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Morning Briefing

Summaries of health policy coverage from major news organizations

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Thursday, Mar 1 2018

Full Issue

Viewpoints: Don't Back Away From Mental Health Needs Of Parkland Survivors; More States Need To Pass Better Gun Policies

Opinion writers focus on these health issues and others.

Florida鈥檚 legislative session will end. The TV cameras will go away 鈥 yes, just as they left Sandy Hook. But the collateral damage of Nikolas Cruz鈥檚 horrific act will remain. Wednesday, South Floridians got a glimpse of the wounds that his victims bear, not to the bodies of the injured, but to the psyches of those survivors who were able to get out of the building; who hid in closets listening to the shots that wouldn鈥檛 end; who ran past the bloodied bodies of classmates they were sitting next to moments before. (2/28)

Some people are simply too dangerous to have access to firearms. It鈥檚 an axiom that common sense and research both confirm, and it鈥檚 increasingly being codified into law -- in states, if not in Washington. (2/28)

Here鈥檚 how significant things don鈥檛 get done in Washington even in a moment of crisis and opportunity. The president throws out a hodgepodge of ideas, thoroughly confusing both sides about what he really supports. Senate Republicans, grappling for an answer that responds to public clamor but doesn鈥檛 alienate their conservative base, would prefer instead to focus on a small fix unlikely to satisfy many people even if it could overcome internal divisions. House Republicans say they will wait to see what the Senate does 鈥 though history has shown that can be a very long wait. Democrats push for a broad debate that Republicans want nothing to do with. (Carl Hulse, 2/28)

If only we could make Les Jones鈥 story more commonplace. As the 62-year-old Texas native leans back from his desktop computer in his small apartment, he details his journey from a successful radio career to a mental breakdown, to the streets, to shelter and finally to treatment and a healthy, happy life in this tidy complex at perhaps the most enviable corner of Santa Monica, steps from the Third Street Promenade, a short walk to the beach. 鈥淚 am one verse,鈥 Jones says of the composition of the American population of the mentally ill. 鈥淭here are others. Modern treatment of mental illness produces miracles. It literally saved my life.鈥 (2/28)

We've all sat in horror these last several months as some of the most influential and powerful men in the movie business have been accused of sexual abuse, harassment and assault. Yet, as a film buff, reading account after account of predatory men behind the scenes in Hollywood, it's been impossible to ignore how similar the predatory behavior we've been reading about is to what often see celebrated on the big screen. (Jonathan McIntosh, 3/1)

Last week, The Times published an essay by Michael Ian Black, 鈥淭he Boys Are Not All Right,鈥 that drew more than 2,100 comments on the Times site. Mr. Black is addressing some of those comments here; they have been edited for length and clarity. (Michael Ian Black, 2/28)

Congressional Republicans have adequately demonstrated they are fiscal conservatives when Democrats occupy the White House, but find big deficits all too seductive when they enjoy the levers of power in both political branches of government.Up next, the GOP will try to fix the most unfixable of liberal contraptions 鈥 the Affordable Care Act. By revoking the individual mandate as part of their tax cut, Republicans set in motion a process that could put the Democrats in charge for the next decade. (Peter Morici, 2/27)

In discussing veterans鈥 health care, one of the most commonly used words is 鈥渃hoice.鈥 Most often, choice is used in the context of allowing veterans to seek care within their community, rather than at a VA facility. However, there are other important aspects of choice that are less discussed, but equally important when it comes to veterans鈥 health care is the choice of treatment options. (Rory E. Riley-Topping, 2/28)

The United States is the midst of an opioid crisis. Ninety Americans die each day from opioid overdoses on prescription opioids, heroin, or fentanyl, and Massachusetts has not been spared. Many states are using the best available tools to battle the crisis, with an eye on developing better science and policy to put an end to the crisis. As more states implement either medical or legalized recreational cannabis policies, they should consider whether cannabis can play a role in the opioid crisis. (Kevin P. Hill, 3/1)

The Department of Homeland Security may soon formalize the abhorrent practice of detaining the children of asylum-seekers separately from their parents. ...This country鈥檚 medical and mental health organizations have rightly recognized the trauma of this practice. The American Academy of Pediatrics has condemned immigrant family separation, and family detention overall, as 鈥渉arsh and counterproductive.鈥 The American Medical Association has denounced family separation as causing 鈥渦nnecessary distress, depression and anxiety.鈥 (Dora Galacatos, Alan Shapiro and Brett Stark, 2/28)

On January 11, 2018, a new policy encouraging states to develop work requirements in their Medicaid programs was issued by the Centers for Medicare and Medicaid Services (CMS). Under this policy, states can require nonelderly, nondisabled adults to work or engage in community service to qualify for Medicaid coverage, unless they are deemed medically frail or have a substance use disorder. 聽...The question is whether CMS has the authority to make such a shift, which will allow states to create barriers to enrollment for eligible Medicaid beneficiaries. (Nicole Huberfeld, 3/1)

In April 2016, the Equal Employment Opportunity Commission (EEOC) sued Mission Hospital, a large North Carolina health system, over its denial of employee requests for religious exemptions from an influenza-vaccination requirement. The lawsuit, which alleges religious discrimination in violation of Title VII of the Civil Rights Act of 1964, settled in January 2018, with Mission agreeing to both compensate the employees and revise its policy on vaccination exemptions.聽 ...Influenza-vaccination mandates for health care workers represent good policy, but heavy-handed, context-free implementation does not. Hospitals that pursue an inflexible approach to minimize religious exemptions are likely to find that the juice isn鈥檛 worth the squeeze. In contrast, well-drafted and reasonably applied policies should avoid or withstand legal challenge, while also protecting patients. (Douglas J. Opel, James A. Sonne and Michelle M. Mello, 3/1)

What is going on at the Texas Health and Human Services Commission? A recent state audit found Superior HealthPlan, an insurance company that contracts with HHSC, spent nearly $30 million in 鈥渦nallowable鈥 bonus and incentive payments. That allowed Superior to understate profits, the audit said, warping what it might owe taxpayers under a profit-sharing agreement. In other words, contract requirements were ignored in a way that benefited Superior and cost taxpayers. (2/27)

The last time they counted, 10,042 people lived in Harrisonville, Missouri. More than twice that number, some 23,000, have signed a petition urging officials at Harrisonville High to have a heart. They want school officials to call the name of a member of the Class of 2018 who committed suicide two years ago at this year鈥檚 graduation, as her family is pressuring them to do. But those 23,000 people are not necessarily right. (2/28)

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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