Morning Briefing
Summaries of health policy coverage from major news organizations
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吃瓜不打烊 Original Stories
The Remedy For Surprise Medical Bills May Lie In Stitching Up Federal Law
The wide-ranging law has the potential to blindside many consumers whose health care comes from company and union health plans that are 鈥渟elf-funded,鈥 meaning they pay claims out of their own funds.
Summaries Of The News:
Supreme Court
Kavanaugh's Mention Of 'Abortion-Inducing Drugs' Sparked Firestorm. Here's A Closer Look At The Science.
During his Supreme Court confirmation hearing on Thursday, Judge Brett Kavanaugh referred to some forms of birth control as 鈥渁bortion-inducing drugs.鈥 The phrase is a characterization that some anti-abortion religious groups use, but it is not supported by scientific evidence. Judge Kavanaugh used the phrase while answering questions by Senator Ted Cruz, Republican of Texas, about a 2015 dissent he wrote in a case brought by a Catholic organization over a requirement in the federal health care law that employers include contraception coverage in employee health plans. (Belluck, 9/7)
Boorish. Rude. Disrespectful. Insulting. Grandstanding. Hyperventilating. Deranged. Ridiculous. Drivel. Those were among the words angry Senate Republicans used this week to assail the conduct of Democrats at a Supreme Court hearing that was often tense and sometimes toxic. (Hulse, 9/7)
Facing an uphill battle to derail Donald Trump鈥檚 second nominee to the U.S. Supreme Court, Senate Democrats fanned out on Sunday to cast Judge Brett Kavanaugh鈥檚 confirmation fight as a referendum on White House accountability. Liberals fear that elevating Kavanaugh to the nine-person court could create the most conservative panel since the 1930s and lead to legal reversals on precedents including women鈥檚 abortion rights. (Bain and Brody, 9/9)
Senate Judiciary Committee Chairman Chuck Grassley (R-Iowa) has announced that he will hold a committee on Sept. 13. Democrats can delay a panel vote on Kavanaugh鈥檚 nomination for one week. At that point, Grassley would be expected to push Kavanaugh鈥檚 nomination through his panel and onto the Senate floor, setting the stage for a big political win for President Donald Trump and Senate Majority Leader Mitch McConnell (R-Ky.). Democrats can only slow down Kavanaugh鈥檚 nomination at that point 鈥 they can鈥檛 stop it without GOP help. Senate Republicans currently have a 51-49 majority, with the replacement for the late Sen. John McCain (R-Ariz.), Jon Kyl, having been sworn in on Wednesday, giving McConnell another vote to work with to get Kavanaugh through the Senate. (Bresnahan, 9/7)
Judge Brett Kavanaugh's nomination to the Supreme Court has many abortion rights advocates worried that the landmark 1973 Roe v. Wade decision is in imminent peril. In many places the rollback of access is already steadily progressing. (Nawaz, 9/7)
Elections
How This Democrat Is Using Health Care To Pull Ahead In A State That Loves Trump
There were the beauty queens, ages 6 to 60, riding in style in the Labor Day Parade, including Teen Miss West Virginia Coal. There was the man driving a pickup truck memorial to 29 workers killed in a 2010 mine disaster, each victim鈥檚 portrait airbrushed on metal. And there was Senator Joe Manchin, in a sky-blue shirt with the state鈥檚 craggy outline on its crest, walking the route and greeting voters who brought up his favorite issue themselves. (Gabriel, 9/8)
In other news from the 2018 campaign trail 鈥
Inside the Kingsport Chamber of Commerce one morning last month, a few dozen voters sipped coffee and listened for 45 minutes to Representative Marsha Blackburn tick off all the reasons that this traditionally Republican stronghold in northeastern Tennessee should support her in one of the most high-stakes Senate races this year. She praised President Trump. She warned of an invasion of liberal policies and a Democratic takeover of committees if Republicans lose the Senate. She stressed securing the border, fighting MS-13 and lowering taxes. She highlighted her work as a Republican House member to 鈥済et government off your back.鈥 (Dias, 9/9)
Obama Champions 'Medicare For All' As He Blasts Republicans For 'Sabotaging' Health Law
Former President Obama on Friday called "Medicare for all" a "good" idea during a speech in Illinois where he launched his midterm campaign efforts for Democrats. "Democrats aren't just running on good, old ideas like a higher minimum wage. They're running on good, new ideas like Medicare for all," Obama said. (Hellmann, 9/7)
