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Morning Briefing

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Tuesday, Sep 26 2017

Full Issue

Viewpoints: Mohammad Ali's Experiences Offer Insights About Athletes And Brain Disease; What About That National Opioid Emergency?

A selection of opinions on health care from around the country.

Because he was so well known and beloved 鈥 arguably the most famous man in the world 鈥 Ali was often asked whether he was concerned about brain damage. Early in his career, when he was young and fast, he said he wasn鈥檛 worried. But as he aged and slowed, he took more punishment, and it was easy to see the effects. ... But Ali kept boxing, unable to resist the money and public adoration. (Jonathan Eig, 9/25)

There are 29 active national emergencies in place today in the United States. The latest is the one that President Donald Trump declared on Aug. 10: 鈥淭he opioid crisis is an emergency, and I am saying, officially, right now, it is an emergency. It鈥檚 a national emergency. We鈥檙e going to spend a lot of time, a lot of effort and a lot of money on the opioid crisis. It is a serious problem the likes of which we have never had.鈥 ... Unfortunately, it鈥檚 been six weeks since the emergency was declared, and the only step the administration has taken is to form a public-private partnership on the issue with some of the drug companies that have profited mightily from the addiction crisis. (9/24)

If it hadn鈥檛 done so already, the clock started ticking Monday on Dr. Tom Price鈥檚 tenure as head of the Department of Health and Human Services. The signs are all there. On Sunday, after defending Treasury Secretary Steven Mnuchin against an ABC News report that he鈥檇 used a costly military jet to fly from New York to Washington, President Trump declined to offer similar support for his HHS secretary, who has run up huge bills chartering private jets for his business travel this year. 鈥淎s far as Secretary Price is concerned, that鈥檚 different,鈥 Trump told reporters. 鈥淲e鈥檙e looking into it.鈥 (Jon Healey, 9/26)

On September 7, on a straight party-line vote, the Republican-controlled House Judiciary Committee moved forward a bill that would gut key protections for people with disabilities. Although versions of this legislation had been introduced in prior years, the bill did not go anywhere while President Barack Obama stood ready to veto it. But now that President Donald Trump, whose actions have demonstrated hostility to civil rights, occupies the White House, the proposal presents a real risk of passage. If Republicans in Congress do eviscerate the Americans with Disabilities Act (ADA), it will be the culmination of their recent abandonment of the bipartisan consensus in favor of inclusion and equality for disabled persons. (Samuel R. Bagenstos, 9/25)

For years, people with chronic fatigue syndrome have wrangled with the Centers for Disease Control and Prevention over information on the agency鈥檚 website about this debilitating illness. The website highlighted two treatments that became the de facto standards of care: a gradual increase in exercise and a form of psychotherapy known as cognitive behavioral therapy. The problem was that the evidence doesn鈥檛 support these treatments. This summer, after years of resisting pleas from patients, advocates, and clinicians, the CDC quietly dropped the treatment recommendations from its website. Its decision represents a major victory for the patient community 鈥 and for science. (Julie Rehmeyer and David Tuller, 9/25)

As of late last week, visitors to the website of UC Irvine Health, that institution鈥檚 clinical arm, could learn that among its services to patients was 鈥渉omeopathy.鈥 That was a problem, because homeopathy is a discredited and thoroughly debunked 鈥渁lternative medicine.鈥 Even Howard Federoff, UCI鈥檚 vice chancellor for health affairs, agreed that the scientific basis for homeopathy was 鈥渓acking.鈥 The issue is important because the donors of a $200-million gift to UCI鈥檚 medical schools, the billionaire couple Susan and Henry Samueli, are sworn believers in homeopathy and supporters of a raft of other 鈥渋ntegrative鈥 health treatments. As I reported, some medical authorities have raised questions about whether the Samuelis鈥 beliefs and their rare generosity will undermine UCI鈥檚 explicit commitment to science-based medicine. (Michael Hiltzik, 9/25)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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