Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Job Market Would Get Healthy Boost From 'Medicare For All'; Louisiana Abortion Law Does Nothing to Protect Safety Of Women
Proponents of a national, single-payer health care system, like one favored by presidential candidates Elizabeth Warren and Bernie Sanders, have long argued it would make medical care accessible to millions of Americans who currently can鈥檛 afford it and potentially drive down national health care spending overall. Opponents, on the other hand, tend to focus on how it would rework the economy: 2 million jobs lost, higher taxes to pay for it, the concentration of market power in the government. (Christopher Ingraham, 3/5)
Opponents of a woman鈥檚 right to an abortion are so relentless that nothing seems to stop them. Even a clear Supreme Court precedent doesn鈥檛 serve as a deterrent. Four years ago, the court took on one of the favorite tropes of abortion opponents 鈥 that to ensure women鈥檚 safety, doctors providing abortions need to have admitting privileges at hospitals near the clinics where they work. In that 2016 decision, Whole Woman鈥檚 Health vs. Hellerstedt, the justices struck down a Texas law that required abortion providers to have admitting privileges, finding that it was an unnecessary obstacle (or 鈥渦ndue burden鈥 in court parlance) to women seeking abortions and did not enhance the safety of an already very safe procedure. (3/5)
After nearly five decades of tenuous existence,聽Roe v. Wade聽turned聽47 this January.聽This week,聽a聽newly minted anti-choice majority on the Supreme Court is scheduled to hear its first major abortion case --聽June Medical Services LLC v. Russo.聽The court is poised to quietly eviscerate Roe, and 2020 will mark the beginning of what I call "the pseudo-Roe era." Here鈥檚 what it will look like. (Sarah Boonin, 3/4)
As the Supreme Court gets ready to hear another abortion case, the American College of Obstetricians and Gynecologists鈥攖he specialty鈥檚 main professional organization鈥攈as weighed in with a friend-of-the-court brief. ACOG is offering a medically unsound recommendation in the furtherance of its extreme position on abortion. At issue in June Medical Services v. Russo is a Louisiana law requiring abortion providers to have admitting privileges at a hospital within 30 miles of the site of the abortion. ACOG鈥檚 brief argues that the requirement isn鈥檛 鈥渕edically justified鈥 and therefore constitutes an 鈥渦ndue burden鈥 on a woman鈥檚 right to abortion.聽(Christina Francis, 3/3)
I鈥檝e had an abortion. I was a year out of college, in an unhealthy relationship that didn鈥檛 seem overtly toxic until that pregnancy test screamed positive, and was in no way ready, willing, or able to be a parent. Unlike the people who live in 90 percent of the counties who do not have an abortion provider, a local Planned Parenthood was a short five-minute drive (on a bad traffic day) away from the apartment I shared with my then-partner. (Danielle Campoamor, 3/4)
Divining the logic of stock-market moves is tricky business, but that sure was some rally on Wednesday. While coronavirus cases continued to spread, investors seemed pleased that the political threat of a Bernie Sanders Presidency has receded. Stock indexes closed up as much as 4.5%, and notably the rally was led by health-care companies. Insurer stocks in particular such as Molina (16.4%), Centene (15.6%), Anthem (15.6%), UnitedHealth (10.7%) and Cigna (10.7%) soared. Mr. Sanders wants to abolish private health insurance with Medicare for All, and health shares had taken a beating after Mr. Sanders鈥檚 surprisingly large victory in Nevada two Saturdays ago. They鈥檝e revived along with Joe Biden鈥檚 campaign resurrection. (3/4)
The phrase 鈥渕aternal deaths鈥 tends to conjure up images of awful complications of delivery: uncontrollable bleeding after birth or the Cesarean section that goes terribly wrong. But these heartbreaking catastrophes account for the minority of maternal deaths. Two-thirds of them happen either before birth or more than a week after delivery. In most cases, the woman is home when whatever will kill her 鈥 uncontrolled high blood pressure, heart failure, blood clots, suicide, drug overdose 鈥 initially strikes. (Adam Wolfberg, 3/5)
On April 1, 2020, the Trump administration plans to implement the first in a series of three proposed changes to the Supplemental Nutrition Assistance Program (SNAP), the federal safety-net program formerly known as 鈥渇ood stamps.鈥 More than 36 million Americans, the majority of whom are extremely poor, currently receive SNAP benefits of an average of $1.39 per person per meal.1 Forty-four percent of SNAP beneficiaries are children. By restricting eligibility for this program, the proposed changes would represent a retreat from our collective obligation to the most vulnerable members of society. They would also leave millions of Americans hungry and have profound and long-lasting consequences for their health. (Drs. Aaron Richterman and Louise C. Ivers, 3/4)
If there鈥檚 one thing we鈥檝e learned over the past 35 years, it鈥檚 that housing is health care. But until our nation reinvests in affordable housing, the daily realities of homelessness remain devastating to health. People without homes are far likelier than their housed counterparts to die prematurely. Their deaths result from increased exposure to violence and the elements along with a variety of health conditions, including addiction. (Kevin Lindamood, 3/3)
I believe in the power of yet. Doctors should, too, especially the one who used my daughter鈥檚 鈥渃ase鈥 as grist for a short-sighted article without her permission. The power of yet is a concept promoted by Stanford psychologist Carol Dweck as part of her research on the differences between growth and fixed mindsets. It tells us that there is always room to learn and to grow through practice, discovery, and research. There is 鈥 or at least there should be 鈥 a lot of 鈥測et鈥 involved in medicine, especially when it comes to diagnosing and treating tick bites. (Sue Ferrara, 3/4)
Each year, Maine receives a significant sum of money as part of a settlement with the tobacco industry. That money, expected to total nearly $45 million this year, is intended to go toward reducing tobacco use, especially among young people, and to other public health efforts, with an emphasis on prevention. But, many times since the settlement money started arriving in 2000, Maine lawmakers, like those in other states, have used the tobacco settlement money for other things, often to fill holes in the state鈥檚 Medicaid budget. Next, year the Medicaid payments are expected to total more than $30 million, eating up most of the $35 million the state is projected to receive from the settlement in 2021. (3/3)