Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Democrats Need Much Better Explanations On Health Care Reform; Lessons On Banning Assault Weapons
Candidates must answer legitimate questions about transition. Harris deserves the suspicion generated by her proposed 10-year transitional timeframe, more than two full presidential terms. But suspicion is also due those who fail to address transition, notably Sanders and Warren. Do they think the half-million Americans who would lose jobs with the elimination of the private insurance-sector under their plan, or those who would lose negotiated health benefits beyond the new universal benefit-package, should be compensated? (Ann Mongoven, 8/9)
We have a huge problem with guns. Assault weapons 鈥 military-style firearms designed to fire rapidly 鈥 are a threat to our national security, and we should treat them as such. Anyone who pretends there鈥檚 nothing we can do is lying 鈥 and holding that view should be disqualifying for anyone seeking to lead our country. I know, because with Senator Dianne Feinstein I led the effort to enact the 1994 law that banned assault weapons and high-capacity magazines for 10 years. Those gun safety reforms made our nation demonstrably more secure. They were also, sadly, the last meaningful gun legislation we were able get signed into law before the N.R.A. and the gun manufacturers put the Republican Party in a headlock. (Former Vice President Joe Biden, 8/11)
Within the past week, CMS announced it will institute a broad coverage policy for Medicare beneficiaries who have indications for CAR-T and will increase the rate it pays hospitals administering CAR-T and other new therapies from 50% to 65% of the cost of the product as part of what are called new technology add-on payments (NTAPs). While this is a step in the right direction, it represents a piecemeal approach to a systemic problem and one that leaves hospitals with unsustainable expenses. While patients see CAR-T therapies as lifelines, hospital administrators look at them and see substantial financial risk. That view often delays or stops institutions from becoming certified to provide CAR-T therapies. (Roy Silverstein, 8/9)
Those favoring聽banning聽e-cigarette聽sales聽hope their efforts聽will聽prevent teens from vaping. As San Francisco Mayor London Breed聽expressed it, 鈥淲e need to take action to protect the health of San Francisco's youth and prevent the next generation of San Franciscans from becoming addicted to these products.鈥滿ayor Breed鈥檚 and other鈥檚 concerns are well-intended.聽The earlier in life an addiction聽develops, the longer it tends to stick, making youth particularly vulnerable. Unfortunately, history suggests their efforts are extremely unlikely to succeed. (Raymond Marsh, 8/9)
Could Lyme disease in the United States be the result of an accidental release from a secret bioweapons experiment? Could the military have specifically engineered the Lyme disease bacterium to be more insidious and destructive 鈥 and then let it somehow escape the lab and spread in nature? Is this why 300,000 Americans are diagnosed annually with this potentially debilitating disease? It鈥檚 an old conspiracy theory enjoying a resurgence with lots of sensational headlines and tweets. Even Congress has ordered that the Pentagon must reveal whether it weaponized ticks. And it鈥檚 not true. (Sam Telford, 8/11)
A recent study in the journal "Lancet" made a big splash when its authors concluded that cervical cancer could be eliminated worldwide 鈥渋f sufficient population-level vaccination coverage can be reached.鈥 Rwanda is certainly doing its part. The tiny African country decided a decade ago to prioritize the reduction of cervical cancer, and in 2013 it started offering 11 and 12-year-old girls immunization against the human papillomavirus (HPV), the cause of most cervical cancers. The country now has a 93 percent vaccination rate among young girls. The U.S. needs to be more like Rwanda. (Lisa Kearns, Arthur Caplan and Kathleen Bachynski, 8/10)
I of all people should know how to do this. As an ICU nurse, I see every day how agonizing it is for families to make end-of-life care decisions for loved ones who have not made their wishes clearly known. I know what I want. I know what the legal options are. But when I sit down to fill out the papers, I stall. The form remains incomplete. All of my experience urges me to act. I think of the anguished adult son trying to decide whether his elderly, unconscious mother would want to live permanently connected to a ventilator. (Andrea Useem, 8/11)
My mother did not die well. She was discharged in January from a Bay Area hospital and transported to a residential care home in distress, writhing in agony at times.... Incensed by her poor treatment, I filed a complaint against the hospice agency with the Licensing and Certification Program of the California Department of Public Health. I鈥檝e now received a letter detailing the agency鈥檚 findings. 鈥淟&C was not able to validate the complaint allegation through direct observation, interviews, and/or review of documents.鈥 (Steve Lopez, 8/10)
In the short term, these hospital-based housing specialists are trained in helping patients navigate transitional housing, finding temporary housing or shelter housing. In the long term, these specialists help patients maneuver through the complicated web of siloed services and get patients off the streets and into permanent supportive housing. (Alister Martin and David Velasquez, 8/12)
So in 2016, [Mara] Elliott ran for San Diego city attorney and won, promising to be a champion of gun control. She specifically pledged to seek firearms restraining orders against gun owners who showed signs of potential violence. Today, the 51-year-old Democrat is California鈥檚 most aggressive planter of so-called red flags on suspicious gun owners who act like they shouldn鈥檛 be anywhere near a firearm. The goal is to seize guns from wackos. (George Skelton, 8/12)
With housing and shelter beds in short supply, the trend of people using their vehicles as homes has become increasingly common in cities across the state. That鈥檚 why Sacramento is rightly considering the creation of safe parking zones where people who live in their vehicles can safely park. In doing so, Sacramento would join several cities across the state 鈥 including Oakland, San Luis Obispo, San Diego and Santa Barbara 鈥 in creating legal spaces for homeless people who live in cars. (8/9)