Cigarettes with ultralow nicotine levels are now being called the game-changer in the fight against smoking. If you are having trouble in quitting smoking, then, it is for you, that soon the Biden White House is expected to formally propose a plan that will order cigarette nicotine levels to be reduced, reports The Washington Post. For now though, it has been a failure, as these cigarettes, also known as VLN cigarettes that stands for very low nicotine are only available in 5,100 stores in 26 states. This is a very small fraction of the overall market for cigarettes. The company that makes it, 22nd Century, is struggling not because of the low supply, but also from the advocates who have long believed slashing nicotine levels altogether.

The Advent and ideation

Nicotine is a chemical that is produced naturally from tobacco that makes the cigarette and also keeps people hooked. While it is believed that it makes people alert, and get the "hit" to keep them going, it exposes the users to harmful substances, carcinogens, and increases the risk of heart disease, lung cancer, and other illness.

Ultralow-nicotine cigarettes, like the VLN brand, contain about 95% less nicotine than the regular cigarettes. The idea is quite simple: without the addictive grip of nicotine, smokers will find it easier to quit. Research too has shown some promise. For instance, the studies funded by the National Institute on Drug Abuse revealed that very low nicotine cigarettes reduced addiction potential significantly without having users to increase their smoking frequency. However, the problem is, why would anyone choose for a low-nicotine that does not make them feel the same way, when the high-nicotine cigarette is right next to it, making them feel the same way, with the same alertness, sold at the same price.

“It’s very hard to imagine someone actively choosing to continue to use a low-nicotine product for the same price when a high-nicotine product is right next to it,” said Eric Donny, a Wake Forest University School of Medicine nicotine researcher.

No wonder, the experiment with low nicotine product by Philip Morris' Next cigarettes in the 1980s and Vector Tobacco's Quest brand in the early 2000s, flopped.

FDA's Role in the Push

The Food and Drug Administration (FDA) has supported the development of such products, even allowing VLN cigarettes to be marketed as lower-risk options. However, these products remain a niche market, available in only a fraction of U.S. stores.

Recently, the Biden administration has considered a bold step—mandating a dramatic reduction in nicotine levels for all cigarettes sold in the United States. Supporters believe this move could save millions of lives, while critics, including tobacco companies, warn of potential unintended consequences.

What Could Be The Challenges?

Resistance from Big Tobacco Companies: They could argue that slashing nicotine levels could backfire. Their claim is, smokers will turn to black markets or smoke more to satisfy their cravings, which may lead to greater exposure to harmful substances.

Consumer Reluctance: History is proof to the instances of smokers being hesitant to embrace the low-nicotine products.

Political Hurdle: It may face political roadblocks, as under the Trump administration, plans to cut nicotine were shelved.

Could Low-Nicotine Cigarettes Be The Solution?

Advocates believe that ultralow-nicotine cigarettes could be a game-changer, comparing them to decaf coffee or non-alcoholic beer—products that reduce harm while offering a similar experience.

Some experts warn that a black market for traditional cigarettes could undermine these efforts. They also stress the need for safer alternatives, such as vaping products, to support smokers transitioning away from traditional cigarettes.

Captain Chesley "Sully" Sullenberger, the retired airline pilot celebrated worldwide for safely landing US Airways Flight 1549 on New York's Hudson River in 2009, recently shared that he has been diagnosed with early-stage Alzheimer's disease.

Chesley Sullenberger’s Alzheimer’s Diagnosis

The 75-year-old aviation hero, whose calmness and composure saved all the 155 passengers and crew during what became known as the "Miracle on the Hudson," shared the news in a public statement released on July 14.

He said that he wanted to share his diagnosis to reduce the stigma surrounding the disease.

"I recently found out I have been diagnosed with Alzheimer's Disease. It is early stage," Chesley Sullenberger said.

Describing the early effects of the condition, he added, "For now, this means a name may not come easily to me, I forget a story I have recently told, or I don't sleep as well, but I am in the beginning of this long journey."

According to recent, Sullenberger began noticing subtle memory lapses in 2025 before seeking medical intervention. He later received an Alzheimer's diagnosis and is now under specialist care.

Despite the diagnosis, Sullenberger emphasized that he remains hopeful and intends to continue living a meaningful life with the support of his family.

"I've spent my life trying to be of service to others," he said, adding that sharing his diagnosis is another opportunity to help people navigating the disease.

