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Readers respond to essays on long Covid, hypochondria, and more

By Patrick Skerrett June 22, 2024

F irst Opinion is STAT’s platform for interesting, illuminating, and maybe even provocative articles about the life sciences writ large, written by biotech insiders, health care workers, researchers, and others.

To encourage robust, good-faith discussion about issues raised in First Opinion essays, STAT publishes selected Letters to the Editor received in response to them. You can submit a Letter to the Editor here , or find the submission form at the end of any First Opinion essay.

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“Long Covid feels like a gun to my head,” by Rachel Hall-Clifford

Thank you for this. I’m a 65-year-old woman who’s Covid cautious and wears a mask in public places (yes, in 2024). I’ve never had Covid as far as I know, and I try to keep up with the research. I feel like everybody would be more cautious if they read this article on long Covid, because it helps to really understand the horrible ways that a mild case of Covid can affect your life in ways that are unimaginable.

— Hildy Hogate

“I’m a hypochondriac. Here’s how the health care system needs to deal with people like me,” by Hal Rosenbluth

Health anxiety is the less biased term, rather than hypochondria with all its comic baggage.

Though the writer likes full body scans for himself and they suit his particular fears, many, many people with health anxiety, including me, wouldn’t get within 10 feet of a full body scan. It would be the opposite of reassuring.

Even if it did reassure for the moment, anyone with health anxiety knows reassurance is short-lived. A scan done in, say, January, might reassure a non-anxious person for the next six months. But it would be the rare person with health anxiety who would feel reassured for more than a couple of weeks.

And why on earth would you want to create a separate billing code for this, which would, without question, be used to pick out, stigmatize, and limit access to medical care? That doesn’t help patients, it soothes and enriches insurers, who would undoubtedly limit access to care based on a scan. How long would it take before you called to make an appointment with your doctor and were told sorry, your insurance won’t cover an office visit — your scan said you have no problems?

The writer’s personal experience, psychology, and taste for scans are just that, personal. They don’t generalize to most, or even many, of those who suffer from health anxiety.

— Maria Perry

“NIH needs reform and restructuring, key Republicans committee chairs say,” by Cathy McMorris Rodgers and Robert B. Aderholt

I agree with the authors that NIH needs reform. I was an athletic, otherwise healthy person who was struck down and disabled by long Covid in January 2022. For over two years, I’ve watched life pass me by as NIH has fumbled the $1.15 billion allocated to it by Congress to study and treat long Covid. This initiative, known as RECOVER, has failed to publish any research that furthers our understanding of the underlying cause of long Covid and the vast majority of clinical trials they’ve launched are for drugs that people have already tried and found unhelpful.

Perhaps NIH would not have bungled the long Covid funding had it not completely ignored other post viral diseases, namely myalgic encephalomyelitis (ME) for the past 40 years. ME receives only $15 million a year — the most underfunded disease per patient burden at the NIH.

NIH should reevaluate how it allocates funding to diseases and base allocations on objective patient burdens. HIV, a disease with treatments that allow people with it to live mostly normal lives, receives $3.3 billion annually through NIH. Meanwhile, ME patients are disabled, have no approved treatments, and suffer a higher patient burden. Covid long haulers are suffering the same fate, many struck down as first wavers in March of 2020 are still disabled and sick as ever over four years later. Despite this, there is still no yearly allocation for long Covid in NIH’s baseline budget, as funding has only ever come from one time appropriations. NIH should right-size funding for ME and long Covid and start taking these diseases seriously.

— John Bolecek, long Covid patient

“Addressing health care workers’ trauma can help fight burnout,” by Sadie Elisseou

Thank you for writing this essay on the trauma and burnout that are all too common among today’s health care workforce. I applaud you for underscoring the importance of trauma-informed organizations and the critical value of workplaces that are safe, supportive, and flexible.

As a nurse educator and researcher, I have come to understand the important role of resilience in the work that nurses do. Considering two-thirds of nurses (65%) experience burnout, resilience-building skills are critical to mitigating nurse exhaustion and preserving our nation’s nursing pipeline. If actions are not taken to better protect the physical and mental health of our healthcare workforce, patient care will suffer. Lawmakers must take notice.

Some efforts in Congress have been successful. Congress has introduced legislation to reauthorize the Dr. Lorna Breen Provider Protection Act , bipartisan legislation that recognizes the need for mental health resources and support programs for healthcare professionals. Since its original enactment, this act has been instrumental in funding grant programs for mental health training, education, peer support, and crisis intervention services.

