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FDA Postpones Mifepristone Safety Review, Raising Political Concerns Ahead of Midterm Elections

Source :- CNN

The Food and Drug Administration has put off a long-promised review of safety data for the abortion drug mifepristone. This has caused a lot of talk in Washington and accusations of political maneuvering ahead of the midterm elections next year. People who know about the situation say that FDA Commissioner Marty Makary told agency officials to put off the review at his request, which pushed the timeline past the election cycle.

For months, both Makary and Health and Human Services Secretary Robert F. Kennedy Jr. have been telling lawmakers and state attorneys general that the administration is actively looking into the safety of mifepristone, one of the two drugs that are commonly used for medication abortions in the US. Sources say that Makary told the agency to wait until the political climate settles down before finishing its investigation.

The Department of Health and Human Services says that politics had nothing to do with the decision. Andrew Nixon, a spokesman for the department, said that the criticism was not true. Nixon said, "Claims that the FDA is dragging its feet on this review for political reasons are false." He also said that the agency's scientific evaluations take time and are based on facts, not political goals. He said, "FDA's thorough scientific reviews take the time they need to get the science right."

Still, the timing of the delay is important. Extending the study past the midterm elections could lessen the effect of abortion debates in close races. Abortion restrictions are still popular with right-leaning voters, but they don't always appeal to moderates or independents. According to a Pew Research Center poll from 2024, most moderate or liberal Republicans think that abortion should be legal in all or most cases. Several Republican incumbents are likely to have tough fights to keep their jobs, and the abortion access issue could get more people to vote against them.

Even though it's a sensitive issue politically, some Republican lawmakers have been telling federal health agencies to speed up their review of mifepristone. Their stated goal is to bring back rules from before 2021 that said patients had to see a doctor in person before getting the abortion pill. The Biden administration permanently got rid of the requirement that people see a doctor in person. This meant that mifepristone could be prescribed over the phone and sent through the mail. A lot of Republican officials have spoken out against the policy, saying it puts patients at risk.

Kennedy and Makary have both said in public that the safety review is still going on. In a letter sent to Republican attorneys general on September 19, they said, "HHS, through the FDA, is conducting its own review of the evidence, including real-world outcomes and evidence, relating to the safety and efficacy of the drug." Their statement was meant to reassure state leaders who had doubts about whether the agency was taking the issue seriously.

But in mid-October, doubts came back when the FDA approved another generic version of mifepristone. On October 16, seventeen Republican senators wrote to Makary to ask for an update on the review and to voice their concerns about what they saw as unnecessary delays. They pushed the agency for more information about the timeline and asked for a summary of the safety findings that were available.

Even though mifepristone has been studied for decades, the political fight over who can get it has not stopped. The American College of Obstetricians and Gynecologists and other major medical groups have long said that mifepristone is safe to use as long as certain rules are followed. A 2013 study that looked at data from 45,000 patients was a big deal. It found that only 0.3 percent of women who took the pill needed to go to the hospital. The study found that medication abortion is very effective and safe, which is what reproductive health advocates have been saying for years.

After Roe v. Wade was overturned, states with strict abortion bans started looking for other options. This made the push to make the abortion pill more available at home stronger. For a lot of women, telemedicine abortion services were the only way to get reproductive care. Advocates say that putting off the FDA's safety review could make an already controversial issue even more political and make it harder for people to get important medical care.

The future of the mifepristone review is still up in the air as the midterms get closer. It's clear that the debate over the pill will likely stay at the center of national politics for the next few months.

 Also Read :-  World  Care Magazine for more information