鈥淭hey鈥檙e sabotaging the Affordable Care Act, already cost more than 3 million Americans their health insurance,鈥 Obama said in a wide-ranging speech that also criticized the Trump administration鈥榮 policies. 鈥淎nd if they鈥檙e still in power next fall, you better believe they're coming at it again. They鈥檝e said so.鈥 The remarks at the University of Illinois Urbana-Champaign launched Obama's midterm campaigning and drew attention to calls for universal health coverage, a cause that has rallied progressives in congressional races and statewide initiatives. (Demko, 9/7)
Two months before Election Day, some Republicans have embraced an unexpected new way to attack Democratic candidates: The party of Medicare for All, they charge, actually wants to take away Medicare from senior citizens. It鈥檚 an attack Democrats hotly contest, dismissing it as proof positive the GOP is failing to find a winning message in a challenging political climate. (Roarty and Glueck, 9/7)
The president is wrong on both claims: that Democrats plan to deplete Medicare and Social Security and that the two society safety nets are 鈥渟tronger鈥 under his administration. First, not only has Mr. Trump failed to strengthen Medicare and Social Security, the financial outlook for both trusts has largely worsened. That鈥檚 at least partly the result of Mr. Trump鈥檚 tax law that is collecting fewer taxes from Americans and, in turn, investing less money into each program. (Qiu, 9/7)
Health Law
Health Law Rates To Drop 9.3% In New Jersey As Hike Request Fails
Individual health insurance rates in New Jersey will decrease on average by 9.3 percent for 2019, a far cry from the 5.8 percent average rate hike carriers requested earlier this year, Gov. Murphy announced Friday. Murphy credited two laws he signed in May for producing the rate reduction: one creating an individual health insurance mandate, and another establishing a reinsurance program. (Hetrick, 9/7)
The Department of Community Health鈥檚 board on Friday approved a welcome change in health premiums for thousands of state retirees. Retirees in UnitedHealthcare鈥檚 standard Medicare plan were expecting a hike of $81 in their monthly premium 鈥 a rate approved by the same board last month. But on Friday, the board reversed its earlier decision and changed the 2019 premium rate to $25.38 a month, the same as it is this year. (Miller, 9/7)
Quality
Towering Figure In Cancer Research World Failed To Disclose Financial Ties To Drug, Health Care Companies
One of the world鈥檚 top breast cancer doctors failed to disclose millions of dollars in payments from drug and health care companies in recent years, omitting his financial ties from dozens of research articles in prestigious publications like The New England Journal of Medicine and The Lancet. The researcher, Dr. Jos茅 Baselga, a towering figure in the cancer world, is the chief medical officer at Memorial Sloan Kettering Cancer Center in New York. He has held board memberships or advisory roles with Roche and Bristol-Myers Squibb, among other corporations, has had a stake in start-ups testing cancer therapies, and played a key role in the development of breakthrough drugs that have revolutionized treatments for breast cancer. (Ornstein and Thomas, 9/8)
The chief executive of Memorial Sloan Kettering Cancer Center sent an email to all staff members on Sunday saying that the institution and its faculty 鈥渘eed to do a better job鈥 of disclosing their relationships with the drug and health care industries. 鈥淭he matter of disclosure is serious,鈥 wrote the executive, Dr. Craig B. Thompson, along with Kathryn Martin, the chief operating officer. (Thomas and Ornstein, 9/9)
In other news聽鈥
When papers from two independent research groups reported in June that CRISPR genome editing is more likely to succeed in cells that have lost their cancer kill switch, it raised fears that edited cells used to treat patients might initiate tumors. That inference is still the subject of intense debate 鈥 including over whether Nature Medicine should even have published the studies 鈥 but one thing is beyond question: The papers sent other scientists scurrying to their labs to check their results. (Begley, 9/10)
Tom Maguire always figured that, if he ever developed cancer, he would pursue the toughest treatment available. 鈥淵ou destroy yourself, and then you can come back,鈥 he said. His view was tested earlier this year when he was diagnosed with bladder cancer that had invaded the muscle wall of the organ. The standard of care, he learned, usually involves removing the bladder. He would have the choice of permanently wearing a bag to collect his urine or having a difficult surgery to fashion a new bladder from his intestines. Both prospects filled the 63-year-old avid hiker and scuba diver with dread. (McGinley, 9/9)
Nursing Home Residents Were Abandoned By Staff Members As Fires Closed In, California Agency Claims
As a firestorm descended on the Northern California city of Santa Rosa in October, staff members at two nursing homes abandoned their residents, many of them unable to walk and suffering from memory problems, according to a legal complaint filed by the California Department of Social Services. The state agency is now seeking to close the facilities and strip the managers of their licenses. (Fuller, 9/7)