The reauthorization of this measure would expand grants to more than 200,000 other types of health care settings as well as renew the focus on reducing administrative burden for health care workers. While this bill is not a perfect solution, it does provide needed to support for a workforce that is understaffed, overworked, and in need to relief.

I urge Congress to finish the job and fully reauthorize the Dr. Lorna Breen Provider Protection Act this year.

— Stephanie Turner, R.N., Ed.D., M.S.N., ATI Nursing Education

About the Author Reprints

Patrick skerrett.

Acting First Opinion Editor

Patrick Skerrett is filling in as editor of First Opinion , STAT's platform for perspective and opinion on the life sciences writ large, and host of the First Opinion Podcast .

STAT encourages you to share your voice. We welcome your commentary, criticism, and expertise on our subscriber-only platform, STAT+ Connect

To submit a correction request, please visit our Contact Us page .

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Opinionated newspaper column: Hyph. - Daily Themed Crossword

Opinionated newspaper column: hyph..

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Clue: Newspaper essay section: Hyph.

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Tobacco-like warning label for social media sought by US surgeon general who asks Congress to act

FILE - The U.S. Surgeon General’s Warning appears on a pack of Camel cigarettes purchased at a Chicago area news stand on Nov. 30, 2012. In a Monday, June 17, 2024, opinion piece for The New York Times, Dr. Vivek Murthy has called on Congress to require warning labels on social media platforms similar to those now mandatory on cigarette boxes. (AP Photo/Charles Rex Arbogast, File)

FILE - Surgeon General Dr. Vivek Murthy speaks during an event on the White House complex in Washington, April 23, 2024. Murthy is asking Congress to require warning labels on social media platforms that are similar to those that appear on cigarette boxes. (AP Photo/Susan Walsh, File)

FILE - Meta CEO Mark Zuckerberg, arrives to testify before a Senate Judiciary Committee hearing on Capitol Hill in Washington, Jan. 31, 2024, to discuss child safety. In a Monday, June 17, 2024, opinion piece for The New York Times, Dr. Vivek Murthy has called on Congress to require warning labels on social media platforms similar to those now mandatory on cigarette boxes. (AP Photo/Manuel Balce Ceneta, File)

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The U.S. surgeon general has called on Congress to require warning labels on social media platforms and their effects on young people’s lives, similar to those now mandatory on cigarette boxes .

In a Monday opinion piece in the The New York Times, Dr. Vivek Murthy said that social media is a contributing factor in the mental health crisis among young people.

“It is time to require a surgeon general’s warning label on social media platforms, stating that social media is associated with significant mental health harms for adolescents. A surgeon general’s warning label, which requires congressional action, would regularly remind parents and adolescents that social media has not been proved safe,” Murthy said. “Evidence from tobacco studies show that warning labels can increase awareness and change behavior.”

Murthy said that the use of just a warning label wouldn’t make social media safe for young people, but would be a part of the steps needed.

Social media use is prevalent among young people, with up to 95% of youth ages 13 to 17 saying that they use a social media platform, and more than a third saying that they use social media “almost constantly,” according to 2022 data from the Pew Research Center.

“Social media today is like tobacco decades ago: It’s a product whose business model depends on addicting kids. And as with cigarettes, a surgeon general’s warning label is a critical step toward mitigating the threat to children,” Josh Golin, executive director at Fairplay, an organization that is dedicated to ending marketing to children, said in a statement.

Actually getting the labels on social media platforms would take congressional action — and it’s not clear how quickly that might happen, even with apparent bipartisan unity around child safety online. Lawmakers have held multiple congressional hearings on child online safety and there’s legislation in the works. Still, the last federal law aimed at protecting children online was enacted in 1998, six years before Facebook’s founding.

“I am hoping that would be combined with a lot of other work that Congress has been trying to do to improve the safety and design and privacy of social media products,” said Dr. Jenny Radesky, a developmental behavioral pediatrician at the University of Michigan and leader at the American Academy of Pediatrics. “Those two things would have to go hand in hand, because there’s so much that Congress can do to follow the steps of the United Kingdom and the European Union in passing laws that take into account what kids need when they’re interacting with digital products.”

Even with Congressional approval, warning labels would likely be challenged in the courts by tech companies.

“Putting a warning label on online speech isn’t just scientifically unsound, it’s at odds with the constitutional right to free speech,” said Adam Kovacevich, CEO of the tech industry policy group Chamber of Progress. “It’s surprising to see the U.S. Surgeon General attacking social media when teens themselves say it provides an important outlet for social connection.”

Last year, Murthy warned that there wasn’t enough evidence to show that social media is safe for children and teens. He said at the time that policymakers needed to address the harms of social media the same way they regulate things like car seats, baby formula, medication and other products children use.

