Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Maternal Death Rate Is Inexcusable In U.S. Of All Places; Lessons On Preventing Tragic Loss Of Life Among Elderly
The U.S. has a weirdly high maternal death rate. It鈥檚 a symptom of a sick health care system. The number of women dying of complications of pregnancy and childbirth is going down in all developed countries except the United States. New statistics released last week show that the U.S. maternal death rate has continued to climb, and is now four to six times higher than in many European countries. (Faye Flam, 2/9)
I recently cared for a 70-year-old man in the resuscitation bay of my hospital鈥檚 emergency department. His blood pressure was low, his skin mottled, his stench foul. Ambulance personnel told us he was 鈥渇ound down鈥 by a neighbor. His home was in disarray. Evidently, no one had cleaned it in weeks. His shins were partially covered with dressings that desperately needed changing. His toes were infected鈥攔ed, swollen and draining. (Elizabeth Goldberg, 2/9)
The Food and Drug Administration's ban on some of the most popular types of flavored e-cigarettes came into force on Thursday. Except FDA officials want to be clear that it is not technically a ban 鈥 it is a 鈥済uidance鈥 on how federal regulators will wield their wide-ranging enforcement powers 鈥 which means that the potentially deadly gaps in the policy are not really 鈥渓oopholes,鈥 they argue. The FDA, they stress, can use its powers anytime it wants to crack down on any e-cigarette product that seems to be marketed to or hooking children, whether or not it was specifically mentioned in the enforcement policy. (2/8)
A team of University of Miami Health System researchers recently completed a study of 50 adolescents who were admitted for inpatient psychiatric care. We asked them all if they had been cyberbullied, with what online platforms, and examined the consequences. We learned a few important things about cyberbullying. Despite previous estimates of cyberbullying that ranged up to 35% of children and adolescents with an online presence, we found that 20% of people in the study had been cyberbullied. (Philip Harvey, 2/7)
In the past month, at least six states have introduced bills to charge doctors with a felony for providing medical and surgical treatment to transgender youth. The bills鈥 titles appear to suggest they will protect vulnerable children, when in fact, they may accomplish the opposite. I am a pediatrician and adolescent medicine specialist at Children鈥檚 Hospital of Philadelphia, where I co-founded a clinic that provides medical care and psychosocial support to more than 1,400 transgender youth. I know firsthand what legislation like this could mean for my patients and the more than 1聽 percent of U.S. youth who identify as transgender or gender-diverse. (Nadia Dowshen, 2/8)
We welcomed our new baby boy 18聽months ago. He is here because 10聽years ago, when I was 30 and my husband was 32, we underwent IVF to create and then freeze embryos. Back then, we were not ready to be parents. But we knew of the looming risks of infertility, miscarriage and genetic disorders if we waited too long. So we turned to what I called 鈥淧reservation IVF鈥 in a Washington Post story. Our baby is proof that this can work and help so many future couples wanting to delay parenthood. (Gillian St. Lawrence, 2/8)
鈥淚magine.鈥 This word let a severely brain injured patient tell neuroscientists she was still conscious using only her thoughts. ...By using their imaginations, a portion of patients with unresponsive wakefulness syndrome can show that they are still conscious. But we must do more than just imagine what their lives are like. (Mackenzie Graham, Adrian M. Owen and Charles Weijer, 2/10)
Parents today face a steady stream of advice about how best to care for their children. Mothers, in particular, are pressured to be the perfect parent: Most of the advice on social media and parenting blogs is directed at them. How to feed the kids gets a lot of the attention. Sending children off to school carrying a healthy, made-from-scratch lunch is one of the ways that (mostly) mothers are encouraged to protect their children from the harmful effects of the industrialized food system. (Jennifer Gaddis, 2/10)
Passing legislation on abortion will never, ever be easy. It鈥檚 just too personal, too far-reaching, too politically radioactive. But Kansas legislators could have made their vote on a constitutional amendment to allow legal restrictions on the procedure a little easier 鈥 and more successful 鈥 if they hadn鈥檛 tried to shoehorn the public vote on it into the August primary. Instead the amendment failed in the House Friday 80-43, four votes short of the 84, or two-thirds, required for a constitutional amendment 鈥 with several representatives saying they voted against it because they were opposed to holding the public vote in the sparsely populated August election. (2/7)
State lawmakers will return to the Capitol Tuesday. If they care about having a healthy, productive session, they ought to heed an early diagnosis from one of their physician colleagues, Sen. Scott Jensen, R-Chaska. An emergency insulin assistance bill needs to pass early in the session, Jensen said. This legislation, which would provide this lifesaving medication to diabetics who can鈥檛 afford a new supply, got lost in last year鈥檚 end-of-session chaos. Despite vows to pass it in a special session, and despite a flurry of offers exchanged in January between House DFLers and Senate Republicans, there was no special session and nothing has been enacted. That鈥檚 left insulin advocates rightly angry and energized. (2/7)