Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Any Other Public Health Problem Would Be Researched. Why Not Guns?; Remove Restrictions On Prescribing Buprenorphine To Treat Opioid Addiction
A congressional subcommittee held a hearing last week on the state of gun violence research in the U.S. The conclusion? It鈥檚 shamefully incomplete.As Andrew Morral of the Rand Corporation testified, 鈥淲e know little about gun violence and its prevention compared to other safety and health threats, because the federal government has not had a comprehensive program of research in these areas for decades.鈥 (3/11)
The day each of us received our licenses from the Drug Enforcement Administration, we were able to write prescriptions for oxycodone and fentanyl, two drugs that have fueled the opioid overdose epidemic. But we couldn鈥檛 prescribe buprenorphine, a far safer partial opioid that is an effective treatment for opioid use disorder, without getting additional training, a special license with a number that begins with 鈥淴,鈥 and agreeing to allow DEA agents to inspect our patient records. That doesn鈥檛 make sense to us, especially as our country is in the midst of an overdose epidemic. (Kevin Fiscella and Sarah E. Wakeman, 3/12)
A case before the Supreme Court this term could significantly affect whether densely populated cities like New York have the right to set their own gun policies. At a glance, New York State Rifle and Pistol Association v. City of New York is a limited dispute. It pits residents who have 鈥減remises licenses,鈥 which allow them to possess guns only at their homes, against a New York City ordinance that restricts their travel with their weapons to shooting ranges and clubs within city borders. If the petitioners 鈥 a gun advocacy group along with three of these individuals 鈥 prevail, those with premises licenses will be allowed to take their handguns with them to out-of-town ranges. Not a big deal, right? (Jonathan M. Metzl, 3/11)
Tests aimed at our complex and ever-changing anatomy and physiology will catch states that may signal disease or may be incidental or fleeting. Because of this, some people are 鈥渙verdiagnosed鈥 and treated for conditions they do not have. Convincing estimates suggest that between 22 percent and 31 percent of women who are treated for breast cancer that was diagnosed by a mammogram (a radiographic biomarker) don鈥檛 have cancer. Instead, the mammogram detected something that would have not caused a problem or would have faded away. Treatment of overdiagnoses and false positives in breast cancer costs the U.S. health system $4 billion a year. The push for more screening and diagnostic testing can be traced in part to economics or, put more bluntly, revenue. (Kenneth D. Mandl and Arjun K. Manra, 3/12)
The outbreak of anti-vaccine ignorance that has produced an alarming nationwide series of measles also has rekindled a simmering debate over the non-vaccinating parents鈥 legal exposure: Should they be held liable for the threat their inaction has posed to innocent victims, and subjected to financial damages? (Michael Hiltzik, 3/11)
Arizona now has a confirmed case of measles with more expected. There also have been cases of the mumps. Each illness apparently spread by an epidemic of ignorance. Good news, however.There is a vaccine available for all three ailments. (EJ Montini, 3/10)
I cried the first time I saw a naked man. As a young woman growing up in a conservative Catholic household, I couldn鈥檛 even look at my own genitals, and thought I would go to hell for masturbating. The abstinence-only education I received 鈥 at school, at home, in the church 鈥 left me with years of shame, isolation and fear. I鈥檝e watched the recent battles over allowing comprehensive sex ed in Colorado, Utah and Idaho, and I know how much is at stake for children. As a sex educator and entrepreneur, I鈥檝e spoken with thousands of similarly miseducated young people, and I know the mental and physiological damage it can inflict. (Barrica, 3/11)
The California Dignity in Pregnancy and Childbirth Act, Senate Bill 464, authored with Assemblymember Shirley Weber (D-San Diego) 鈥 co-sponsored by Western Center on Law & Poverty, ACT for Women and Girls, Black Women for Wellness, and NARAL Pro-Choice California 鈥 was introduced in the State Legislature to address this issue. The bill would require all perinatal healthcare providers to undergo implicit bias training to curb the impact of bias on maternal health. (Holley Mitchell and Courtney McKinney, 3/10)
In recent years, California has seen a record rise in cases of STIs and a spike in the number of stillbirths caused by syphilis. California now ranks first among all states for the total number of cases of chlamydia, gonorrhea and syphilis. (Scott Wiener and Todd Gloria, 3/8)
It should not take the deaths of young heart patients to spur action and better oversight of Florida鈥檚 cardiac programs. But the rising mortality rate at the Johns Hopkins All Children鈥檚 Hospital Pediatric Heart Institute revealed major gaps in how the state monitors quality of care and responds to problems. State lawmakers are right to consider legislation that would tighten oversight and better protect these fragile young patients. (3/8)