April 9, 2026
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Morning Rounds Writer and Reporter

A First Opinion essay today argues that “tastiness is not why people overeat.” But I may beg to differ — and so may a friend of mine who recently gave me a stuffed scolding after I convinced her to order pad thai for the table in addition to our meals.

policy

Trump admin drops court fight over indirect costs

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NIH

More than a year after the Trump administration first announced a controversial policy to drastically reduce the rate of reimbursement for “indirect costs” on federal grants, the government appears to be standing down. Monday was the deadline for the Department of Justice to petition the Supreme Court to review a lower court decision halting the plan, STAT’s Megan Molteni reports. No such petition was made.

The (lack of a) move is a sign the administration has given up on this particular approach to reducing indirect costs. But it may still try to alter the policy through other avenues. Read more from Megan.


reproductive health

C-section rate in 2025 highest in a decade 

The rate of pregnant people who had a cesarean delivery rose to 32.5% last year, making it the highest annual rate in the U.S. since 2013, according to new data from the CDC’s National Center for Health Statistics. The rate of C-sections has been incrementally climbing since 2020, per the report. The rate specifically for low-risk C-sections also rose to 26.9%, the highest since 2012.

As former STATian Megan Thielking wrote in the earliest days of publication: high C-section rates do not necessarily translate to better birth outcomes. More than a decade later, that story is still a good overview of how we got here.

More data from the CDC: Overall, there were more than 3.6 million births in the U.S. last year. It sounds like a lot, but overall, the number decreased 1% from 2024. For teenagers age 15 to 19, the birth rate was down 7% last year.


first opinion

How public health survives in war

Among the many Iranian sites hit by U.S. and Israeli strikes: the Pasteur Institute of Iran in central Tehran. It’s a leading medical research center in the country, with more than 1,300 employees working on vaccine development, biopharmaceutical production, and diagnostic kit manufacturing. No staff member was harmed, and it appears no pathogens escaped from the facility. But damage to the buildings was extensive and, per WHO, the Institute cannot continue delivering health services.

In a new First Opinion essay, two researchers explain the importance of laboratories like this one, as well as the economic and moral imperatives to protect them. “For more than a century, Pasteur Institutes around the world have navigated war, decolonization, economic upheaval, and pandemic shocks,” the authors write. “They have endured because microbes do not respect political cycles, and societies ultimately recognize that public health is foundational to prosperity.” Read more.  



science

Would you wear smart contact lenses?

A person looks into an ocular machine

Patrick Semansky/AP
 

Glaucoma is the second leading cause of blindness, but about half of the people who develop it are unaware until the disease is more advanced, and the damage irreversible. Medicated eye drops are an imperfect solution, but STAT’s Annalisa Merelli has the details on a new “theranostic device” (it combines therapy and diagnostics) that aims to improve care.

It looks and feels like a regular contact lens, but the new device monitors ocular pressure and delivers pulses of the drug as needed to control that pressure. There are a lot of questions still to be answered, but experts agreed that it’s an exciting development. Read more from Nalis on the science.


first opinion

Tastiness isn’t why (other) people overeat?

As I mentioned above, I was skeptical at the start of this essay, but here’s where I began to think researcher and professor David Ludwig had a point: “We tend to think of tastiness as a quality inherent to food: Cheesecake is delicious, cauliflower is not,” he writes. “However, perception of tastiness is strongly influenced by conditioning and our internal metabolic state.”

It turns out that there’s little evidence that independent deliciousness causes people to overeat. But if not excessive tastiness, then what is it? Read more to hear about Ludwig’s own research into this question.


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What we're reading

  • Prior authorizations fell after insurer pledges, Axios

  • Team approach to lowering high blood pressure worked even in ‘a tough landscape,’ STAT
  • If you aren’t losing weight with GLP-1 drugs, this may be one reason why, Washington Post
  • As a palliative care physician, I’m nervous about the Medicare infusion of $100 million for ‘functional or lifestyle medicine,’ STAT

Thanks for reading! More next time,