices voted to recommend that people over six months discuss the pros and cons of getting a Covid vaccine with their health care providers, a move that walks back the panel's previous endorsement of the shots but would preserve insurance coverage. They also decided to postpone the vote on whether to stop vaccinating newborns with the hepatitis B vaccine. Data show the vaccine is safe and effective, but the committee had been expected to recommend delaying it — a move public health experts warned would endanger vulnerable infants.

The committee did change guidance on childhood vaccinations against measles, mumps, rubella, and chickenpox, a combination shot known as MMRV. They recommended children under age 4 receive the shot that protects against chickenpox separately over concerns about rare instances of seizures, which is already recommended by the Centers for Disease Control and Prevention. 


research

Author of gender-affirming care reviews says politics are twisting his work

Clinical epidemiologist Gordon Guyatt has co-authored three systematic reviews on different types of gender-affirming care for children and young adults: puberty blockers, hormones, and top surgery. He tells STAT's Theresa Gaffney that people who want to ban gender-affirming care are misconstruing the reviews' findings in the service of their goals.

While it's true the systemic reviews graded the evidence for each intervention as being of low or very low certainty, "low quality evidence doesn't mean it doesn't work," Guyatt said, adding: "Most of the things we do, we only have low or very low quality evidence." While he supports caution when it comes to interventions for adolescents, he says that using the reviews to justify bans is "egregious and unconscionable." Get more of his thoughts in this nuanced interview



stat investigation

Hospital infections are health care's 'dirty little secret'

Infection_Reporting_final

Natsumi Chikayasu for STAT

Hospitals can face big fines if too many patients get infections during their stays. So some executives discourage staff from testing for infections or reporting them — a problem known as "health care's dirty little secret."

For this STAT investigation, my colleague Tara Bannow spoke with clinicians at both nonprofit and for-profit hospitals about how pressure to limit testing can put patients' health at risk by delaying treatment. Conversely, some hospitals urge doctors to prescribe broad-spectrum antibiotics without testing first — a practice that may worsen antibiotic resistance. One hospitalist recalled C-suite leaders attending clinical rounds and telling clinicians not to order tests. "It's intimidating for some providers," he said. "You're making them second guess their clinical rationale and you end up canceling a lot of orders that way." Read more.


first opinion

Why everyone is so obsessed with Trump's hand

President Trump's attempts to cover bruises on his hand with makeup have garnered national attention in recent weeks, even leading to speculation that he had died over Labor Day weekend. Psychiatrist and political anthropologist Eric Reinhart says it's just one example of the medicalization of politics.

"Our leaders' bodies have become sites for projection and speculation, as if the health of presidents, rather than the health of democracy, determine the nation's future," Reinhart writes. He says Americans should spend less time analyzing blurry Trump footage and more time confronting the ways  his administration's policies are upending health care in the U.S. Read more.


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What we're reading

  • Trump administration set to tie Tylenol to autism risk, official say, Washington Post 
  • Winner of mRNA Nobel Prize says ACIP member's claim that Covid vaccines persist is "absolutely impossible," STAT
  • It's considered a 'women's condition.' It shouldn't be, Slate
  • I'm a surgeon. My society waded into gun regulation — and chose politics over science, STAT
  • U.S. weighs Trump-branded website to help shop for cheaper drugs, Bloomberg
  •  

Thanks for reading! More tomorrow — Sarah


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