November 21, 2025
avatar-torie-bosch
First Opinion editor

On the First Opinion Podcast this week, I heard an idea for a reality show that we need to shop to Bravo ASAP: “The Real Ranch Wives of North Dakota.”

I was speaking to Sandy Tibke, executive director of the Foundation for a Healthy North Dakota, and Josh Gryniewicz of Odd Duck, a communications consultancy, about how they teamed up to promote public health, including vaccination, in the state. They started with listening sessions held across the state, where they focused on hearing both concerns about and reasons for vaccination. At one such session, Josh overheard a ranch wife say to the people at her table, “This isn't what I thought this was going to be at all.” Another agreed, saying, “I had come here to pick a fight.”

Josh and Sandy’s cross-country listening tour was wilder than you might expect, one that involves cowboys and an axe-throwing nun — and in the end, they helped defeat several anti-vaccine bills in North Dakota.

But back to Bravo. “We decided that if, if this didn't work out, we could do ‘Ranch Housewives in North Dakota’ reality TV,” Josh said. (I prefer my name for our hypothetical show.) As a longtime consumer of reality TV, I know a good idea when I hear it. Andy Cohen, let’s talk — out of the goodness of my heart, I won’t even charge a finder’s fee.

Recommendation of the week: As we head into Thanksgiving week, I’d like to share my go-to dessert recipe: super-easy, buttery, delicious blondies from Smitten Kitchen.



Jose Luis Magana/AP

The Trump administration is turning drug review into make-a-deal

The FDA Commissioner’s National Priority Voucher program turns drug review into make-a-deal.

By Daniel Carpenter, Thomas Hwang, and Aaron S. Kesselheim


Trump’s regressive deal on GLP-1s misses the mark for patients like me

There is nothing in the Trump weight loss drug plan that concretely addresses commercial coverage for GLP-1s.

By Gavin Hart


The anti-aging gold rush should focus on quality of life, not just quantity

A cheap and effective way to increase U.S. life expectancy doesn’t involve high-tech approaches to regenerate our cells and organs.

By Michael Gurven


Adobe

Elevated BMI should not routinely be listed as a formal diagnosis

A careful, patient-centered approach is much better than the highly stigmatizing practice of diagnosing and documenting obesity in patient charts.

By Mara Gordon, Niharika Sathe, and Meghan Crnic


Innovative program gives medical students a fuller view of the health care system’s failings

By following patients for a year instead of rotating between specialties, medical students learn valuable lessons.

By Serena Wang


Fighting anti-vax bills in a red state — and winning

Fighting back against anti-vaccine sentiment in North Dakota has involved veterinarians, chiropractors, nuns, and cowboys.

By Torie Bosch


Molly Ferguson for STAT

STAT+ | Every doctor needs a basic level of AI literacy

Human-in-the-loop models shift responsibility onto people unprepared to shoulder it, with potential consequences.

By Vishal Khetpal


Could an HIV miracle drug actually reach people like my parents?

A medical student who grew up in Zimbabwe, Tatenda Makoni writes that bringing lencapavir to those who need it most is harder than it may sound.

By Tatenda Makoni


I’m a doctor, and I believe in medical miracles

Hope for a medical miracle can and should inform basic medical practice, writes Fox News’ Marc Siegel.

By Marc Siegel


Adobe

How emotions affect health care coverage decisions

Recognizing how biases and emotions influence decisions is essential for navigating the impending changes in the health insurance landscape.

By Amit Chandra and Alison Hoover


STAT+ | Sanofi CEO: How we’re measuring AI success

Paul Hudson, CEO of Sanofi, describes how his company is measuring return on investment for AI, or ROAI.

By Paul Hudson


More around STAT
Check out more exclusive coverage with a STAT+ subscription
Read premium in-depth biotech, pharma, policy, and life science coverage and analysis with all of our STAT+ articles.

Enjoying First Opinion? Tell us about your experience
Continue reading the latest health & science news with the STAT app
Download on the App Store or get it on Google Play
STAT
STAT, 1 Exchange Place, Boston, MA
©2025, All Rights Reserved.