Policy & Ethics

In the Fall of 2021, the Maine Board of Licensure in Medicine announced that “licensees may face disciplinary action should they “generate and spread COVID-19 vaccine misinformation or disinformation.” Meryl J. Nass, MD, a Maine family practitioner, had her license suspended for this in January 2022. She is suing, claiming a first amendment right to her speech.
“Wabi-sabi is a beauty of things imperfect, impermanent, and incomplete.” It is a concept entangled in both Chinese and Japanese culture, and while difficult to explain well, especially for a novice understander like myself. It is a way of understanding, a particular lens on life.
“Policymakers embrace the neat, plausible, and wrong explanation for the overdose crisis because it is easier than accepting the inconvenient truth.”
According to the Affordable Care Act, anyone needing emergency care is entitled to treatment. In 1985, the Emergency Medical Treatment and Labor Act (EMTALA) was enacted to provide federal protection. Even so, insurers have tried to get around covering emergency services. The federal government has now muscled up, suing insurers for denying emergency coverage.
Overdose prevention centers have been saving lives in much of the developed world for more than 35 years. Yet an archaic federal statute blocks them in this country.
A synthetic embryo can now be constructed from very early pre-embryonic cells – without the need for an egg or sperm. These were initially created in mice. In April, Chinese researchers created synthetic monkey embryos. Last month, the first synthetic human models were reportedly created. This development throws a moral monkey-wrench into the current moratoria on embryonic research after 14 days. But there are more problems ahead.
The Golden State instituted a program to reduce carbon emissions to 40% below 1990 levels (the cap), by providing carbon credits to account for those excess carbon emissions (the trade). Economists worried that the job loss associated with industries with excess carbon emissions would not be offset by increasing jobs in “green” industries. A new study reports mixed results.
Five years after the driver of Uber’s autonomous car killed a pedestrian, the driver pleaded guilty to one count of reckless endangerment and was sentenced to no prison time, just three years of supervised probation. The law is designed to fill a deterrence function and mete-out punishment for wrongdoing. So, did the law serve its function here? Does the law appropriately address these new technologies?
It is virtually impossible to walk a single block in New York City without seeing stores selling CBD oil. The Drug Gods haven't frowned upon CBD yet because it won't get you high. But CBD frequently contains delta-9-THC, the primary psychotropic component of marijuana, and that will get you high. Can CBD oil get you in trouble? Maybe.
The harder the enforcement, the harder the drug – the iron law of prohibition – is alive and well in the U.S., unlike those who consume increasingly dangerous circulating drugs like xylazine (aka "tranq") and more powerful fentanyl analogs. Drs. Jeff Singer and Josh Bloom explain in an op-ed in The Daily Beast.
The FDA is allowing women over-the-counter access to one brand of one form of birth control pill. But the agency should follow the advice of medical experts and let women exercise their right to self-medicate with all hormonal contraceptives.
Although Kansas' effort to prevent drug-impaired driving is admirable, the method the state is using to detect it is flawed. SoToxa, Abbott's hand-held analytical device can rapidly detect and identify common drugs in saliva but gives no information about the amount of drug present. I predict this will cause all kinds of problems