Morning Briefing
Summaries of health policy coverage from major news organizations
From 吃瓜不打烊 - Latest Stories:
吃瓜不打烊 Original Stories
Facts Vs. Fears: Five Things To Help Weigh Your Coronavirus Risk
As the numbers of coronavirus fatalities and infections rise, the threat posed by the outbreak in China can seem frightening. But public health officials say the risk in the United States is low. Experts discuss some important issues that can help U.S. residents understand how the epidemic is unfolding.
Changing Clocks Is Bad For Your Health, But Which Time To Choose?
State legislatures are considering new bills proposing a permanent time standard instead of the spring-forward and fall-back clock changes. Most people want to stop adjusting clocks, but scientists and politicians are at odds over which time is better for society and our health.
Would 'Medicare For All' Cost More Than U.S. Budget? Biden Says So. Math Says No.
Biden鈥檚 statement misses the mark because of messy math.
KHN鈥檚 鈥榃hat The Health?鈥: Live from D.C. With Rep. Donna Shalala
President Donald Trump鈥檚 proposed budget includes billions of dollars in health spending cuts, Congress gets back to work on surprise medical bills, and health care remains a top issue for the 2020 Democratic presidential candidates. Rep. Donna Shalala (D-Fla.), a former Health and Human Services secretary, joins the panel at a special taping before a live audience in Washington, D.C. Paige Winfield Cunningham of The Washington Post, Rebecca Adams of CQ Roll Call and Joanne Kenen of Politico join KHN鈥檚 Julie Rovner to discuss these issues and more.
鈥楢n Arm And A Leg鈥: What We鈥檝e Learned And What鈥檚 Ahead For The Show
For this bonus episode of 鈥淎n Arm and a Leg,鈥 Dan Weissmann gives up the host鈥檚 chair and answers questions from reporter and colleague Sally Herships.
Note To Readers
碍贬狈'蝉听Briefing will not be published Feb. 17. Look for it again in your inbox on Feb. 18.
Summaries Of The News:
Covid-19
China Extends 'Wartime' Campaign To Round Up Infected People Beyond Epicenter As COVID-19 Death Toll Rises
China鈥檚 leaders expanded a mass roundup of people possibly sickened with the coronavirus on Thursday, widening their dragnet well beyond the epicenter of the outbreak to at least two more cities in what the government has called a 鈥渨artime鈥 campaign to stamp out the epidemic. But the campaign, first announced last week in the city of Wuhan, already has been marred by chaotic conditions that have isolated vulnerable patients without adequate care and, in some cases, left them alone to die. The expansion of the decree to 鈥渞ound up everyone who should be rounded up鈥 in the Wuhan area of central China has deepened the nation鈥檚 sense of anxiety. (Qin, 2/13)
The death toll from a coronavirus outbreak in China's Hubei province has risen by 116, with the total number of cases up by nearly 5,000, the province's health commission said on Friday. The commission did not disclose the total number of deaths from the newly identified virus, which stood at 1,310 on Thursday. (2/13)
The number of cases surged again in Hubei Province, the epicenter of the epidemic. The authorities are taking a high-tech approach to figuring out who has visited there. (2/13)
China National Health Commission Vice Minister Zeng Yixin said on Friday that 1,716 health workers have been infected by the coronavirus and six of them have died as of Tuesday. Zeng, at a press conference about protecting medical workers, said the number of infected medical staff is increasing. (2/14)
"At present, the duties of medical workers at the front are indeed extremely heavy," Zeng said at a press conference Friday. "Their working and resting circumstances are limited, the psychological pressures are great and the risk of infection is high." (Winsor, 2/14)
Zhu estimates that of the 500 medical staff at the hospital, more than 130 may have been stricken by the virus, which has so far infected more than 60,000 globally. She declined to publicize the name of her hospital and asked to use a pseudonym as she was not authorized to speak to the media. (Gan, Thomas and Culver, 2/14)
As novel coronavirus continues to plague China, the country鈥檚 president, Xi Jinping, fired two high-level Communist Party officials in the region at the outbreak's center. The move comes as both death toll and number of cases are surging, partly as a result of changes in the way infections are defined. (Yang, 2/13)
China ousted two top Communist Party officials in Hubei province, the center of the coronavirus outbreak, demonstrating Beijing鈥檚 disapproval of how local officials handled a threat that has mushroomed into an epidemic killing more than 1,300 people and halting business across the country. ... Chinese leaders doled out similar punishments during the outbreak of severe acute respiratory syndrome, or SARS, nearly two decades ago, when China鈥檚 health minister and Beijing鈥檚 mayor lost their jobs. But in those cases, top Communist Party leaders were largely left in place. (Woo, 2/13)
The number of cases and deaths in the coronavirus epidemic in China jumped sharply on Thursday as the authorities there changed how they keep track of the disease, and not, primarily, because of any change in the shape of the outbreak. There is still a lot of uncertainty about the true numbers 鈥 as with any new disease 鈥 and that will continue for the foreseeable future. Underscoring that point, hours after China revised its figures, the World Health Organization put out a lower set, saying that for now, it would not change the way it counts. (Perez-Pena, 2/13)
The coronavirus, which surfaced in a Chinese seafood and poultry market late last year, has spread to 24 countries, killing more than 1,000 and sickening tens of thousands of people in a matter of weeks. The World Health Organization has declared the situation a global health emergency. Here鈥檚 a timeline of what we know so far about the outbreak. (Bryson Taylor, 2/13)
There were no doctors, nurses or medical equipment at the Wuhan hotel converted into a temporary quarantine facility for suspected coronavirus patients when brothers Wang Xiangkai and Wang Xiangyou arrived two weeks ago. The next day, Xiangkai, 61, woke to find that Xiangyou, 62, had died. The Wangs are among tens of thousands of families devastated by the coronavirus in Wuhan, where the medical system has been overwhelmed by the outbreak, despite massive reinforcements and two speedily built new hospitals. (Chen and Munroe, 2/14)
Chinese government employee Jin Yang returned to work in Beijing this week to find his usual workplace rules upended as China battles a coronavirus epidemic. His office has banned the practice of eating lunch in its canteen with colleagues, in favor of boxed meals, packaged in house and eaten at desks, he said. "It's anything but normal," the 28-year-old told Reuters. (Yu, Sun and Goh, 2/14)
The head of the U.S. Centers for Disease Control and Prevention says the new coronavirus, which has killed almost 1,400 people and is still spreading in China, could be around for at least another year. With the Chinese government reporting 121 more deaths and more than 5,000 new cases Thursday alone, the illness dubbed COVID-19 didn't even appear to have peaked. Chinese health officials in the epicenter province of Hubei changed the way they officially diagnosed the disease this week, leading early Thursday to a sudden, alarming jump of about 14,000 new cases recorded in the region. But the person in charge of managing emergencies for the World Health Organization said that jump in the Chinese statistics did not indicate "a significant change in the trajectory of the outbreak." (2/14)
When China reported a drop in the number of new cases of the deadly coronavirus earlier this week, hopes were raised that the outbreak might be slowing down. But on Thursday, health authorities in Hubei, the province at the center of the epidemic, announced there had been nearly 15,000 new cases overnight -- almost 10 times the number of cases announced the previous day. (Kottasova, 2/14)
U.S. Health Officials Warn That Coronavirus Will Likely Gain 'Foothold' As 15 Americans Tests Positive
U.S. officials on Thursday announced the country's 15th confirmed case of the new coronavirus 鈥 an evacuee from China who had been under quarantine in Texas. The patient, who had been flown to Lackland Air Force Base in San Antonio last week, is now in isolation at a hospital and was reported in stable condition. The infection was confirmed through a Wednesday night lab test , making the person the first coronavirus patient in Texas. (Stobbe, 2/13)