AP AUDIO: Warning label for social media sought by US surgeon general. Murthy asks congress to act

AP correspondent Julie Walker reports the Surgeon General calls on Congress to require social media warning labels.

To comply with federal regulation, social media companies already ban kids under 13 from signing up for their platforms — but children have been shown to easily get around the bans, both with and without their parents’ consent.

Other measures social platforms have taken to address concerns about children’s mental health can also be easily circumvented. For instance, TikTok introduced a default 60-minute time limit for users under 18. But once the limit is reached, minors can simply enter a passcode to keep watching.

Murthy believes the impact of social media on young people should be a more pressing concern.

“Why is it that we have failed to respond to the harms of social media when they are no less urgent or widespread than those posed by unsafe cars, planes or food? These harms are not a failure of willpower and parenting; they are the consequence of unleashing powerful technology without adequate safety measures, transparency or accountability,” he wrote.

In January the CEOs of Meta, TikTok, X and other social media companies went before the Senate Judiciary Committee to testify as parents worry that they’re not doing enough to protect young people. The executives touted existing safety tools on their platforms and the work they’ve done with nonprofits and law enforcement to protect minors.

Murthy said Monday that Congress needs to implement legislation that will protect young people from online harassment, abuse and exploitation and from exposure to extreme violence and sexual content.

“The measures should prevent platforms from collecting sensitive data from children and should restrict the use of features like push notifications, autoplay and infinite scroll, which prey on developing brains and contribute to excessive use,” Murthy wrote.

Sens. Marsha Blackburn and Richard Blumenthal supported Murthy’s message Monday.

“We are pleased that the Surgeon General — America’s top doctor — continues to bring attention to the harmful impact that social media has on our children,” the senators said in a prepared statement.

The surgeon general is also recommending that companies be required to share all their data on health effects with independent scientists and the public, which they currently don’t do, and allow independent safety audits.

Murthy said schools and parents also need to participate in providing phone-free times and that doctors, nurses and other clinicians should help guide families toward safer practices.

While Murthy pushes for more to be done about social media in the United States, the European Union enacted groundbreaking new digital rules last year. The Digital Services Act is part of a suite of tech-focused regulations crafted by the 27-nation bloc — long a global leader in cracking down on tech giants .

The DSA is designed to keep users safe online and make it much harder to spread content that’s either illegal, like hate speech or child sexual abuse, or violates a platform’s terms of service. It also looks to protect citizens’ fundamental rights such as privacy and free speech.

Officials have warned tech companies that violations could bring fines worth up to 6% of their global revenue — which could amount to billions — or even a ban from the EU .

Murthy’s focus is on teens and social media, but Radesky noted that adults could use a warning label too.

“What we’ve heard from teens is that they want their parents to be on social media less and on their devices less,” she said. “That’s another behavior change we hope that parents will reflect on and think about — ‘where could I cut down or create some boundaries to create more family time or sleep time?’ — and not only hyper-focusing on what teens are doing, but really what all of us as a society are doing in terms of healthy relationships with technology.”

AP Technology Writer Barbara Ortutay contributed to this story from Oakland, California.

British Academics Despair as ChatGPT-Written Essays Swamp Grading Season

‘It’s not a machine for cheating; it’s a machine for producing crap,’ says one professor infuriated by the rise of bland essays.

By  Jack Grove for Times Higher Education

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The increased prevalence of students using ChatGPT to write essays should prompt a rethink about whether current policies encouraging “ethical” use of artificial intelligence (AI) are working, scholars have argued.

With marking season in full flow, lecturers have taken to social media in large numbers to complain about AI-generated content found in submitted work.

Telltale signs of ChatGPT use, according to academics, include little-used words such as “delve” and “multifaceted,” summarizing key themes using bullet points and a jarring conversational style using terms such as, “Let’s explore this theme.”

In a more obvious giveaway, one professor said an advertisement for an AI essay company was  buried in a paper’s introduction ; another academic noted how a student had  forgotten to remove a chatbot statement  that the content was AI-generated.

“I had no idea how many would resort to it,” admitted  one U.K. law professor .

Des Fitzgerald, professor of medical humanities and social sciences at  University College Cork , told  Times Higher Education  that student use of AI had “gone totally mainstream” this year.

“Across a batch of essays, you do start to notice the tics of ChatGPT essays, which is partly about repetition of certain words or phrases, but is also just a kind of aura of machinic blandness that’s hard to describe to someone who hasn’t encountered it—an essay with no edges, that does nothing technically wrong or bad, but not much right or good, either,” said Professor Fitzgerald.

