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Alcohol addiction treatment is undergoing a seismic shift

May 14, 2026
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politics

The Trump admin’s wish list for its next FDA leader

FDA campus viewed through the close lens of a door that has the FDA logo on it.

Jacquelyn Martin/AP

The Trump administration is working to identify the next FDA commissioner after Marty Makary resigned on Tuesday. The dream candidate is someone who can rebuild trust with agency staff, focus on the agency’s food policy, and continue to drive drug-approval reforms, STAT’s Daniel Payne and Lizzy Lawrence report.

They spoke to an official with knowledge of the process and seven FDA employees. One agency staffer said there’s a “low bar” for the next commissioner. Read more on the job description and how people are feeling.

In the meantime, Kyle Diamantas will serve as the acting commissioner. Yesterday, president of the anti-abortion group March for Life Education and Defense Fund Jennie Bradley Lichter tweeted that she spoke with Diamantas “within hours” of his promotion; she’s optimistic that he’ll be an ally in the fight around abortion medication. Which reminds me: the Supreme Court’s self-imposed deadline to rule on mifepristone is 5 p.m. ET today.


public health

How CDC is responding to hantavirus and what that tells us

Two CDC doctors emphasized in a press briefing yesterday that the deadly hantavirus outbreak does not pose a substantial risk to the American public. “Our top priority is with the passengers who are on the ship and American communities,” said David Fitter, the CDC’s incident manager for the response efforts. STAT’s Liz Cooney has the latest on how the agency is responding.

We can learn a lot from that response, as public health professor and emergency medicine physician Craig Spencer argues in a new First Opinion essay. The Trump administration has dismantled much of the country’s preparedness infrastructure. The hantavirus outbreak shows where America’s ability to respond to emerging threats is strong — and, critically, where it is lacking, he argues. “There is a path back, and it doesn’t require a wholesale reversal of any administration’s posture,” Spencer writes. All it requires is “a few clear-eyed commitments.” Read more.


policy

Medicare stops enrolling new hospice, home health providers

The Centers for Medicare and Medicaid Services is halting enrollment of new hospice and home health agency providers for six months in a bid to “crush” on fraudulent businesses STAT’s O. Rose Broderick reported yesterday.

It’s one of the Trump administration’s latest efforts to end “fraud, waste, and abuse” in federal health care spending. (Hours after the news, Vice President JD Vance announced that $1.3 billion in Medicaid funds to California will be deferred over suspicions of fraud.) Earlier this year, the administration threatened a two-year licensing freeze for new providers of home and community-based services in Minnesota and instituted a similar nationwide halt on durable medical equipment suppliers.

While critics have questioned if administration officials have exaggerated the extent of the problem, there is some evidence that new hospice providers have rapidly entered the industry in recent years. Get the details from Rose.



the deadliest drug

An overdue shift in alcohol addiction treatment?

A clock hangs on the wall next to a framed list of the 12 steps of AA.

Spencer Platt/Getty Images

About 1 in 10 American adults meet the criteria for alcohol use disorder, with most of them experiencing only mild or moderate symptoms. Their drinking behavior is likely harmful to their health, but falls well below the threshold of what many would consider alcoholism. Historically, those looking to cut back have had few treatment options outside of Alcoholics Anonymous and other 12-step programs.

But that may be changing. “I certainly, absolutely got that cult feel going to some of those meetings,” a woman named Jillian told STAT’s Lev Facher about AA. Now, she volunteers to host and moderate virtual gatherings called 319 meetings, named for the day they started during the Covid pandemic, March 19, 2020.

Alternatives to AA are surging in popularity, spurred by an increased interest in alcohol moderation, the advent of new medications and repurposing of old ones, and increasingly flexible ideologies among 12-step proponents. In Part 4 of “The Deadliest Drug,” Lev reports on the seismic shift occurring in alcohol addiction treatment. Read more.


research

A new prize for mental health research

The charitable group Wellcome and the journal Nature this morning unveiled a new scientific prize focused on progress in mental health research, with $1 million set aside for the winning entry.

Applications are now being accepted and are due by Sept. 18. Three finalists will also receive $250,000 each. The competition going forward will take place every other year.

Miranda Wolpert, the director of mental health at Wellcome, said the idea for the prize came from the fact that the narrative around mental health is so bleak, when she and other funders are regularly seeing promising discoveries that could prove transformative in the coming years. The aim is to put a spotlight on innovative mental health research, a field that other scientific awards tend not to recognize.

“It’s trying to let people know that there’s rigorous science and advances in the field going on,” she said.

Those advances are broad and have far-reaching implications, Wolpert said, including everything from psychedelics to strategies to identify the right intervention for the right person at the right time, and from brain stimulation to generative AI tools.

The expert panel of judges will assess entries based on their novelty, credibility, effectiveness, and adoptability. — Andrew Joseph


data

Three years of declining overdose deaths

In the U.S., 14% fewer people died from drug overdoses in 2025 than the year before, according to preliminary government data. It’s the third straight year with decreased deaths, marking the longest successive decline in decades.

The data have given experts cautious optimism about tackling the overdose crisis, but many are worried that Trump administration cuts and changes in the drug supply could jeopardize that progress. The AP has more.


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What we're reading

  • Top Kennedy spokesman resigns in protest of move to allow flavored vapes, New York Times

  • New subpoena suggests DOJ has begun criminal investigation of gender-affirming care, STAT
  • Inside the race to develop a test for the rare Andes hantavirus, Wired
  • The ‘velocity of obesity’ aims to show which nations are slowing an epidemic, STAT

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