A Ban on Gender-affirming Care

From Healthcare Triage. The U.S. Department of Health and Human Services [1]recently announced a series of actions aimed at banning gender-affirming care for minors. This is a big deal. Banning access to gender-affirming care removes a key protective factor for a population already facing elevated vulnerability. Youth who are denied desired care may experience worsening…

What’s Happening with Obamacare Subsidies Now?

From Healthcare Triage. The recent government shutdown hinged on a very specific health-care question: whether Congress should extend the enhanced Affordable Care Act (ACA) premium tax credits that help millions of Americans afford marketplace coverage. So, where are we at with that question now that the government is back open? Related HCT episodes: Government Shutdown:…

Leucovorin and Autism?

From Healthcare Triage. In September 2025, President Trump and HHS Secretary Robert F. Kennedy Jr. announced multiple policy moves around autism. Among them: updating the drug label for leucovorin to include treatment of speech-related deficits in autism and encouraging Medicaid coverage in many states. So, what’s Leucovorin? Related HCT episodes: Tylenol and Autism: https://youtu.be/vx5xH1zs4Tc Be…

Data is Disappearing from Government Sources

From Healthcare Triage. In February 2025, the New York Times reported the removal of more than 8,000 pages from federal websites, including content on vaccines, veterans’ services, hate crimes, and health research. Efforts to remove, restructure, or completely eliminate public health information from federal websites undermine the essential infrastructure that scientists, clinicians, health policy makers,…

How “Follow the Science” Got Us Lost

From Healthcare Triage. The value of science is being challenged. Budgets for scientific research are being slashed and a lot of research has been deemed wasteful. Meanwhile, recent surveys show public trust in scientists has dropped sharply, particularly among conservative voters, compared to pre-pandemic levels. Unfortunately, the scientific community shoulders some of this blame, and…

The Risks of a Federal Autism Registry

From Healthcare Triage. In April 2025, the director of the National Institutes of Health described a proposal to "develop national disease registries, including a new one for autism." Days later, officials walked back claims that the intention was to develop an autism registry, and instead focused on plans to create a real-world data platform that…

The History of Randomized Controlled Trials

From Healthcare Triage. The randomized controlled trial (RCT) is one of the most powerful tools of modern science. So how did we come up with this powerful tool for experimenting and finding thruth? It took a while. Learn about the fascinating history of RCTs. They’ve been a long time coming. Related HCT episodes: How Experiments…