Since  ChatGPT’s emergence in late 2022 , some universities have adopted policies to allow the use of AI as long as it is acknowledged, while others have begun using AI content detectors, although  opinion is divided on their effectiveness .

According to the  latest Student Academic Experience Survey , for which Advance HE and the Higher Education Policy Institute polled around 10,000 U.K. undergraduates, 61 percent use AI at least a little each month, “in a way allowed by their institution,” while 31 percent do so every week.

Professor Fitzgerald said that although some colleagues “think we just need to live with this, even that we have a duty to teach students to use it well,” he was “totally against” the use of AI tools for essays.

“ChatGPT is completely antithetical to everything I think I’m doing as a teacher—working with students to engage with texts, thinking through ideas, learning to clarify and express complex thoughts, taking some risks with those thoughts, locating some kind of distinctive inner voice. ChatGPT is total poison for all of this, and we need to simply ban it,” he said.

Steve Fuller, professor of sociology at the  University of Warwick , agreed that AI use had “become more noticeable” this year despite his students signing contracts saying they would not use it to write essays.

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He said he was not opposed to students using it “as long as what they produce sounds smart and on point, and the marker can’t recognize it as simply having been lifted from another source wholesale.”

Those who leaned heavily on the technology should expect a relatively low mark, even though they might pass, said Professor Fuller.

“Students routinely commit errors of fact, reasoning and grammar [without ChatGPT], yet if their text touches enough bases with the assignment, they’re likely to get somewhere in the low- to mid-60s. ChatGPT does a credible job at simulating such mediocrity, and that’s good enough for many of its student users,” he said.

Having to mark such mediocre essays partly generated by AI is, however, a growing complaint among academics. Posting on X,  Lancaster University  economist  Renaud Foucart  said marking AI-generated essays “takes much more time to assess [because] I need to concentrate much more to cut through the amount of seemingly logical statements that are actually full of emptiness.”

“My biggest issue [with AI] is less the moral issue about cheating but more what ChatGPT offers students,” Professor Fitzgerald added. “All it is capable of is [writing] bad essays made up of non-ideas and empty sentences. It’s not a machine for cheating; it’s a machine for producing crap.”

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• The exponential growth of solar power will change the world

An energy-rich future is within reach

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I t is 70 years since AT&T ’s Bell Labs unveiled a new technology for turning sunlight into power. The phone company hoped it could replace the batteries that run equipment in out-of-the-way places. It also realised that powering devices with light alone showed how science could make the future seem wonderful; hence a press event at which sunshine kept a toy Ferris wheel spinning round and round.

Today solar power is long past the toy phase. Panels now occupy an area around half that of Wales, and this year they will provide the world with about 6% of its electricity—which is almost three times as much electrical energy as America consumed back in 1954. Yet this historic growth is only the second-most-remarkable thing about the rise of solar power. The most remarkable is that it is nowhere near over.

To call solar power’s rise exponential is not hyperbole, but a statement of fact. Installed solar capacity doubles roughly every three years, and so grows ten-fold each decade. Such sustained growth is seldom seen in anything that matters. That makes it hard for people to get their heads round what is going on. When it was a tenth of its current size ten years ago, solar power was still seen as marginal even by experts who knew how fast it had grown. The next ten-fold increase will be equivalent to multiplying the world’s entire fleet of nuclear reactors by eight in less than the time it typically takes to build just a single one of them.

Solar cells will in all likelihood be the single biggest source of electrical power on the planet by the mid 2030s. By the 2040s they may be the largest source not just of electricity but of all energy. On current trends, the all-in cost of the electricity they produce promises to be less than half as expensive as the cheapest available today. This will not stop climate change, but could slow it a lot faster. Much of the world—including Africa , where 600m people still cannot light their homes—will begin to feel energy-rich. That feeling will be a new and transformational one for humankind.

To grasp that this is not some environmentalist fever dream, consider solar economics. As the cumulative production of a manufactured good increases, costs go down. As costs go down, demand goes up. As demand goes up, production increases—and costs go down further. This cannot go on for ever; production, demand or both always become constrained. In earlier energy transitions—from wood to coal, coal to oil or oil to gas—the efficiency of extraction grew, but it was eventually offset by the cost of finding ever more fuel.

As our essay this week explains, solar power faces no such constraint. The resources needed to produce solar cells and plant them on solar farms are silicon-rich sand, sunny places and human ingenuity, all three of which are abundant. Making cells also takes energy, but solar power is fast making that abundant, too. As for demand, it is both huge and elastic—if you make electricity cheaper, people will find uses for it. The result is that, in contrast to earlier energy sources, solar power has routinely become cheaper and will continue to do so.

