Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Efforts To Curb A Pandemic Rely On How Much People Trust Their Government; Will Trump Actually Tackle Entitlement Reform?
When you learn you have a dangerous disease, you need to be able to trust your doctor. When entire populations face a dangerous public health crisis, they need to be able to trust their governments. The latest test of this trust is the outbreak of a previously unknown coronavirus in Wuhan, China. Coronaviruses are respiratory viruses that can lead to illnesses ranging from mild colds to life-threatening pneumonia. Like other viruses, they do not respond to antibiotics. This strain, called 2019-nCoV, is too new for any useful data on mortality (two other coronaviruses, severe acute respiratory syndrome, or SARS, and Middle East respiratory syndrome, or MERS, have been reported to kill about 15 percent and 35 percent of infected people, respectively). (Leana S. Wen, 1/22)
With one confirmed case on U.S. soil, more likely already here and 8,000 visitors from China arriving every day, it is already too late to avoid multiple cases of the dangerous new coronavirus in the United States. We are past the 鈥渋f鈥 question and squarely facing the 鈥渉ow bad will it be鈥 phase of the response. Thus, President Trump failed his first test in dealing with the virus, by brashly asserting that the U.S. government has the coronavirus 鈥渃ompletely under control.鈥 While there is no reason to panic, we simply do not know, with China鈥檚 seventh-largest city under a lockdown, how serious it will become. (Ronald A. Klain and Nicole Lurie, 1/22)
On Sunday, a friend of mine in China wrote an ominous, two-word post on WeChat: 鈥淏roke out.鈥 He meant that a mysterious surge in cases of pneumonia in Wuhan, a city in central China, was, in fact, an outbreak of something more serious. The first case of the Wuhan virus was detected on Dec. 12. Until last Thursday, only 45 cases, with two deaths, all in Wuhan, had been reported, and no health care workers were said to have been infected. The virus was mild, we were told then, with no evidence of human-to-human transmission; all confirmed cases seemed to originate from a food market where live animals are sold. On Jan. 11, local health authorities even suggested that the outbreak was over because they hadn鈥檛 registered any new case since Jan. 3. (Yanzhong Huang, 1/23)
It鈥檚 not often that the New York Times makes President Trump sound better than he is, so perhaps today鈥檚 dispatch from Washington is suitable for framing. The good news is that the United States may finally have a President who is interested in restraining federal spending. But he might not be as interested as the Times says he is. (Freeman, 1/22)
Life and death are what those on both sides of this debate were talking about, while some lawmakers seemed to instead see the purpose of the amendment as 鈥渞estricting the ability of the court鈥 or even drumming up support to make judges more accountable to voters. We鈥檝e said before that the voters should get to decide on this amendment, just as they should get to weigh in on Missouri鈥檚 near-ban on abortion. But if they do 鈥 and putting it on the November ballot would make more sense than putting it on August鈥檚 because turnout would be higher 鈥 we can鈥檛 claim to know what Kansas lawmakers would do if their ability to regulate abortion were fully restored. (1/22)
In less than two months, the Supreme Court will hear its first abortion rights case since the confirmation of Justices Neil M. Gorsuch and Brett M. Kavanaugh. This case could be a major step in chipping away the protections of Roe v. Wade and open the floodgates to restrictions that will effectively block abortion access for 25 million reproductive-age people nationwide. If that happens, the District does not have a law on the books to ensure that access to abortion is protected. The D.C. Council can and needs to move quickly to change that. (Serina Floyd, 1/22)
In 2000, a truck rear-ended my friend Andrea鈥檚 car as she stopped at a crosswalk in a school zone. The truck was going at least 45 miles per hour when it slammed into her. The accident damaged muscles, nerves, and bones from the base of her skull to the bottom of her left leg. It left her with an injured spine, pelvic instability, and significant leg injuries. She has been living with chronic pain ever since. Andrea rarely takes opioids; she says they make her feel incredibly drowsy and often don鈥檛 work well to control her pain. (Daniel S. Goldberg, 1/23)
Imagine unwrapping your favorite candy bar, and as you prepare to take that first delicious bite, you notice that the package says the 230 calories you are about to enjoy can be burned off by walking for 42 minutes or running for 22 minutes. Would that change your mind about eating the treat? Some people wouldn鈥檛 eat the candy bar because of guilt; others might walk to burn off the calories. And of course, some people might not even notice the exercise message, or might not care about the information. That鈥檚 the problem with some public-health interventions: They affect people differently. (Cara Rosenbloom, 1/22)
A shortage of nurses elevated the misery of a woman in my support group during a recent health crisis, she informed us. Because I participate in a clinical trial, in which I am vigilantly monitored in both Bloomington and Indianapolis hospitals, I was surprised. But I quickly began to realize that her ordeal could not possibly be unusual and then to fear that our current health care system is becoming more unfriendly, inhospitable to patients and to nurses as well. (Susan Gubar, 1/22)
Medicine continues to be plagued by an 鈥淥ld Boys鈥 Club鈥 culture. Those who abuse power are protected by colleagues, institutions, titles, money, privilege and more. Pervasive between the lines of medical education is the 鈥渉idden curriculum鈥 or 鈥渢he way things are done around here.鈥 (Abraar Karan, 1/22)
With 2,500 employees, 855,000 square feet and 10 miles of conveyor belts, Amazon's huge Fresno warehouse also has an injury rate triple the industry average. Even though the e-commerce behemoth is bringing jobs to places like Fresno, pressure to meet quotas and keep up with shipping demand is injuring workers across the country. (Mark Fiore, 1/22)
On Monday, the nation honored the towering legacy of the Rev. Dr. Martin Luther King Jr. But the progress he demanded remains unfinished, and nowhere more than in the deeply segregated neighborhoods many of us call home. Dr. King understood that where a person lives determines so many of their opportunities, including access to good jobs, schools, health care, food and safety. Barely a week after Dr. King鈥檚 assassination, Congress passed the Fair Housing Act with overwhelming bipartisan support in recognition of this truth. (Shaun Donovan, 1/22)
Critics of truck tolls in Connecticut are scoffing at the idea that tolls are a baby that anyone could love. But there鈥檚 plenty to celebrate about a proposal that will help Connecticut raise badly needed funds and build a transportation system for the future. Here are three reasons why Connecticut residents and politicians should be shouting their support for the governor鈥檚 truck toll proposal. (Paul Sabin, 1/23)
Twenty years ago this month I stood on the banks of Great Pond, in Rome, Maine, holding my children in my arms. It was New Year鈥檚 Eve. Over the frozen lake, fireworks burst, welcoming the new millennium. Something inside of me struggled to be known. The next morning we climbed French鈥檚 Mountain, in Belgrade. We do that every year, on New Year鈥檚 Day. We ate clementines. (Jennifer Finney Boylan, 1/22)
Cannabis is on the march. Thirty-three states and the District of Columbia have legalized medical marijuana. Eleven states and the District of Columbia have legalized recreational use of cannabis for adults over 21, and others are considering it. More than 37 million Americans use cannabis each year in one form or another: flowers, concentrates, edibles, and the like. (Rosalie Liccardo Pacula, 1/21)