Last Nov. 6, Hillside Nursing Center in Wake Forest admitted a woman with a diagnosis of COPD and hypoxemia, or a low level of blood oxygen. Nursing notes from Nov. 7 describe the woman, identified in a state report filed with federal regulators only as Resident #4, as 鈥渁lert and verbal with some confusion.鈥 Ten days later, she was dead. (Goldsmith, 9/10)
Finding a facility for either long-term care for an aging loved one or short-term rehabilitation following a surgery or an injury can be a daunting task. While a number of factors come into play when choosing where to go for care, experts say staffing is chief among them. Research shows staffing is one of the most important factors in quality care at nursing homes, but some experts say state and federal staffing requirements don鈥檛 meet the minimum standards that a 2001 study, along with subsequent research, determined necessary for basic quality care. (St. Amour, 9/9)
Atrium Health and Senior Living said Friday that it has reached an agreement with its lender to have a receiver appointed for 32 nursing homes and assisted living centers in Wisconsin and one nursing home in Michigan. The company, based in Little Falls, NJ., has 23 nursing homes and nine assisted-living centers primarily in central and northern Wisconsin as well as the nursing home in Michigan. (Boulton, 9/7)
As centenarians in hospice, June LeBlanc, 100, of Goffstown and Ella Olsen, 102 of Nashua receive compassionate attention from nurses, family members, and paid attendants 鈥 but nothing as calming and instantly therapeutic as 30-minute visits from Wolfie 鈥 a dog the size of a prehistoric wolf, and Bucky and Nutmeg 鈥 miniature horses the height and girth of prize-winning sheep. 鈥淚t鈥檚 something different,鈥 says LeBlanc, who enjoys combing her fingers through Wolfie鈥檚 soft fur when he visits Bel-Air Nursing Home in Goffstown, triggering memories of growing up on her family鈥檚 chicken farm, where German shepherds protected thousands of birds. (Baker, 9/9)
It is 7:30 on a summer morning in a room overlooking the slate-gray, lapping waters of Lake Erie. Ten or so people, some just arriving at work, some finishing a night shift, sit silently on benches and in armchairs below stained-glass windows. A plump golden retriever named Linus, a therapy dog, wanders from one person to another, gratefully accepting their caresses. (Ollove, 9/9)
Opioid Crisis
Drug Patent For Opioid Use Disorder Granted To Member Of Family That Owns Maker Of OxyContin
A member of the family that owns Purdue Pharma 鈥 which is being sued by more than 1,000 jurisdictions for its alleged role in seeding the opioid crisis with its pain medication OxyContin 鈥 has been awarded a patent for a treatment for opioid use disorder. (Joseph, 9/7)
As drug-related deaths rise to record numbers, at least a dozen U.S. cities are considering opening supervised injection sites, where people can use illicit drugs with trained staff present, ready to respond in case of an overdose. The future of such proposals in the U.S. is uncertain. A California bill that would greenlight a pilot injection site in San Francisco awaits the governor's signature, but a representative of the Justice Department vowed to crack down on any such site in recent public statements. (Gordon, 9/7)
The new infant recovery center in suburban Dayton 鈥 one of just two such centers nationwide 鈥 provides a quiet, homelike setting and private rooms for babies being treated for withdrawal. At the same time, Brigid鈥檚 Path offers guidance and support for their families, who participate in the care. (Price, 9/9)
Authorities are blaming a recent spike in overdose deaths in Franklin County on the powerful prescription painkiller fentanyl, which they say is increasingly mixed with other illegal drugs such as cocaine and marijuana. Tests to determine which drugs contributed to a fatal overdose can take months, but a preliminary examination points to fentanyl, Franklin County Coroner Anahi Ortiz said Friday. (Cooley, 9/7)
Minnesota鈥檚 Department of Human Services is offering training for anyone wanting to use the overdose reversal drug naloxone and is also making an effort to allow easier access to the medication called buprenorphine that is highly effective in helping people get off and stay off opioids. Department Commissioner Emily Piper said the opioid crisis continues to take a heavy toll in the state. (9/8)
At a time when the U.S. government is trying to deal with a nationwide opioid epidemic, many jails across the country are only now rolling out medicines to help inmates overcome addiction. And most of those jails dispense only one of the drugs currently available. Nearly one in five jail and prison inmates regularly used heroin or opioids before being incarcerated, making jails a logical entry point for intervention, according to the U.S. Department of Justice. (9/7)
