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How Covid amnesia and attacks on science collide

March 24, 2026
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Morning Rounds Writer and Reporter

Good morning. With so much snow this winter, I gave up on biking to the office for a while. I'm happy to be back at it today. Spring is technically here, and spring weather is coming! 

stranger danger

Epic says it has uncovered patient data fraud

Adobe

In the U.S., the infrastructure through which providers share patient health information runs on trust. It's even built into the name of the network they use to do so: the Trusted Exchange Framework and Common Agreement, or TEFCA. Under the terms of TEFCA, providers have to send a patient's records, for free, to any legitimate provider who requests them in order to support that patient's treatment.

But whether or not someone is a legitimate health care provider has become a contentious question, STAT's Brittany Trang reports. A recent court filing from electronic health records giant Epic Systems argues that companies are posing as providers to gain access to people's records. Read more from Brittany on the claims and how likely they are to force the government to act.


last call

Are we underestimating alcohol-related liver disease?

Alcohol-related liver disease in the U.S. could be almost three times higher than previously reported, according to a study published yesterday in The Lancet Gastroenterology & Hepatology. While recent studies have estimated that about 1% to 2% of adults experience alcohol related-liver disease, the new paper found the rate could actually be around 4.6%.

Researchers analyzed more than 30 years of national survey and examination data, making adjustments for the underreporting of alcohol consumption based on national per-capita consumption rates. Binge drinking — defined as drinking five plus beverages in one sitting — drove the most liver disease deaths, with the greatest risk among those who engaged in binge drinking while living with type 2 diabetes or hypertension.

Public health strategies to reduce drinking, better assessment tools, and more accurate reporting of alcohol consumption are urgently needed, the authors wrote.



one big number

57.9 

That's the average percentage of NIH grants that women have had terminated over the past year, according to a new study in the Proceedings of the National Academy of Science. Men, on the other hand, lost an average 48.2% of grants. As STAT's Anil Oza writes, gender disparities in who the NIH funds predate the Trump administration. Still, the data suggests that last year's grant terminations added further damage to an already-leaky pipeline that tends to bleed women, younger researchers and people of color. Read more.


online

When influencers tout prescription drugs 

When a friend recently told me she started taking Nurtec for migraines, I immediately recognized the name — "the Lady Gaga drug!" Pharmaceutical companies are increasingly partnering with celebrities and social media influencers to sell medications. But a systematic review of 12 academic articles, published yesterday in JAMA Network Open, identified a few concerning themes when influencers promote prescription drugs.

Influencer drug promotion was consistently associated with misinformation (based on both the poster's and their audience's limited expertise), parasocial relationships that make it hard to distinguish between personal testimony and paid promotion, and weak oversight of online promotion overall.

The findings demonstrate an urgent need for better regulatory guidance and standardized disclosure requirements, the study authors write. For a rundown of the top influencers shaping health information more broadly "for better or worse," might I suggest re-reading Alexa Lee's comprehensive story from earlier this year.


first opinion

How Covid amnesia and attacks on science collide

The narrative around every pandemic follows a similar pattern with a few basic stages, according to a new First Opinion essay by two public health and policy experts. Broadly, those steps are:

  1. Ignorance and denial
  2. Panic
  3. Weariness and pushback
  4. Anger and the search for scapegoats
  5. Amnesia

The Covid pandemic started on script. But around the fourth and fifth stages, we began to see an unprecedented turn on science. The effects could be massive. "Experts are unanimous in their prediction that more pandemics are coming," the two authors write. Read more for their analysis of how the societal and governmental reactions to the Covid pandemic may leave us less prepared for the next deadly pathogen.


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What we're reading

  • Youth eating disorder admissions return to pre-pandemic levels, MedPage Today

  • The potential flaw in Trump's plan to get other countries to pay more for drugs, STAT
  • How the term 'neurodivergent' moved from activists to pop culture — and politics, The 19th
  • What growing up in an end-times church taught a science communicator about dispelling misinformation, STAT

Thanks for reading! More next time,


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