"The federal institutions American physicians depend on still exist, but the layer of independence inside each of them has been removed."
"What MMWR gave us was a signal early enough to act on, and a system trustworthy enough that we did."
"The dismissals came in brief emails, with no explanation. They are the latest in a year of changes that share a single design."
"Federal law requires advisory panels to be balanced in their viewpoints. It requires agencies to give reasoned explanations before changing longstanding rules."
In June 1981, unusual pneumonia cases in young men signaled the emergence of AIDS, reshaping clinical medicine. The federal scientific architecture that provided early warnings is now being dismantled. Recent terminations of National Science Board members indicate a loss of independence in federal institutions. Although these agencies still exist, their ability to operate free from political pressure has been compromised. This shift undermines the foundational principles established by Congress to ensure balanced advisory panels and reasoned explanations for rule changes, jeopardizing public health and medical practice.
Read at www.theguardian.com
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