Staff Sgt. Alicia Stayonovich helps catch drug dealers. ...It isn鈥檛 the guys on the street corner selling dope that she targets through her job with the Ohio Air National Guard, but the ones smuggling or distributing perhaps millions of dollars worth of drugs at a time. (Zachariah, 9/9)
Ibogaine is a substance from the iboga plant that's primarily found in Africa. It's believed to be used in coming-of-age ceremonies by the Bwiti religion. For decades people have reported it eliminates withdrawal symptoms and cravings associated with various drugs. (Becker, 9/10)
Theresa Andrews鈥 21-year-old daughter, Olivia, is hooked on heroin 鈥 and struggling to get medication to help kick her addiction has only added to the 鈥渉ell,鈥 Andrews said. A few years ago, the San Diego mother called dozens of doctors before finding one who would prescribe her daughter buprenorphine, a widely used medication that quells heroin cravings. (Bartolone, 9/7)
Public Health
'Guns Don鈥檛 Kill People; Bullets Do': States Step Up To Close Gaps In Federal Regulations On Ammunition
Sold from vending machines in Pennsylvania, feed depots in Nevada, pharmacies in Georgia and jewelry stores in Texas, ammunition is in many states easier to buy than cold medicine. But in California, which already enforces some of the nation鈥檚 most restrictive gun laws, there is a movement underway against the unfettered sale of bullets. Gun control advocates here have pushed to limit internet sales, ban large-capacity magazines, require sellers to have licenses, raise taxes on bullets, and mandate serial numbers or other traceable markings on ammunition so that the police can more easily track them. (Urbina, 9/9)
In other news聽鈥
He was part of a group trying to stop the gun violence that has plagued this city. But this week, Delmonte Johnson was killed by it. Mr. Johnson, 19, who was fatally shot along a South Side street on Wednesday evening, was part of a group called GoodKids MadCity, which emerged in Chicago following the deadly school shooting in Parkland, Fla. The group has focused on curbing gun violence by pushing to create more jobs for young people and improving mental health treatment. Mr. Johnson was often among the first to show up for events and meetings, organizers said. (Davey, 9/7)
In the middle of Alabama sits a $20 million shooting range run by a group that鈥檚聽largely financed by the American taxpayer. It is, to be accurate, a spread of rifle and pistol ranges聽designed with state-of-the-art targets and electronic scoring, set under a canopy of trees on country club-like grounds. A fleet of gleaming golf carts zooms across 500 acres, tricked out with custom rifle holders to prevent mishaps on the rolling terrain. This facility is run by the Civilian Marksmanship Program, or CMP, an understated pro-gun group with a quarter-billion dollars in assets. Most of that wealth鈥攆ar more than the National Rifle Association Foundation has鈥攅ffectively comes from the continuing generosity聽of the federal government. (Weinberg and Mosendz, 9/4)
'I Don鈥檛 Recall Cleaning My Stethoscope' Ever: How Hospitals Are Focusing On Common-Place Equipment To Fight Superbugs
During 32 years as a physician, Daniel Federman has used his stethoscope to listen to patients鈥 hearts and lungs. But a recent study at the West Haven, Conn., veterans鈥 hospital where Dr. Federman works left him aghast. After seeing an image of the bacteria accumulated on his stethoscope, he admits, 鈥淚 was appalled鈥 The basic fact is that I don鈥檛 recall cleaning my stethoscope鈥濃攅ver. (Lagnado, 9/8)
Surgeons turned down Terra Goudge for the liver transplant that was her only shot at surviving a rare cancer. Her tumor was too advanced, they said 鈥 even though Goudge had a friend ready to donate, no matter those odds. "I have a living donor 鈥 I'm not taking away from anyone. I'm trying to save my own life," she pleaded. Finally, the Los Angeles woman found a hospital on the other side of the country that let the pair try. (Neergaard, 9/10)
A new, fast-acting flu drug showed strong potential but also some surprising and even concerning results in two newly published clinical trials. The drug, baloxavir marboxil, cut the time people were sick with flu symptoms by a little over a day. And it dramatically reduced the amount of viruses that people with infections had in their upper respiratory tracts, suggesting they might be less likely to infect others through coughs and sneezes. (Branswell, 9/10)
Dr. Leslie Norins is willing to hand over $1 million of his own money to anyone who can clarify something: Is Alzheimer's disease, the most common form of dementia worldwide, caused by a germ? By "germ" he means microbes like bacteria, viruses, fungi and parasites. In other words, Norins, a physician turned publisher, wants to know if Alzheimer's is infectious. (Stetka, 9/9)
