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cover of episode Listen Now | The Sage Steele Show | RFK's VP: Nicole Shanahan

Listen Now | The Sage Steele Show | RFK's VP: Nicole Shanahan

2024/5/2
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Club Random with Bill Maher

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Nicole Shanahan:美国女性生育率下降和儿童慢性病高发已达到惊人的程度,这不仅是道德问题,更是国家安全问题。不断增长的医疗支出,特别是儿童慢性病的治疗费用,将在未来20年内给国家医疗预算增加数万亿美元的负担,这对于美国财政来说是不可持续的。 她认为,长期以来,女性生殖健康领域的研究资金严重不足,导致了这一问题的出现。虽然她并非反对试管婴儿技术(IVF),但她批评IVF产业的商业化模式,以及其对女性生殖健康研究的资金投入不足。她认为,应该关注女性生殖健康和生育能力的长期研究,而不是仅仅关注高利润的商业化医疗服务。 她分析问题的方法是关注资金流向,并以此判断哪些领域被忽视。她认为,通过关注资金流向,可以更清晰地了解问题的本质,并找到解决问题的有效途径。她将同样的分析方法应用于堕胎等其他女性生殖健康问题。

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The number of women who want to get pregnant and have a baby and cannot is higher than it has ever been in this country. The number of women suffering from miscarriages, the number of women who are giving birth to kids that then develop chronic illness, it's astronomical. It is a national security issue, in my opinion. It is a moral issue. How is it a national security issue?

When you have a shrinking population and that population has so many sick kids who cannot work, who are going to need assistance for their life, and we are going to have to put in government dollars. I mean, just, you know, some of these chronic diseases are going to amount to adding, you know, five to ten trillions of dollars to our national health care budget in the next 20 years if we do not stop this chronic health issue. Yeah.

It's already one of our largest budget items, $4.6 trillion a year in government spending in health care. We cannot sustain it as a country on this course. So what I have noticed is that the issue of fertility in general has had a ton of corporate involvement.

I've been criticized for being anti-IVF. That couldn't be further from the truth. I'm critical of IVF because it was designed out of cancer research dollars. And I learned through my own experience that the funding into women's reproductive health

virtually doesn't exist. So how do you keep a healthy woman healthy longer? How do you look at ovarian function through a scientific lens? Foundational sciences, never really been funded. So this idea of women's reproductive longevity, health, and equality, I'm like the first funder in the space. I created the field. So...

And it had been so neglected. And as a result, you have these very savvy private equity-owned IVF clinics coming in and saying, this is an amazing opportunity. Yes. Right? This is $15,000 a cycle. Okay.

Cash, right? All cash. It is one of the fastest growing industries in the world today. Industry. That's the key word there too. It's an industry. Yeah, business. And so anytime I look at an issue, I look at it as where the money is going, how it got there, and what is actually being neglected. Right. And so that's how I look at all issues of women's reproductive health, including

you know, this issue of abortion and I've,