On Wednesday, Dr. Nancy Messonnier, director of CDC鈥檚 National Center for Immunization and Respiratory Diseases, told media during a conference call 鈥渨e can and should be prepared for this new virus to gain a foothold in the U.S. (Darnell, 2/13)
When 195 Americans, including diplomats, were evacuated from Wuhan, China, last month, they were tested for the coronavirus on arrival at a California military base. Health officials swabbed the throats and noses of everyone in the group 鈥 the first to be evacuated from Wuhan 鈥 and they were relieved when all of their tests came back negative. But as more government-arranged flights evacuated Americans from China in the days that followed, the federal health authorities adopted a new protocol: Only people who showed symptoms of illness during a 14-day quarantine period would be tested. (Jordan and Bogel-Burroughs, 2/13)
As an outbreak of a novel coronavirus has swept through Hubei province, China, the US Centers for Disease Control and Prevention has been preparing for its worst case scenario -- a widespread outbreak of illnesses in the United States... "We don't know a lot about this virus," [CNN's Chief Medical Correspondent Dr. Sanjay Gupta] said. "This virus is probably with us beyond this season, beyond this year, and I think eventually the virus will find a foothold and we will get community-based transmission." (Andone and Shoichet, 2/14)
The United States said it would approve humanitarian assistance to North Korea to help international aid agencies fight the coronavirus there, amid fears that the impoverished country may be hiding an outbreak. North Korea has not reported any cases of the new coronavirus. But in the past week, some South Korean news reports, citing unnamed sources within the secretive North, said there had been deaths that were suspected to be related to the virus. The reports could not be confirmed. (Sang-Hun, 2/14)
The United States expressed deep concern about North Korea's vulnerability to the outbreak of a new virus and said it was ready to support efforts by aid organizations to contain the spread of the illness in the impoverished nation. North Korea has moved to strengthen quarantines and other preventive measures to protect itself from the COVID-19 illness that has killed hundreds and sickened tens of thousands in China, North Korea's neighbor and closest ally. (Tong-Hyung, 2/14)
U.S. President Donald Trump praised China over its handling of the fast-moving coronavirus outbreak in an interview that aired on Thursday, adding that the United States was working closely with Beijing. "I think they've handled it professionally, and I think they're extremely capable," Trump said in a podcast broadcast on iHeart Radio. (2/13)
The United States is "quite disappointed" with China's response to the coronavirus outbreak, a top White House adviser said on Thursday, criticizing Beijing for a lack of transparency. Speaking to reporters at the White House, National Economic Council Director Larry Kudlow said the Trump administration had thought there was better transparency than there has turned out to be. (2/13)
Another U.S. case of infection with the novel coronavirus was confirmed Thursday, bringing the total number of domestic cases to 15. Around the world, cases have reached nearly 60,000 to date. But if something changes and large numbers of people get infected in the U.S., is the country's health system prepared to cope with a surge of patients with this virus, or any future pathogen? (Neighmond, 2/13)
Marta Ayala and Chong Taing, both Rosemead residents, couldn鈥檛 see the threat of the coronavirus more differently. You can see it on their faces. While walking out of Superior Grocers supermarket in El Monte, Ayala鈥檚 face scrunched in annoyance as she spotted an Asian customer wearing a white medical mask coming from the opposite direction. Despite hearing about the fast-spreading illness, to the 64-year-old Mexican immigrant, the mask is an overreaction that just stokes alarm. (Campa, 2/13)
Even before news feeds were disseminating story after story on the coronavirus outbreak in China, North Carolina鈥檚 state epidemiologist and others dedicated to protecting the public鈥檚 health were in high gear. Zack Moore, the state epidemiologist and a physician who has been with the North Carolina Division of Public Health since 2006, outlined some of the behind-the-scenes work that he and his colleagues have been doing during a meeting this week of the Joint Legislative Oversight Committee on Health and Human Services. (Blythe, 2/14)
Coronavirus Highlights Humans' Psychological Shortcomings In Assessing Danger
Shortly after the University of Washington announced that the school鈥檚 fourth suspected case of the new coronavirus had turned out negative, two professors, one of public policy and the other of public health, held a small dinner for students and faculty members. Like everywhere else on campus, and in much of the world, the coronavirus was all anybody could talk about. But one of the attendees, a public health student, had had enough. Exasperated, she rattled off a set of statistics. (Fisher, 2/13)
Kaiser Health News: Facts Vs. Fears: Five Things To Help Weigh Your Coronavirus Risk
The news about the novel coronavirus in China grows more urgent daily. The number of related deaths is now greater than 1,300, while tens of thousands of people have been infected 鈥 most of them in China. People returning to the U.S. from China are quarantined for 14 days. It can be frightening to think about the threat, but public health officials in this country constantly remind people that the risk of the disease here is low. Still, scientists have more questions than answers about important issues surrounding the coronavirus, now officially named COVID-19. Here鈥檚 some help in understanding the unknowns and evaluating the risks. (Szabo, 2/14)
It has become an iconic image of the coronavirus outbreak in China: a masked official aiming what appears to be a small white pistol at a traveler鈥檚 forehead. For weeks, this ominous-looking device has been deployed at checkpoints across China 鈥 tollbooths, apartment complexes, hotels, grocery stores, train stations 鈥 as government officials and private citizens screen people for fevers in an effort to prevent the spread of the deadly coronavirus. Sometimes described as a 鈥渢hermometer gun,鈥 the device is equipped with an infrared sensor that can quickly measure surface temperature without making any contact with a person鈥檚 skin. (Yaffe-Bellany, 2/14)
When an infection erupts the way coronavirus has exploded in Wuhan, China, and elsewhere in the world, public-health experts try to gauge the potential for an epidemic鈥攐r, worse, a pandemic鈥攂y calculating the pathogen鈥檚 basic reproduction number. The figure, generally written as R0 and pronounced 鈥淩 naught,鈥 is an estimate of how many healthy people one contagious person will infect. Because viruses spread exponentially, a few cases can quickly blow up to an overwhelming number. An R0 of two suggests a single infection will, on average, become two, then four, then eight. (McGinty, 2/14)
Concern is high about a dangerous new coronavirus behind an epidemic in China and illnesses in 24 other countries. The number of people sick with or dying of a viral pneumonia caused by the virus has continued to rise in the epicenter of Hubei Province, China, despite a quarantine of some 60 million people and other measures to stop it. Worries about the potential global impact have interrupted travel and business and disrupted supplies of some goods鈥攊ncluding supplies needed to fight the epidemic. Scientists and public-health officials are learning more all the time about the virus. It has been named Severe Acute Respiratory Syndrome Coronavirus 2, or SARS-CoV-2. The disease it causes is called Covid-19. (McKay, 2/13)
China cracked down on the sale of exotic species after an outbreak of a new virus in 2002 was linked to markets selling live animals. The germ turned out to be a coronavirus that caused SARS. The ban was later lifted, and the animals reappeared. Now another coronavirus is spreading through China, so far killing 1,380 people and sickening more than 64,000 鈥 eight times the number sickened by SARS. The suspected origin? The same type of market. (McNeil and Choi, 2/14)
