Doctors have long taken for granted a devil’s bargain: Relieving intense pain, such as that caused by surgery and traumatic injury, risks inducing the sort of pleasure that could leave patients addicted. Opioids are among the most powerful, if not the most powerful, pain medications ever known, but for many years they have been a source of staggering morbidity and mortality. After the Civil War, thousands of veterans became addicted to morphine and opium, which were used to treat battle injuries and illnesses. In the 1990s, overprescribing by doctors, along with aggressive and deceptive drug marketing by pharmaceutical companies, led…

Robert F. Kennedy Jr. is wrong about a lot of things in public health. Vaccines don’t cause autism. Raw milk is more dangerous than pasteurized milk. And cellphones haven’t been shown to cause brain cancer. But the basic idea behind his effort to “Make America Healthy Again” is correct: America is not healthy, and our current system has not fixed the problem. Joe Biden entered office promising to “beat” the coronavirus pandemic, cure cancer, and get more people health care. Arguably no one on Earth can talk more passionately about funding cancer research than Biden, whose son Beau died of…

This article was featured in the One Story to Read Today newsletter. Sign up for it here. On Christmas Eve of 2020, my father was admitted to the hospital with sudden weakness. My mother was not allowed to join him. She pleaded with the staff—my dad needed help making medical decisions, she said—but there were no exceptions at that grisly stage of the coronavirus pandemic. I contemplated making the trip from Maryland to New Jersey to see whether I, as a doctor, could garner special treatment until I realized that state and employer travel rules would mean waiting for a…

Sign up for Being Human, a newsletter that explores wellness culture, mortality and disease, and other mysteries of the body and the mind. When Mary-Claire King discovered the first gene linked to hereditary breast cancer in 1990, she also got to decide its name. She settled on the four letters BRCA, which had three distinct meanings. The name paid homage to UC Berkeley, where King worked at the time; more to the point, it was a nod to Paul Broca, the 19th-century French physician whose work established a link between family history and breast cancer. It was also an abbreviation…

Sign up for Being Human, a newsletter that explores wellness culture, mortality and disease, and other mysteries of the body and the mind. Robert F. Kennedy Jr., the nominee to be the next secretary of Health and Human Services, is America’s most prominent vaccine skeptic. An advocacy organization that he founded and chaired has called the nation’s declining child-immunization rates “good news,” and referred to parents’ lingering doubts about routine shots as COVID-19’s “silver lining.” Now Kennedy may soon be overseeing the cluster of federal agencies that license and recommend vaccines, as well as the multibillion-dollar program that covers the…

Sign up for Being Human, a newsletter that explores wellness culture, mortality and disease, and other mysteries of the body and the mind. When I was teaching indoor cycling every week, an unexpected benefit of the gig was free ice cream. One of the class regulars had an ice-cream machine at home and sometimes brought samples for me to try, in flavors such as pumpkin and pistachio. I think he did this not only because he was a nice person but also because in class, I was the nicest version of myself: warm, welcoming, and encouraging to the point of…