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Morning Briefing

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Thursday, Aug 30 2018

Full Issue

Viewpoints: Demand Answers From Politicians On Common Sense Gun Laws; States Need Recovery Studies During Opioid Crisis

Opinion writers focus on these health issues and others.

Not even mass shootings stay in the headlines very long with all the topsy-turvy news coming out of the White House every day. Unfortunately, the public seems to lose interest even faster when it鈥檚 reported that a shooter may have been mentally ill. Maybe that鈥檚 in part due to gun control advocates鈥 tendency to lower their volume when a mass gunman鈥檚 history of mental illness becomes known. That doesn鈥檛 invalidate their argument, but the gun lobby uses it as ammunition to steer the conversation from the need to further restrict the availability of guns that can kill or maim dozens of people in minutes. Instead of lowering their voices, gun control proponents should add them to the chorus of those similarly calling on politicians to close gaps in the mental health system that can lead to tragedies like Sunday鈥檚 mass shooting of 12 people at a video games tournament in Jacksonville, Fla. (8/29)

Lost among the headlines of opioid addiction and overdose deaths are the many quiet stories of recovery. An estimated 22 million Americans 鈥 that includes the three of us 鈥 are in recovery from opioid and other addictions. We say 鈥渆stimated鈥 because states and the federal government don鈥檛 track recovery like they track addiction rates or overdoses. (Robert D. Ashford, Olivia Pennelle and Brent Canode, 8/30)

Crops are growing slower because of hazy skies, the Seattle Seahawks moved practice to an indoor facility, and people are showing up at hospitals and medical clinics with complaints of wheezing, shortness of breath and other ailments. Long-planned surgeries have been canceled because patients are too ill from the smoke. (Jim Carlton and Nour Malas, 8/28)

States frequently compel health professionals and commercial entities to disclose information relevant to patient or consumer decision making. For many years, such laws were presumed to be constitutional, despite the First Amendment鈥檚 protection of free speech. But after the Supreme Court鈥檚 decision in National Institute of Family and Life Advocates v. Becerra (NIFLA) in late June 2018, the status of such laws is an open question. (Wendy E. Parmet, Micah L. Berman and Jason A. Smith, 8/29)

Small data is not in style these days, and I'm a big data practitioner myself, working at the intersection of data, computing and medicine as chair of Harvard Medical School's Department of Biomedical Informatics. So much the more reason, I think, to remember how much can be done with careful, meticulous consideration of data coming from a single patient. (Isaac Kohane, 8/29)

If you want to control people鈥檚 thoughts, begin by commandeering their words. Taking this Orwellian lesson to heart, Virginia鈥檚 Fairfax County public school system recently stripped the phrase 鈥渂iological gender鈥 from its family life curriculum, replacing it with 鈥渟ex assigned at birth.鈥 Without permitting parents to opt out, public schools across the country are teaching children that 鈥済ender鈥 is neither binary nor biological. It鈥檚 closer to a mental state: a question of how girllike or boylike you feel. Students will fall anywhere along a gender spectrum, according to these educators. (Abigail Shrier, 8/29)

As currently constructed, the weighting systems that underlie overall hospital performance ratings are expressions of the values, preferences, and tastes of their creators. Why not ask patients what鈥檚 important to them instead? (Juliet Rumball-Smith, Jill Gurvey, and Mark W. Friedberg, 8/30)

My brother Paul, a rabbi, died recently, just shy of 3 years after the diagnosis of widely metastatic colon cancer. The story of his diagnosis and treatment is all too familiar. An apparently healthy 64-year-old man has a sudden onset of lower abdominal pain. Imaging reveals an obstructing lesion. Surgery leads to the diagnosis of colon cancer, stage IV at diagnosis, with hepatic, peritoneal, and pulmonary spread. ...A rabbi is a teacher, and Paul taught us, his family and associates, three lessons during the time granted to him by medical science. (Jeffrey M. Drazen, 8/29)

Some San Antonio residents are finding it more difficult to maintain a roof over their heads as the affordable housing market shrinks, rents go up and safety nets disappear. ...San Antonio has a low cost of living, but many of its apartment dwellers are nonetheless what the federal government calls 鈥渃ost burdened,鈥 which means they spend more than 30 percent of their income on housing. (8/28)

Our leaders should do what鈥檚 right and support Senate Bills 844 and 845 to finance the proposed Safe and Affordable Drinking Water Fund. The bills are modest in scope and cost, but will save lives. They will raise a small, dedicated amount of funding through new fees on agriculture and voluntary charges on water bills to help low-income communities afford ongoing operations and maintenance costs for water treatment. (Dolores Huerta and Tom Steyer, 8/28)

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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