An experimental Gilead Sciences antiviral drug prevented disease and reduced the severity of symptoms in monkeys infected with Middle East Respiratory Syndrome (MERS), an infection closely related to the fast-spreading coronavirus that originated in China, a study published on Thursday found. The results, reported in Proceedings of the National Academy of Sciences, raise hope that the drug, remdesivir, currently in clinical trials in China, might be effective against the new virus that has infected some 60,000 people globally, and killed more than 1,300, mostly in China. (Steenhuysen, 2/13)
The rise of "fake news" - including misinformation and inaccurate advice on social media - could make disease outbreaks such as the COVID-19 coronavirus epidemic currently spreading in China worse, according to research published on Friday. In an analysis of how the spread of misinformation affects the spread of disease, scientists at Britain's East Anglia University (UEA) said any successful efforts to stop people sharing fake news could help save lives. (Kelland, 2/13)
Researchers have traced COVID-19, and viruses like it, to bats. Animal-to-human transmission, however, typically occurs through a secondary host. Scientists have traced the MERS outbreak to palm civets (a cat-like mammal), and SARS to camels. Greene said public health experts don鈥檛 yet know the secondary host for this strain of coronavirus, but they believe the outbreak began at a seafood market. (Arcuni, 2/13)
As the new coronavirus continues to spread across the globe with no known cure, an experimental drug made by Foster City鈥檚 Gilead Sciences 鈥 in one of the highest-profile clinical trials under way for coronavirus patients 鈥 is generating excitement. The drug, an injectable antiviral called remdesivir, was given in late January to the first confirmed case of coronavirus in the United States, a 35-year-old man in Washington state, after he returned from Wuhan, China, and his symptoms worsened after a week in the hospital. His condition improved the next day. (Ho, 2/13)
Some Passengers May Be Let Off Quarantined Cruise Ships As Criticism Over Bungled COVID-19 Response Mounts
For a moment on Thursday, John and Carol Montgomery thought they might be departing early from the cruise ship quarantined in Yokohama, Japan, where new cases of the coronavirus have been confirmed almost daily. Japan鈥檚 health minister said a few categories of passengers could spend the remainder of the two-week quarantine ashore. The Montgomerys thought they qualified because they share a cabin without windows or a balcony and Mr. Montgomery, 68, has diabetes. (Rich, 2/13)
Passengers on a cruise ship that spent two weeks at sea after being turned away by five countries over coronavirus fears started disembarking in Cambodia on Friday. The MS Westerdam, carrying 1,455 passengers and 802 crew, docked in the Cambodian port town of Sihanoukville on Thursday. It had anchored offshore early in the morning to allow Cambodian officials to board and collect samples from passengers with any signs of ill health or flu-like symptoms. (2/14)
The economic casualties from China鈥檚 coronavirus epidemic are mounting as Asian and European auto plants run short of parts, free-spending Chinese tourists stay home and American companies brace for unpredictable turbulence. That鈥檚 just the start of a financial hangover that is expected to linger for months even if the flulike illness is soon brought under control, economists and supply chain experts say. The Chinese epidemic鈥檚 aftereffects will probably cause the global economy to shrink this quarter for the first time since the depths of the 2009 financial crisis, according to Capital Economics in London. (Lynch, 2/13)
Iran鈥檚 crude-oil sales have been battered by a sudden downturn in demand from its last big trading partner, China, following the deadly coronavirus outbreak, U.S. and Iranian officials said, a blow that lands as the Islamic Republic faces the risk of an economic collapse. In addition to declining oil sales, turmoil in China also is disrupting the supply of spare parts and cheap goods Tehran needs for its factories and bazaars. (Faucon and Lubold, 2/13)
A growing number of countries around the world are evacuating or planning to evacuate diplomatic staff and citizens from parts of China hit by the new coronavirus. Following are some countries' evacuation plans, and how they aim to manage the health risk from those who are returning. (2/14)
Vietnam has quarantined a community of 10,000 people near the capital, Hanoi, for 20 days because of fears the coronavirus could spread there, two local officials told Reuters on Thursday. The rural commune of Son Loi, in the northern Vietnameseprovince of Vinh Phuc, 44 km (27 miles) from Hanoi, is home toll of the 16 coronavirus cases in the Southeast Asian country,including a three-month-old baby. (Vu and Pearson, 2/14)
Taiwan鈥檚 exclusion from the World Health Organization is pitting health concerns against geopolitics during the current crisis over the new illness known as COVID-19. Taiwan has called repeatedly for it to be allowed to participate in WHO, from which it has been barred by China. So strong is China鈥檚 diplomatic pressure that Taiwan can no longer take part in the organization鈥檚 annual World Health Assembly, even as an observer. (Jennings, 2/14)
The novel coronavirus has spread throughout the world since the first cases were detected in central China in December. At least 1,380 people have died and more than 65,000 people have been infected, and the World Health Organization (WHO) has declared the outbreak a public health emergency of international concern. China's National Health Commission has confirmed the virus can be transmitted from person to person through "droplet transmission" -- where a virus is passed on due to an infected person sneezing or coughing -- as well as by direct contact. There are at least 585 confirmed cases of novel coronavirus in more than 25 countries and territories outside mainland China. Three people have died outside of mainland China from the virus -- a 44-year-old Chinese man in the Philippines, a 39-year-old man in Hong Kong, and a Japanese woman in her 80s. (Cheung, 2/14)
The Diamond Princess cruise ship is currently quarantined in Japan because of 175 confirmed cases of the coronavirus 鈥 the infectious disease the World Health Organization is calling COVID-19, raising questions about the future of the cruise industry. The question is important for Tampa, a port for six cruises lines and over one million passengers annually. (2/13)
Administration News
Abrupt Firing Of Undersecretary Once Again Throws Veterans Affairs Into Turmoil Ahead Of Big Health Revamp
As President Trump enters his re-election year, his administration鈥檚 focus on the nation鈥檚 veterans has emerged as a centerpiece of the campaign. But the agency tasked with caring for more than nine million former service members, a department he claims to have transformed, is showing signs of disarray. The mysterious firing last week of the deputy secretary of veterans affairs was only the latest in a string of incidents that have shaken the second-largest cabinet agency in the government as it embarks on ambitious changes to veterans health care. (Steinhauer, 2/13)
Former Senior Airman Kelly Earehart used to joke with his friends about what they were being exposed to while deployed in Uzbekistan. "Watch out for that puddle -- it could be chemical weapons," he remembers saying. The reality now is less light-hearted. "Two of my good friends are dead," he told ABC News. "And I believe it has something to do with K2." (Dubnow, 2/14)
In other news from the administration 鈥
A U.S.聽Indian Health Service doctor was indicted Thursday on charges of sexually abusing his Native American patients at a health center in South Dakota, deepening a crisis over the handling of sexual misconduct that has consumed the federal agency for a year. The doctor, Pedro Ibarra-Perocier, a family medicine physician, was indicted on eight counts of sexual abuse involving four different adult patients at the agency鈥檚 clinic on the Yankton Sioux Reservation, in the town of Wagner in the southeastern corner of the state. A lawyer for Dr. Ibarra-Perocier declined to comment. A U.S. District Court clerk in Sioux Falls said he had pleaded not guilty. (Weaver and Frosch, 2/13)
Health Law
Azar Grilled About Administration's Lack Of A 'Replacement' Plan For ACA If It's Overturned By Supreme Court
