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Thursday, Jan 17 2019

Full Issue

Viewpoints: Time To Recognize Deadly Mix Of Dementia And Guns; Finally, The Right Message About Vaccines Is Delivered

Editorial pages focus on these public health topics and others.

Nationwide since 2012, firearms have been used in at least 15 homicides and more than 95 suicides related to dementia, a Kaiser Health News investigation found. This is probably a severe undercount, because dementia often goes undiagnosed. Consider the 76-year-old Milwaukee man who was considered mentally competent when he was convicted of murdering his neighbor, a 13-year-old boy he had accused, without evidence, of stealing some of his guns.Partly in response to mass shootings, more than a dozen聽states have enacted red flag laws, which enable family members or law enforcement to petition a court to temporarily remove guns from a person who could be a danger to self or others. (1/16)

Last week at the Golden Globes, hosts Andy Samberg and Sandra Oh made headlines as they tried to give out free flu shots to celebrities in the audience. This surprise stunt showed famous stars looking shocked and nervous as needle-wielding nurses descended from the stage to offer vaccinations. Samberg joked, 鈥淚f you are an anti-vaxxer, just put a napkin on鈥攑erhaps over鈥攜our head and we will skip you.鈥 (Bill Frist, 1/16)

Hispanic Americans have higher levels of diabetes and less access to health care services, yet they live on average about three years longer than non-Hispanic whites and six years longer than African-Americans. Why? No one really knows. Hispanics are underrepresented in both clinical trials and the genome-wide association studies that have informed our understanding of the molecular foundation of health and disease, so we can only guess. (Jane L. Delgado and Edward Abrahams, 1/17)

Last week, California鈥檚 new governor, Gavin Newsom, promised to pursue a smorgasbord of changes to his state鈥檚 health care system: state negotiation of drug prices; a requirement that every Californian have health insurance; more assistance to help middle-class Californians afford it; and health care for undocumented immigrants up to age 26. The proposals fell short of the sweeping government-run single-payer plan Mr. Newsom had supported during his campaign 鈥 a system in which the state government would pay all the bills and effectively control the rates paid for services. (Elisabeth Rosenthal, 1/16)

Seeking to assist in the appeal to protect the ACA, Washington Sens. Patty Murray and Maria Cantwell on Wednesday joined in a Senate resolution that seeks to authorize the Senate鈥檚 legal counsel to assist in the appeal and defend the ACA and its protections. The resolution notes that ordinarily the federal Department of Justice defends laws when challenged in court, even when an administration disagrees with the law. The Trump administration did the opposite, bucking precedent and arguing against the ACA鈥檚 constitutionality in the Texas case. (1/17)

Burnout 鈥 a condition characterized by emotional exhaustion, cynicism, and feelings of reduced effectiveness in the workforce 鈥 impacts all caregivers and, in particular, threatens to undermine the physician workforce, endangering our health care system. So profound it has been described as 鈥渕oral injury,鈥 burnout results from a collision of norms between the physician鈥檚 mission to provide care and increasing bureaucratic demands of a new era. (Alan Chaoui, Steven Defossez and Michelle Williams, 1/17)

In my practice as a psychotherapist, I鈥檝e seen an increase of depression in young men who feel emasculated in a society that is hostile to masculinity. New guidelines from the American Psychological Association defining 鈥渢raditional masculinity鈥 as a pathological state are likely only to make matters worse. True, over the past half-century ideas about femininity and masculinity have evolved, sometimes for the better. But the APA guidelines demonize masculinity rather than embracing its positive aspects. In a press release, the APA asserts flatly that 鈥渢raditional masculinity鈥攎arked by stoicism, competitiveness, dominance and aggression鈥攊s, on the whole, harmful.鈥 The APA claims that masculinity is to blame for the oppression and abuse of women. (Erica Komisar, 1/16)

Back to the ad. Nowhere does Gillette say 鈥渁ll men are rapists鈥 as outraged critics claim (and to all those guys with their panties in a wad, maybe you should just man up and get over it). Nowhere does the ad say that we should dress little boys in petticoats and force them to play with dolls. Gillette simply says 鈥渢he boys watching today will be the men of tomorrow鈥 鈥 and that鈥檚 making them all pansies? Please. That declaration is exactly right, and, frankly, impossible to refute. So everybody just calm down. What Gillette is preaching is perfectly fine. (Joseph Curl, 1/15)

Gun violence in Missouri costs the state $1.9 billion per year, according to a new report from the Giffords Law Center to Prevent Gun Violence. And taxpayers are on the hook for much of the tab.About 85 percent of victims are either uninsured or reliant upon some form of publicly-funded insurance. (1/16)

The Medicaid program in Texas, which covers more than half the births in the state, phases mothers out of Medicaid for Pregnant Women two months after they鈥檝e given birth. But new moms aren鈥檛 out of the woods then: Among the 382 Texas women who died within a year of giving birth between 2012 and 2015, more than half 鈥 215 鈥 died after that two-month mark, according to the state task force on maternal mortality. (1/16)

Across the nation, meanwhile, individual states are also taking their own steps to increase the number of people covered by health insurance. You need look no further than Indiana. A waiver from the federal government allows Indiana to opt out of certain Medicaid state plan requirements in order to operate the Healthy Indiana Plan. This consumer-driven program provides health insurance coverage for adults with incomes up to 133 percent of the federal poverty level. The Healthy Indiana Plan serves the state well, providing quality healthcare at low cost to several hundred thousand Hoosiers. (Indiana Attorney General Curtis Hill, 1/17)

Telfair Elementary School Principal Jose Razo returned to his roots Tuesday, filling in as a pre-K teacher while the L.A. Unified strike continued. His text for the day: 鈥淗ow I Became a Pirate.鈥 But first he asked his students whether anyone knew what a pirate does. 鈥淎 pirate lives on the ocean and sometimes steals things,鈥 said a future valedictorian. (Steve Lopez, 1/16)

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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