The Present Illness

Tylenol, Autism & the Clown Car of Public Health

Sep 27, 2025
The hosts tackle the contentious link between Tylenol use during pregnancy and autism, emphasizing the need for scientific rigor over sensational claims. They explore the risks of discouraging acetaminophen for expectant mothers, warning about the potential consequences. The conversation delves into the impact of misinformation in public health, including the influence of wellness influencers and fear-based messaging. With a humorous touch, they connect historical eugenics rhetoric to contemporary discussions around disability, urging for better access to care and research funding.
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INSIGHT

Political Theater, Not Causal Science

  • The Trump administration's Tylenol claims rest on weak, correlational evidence and political theater rather than causal science.
  • Removing or discouraging acetaminophen harms pregnant people and children by risking untreated fever and pain.
INSIGHT

Weigh Study Quality, Not Institution Names

  • Single reviews or papers cannot overturn broad evidence, especially when authors have conflicts of interest.
  • Evaluate study quality, size, and conflicts before changing public-health guidance.
ADVICE

Use Acetaminophen When Clinically Needed

  • Trust major medical societies that endorse acetaminophen as safe in pregnancy when used appropriately.
  • Use acetaminophen to treat fever and pain in pregnant people because untreated fever and pain can harm fetus and parent.
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