Senate Democrats grilled HHS Secretary Alex Azar on Thursday over the Trump administration's lawsuit that could strike down the Affordable Care Act and its reluctance to provide details about a plan to protect consumers if the lawsuit succeeds. While Democrats on the campaign trail have primarily focused on the differences between their own healthcare plans, Democrats in Congress have homed in on President Donald Trump's repeated claims that he supports protecting patients with pre-existing conditions despite pursuing a lawsuit that could eliminate existing protections. (Cohrs, 2/13)
"I don't know what you're waiting for. If you have a better idea show us, but I have yet to see one plan that the administration has put forward," Sen. Bob Menendez (D-N.J.) told Azar during a Senate Finance Committee hearing on the HHS budget request. (Hellmann, 2/13)
Women鈥檚 Health
McConnell Tees Up Two Senate Votes On Anti-Abortion Bills As Battle Intensifies Ahead Of Supreme Court Case
Mitch McConnell on Thursday set up two votes on anti-abortion bills for later this month, a move intended to excite conservatives and put a vulnerable Senate Democrat in a difficult position. The Senate majority leader teed up votes on a bill banning abortions after 20 weeks and also the "Born-Alive Abortion Survivors Protection Act." Both bills have been rejected by the Senate in recent years after failing to clear the chamber's 60-vote threshold. But forcing votes on them in an election year could help boost enthusiasm on the right for keeping the Senate in Republican hands. (Everett, 2/13)
The first, from Sen. Lindsey Graham (R-S.C.), would ban abortions after 20 weeks with exceptions for the life of the mother and victims of rape or incest. Doctors who violate the bill could face up to five years in prison. The second bill, from Sen. Ben Sasse (R-Neb.), would penalize doctors who fail to "exercise the proper degree of care in the case of a child who survives an abortion or attempted abortion."聽(Carney, 2/13)
More than 1,000 people rallied at the Virginia Capitol on Thursday, protesting legislation advancing in the Democratic-controlled General Assembly that would ease restrictions on abortion access. Speakers urged the crowd that gathered in a steady rain to pressure lawmakers to vote against bills that they say would undo regulations that protect pregnant women. They encouraged attendees to join anti-abortion advocacy groups to push back against Democrats who retook control of the General Assembly in November, and they vowed to unseat members of the new majority. (Rankin, 2/13)
Bearing signs wrapped in plastic and strapped to umbrellas, a crowd of about 2,500 demonstrators arrived at the steps of a rainy Virginia Capitol on Thursday to protest abortion access legislation moving through the state legislature. The second annual Virginia March for Life rally followed a larger demonstration last year focused on Gov. Ralph Northam鈥檚 comments defending late-term abortions. (Leonor, 2/13)
A group of Republicans is seeking to change the state constitution to prevent courts from keeping abortion legal, but Democrats contend the measure could outlaw some forms of birth control. The tactic has split abortion opponents, with some saying the proposed constitutional amendment would hurt their long-term goal of outlawing abortion. Because of that internal dispute, the proposal faces no chance of getting through the Republican-controlled Legislature this spring. (Marley, 2/13)
The Iowa Senate has passed a proposed constitutional amendment that would say the state's constitution does not protect abortion rights 鈥 an effort Republicans say is needed to roll back an Iowa Supreme Court decision to the contrary and Democrats say will open the door to further restricting abortion in Iowa. (Gruber-Miller, 2/13)
Elections
Uncertain Of Where Democratic Candidates Stand On Gun Control?: Here's A Breakdown By Candidate
As Democratic voters settle in to decide which candidate to support in the presidential primary contest, they鈥檒l notice two things about their gun control policies. First, the Democratic Party as a whole has tilted to the left on pushing for increasingly expansive federal gun control policies. Second, there鈥檚 not much broad-stroke distinction between the candidates鈥 views on how far to go. The 2020 Democratic presidential candidates agree on big gun control policies, including banning the sale of semiautomatic rifles such as the AR-15. (Pearce, 2/14)
A 23-year-old man who posted on Facebook, 鈥淚 don't know why I don't go on a killing spree." A West Palm Beach couple who shot up their home while high on cocaine. A 31-year-old Gulf Coast man who pointed a semiautomatic rifle at a motorcyclist. All four Florida residents had their guns taken away by judges under a 鈥渞ed flag鈥 law the state passed three weeks after a mentally disturbed gunman killed 17 people at Marjory Stoneman Douglas High School in Parkland two years ago Friday. (Spencer, 2/14)
Health IT
Watchdog Launches Probe Amid Wave Of Relentlessly Efficient Telemarketing Schemes Phishing For Medicare Data
A government watchdog plans to launch a nationwide probe into how telemarketers may be getting hold of seniors鈥 personal Medicare information, a red flag for potential fraud and waste. An official with the Health and Human Services inspector general's office told The Associated Press the audit will be announced next week. It would follow a narrower probe which found that an electronic system designed for pharmacies to verify Medicare coverage was being used for searches that appeared to have nothing to do with filling prescriptions. The official spoke on condition of anonymity ahead of a formal announcement. (Alonso-Zaldivar, 2/14)
In other health technology news 鈥
We鈥檝e all been there. We鈥檝e downloaded a new app or visited a website that requires us to enter personal data and immediately been presented with a long agreement that we have to agree to before using the service. But a new policy paper published Thursday in Science argues that these health tech companies don鈥檛 go far enough with giving consumers a say when terms of service are changed, limiting how much control people have over their personal data. (Chakradhar, 2/13)
Marketplace
Americans Are Still Paying More And More In Health Costs But Not Because Amount Of Care Is Increasing
Americans with private employer health insurance spent nearly 26% more on prescription drugs from 2014 to 2018, according to a new analysis. At the same time, the average price of a medicine purchased by each employee rose by almost 21% and their usage rose more than 4% during that time period. Moreover, the rate at which prescription drug spending rose also outpaced the increased cost of other medical services, such as doctor visits and hospital admissions, during those five years. On a year-over-year basis, prescription drug spending per person rose 4.7% in 2018, although the rate of growth declined from 2014. Notably, usage rose a modest 1% that year. (Silverman, 2/13)
Per-capita health spending for the 160 million Americans in employer-sponsored health plans grew by 4.4% in 2018, the third consecutive year of increases above 4%, according to the latest annual spending report by the Health Care Cost Institute. Medical price growth slowed to 2.6% in 2018 but still accounted for most of the total spending increase. Higher prices accounted for nearly three quarters of spending growth between 2014 and 2018, while increased utilization accounted for 21%. Utilization rose 1.8% in 2018, the largest increase in five years, with use of professional services showing the biggest hike 鈥 3.1%. (Meyer, 2/13)
The intrigue: Two small pieces of data stick out within the report. The average out-of-pocket price for emergency room visits jumped 37%, from $368 in 2014 to $503 in 2018 鈥 a reflection of surprise billing tactics. The average price of drugs administered in doctors' clinics soared 73% from 2014 to 2018. These infusion medicines overseen by doctors are driving up drug spending by a lot, and they don't usually come with rebates. (Herman, 2/14)
In other health care spending news 鈥
Americans are divided on lots of issues. But a new national survey finds that people across the political spectrum agree on at least one thing: Our health care system needs fixing. The 鈥淗idden Common Ground鈥 survey from Public Agenda, USA Today and Ipsos found that 92% of Americans say changes are needed. (Herman, 2/13)
Kaiser Health News: Would 鈥楳edicare For All鈥 Cost More Than U.S. Budget? Biden Says So. Math Says No.
