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Thursday, May 22 2025

Full Issue

Viewpoints: Climate Change Intensifies Fungal Infections; GOP Plan To Make Medicaid Eligibility Needlessly Difficult

Editorial writers delve into these public health topics.

Fungal pathogens are the underdogs of the medical world 鈥 largely understudied and underfunded 鈥 partly because fatal disease most often occurs in immunocompromised populations or developing countries. The most common infections known to the public are minor 鈥 athlete鈥檚 foot, thrush, ringworm 鈥 and so the idea of a deadly fungus is limited to science fiction, such as the video game-turned-TV show The Last of Us. (Lara Williams, 5/22)

The proposed House bill reverses what has been a quiet revolution in Medicaid 鈥 making it easier for people who are eligible to obtain benefits. Over the past 15 years, reforms have included simplifying applications, eliminating confusing paperwork and automating processes, especially when it comes to renewing benefits. Surveys show that the public supports such service improvements. (Pamela Herd and Donald P. Moyniham, 5/22)

For weeks, Republicans in Congress have been haggling over cuts to Medicaid, the health-care program for the poor. Some lawmakers see an opportunity to offset the cost of extending $5 trillion in tax cuts, a priority for the White House. Others worry their constituents could lose access to critical care. (5/21)

In April the Trump White House paved over the informational public health website Covid.gov with what can only be described as a splashy propaganda page. 鈥淟AB LEAK,鈥 it shouted in large font at the top, movie-poster style, with Donald Trump鈥檚 image positioned between the enormous capital letters as an A-list star investigator. The tagline: 鈥淭he true origins of Covid-19.鈥 (David Wallace-Wells, 5/21)

When I heard that the Food and Drug Administration was announcing a new framework for coronavirus vaccine approval, I expected the worst. After all, the FDA answers to Robert F. Kennedy Jr., who has called the coronavirus shots the 鈥渄eadliest vaccine ever made.鈥 Kennedy recently said he wants placebo testing for all new vaccines, stoking fear that this requirement would apply to updated covid shots and hinder their availability this fall. (Leana S. Wen, 5/21)

In 2018, my daughter, Mila, became the first person in the world to receive a medicine designed for one person, an antisense oligonucleotide (ASO) called 鈥渕ilasen.鈥 Last week, the world received the breaking news that a baby named KJ had received the first personalized CRISPR treatment 鈥 one that may save his life. Just as technology is revealing thousands of genetic conditions behind previously unexplained symptoms, Mila and KJ鈥檚 stories are proving an entirely new way of treating those who suffer from genetic disease. The new era of individualized medicines is here. (Julia Vitarello, 5/22)

It should come as no surprise that the recent revelation that former President Joe Biden has an aggressive form of prostate cancer drew a broad spectrum of reactions from the sympathetic to the scrutinizing. And perhaps that was best exemplified by President Donald Trump who in an Oval Office chat with reporters on Monday initially described the situation as 鈥渧ery sad鈥 but then spoke of how it might have been diagnosed sooner and how 鈥渢he same doctor鈥 failed to document Biden鈥檚 cognitive decline. (5/21)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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