Leah Pierson
@leahpierson.bsky.social
760 followers 120 following 76 posts
Internal medicine resident at Brigham and Women’s Hospital | Interested in ethics, priority setting, and global health | co-host of @biounethical.bsky.social: biounethical.com
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leahpierson.bsky.social
New episode of Bio(un)ethical is out now, with @jbcarmody.bsky.social!

Bryan Carmody: Are doctor shortages real?

We discuss:
- Why people think there aren't enough doctors
- Why many access problems reflect misallocation (vs shortages)
- What models projecting shortages miss
- AI (the 🐘 in the 🏥)
leahpierson.bsky.social
4) How should the ethical principles be implemented?

At each stage of priority setting—preparation, prioritization, and follow-up—the four principles can be applied. See page 30 (in PDF) for practical guidance on implementing them.
leahpierson.bsky.social
3) What key ethical principles should guide the priority-setting process?

These four:
leahpierson.bsky.social
2) Who is the guidance for?

Anyone who sets research priorities, including funders, policymakers, research institutions, researchers, advocacy groups, and so on.

All should undertake some form of priority setting, but in proportion to the resources available and the stakes of the decisions.
leahpierson.bsky.social
In short:

"Decisions about what research to conduct, promote or support should be made explicitly, in a systematic way, and guided by ethical principles."

The guidance aims to help research actors set priorities in an explicit, systematic, and ethical way.
leahpierson.bsky.social
1) Why is ethical guidance on research priority setting necessary?

Decisions about what research we prioritize influence the distribution of health and illness. At present, there are large and unjustifiable disparities in research funding. The guidance aims to help address this.
leahpierson.bsky.social
The WHO guidance on the ethics of health research priority setting is out today!

It was a privilege to be a part of the expert writing group (led by Joe Millum) over the past two years.

I think the guidance is practical and important, especially now.

Short thread + link below!
leahpierson.bsky.social
Proud to have graduated from Harvard’s MD/PhD program, and to join the physicians and researchers committed to building a brighter future.
Reposted by Leah Pierson
Reposted by Leah Pierson
emmapierson.bsky.social
The US government recently flagged my scientific grant in its "woke DEI database". Many people have asked me what I will do.

My answer today in Nature.

We will not be cowed. We will keep using AI to build a fairer, healthier world.

www.nature.com/articles/d41...
My ‘woke DEI’ grant has been flagged for scrutiny. Where do I go from here?
My work in making artificial intelligence fair has been noticed by US officials intent on ending ‘class warfare propaganda’.
www.nature.com
leahpierson.bsky.social
This is amazing!! Congrats!
leahpierson.bsky.social
3) Academic researchers have good outside options, and many can/will leave if they can't do their research.

4) Our next generation of scientists is watching opportunities vanish, mentors grow disillusioned, and funding streams dry up; many may permanently pivot.
leahpierson.bsky.social
1) A pause is harmful even if it's temporary: any day a lab is closed is an additional day without research, an additional day without a cure.

2) Restarting research isn't trivial because, e.g., participants lose trust, experts leave, lab animals have lifecycles, etc.
leahpierson.bsky.social
"Pausing" scientific research is like "pausing" a car in the middle of the highway—it's liable to have catastrophic, long-term effects that restarting it won't fix.
Reposted by Leah Pierson
biounethical.bsky.social
Every episode of Season 2 is now available wherever you get your podcasts!

We're taking a short break before making further episodes, so now is a great time to submit feedback or requests (e.g., guests or topics) at biounethical.com.

Also, we heard you: transcripts are coming!
Reposted by Leah Pierson
biounethical.bsky.social
Hi Bluesky!

We're Bio(un)ethical, the podcast questioning existing norms in medicine, science, and public health via long-form interviews with philosophers, policymakers, physicians, and other experts.

Seasons 1 + 2 are available on all platforms and our website: www.biounethical.com
Bio(un)ethical | Bioethics Podcast
Bio(un)ethical is a podcast miniseries where Leah Pierson and Sophie Gibert interview experts on bioethical issues, and question existing norms in medicine, science, and public health.
www.biounethical.com
leahpierson.bsky.social
Thank you!!!! Very excited. :)
leahpierson.bsky.social
Have been dreaming about this day for 7 years!!!

#Match2025
Reposted by Leah Pierson
leahpierson.bsky.social
The final episode of Biounethical season 2 is out now!

Rachel Fraser: How your social world shapes what you know

We discuss whether experiences of oppression give people special insight, whether this insight can be shared, and what policy implications this might have.

Links ⬇️