During the Feb. 7 Democratic presidential debate, former Vice President Joe Biden once again questioned the price tag of 鈥淢edicare for All,鈥 the single-payer health care proposal championed by one of his key rivals, Sen. Bernie Sanders of Vermont. Biden argued that the plan was fiscally irresponsible and would require raising middle-class taxes. Specifically, he claimed, the plan 鈥渨ould cost more than the entire federal budget that we spend now.鈥 (Luthra, 2/14)
Kaiser Health News: 鈥楢n Arm And A Leg鈥: What We鈥檝e Learned And What鈥檚 Ahead For The Show
In this bonus episode of 鈥淎n Arm and a Leg,鈥 reporter and colleague Sally Herships (鈥淧lanet Money,鈥 鈥淢arketplace鈥) takes a turn in the host鈥檚 chair. The conversation covers what we have learned so far and what鈥檚 ahead for the show.You鈥檒l hear stories culled from the cutting-room floor, including an early adventure from the medical-bill ninja profiled early on in Season 3. (Weissmann, 2/14)
CEO Faces Criminal Investigation Following Accusations He Has Not Operated Hospitals With Eye On Public Safety
The CEO of the company that owns St. Alexius Hospital is under civil and criminal investigation, according to documents filed in the company鈥檚 bankruptcy case. In a court filing, the U.S. Trustee鈥檚 office said that Americore Holdings CEO Grant White 鈥済rossly mismanaged鈥 his business and 鈥渉as not operated the hospitals in a manner that is consistent with public safety and welfare.鈥 The documents were filed in Americore Holdings鈥 bankruptcy case earlier this month by acting U.S. Trustee Paul Randolph. (Merrilees, 2/13)
Houston Methodist and UnitedHealthcare have agreed not to terminate hundreds of Houston Methodist doctors from the insurer鈥檚 network two months early, nearly two weeks after the hospital filed a petition accusing the insurer of dropping roughly 600 doctors from in-network status. It took a temporary restraining order and caused much confusion for patients and physicians, but Houston Methodist doctors will remain in-network with UnitedHealthcare through April 1, the insurer said Wednesday. (Wu, 2/12)
A bill that would require hospitals to conduct anonymous employee surveys about patient safety is gaining traction in the Florida Legislature. The House has approved similar proposals in the past, but the Senate has historically been cool to the idea. (McGrory and Mahoney, 2/13)
An infant who developed a mold infection at Seattle Children's Hospital has died, becoming the seventh patient at the facility killed by the same infection since 2001... Last year, the hospital confirmed that six patients who developed the same Aspergillus infection have died and several others have been sickened since 2001. The main operating rooms were shut down, first in May and again in November, after the hospital detected the common mold Aspergillus in the air. (Chavez and Riess, 2/14)
An appeals court Wednesday cleared the way for a lawsuit filed against a Pinellas County hospital by a volunteer who was diagnosed with the disease Methicillin Resistant Staphylococcus Aureus, or MRSA.聽Ronald Wendel, who had served as a volunteer at Mease Countryside Hospital, filed a lawsuit alleging that he contracted the disease because of the hospital鈥檚 negligence, according to the ruling by a panel of the 2nd District Court of Appeal. (News Service Of Florida, 2/13)
鈥淲e are writing with deep concern regarding the state of Mission Hospital Systems since the purchase by Hospital Corporation of America last year.鈥 So began a scorching condemnation of HCA Healthcare鈥檚 performance in a letter read aloud to a packed room of community and health care leaders who turned out Monday night for a聽listening session with Gibbins Advisors, the Nashville, Tenn.-based firm hired to monitor HCA鈥檚 compliance with聽15 obligations聽stemming from its acquisition of Mission Health. (Cotiaux, 2/13)
A child psychologist facing a federal lawsuit in Iowa stemming from sexual arousal experiments he oversaw on residents at a state care center for people with intellectual disabilities conducted similar research in Kansas while running one of its state hospitals. The Kansas agency that oversees the state's hospitals says its initial investigation of sexual arousal research involving Jerry Rea in Kansas suggests that ethics guidelines and proper protocols were followed. (2/13)
Medicaid
Even Governors Who Have Steadfastly Supported Trump Are Raising Concerns About Medicaid Changes
The administration of Gov. Ron DeSantis, a steadfast supporter of President Donald Trump, is raising concerns about a proposed federal rule that would strike a financial blow to the state鈥檚 Medicaid program if allowed to go into effect.聽The rule deals with arcane funding mechanisms used by state governments to draw down billions of dollars in federal money for Medicaid, which provides health-care services to 3.8 million poor, elderly and disabled Floridians. (Sexton, 2/13)
Charlie Baker is among governors around the country who are fighting the Trump administration over proposed changes to how the federal government reimburses states for Medicaid, seeking to avoid a shift that could blow a massive hole into state budgets. The new regulations proposed by the Centers for Medicare and Medicaid Services could jeopardize some of the financing arrangements Massachusetts uses to pay for its $16.7 billion MassHealth program, according to the Baker administration and various state health care groups. (Murphy, 2/13)
In other Medicaid news 鈥
The state of Texas is trying to give away a business opportunity valued at roughly $10 billion. To win, all an applicant has to do is score highly on something like a standardized test. The applicants 鈥 in this case, health insurance companies vying for a chance to collect premiums for covering elderly, blind or disabled adults in the state鈥檚 Medicaid program 鈥 spent months answering test questions that spanned almost 60 pages, comprising mostly essay prompts and a few true-false questions. (Walters, 2/13)
Medicaid Director Maureen Corcoran says Ohio has no plan to take up an offer by President Donald Trump鈥檚 administration that would give states greater flexibility in Medicaid spending in exchange for limits on how much the federal government contributes.Corcoran told The Dispatch on Wednesday that while she appreciates the option, Republican Gov. Mike DeWine has other priorities and she will not seek such block-grant funding, at least not now. (2/12)
Opioid Crisis
Opioids' Serious Adverse Effects Came Up In Only 12% Of Doctor, Sales Rep Interactions, Analysis Finds
As the opioid crisis accelerated a decade ago, pharmaceutical sales reps emphasized the benefits of the addictive painkillers, but rarely mentioned serious harms 鈥 and physicians generally believed the information was sufficiently useful to consider additional prescribing, according to a new analysis. Specifically, the health benefits of opioids 鈥 such as tramadol and hydromorphone 鈥 were discussed in 78% of the interactions, but in 54% of the meetings, adverse events were not mentioned. Serious adverse events did come up, but in only 12% of the encounters. Meanwhile, safety claims, such as statements that the pills were well tolerated, were mentioned nearly half of the time, or 49%. (Silverman, 2/13)
Under Wyoming law, any person can go to a pharmacy and ask for a prescription of naloxone, which is a medication that temporarily reverses an opioid overdose. Now, the Campbell County School District's Board is considering instituting a policy that would allow trained staff to carry and administer it on school grounds.聽(Wheeler, 2/13)
Pharmaceuticals
Georgia Senate Bill Aims To Regulate Pharmacy Middlemen To Achieve Lower Medication Prices
In an effort to attack high drug prices, Georgia lawmakers are focusing on powerful middlemen who negotiate on behalf of insurance companies.State Sen. Dean Burke, R-Bainbridge, has introduced a bill that aims to shed light on prices that pharmacy benefits managers negotiate with pharmaceutical companies and pharmacies, and to ensure that patients are able to get the drugs when they need them. The legislation is Senate Bill 313. (Hart, 2/16)
The ongoing debate over insulin access and affordability took another turn Thursday when the state Senate Health and Human Services Finance and Policy Committee approved a plan to provide access to insulin to Minnesotans who can鈥檛 afford it. The newly revised Senate insulin bill evolved much later than another version backed by House Democrats, which has drawn sharp opposition from the pharmaceutical industry. Unlike the House bill, the Senate version does not impose a new fee on insulin manufacturers. (Pugmire, 2/13)
Bayer AG announced today that its researchers have discovered a molecule that it could use to develop new herbicide products.聽The biotech company is conducting field tests of the compound, which it hasn鈥檛 yet named. It鈥檚 been 30 years since scientists have developed an herbicide molecule, largely due a lengthy regulatory process and the widespread use of Monsanto鈥檚 Roundup, which contains the molecule glyphosate. (Chen, 2/13)
Public Health
Florida Aims To Increase Regulation Over Vape Shops
Vape shops would have to be permitted and regulated by the state, under a House effort to combat an 鈥渆pidemic鈥 of electronic-cigarette use by teens. Under the proposal, the Department of Business and Professional Regulation, which oversees sales of tobacco products, would also have authority over retail establishments that sell e-cigarettes and other vape products. Vape shops in Florida currently are unregulated. (Kam, 2/13)
