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We spend quite a bit on body-affirming surgery in the US. According to the Aesthetic Society, in 2021, we spent $14.6 billion on procedural care, including liposuction and breast augmentation, to mention the top two. That doesn’t include the nips, tucks, revisions, or injectables to fill or paralyze. One form of body-affirming surgery remains quite controversial, genital gender affirming surgery – a new study follows up on our earlier reporting.

The FDA has tried to fight opioid addiction by asking patients to mail their excess prescription pain meds to the agency for disposal. It's an absurd proposal. There's lots of anti-pesticide 'facts' floating around the internet; let's debunk the most popular of these claims.

Politics vs. public health. California Governor Gavin Newsom vetoed a bill that would have authorized safe consumption sites to help prevent drug overdoses, an example of harm reduction. Dr. Jeffrey Singer, a senior fellow at the Cato Institute and member of the ACSH Scientific Advisory Board strenuously disagrees.

The global population is becoming increasingly sedentary, an inevitable result of labor-saving technologies. Some might argue that our couch-potato ways go against our evolutionary design; we were hunters and gatherers, and that rarely allowed time for sitting around. A new study considers whether sitting is the great Satan of a healthy life.

If you find yourself wondering why the science press is afforded so little respect these days, maybe overhyped claims are contributing. Last week, various lay publications and press releases reported that posture significantly affects how fast the body absorbs medicine. The results were based on a new model to simulate drug dissolution in the human stomach. Sounds important and impressive, no? No. Read on.

Certainty and extremism
Will we ever know the origin of COVID-19?
What can the Talmud teach us about Twitter and Facebook?
And now, a moment with Hans Rosling.

A paper in the journal Science describes a new method for breaking down forever chemicals (PFAS), which, as their name implies are not so easy to destroy. Can this method be used to remove traces of these chemicals from our water? Or for anything else?

In 1974 I called a nuclear engineer to interview him for a term paper on nuclear fusion power. We talked about all the advantages of fusion power, its prospects for the future, the impact on civilization, and so forth…and at the end of the interview, I asked him when he expected to see commercial fusion power. “I think it will be about 20 or 25 years from now that we see the first fusion reactor come online.” And that’s been the standard joke about fusion power since before I wrote my paper – that it’s about 25 years in the future…and always will be. But maybe that’s changing.

One measure of the safety and quality of nursing home care is the presence of a pressure ulcer on its residents. CMS reports these numbers to the public as a star-ranking on Nursing Home Compares and penalizes nursing homes with more observed pressure ulcers than anticipated. The system relies on the self-reporting of pressure ulcers to CMS. A new study finds that nursing homes “substantially underreport” these events.

Of all the world's problems, arguably the most pressing is "which Tootsie Pop flavor is the most natural?" Another would be "why is Dr. Oz's head in that picture?" A lesson on artificial flavors and people.

With the announcement by Dr. Rochelle Walensky, the Director of the Centers for Disease Control, that “The CDC has to change,” the season for bureaucratic changes in response to its failing pandemic responses is fully underway. But to misquote William Shakespeare, I have come to neither bury nor praise their work. Instead, I want to discuss their efforts through the lens of “midinformation.”

“The CDC has to change.” Those are the words of the Centers for Disease Control’s director, Dr. Rochelle Walensky as she announced a reorganization and change in leadership stemming from its flawed handling of the coronavirus pandemic. But, will such a shake-up lead to a shape-up? We have our doubts.

Water (H2O) is essential to life and is ubiquitous; found even on planets, asteroids, and comets. It is a deceptively simple but very complex entity with many facets. Many people in developed countries consider access to quantities of drinkable (potable) and other water to be a given and at a low cost. The United Nations says that access to sufficient, safe water is a human right, but you get what you pay for.  Access to universal assured safe drinking water has existed for only about 120 years with the development of microbiology to test for pathogens and engineering for filtration and disinfection water treatment.

I like Marion Nestle, although I do not always agree with her point of view. She writes a food blog entitled Food Politics, and in her current article, it seems that the emphasis here is on politics rather than food.

There is no question that health, fitness, and anti-aging issues dominate our culture and have risen to a cult level of obsession for millions of people who have turned the simple task of feeding and taking care of themselves into a religious obsession. 

A recent study has reporters worried that "ultra-processed" foods accelerate cognitive decline. Don't panic just yet.

We sure need a new pain medicine without the baggage of NSAIDs or the stigma of opioids. Johnson & Johnson thinks it might have an answer - a derivative of Tylenol without the associated liver toxicity. But does it treat pain? Not very well.

If you're sick and tired of hearing about yet another Omicron subvariant taking over the world you're not alone. But there is one subvariant called Centaurus, aka B.27.5, that provides a fascinating example of how a seemingly-minuscule mutation can have a profound effect on the virus. And, at no extra cost, a Dreaded Chemistry Lesson From Hell! Plus a gratuitous shot at Dr. Oz.

We've been told for decades that less is more when it comes to salt in the diet. Recent research has thrown that conclusion into doubt. Can we identify children who may be at risk for SIDS before it suddenly and tragically strikes?

Is the climate crisis a population problem or a poverty problem?
Are you more disabled as a composer if you are blind or deaf?
A Dutch pastime - Uitwaaien
Medicare can negotiate prices; what might go wrong?

“Consumers increasingly want to make decisions on the environmental sustainability of foods.” Are you one of these consumers? Can your food choices sustain your health and that of the planet? A new study considers the “environmental impact” of food products. As it turns out, not all foods that sustain your health will sustain the planet – we will not eat our way out of climate change.

The FDA has released the latest results from its Pesticide Residue Monitoring Program. Activist groups are scrambling to dismiss the report.

In the last few weeks, there was a skirmish in the political battles involving the veterans of our efforts in Iraq, Afghanistan, and the rest of the Middle East, Jon Stewart, and PACT, the Promise to Address Comprehensive Toxics Act. After a bit of posturing and strategy, PACT was passed. But what do we know about the burn pits beyond the sound bites?

Similar to the Wizard of Oz, surprising facts are revealed when the curtain is pulled back on EPA’s PFAS Health Advisories. Why did EPA set protective “safe levels” against adverse outcomes not seen in the U.S. population? In this article, I will examine why EPA set the health advisories using methodology as they did, which I believe, allows scare tactics against PFAS to continue and flourish.

According to our “friends” at the EWG, “American consumers spent a total of $20.4 billion on organic fruits and vegetables, fresh and frozen combined, in 2020, making organic produce now 15 percent of all fruits and vegetables sold in the U.S.” [1] So perhaps we might begin to call it Big Organic, it certainly is showing the same type of market forces as conventional Big Ag. Don’t let the marketing fool you; organic is no longer just those family farms and farmers, as a new study in Nature reports.