Infection can set off a chain reaction that quickly causes death. The human immune system is a wonder, an intricately constructed network of organs, cells and biological processes designed to ward off infection and disease. (Blakemore, 9/8)
As deals struck by health care behemoths go, this was one of the stranger ones. On one side, you had a medical device giant, with a phalanx of PR professionals carefully guarding the company鈥檚 image. On the other, you had a consultant who didn鈥檛 sound much like a consultant: 鈥淚 am synthetic life form 鈥榊oko K.,鈥 assembled in the US with components made in Japan,鈥 one of her websites explained. 鈥淚 am designed to assume the role of an 鈥榚lectronic musician.鈥 I am one of many secret agents sent to this time to plant magical thinking in people through the use of 鈥榩re-22nd century nostalgia Mars pop music.鈥欌 (Boodman, 9/10)
The U.S. is in the middle of a steep and sustained increase in sexually transmitted diseases. So how are public health officials responding? In northwest Oregon's Clackamas County, health officials have decided to ask anyone who comes in with an STD who their sexual partners are 鈥 and then track those partners down. (Foden-Vencil, 9/8)
Christina Fenn and her husband, Brian, have driven an hour and a half to this quaint coffee shop in Monroe, Conn. Fenn sips her morning latte, skittishly glancing out the window at the parking lot. 鈥淚鈥檓 nervous,鈥 she says, grabbing her husband鈥檚 arm. 鈥淣ervous-excited, though.鈥 He smiles back. She鈥檚 wearing green, her lucky color. Green shirt and green jacket, green bracelets, green socks. She feels as if she needs all the luck she can get today. (Page, 9/8)
Politics is polarizing enough, especially when it's easier than ever to find a group of like-minded friends online. The antidote, then, seems obvious: pop the bubble. Step outside the echo chamber. Reach out for other points of view. For example, to combat the rampant spread of hate speech, harassment and conspiracy theories, Twitter started "experimenting with features that would promote alternative viewpoints in Twitter鈥檚 timeline to address misinformation and reduce 'echo chambers,' " The Post recently reported. (Johnson, 9/7)
Yet another reason to stop smoking: It may reduce your risk for dementia. Korean researchers studied 46,140 men, 60 and older, following them for an average of eight years with periodic health examinations. Over the course of the study, 1,644 people were given a diagnosis of Alzheimer鈥檚 disease or another form of dementia. (Bakalar, 9/7)
On Jan. 2, 2016, Elena Pauly traveled to Cuba with her boyfriend, Dan, on their first vacation abroad after three years together. The day before they were set to return home, Dan, dove into the shallow end of the resort pool headfirst and was immediately paralyzed. When the couple returned to their home in Vancouver, B.C., Dan, a stonemason, confronted a new life. Pauly discovered a new normal. 鈥淚 would cook for him, shower him, I would turn off the lights for him, then close the door and I would just sit in my car and cry,鈥 Pauly, 31, told The Washington Post. 鈥淚 felt so alone.鈥 From that experience,聽came a new group called WAGS of SCI: Wives and girlfriends of spinal cord injury. (Ferguson, 9/10)
When a 53-year-old woman showed up at the hospital, a mass that first appeared in her uterus many years ago had grown to 61 pounds 鈥 roughly the weight of an average-size second grader. Singaporean doctors have successfully removed the abnormally large mass also known as a uterine fibroid or leiomyoma, a tumor that appears in the uterus during a woman's childbearing age and grows gradually over the years if left untreated. A uterine fibroid, a common pelvic tumor, is not cancerous, but it could be life-threatening if it grows exponentially and deforms surrounding organs, according to a report on the case recently published by the medical journal BMJ Case Reports. (Phillips, 9/8)
In convenience stores spawned by the wellness wave, kombucha slushies take the place of corn-syrupy treats infused with red dye, tortilla chips are made of cassava flour instead of corn and there are vegan ice cream bars and a dizzying selection of organic produce and craft beer on tap. Traditional corner markets have been notching up their healthier options in recent years, selling pre-made salads, nut milks and organic yogurts. (9/9)
While training for a half-marathon last fall, Janet Sherman, 57, started noticing pain in her right leg and left foot. A diagnosis of a quadriceps strain and plantar fasciitis led to shoe inserts and cross-training. Before long, the Wyoming-based teacher was 鈥渏ust good enough鈥 to get back to training, and so she did, although she opted to drop down to a shorter 10K race distance. (Loudin, 9/9)