The Trump administration recently passed a law making it illegal to sell tobacco products, including e-cigarettes to anyone under 21.聽Health News Florida's Daylina Miller spoke recently with Mitch Zeller, the director of the Food and Drug Administration鈥檚 Center for Tobacco Products, about plans to prioritize enforcement against e-cigarettes that appeal to kids. (Miller, 2/13)
Flavored nicotine vape products dodged another bullet after Oregon lawmakers killed a proposal to ban them. Sen. Laurie Monnes Anderson, who championed the bill, said the priority is now to create a program to license all nicotine retailers. (Zarkhin, 2/13)
Advocates Cheer Growing Trend Allowing Babies In Workplace Even In States Where Family Leave Is Available
The United States is the only industrialized country in the world without a paid family leave policy, according to a 2018 study in the journal Milbank Quarterly. The District of Columbia and a handful of states have paid leave policies, however. But not Vermont. Gov. Phil Scott, a Republican, vetoed a paid family leave bill late last month that would have allowed new parents the chance to develop family bonds at home for 12 weeks while still receiving a paycheck. The Vermont House fell just short of overriding the governor鈥檚 veto this month, voting 99-51 to override, one away from the 100 needed. (Povich, 2/14)
At a time when a growing number of transgender Americans are getting gender-affirming treatments to make their bodies match their identity, breast imaging centers may not be changing to meet their needs. Approximately 1.4 million U.S. adults identify as transgender today, double the number a decade ago, researchers note in the Journal of Breast Imaging. And while it's still not clear how gender-affirming treatments like hormones or surgery might impact breast health, most doctors agree that transgender people have unique screening needs. (2/13)
People who have had 10 or more sexual partners during their lifetime may have increased odds of being diagnosed with cancer, a new study suggests. Women, in particular, had nearly twice the risk when they had 10 or more past partners compared to when they had one or none, researchers report in BMJ Sexual & Reproductive Health. (2/13)
A rare disease that still affects humans today has been found in the fossilized remains of a duck-billed dinosaur that roamed the Earth at least 66 million years ago. Researchers at Tel Aviv University noticed unusual cavities in two tail segments of the hadrosaur, which were unearthed at the Dinosaur Provincial Park in southern Alberta, Canada. They compared the vertebrae with the skeletons of two humans who were known to have a benign tumor called LCH (Langerhans cell histiocytosis), a rare and sometimes painful disease that affects children, mainly boys. (Hunt, 2/14)
By 2060, almost a quarter of all U.S. residents will be over age 65, and life expectancy will reach an all-time high of 85 years, according to new reports the U.S. Census Bureau released Thursday. The growth in life expectancy in the U.S. over the next four decades is expected to be slower than it was in the four previous decades. (2/13)
The maker of a weight loss drug pulled it from the market Thursday at the request of federal regulators, who said it posed a slight increased risk of cancer. Japan鈥檚 Eisai Inc. said it was voluntarily withdrawing the drug, Belviq. However, the company said in a statement that it disagreed with the U.S. Food and Drug Administration鈥檚 interpretation of new data on the drug鈥檚 safety and still believes Belviq鈥檚 benefit outweighs the risk. (Johnson, 2/13)
The Japanese drug maker Eisai on Thursday said it would withdraw the weight-loss drug Belviq from the U.S. market after the Food and Drug Administration expressed concerns about an increased occurrence of cancer reported in people who used the product. The agency recommended that people using Belviq to lose weight should stop taking the medicine immediately, although the FDA is not recommending special cancer screening for people who have used the drug. (Feuerstein, 2/13)
As health care officials around the world struggle to respond to novel coronavirus, another deadly -- and far more contagious -- disease is on the rise, fueled in large part by insufficient immunization. In some countries, military conflict diminishes access to vaccines. But in other parts of the world, misinformation and vaccine hesitancy allow the disease to flourish. (Sreenivasan and Norris, 2/13)
As rates of sexually transmitted diseases (STDs) continue to skyrocket in the United States, with Louisiana ranking high among them, one group is notably absent from federal recommendations for yearly testing 鈥 straight men. The Centers for Disease Control and Prevention (CDC), the country鈥檚 leading public health institute, suggests annual STD screening only for sexually active women, pregnant women, gay and bisexual men, and people who use needles. (Poche, 2/13)
Kaiser Health News: Changing Clocks Is Bad For Your Health, But Which Time To Choose?
Changing over to daylight saving time 鈥 a major annoyance for many people 鈥 may be on its way out as lawmakers cite public health as a prime reason to ditch the twice-yearly clock-resetting ritual. The time change, especially in the spring, has been blamed for increases in heart attacks and traffic accidents as people adjust to a temporary sleep deficit. But as legislatures across the country consider bills to end the clock shift, a big question looms ahead of this year鈥檚 March 8 change: Which is better, summer hours or standard time? (Hammill, 2/14)
We鈥檝e come a long way from the cans of Folgers that filled our grandparents鈥 cupboards, with our oat milk lattes, cold brews and Frappuccinos. Some of us are still very utilitarian about the drink while others perform elaborate rituals. The fourth most popular beverage in the country, coffee is steeped into our culture. Just the right amount can improve our mood; too much may make us feel anxious and jittery. (MacKeen, 2/13)
According to a January study from DePaul University, most children living with myalgic encephalomyelitis (ME) have not been diagnosed. Together with Ann & Robert H. Lurie Children鈥檚 Hospital of Chicago, researchers screened more than 10,000 children in the Chicagoland area aged 5-17 for chronic fatigue syndrome. Ultimately, the study found the prevalence of chronic fatigue among children to be 75 in 10,000, and less than 5% of chronically fatigued children were previously diagnosed. The study also showed children of African American and Latinx descent were twice as likely to be living with undiagnosed ME. (Rockett, 2/13)
Three patients with advanced cancer suffered no serious side effects from being treated at the University of Pennsylvania in the first U.S. clinical study of cells edited with CRISPR, the gene-editing technology. But neither did they benefit, according to results published last week in Science. One patient with a bone marrow cancer called multiple myeloma has died and another has progressed. A patient with sarcoma, a soft-tissue cancer, also progressed. (McCullough, 2/12)
People who get rhinitis - an inflamed or congested nose - from colds or allergies may feel much worse if they're exposed to high levels of air pollution, a recent study suggests. Rhinitis usually involves some combination of congestion, sneezing, nasal irritation and sometimes a reduced sense of smell, and it affects up to half of the world's population, the study team writes in Journal of Allergy & Clinical Immunology. (2/13)
State Watch
State Highlights: LA Mayor Works With Trump Administration To Pave Way For Homeless Beds; Baltimore Mayor Kept Reselling Same 'Healthy Holly' Books For Profit In Illegal Scheme
Taking the next step in months of negotiations over ways to combat L.A.鈥檚 homelessness crisis, Mayor Eric Garcetti and U.S. Housing and Urban Development Secretary Ben Carson on Thursday announced the formation of a joint working group. Although much about the collaboration remains unknown, the mayor and secretary said their staffs would be working together to identify red tape and other impediments to getting people off the streets and housed quickly. (Oreskes, 2/13)
Disgraced former Mayor Catherine Pugh possessed just 8,216 copies of her self-published 鈥淗ealthy Holly鈥 children鈥檚 books 鈥 but resold those repeatedly, netting $859,960, federal prosecutors wrote in a new sentencing memo. In the most detailed accounting yet of Pugh鈥檚 fraud scheme, assistant U.S. attorneys Martin J. Clarke and Leo J. Wise laid out in the Thursday filing how the onetime Baltimore mayor 鈥渕ethodically expanded her illegal scheme and managed to conceal it.鈥 (Broadwater, 2/14)
A state representative from Birmingham filed a bill Thursday that would require Alabama men to get a vasectomy once they reach 50 years old or father three children, 鈥渨hichever comes first.鈥 The legislation by state Rep. Rolanda Hollis, D-Birmingham, says that a man will have to pay for the vasectomy 鈥渁t his own expense." (Koplowitz, 2/13)
With no discussion, the Florida Senate on Wednesday gave final approval to a bill that would shield health-care providers from disciplinary action if they default on student loans.聽The Senate voted 35-1 to pass the bill (HB 115), with Sen. Joe Gruters, R-Sarasota, opposed. The House unanimously approved the bill last month, meaning it is now ready to go to Gov. Ron DeSantis. (News Service Of Florida, 2/13)
