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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Jul 11 2018

Full Issue

Viewpoints: Stop Harming Development Of Children, Reunite Them With Their Parents; Breast-Feeding Saves Lives, So Why Cripple It?

Editorial pages focus on these and other health issues.

If a child experiences an adverse event the young brain can recover and is remarkably resilient in large part due to the social-emotional buffering provided by a strong, loving parent relationship. But when you fracture that relationship by separating a parent and their child, the resiliency of the young brain erodes and if pro-longed, permanently changes the brain architecture. (Jaime Peterson, 7/10)

It turns out that the number of separated children is closer to 3,000 than聽the 2,000 originally cited by administration officials.聽Among them are about 100聽under the age of 5. In dozens of those cases, parents have been deported聽minus their children, or HHS has apparently聽lost track of them. The results are abominations, like聽what happened Friday when a 1-year-old boy, sipping from a bottle of milk and playing with a blue ball, appeared as an immigration defendant before a judge in Phoenix. The child's father had been shipped off to Honduras.聽Small wonder that two out of three Americans abhor what Trump has done with these children.聽(7/9)

In 2015, the American Journal of Preventative Medicine published a study demonstrating that women experiencing homelessness in Massachusetts have a rate of cervical cancer diagnosis that is 4.4 times higher than the general population, and a rate of death from cervical cancer that is six times higher. Given that homeless women are much more likely to die of this potentially preventable cancer, screening for cervical cancer is an urgent priority for our patients. (Aura Obando, 7/10)

Truth be told, there has never been a public health concern, in any nation, resulting from an infant being denied formula as is being suggested in the context of marketing regulations. As pediatricians and neonatologists, the crisis we contend with is not a denial of formula. It is a lack of understanding of the remarkable ease by which breastfeeding is derailed in the earliest phase of initiation and, subsequently, the chances of success are terminally interrupted. (Nana Matoba and Daniel Robinson, 7/10)

Race associations are as common in medical training, from lectures and prep books to practice tests and board exams, as they are unquestioned. An analysis of a licensing exam question bank found that the number one disease associated with white patients is cystic fibrosis. Black patients are most commonly coupled with sickle cell and sarcoidosis. These ties are so recognizable they鈥檝e been turned into jokes. Such racial associations are simple 鈥 too simple. They aren鈥檛 helping students learn and they might be harming patients. It鈥檚 hard to think outside the box when everything you鈥檝e been taught fits inside it. The trouble is that no genetic mutation or disease is specific to race. (Jennifer W. Tsai, 7/11)

As insurance reimbursement for primary care has been rapidly outrun by reimbursement for specialists, it is difficult to convince the best and brightest to go into primary care. Today鈥檚 primary care physicians are expected to see an unrealistic number of patients every day, and usually can鈥檛 spend enough time with each. (Paula Stillman, 7/10)

Last September, three months pregnant with my first child, I began to feel shooting pains in my abdomen. I surmised that this was round ligament pain, a typical pregnancy symptom that occurs as the uterus expands. Later that night, wondering when I could expect the pain to subside, I Googled 鈥渞ound ligament pain how long.鈥 The top results were from pregnancy message boards, where women asked (and answered) a flurry of questions: Is it normal to have round ligament pain all day? Could it feel like a constant ache instead of sharp pangs? Can one experience it as early as the first trimester? I clicked on post after post, reading about the experiences of dozens of women, and learned that the pain would probably subside by the third trimester. (Anna Wexler, 7/10)

The best way to ensure that gene-drive technology is developed safely is to discuss it openly 鈥 in laboratories, within governments, and in public. Engaging nonprofit organizations like the Foundation for the National Institutes of Health contributes to safeguarding public interest in this emerging disease-fighting tool. With so many people suffering from malaria every year, we cannot afford to leave this potential new tool unexplored. But we must do it the right way. (Anthony A. James, 7/10)

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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