Publisher Health

The nation’s health secretary announced that he planned to invite scientists to provide answers by September, but specialists consider that target date unrealistic.Robert F. Kennedy Jr., the nation’s health secretary, pledged on Thursday to seek out experts globally to discover the reasons for the increasing rates of autism in the United States.“We’ve launched a massive testing and research effort that’s going to involve hundreds of scientists from around the world,” Mr. Kennedy announced at a cabinet meeting held by President Trump. “By September, we will know what has caused the autism epidemic and we’ll be able to eliminate those exposures.”“There will be no bigger news conference than that,” Mr. Trump replied.But scientists who have worked for decades to find a cause greeted Mr. Kennedy’s predicted timeline with skepticism.They said that a single answer would be hard to identify in a field of possible contributors including pesticides, air pollution and maternal diabetes.Dr. Philip Landrigan, a pediatrician and expert on environmental toxins, pointed to the current mass layoffs and cutbacks for research at Mr. Kennedy’s Department of Health and Human Services as one reason for doubting such quick progress.“Given that a great deal of research on autism and other pediatric diseases in hospitals and medical schools is currently coming to a halt because of federal funding cuts from H.H.S.,” he said, “it is very difficult for me to imagine what profound scientific breakthrough could be achieved between now and September.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

A barracks-style detention center in Louisiana is jammed with around 90 immigrant women, mostly undocumented workers from central and South America, sharing five toilets and following orders shouted by guards.There is also, among them, a Russian scientist.She is 30 years old, shy and prone to nervous laughter. She cannot work, because her laptop was confiscated. She plays chess with other women when the guards allow it. Otherwise, she passes the time reading books about evolution and cell development.For nearly eight weeks, Kseniia Petrova has been captive to the hard-line immigration policies of the Trump administration. A graduate of a renowned Russian physics and technology institute, Ms. Petrova was recruited to work at a laboratory at Harvard Medical School. She was part of a team investigating how cells can rejuvenate themselves, with the goal of fending off the damage of aging.On Feb. 16, customs officials detained her at Logan International Airport in Boston for failing to declare samples of frog embryos she had carried from France at the request of her boss at Harvard. Such an infraction is normally considered minor, punishable with a fine of up to $500. Instead, the customs official canceled Ms. Petrova’s visa on the spot and began deportation proceedings. Then Ms. Petrova told her that she had fled Russia for political reasons and faced arrest if she returned there.This is how she wound up at the Richwood Correctional Center in Monroe, La., waiting for the U.S. government to decide what to do with her.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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Seniors across the country are wearing very expensive bandages.Made of dried bits of placenta, the paper-thin patches cover stubborn wounds and can cost thousands of dollars per square inch.Some research has found that such “skin substitutes” help certain wounds heal. But in the past few years, dozens of unstudied and costly products have flooded the market.Bandage companies set ever-rising prices for new brands of the products, taking advantage of a loophole in Medicare rules, The New York Times found. Some doctors then buy the coverings at large discounts but charge Medicare the full sticker price, pocketing the difference.Partly because of these financial incentives, many patients receive the bandages who do not need them. The result, experts said, is one of the largest examples of Medicare waste in history.Private insurers rarely pay for skin substitutes, arguing that they are unproven and unnecessary. But Medicare, the government insurance program for seniors, routinely covers them. Spending on skin substitutes exceeded $10 billion in 2024, more than double the figure in 2023, according to an analysis of Medicare data done for The Times by Early Read, a firm that evaluates costs for large health companies.Medicare now spends more on the bandages than on ambulance rides, anesthesia or CT scans, the analysis found.Spending on skin substitutes has soared

New York Times reporters are looking into cases of unnecessary and wasteful spending in government health programs.In 2023, companies billed Medicare for hundreds of thousands of urinary catheters that doctors never ordered. The next year, doctors collected billions from the government for pricey bandages that were sometimes unneeded.Medicare waste has wide-reaching consequences. Even if patients do not pay the bills themselves, more spending by the government insurance program can increase future premiums.The New York Times wants to better understand what fraud, waste and abuse looks like in today’s health care system. Are there other instances of wasteful spending we should be investigating? Tell us about them. We are especially interested in cases that involve federal health care programs, like Medicare, Medicaid and Veterans Affairs.We will follow up with you before publishing any part of your response or your name.Help us investigate health care waste, fraud and abuse

From the “chairs” to the hallway medicine, the show’s depiction of an emergency medicine system that is beyond capacity rings true for medical experts.The emergency department waiting room was jammed, as it always is, with patients sitting for hours, closely packed on hard metal chairs. Only those with conditions so dire they needed immediate care — like a heart attack — got seen immediately.One man had had enough. He pounded on the glass window in front of the receptionist before storming out. As he left, he assaulted a nurse taking a smoking break. “Hard at work?” he called, as he strode off.No, the event was not real, but it was art resembling life on “The Pitt,” the Max series that will stream its season finale on Thursday. The show takes place in a fictional Pittsburgh hospital’s emergency room. But the underlying theme — appalling overcrowding — is universal in this country. And it is not easy to fix.“EDs are gridlocked and overwhelmed,” the American College of Emergency Medicine reported in 2023, referring to emergency departments.“The system is at the breaking point,” said Dr. Benjamin S. Abella, chair of the department of emergency medicine at Mount Sinai’s Icahn School of Medicine in New York.“The Pitt” follows emergency room doctors, nurses, medical students, janitors and staff hour by hour over a single day as they deal with all manner of medical issues, ranging from a child who drowned helping her little sister get out of a swimming pool to a patient with a spider in her ear. There were heart attacks and strokes, overdoses, a patient with severe burns, an influencer poisoned by heavy metals in a skin cream.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