An employee of the state Department of Health and Human Services, Anna Carrigan, has filed a lawsuit alleging the state is failing its legal responsibilities to protect children from abuse and neglect in New Hampshire. The lawsuit also alleges Carrigan was retaliated against by supervisors at DHHS for speaking publicly on the issue. 鈥淸Carrigan] been subject to inconsistent and arbitrary directives and other conduct that have suppressed and chilled her ability to speak to the public and the press about DHHS鈥檚 dysfunction,鈥 the complaint reads. (Moon, 2/13)
MN Community Measurement has released its 2019 clinic ratings, and for the first time it ranked medical groups by the percentage of their elderly female patients who received recommended osteoporosis management after suffering broken bones. An annual report card on clinic quality is now evaluating Minnesota doctors on their efforts to prevent osteoporosis 鈥 a rare area of medicine in which the state鈥檚 doctors appear to be performing worse than their peers nationally. (Olson, 2/13)
The law that remains most problematic in the treatment of these illnesses is the Rogers Guardianship statute. This law requires a separate adversarial court proceeding in order to treat a patient with antipsychotic medication outside of emergency situations, even after that patient has been found dangerous enough 鈥 to themselves or others 鈥 to be civilly committed by the court to a hospital. The intention of the statute 鈥 to preserve a patient鈥檚 right to refuse medication 鈥 is well-meaning. However, in practice, it falls short in recognizing that a patient鈥檚 refusal of medication may reflect their underlying disease state. (Biswas, 2/13)
The rape of a patient at Hacienda HealthCare in Phoenix was the catalyst for a proposed federal law that is set聽to be introduced Thursday in聽Congress. The bill聽aims to improve transparency by giving the public easily accessible information about聽quality problems and substantiated complaints聽at facilities such as Hacienda. (Innes, 2/13)
A Tennessee lawmaker is concerned that women would buy feminine hygiene products in bulk if the items were approved for an upcoming three-day, tax-free weekend. The legislation is part of a long effort to get rid of the 鈥渢ampon-tax鈥 on menstrual-related items, the Associated Press reported. (Beachum, 2/13)
Oklahoma state officials announced Thursday that the state will resume executions by lethal injection, having found a "reliable supply." The state hasn't executed a death row inmate since January 2015, when Charles Warner was put to death by lethal injection. Another inmate, Richard Glossip, was scheduled to be executed in September of that year but then-Gov. Mary Fallin called for it to be postponed. A ban on executions was put in place several days later as the state investigated whether the wrong drug was mistakenly used and a grand jury reviewed the execution protocol. (Almasy, 2/14)
A group of federal and local officials is preparing to ask Gov. Tom Wolf to issue a formal disaster declaration for the Philadelphia School District, citing the growing number of school closures because of potentially toxic asbestos exposure. Their push, detailed at a Thursday news conference, came as district officials closed two more city schools 鈥 Barton Elementary in Feltonville and Sullivan Elementary in Frankford 鈥 because of damaged asbestos. So far this school year, nine schools and an early childhood program have been shut because of the potential danger to children and staff. (Graham and Ruderman, 2/13)
A top official at Moffitt Cancer Center who resigned under pressure amid a controversy over exploitation of American-funded research by China has filed a lawsuit, alleging he was unjustifiably forced to leave his job. Thomas Sellers, a vice president and director of cancer research at Moffitt until his resignation late last year, says in the lawsuit that he was not part of the now-contentious 鈥淭housand Talents鈥 program, an initiative designed to recruit experts from the U.S. and elsewhere to collaborate with researchers in China. (Ross, 2/13)
A 4-month-old infant died in the state鈥檚 custody Sunday, Oregon child welfare officials have confirmed. The Department of Human Services disclosed the baby鈥檚 death Tuesday, under a 2019 transparency law that requires state leaders to tell the public when a child on their radar dies by possible abuse or neglect. (Young, 2/12)
A lawsuit filed by the family of a Washington woman who died while in jail in 2018 alleges inhumane confinement and deprivation of adequate medical care where she was held. The death of Damaris Rodriguez, who was suffering from symptoms of psychosis, followed four days of "inexcusable neglect and appalling conditions at the South Correctional Entity Jail," the lawsuit says. (Riess, 2/14)
Two days after Concordia University-Portland announced the 115-year-old institution will close in May, its sister school in Minnesota is planning to accept students from the Portland college鈥檚 popular nursing program. Concordia University-St. Paul officials announced they鈥檙e working on a program that would allow Portland-based nursing students to graduate on time and remain in Portland. The program, which would require regulatory and accreditation approval, would also be open for future students, according to a press release. (The Oregonian/OregonLive Politics Team, 2/13)
The existence of a Pennsylvania grand jury investigation into the Witnesses鈥檚 handling of child sex abuse cases 鈥 the first of its kind in the country 鈥 was only disclosed a week ago, in a story by USA Today, which was met with a no comment from Attorney General Josh Shapiro. But The Inquirer this week interviewed five ex-Witnesses who have already testified for the grand jury, including Chase, and their recollections paint a portrait of an investigation focused on shattering the wall of silence that has long surrounded the religion鈥檚 reclusive leaders, and unearthing secretly-maintained records about suspected pedophiles. (Gambacorta, 2/14)
Is it always safe to go soaking in Oregon鈥檚 natural hot springs? It鈥檚 a question worth asking this winter following two medical emergencies, including one death, at rustic hot springs located in Cascade Mountain forests. (Hale, 2/12)
Weekend Reading
Longer Looks: Violent Crime And Head Trauma; The Battle Over A Plant; Warship Accidents; And More
He walks into the courtroom, hands cuffed at his waist, an armed deputy in a flak jacket at his side. He wears a white-and-gray striped jumpsuit with 鈥淟ake Co. Jail鈥 in large red letters on the back. Short with neatly combed hair, a trimmed gray beard and brown plastic-rimmed glasses, he does not glance at his 87-year-old mother in the front row or at his sister beside her, or his brother or two cousins and a friend. He sits at a small table beside his attorney and faces the judge. This does not look like someone who beat his neighbor so badly with a metal bar in August that the man was hospitalized with two cracked ribs, a bruised kidney, a fractured vertebra, and welts over his legs, arms and back. Nor does he look like the American hero who set up the goal that beat the Soviets in the 1980 鈥淢iracle on Ice.鈥 (Rosengren, 2/12)
For just under three months a year, towards the end of the winter rains, Samir Naamneh and his wife Nadya get up at 4 in the morning, gear up in improvised camouflage, and pack into a truck headed from Arraba, their Arab village in Israel, to the Golan Heights. During this season, the volcanic plateau is carpeted with delicate wildflowers and dotted with hundreds of endangered gazelles. To the trained eye, the lush, grassy slopes are also bursting with an unassuming, wildly lucrative thistle known as akoub.鈥淚t鈥檚 healthy because it鈥檚 from the wild,鈥 says Samir, who has been illegally foraging akoub with his wife for the last 15 years, in defiance of an Israeli ban intended to prevent over-harvesting of what officials consider an endangered native species. Akoub is a spiky, edible plant found in a wide swath of the Middle East, from the mountains of Turkey down through the Israeli-occupied West Bank and Golan Heights to the Sinai Desert in Egypt. (Rubin, 2/10)
Two and half years after a massive oil tanker cleaved the side of the USS John S. McCain, leaving a gaping hole and killing 10 sailors, hospital corpsman Mike Collins is still haunted by the aftermath. That morning in August 2017, awoken by the thunderous shaking, the 23-year-old was thrust into round-the-clock motion: Tending to the chemical burns of the sailors whose sleeping area flooded, their flesh raw from the fuel that spilled in with the seawater. Collecting the heavy stack of the dead鈥檚 medical records. Staying up late trying to purge the stink of diesel that clung to their uniforms, so the clothes could be returned to grieving families. (Rose, Tsutsumi and Miller, 2/12)
The 65-year-old man collapsed into the driver鈥檚 seat of his car in a small town outside Philadelphia. He could hear his breath: ragged, wheezy and fast, interrupted by a relentless cough. Winter was always bad for his breathing, but that year had been particularly hard, and that morning felt more difficult than usual. Just walking from his house to his car left him gasping for air as if he had sprinted the short distance. (Sanders, 2/12)