Also read: Your Country May Influence Your Dementia Risk More Than You Think, Study Suggests

Sullenberger Compared His Famous Landing To Alzheimer’s

Sullenberger also drew a parallel between the courage required during the emergency landing in 2009 and the resilience needed to battle Alzheimer's disease.

"It takes courage to face a challenge like this," he said, expressing confidence that, just as people came together during the Hudson River rescue, families, caregivers and researchers can unite in the fight against Alzheimer's disease.

Chesley Sullenberger’s Landing On The Hudson River

Sullenberger became an aviation hero after US Airways Flight 1549 struck a flock of Canada geese shortly after takeoff from New York's LaGuardia Airport on January 15, 2009.

With both engines disabled, he safely landed the Airbus A320 on the Hudson River, allowing every passenger and crew member to survive. The extraordinary incident inspired the 2016 film Sully, starring Tom Hanks.

Following his retirement from commercial aviation in 2010, Sullenberger remained active as an aviation safety advocate, author and public speaker.

Also read: Indian Scientists Create 3D Brainstem Atlas That Can Help Understand Parkinson’s, Sleep Disorders & Stroke Better

Public Figures Who Recently Revealed Alzheimer’s Diagnosis

Sullenberger’s announcement comes as Alzheimer's disease continues to pose a growing public health challenge. He is one of the public figures who recently shared their Alzheimer’s diagnosis.

Before Sullenberger, veteran BBC Radio 2 presenter Paul Gambaccini also shared that he was diagnosed with Alzheimer's in 2025. Despite the diagnosis, he said he plans to continue broadcasting while he is able and wants to raise awareness about the disease.

Oscar-nominated actor Danny Glover revealed he has been living with Alzheimer's disease for several years after receiving a diagnosis in 2022.

What Is Alzheimer’s Disease?

The condition is the most common cause of dementia and gradually affects memory, thinking and the ability to carry out everyday activities.

Here are the early symptoms of Alzheimer’s disease:

• Frequent memory loss, especially forgetting recently learned information
• Difficulty finding the right words during conversations
• Confusion about time or familiar places
• Trouble planning or solving routine problems
• Misplacing belongings and being unable to retrace steps
• Changes in mood, personality or behaviour
• Poor judgment and reduced decision-making ability

As the disease progresses, individuals may struggle to recognize loved ones, communicate effectively, and carry out daily activities independently.

While there is currently no cure, newer treatments and supportive care may help slow progression in some patients when the disease is detected early.

In a major policy shift, schools and colleges across India are set to introduce comprehensive sex education after the Centre informed the Supreme Court that a nationwide programme on health, safety, relationships and reproductive awareness will soon be rolled out.

The move comes nearly two years after the apex court directed the government to create a structured national framework to improve awareness about sexuality, reproductive health, consent, personal safety and child sexual abuse prevention.

Appearing before a bench of Justices BV Nagarathna and R. Mahadevan, Additional Solicitor General Aishwarya Bhati said the Centre has accepted the recommendations of a 26-member national expert committee. The government plans to implement the curriculum nationwide after the Supreme Court grants its formal approval.

The bench also observed that "sex education is not a Western concept incompatible with Indian societal values," noting that misconceptions have led some states to oppose or ban such programmes despite their public health importance.

What Will Be Taught?

The expert panel has recommended making comprehensive sex education a mandatory part of the school curriculum under NEP 2020. Specially trained teachers would conduct brief 15–20 minute sessions twice a week, with lessons tailored to each age group.

Primary school: Personal hygiene, body awareness, and safe and unsafe touch.

Middle and higher classes: Puberty, hormonal changes, consent, personal boundaries, recognising unsafe situations, seeking help, and reproductive and sexual health.

Experts Call It A Long-Overdue Reform

Health experts lauded the move and reiterated that comprehensive sex education is not about encouraging sexual activity. Instead, it equips children with the knowledge and life skills needed to stay safe, make informed decisions and build healthy relationships.

Speaking to HealthandMe, Dr. Ishwar Gilada, the President Emeritus of the AIDS Society of India (ASI) and a Governing Council member of the International AIDS Society (IAS), called the apex Court's directions a landmark moment after decades of advocating for scientific sex education.

He noted that "early sex education can help prevent child sexual abuse among both girls and boys", and also prevent sexually transmitted diseases (STDs) and HIV.

