A Lesson in Civil Service
Managing layoffs at the New York City Health Department during the 2008-09 recession changed how I think about government hiring.
 • Dr. Céline Gounder
A New Tylenol Study Doesn’t Show What the Headlines May Claim
A study of 2 million births finds small associations that disappear when siblings are compared — the same pattern seen in earlier research.
 • Dr. Céline Gounder
Teaching Doctors About Nutrition Won’t Fix America’s Food System
Doctors need more nutrition training, but the food environment is the bigger driver chronic disease.
 • Dr. Céline Gounder
An Autism Drug Got a White House Boost. Prescriptions Soon Followed.
Researchers say a 2025 press briefing was followed by a sharp rise in prescriptions for leucovorin, an inexpensive drug now being studied for autism.
 • Dr. Céline Gounder
A New Era for Breast Cancer Screening
Can risk-based mammograms deliver the same protection with fewer harms?
 • Dr. Céline Gounder

February 2026

The Only Diet Rule That Actually Matters
What a new study in the Journal of the American College of Cardiology says about the fat vs. carb wars
 • Dr. Céline Gounder
The Warning Starts Before Midlife: How Pregnancy Predicts, and Shapes, Women’s Heart Disease
From preeclampsia to hypertension, the strongest clues often arrive decades before the first heart attack.
 • Dr. Céline Gounder
Casey Means Faces a Confirmation Test Over Vaccines, Credentials, and Conflicts
Trump’s surgeon general nominee defends her record as senators question her vaccine messaging, medical qualifications, and past business ties.
 • Dr. Céline Gounder
A “Great Healthcare Plan,” but Few Answers on Affordability
Transparency and discount programs were highlighted, but structural cost drivers went unaddressed.
 • Dr. Céline Gounder
After El Mencho: A Turning Point in America’s Overdose Crisis?
Overdose deaths fell nearly 27% last year. A cartel power shift and a federal policy pivot could determine whether that decline lasts.
 • Dr. Céline Gounder
The Dangerous Myth About Women’s Heart Blockages
Findings from the PROMISE trial suggest women may face serious heart danger long before blockages appear severe — raising questions about current care…
 • Dr. Céline Gounder
The Market for Reassurance in Cancer Screening
A major trial failed to show fewer late-stage cancers. So why are we so eager to buy tests that reassure us?
 • Dr. Céline Gounder
© 2026 Dr. Céline Gounder · Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture