Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Lessons On Getting Over-The-Top Prices On Life-Saving Drugs Under Control; Breakthrough For Alzheimer's? Look At The Confusion
Doctors told my wife there was 鈥渧ery little chance鈥 her breast cancer would return. But five years later, three months after Paula鈥檚 51st birthday, I typed 鈥減rognosis of metastatic breast cancer鈥 into my browser and through tears read the search results: 鈥渄ismal prognosis,鈥 鈥渋ncurable,鈥 鈥渕edian survival of three years.鈥 Paula鈥檚 doctors urged us not to despair 鈥 there were great new medicines available they hoped could slow down the tumor. And now, three years later, her cancer has not progressed. As a husband, I鈥檓 obviously ecstatic. As a physician who studies health economics, I find myself wondering: Can we, as a society, afford to pay for the kind of medicines that have kept my wife鈥檚 cancer at bay? (Peter Ubel, 12/6)
Over the past five years, prescription drug prices have climbed at 10 times the rate of inflation, leaving one in four Americans unable to afford their medications. Across my district in the East Bay, I often hear stories from my constituents about how the rising price of prescription drugs has forced many to make impossible decisions about whether to pay for their medications or for other necessities like groceries and rent. (Mark DeSaulnier, 12/4)
No drug for Alzheimer鈥檚 disease does anything but聽treat symptoms of the degenerative ailment. The first medicine that can do more聽will be an enormous breakthrough.聽Biogen Inc. thinks it has that drug in aducanumab. It鈥檚 a聽treatment the company聽previously announced was a failure in March, but in聽a聽highly unusual move, it is trying to resurrect the medicine and gambling that聽it聽can win Food and Drug Administration approval. The聽company presented聽an expanded case for the medication at a medical meeting on Thursday. (Max Nisen, 10/5)
A decade ago, Edward O. Wilson, the Harvard professor and renowned father of sociobiology, was asked whether humans would be able to solve the crises that would confront them over the next 100 years. 鈥淵es, if we are honest and smart,鈥 he replied. 鈥淭he real problem of humanity is the following: We have Paleolithic emotions, medieval institutions and godlike technology.鈥 Since Mr. Wilson鈥檚 observation, technology鈥檚 godlike powers have increased dramatically, while the ancient, Paleolithic impulses of our brains have remained the same. (Tristan Harris, 12/5)
One crucial missing piece to the devastating puzzle of Alzheimer鈥檚 disease and other types of dementia is how to detect them early. Many researchers are hard at work evaluating biomarkers like levels of proteins known as beta-amyloid and tau in cerebrospinal fluid or imaging-detected changes in the brain. There might be another, easier-to-detect signal. The first clinical markers of cognitive decline are found not in the brain but in the bank account. Impaired financial decision-making can appear decades before the emergence of other traditional signs or symptoms, like memory loss. (Eric Chess, 12/5)
More than 140,000 people died last year from measles. That鈥檚 the headline coming out of the U.S. Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) today. It鈥檚 staggering; in our modern age, absolutely no one should die from measles 鈥 a disease we can prevent with a safe, effective vaccine that costs roughly two dollars. Our government must do more to make the vaccine as widespread globally as the measles virus is itself.聽 (Kate Dodson, 12/5)
Republicans are all about boosting economic growth, so they say. Eking out a few extra bucks of economic activity is their top priority 鈥 more important than, say, curbing illness and death (hence, looser聽water pollution standards, fewer聽slaughterhouse inspections) or even reducing deficits (hence, those budget-busting tax cuts). Unless it comes to punishing poor people. In which case, even the economy has to take a back seat. (Catherine Rampell, 12/5)
Primary care providers, or PCPs, are the core of quality health care. Building a relationship with a PCP is one of the best ways a person can pursue better health. PCPs get to know their patients, including family history and furture risks. They treat common, non-emergency conditions, help manage chronic health issues and connect patients to specialty care when it鈥檚 needed. (Henry Smith, 12/4)
鈥淚 can鈥檛 do it anymore,鈥 he said, before doing chores and walking out on our marriage. Wait a minute, I thought, who takes out the garbage minutes after declaring their marriage over? After eight and a half years together, a little under four of them as a married couple, my husband decided that he no longer wanted a wife with a disability. Having a partner with a disability is challenging; I get that. I am still the same person at my core, but the disease has changed my ability to walk and slowed my speech. (Brenda Arredondo, 12/5)
Thousands of Tennesseans are in a mental health care gap 鈥 which means they have barriers, such as cost and coverage, to accessing services they want and need. I have dedicated thirty years to providing mental health services and alcohol and substance use treatment, and I have seen the negative impacts of that gap in care too often. (Ben Middleton, 12/3)
The bottom line is that banning non-competes for low-wage and hourly workers allows the market for their labor to actually work and their wages to rise. Enforcing non-compete agreements for such workers allows employers to suppress competition for workers鈥 services and keeps their wages lower. Proposals at the state and federal level to limit the enforceability of non-compete agreements have gone nowhere (i.e., the federal Freedom to Compete Act). (Chris Jenkins, 12/4)