She said I could tell her anything.I am a veteran with PTSD, depression, anxiety and marital discord. The Veterans Affairs Department has been paying for me to see a therapist. At my last session, I shared with my therapist that I’d had a sexual dream about her. I did not share any specifics about the dream, and I did not say or suggest that I have a crush on her. (I do not.)My therapist blew up at me, saying that this is something you should not bring up to a therapist. The next day I felt so bad about the incident that I texted the therapist and apologized. I told her I was embarrassed and would never share something like that again. She did not reply.Two days later, I received a phone call from her receptionist telling me that my therapist was terminating therapy with me.For the record, the therapist never told me any topic was off limits. In fact, she told me that therapy was a safe place to share any issues I wanted to bring up. I remember asking her, “I can tell you anything?” and she said, “Yes, anything.”I feel confused and abandoned. She was the only person I could share anything with and not feel judged. This is how a lot of vets feel if we share anything terrible we had done or failed to do while on active duty. I don’t think I will ever trust a therapist again.I feel lost, alone and hurt. Can you offer any guidance?From the Therapist:I’m so sorry that this happened to you, because you did absolutely nothing wrong. Instead, your therapist’s wrongdoing has left you in a deeply upsetting predicament. A therapist should create a truly safe space, and it’s devastating when trust in your therapist is broken. What you’ve experienced — especially after sharing something so delicately personal — is not only hurtful but also destabilizing.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

In an interview with CBS, the health secretary also suggested he wasn’t familiar with massive cuts to state funding for public health.In a rare sit-down interview with CBS News, Robert F. Kennedy Jr., the nation’s health secretary, recommended the measles vaccine and said he was “not familiar” with sweeping cuts to state and local public health programs.The conversation was taped shortly after his visit to West Texas, where he attended the funeral of an 8-year-old girl who died after contracting measles. A raging outbreak there has sickened more than 500 and killed two young children.In clips of the discussion released Wednesday, Mr. Kennedy offered one of his strongest endorsements yet of the measles vaccine. “People should get the measles vaccine, but the government should not be mandating those,” he said.A few moments later, however, he raised safety concerns about the shot, as he has previously: “We don’t know the risks of many of these products because they’re not safety tested,” he said.For months, Mr. Kennedy has faced intense criticism for his handling of the West Texas outbreak from medical experts who believe his failure to offer a full-throated endorsement of immunization has hampered efforts to contain the virus.Moreover, he has promoted unproven treatments for measles, like cod liver oil. Doctors in Texas believe its use is tied to signs of liver toxicity in some children arriving in local hospitals.Throughout the outbreak, Mr. Kennedy has often paired support for vaccines with discussions of safety concerns about the shots, along with “miraculous” alternative treatments.Over the weekend, he posted on social media that the M.M.R. vaccine was “the most effective way” to prevent the spread of measles — a statement met with relief from infectious disease experts and fury from his vaccine-hesitant base.That night, he posted again, this time applauding “two extraordinary healers” who he claimed had effectively treated roughly 300 measles-stricken children with budesonide, a steroid, and clarithromycin, an antibiotic.Scientists say there are no cures for a measles infection, including these, and that claiming otherwise undermines the importance of vaccination.Later in the CBS interview, Mr. Kennedy was pressed on the administration’s recent move to halt more than $12 billion in federal grants to state programs that address infectious disease, mental health, childhood vaccinations, among other efforts.(A judge has temporarily blocked the cuts after a coalition of states sued the Trump administration.)Mr. Kennedy said he wasn’t familiar with the interruptions, then asserted that they were “mainly D.E.I. cuts,” referring to diversity, equity and inclusion programs that have been targeted by the new administration.Dr. Jonathan LaPook, CBS’s medical correspondent, asked about a specific research cuts at universities, including a $750,000 grant to researchers at University of Michigan to study adolescent diabetes.“I didn’t know that, and that’s something that we’ll look at,” Mr. Kennedy said. “There’s a number of studies that were cut that came to our attention and that did not deserve to be cut, and we reinstated them.”

The health secretary seemed stoic — maybe nervous, even — at the start of his first major trip. But on a hike with Navajo Nation leaders, he was finally in his element.The sun was bursting through the sandstone arch of Window Rock in northeastern Arizona, and Health Secretary Robert F. Kennedy Jr., in bluejeans, was finally in his element: on a hike.It was the last day of his multistate Make American Healthy Again tour, designed to highlight various aspects of Mr. Kennedy’s plan to fight chronic disease, such as healthy school lunches and medical clinics that take a holistic approach to patient care.Now, the health secretary was strolling with the president of Navajo Nation, delegates of the nation’s council and the acting director of the Indian Health Service, discussing the challenges of providing high-quality health care to tribal groups. Here, weaving through the desert brush, Mr. Kennedy seemed to be hitting his stride.Mr. Kennedy had left Washington with questions growing about his handling of a measles outbreak in West Texas and the firing of thousands of Department of Health and Human Services employees. On his way out West, he had to make a stop in Texas on Sunday to attend the funeral of an unvaccinated 8-year-old girl, the second child to die of measles in this outbreak.And at the start of the tour the next day, Mr. Kennedy had seemed stoic — maybe nervous, even — as he was led through a Salt Lake City health center focused on nutritious diets. He declined a bag of fresh groceries, citing his upcoming flight. In the “training kitchen,” he dropped an ice cube, dribbled a mango lassi and stood expressionless as a medical student reached to activate the secretary’s food processor without putting the lid on. (An administrator stopped her just in time.)“That would have been bad,” the student said, glancing at the secretary’s white shirt and pressed suit. At last, Mr. Kennedy cracked a smile.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.