The Perilous Spread of the Wellness Craze

A new book reveals how health-care inequality fueled the spread of anti-science conspiracy theories. “Wellness is a $6.3 trillion industry, according to a 2024 report from the Global Wellness Institute, an industry trade group. That’s bigger than the GDP of Germany, and nearly four times the size of the global pharmaceutical industry. The real growth has been within the past 10 years—the GWI’s report calls it the “wellness decade.” And women represent most of its consumers. In a nation known for its relatively poor health, nearly everybody seems to be thinking about how to be healthy: According to a 2024 … Read More

The AI threat to public health no one is thinking about: a fake bioterrorist attack

A disease doesn’t have to be real to cause worldwide damage “While I am deeply concerned about the long-term existential threat of AI and synthetic biology to create new or modified pathogens, my extensive experience detecting and controlling outbreaks around the world makes me fear a more immediate threat: a rogue actor using existing AI tools to simulate a bioterrorism attack that would destabilize a region or the world. [..] Freely available AI tools now permit people to create “deepfakes” that are almost impossible for a person to differentiate from reality without special tools. It’s not simply a question of whether … Read More

R.F.K., Jr., Anthony Fauci, and the Revolt Against Expertise

It used to be progressives who distrusted the experts. What happened? “Citing evidence, ignoring appeals to authority, reserving judgment, demanding more research—these are potentially exhausting traits in a conversational partner, but they’re also marks of a scientific mind. Rather than being “anti-science,” [Robert F] Kennedy [Junior] seems enchanted by it. His accusatory book “The Real Anthony Fauci” (2021) is packed with discussions of clinical studies, and it bears a blurb from a Nobel-winning virologist. (Anyone worried about the lack of public appetite for complex writing should contemplate the fact that this nearly five-hundred-page, data-drenched work of nonfiction has sold more … Read More

The MAHA-Friendly App That’s Driving Food Companies Crazy

Yuka and other apps are influencing shoppers’ purchasing habits; ‘There are a lot of opinions out there’ “Some in the food industry see the future of food labeling in Yuka and similar mobile apps. As consumers increasingly scroll their phones to decide what to eat, such apps are one way to render immediate judgment on a product. Often, they suggest what they deem to be healthier alternatives. [..] Adoption of the apps has been fueled by the same skepticism toward food ingredients, companies and regulators that animates the “Make America Healthy Again” movement spearheaded by Robert F. Kennedy Jr., President Trump’s Health and Human Services secretary. [..] Yuka … Read More

Uncertainty and proof

“Adam Kucharski, mathematical modeller and Professor of Infectious Disease Epidemiology at the London School of Hygiene & Tropical Medicine in London, UK, was one of the most reliable expert sources for many reporters wrestling with the scientific debates and dilemmas [around COVID-19]. He has now distilled his experience from working on both the pandemic and the epidemiology of other disease outbreaks, such as Zika virus disease and Ebola virus disease, into Proof: The Uncertain Science of Certainty, an exceptionally clear and engaging account of how scientists demonstrate truth and falsity. By showing that the matter often requires us to accept uncertainty … Read More

Communicating With Patients About Surgery

“Surgical problems often involve rapid decision-making with limited time for deliberation and require proficiency discussing interventions ranging from elective outpatient procedures to an emergency operation in the setting of life-limiting illness. For patients and families, the concept of surgery may incite strong emotions, with many discussions occurring without a previously established patient-surgeon relationship. [..] Attend to Emotion Receiving bad news such as a new cancer diagnosis or an unexpected postoperative complication often takes patients and families by surprise. Without warning about difficult news, they may fail to process what has happened. To anticipate and attend to their emotions, surgeons can … Read More

Why Good Palliative Care Clinicians Get Fired

“Although many health care clinicians have been fired by a patient or family, palliative care clinicians may be at increased risk for dismissal. We invite difficult conversations, confront people with news they prefer to avoid, and encourage otherwise taboo topics such as human frailty and death. Our focus on what may go wrong differs from other clinicians’ optimism and may be unwelcome to patients and health care teams alike. We acknowledge emotional vulnerability, explore uncertainty, uncover fears, and describe a future in which patients make difficult choices about how they live and how they die. When we do our jobs … Read More

Unintended Consequences of Patient Portal Access

“On April 5, 2021, a landmark change in health care occurred: the 21st Century Cures Act, known as the Cures Rule, took effect, requiring clinicians to give patients real-time access to their health data via patient portals. This was intended to empower patients by granting access to their medical information, enabling them to take an active role in their care, and ultimately improving health outcomes. However, as with many policy changes, the reality has proven more complicated. While the shift aimed to democratize health care information, its consequences—both for patients and clinicians—are more nuanced than anticipated. The promise of transparency … Read More

Retractions, Walkouts Plague Fast-Growing Scientific Journals

“in the past two years, Web of Science, an influential index of scholarly literature, delisted at least four high-volume journals for not meeting quality standards and placed four more on hold while it investigates their work. These are some of the latest signs of scientists’ mounting concern over the quality of research. Altogether, editors at nearly 40 journals have quit in the past decade over differences with their publishers, according to the website Retraction Watch. [..] Scientific journals were once mostly produced by scholarly societies that circulated periodicals or meeting summaries for scientists who couldn’t attend their events. Some—including the … Read More

For the Sake of 600,000 Children, Science Must Be Bold

“A report last week from the World Health Organization reveals that 597,000 people died of malaria last year, overwhelmingly children under age 5, and an estimated 263 million people were sickened. Thousands of families cradled a baby dying from a preventable fever; thousands of pregnancies ended in stillbirth or maternal death. For a time in the early 2000s, it seemed as if the world was gaining ground against malaria, but progress has stalled, cases have risen and the hopes for its near-elimination by 2030 have been scuttled. Global warming, armed conflict and lack of funding are all factors. And while new vaccines … Read More