Aspiring to become a full-time streamer and make a career out of his love for gaming, former semipro Halo player Matthew 鈥淢ellowMajik鈥 Murphy follows a weekly ritual. Every Friday and Saturday night, he comes home and gets on his new favorite game, Fortnite. But before he logs on, Murphy swallows a pill he thoroughly believes will aid him in becoming the best player he can be. 鈥淭ypically I would be exhausted, tired and lose motivation after only a couple hours,鈥 Murphy said. 鈥淲ith Adderall, I am able to play better than I ever have for up to 12 hours.鈥 (Hamstead, 2/13)
Editorials And Opinions
Perspectives: Lessons About Silencing Chinese Doctor Who Warned About Coronavirus; Supporting U.S. Chinese Communities Needs To Replace Blaming
Reactions to Li Wenliang鈥檚 death last Friday filled the timelines of my social media accounts almost immediately. Post after post on my WeChat. Grief, frustration, anger.A week later, the groundswell of emotions seems unabated. Dr. Li, a 34-year-old ophthalmologist in Wuhan, the Chinese city at the epicenter of the coronavirus outbreak, was one of the first doctors to try to warn about the disease, and then to die from it. The story of how the authorities muzzled Dr. Li became an instant parable for their trampling on the Chinese public鈥檚 right to know. (Kiki Zhao, 2/14)
Dirty looks, deserted restaurants, bullied children 鈥 this is the reality for many Asian Americans after the outbreak of the coronavirus six weeks ago. Although the epicenter of the illness is in China, where tens of thousands have been affected, there have been only 15 cases in the United States as of Thursday. Still, Asians in America have been subjected to suspicion and ridicule, and not for the first time in this country鈥檚 history. (Marian Liu, 2/14)
With increasing numbers of cases of coronavirus disease 2019 (COVID-19) globally and in the United States, Health and Human Services (HHS) Secretary Alex Azar declared a national public health emergency on January 31. The emergency declaration of the HHS authorizes additional resources, enhanced federal powers, interjurisdictional coordination, and waivers of specific regulations. State and local public health emergency declarations are also likely. During crises, government has a special responsibility to thoughtfully balance public health protections and civil liberties. (Lawrence O. Gostin and James G. Hodge Jr., 2/13)
Of all our endless wars, the most protracted is our war against dangerous microbes, of which the covid-19 coronavirus is the latest battle. Just as we honor our fallen warriors on the battlefield, we should honor 34-year-old Li Wenliang, the Wuhan physician who died of the disease last week after defying Chinese authorities by trying to get the word out about the growing outbreak. Hospitals themselves are amplification points for the virus鈥檚 spread, as evidenced by the more than 500 confirmed cases (and an additional 600 suspected) of health-care workers stricken in Wuhan hospitals through mid-January, including at least two more deaths. (Michael T. Osterholm and Mark Olshaker, 2/13)
Viewpoints: No Surprise That No One Seriously Plans To Fix Surprise Medical Bills; 'Medicare For All' Isn't What's Hurting Warren, Other Dems
Every politician condemns the phenomenon of 鈥渟urprise鈥 medical bills. This week, two committees in the House are marking up new surprise billing legislation. One of the few policy proposals President Trump brought up in this week鈥檚 State of the Union address was his 2019 executive order targeting them. In the Democratic debates, candidates have railed against such medical bills, and during commercial breaks, back-to-back ads from groups representing doctors and insurers proclaimed how much the health care sector also abhors this uniquely American form of patient extortion. (Elisabeth Rosenthal, 2/14)
In the fall of last year, it looked increasingly as though Sen. Elizabeth Warren (Mass.) would go the distance in the Democratic primary. She was in the top tier of candidates, sometimes leading in the polls. On the left and the right, it was clear that almost every other campaign saw her as the one to beat. And then suddenly, she wasn鈥檛. (Helaine Olen, 2/13)
Health care was voters鈥 top issue in both Iowa and New Hampshire, and it benefitted Sen. Bernie Sanders as well as his more moderate rivals. The big picture: Sanders has emerged as a national front-runner thanks in part to a base that鈥檚 deeply committed to his Medicare for All plan, even as polling data indicate that more moderate ideas like a public option have a broader base of support. (Drew Altman, 2/14)
Now that Bernie Sanders is the Democratic presidential candidate to beat, his socialism is drawing fresh scrutiny鈥攁nd not merely from capitalists. With Nevada鈥檚 caucuses coming on Feb. 22, the state鈥檚 powerful Culinary Union is pointing out that Mr. Sanders wants to abolish the health benefits it has spent years bargaining to get. (2/13)
Because I am a cardiologist, people often ask me how they should live to help their hearts. The truth is, it matters more where you live than how you live. Traditionally, heart disease was considered a disease of affluence; today, it is more an economic ailment than a medical disorder, correlated far more closely with one鈥檚 ZIP Code and bank balance than with one鈥檚 gene pool. As medical treatments have rapidly advanced, the chasm in heart disease risk between haves and have-nots has stretched farther. Closing this gap will require more from public officials and politicians than from doctors and nurses. (Haider J. Warraich, 2/14)
The Freudian concept of psychological projection refers to the behavior of people who, unable to acknowledge their own weaknesses, ascribe those same failings to others. President Trump provides a striking example in his multiple post-impeachment rants calling those who sought his removal 鈥渧icious鈥 and 鈥渕ean.鈥 His choice of the word 鈥渕ean鈥 caught my attention, because I鈥檝e been thinking for some time now that the United States has become a mean country. There has been meanness, and worse, in the world, of course, long before there was a President Trump. But it doesn鈥檛 require suffering from the agitation of Trump derangement syndrome to observe that something toxic has been let loose during these past three years. Much of it has to do with immigration: the separation of families at the border and the effort to terminate DACA, the program that protects from deportation undocumented young people brought to the United States as children. (Linda Greenhouse, 2/13)
Transgender ideology can take on a comical character, as in a recent American Civil Liberties Union commentary objecting to sales tax on tampons and similar products while pondering: 鈥淗ow can we recognize that barriers to menstrual access are a form of sex discrimination without erasing the lived experiences of trans men and non-binary people who menstruate, as well as women who don鈥檛?鈥 Yet it鈥檚 one thing to claim that a man can 鈥渋dentify鈥 as a woman or vice versa. Increasingly we see a dangerous and antiscientific trend toward the outright denial of biological sex. (Colin M. Wright and Emma N. Hilton, 2/13)
鈥淗ave you stood at the gates of doom? Or looked through the gates of death? Have you been to the edge of the universe?鈥 In the Old Testament, The Voice from the Whirlwind poses these questions to Job. The implied answer is no, for these seem to be divine prerogatives. For humans, heaven is a gated community, and we typically can鈥檛 even peer through. This is one reason (among many) near-death experiences inspire awe: They seem to give us a 鈥淕od鈥檚 eye鈥 view of what really lies beyond. They take us to the edge of the universe. (John Martin Fischer, 2/13)
You always remember the first patient who died on your watch. Mine was an older man with a faulty heart 鈥 the main pump had failed and his heart was beating irregularly and far too fast. We tried to slow it down with medications, but later that night, it suddenly stopped beating completely. In the following months, I kept questioning if I should have done something differently. Whenever I would have a case like that one, I found myself second-guessing my clinical management. However, it turns out that thinking twice may actually cause more harm than good. (Abraar Karan, 2/13)
Among the many special causes entrusted to the patronage of St. Valentine 鈥 beekeeping, love 鈥 is epilepsy, though no one seems to know exactly why. The great 20th-century psychiatrist Leo Kanner guessed in a 1930 paper on epileptic folklore that the association was earned by the similarity between the sound of Valentine鈥檚 name spoken in German and the epithet 鈥渇allende Sucht,鈥 鈥渢he falling disease.鈥 It may have been that over time, entreaties to Valentine from epileptics were answered with particular generosity. They needed all the help they could get. Kanner cites several other saints known to be patrons of epilepsy, whose names were given over time as euphemisms for the disease 鈥 St. John, St. Donato, St. Cornelius and scores more. (Elizabeth Bruenig, 2/14)
鈥淲e knew that baby was in trouble,鈥 she said, turtle-hunched inside her jacket against the rain as she waited for the D6 bus with a knot of other women who live in a hotel on one of the District鈥檚 ugliest stretches of street. 鈥淚t鈥檚 Relisha all over again.鈥 She鈥檚 remembering Relisha Rudd, the 8-year-old girl whose disappearance from the largest family shelter in the nation鈥檚 capital nearly six years ago awakened the city to its staggering crisis of homeless children. (Petula Dvorak, 2/13)