The US is sitting on one of the largest data sets on any animal group, but most of it is inaccessible and restricted to local agencies

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If you watched the drama in Washington last month, you may have come away with the impression that the American health care system is a hopeless mess. So it is surprising that across the continent from Washington, investors and technology entrepreneurs in Silicon Valley see the American health care system as the next great market for reform

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The widely accepted principle that mums-to-be are a ‘vulnerable’ group unfairly excludes them from taking part in clinical studies, and perpetuates the knowledge void around the impact of drugs taken during pregnancy, conclude researchers in the Journal of Medical Ethics. In a linked Commentary, Drs Carleigh Krubiner and Ruth Faden, of the Berman Institute, argue that the designation of pregnant women as ‘vulnerable’ “is inappropriate and disrespectful.”

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Chair of research program’s institutional review board details big challenges ahead. “This is the largest government study ever on its own people.” Nancy Kass, Sc.D., a professor of bioethics and public health at the Johns Hopkins Berman Institute of Bioethics was talking about the Precision Medicine Initiative, now called the All of Us Research Program

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In the new issue of NEJM, Alta Charo writes, “Human reproduction has become the victim of alternative science, rife with alternative definitions of well-understood medical conditions and characterized by rejection of the scientific method as the standard for generating and evaluating evidence. Alternative science begins with alternative facts of the sort propounded by the Trump administration and its appointees,..”

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– but here’s one reason it doesn’t always work. In a meta-analysis covering over 20 studies, a team from Australia found no significant effects of tDCS on memory. It looks like timing is everything

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From 2009 to 2016 healthcare providers reported 1,225 of the total 1,798 data breaches in the United States, researchers at Michigan State University report

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Indiana expanded Medicaid under the Affordable Care Act in 2015, adding conditions designed to appeal to the state’s conservative leadership. The federal government approved the experiment, called the Healthy Indiana Plan, or HIP 2.0, which is now up for a three-year renewal. But a close reading of the state’s renewal application shows that misleading and inaccurate information is being used to justify extending HIP 2.0

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