Global Funding Would Need To Triple To $9 Billion To Make Real Progress Against HIV, Malaria, Tuberculosis
Vaccines against H.I.V., malaria and tuberculosis 鈥 three major killers of the world鈥檚 poor 鈥 are unlikely to be produced in the foreseeable future unless vastly more money is committed to finding them, a new study has concluded. Other worthy goals that appear out of reach for now include a hepatitis C vaccine, a combination vaccine against the four leading causes of deadly diarrhea, a rapid cure for people who have caught tuberculosis and new treatments for a dozen neglected diseases, such as leprosy, dengue fever and sleeping sickness. (McNeil, 9/7)
When Esperance Nzavaki heard she was cured of Ebola after three weeks of cutting-edge care at a medical center in eastern Democratic Republic of Congo, she raised her arms to the sky with joy and praised the Lord. Her recovery is testament to the effectiveness of a new treatment, which isolates patients in futuristic cube-shaped mobile units with transparent walls and gloved access, so health workers no longer need to don cumbersome protective gear. (9/10)
Two times a day, Kasereka Mulanda comes to a new kind of Ebola treatment center to visit his wife, easing the isolation of a highly contagious disease. Stepping to the clear plastic sheeting around the cubicle where his wife is staying, he can speak with her without the need for a protective suit. In a part of Congo that faces a deadly Ebola outbreak for the first time, the contact is reassuring. (9/10)
State Watch
Puerto Rico's Battered Health System Now Even More Vulnerable In The Face Of Future Storms
Roughly a year since Hurricane Maria ripped across Puerto Rico, the island's healthcare infrastructure appears to still be years away from recovery. The storm caused one of the longest power outages in recorded history, displaced thousands of people and caused enough damage that some hospitals remain close to the condition they were in weeks after Maria hit. (Johnson, 9/8)
Last week, Puerto Rico raised the official death toll of Hurricane Maria to 2,975, making it the deadliest storm in at least 50 years. But that number may also make history of a different sort鈥攊f, as expected, it includes a record number of indirect deaths. 鈥淎t the moment, the largest we have is Katrina with more than 500 indirect deaths,鈥 said Ed Rappaport, a meteorologist with the National Hurricane Center who tracks storm-related fatalities. 鈥淚鈥檇 be surprised if that number was not exceeded greatly.鈥 (McGinty, 9/7)
State Highlights: Rural North Carolina Hospital Tries To Curb Patients' Overuse Of Emergency Department; Kansas Nurses Threaten To Strike
Historically, the residents of rural Robeson County have relied heavily on the Southeastern Health Emergency Department for much of their medical care, even for non-emergent issues such as sore throats and sprains. The hospital, located in the county seat of Lumberton, has about 90,000 ED visits per year, according to Southeastern Health CEO Joann Anderson. (Knopf, 9/7)
Nurses at two HCA Midwest Health hospitals in the Kansas City area are threatening to strike, a move that could force the facilities to transfer patients and delay elective procedures. Members of National Nurses United voted to authorize strikes at Menorah Medical Center in Overland Park and Research Medical Center in Kansas City 鈥 as well as 13 other HCA affiliated hospitals in Florida, Nevada and Texas 鈥 after months of fruitless contract negotiations with the for-profit chain. (Marso, 9/7)
In November 2004, Prop. 71 passed with nearly 60 percent approval. It created the California Institute for Regenerative Medicine, or CIRM, an agency tasked with administering the $3 billion and making the campaign鈥檚 lofty visions a reality. ...Over the past several months, The Chronicle conducted an extensive analysis of CIRM鈥檚 spending, reviewing the nearly 1,000 grants the agency has made, tracking how the money has been spent, and gauging whether the promises have been realized. (Allday and Palomino, 9/8)
The March of Dimes鈥 2017 Premature Birth Report Card for Connecticut revealed that between 2013 and 2015, 8.4 percent of all (live birth) infants born to white women were premature, compared with 12.4 percent of infants born to black women. Statewide, after a complication-free delivery, black women are twice as likely as white women to be readmitted to a hospital within 30 days, according to a 2015 study published in the journal Obstetrics and Gynecology, which drew from statistics maintained by the Connecticut Department of Public Health. (Heubeck, 9/9)
