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First Opinion

To kick off the first full week of 2019, First Opinion authors explored coping with an unborn child's deadly diagnosis, the Apple Watch 4, climate migrants, and more. As ever, please send ideas for First Opinion articles to Pat Skerrett at first.opinion@statnews.com.

Our child received a devastating diagnosis before she was born. We decided to protect her

By Allison Chang

Maria Fabrizio for STAT

At 15 weeks of gestation, our daughter had severe malformations due to trisomy 18, a deadly genetic condition. Everyone was so kind and supportive.

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The NIH is thwarting research on a poorly understood yet serious condition

By Jennifer Spotila

MEAction

Given these hurdles, it's hardly surprising that researchers hesitate to submit grant applications, or perhaps even move to entirely different fields.

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We’re providing medical care to a new type of migrant — the climate migrant

By Ed Zuroweste

Justin Sullivan/Getty Images

Climate migrants are forced from their homes by severe weather, fire, drought, rising sea levels, and more. Our health system isn't prepared for them.

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‘Nominal pricing’ can help prisons and jails treat hepatitis C without breaking the bank

By Anne C. Spaulding and Jagpreet Chhatwal

John Locher/AP

Nominal pricing — at least 90 percent discounts — could give the penal system an affordable way to treat all incarcerated individuals with hepatitis C.

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Drug pricing conversations must take the cost of innovation into consideration

By Craig Garthwaite and Benedic Ippolito

Alex Wong/Getty Images

Legislation to lower drug prices may be good for today, but it can undermine incentives to invest in developing tomorrow's innovative products.

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Stop outrageous air ambulance bills by disclosing the transport price

By Kevin Schulman and Barak Richman and Arnold Milstein

Adobe

A ride in an air ambulance can rack up a surprisingly high bill. Requiring companies to disclose the cost upfront can help stop so-called surprise bills.

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The Apple Watch 4 is an iffy atrial fibrillation detector in those under age 55

By Daniel Yazdi

Adobe

The Apple Watch 4 can detect the harmful irregular heart rhythm called atrial fibrillation. But it's wrong 80 percent of the time in younger people.

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Virtual repurposing can speed the discovery of new uses for existing drugs

By Inga Peter

Adobe

Virtual repurposing uses big data and genomics to discover connections between seemingly "unconnected" diseases that may lead to new treatments.

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The real border crisis: medical neglect of migrants in detention centers

By Chanelle Diaz

David J. Phillip/AP

Medical neglect at border facilities and immigration jails across the country has led to more than 20 deaths, including three children, since 2010.

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Medicare for all is about trade-offs, not rights and privileges

By Andrew Schuette and Peter Boumgarden

Justin Sullivan/Getty Images

While Medicare for all would bring equity to health care in the U.S., the process of unwinding our current system would be painful.

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Sunday, January 13, 2019

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