Basketball street player making a rear slam dunk.

Another Kind of Performance-Enhancing Drug in Sports: Substances That Improve Creativity

By Jack Becker

Discussions about performance-enhancing drugs (PEDs) are normally all about physical abilities. They revolve around PEDs that can alter strength, speed, stamina, recovery, and even stability. But if every sport were just a competition of physical traits, they’d be pretty boring.

Sports combine physical competition with competition of strategy, technique, and other non-physical components (to varying degrees). While players develop some of these individually, sports also involve coaches and trainers that develop new strategies and techniques without stepping onto the field. Innovations in these non-physical components can certainly enhance a player or team’s performance. So how do they fit into the PED discussion?

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Child's hands planting small plant in garden.

Why Do Municipal Governments Impede Local Efforts at Health?

By Bailey Kennedy

As spring continues to bubble into life (even in Massachusetts), people across the country are planting gardens in anticipation of a fall harvest. A few of these happy people will probably be harvesting something else along with their vegetables: a hefty fine from their municipal government.

Many state and municipal governments have adopted regulations and ordinances which, while well-intentioned, may discourage people from starting at home gardens — or even force people to abandon their gardening project after it is already in the ground. That’s a problem with implications for health at a hyperlocal scale.

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CABA, Buenos Aires / Argentina; March 9, 2020: international women's day. Women shouting slogans in favor of the approval of the law of legal, safe and free abortion.

Lessons from Latin America as the U.S. Regresses on Reproductive Rights

By Alma Beltrán y Puga

As the Supreme Court of the United States moves closer to overturning Roe and Casey, looking south to Latin America highlights the egregiousness of these developments.

Recently, Mexico and Colombia have provided landmark decisions that recognize a woman’s freedom to choose over her body is a fundamental right. Both rulings use strong arguments to frame abortion as protected under a constitutional umbrella that enshrines the right to equality and non-discrimination, and to health and reproductive freedom, as fundamental liberties.

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United States Capitol Building - Washington, DC.

Psychedelic Policy on the Federal Level: Key Takeaways from a Petrie-Flom Center Panel

By James R. Jolin

To navigate the myriad interests and stakes involved in creating federal psychedelic policy, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School convened a virtual panel discussion with three leading psychedelic policy advocates.

The conversation was situated against the backdrop of the “psychedelics renaissance” in the United States, which has been fueled by a wave of local and state legislation reducing or eliminating the criminal penalties associated with these substances.

Though many localities have made significant strides in addressing the legal questions surrounding psychedelic substances such as psilocybin and dimethyltryptamine (DMT), federal policymakers have not pursued similar initiatives.

Suggestions and considerations for federal psychedelic policy thus formed the substance of the discussion among the panelists:

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Pill pack.

Monthly Round-Up of What to Read on Pharma Law and Policy

By Ameet Sarpatwari, Alexander Egilman, Aviva Wang, andAaron S. Kesselheim

Each month, members of the Program On Regulation, Therapeutics, And Law (PORTAL) review the peer-reviewed medical literature to identify interesting empirical studies, policy analyses, and editorials on health law and policy issues.

Below are the citations for papers identified from the month of March. The selections feature topics ranging from a discussion of patient assistance programs and the Anti-Kickback Statute, to an analysis of the effects of state opioid prescribing laws on the use of opioids and other pain treatments, to an evaluation of the association between regulatory drug safety advisories and changes in drug use. A full posting of abstracts/summaries of these articles may be found on our website.

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Gloved hand grabs beaker with rolled currency.

Rethinking Funding for Scientific Innovation

By Matthew Bauer

Academic science laboratories typically survive by applying for private- and government-funded grants. This model of funding scientific innovation is being flipped on its head with the creation of the Arc Institute in Palo Alto.

Research labs no longer need to apply for highly competitive processes for grants. Instead, the Arc Institute aims to put science first, by funding its scientific investigators’ salaries and research costs for 8 years.

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Female hand writing signature on the paper document.

How to Construct Better Organ Donation Policy and Achieve Health Equity

By James R. Jolin

The United States is facing an organ donation crisis, with massive gaps between supply and demand.

Per estimates from the Department of Health and Human Services (HHS), over 106,000 Americans are currently awaiting this life-saving medical treatment. Further, the burden of this shortage falls unequally:  in 2020, while approximately 48% of white patients in need of transplants received an organ, only 27% of Black patients secured one.

The stakes are too high to allow the organ donation crisis to proceed in the U.S. without bold intervention. But with many policy options on the table, unresolved ethical concerns, and a patchwork of organ donation laws across the country, the proper path forward is not immediately clear.

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Gavel and stethoscope.

Long COVID and Physical Reductionism

By Leslie Francis and Michael Ashley Stein

Like plaintiffs with other conditions lacking definitive physiological markers, long COVID plaintiffs seeking disability anti-discrimination law protections have confronted courts suspicious of their reports of symptoms and insistent on medical evidence in order for them to qualify as “disabled” and entitled to statutory protection.

We call this “physical reductionism” in disability determinations. Such physical reductionism is misguided for many reasons, including its failure to understand disability socially.

Ironically, these problems for plaintiffs may be traced to amendments to the Americans with Disabilities Act (ADA) that were intended to expand coverage for plaintiffs claiming disability discrimination. Three provisions of the Americans with Disabilities Act Amendments Act (ADAAA) are appearing especially problematic for long COVID patients in the courts.

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Group of athletic adult men and women performing sit up exercises to strengthen their core abdominal muscles at fitness training.

Exercise Equipment Advertisements and Consumer Distrust

By Jack Becker

Are you ready to learn about “the most innovative piece of exercise equipment ever”? To take advantage of “the momentum of gravity to target your entire midsection”? Doesn’t everybody want to “lose those love handles nobody loves”? To finally “have the flat washboard abs and the sexy v-shape [they’ve] always wanted”? Within “just weeks, not months,” anybody can “firm and flatten their stomach.” And “best of all, it’s fun and easy and takes just three minutes a day.”

Despite its endorsement from an expert fitness celebrity and customer testimonials, you might be skeptical of the Ab Circle Pro’s claims. After all, can you really cut out five minutes from the iconic 8-Minute Abs routine?

Massive and misleading promises are an unfortunate reality for many exercise equipment advertisements. Illegitimate advertising claims can harm consumers and impact overall consumer trust, which creates an uphill battle for honest companies. The Federal Trade Commission (FTC) already regulates exercise equipment, but supplementing its efforts with more consumer education and industry self-regulation could be a winning combination to restore trust in the fitness industry.

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Chicago, IL, USA - October 18 2021: BinaxNOW Covid-19 Antigen Self Test. Results in 15 minutes at home.

Lessons Learned from the COVID-19 Pandemic: The Future for Diagnostics

By Matthew Bauer and Nicole Welch

Diagnostic tests have changed in the eyes of many Americans across the COVID-19 pandemic.

The traditional site of diagnostic testing, the doctor’s office, has taken a back seat during the COVID-19 pandemic. We can now receive at-home antigen tests in the mail, drive through PCR tests at local sports stadiums, and our workplace cafeteria may serve as a de facto COVID-19 testing site.

The new paradigm of fast, easily accessible, and user-based diagnostics helps to reduce barriers for people to test for COVID-19.

However, nearly all these tests give binary results of yes or no for detecting a specific piece of the SARS-CoV-2 virus. As we look ahead, both the ongoing COVID-19 pandemic and future pandemics will require binary tests, but also tests that give us more granular information about the disease. These changes should be integrated into future diagnostic paradigms, empowering clinical diagnostics to meet both the needs of patients and the broader public health community.  Read More