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Friday, Aug 2 2019

Full Issue

Viewpoints: Cheaper Drug Imports From Canada Would Be Wonderful But Are Just Another Fantasy; U.S. Needs To Wake Up To Concerns About The Ebola Outbreak

Opinion writers weigh in on these health care topics and others.

President Trump would prefer that you think he鈥檚 working tirelessly to protect Americans from soaring drug prices. His administration announced this week it wants to create a system that allows people to legally access lower-cost prescription meds from Canada. 鈥淔or too long American patients have been paying exorbitantly high prices for prescription drugs that are made available to other countries at lower prices,鈥 said Health and Human Services Secretary Alex Azar. (David Lazarus, 8/1)

In 2014, the U.S. led the effort by governments to blunt the world鈥檚 biggest outbreak of Ebola, which took more than 11,000 lives in West Africa before it was declared over in mid-2016. Now, a smaller but more complex outbreak rages in the Democratic Republic of Congo, and the U.S. response has been shaped by indifference and bureaucratic haggling. The consequences are potentially disastrous, and not just for those immediately at risk. (8/1)

Crossing the border on foot from Rwanda to the Democratic Republic of Congo, it was immediately apparent that we were entering a place at war. War has been a part of the landscape of Eastern Congo for decades, and it is the home of the largest U.N. peacekeeping operation in the world. But at the border there were no guns or peacekeepers. This border was at war with an invisible but potentially even more deadly foe: Ebola. August marks the one-year milestone for this Ebola outbreak 鈥 and the end is not yet in sight. (Allyson Bear, 8/1)

Several years ago, a friend asked two of us if an over-the-counter drug that promised to increase one鈥檚 lifespan actually had evidence to support this claim. We couldn鈥檛 find any research on the drug and suggested that our friend refrain from using it since it hadn鈥檛 been tested for safety. Her response: 鈥淏ut it鈥檚 natural, so it can鈥檛 hurt you.鈥 We were dumbfounded by this statement. After all, substances like arsenic and botulinum toxins are natural 鈥 but they are also deadly poisons. After much discussion, we wondered if her belief was isolated or representative of a general belief. In other words, do people have a default belief that 鈥渘atural鈥 items are safer and better than non-natural or human-made items? (Barry Meier, Amanda Dillard and Courtney Lappas, 8/2)

It turns out that a single homeless woman, without a child in tow, who is a victim of domestic violence and decides after 5 p.m. that she would like to stay in a shelter for the night is generally out of luck in the city of Los Angeles. Overnight emergency shelter beds are in dwindling supply.If Michelle had had a child with her, the 211 operator probably could have gotten her a motel room for the night with a county-funded voucher. But many shelters won鈥檛 take a victim of domestic violence, fearing that her abuser could find her and endanger the other shelter residents. (The locations of domestic violence shelters are kept confidential for this reason.) I understand that, but turning away a homeless person who might need to be off the street to avoid an abuser seems particularly cruel. (Carla Hall, 8/2)

Fasting is one of the biggest weight-loss trends to arise in recent years. Endorsed by A-list celebrities and the subject of a spate of best-selling books, it was the eighth most-Googled diet in America in 2018. But fasting shouldn鈥檛 be dismissed as just another fad. At the Charit茅 University Hospital in Berlin, I鈥檝e employed what鈥檚 called intermittent fasting, or time-restricted eating, to help patients with an array of chronic conditions. These include diabetes, high blood pressure, rheumatism and bowel diseases, as well as pain syndromes such as migraines and osteoarthritis. (Andreas Michalsen, 8/1)

Newsom noted in his State of the State address in February that California鈥檚 over-65 population will nearly double to 8.6 million in the next decade. Recently, he issued an executive order to devise a plan that will help the aging population of the Golden State better enjoy its golden years.In charging a cabinet-level workgroup with developing a Master Plan for Aging by Oct. 1, 2020, Gov. Newsom is tackling a formidable, long-term challenge. (Jeannee Parker Martin, 8/1)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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