By Sally Greenberg, NCL Executive Director Longtime corporate lawyer Michael Trotter has written a book called “Declining Prospects,” about the upheaval in the corporate legal profession and its prospects for […]
By Teresa Green, Linda Golodner Food Safety & Nutrition Fellow With the furor over a new case of Mad Cow disease, we thought it would be great to answer some […]
For immediate release: April 27, 2012 Contact: Reid Maki, (202) 207-2820, reidm@nclnet.org Those of us concerned with the safety and welfare of children and teens working in agriculture are deeply disappointed […]
By Sally Greenberg, NCL Executive Director The Wall Street Journal, of late, has done a very admirable muckracking job looking at privacy policies of Facebook, Skype, Yahoo and other sites. […]
In a tough final match against the state champs from Florida, the Home Schoolers from Frederick, MD has taken the 2012 national LifeSmarts championship. Head over to our official event […]
Live from Philadelphia, PA — the 2012 National LifeSmarts Championship! A fun and dramatic weekend of competition has unfolded in Philly, where 32 teams have competed for a shot at […]
And the outbreaks keep on coming! This current outbreak involves 20 states and the District of Columbia. So far 141 people have been sickened by the outbreak strain of Salmonella […]
By Michell K. McIntyre, Director of NCL’s Special Project on Wage Theft Today marks the day when the typical woman’s earnings catch up to those of her male counterpart’s from […]
By Sally Greenberg, NCL Executive Director This past week in Washington a big kerfuffle broke out over comments of political commentator Hilary Rosen. Rosen said on TV that “Ann Romney […]
By Michell K. McIntyre, Director of NCL’s Special Project on Wage Theft Consumers care. That simple idea can terrify businesses and start the waves of change for workers across the […]
The work of the National Consumers League is making a difference in people’s lives across the country. Meet some of the consumers touched by our programs.
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Paige, 55, a Nashville wife and mother of two, answered an employment ad for secret shoppers. Before sending payment to the scammers, she reached out to NCL.
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A grease fire flared up in Decklan’s kitchen. As his family scrambled and panicked, fearing that the whole house might erupt in flames, Decklan remained calm. He hurried over to the pantry, grabbed some baking soda, and dumped it on the fire quickly extinguishing the blaze.
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Cincinnati resident Charles, 45, lost his computer business — and health insurance— during a time of economic downturn. A diabetic, Charles was now unable to afford his medication. He stopped taking it which made him seriously ill and put his life at risk.
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Jeremy is a fast-food worker who has been employed at a number of Chipotle restaurants in New York City. When he was just 20 years old, he took part in an NCL research project that revealed that management practices within the fast food chain were putting workers—and food safety for customers—at risk.
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By Sally Greenberg, NCL Executive Director
While the COVID-19 pandemic has led to hardship for all Americans, it is clear that people of color have been disproportionately burdened. Across the health care continuum, addressing this disparity has become part of the broader conversation about the history of systemic racism and the underlying social determinants of health that negatively affect the mental, physical, and economic health of individuals and entire communities.
The pandemic has underscored persistent health disparities, and there is growing recognition that representation in research and clinical trials can have a profound impact on health outcomes. A lack of representation from racially and ethnically diverse groups in research and clinical trials have typically led to gaps in data, missing the opportunity to assess the full impact of various treatments and drugs across a range of populations. The collection and use of real-world research and data to inform the potential use, risks, and benefits of medical products and treatments can ultimately lead to better health outcomes, particularly for those who have been underrepresented in the past.
Existing efforts to improve inclusion
Efforts to expand diversity and representation in medical research are underway in Congress. Policymakers are encouraging the incorporation of Real World Evidence (RWE) in drug development through the recent Cures 2.0 draft legislation released by Reps. Diana Degette (D-CO-1) and Fred Upton (D-MI-6). While the status quo limits us from effectively reaching underserved populations, the proposed legislation would allow studies that include RWE for some drugs after they have been approved. At the heart of this issue is a growing appreciation that the same therapy can affect different populations in different ways, which is why Cures 2.0 supports collecting data that more accurately reflects the unique experiences and needs of patients across diverse populations.
Recognizing the potential for RWE in maternal health
The lack of representative research in the field of maternal health is undeniable, and its implications are staggering. The dismal state of maternal care in the United States reflects how our health care system has failed women of color, including by not adequately studying treatment options to prevent maternal morbidity and mortality. The need for RWE is clear when you consider the persistent disparities in health outcomes that plague minority communities.
Preterm birth and its disproportionate impact on women of color is a stark illustration of the need to make progress on representative research in maternal health. Preterm birth is the second-largest contributor to infant death in America today. Despite the tremendous physical, emotional, and financial toll that preterm birth continues to take on our country — disproportionately so on women and families of color — not enough therapeutic tools currently exist to prevent it.
Today, “17P,” the only FDA-approved treatment to help reduce the likelihood of spontaneous, recurrent preterm birth in the United States is at-risk of being withdrawn from the market in all its forms, including the branded product and five generic versions. Unfortunately there is conflicting evidence from two different clinical trials, one representative of a diverse U.S. population and another studied in a largely white population in Europe. It’s not a straightforward comparison. If 17P is withdrawn, the women most affected by preterm birth, predominantly women of color, would be left without an FDA-approved treatment option.
The FDA is considering the path forward, including additional data collection through leveraging RWE from past patient use. The success of the first (approval) trial for 17P in the impacted communities signals the importance of RWE. Continued access to 17P is, at its core, a matter of health equity. Black women must not yet again be left vulnerable to a system that historically has overlooked them.