special report
Early career trans researchers have had a tough year

Laura Weiler for STAT
Last summer was a rough one for 30-year-old Tyler Harvey. They’re a queer M.D.-Ph.D. student at Yale, where they were drawn to a unique research program focused on LGBTQ+ mental health. But after Harvey’s Ph.D. adviser lost every cent of his funding to federal cuts, he could no longer guide their dissertation work. So while Harvey’s classmates started in earnest on research projects, they spent the summer scrambling for a new adviser and a new area of study.
“There were moments where I was like — should I just drop out of the Ph.D. program?” Harvey said. They didn’t — but they did push back a key medical school exam while they played catch up on Ph.D work.
Amid federal grant cuts and attacks on the very existence of gender diversity, trans and queer scholars find themselves juggling concerns about finding a secure job in academia alongside fear over their safety and well-being. For the sixth installment of American Science, Shattered, I spoke with some early-career researchers like Harvey about how they’re managing. Read more about dissertation pivots, delayed job searches, circuitous travel routes, and a pervasive fear of surveillance.
health
Which mothers end up back in the hospital: a study
In a study of more than 190,600 births over four years in South Carolina, researchers found that Black people in urban areas had a higher risk of being readmitted to the hospital postpartum than their white peers. In rural areas, the overall risk of postpartum readmission was higher, but the racial disparities were diminished.
The research, published yesterday in JAMA Network Open, analyzed readmissions for birthing parents within a year of delivery. Among everyone who gave birth, 4.7% were readmitted in that time frame for any reason, while 1.5% were readmitted in relation to a mental health disorder and 0.8% were readmitted related to substance use disorder. An accompanying editorial points out that the data could underestimate rates for Black people in particular, as the all-payer claims database used may exclude people without continuous health insurance, and many Black patients have had negative hospital experiences leading them to avoid care or access it less frequently. The authors write that more research from an intersectionality lens is needed.
people
The people who shaped science this year
Yesterday, Nature released its list of 10 influential people in the year of science. STAT readers will definitely recognize a couple of the names:
- Ousted CDC director Susan Monarez: Monarez was fired less than a month after being sworn in to lead the CDC this summer. STAT’s Daniel Payne reported in August the inside story of how Monarez was pushed out after refusing to approve all the recommendations from health secretary Robert F. Kennedy Jr.’s hand-picked vaccine panel.
- Baby KJ: KJ Muldoon was born with an ultra-rare disease. But at just 6 months old, he received a custom-built gene-editing treatment to rewrite his unique genetic misspelling. STAT’s Jason Mast wrote earlier this year about the landmark treatment and what it means for the future of CRISPR. And he kept in touch with KJ’s family and physicians, who all joined us in Boston this fall for the STAT Summit. There, a story from KJ’s dad about a recent Sunday evening with his son left barely a dry eye in the room.
Also included is Precious Matsoso, who led the WHO negotiating committee that adopted a pandemic treaty aimed at improving vaccine access. (The U.S. did not send a representative.) Neurologist Sarah Tabrizi, who researches Huntington’s disease, was also honored. Other faces were unfamiliar to me, including a mosquito rancher and a deep-sea diver.