Morning Briefing
Summaries of health policy coverage from major news organizations
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吃瓜不打烊 Original Stories
Temp Nurses Cost Hospitals Big During Pandemic. Lawmakers Are Now Mulling Limits.
Missouri is considering making it a felony to jack up temporary health care staffing prices during a statewide or national emergency. It鈥檚 one of at least 14 states looking to reel in travel nurse costs, after many hospitals struggled to pay for needed staffers earlier in the covid pandemic.
California鈥檚 Covid Misinformation Law Is Entangled in Lawsuits, Conflicting Rulings
A state law says giving false information to patients about covid-19 constitutes unprofessional conduct for which regulators can discipline doctors. Vaccine skeptics, including Robert F. Kennedy Jr., join civil liberties groups and others in arguing that it violates free speech.
KHN's 'What the Health?': Judging the Abortion Pill
Any day now a conservative federal judge in Texas could upend the national abortion debate by requiring the FDA to rescind its approval of mifepristone, a drug approved in the U.S. more than 20 years ago that is now used in more than half of abortions nationwide. Meanwhile, a controversial study on masks gets a clarification, although it may be too late to change the public impression of what it found. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join KHN chief Washington correspondent Julie Rovner to discuss these issues and more. Plus, for 鈥渆xtra credit,鈥 the panelists suggest health policy stories they read this week they think you should read, too.
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Summaries Of The News:
Pharmaceuticals
Sanofi Joins Competitors In Capping Out-Of-Pocket Insulin Costs
Sanofi will cap the out-of-pocket cost of its most popular insulin, Lantus, at $35 per month for people with private insurance, the French drugmaker said Thursday. The change will take effect Jan. 1, 2024. Sanofi is the last of three major insulin makers in the United States to cut or cap the price of the drug. Both Eli Lilly and Novo Nordisk announced changes to how they price their insulin this month. Together, the three drugmakers make up roughly 90% of the insulin market in the U.S. (Lovelace Jr., 3/16)
In addition to Lantus, Sanofi said it will cut by 70% the list price for its fast-acting insulin, Apidra. Sanofi said it already offered a lower priced version of Lantus but that it had not been taken up widely by insurance programs. The branded list price of Lantus is $438.07 for the pre-filled pens and $292.07 for a 10 ml vial. Those would come down to $96 and $64, respectively. (Wingrove, 3/16)
Drugmakers also are bracing for a drug pricing change under Medicaid, the federal health program for low-income families. Medicaid has required drug companies to pay rebates when they significantly raise prices over time. But the amount drug companies paid Medicaid was capped in previous years. The new provision, part of the American Rescue Plan Act passed in 2021, eliminates the rebate cap beginning next year. In other words, drug companies could face significant financial penalties beginning next year, said Antonio Ciaccia, CEO of 46brooklyn Research, a nonprofit that researches drug pricing. (Alltucker, 3/16)
鈥淲e launched our unbranded biologic for Lantus at 60 percent less than the Lantus list price in June 2022 but, despite this pioneering low-price approach, the health system was unable to take advantage of it due to its inherent structural challenges,鈥 Sanofi鈥檚 head of U.S. General Medicines Olivier Bogillot said in a statement. 鈥淲e are pleased to see others join our efforts to help patients as we now accelerate the transformation of the U.S. insulin market.鈥 These price cuts will go into effect beginning on Jan. 1, 2024.Choi, 3/16)
Key Treatment Shortages Impacting Care Of Those With Cancer
Amid shortages of three generic drugs widely used to treat common cancers in both adults and children, hospital officials worry that they may have to treat patients with less-effective medications or lower-than-recommended doses, Endpoints News reports. Injectable methotrexate, cisplatin, and fluorouracil are all in shortage, according to the American Society of Health-System Pharmacists (ASHP). Methotrexate comes in both oral and injectable forms, while the other two drugs are available only as injectables. (Van Beusekom, 3/16)
Pluvicto, a drug used to treat advanced prostate cancer, is in short supply, the Food and Drug Administration聽reported last week. Novartis, the pharmaceutical company that manufactures Pluvicto, outlined the causes behind the supply issues聽in a letter聽posted by the FDA last month. (Howard, 3/16)
In FDA and other administration news 鈥
FDA Commissioner Robert Califf wants private insurers to chip in on doing post-approval clinical research on drugs. It鈥檚 a new request from the agency chief, who鈥檚 long pushed to find new ways to test drugs. 鈥淚鈥檓 not aware of a major effort by the insurance plans to help people get studies done,鈥 he said at America鈥檚 Health Insurance Plans conference on Thursday. 鈥淚n fact, what I鈥檓 hearing from clinicians out there is just the opposite, that it鈥檚 very hard to do research in the current environment.鈥 (Wilkerson, 3/16)
