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Psychedelic expansion
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New therapies raise questions about equitable access.
Morning Brew May 24, 2024

Healthcare Brew

Thermo Fisher Scientific

TGIF! May isn’t just National Correct Posture Month and National Asparagus Month, it’s also Mental Health Awareness Month—a time to reflect on how healthcare can better prioritize the mind and the body. ‍♀

In today’s edition:

The equity and the ecstasy

Ascension and on it goes

🍽 Your loss is their gain

—Maia Anderson, Neelam Bohra, Cassie McGrath

PHARMA

New therapies, old inequities

MDMA pills, an ayahuasca plant, and psilocybin “magic” mushrooms laying on a field of light green Amelia Kinsinger

With the FDA poised to decide whether to approve an MDMA-based psychedelic medicine later this year and multiple states taking steps toward potentially legalizing their therapeutic use, psychedelics are becoming increasingly popular within healthcare. But with that increased popularity come concerns that patients won’t get equal access to the therapies.

Most psychedelics are still classified as Schedule I drugs (the Drug Enforcement Agency’s strictest classification) and thus illegal at the federal level, with the closest thing to an FDA-approved psychedelic medicine being Spravato, a nasal spray made from ketamine that is designed for treatment-resistant depression—though there’s some debate over whether ketamine qualifies as a psychedelic.

But the FDA has granted psilocybin, MDMA, and a form of LSD breakthrough therapy status, a designation it uses for drugs that treat a “serious or life-threatening condition, and preliminary clinical evidence indicates that the drug may demonstrate substantial improvement on a clinically significant endpoint(s) over available therapies.”

The designation allows drug companies to run clinical trials of the drugs for potential therapeutic uses. Psilocybin is currently being studied to treat depression; MDMA is being studied to treat post-traumatic stress disorder (PTSD); and LSD is being studied to treat generalized anxiety disorder, according to Lynn-Marie Morski, president of the Psychedelic Medicine Association, a professional association “bridging the gap between the advances taking place in the psychedelic research world and medical practitioners.”

Keep reading here.—MA

   

SPONSORED BY THERMO FISHER SCIENTIFIC

Crack the test code conundrum

Thermo Fisher Scientific

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HOSPITALS & FACILITIES

Ongoing diversion

the exterior of Ascension Sacred Heart Hospital in Pensacola, Florida Josh Brasted/Getty Images

Two weeks into the ransomware attack on national hospital operator Ascension, access to many electronic patient records, communication systems, and online ordering and prescribing systems remains blocked, according to a May 21 statement—and the effects are reportedly snarling patient care.

In Detroit, where the hospitals have relied on fax machines to send orders, even critically ill patients have seen hours-long delays in their test results, the Detroit Free Press reported.

One nurse anonymously told the news outlet she wasn’t even sure the blood test results she received belonged to her patient because of the current manual recordkeeping system, adding, “We are waiting four hours for head CT (scan) results on somebody having a stroke or a brain bleed.”

Ascension, a St. Louis-based Catholic nonprofit with 140 hospitals and thousands of affiliates around the country, said in a May 15 statement that it was working with outside cybersecurity firm Mandiant for help, as well as enlisting “cybersecurity experts from Palo Alto Networks Unit 42 and from CYPFER to help supplement” their efforts to restore systems.

Keep reading here.—NB

   

PHARMA

Cheap shot

Hims & Hers weight loss drug product shot Hims & Hers

Hims & Hers is getting theirs. The San Francisco health and wellness company’s stock shot up 37% on Monday after it announced the release of its own GLP-1 weight loss medication.

Made from the same active ingredients used in Ozempic and Wegovy, the company created treatments for prices as low as $199 per month compared to about $1,000 for the name-brand injections.

The Hims & Hers release comes amid a shortage of GLP-1s, as the demand for medications to treat obesity and diabetes outpaces the supply. When name brands face shortages, the FDA allows pharmacies to compound drugs, a process that uses the same ingredients and does not require FDA approval—thus allowing Hims & Hers to enter the market.

Keep reading here.—CM

   

FROM THE CREW

The Crew

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VITAL SIGNS

A laptop tracking vital signs is placed on rolling medical equipment. Francis Scialabba

Today’s top healthcare reads.

Stat: 42%. That’s the percentage of patients who remained on life support for more than a few days, yet recovered enough to return to a life of “some degree of independence” within a year. (the New York Times)

Quote: “I guess it was the best for them, because they didn’t have to deal with another sickle cell patient coming into their office saying they’re pregnant.”—Whitney Carter, a sickle cell patient who said she felt pressure from her ob-gyn to get her tubes tied (Stat)

Read: Kris Hansen was working as a chemist at 3M when she discovered “forever chemicals” contaminating human blood samples in the late 1990s. Her bosses allegedly gaslit her about the results and ultimately halted her work. (ProPublica)

Get LOGical: Get the most up-to-date allergy test codes for ImmunoCAP™ Specific IgE tests with the Lab Ordering Guide (LOG). All it takes is a zip code to get personalized selections.*

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