Gov. Scott Walker's administration waited more than two years to tell the state Board of Nursing about a 14-year-old inmate who nearly died when nurses didn't get him to a doctor for three days, according to state agencies. Once the complaint was filed in July, the Board of Nursing 鈥 which itself is overseen by the Walker administration 鈥 waited seven weeks to process it, according to the board. (Marley, 9/7)
Banner Health, Arizona's largest private employer, is looking to fill 1,500 job openings. The openings are at Banner facilities across Arizona and include positions in housekeeping, food services, information technology, financial services, case management, and nursing, among others. (Innes, 9/8)
New England's hot summer might be helping keep the ticks that carry Lyme disease at bay. The Northeastern states 鈥 which are some of the worst for Lyme in the U.S., posing a hazard to residents and vacationers alike 鈥 are still totaling the number of Lyme cases from the summer months, and there will likely be more in the fall. But preliminary indicators show the disease abating, and public health authorities are finding fewer deer ticks, state officials and researchers said. (9/9)
At least one Maryland-based coal tar sealant manufacturer is girding to battle Howard County鈥檚 efforts to ban the sale and use of certain coal tar and similar pavement sealants. Tom Decker, who has been president of SealMaster-Baltimore, a coal tar manufacturer for the past 21 years, said he needs 鈥渟omebody to tell me what the benefit is,鈥 in banning the sealants. (Nocera, 9/7)
This week has been especially tough on Becky Van Dyke. Seeing kids return to school brings her back to a tragic time. Two years ago, her 14-year-old son, Dylan Engen, ended his life on what would have been his first day of ninth grade at South St. Paul High School. The wound remains fresh for Van Dyke, who struggles daily with grief, guilt and questions that will never be answered. But a new school year hits her the hardest. (Ferraro, 9/7)
At PCOM's campus on City Avenue, the college's scientists and educators will design studies and analyze observational data collected from patients at Cansortium medical marijuana dispensaries. PCOM researchers plan to investigate the drug's ability to treat anxiety, depression, and chronic pain, said Mindy George-Weinstein, a professor who serves as the school's chief research and science officer. (Wood, 9/7)
Kryptonite for superbugs could be on the horizon, as a result of research led by University of Colorado researchers that hinders the progress of antibiotic-resistant superbugs such as聽E.coli. CU researchers have created what they term the Controlled Hindrance of Adaptation of OrganismS (CHAOS) approach. It utilizes highly sophisticated DNA editing techniques to modify multiple gene expressions within the bacteria cells, for the purpose of inhibiting a pathogen鈥檚 central processes and blocking its ability to create defenses. (Brennan, 9/9)
Angela Rose knew the cancer had returned when she started feeling the abdominal pain. Then came the nausea. And the weight loss. And the relentless fatigue. Doctors thought it unlikely, but experience told her differently. The retired nurse had been diagnosed with breast cancer before. Now, at 41, she was sure it was back. (Campuzano, 9/9)
The CARE program is designed to recruit dental students from those areas and to help them improve access to dental care by getting them to practice in the areas after they graduate. ...The Ohio State program emerged as part of a $95 million dental school expansion, including $26 million in state capital budget funding. (Lane, 9/9)
A new panel will begin work Tuesday on a strategic plan to help lift needy Franklin County residents out of poverty. Among the steering committee鈥檚 initial points of order will be a review of other studies, statistics and trends 鈥 information designed to form a foundation for creating a community-wide plan for addressing poverty. (Kovac, 9/8)
A telemonitoring program involving pharmacists and people with hypertension proved successful in helping patients of Bloomington-based HealthPartners reduce their blood pressure levels. Until it didn鈥檛. (Olson, 9/9)
It has been a little more than five years since Sarah Murnaghan left Children's Hospital of Philadelphia with a new set of lungs, harvested from an adult donor and trimmed down to fit a 10-year-old with cystic fibrosis. Five years since her parents helped save her life by challenging a national organ allocation system that effectively denied such adult-to-child donations. (McCullough, 9/10)
Philadelphia City Councilwoman Helen Gym said at a news conference Friday that children in districts across the state that are unable to pay to properly cool their buildings have been "held hostage" by the heat but also by "the failure of our state and federal government to invest in our school facilities." She and others called on Pennsylvania to restart and fund a dormant reimbursement program for school construction projects, with money set aside not just for new buildings but also for repairs to aging schools. (Graham and Hanna, 9/8)
