health equity
A long-awaited fix to the kidney transplant system

Mark Humphrey/AP
Until recently, the main clinical algorithm used to measure kidney function included an inflation for all Black patients. “It was a really heated battle to get the powers that be to have a race neutral equation,” recalls Vanessa Grubbs, a nephrologist who spent more than a decade pushing for the change. In 2022, that equation phased out, and programs were required to modify existing numbers for Black patients already on the kidney transplant waitlist.
According to a new study, these changes had a marked impact. Among Black patients, the policy changes were associated with 5.3 more kidney transplants per 1,000 candidates. “Our study really shows, on a national scale, what the specific, quantifiable impacts of a remedy policy for the harms of the race-based equation were,” study author Rohan Khazanchi told STAT’s Anil Oza. Read more about the impact of the change, and what more could be done.
first opinion
The Himsification of medicine
For physician Vishal Khetpal, the legal battle between Hims & Hers and Novo Nordisk (which, by the way, was settled yesterday) is just one symptom of something much larger going on with American health care. He calls it the “Himsification” of medicine.
“At its core, Himsification reimagines patients as consumers seeking an alpha, racing to buy into products and practices that feel aspirational and cutting edge,” Khetpal writes in a new First Opinion essay. “It is a world in which patients arrive with a preferred diagnosis, rather than symptoms, and a shopping cart, rather than concerns.” Read more in Khetpal’s latest column about how this reality differs from the traditional model of medicine.
notable quotable
‘Whatever I’ve needed to do, I’ve done it by myself, alone.’
That’s part of a testimony from somebody who had to take a three-day trip to get an abortion in 2023. In a qualitative study published yesterday in JAMA Network Open, researchers spoke with 33 people at an Illinois clinic who had come from out of state to receive an abortion. The speaker, who came from a state with a partial abortion ban, lamented that they didn’t have enough money to bring a loved one with them. They left their baby for the first time to travel for the procedure, they said.
“Here, I cannot say a word. I feel like I’m going to hell,” said another patient, who came from a state with a total abortion ban. People repeatedly expressed fear of discussing abortion with others and difficulty searching for information online, along with long delays in accessing care because of these challenges and other financial barriers.