Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: The Rule Of Law And Subsidies; Anticipating CBO's Score On The GOP Health Plan
Yes. Congress can mandate subsidies without also mandating a funding source. Medicaid is another example. This is crazy, but there it is. For once the Constitution is admirably clear on how the executive branch should handle this quandary: 鈥淣o Money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law; and a regular Statement and Account of the Receipts and Expenditures of all public Money shall be published from time to time.鈥 The law appropriated no money for these cost-sharing reduction payments. But the Obama administration went ahead and paid them anyway. (Megan McArdle, 5/23)
Today, the Congressional Budget Office will issue important numbers about the House-passed version of the American Health Care Act, the Republican bill to repeal and replace portions of the Affordable Care Act. Although the budget office had analyzed an early version of the bill, the House on May 4 took the unusual step of voting before the budget office could gauge how several last-minute amendments might affect the deficit or the number of uninsured. (Margot Sanger-Katz, 5/24)
The U.S. Department of Agriculture said recently it will delay the implementation of school lunch rules aimed at lowering the amount of sodium and raising the whole grain content of meals served to kids. At the same time, the Food and Drug Administration announced it will delay for one year the implementation of Obama administration rules to require calorie labels on menus and prepared food displays. (Deborah A.Cohen, 5/24)
Given that we鈥檙e tangled in knots over how to pay for health care, it鈥檚 remarkable that food and farm policy isn鈥檛 more in the public鈥檚 mind. Heads of hunger programs and food banks have begun to grasp the obvious; as one told WBUR, 鈥渇ood is medicine, food is health,鈥 with good health impossible in the absence of nutritious eating. (Rich Barlow, 5/23)
Sen. Ricardo Lara鈥檚 single-payer legislation was a non-starter in California from day one, even before it was given an eye-popping $400 billion price tag. ... It鈥檚 merely an exercise in politics, which is all well and good except that it detracts from a far more important California health care issue: Can the state fight off President Trump鈥檚 inhumane effort to slash the nation鈥檚 Medicaid budget by more than $880 billion through 2026? (5/23)
Back in 1998, researchers with the legendary Framingham Heart Study created the first heart risk calculator. Using answers to questions about age, cholesterol and blood pressure levels, tobacco use, and the presence of diabetes, it estimated an individual鈥檚 risk of having a heart attack or stroke over the next 10 years. Since then, this calculator has been revised and many others have been developed, including ones that extend the time horizon out to an individual鈥檚 lifetime. Yet much to our surprise, the use of these single-point-in-time risk calculators does little to reduce the risk of heart attack or stroke compared with not using such calculators. ( Kunal N. Karmali and Mark Huffman, 5/23)
The left side of Jacquelyn Garcia鈥檚 face throbbed fiercely. She had tried taking Tylenol and Excedrin for the pain, but threw them up. On a Monday morning straight after working the night shift as a custodian, she rushed to the N.Y.U. emergency dental clinic. Here a student delivered the verdict: decay so deep it had reached the nerve. The tooth needed to be pulled. (Zoe Greenberg, 5/23)
Lead poisoning maims young minds. It steals kids' futures. For too long, Mayor Frank Jackson and his top staff have failed to confront that reality or instill a sense of urgency or direction to city officials to crack down systematically on landlords with toxic housing. (5/23)
Vermont is on the verge of becoming the ninth state to legalize the recreational use of marijuana, but, being Vermont, it is taking an earthier, grow-it-yourself approach 鈥 one that could become a model for others. (5/24)