Other constraints do exist. Given people’s proclivity for living outside daylight hours, solar power needs to be complemented with storage and supplemented by other technologies. Heavy industry and aviation and freight have been hard to electrify. Fortunately, these problems may be solved as batteries and fuels created by electrolysis gradually become cheaper.

Another worry is that the vast majority of the world’s solar panels, and almost all the purified silicon from which they are made, come from China. Its solar industry is highly competitive, heavily subsidised and is outstripping current demand—quite an achievement given all the solar capacity China is installing within its own borders. This means that Chinese capacity is big enough to keep the expansion going for years to come, even if some of the companies involved go to the wall and some investment dries up.

In the long run, a world in which more energy is generated without the oil and gas that come from unstable or unfriendly parts of the world will be more dependable. Still, although the Chinese Communist Party cannot rig the price of sunlight as OPEC tries to rig that of oil, the fact that a vital industry resides in a single hostile country is worrying.

It is a concern that America feels keenly, which is why it has put tariffs on Chinese solar equipment. However, because almost all the demand for solar panels still lies in the future, the rest of the world will have plenty of scope to get into the market. America’s adoption of solar energy could be frustrated by a pro-fossil-fuel Trump presidency, but only temporarily and painfully. It could equally be enhanced if America released pent up demand, by making it easier to install panels on homes and to join the grid—the country has a terawatt of new solar capacity waiting to be connected. Carbon prices would help, just as they did in the switch from coal to gas in the European Union.

The aim should be for the virtuous circle of solar-power production to turn as fast as possible. That is because it offers the prize of cheaper energy. The benefits start with a boost to productivity. Anything that people use energy for today will cost less—and that includes pretty much everything. Then come the things cheap energy will make possible. People who could never afford to will start lighting their houses or driving a car. Cheap energy can purify water, and even desalinate it. It can drive the hungry machinery of artificial intelligence. It can make billions of homes and offices more bearable in summers that will, for decades to come, be getting hotter.

But it is the things that nobody has yet thought of that will be most consequential. In its radical abundance, cheaper energy will free the imagination, setting tiny Ferris wheels of the mind spinning with excitement and new possibilities.

This week marks the summer solstice in the northern hemisphere. The Sun rising to its highest point in the sky will in decades to come shine down on a world where nobody need go without the blessings of electricity and where the access to energy invigorates all those it touches. ■

For subscribers only: to see how we design each week’s cover, sign up to our weekly  Cover Story newsletter .

This article appeared in the Leaders section of the print edition under the headline “The solar age”

Leaders June 22nd 2024

Ai will transform the character of warfare, emmanuel macron’s project of reform is at risk, how to tax billionaires—and how not to, javier milei’s next move could make his presidency—or break it, india should liberate its cities and create more states.

From the June 22nd 2024 edition

Discover stories from this section and more in the list of contents

More from Leaders

Nigel Farage’s claim that NATO provoked Russia is naive and dangerous

It is also a wilful misreading of history

Technology will make war faster and more opaque. It could also prove destabilising

A snap election in France reveals the flimsiness of his legacy

It doesn’t need more government. It needs more governments

Radical experiments with the currency could spell disaster

Closing loopholes would be a better bet than a levy on unrealised capital gains

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Surgeon General Calls for Warning Labels on Social Media Platforms

Dr. Vivek Murthy said he would urge Congress to require a warning that social media use can harm teenagers’ mental health.

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By Ellen Barry and Cecilia Kang

The U.S. surgeon general, Dr. Vivek Murthy, announced on Monday that he would push for a warning label on social media platforms advising parents that using the platforms might damage adolescents’ mental health.

Warning labels — like those that appear on tobacco and alcohol products — are one of the most powerful tools available to the nation’s top health official, but Dr. Murthy cannot unilaterally require them; the action requires approval by Congress.

The proposal builds on several years of escalating warnings from the surgeon general. In a May 2023 advisory, he recommended that parents immediately set limits on phone use, and urged Congress to swiftly develop health and safety standards for technology platforms.

He also called on tech companies to make changes: to share internal data on the health impact of their products; to allow independent safety audits; and restrict features like push notifications, autoplay and infinite scroll, which he says “prey on developing brains and contribute to excessive use.”

In an interview, Dr. Murthy said he had been deeply frustrated by the platforms’ reluctance to do so.

“I don’t think we can solely rely on the hope that the platforms can fix this problem on their own,” he said. “They’ve had 20 years.”

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