January 21, 2026
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Morning Rounds Writer and Reporter

It's the third week of January and I'm already behind on so much reading. So, belatedly, I recommend this New Yorker short story from Jan. 4: "Deal-breaker." It's very sweet. 

And a housekeeping note: You'll hear from Rose tomorrow and me on Friday this week. I apologize in advance if this switch makes you think tomorrow is Friday when it is not. 

policy

How HHS and NIH fared in Congress’ latest deal

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Samuel Corum/Getty Images

Congress reached a deal on several health care policies yesterday, including a crackdown on drug-industry middlemen, transparency measures for hospital billing, pediatric cancer research, and Medicare coverage of multi-cancer screening tests. The measures are part of a bill to fund HHS, which itself is part of a package of government spending bills for labor, education, defense, homeland security, transportation, and housing.

Both the Senate and the House still must pass the legislation, and details could change before then. Read more from STAT’s John Wilkerson and Daniel Payne on the major policy areas in the package and how the appropriations compare to last year.

The spending package rejects many of the most dramatic changes to the federal health care infrastructure that President Trump’s administration has proposed, including a near-total rebuke of any downsizing or reshaping of the NIH for the 2026 fiscal year.

Congress set NIH’s budget at $48.7 billion, a $415 million increase over the 2025 fiscal year, and retained language to prevent the Trump administration from slashing support for research overhead. But the measure does include a win for the White House regarding its new funding strategy for multiyear grants. Read more from STAT’s Anil Oza and Jonathan Wosen on how the medical research agency fared.


notable quotable

'It's just the cost of doing business'

That was Ralph Abraham, the CDC’s principal deputy director, who said at a press conference yesterday that he would not view the loss of the country’s measles elimination status as a significant event. Measles is currently spreading through the U.S. at levels that haven’t been seen in decades, as STAT’s Helen Branswell has reported. Abraham spoke on the one-year anniversary of the first confirmed measles case from the large West Texas outbreak that spread across multiple states and led to three deaths last year. Read more from Helen on Abraham’s comments, what they mean for the CDC’s efforts to support communities affected by measles, and when we’ll know whether the United States has lost its elimination status.  


first opinion

When a prostate screening does more harm than good

Howard Wolinsky was 55 years old when he had his first digital rectal exam, more than two decades ago. A prostate-specific antigen (PSA) test accompanied the exam, and found levels high enough to warrant a biopsy to screen for cancer. As Wolinsky writes in a new First Opinion essay, that single result placed him “at ground zero of a medical firestorm.” Over the years, multiple doctors have urged him to consider surgery that he ultimately didn’t need to undergo. 

There have long been concerns about PSA testing due to overdiagnosis and overtreatment, and doctors still debate the test’s overall value. Wolinsky argues that better tools are needed so men aren’t rushed into aggressive surveillance or treatment. Read more on the costs of what he calls a “relentless treadmill of testing, scans, and biopsies.”



closer look

Queer women have heightened risk of alcohol-related suicide

Alcohol-related health problems have been increasing for decades in the U.S. But often overlooked is that LGBTQ+ people, particularly queer women, consume more alcohol than their straight peers. These populations also have higher rates of suicide. A study published Friday in JAMA Network Open used data from the National Violent Death Reporting System to analyze the intersection of these two health issues.

Data on suicides from 2013 to 2021 showed that when lesbian, gay, and bisexual women died by suicide, their deaths were 38% more likely to involve alcohol use than straight women. There was not an increased risk for gay men compared to their straight counterparts.

The study authors note that they weren’t able to analyze data on the deaths of transgender people, despite the population’s increased risk for both suicide and alcohol use. This isn’t because the Trump administration erased data on transgender identity from the database — which they did, study author Sarah McKetta confirmed to me over email. The researchers got access to the data before the Trump administration started. But even though there was a template for coroners or medical examiners to indicate if somebody was transgender, McKetta explained, there was no clear way to provide the person’s actual gender identity.


media

Clinicians have a lot to say about ‘The Pitt’

TV audiences are enamored with “The Pitt,” a medical procedural drama which began airing its highly anticipated second season earlier this month. (I’ve never seen it, sorry!!) Part of the appeal, as it’s been pitched to me, is how realistic the show is. In a Boston Globe story published yesterday, Massachusetts-based clinicians told Jonathan Saltzman that the show is so true to life they’re urging family members to watch it to better understand their jobs.

“This show is the most realistic portrayal of my job that I’ve ever seen,” said Dr. Ali Raja, executive vice chair of emergency medicine at Mass General Brigham. 

But, there are a few “buts.” In a First Opinion essay published last fall, an emergency medicine resident argued that the show accurately portrayed emergency care, but missed a chance to show the financial consequences that can befall patients. And in an essay published over the weekend, another emergency physician says that the show’s decision to focus on the main character’s anguish over Covid paints the pandemic as a sad misfortune, rather than a moral failure. Read the criticism and let me know what you think.


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What we're reading

  • ICE is using Medicaid data to find out where immigrants live, Stateline

  • I’m getting the HPV vaccine at 24. That’s a problem, STAT
  • America's would-be surgeon general says to trust your 'heart intelligence,' The Atlantic

Thanks for reading! More next time,