In a sudden about-face, the Food and Drug Administration will hold a meeting of outside experts to consider whether or not to approve Sarepta鈥檚 experimental gene therapy for Duchenne muscular dystrophy. The announcement Thursday comes just weeks after the company said the FDA had told it an advisory panel meeting to review the treatment, called SRP-9001, would not be necessary. The decision to review Sarepta鈥檚 gene therapy without input from outside experts surprised some analysts and patient advocates. (Mast and Feuerstein, 3/16)
The Alzheimer's Association has deployed 1,000 people diagnosed with, or caring for someone with the disease, to meet with all 535 members of Congress across the United States and urge them to press Medicare for early access to a new class of drugs, beginning with lecanemab, that promise to slow the disease. The grassroots lobbying campaign, which has not been reported in detail, is being led by state-based chapters, according to interviews with four Association national and local officials. (Aboulenein, 3/16)
Also in pharmaceutical news 鈥
Pfizer Inc said on Thursday it was working on a new child-proof packaging for its migraine drug, Nurtec ODT, after safety concerns led to a recall alert from the U.S. Consumer Product Safety Commission. Consumers should immediately secure the recalled product out of the sight and reach of children and contact Pfizer for a free child-resistant pouch to store it, the CPSC said. (3/16)
Global Pharma, which makes EzriCare and Delsam Pharma鈥檚 eye drops, recalled both products in February. Last week, a Florida woman sued Global Pharma, claiming that an infection caused by the eye drops was so severe that doctors had to surgically remove one of her eyes. (Holpuch, 3/16)
U.S. regulators approved dozens of inhalers to treat asthma and chronic obstructive pulmonary disease over a recent 15-year period, but a new study found that generic companies have only twice successfully pursued an established pathway to create lower-cost, rival products. (Silverman, 3/16)
Experts have long understood that a new polio vaccine developed to try to minimize the risks associated with the oral polio vaccine made by Albert Sabin might also cause the problem it was created to sidestep. It鈥檚 now clear that theoretical risk is a real one. The Global Polio Eradication Initiative announced Thursday that six children in the Democratic Republic of the Congo and one in Burundi have been paralyzed by viruses from the new vaccine, which is referred to as novel oral polio vaccine, or nOPV2. (Branswell, 3/16)
Covid-19
Genetic Samples From 2020 May Link Covid Start To Wuhan Market Animals
This week, an international team of virologists, genomicists, and evolutionary biologists may have finally found crucial data to help fill that knowledge gap. A new analysis of genetic sequences collected from the market shows that raccoon dogs being illegally sold at the venue could have been carrying and possibly shedding the virus at the end of 2019. It鈥檚 some of the strongest support yet, experts told me, that the pandemic began when SARS-CoV-2 hopped from animals into humans, rather than in an accident among scientists experimenting with viruses. (Wu, 3/16)
An international team of virus experts said on Thursday that they had found genetic data from a market in Wuhan, China, linking the coronavirus with raccoon dogs for sale there, adding evidence to the case that the worst pandemic in a century could have been ignited by an infected animal that was being dealt through the illegal wildlife trade. ... The jumbling together of genetic material from the virus and the animal does not prove that a raccoon dog itself was infected. And even if a raccoon dog had been infected, it would not be clear that the animal had spread the virus to people. Another animal could have passed the virus to people, or someone infected with the virus could have spread the virus to a raccoon dog. (Mueller, 3/16)
A scientific sleuth in France has identified previously undisclosed genetic data from a food market in Wuhan, China, that she and colleagues say support the theory that coronavirus-infected animals there triggered the COVID-19 pandemic. Several of the researchers presented their findings on Tuesday to the Scientific Advisory Group for the Origins of Novel Pathogens (SAGO), an expert group convened last year by the World Health Organization. 鈥淭he data does point even further to a market origin,鈥 says Kristian Andersen, an evolutionary biologist at Scripps Research who attended the meeting and is one of the scientists analyzing the new data. If so, the findings weaken the view of a vocal minority that a virology lab in Wuhan was the likely origin of SARS-CoV-2, perhaps when the coronavirus infected a lab worker, who spread it further. (Cohen, 3/16)
Also 鈥
Department of Energy and intelligence community officials briefed members of the Senate Energy and Natural Resources Committee on classified information related to COVID-19鈥檚 origins Thursday but offered no definitive revelations, according to lawmakers. The briefing follows the news that the department now concludes with 鈥渓ow confidence鈥 that the virus more likely originated in a lab in Wuhan, China, rather than through natural evolution. (Clason, 3/16)
Focus On Paxlovid's Effectiveness Against Covid With FDA Endorsement
A panel of expert advisers to the Food and Drug Administration on Thursday endorsed Paxlovid as a treatment for adults with Covid who are at high risk for progression to severe illness. The move is likely to lead to full approval of the drug, which has been available under emergency use authorization. The 16-1 vote came after the agency released a new analysis showing that Paxlovid reduced hospitalizations and deaths among both unvaccinated and vaccinated people. Agency researchers estimated, based on Covid rates in January, that Paxlovid could 鈥渓ead to 1,500 lives saved and 13,000 hospitalizations averted each week in the United States.鈥 (Zimmer and Jewett, 3/16)
Pfizer's antiviral Paxlovid is one step closer to gaining full approval from the Food and Drug Administration, but whether that convinces more doctors to prescribe it is an open question. (Moreno, 3/17)
The antiviral drug combination nirmatrelvir鈥搑itonavir (Paxlovid) was estimated to be 54% effective against SARS-CoV-2 Omicron BA.2, BA.4, and BA.5 hospitalization or death but was 80% when taken within 5 days of symptom onset, according to an observational study published yesterday in The Lancet Infectious Diseases. (Van Beusekom, 3/16)
How hospitals are affected as emergency declarations come to an end 鈥
After a move by three area hospital systems to drop their mask requirements three years into the pandemic, St. Louis鈥 health director is urging caution. SSM Health, Mercy and St. Luke鈥檚 no longer require patients, visitors or staff to wear masks, the hospitals said, citing decreased levels of COVID-19 in the community and low hospitalizations. 鈥淲e cannot have a black-and-white approach to mandates just because the overwhelming number of us are fortunate enough to maybe be of a certain demographic that doesn鈥檛 put us at risk,鈥 Dr. Mati Hlatshwayo Davis, the health director for St. Louis, said Thursday. (Bauer, 3/16)
Many hospitals and health systems struggled to maintain inpatient admissions in 2022, adding to financial woes already compounded by labor shortages and higher operating costs. (Hudson, 3/16)
KHN: Temp Nurses Cost Hospitals Big During Pandemic. Lawmakers Are Now Mulling Limits
To crack down on price gouging, proposed legislation in Missouri calls for allowing felony charges against health care staffing agencies that substantially raise their prices during a declared emergency. A New York bill includes a cap on the amount staffing agencies can charge health care facilities. And a Texas measure would allow civil penalties against such agencies. These proposed regulations 鈥 and others in at least 11 more states, according to the American Staffing Association industry trade group 鈥 come after demand for travel nurses, who work temporary assignments at different facilities, surged to unprecedented levels during the worst of the covid-19 pandemic. (Sable-Smith, 3/17)
In other pandemic news 鈥
KHN: California鈥檚 Covid Misinformation Law Is Entangled In Lawsuits, Conflicting Rulings
Gov. Gavin Newsom may have been prescient when he acknowledged free speech concerns as he signed California鈥檚 covid misinformation bill last fall. In a message to lawmakers, the governor warned of 鈥渢he chilling effect other potential laws may have鈥 on the ability of doctors to speak frankly with patients but expressed confidence that the one he was signing did not cross that line. Yet the law 鈥 meant to discipline doctors who give patients false information about covid-19 鈥 is now in legal limbo after two federal judges issued conflicting rulings in recent lawsuits that say it violates free speech and is too vague for doctors to know what it bars them from telling patients. (Wolfson, 3/17)
After Roe V. Wade
North Dakota Supreme Court Upholds Injunction On Abortion Ban; 6-Week Ban Advances In Florida
The North Dakota Supreme Court has upheld a temporary block of the state's abortion ban. The ruling came Thursday in the lawsuit brought last summer by the Red River Women's Clinic, formerly the sole abortion provider in North Dakota. The clinic moved from Fargo to neighboring Moorhead, Minnesota, last year after the U.S. Supreme Court's Dobbs decision, which overturned the constitutional right to an abortion in Roe v. Wade. (Dura, 3/16)
A Florida House committee on Thursday voted to advance a bill that would restrict abortion to the first six weeks of pregnancy in nearly all cases, before some women know they鈥檙e pregnant 鈥 despite an ongoing lawsuit challenging a 15-week abortion cutoff that legislators passed last year. Unlike the current 15-week ban, the six-week legislation (HB-7) does have exceptions for rape and incest, but only up until 15 weeks of gestation, and only if there is 鈥渄ocumentation proving鈥 the rape or incest, such as a restraining order, police report, medical record or court order. (Farrington, 3/16)
Seven organizations have filed amicus briefs urging the Florida Supreme Court to rule against the state's law banning abortions after the 15th week of pregnancy. In June, several health care providers and advocacy groups filed a lawsuit challenging the law as unconstitutional under the privacy clause of the Florida Constitution. In January, the Florida Supreme Court agreed to hear the case but has not yet set a date. The challenge comes as the Legislature is considering bills that would prevent abortions after six weeks. The measures provide for exceptions for survivors of rape and incest up to 15 weeks, with proof. (Carter, 3/16)
Nevada Senate Majority Leader Nicole Cannizzaro introduced a constitutional amendment Thursday that 鈥 over more than three years 鈥 could enshrine existing abortion rights in the state constitution, which would offer the highest level of state protection. (Stern, 3/16)
Doctors in California who mail abortion pills to people in other states would be protected from prosecution under a new bill to be unveiled Friday in the state Legislature. The bill would not let California extradite doctors who are facing charges in another state for providing abortion medication. It would also shield doctors from having to pay fines. And it would let California doctors sue anyone who tries to stop them from providing abortions. (Beam, 3/17)
New Mexico鈥檚 governor signed an abortion-rights bill Thursday that overrides local ordinances aimed at limiting access to abortion procedures and medications. Reproductive health clinics in New Mexico offer abortion procedures to patients from states, including Texas, with strict abortion bans. (Lee, 3/16)
KHN: KHN's 'What The Health?': Judging The Abortion Pill聽
This week, the eyes of the nation are on Texas, where a federal judge who formerly worked for a conservative Christian advocacy group is set to decide whether the abortion pill mifepristone can stay on the market. Mifepristone is half of a two-pill regimen that now accounts for more than half of the abortions in the United States. (3/16)
In related news about pregnancy and postpartum care 鈥
Mississippi Republican Gov. Tate Reeves signed legislation Thursday to solidify a full year of Medicaid coverage for women after they give birth, saying it鈥檚 part of a 鈥渘ew pro-life agenda鈥 to help mothers now that abortion access is restricted. Mississippi usually allows two months of postpartum Medicaid coverage. The state has allowed a full year of the coverage since the COVID-19 public health emergency started in 2020, although many patients have said the state did little to let them know postpartum coverage continued after the usual two months. (Pettus, 3/16)
A patchwork of state laws in the aftermath of a Supreme Court decision overturning the right to an abortion, combined with pandemic-related burnout and low reimbursement rates,聽could exacerbate an already looming national shortage of obstetrician-gynecologists, experts say. (Raman and Cohen, 3/16)
Exposure to air pollution and psychological stresses among low-income Hispanic pregnant women can have an outsized effect on fetal growth, according to a study linking it to hampered growth. Latino populations in the U.S. are among the groups most consistently exposed to smog, lead poisoning, unsafe water, and toxic waste. (Franco, 3/16)
Health Industry
Financial Woes Leave 600 Rural Hospitals At Risk Of Closure
More than 600 rural hospitals in the United States are either at immediate or high risk of closure as a result of persistent financial losses on patient services or low financial reserves, a study found. Almost every state is home to hospitals with these characteristics, according to the report by the Center for Healthcare Quality and Payment Reform, based in Pittsburgh. In more than half of the states, 25% or more of the rural hospitals are at risk of closing, and in 12 states, 40% or more are at risk. (Higgs, 3/16)
Crozer Health is laying off 215 employees, or 4% of its workforce, as part of an organizational restructuring. Upland, Pennsylvania-based Crozer, which operates four hospitals,聽said Wednesday the changes stem from financial struggles, including the effects of the pandemic and rising costs for staffing, supplies and pharmaceuticals. (Hudson, 3/16)
Effie Schnacky was wheezy and lethargic instead of being her normal, rambunctious self one February afternoon. When her parents checked her blood oxygen level, it was hovering around 80% 鈥 dangerously low for the 7-year-old. Her mother, Jaimie, rushed Effie, who has asthma, to a local emergency room in Hudson, Wisconsin. She was quickly diagnosed with pneumonia. After a couple of hours on oxygen, steroids and nebulizer treatments with little improvement, a physician told Schnacky that her daughter needed to be transferred to a children鈥檚 hospital to receive a higher level of care. What they didn鈥檛 expect was that it would take hours to find a bed for her. (Zdanowicz, 3/16)
Emergency medicine physicians at Einstein Medical Center Montgomery huddled in a room for the last few days, scrambling to fill unclaimed residency spots. Colleagues dropped by with snacks from Wawa. Others rallied on social media to support the program: 鈥淧lease check us out.鈥 (Gutman, 3/17)
Bright Health Group鈥檚 financial picture continues to darken, new disclosures from the struggling health insurance company reveal. The insurtech reported a $12.9 million shortfall across its state-regulated insurance divisions as of Dec. 31, according to an annual report filed to the Securities and Exchange Commission on Thursday. (Tepper, 3/16)
Also 鈥
Washington University will no longer participate in U.S. News & World Report's annual best medical schools list. Wash U joins Harvard, the University of Chicago, Stanford and other historically top-ranked schools that made similar announcements this year. School officials say they鈥檒l stop submitting data to the publication, which provides one of the nation鈥檚 most popular college rankings. (Fentem, 3/17)
State Watch
Medicaid Officials Put Pressure On States To Auto-Enroll Recipients
Federal Medicaid officials are working unusually closely with states to avoid enrollment glitches and remove excuses states might have for not doing their job once the pandemic-era requirement to maintain Medicaid enrollment ends. 鈥淲e meet every week with 300 of our best state friends Friday afternoons,鈥 Medicaid head Daniel Tsai said Thursday. 鈥淭here are countless meetings, one on one, with states right now negotiating, working through individual issues.鈥 (Wilkerson, 3/16)
State Sen. Fabian Do帽ate (D-Las Vegas) announced more details on Thursday about his plan to expand Medicaid coverage to all Nevadans regardless of citizenship status. Do帽ate initially pitched the concept of expanding Medicaid to people who are undocumented last month during a press conference held by the Latino Legislative Caucus. But this week, Do帽ate outlined the goals of a far-reaching measure he called the 鈥淣evada Health Opportunities, Planning, and Expansion (HOPE) Act.鈥 He said it would 鈥渂uild equity,鈥 reduce costs and improve the state鈥檚 health care infrastructure by expanding access to care and investing in technology and jobs.聽 (Calderon and Mueller, 3/16)
State health officials estimate that approximately 25,000 to 30,000 Rhode Islanders will lose their health insurance coverage during Medicaid eligibility checks, which is being mandated by the federal government and will begin April 1. (Gagosz, 3/16)
In news about drug use 鈥
The Kentucky Senate voted Thursday to legalize medical marijuana in the state, delivering a breakthrough endorsement after years of resisting access to cannabis for people suffering from a series of debilitating illnesses. The measure was passed by the Senate on a 26-11 vote, sending it the House, which has supported medical cannabis measures in the past. Republicans have supermajorities in both chambers. (Schreiner, 3/17)
The night before Jose Alberto Perez overdosed on fentanyl, the 14-year-old pleaded with his mother not to take him to the hospital because 鈥渉e was not a drug addict.鈥 鈥淗is lips were ash white. His pupils were popping out,鈥 the boy鈥檚 mother, Lilia Astudillo, said. But she yielded to his wishes, despite his obvious distress.聽(Samee Ali and Silva, 3/16)
Before month鈥檚 end, federal regulators are poised to allow over-the-counter sale of a nasal spray that reverses the potentially lethal effects of an opioid overdose. ... 鈥淚t鈥檚 a step in the right direction but I don鈥檛 think it鈥檚 enough,鈥 said Colin Miller, a co-founder of the Twin City Harm Reduction Collective, which hands out sterile needles and anti-overdose medicines to drug users in Winston-Salem, N.C. 鈥淣o drug user is going into a pharmacy and paying $47 a kit.鈥 (Ovalle, 3/16)
Healthcare Personnel
10 Charged In Man's Asphyxiation Death At Va. Mental Health Facility
Three former employees of a mental hospital in Virginia were arrested and charged with second-degree murder on Thursday, a prosecutor said, over the death of a Black man who was transported to the facility from jail earlier this month. Irvo Otieno, 28, died on March 6 as he was being admitted to Central State Hospital in the city of Petersburg, according to Dinwiddie County Commonwealth Attorney Ann Cabell Baskervill. (Clifford and O'Brien, 3/16)
Three hospital workers have been charged with second-degree murder in the death of Irvo Otieno, bringing the total to 10 people charged in the case, the Dinwiddie County Commonwealth's Attorney said Thursday. The three, who worked at Central State Hospital at the time of Otieno's death, were arrested Thursday after seven Sheriff's deputies arrested and charged earlier this week. (Habeshian, 3/16)
Relatives of Irvo N. Otieno on Thursday watched video of his 鈥渢raumatic鈥 death at Central State Hospital as a local prosecutor brought second-degree murder charges against three of the facility鈥檚 employees 鈥 on top of the seven sheriff鈥檚 deputies already charged in his death. 鈥淢y son was treated like a dog, worse than a dog,鈥 Otieno鈥檚 mother, Caroline Ouko, tearfully told reporters outside the Dinwiddie County Courthouse. ... Two lawyers for Otieno鈥檚 family, who watched the video with them, said the three hospital workers dressed in blue uniforms could be seen joining the deputies in brown 鈥 putting their weight on him as he lay prone on the hospital floor for 11 minutes, handcuffed, his feet shackled. They called on the Justice Department to investigate. (Vozzella and Rizzo, 3/16)
In other news about alleged medical negligence 鈥
Charlene Jones thought her aunt had been eating three meals a day. During her visits last year with Aunt Bertha, who was physically and developmentally disabled, Jones said, she had that noticed the 71-year-old looked more frail, her face sunken in. But the staff at Hoeft Home in Belleville, Mich., reassured Jones that her aunt was eating normally, she said. ... Bertha Jones died May 2, less than a month later, of protein-calorie malnutrition. (Somasundaram, 3/16)
Mental Health
Effort To Reduce Military Suicides Doesn't Include Gun Purchase Limits
Defense Secretary Lloyd Austin ordered a number of improvements in access to mental health care on Thursday to reduce suicides in the military, but held off on endorsing more controversial recommendations to restrict gun and ammunition purchases by young troops, sending them to another panel for study. An independent committee in late February recommended that the Defense Department implement a series of gun safety measures, including waiting periods for the purchase of firearms and ammunition by service members on military property and raising the minimum age for service members to buy guns and ammunition to 25. (Copp and Baldor, 3/17)
As lawmakers and mental health advocates wrestle with how to stop the avalanche of suicides by firearm in this country, some are looking to a novel idea at work in a handful of states: Register yourself as a suicide risk so you can鈥檛 buy a gun on a whim. (Henderson, 3/16)
If you are in need of help 鈥
In other mental health news 鈥
One of the largest operators of ketamine clinics in the country abruptly closed its facilities this week, leaving patients in the dark and out of treatment for depression and other chronic conditions. (Cueto, 3/16)
It鈥檚 well-known that COVID-19 protocols caused financial hardship 鈥 particularly among lower- and middle-class families 鈥 and now a new study highlights the toll those struggles took on children鈥檚 mental health. A new study led by researchers from Columbia University and Weill Cornell Medicine, both in New York, suggests that family economic hardship was the biggest driver of "stress, sadness and COVID-related worry" among kids. (Rudy, 3/16)
Olivia Lubarsky showed up to Towson University her freshman year in 2017 shouldering the weight of high-functioning depression stemming from an immobilizing fear of failure. Acknowledging it, she said, made her feel as if she were finding a way to justify her shortcomings as a college gymnast. Her sport became her outlet 鈥 a way to ignore her worsening mental health. (Cohn, 3/16)
When it became clear Tuesday that there was strong opposition to the bill, one of its co-authors expressed shock at the impending result. State Rep. Anthony Moore, R-Clinton, said he thought the bill would easily pass "because there's nobody who's going to be for corporal punishment on students with disabilities." "I apologize to the author, because apparently I was wrong," he said. Moore also noted that research by the American Academy of Pediatrics shows that children who experience physical punishment are at increased risk for negative behavior, cognitive psycosocial and emotional outcomes. (Denwalt, 3/16)
LGBTQ+ Health
LGBTQ+ Rights Boosted In Michigan; Kentucky Targets Youth Trans Care
Gov. Gretchen Whitmer on Thursday expanded the state's civil rights law to bar discrimination based on sexual orientation, gender identity and gender expression, a change long sought by LGBTQ advocates. (Hendrickson, 3/16)
Republican lawmakers in Kentucky passed a measure Thursday to ban gender-affirming care for transgender minors, completing whirlwind voting on a repackaged proposal that triggered outrage and tears among opponents unable to stop the sweeping policymaking on a culture wars issue. Supporters of the proposal 鈥 which affects how gender is discussed in schools 鈥 beat a Thursday deadline to retain their power to override an expected gubernatorial veto. (Schreiner, 3/17)
The other shoe finally dropped for Caitlin and her 6-year-old daughter Thursday. If her daughter wants to start puberty-blocking medication as she gets older, she won鈥檛 be able to in their home state of Florida. 鈥淣obody wants their child to have to go through what our child is going through,鈥 said Caitlin, who asked to use only her first name to protect her family.聽(Rummler, 3/16)
Jacqueline Murphy, 22, waited until 7:00 p.m. to testify against the bill. 鈥淚 understand that this committee is unlikely to be swayed by the facts of the issue,鈥 said Murphy, a transgender woman from Austin who said she began puberty blockers and hormone therapy as a minor. 鈥淲hether it is because of genuine bigotry or merely political expediency, you have made your political mission clear. You are not protecting me.鈥 (McGaughy, 3/16)
On gender expression and sex education in schools 鈥
In a party-line vote, the New Hampshire Senate signed off Thursday on a Republican-backed bill that would require schools to answer 鈥渢ruthfully and completely鈥 when parents ask about their child鈥檚 gender expression. (Porter, 3/16)
The Gwinnett County school board decided not to vote on a proposed new health and sex education curriculum that has drawn much attention from the community and even from Georgia鈥檚 top school official. The board unanimously agreed Thursday night to remove from its meeting agenda a vote about buying new HealthSmart textbooks and resources. The board did not set a date for a decision about the health curriculum, and board members did not discuss the decision at its meeting. (Reyes, 3/16)
Public Health
Cases Of Tick-Borne Babesiosis Rising Fast In Northeastern States
Cases of a tick-borne disease, called babesiosis, more than doubled in some Northeastern states between 2011 and 2019, researchers from the Centers for Disease Control and Prevention reported on Thursday. Although many people with babesiosis are asymptomatic, others develop flulike symptoms, including fevers, chills, sweats and muscle aches. The disease can be severe or even fatal in people who have compromised immune systems or other risk factors. (Anthes, 3/16)
In other health and wellness news 鈥
Kraft Heinz, the company that makes them, has developed two styles of Lunchables that meet the federal nutritional guidelines set out for the National School Lunch Program, which provides meals to nearly 30 million kids across the country. The company says the two offerings 鈥 turkey and cheese, as well as pizza 鈥 are distinct from the products sold in grocery stores, retooled to increase the serving size and reduce saturated fats and sodium. (Heil, 3/16)
Your beloved pet may be hurting your sleep, research published Thursday finds.聽Though pets can have many positive effects on health, pet ownership was linked with poorer sleep, according to the study published in the journal Human-Animal Interactions. (Sullivan, 3/16)
A study in Cell Reports Medicine showed that just five minutes of breathwork each day for about a month could improve mood and reduce anxiety 鈥 and these benefits may be larger than from mindfulness meditation for the same amount of time. (Sima, 3/16)
A report released Wednesday by the nonprofit Asthma and Allergy Foundation of America revealed last year鈥檚 U.S. 鈥渁llergy capitals.鈥 These were the most challenging places to live for those with pollen allergies. The rankings were based on pollen counts and took into account use of over-the-counter medication and the number of allergy physicians in the area. ... The most difficult spot to live with allergies last year was Wichita, according to the report, followed by Dallas; Scranton, Pa.; Oklahoma City; and Tulsa to round out the Top 5 locations. Seven cities in the Top 20 were in Florida. (Patel, 3/16)
The World Health Organization (WHO) is warning of a "silent pandemic" of antimicrobial resistance from infections caused by deadly pathogens that doctors are not able to cure because of a lack of novel agents.聽That鈥檚 according to an early release of special presentations by Dr. Valeria Gigante and Professor Venkatasubramanian Ramasubramanian of an online "pre-meeting" of the European Congress of Clinical Microbiology & Infectious Diseases on April 15 to 18 in Copenhagen, Denmark. (Sudhakar, 3/16)
And an update on mpox cases 鈥
In an update covering the past 2 weeks, the World Health Organization (WHO) said today that it has received reports of 323 new mpox cases and 11 more deaths. Cases are slowly declining in most regions but with no clear downward trend in Africa, where the virus spreads with a mixed pattern of both human-to-human and zoonotic spillovers. Outside of Africa, countries continue to report sporadic cases and small clusters. (Schnirring, 3/16)
Weekend Reading
Longer Looks: Interesting Reads You Might Have Missed
Patients share their deepest fears and darkest secrets within the safe confines of a therapist鈥檚 office. And increasingly, therapists are sharing versions of those stories with millions on TikTok. As social media plays an ever-more-central role in society, therapists have taken to online spaces to discuss mental health issues. Many of them share video vignettes that reenact conversations with clients. As a result, more patients are being asked to sign social media consent forms that allow therapists to use behind-closed-door revelations to inspire online content. (Javaid, 3/10)
Although studies repeatedly show that most patients want to die at home, 25 percent of the community dwellers and almost 40 percent of the nursing home residents died in hospitals. Hospice leaders, palliative care specialists, health care reformers and advocacy groups have worked for years to try to lower such numbers. 鈥淧atients who received this type of aggressive care experience more pain, actually die sooner, have a much poorer quality of life at the end. And their families experience more doubt and trauma,鈥 said Dr. Sara Douglas, a co-author and oncology researcher at the Case Western Reserve University School of Nursing. (Span, 3/14)
Her patients often save their casts, which are decorated by Chicago pediatric orthopedic surgeon Felicity Fishman. 鈥淚f they can look at my drawing and remember a positive experience, that鈥檚 wonderful to me,鈥 she said. 鈥淎nything you can do to connect with a child during the course of a surgery is helpful in maintaining that relationship.鈥 (Free, 3/16)
How easy it is to forget those first nightmarish months of the pandemic. Epidemiologists, doctors and scientists haven鈥檛 forgotten, though. Those who spent time on the pandemic鈥檚 front lines have since asked themselves: What have we learned?聽What do we now know about Covid-19 that we didn鈥檛 know at the start of the pandemic, and what would we have done differently had we known? Answering those questions about this pandemic, they hope, will help us better manage the next one. (Morris, 3/11)
Over the past six years, Allegheny County has served as a real-world laboratory for testing AI-driven child welfare tools that crunch reams of data about local families to try to predict which children are likely to face danger in their homes. Today, child welfare agencies in at least 26 states and Washington, D.C., have considered using algorithmic tools, and jurisdictions in at least 11 have deployed them, according to the American Civil Liberties Union. (Ho and Burke, 3/15)
Sandwiches are聽the number one source of sodium and saturated fat in Americans鈥 diets, making up about one-fifth of our daily sodium intake and 19% of our daily saturated fat calories, according to an analysis of federal survey data. Sandwiches contribute 7% of daily added sugars, the same percentage as breakfast cereals and bars.聽鈥淭he standard deli sandwich with processed meat and cheese, you鈥檙e literally eating a heart bomb,鈥 says Dariush Mozaffarian, a cardiologist and professor of nutrition and medicine at Tufts University.聽(Petersen, 3/14)
Also 鈥
An Indiana doctor has top marks on several physician-review sites, with one patient writing that the doctor was the best she had seen in years. The site, however, is missing some key information鈥攊ncluding his conviction for insurance fraud, medical-malpractice claims and a licensing-board sanction. Doctor-rating websites regularly fail to mention such black marks on physicians鈥 records, according to research published in November in the Journal of Empirical Legal Studies.聽(Wernau, 3/10)
Hospitals are turning to technology to address one of the most intractable risks their patients face: medical errors. More than two decades after the launch of a national patient-safety movement to tackle the alarming toll of medical mistakes, preventing those errors has proved much harder than expected. Despite research that shows some improvement over time, hospitalized patients are still at substantial risk of medication mishaps, hospital infections, breakdowns in nursing care, and complications from surgery and other procedures. (Landro, 3/12)
Editorials And Opinions
Viewpoints: Politicians Are Not Doctors; Harms Caused By Anti-Abortion Laws Are Leading To Lawsuits
Last week, Florida lawmakers filed a dystopian bill that would ban abortions after six weeks and threatens to steal that currency from us. House Bill 7 has its first hearing Thursday, Healthcare Regulation subcommittee. (Monica Skoko Rodriguez, 3/16)
What I needed was an abortion, a standard medical procedure. An abortion would have prevented the unnecessary harm and suffering that I endured. Not only the psychological trauma that came with three days of waiting, but the physical harm my body suffered, the extent of which is still being determined. I needed an abortion to protect my life, and to protect the lives of my future babies that I hope and dream I can still have one day. (Amanda Zurawski, 3/16)
The abortion pill decision by Walgreens reflects the right鈥檚 success in using corporations to affect public policy. (Mary Ziegler, 3/17)
Also 鈥
On Dec. 15, nurses walked out and began the largest nurses鈥 strike in the history of Britain鈥檚 National Health Service. They were protesting working conditions that have left them burned out and stretched thin 鈥 and compromised patient safety 鈥 and wages that fell in the last decade in real terms. (Allyson Pollock and Peter Roderick, 3/17)
Suicide is the 10th-leading cause of death across the nation and the second among young people, according to Mental Health Minnesota, a nonprofit advocacy group. A connection during a crisis can be the difference between life and death. (3/16)
On March 11, 2020, the World Health Organization officially designated the novel coronavirus as a pandemic. Two days later, then-President Donald Trump declared a national emergency. (Leana S. Wen, 3/16)
The already beleaguered U.S. health care system is facing a new and costly threat that will affect patient care and ultimately may lead to hospital closures: paying for and processing a torrent of medical record requests. (Angie Comfort, 3/17)