Serious Medical Errors Rose After Private Equity Firms Bought Hospitals - NYT | Opinion - NYT | Why the World Needs Its Own Immune System - NYT | Opinion - NYT | We’re Thinking About Pain All Wrong - NYT | Elite Chess Players Keep Accusing Each Other of Cheating

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Serious Medical Errors Rose After Private Equity Firms Bought Hospitals - The New York Times

A new study shows an increase in the rate of inpatient complications, including infections and falls, though patients were no more likely to die.

The rate of serious medical complications increased in hospitals after they were purchased by private equity investment firms, according to a major study of the effects of such acquisitions on patient care in recent years.

The study, published in JAMA on Tuesday, found that, in the three years after a private equity fund bought a hospital, adverse events including surgical infections and bed sores rose by 25 percent among Medicare patients when compared with similar hospitals that were not bought by such investors. The researchers reported a nearly 38 percent increase in central line infections, a dangerous kind of infection that medical authorities say should never happen, and a 27 percent increase in falls by patients while staying in the hospital.

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Opinion | Why the World Needs Its Own Immune System - The New York Times

Dr. Gawande is the assistant administrator for global health at U.S.A.I.D.

The thing that has surprised me most since I began my job leading foreign assistance for global health at the U.S. Agency for International Development is how much emergencies have defined my work. The bureau I oversee focuses on reducing the global burden of mortality and disease and on protecting the United States from health threats from abroad. Our work is supposed to primarily serve long-range goals — for instance, eradicating polio (after 35 years of effort, we’re down to just a handful of wild-type cases in the world) and ending the public health threat of H.I.V., malaria and tuberculosis by 2030. But from the moment I started, more immediate problems have diverted time, attention and resources.

In January of 2022, when I started this role, Covid was naturally the top priority. Then, in late February, suddenly it was Ukraine. The Russian government’s invasion cut off pharmaceutical supplies, attacked hospitals and the systems they depend on and drove outbreaks of disease among the displaced, potentially endangering even more lives than Russian weapons did. More than 100,000 Ukrainians with H.I.V., for example, were threatened with losing access to the lifesaving antiretroviral medications they needed. We had to move fast to help Ukraine solve how to keep pharmacies, clinics, hospitals and public health capacity functioning.

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Opinion | We’re Thinking About Pain All Wrong - The New York Times

Ms. Szalavitz is a contributing Opinion writer who covers addiction and public policy.

For many years, I’ve written about people suffering intractable pain and how their agony and increased risk of suicide and premature death have been ignored in the rush to end the overdose crisis.

I’ve told the story of a woman who hoped for a cancer diagnosis because it might mean that her chronic pain, which she said felt like “pouring acid on” her skin, would get better treatment. I’ve written about a father who was paralyzed from the waist down, left in excruciating pain and using a wheelchair after a car accident, who died by suicide the day a doctor cut off his medication. I’ve chronicled the story of a woman with a torturous genetic disorder who keeps a growing list of untreated-pain-related suicides.

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Elite Chess Players Keep Accusing Each Other of Cheating - The New York Times

Seeds of doubt have grown into a disturbance among some in the game’s top ranks.

This is an era of milk and honey for those who live, breathe and make their livelihood from chess. But, like family members fighting over a piece of bread at the dinner table, the top players cannot seem to stop getting into disputes about the integrity of the game.

The latest episode concerns Hikaru Nakamura, one of chess’s top stars, and Vladimir Kramnik, who was world champion from 2000 to 2007. Last month, in a series of blog posts on Chess.com, the world’s most popular chess site, Mr. Kramnik insinuated that Mr. Nakamura had probably cheated while playing on the site.

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