Prevention had its Expo Hall moment at #ACC26. PCKS9 inhibitors and AI retinal scans were presented alongside food-as-medicine interventions. All labeled prevention. All pointing to different futures. My latest for @statnews.com:
www.statnews.com/2026/04/02/c...
Posts by Vishal Khetpal, MD, MSc
Been working on a side project modeling the World Cupâbuilding a kind of âfield guideâ to the tournament.
The playoffs start this week (22 teams for 6 spots), and itâs much more chaotic than it looks. Expect some upsets.
Wrote a breakdown here: theworldcupexplained.substack.com/p/the-fifa-w...
Has equity implications; lots of people have coronary calcium by CT scans but aren't on statins. A boon too for the companies in this space like Bunkerhill Health, though opens up a lot of ethical questions (which I wrote about for @technologyreview.com).
www.technologyreview.com/2025/10/20/1...
The new lipid guidelines came out from
@accintouch.bsky.social and others; more to come on what they mean but this was an interesting find to me on first pass. Coronary calcium detected by AI now has a class I indication (strongest evidence) to inform starting a statin.
Hims has 2 million users, just settled with Novo Nordisk, and has RFK Jr. in its corner on peptide access.
I've started thinking about this less as a drug pricing story and more as a symptom of something larger: the Himsification of medicine.
For @statnews.com: www.statnews.com/2026/03/10/h...
The federal dietary guidelines arenât just about macronutrients.
Theyâre also about whose food counts as ârealâ.
I wrote about that tension here for @statnews.com. Thank you @thekibosch.bsky.social for publishing!
www.statnews.com/2026/01/30/n...
Innovation models are how Medicare quietly reshapes clinical practice.
MAHA ELEVATE is great in theory, but deserves more scrutiny than itâs getting. For @statnews.com, I take a closer look.
www.statnews.com/2026/01/16/c...
Every physician needs to have a basic level of AI literacy now. That might require some sort of licensing exam.
www.statnews.com/2025/11/19/d...
AI tools often use a human-in-the-loop approach, counting on doctors as a backstop. Our training, however, doesnât prepare us for this role. For @statnews.com, I argue that doctors should pass a driverâs license test for AI, to use it safely and effectively.
www.statnews.com/2025/11/19/d...
For @technologyreview.com, I wrote about AI-derived coronary artery calcium (CAC) scoresâpotentially a public health breakthrough, but with thorny ethical and financial implications. Special thanks to @adamrodmanmd.bsky.social
ter.li/VishalK
Appleâs new âHypertension Notificationsâ may be slick â but I see more caveats than headlines. My latest column for @statnews.com explores how this sits uncomfortably between wellness and medicine. Thanks @thekibosch.bsky.social for editing and publishing!
www.statnews.com/2025/10/13/a...
For a generation, statins have been among the most powerful tools we have to prevent heart disease.
But too few people take them.
In my first column for @statnews.com, I argue for an overdue step: making them available over the counter.
www.statnews.com/2025/09/02/s...
Healthy eating is already too expensiveânow with tariffs, itâs about to get much worse.
My latest for @statnews.com: www.statnews.com/2025/03/10/t...
Thanks @thekibosch.bsky.social for publishing!
It signals to the world that we're no longer a trusted partner, and trashes the good will these programs engendered. It will be tough, if impossible, to recover from this.
Maybe a more controversial take: it's legitimate for the new admin to consider taking a different approach to American global health involvement.
But to implement a haphazard 'pause' in this way belies an understanding of how this work, and will kill people.
www.nytimes.com/2025/02/01/h...
My @newyorker.com piece on the ongoing, likely unconstitutional funding freeze at USAID now imperiling millions: âThis is not a pause. It is a destruction.â
USAID is also where the Administration is testing out its playbook for eviscerating other agencies.
www.newyorker.com/news/the-led...
This is a tragic and must-read article about the total devastation that the 90 day stop work order is causing internationally. In that time for example an estimated 136,000 babies could acquire HIV.
Leaving the WHO, freezing PEPFAR and the USAID... the US is abandoning it's global health leadership, leaving the world a less safe place and creating a vacuum for China and other actors to fill
www.npr.org/sections/goa...
RIP Jimmy Carter, whose global health efforts, as @helenbranswell.bsky.social writes, articulated the art of the possible. He, and the Carter Center, arguably forged a model of the outward-looking post-presidential activities continuing to do so much good today.
www.statnews.com/2024/12/29/h...
Seven months ago, I stood in a Senate hearing room and watched protesters yell at UnitedHealthâs CEO about care denials.
Itâs a moment I couldnât get out my head this week. Been reflecting on that and other reactions in the wake of Brian Thompsonâs shocking death â what it means and where it goes.
đ„ This week's Arsenal long-read is up.
Observations, stats, and diagrams on: the Inswinger Era, Saka's levels, Jorginho's anticipation, Ădegaard's movement, Rice's legs, why that first half felt static, Saliba!, Raya's distribution, and a lot more. 6,000+ words, just for you: