May 12, 2026
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Washington Correspondent, D.C. Diagnosis Writer

“Under-babied.” Dr. Oz said that’s the name for a condition that affects one-in-three Americans. I guess that means over-babied is the condition of having too many kids, but then what do you call having the right number of babies? Baby-neutral? Balanced-babied? Send news tips and your favorite lines from Raising Arizona to John.Wilkerson@statnews.com or John_Wilkerson.07 on Signal.

medicaid

Scrambling for work requirement exemptions

Patient groups are jockeying for exemptions from Medicaid work requirements, but the unusually fast implementation timeline for states is causing headaches.

Advocates for people in Medicaid would prefer that the federal government exempt specific patient populations from new requirements that able-bodied adult Medicaid beneficiaries work at least 20 hours a week, or be in school or volunteer for community service. Otherwise, it’ll be difficult to help people navigate a state-by-state patchwork of rules.

The requirements take effect Jan. 1, and the federal rule directing state implementation of work requirements is due by June. 1. Nebraska has already started. Read more to see Nebraska’s 295-page list of conditions exempted from the requirements.



addiction

What’s the deadliest drug?

Hint: You drink it. It’s commonplace. Sometimes it pairs well with red meat, sometimes with lighter fare, depending on the type. I often buy it in units of six.

The Deadliest Drug is the name of an investigative series by Isabella Cueto and Lev Facher about the nation’s failure to address excessive alcohol use, which is a leading cause of disease, injury, and death.

The first installments of the series dropped this morning. It’s a banger. Isa and Lev set the stage with a rundown on alcohol’s financial and societal costs. They detail the failure of successive presidents to diminish alcohol’s harms and explain how personal the ravages of drinking are to President Trump and health secretary Robert F. Kennedy Jr.

Dive in.


drug pricing

19,000

That’s how many people have used TrumpRx to find lower prices for fertility treatments, according to Trump.

He provided that number during a White House event on maternal health care. The main point of the event was to announce a new proposed rule aimed at making it easier for employers to offer in vitro fertilization services much in the way they offer dental and vision benefits.

Daniel Payne has been requesting TrumpRx performance metrics for months. He hasn’t received a response, but the mention of 19,000 people finding cheaper fertility treatments suggests the administration knows how many people are using TrumpRx for each drug on the website.

Trump complained that the press isn’t doing enough to advertise his site.

“A lot of people don’t realize it’s available,” Trump said.

“Only one in three Americans know what TrumpRx.gov does,” CMS Administrator Mehmet Oz said.


opioids

What is ‘natural’ 7-OH?

If you paid close attention to the White House event, you might’ve heard Trump make a side comment about “natural 7-OH.”

What is natural 7-OH? What does Trump want to do with it? Do Trump’s comments run counter to his administration’s prior actions on the opioid derived from the naturally occurring kratom plant?

Lev has you covered.


fda

Odd timing

There have been several articles, and about a million xeets, saying that FDA Commissioner Marty Makary is about to be dismissed.

Makary was supposed to give an address and jog with staff at an annual FDA 5K run at the FDA campus on Friday. But Lizzy Lawrence reports that he was absent. He wasn’t at the White House event on maternal health care on Monday, either, while Oz and Kennedy attended. But he’s still listed as the witness at a Senate subcommittee hearing tomorrow on the president’s budget request for the agency.

As of the writing of this newsletter (Monday evening), no dismissal had been announced.


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What we’re reading

  • Kennedy Is Driving a Vast Inquiry Into Vaccines, Despite His New Silence on the Issue, The New York Times
  • Opinion: RFK Jr. allegedly ‘collected’ a dead raccoon’s penis. Was it bioethically justifiable?, STAT
  • Supreme Court temporarily extends women’s access to a widely used abortion pill, The Associated Press
  • Women lead as health and wellness influencers. Why do so many men have more followers?, The 19th

Thanks for reading! More next time,