Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Making Menopause More Manageable; The Reason Behind Increased Autism Diagnoses
When the BBC reflected on the 50 things that made the modern economy a few years back, of course it included the pill. Oral contraception ushered in a revolution some 60 years ago that freed women to plan their lives. It meant many could enroll in graduate programs聽and聽pursue professional careers, raising long-term income levels and spurring far-reaching economic change.聽There is no obvious equivalent today. And yet a new move in Britain to address inequalities in health care could prove almost as revolutionary for women 鈥斅燼nd for a country that, like many others, is experiencing slowing long-term growth trends and an aging population聽that is living聽longer.聽(Therese Raphael, 2/10)
Is there an autism epidemic? No. The increase in the autism rate recently reported by the Centers for Disease Control and Prevention represent an autism diagnosis epidemic. Writing in the weekly journal MMWR, CDC researchers reported that autism rates in the United States increased from 1 in 150 children in 2000 to 1 in 54 in 2016, and the rate now stands at 1 in 44 children. Some argue that autism鈥檚 prevalence is rising because of environmental causes like vaccines. There is no evidence, though, for that explanation. Others argue that the rate is increasing because of the rising age of parents, especially fathers. This doesn鈥檛 explain the whole story, however, as increased paternal age accounts for only about 3% of the increase. I believe that the rise in the autism rate is social, not biological. It鈥檚 not that more children are developing symptoms of autism, but multifaceted sociological and political factors are increasing the diagnoses and documentation of this condition. (Rachel Burr Gerrard, 2/10)
We recently celebrated the 49th anniversary of Roe v. Wade, the Supreme Court ruling protecting women鈥檚 reproductive rights. Not a radical idea, but like any issue tied to women鈥檚 equality, autonomy, and economic power, it has been under attack since the beginning. So now, the question is, will Roe make it to 50? Abortion is extremely difficult, if not impossible, to access for millions of Americans, especially low-income people and people of color. In Texas, abortion is all but outlawed, and there is a bounty for citizens who successfully sue anyone who has helped a woman get an abortion. (Katherine Clark, 2/10)
When decisions are driven by data, it matters what the data are and, more importantly, what they measure. The metric can become an organization鈥檚 mission, influence a policy鈥檚 objectives and goals, and steer a government鈥檚 programs or projects. A correct measure is incredibly powerful. Measuring what matters is supposedly what built Google and the Bill and Melinda Gates Foundation. A poor measure can be catastrophic, such as use of the 鈥渂ody count鈥 to track the progress of the Vietnam War, which many have argued gave a false impression of what was happening on the ground, misled leaders, and prolonged the fighting. (Eric Coles and K. "Vish" Viswanath, 2/10)
Six in 10 people with dementia will wander. When it happens, a person with Alzheimer鈥檚 or dementia may not remember his or her name or address 鈥 and they can become disoriented, even in familiar places. They could be driving a car. They could be walking down the street. They could be in a shopping center, confused about where they are trying to go and how to get there. (Trey Addison, 2/5)
Oxymorons can elicit laughs: think jumbo shrimp or working vacation. But as a physician who works to advance virtual care, I鈥檝e been thinking about a serious one that applies to virtual visits: distant presence. Early in the pandemic, I am leading a Zoom meeting, but no one is participating. Ironically, we are discussing 鈥 or, perhaps more accurately, I am discussing 鈥 how to optimize the doctor video visits we鈥檇 quickly rolled out. I feel tired of hearing my voice and fed up with web conferences. One silver lining: no one can see the comfortable gym shorts I鈥檓 wearing with my Zoom shirt. (Spencer Dorn, 2/9)
When I started my medical career in nephrology in the late 1960s, the best treatment we offered patients with end-stage kidney disease was dialysis. Kidney transplantation once required special approval by hospital administration, but is now a standard of care. In 2020 alone, my colleagues and I at AdventHealth Orlando collectively performed 180 kidney transplants. (Dr. Robert Metzger, 2/9)
President Joe Biden did not use the word 鈥渨ar鈥澛爐o describe his聽plans聽for a 鈥渃ancer moonshot鈥 that aims聽to 鈥渆nd cancer as we know it.鈥 But his announcement last week quickly drew comparisons to the program launched by President Richard Nixon a little over 50 years ago 鈥斅爇nown universally as the 鈥渨ar on cancer.鈥 The new initiative also promises to bring the power of the federal government to bear on the deadly disease. Not to be outdone, the British also announced their own 鈥渘ational war on cancer鈥 this past week. (Stephen Mihm, 2/9)