A key myth about sex education is that it will encourage sexual activity. Busting the myth, Dr. Arti Anand, Senior Consultant, Clinical Psychology, Sir Ganga Ram Hospital, said that "comprehensive sex education is about providing children with the right information at the right age, not encouraging sexual activity".

The experts noted that in the absence of accurate information, children often rely on friends or the internet, where myths and misinformation are common.

Instead, Dr Arti said that a good sex education can:

• Protect children from abuse
• Reduce bullying
• Prevent unhealthy relationships
• Build confidence
• Encourage respect and responsible decision-making
• Help children grow into emotionally healthy, safe and well-informed adults

Studies have proven that comprehensive sexuality education can:

• Reduce risky behaviors
• Lower unintended pregnancies
• Reduce sexually transmitted infections (STIs)
• Help prevent sexual abuse by enabling children to recognise inappropriate behaviour and seek help
• Promote gender equality and mutual respect.

Dr. Amit Prakash Singh, Consultant – Internal Medicine, CK Birla Hospital, Delhi, described comprehensive sex education as an essential life-skills programme that goes beyond reproductive health.

Dr. Singh told HealthandMe that the curriculum will help children understand:

• Puberty
• Consent
• Healthy relationships
• Personal safety
• Gender respect
• Digital safety.

The Trump administration has withdrawn its most far-reaching proposal to restrict gender-affirming care for transgender youth, stepping back from a rule that would have blocked federal Medicaid and Medicare funding for hospitals providing such care.

According to an official document obtained by NPR, the US Department of Health and Human Services (HHS) will not finalize a proposed rule introduced in December 2025 that sought to deny Medicaid and Medicare reimbursements to hospitals offering pediatric gender-affirming care.

The move to drop comes as the HHS received more than 30,000 public comments, including strong opposition from major medical organizations, such as the American Medical Association (AMA) and the Children's Hospital Association. They argued that evidence-based gender-affirming treatments—such as puberty blockers and hormone therapy—are safe and effective for appropriately selected transgender adolescents..

"CMS does not comment on future rulemaking or speculate on potential actions. The Trump Administration rejects ideologically driven surgical interventions on vulnerable children," the Centers for Medicare & Medicaid Services (CMS) told NPR.

What Was the Proposed Rule?

In December 2025, Health Secretary Robert F. Kennedy Jr. and Dr. Mehmet Oz, who oversees Medicare and Medicaid, announced plans that would have effectively ended federal funding for hospitals providing gender-affirming care to transgender minors, even in states where such care remains legal.

"So-called gender affirming care has inflicted lasting physical and psychological damage on vulnerable young people. This is not medicine. It is malpractice," Kennedy said at the time.

The administration's move aligns with President Donald Trump's broader policies on transgender healthcare. On his first day back in office, Trump signed an executive order stating that the United States "will not fund, sponsor, promote, assist, or support the so-called 'transition' of a child from one sex to another."

Access to Care Still Varies Across the US

Although the federal funding proposal has been dropped, access to gender-affirming care remains uneven across the United States.

Twenty-seven states have enacted laws banning or restricting gender-affirming care for minors. In several other states, hospitals have reduced or discontinued these services amid ongoing legal and political challenges.

According to a CDC survey, about 3 per cent of US teens aged 13-17—roughly 700,000 adolescents—identify as transgender.

A survey by health policy organization KFF found that fewer than one-third of transgender people reported using medication related to their gender identity, while 16 per cent said they had undergone gender-affirming surgery.

For transgender adolescents, medical treatment most commonly includes puberty blockers and hormone therapy. Gender-affirming surgery for minors remains rare.

Medicaid Concerns For People Living With HIV

Separately, Medicaid is set to undergo major policy changes that could affect millions of Americans, including people living with HIV.

Beginning January 1, 2027, many adult Medicaid beneficiaries will be required to complete at least 80 hours per month of work, volunteering, education, or job training under a new community engagement requirement. Enrollees will also have to verify compliance twice a year to maintain their coverage.

Medicaid is the largest health insurer for people living with HIV in the United States, covering about 46 per cent of this population. Eligibility is primarily based on income, although age and disability status may also qualify individuals.

Health experts have warned that the new reporting requirements could create administrative hurdles, causing some eligible beneficiaries—including people living with HIV—to lose Medicaid coverage and potentially face interruptions in access to essential treatment and care. They added that the loss of Medicaid coverage will not only harm individuals but public health as a whole.