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Morning Briefing

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Tuesday, Jul 24 2018

Full Issue

Viewpoints: Public Health Advocates Fight Aversion To Soda Tax; Lessons On The 'Benefits' Of Trumpcare

Editorial pages look at these and other health issues.

The small but growing parade of cities battling obesity by imposing taxes on sugary drinks ran into a wall last month, when California outlawed the practice. But that wall, meant to stand until 2031, is already looking flimsy. Public health advocates are moving to bring it down in two years by persuading voters to pass a hefty statewide tax on soda. (7/23)

By prioritizing economic growth and reducing the tax and regulatory burdens on U.S. business, Mr. Trump has helped to create an economy with more job openings than ever before. As if by magic, the invisible hand of a freer marketplace is now generating new benefits as employers compete to fill all those open positions. ...Imagine that鈥攁n expansion of insurance coverage without a new federal program. It seems that in order to persuade workers to supply enough labor to meet business demand, companies are increasing overall compensation via expanded benefits. Amazing! Some readers will no doubt view this as the most beautiful reform of all, because it doesn鈥檛 cost the Treasury a nickel. (James Freeman, 7/23)

Members of Congress have famously failed to fulfill campaign promises to repair or replace the Affordable Care Act. Those unfulfilled promises have left states looking for new ways to fix their broken health-care systems. As Congress hems and haws on health care reform, states have been lining up to ask the Trump administration for administrative relief under the ACA鈥檚 innovation and Medicaid 1115 waivers. Too often, executive branch offices have denied or unduly delayed those requests. And now the federal judiciary has joined Congress and the administration in blocking states from enacting commonsense health care reforms. (Rea Hederman and Lindsey Boyd Killen, 7/23)

Washington policymakers increasingly face a crossroad聽in American health policy between two broad and vastly different directions. One leads toward a market-based system, based on consumer choice and competition; the other, toward a government-controlled, single-payer聽system, like that of United Kingdom, where health care financing and delivery is implemented through the British National Health Service.Whatever direction lawmakers choose, the consequences will be profound for both doctors and patients. Champions of a single-payer聽system often claim that a government-controlled health system, run by Washington officials, would provide an efficient practicing environment for physicians. The British NHS experience, however, suggests otherwise. (Kevin Pham and Robert E. Moffit, 7/24)

Today is my first day back at work after more than two weeks of vacation 鈥斅爉y time off聽started July 4, fittingly enough (a few weeks of independence beginning on Independence Day). The news, of course, doesn鈥檛 go on holiday when we do (nor, evidently, do聽President Trump鈥檚 efforts to destabilize everything he comes in contact with). Now that I鈥檓 back, I thought I鈥檇 check in with the Gun Violence Archive to see whether gun violence took a holiday too. It didn鈥檛, of course. Our fellow Americans continued to kill themselves and others with abandon, from toddlers shooting siblings to violent criminals killing police officers. In fact, from July 4 through Sunday night, the Gun Violence Archive recorded at least 1,930 shooting incidents in which at least 730 people died and 1,731 people were wounded. That鈥檚 an average of at least 38 people killed and 91 wounded per day. And it doesn鈥檛 include most firearm suicides, which rarely get mentioned publicly and so are aren鈥檛 picked up by the Gun Violence Archive from daily聽reports. (Scott Martelle, 7/23)

This week, the U.S. House of Representatives Committee on Veterans鈥 Affairs celebrated the one-year anniversary of the VA Accountability and Whistleblower Protection Act, with a hearing on implementation of the law since its enactment. Unfortunately, like the law itself, the hearing was a missed opportunity in terms of meaningful VA reform. One of the statements that acting VA Secretary Peter O鈥橰ourke made throughout the hearing was that it鈥檚 impossible to fully gauge the success of the program after only one year; after all, the VA is a large bureaucracy and it is slow to change.聽(Rory E. Riley-Topping, 7/23)

From July 21 to July 24, 1976, more than 2,000 members of the Pennsylvania chapters of the American Legion attended their annual state convention at the Bellevue Stratford Hotel on Philadelphia鈥檚 Broad Street. In the days that followed, Dr. Sidney Franklin, a physician at the Philadelphia V.A. Hospital, began treating several retired servicemen for odd, or atypical, forms of pneumonia. (Howard Markel, 7/23_

Fiat Chrysler鈥檚 announcement that its hard-charging CEO was being replaced following 鈥渦nexpected complications" after a surgery did not offer many details: the kind of surgery. Details about the complications 鈥 or their severity. But corporate governance experts say that as CEO disclosures go, the announcement about Sergio Marchionne offered more than companies are required to share. It also reflects the dilemma that boards of directors face when balancing CEO privacy, the needs of shareholders for information and a growing ethos of transparency about the health of high-profile executives. (Jena McGregor, 7/23)

Earlier this year, I challenged those who control what happens 鈥 Republican leaders of the Iowa House and Senate, and a Republican governor and her appointees that head state agencies 鈥 to craft an older Iowans agenda, publicize it, commit to it, and get to work on it. They didn鈥檛 do it. Once again, our leaders were content to talk about some of the issues and then find an excuse (鈥渨e have no money,鈥澛犫渘ow is not a good time,鈥 鈥渓et鈥檚 deal with this next year,鈥澛爀tc.) to avoid action. (John Hale, 7/23)

Few pieces of legislation have made more of a difference to more Californians more quickly than the bill two years ago to tighten school vaccination laws. ...The new law has worked like a champ, raising dangerously low levels of immunity in California back up to the public health minimum, 95 percent of the population. But that鈥檚 a statewide number, and outbreaks, when they happen, do so locally. (7/23)

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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