Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Hospital Prices Are Still A Mirage For Patients; Just Because The FDA Signs Off, Not All Gene Tests Are Created Equal
Since New Year鈥檚 Day, the Centers for Medicare and Medicaid Services has learned the hard way that forcing hospitals to post their standard prices online brings as much confusion as insight to prospective patients. Rather than enlighten us on the cost of, say, a knee replacement, we must now parse the complicated medical jargon associated with knee replacement surgery 鈥 do I need the Component FML P-STB Cndlr Knee Ant-Pstr Pors 54x55mm for $42,011 at one Texas hospital or do I need its Implant TIB Knee MOST HNGD SZ 2 at $25,956? 鈥 while trying to figure out how much insurers will knock off the price. This clearly wasn鈥檛 the intended result behind the CMS requirement that, as of Jan. 1, every hospital must post a 鈥渕achine readable鈥 copy of its chargemaster, a list of all charges the hospital can levy. Yet it shouldn鈥檛 have taken the actual implementation of this shortsighted policy to reveal it wouldn鈥檛 bring true price transparency into the cost of health care. (Jay Deady, 2/4)
Last month, the DNA-testing company 23andMe secured Food and Drug Administration approval for a new screening for gene-based health risks. Along with celiac disease, Alzheimer鈥檚, Parkinson鈥檚, breast cancer and several other medical conditions, the company can now screen clients for two mutations that have been linked to colorectal cancer. But 鈥淔.D.A.-approved鈥 does not necessarily mean 鈥渃linically useful.鈥 23andMe relies on much simpler technology than tests that you鈥檇 get at your doctor鈥檚 office. As a result, the company鈥檚 tests cannot tell you much about your actual risk of developing the diseases in question. (2/1)
Our children are being left behind.聽Mortality rates are rising from聽preventable injury.聽Children are聽dying in the custody of the state.聽Some are suffering and dying from聽vaccine preventable diseases. Some are trapped in聽detention centers聽and聽psychiatric hospitals聽due to state failures to find less restrictive settings, hindering their development at critical periods in their lives. As the country emerges from the longest government shutdown in history 鈥 and possibly braces for another 鈥 policy makers set agendas to define the year ahead. While more candidates throw their hats into the 2020 ring, children鈥檚 issues are not top priority. (Erin Daksha-Talati Paquette, 2/3)
In 2000, when I was 19 and having an existential and Adderall-fueled nervous breakdown, I came home from college for a long weekend and sobbed in my mother鈥檚 arms. She held me and shushed me, and then 鈥 feeling like she was out of options, she鈥檇 tell me later 鈥 took out a fat, round, green pill from a bottle on her night table and bit off a small chunk. 鈥淗ere,鈥 she said as she pulled me close, 鈥淢aybe this will calm you down.鈥 It did. I didn鈥檛 even ask what it was before I swallowed it, but as soon as it kicked in, I knew: This feels like home. (Dani Fleischer, 2/3)
I believe my mother thought that needing to medicate her own discomfort would be a kind of moral and physical weakness. This applied only to herself; if I told her that I was hurting, or that one of her grandchildren was in pain, she would have been anxious for something to help. She felt our pain, you might say, but she denied her own. I鈥檝e spent the past couple of weeks thinking about pain in children and writing about pain in children 鈥 acute pain and chronic pain, pain with shots and pain after surgery, pain medicines and pain specialists. (Perri Klass, 2/4)
For progressives, the only thing worse than Starbucks founder Howard Schultz getting into the 2020 presidential race might be Donald Trump suffering a debilitating heart attack. That鈥檚 how many on the left secretly see things. To them, Mr. Trump is like another Kennedy assassination combined with another Goldwater鈥攁 one-time alignment that will enable an agenda that otherwise would never get through the White House door. Item No. 1 on that agenda is single-payer health care. (Holman W. Jenkins, 2/1)
It鈥檚 time to acknowledge that critics may have misjudged one of the Trump administration鈥檚 signature health-care policies 鈥 鈥渂igly.鈥 Last summer, the administration issued new rules designed to help small businesses and self-employed people get health insurance through what are known as association health plans. The plans, which have existed for decades, allow small businesses in the same field or region to band together into 鈥渁ssociations鈥 and provide insurance for their members. Because these plans are able to use their size to negotiate lower premiums and are not subject to all Affordable Care Act regulations, they are often cheaper than those found on the individual market. (Robert Gebelhoff, 2/1)
Since President Trump took office, speculation has raged that he intends to privatize major portions of the Department of Veterans Affairs鈥 sprawling health care system. Last week, the administration took its most definitive step in that direction by releasing rules allowing veterans who live more than a 30-minute drive from a V.A. health care facility to choose to receive private care instead. (Anuradha Bhagwati, 2/3)
Jacqueline Watson needed money. Her son had called her that morning from prison, where he is serving a life sentence, to ask her to make a deposit in his phone account. She didn鈥檛 have cash, but she did have something she could sell quickly and legally 鈥 her blood. So, on a crisp Monday morning in November, she traveled 40 minutes by bus to CSL Plasma, a blood plasma collection center wedged between a Dollar Tree and a Wells Fargo bank in a strip mall in North Philadelphia. (Zoe Greenberg, 2/1)
The news in November that a Chinese scientist may have edited the genes of embryos, resulting in the birth of two baby girls, reminds us that gene editing is still an exciting 鈥 and often controversial 鈥 field. (Jim Burns, 2/1)
As the aging demographic continues to grow, the stress on the state budget will significantly increase. To meet demand and provide needed care, Newsom must prioritize resources and follow through.The plan should identify and address the social factors that place seniors at risk for malnutrition and other diseases. (Susannah Meyer, 2/3)
Does Partners HealthCare still need to grow 鈥 and if so, how and where, and at what cost to Massachusetts General and Brigham and Women鈥檚, its flagship hospitals? That鈥檚 the important, underlying policy question, beyond what feels like a family feud between two great Harvard teaching hospitals and their parent company. (2/1)
The soda industry has won two rounds in the battle to discourage consumption of sugary drinks linked to obesity, diabetes, heart disease and tooth decay. It will take a concerted effort by the community to keep the focus on what鈥檚 really at stake: our health. (2/3)
What makes California the very picture of health? It鈥檚 neither sunshine nor silicone. Our health secret is immigration.While the president blames immigrants for being sources of disease, Californians have long known that immigrants make us healthier. (Joe Mathews, 2/3)
As the federal government roared back to life this week, the U.S. Attorney鈥檚 Office in Tampa announced a slew of sentencings and settlements. There was the standard fare expected from federal prosecutors 鈥 important cases involving the conviction of child predators, drug dealers, and felons carrying guns. Also of note, however, were a series of high-impact health care fraud cases. Health care practitioners 鈥 and their patients 鈥 would be wise to learn from the mistakes of their peers and adjust their course accordingly. (A. Lee Bentley III and Jason Mehta, 2/1)