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The experience gave me the opportunity to reflect on what reforms I would like to see at the CDC as it faces a pivot point in the history of public health. Here are six themes that I see as most urgent.

The emergence of birthright citizenship introduces a nation concerning individuals and the state that is contrary to the entire American idea. For the majority of the court to do this on the 250th anniversary of the Founding adds to the insult.

Healthcare in the United States is in a death spiral. Costs rise, chronic diseases consume 90% of healthcare spending, and millions of Americans feel trapped in a system that limits choice. Patients increasingly want insurance for a broader spectrum of care.

John Adams stated that “Our Constitution was made only for a moral and religious people. It is wholly inadequate to the government of any other.” Are we modern Americans composed of the stuff needed to save our Republic?

America was founded on a set of beliefs and convictions—what Thomas Jefferson described as self-evident truths that were proclaimed in the 1776 Declaration of Independence and then protected by the Bill of Rights and the Constitution.

The most infuriating part of the VRBPAC meeting was that the members actually acknowledged and discussed some of these concerns, but instead of postponing its recommendation, the committee simply recommended further studies be done after malflusiva’s approval.

We must make form healthcare “Communities of Practice” that are composed of groups of vertically and horizontally integrated professionals. Those just entering, those in active practice, and those in retirement can utilize such a Community of Practice for the transfer of knowledge.

That may become Senator Johnson's greatest contribution, not simply exposing what happened, but demonstrating that the search for truth does not end when the headlines fade. For thousands of Americans, that renewed faith may prove to be the best medicine of all.

The US alone owes $2.196 billion to the regular budget and $1.8 billion to separate peacekeeping operations, which amounts to about one-quarter of UN funding. Without it, the UN will be sorely diminished in status.

A cache of internal emails obtained from within the US National Institutes of Health has exposed years of strategic planning for future pandemics involving governments, foundations, international organisations, and pharmaceutical companies. The documents, stretching back to at least 2016.

The FDA possesses the legal authority, institutional framework, and technical expertise necessary to solve this problem. What is missing is leadership’s willingness to demand the standards that once defined American drug regulation and legacy records of a low number of recalls.

Frame the debate so that only one conclusion is possible, then demonstrate some sense of open-mindedness about how people arrive at that conclusion. Be empathic about the journey. Just never, ever allow the destination to be questioned.

Third spaces offer something many of us are now missing: identity flexibility. They are places where we are not reduced to our roles. We are simply human among other humans. Without that middle space, identity collapses inward.

Arguably, the most critical question for medicine is, “How certain are we that our actions are justified?” The response to this question may determine whether medicine continues to honor its commitment to healing or shifts toward the exercise of power.