The American Civil Liberties Union this week released individualized "blueprints" that each state could follow to help reduce burgeoning prison populations and the massive budgets needed to fund them. ...The report, which cites government data and numerous studies, outlines the issues facing Arizona's prisons and prisoners and what can be done about it. (Vandell, 9/7)
Lawsuits over the problems at Wisconsin鈥檚 juvenile prison complex have cost the state $20.6 million so far and those costs will continue to rise 鈥 possibly by large sums if some cases aren't resolved in the state's favor. The facility for more than three years has been under criminal investigation for prisoner abuse and child neglect. (Marley, 9/7)
A San Quentin State Prison executive who was under investigation for letting inmates build a Victorian-style playhouse for his grandchildren on prison grounds is 鈥渘o longer employed鈥 at the prison, officials said Friday. The departure of Steve Harris, the chief of the prison鈥檚 health system, comes one week after The Chronicle reported that the state was looking into the circumstances surrounding the construction project that used inmate labor. (Cassidy, 9/7)
Editorials And Opinions
Perspectives: During Opioid Epidemic, Boost Funds, Efforts To Reverse Number Of Overdose Deaths
Every day, our women and men on the frontlines 鈥 community organizers, first responders, public health officials 鈥 are fighting to save the lives of our most vulnerable residents. In Baltimore, we have installed an uncompromising three-pillar strategy: save lives with naloxone, increase access to ethical treatment and provide education to reduce stigma and prevent addiction. (Leana S. Wen, 9/9)
My oral surgeon told me there are two big reasons why people should get wisdom teeth removed when they are teenagers: 1) the jaw matures in a way that places sensory nerves in the area closer to the wisdom teeth, making damage more likely, and 2) things take longer to heal and hurt more when you're a cranky, busy thirty-something. I was gratefully spared the risks from the former but endured the latter -- especially after the prescribed opiate-based pain pills ran out.聽(Clare Mathes, 9/9)
The tragic epidemic of聽more than 100 overdoses in New Haven, Conn., last month had health workers literally scrambling from one patient to the next on my hometown鈥檚 central green. These overdoses are better characterized as poisonings. The victims were exposed to tainted synthetic marijuana聽laced with Fubinaca, a powerful synthetic drug that mimics the effects of cannabis but is far more potent. The problem has reached epidemic proportions because amateur chemists here and abroad find it easy to manufacture a host of deadly synthetics. Established approaches to drug-law enforcement are inadequate to deal with this flood onto the illegal marketplace. As Sen. Richard Blumenthal (D-Conn.)聽said: 鈥淲e need new tactics to address synthetics.鈥 One option to consider: drug exchanges. (Ian Ayres, 9/9)
Last week, Sens. Bill Nelson (D-Fla.) and Brian Schatz (D-Hawaii) made history with the introduction of legislation, known as The Veterans Medical Marijuana Safe Harbor Act, to expand and facilitate medical cannabis access to military veterans suffering from chronic pain, PTSD, and other serious medical conditions. (Justin Strekal, 9/9)
Illinois Gov. Bruce Rauner has signed a law allowing medical marijuana to be used as a painkiller in place of highly addictive and potentially deadly opioids. The move highlights, somewhat ironically, how our national thinking on drugs has evolved: The dangers of marijuana have been exaggerated in our culture for generations, while the far greater dangers of opioids were ignored until the nation became immersed in an addiction and overdose crisis. The Illinois law is a sane and compassionate approach to the opioid crisis that should serve as an inspiration for Missourians as they vote this fall whether to legalize medical marijuana here. (9/9)
While we often hear about the opioid crisis infiltrating middle-class America, we must not forget that crystal meth continues to ravage our minority communities, further perpetuating health and economic burdens. ...Regardless of where and how our political leaders attend to our nation's addictions, be it opioids or meth, the true enemy 鈥 capitalism and business 鈥 is the beast that fuels these addictions, and goes unchallenged. (Perry Halkitis, 9/7)
Now the Ohio Board of Pharmacy may end such Ohio sales by declaring that all CBD products, whether extracted from hemp or marijuana, or their lack of THC, can only be sold in a licensed medical marijuana dispensary. Moreover, per the pharmacy board, all CBD products will have to comply with the rules and regulations of the Ohio Medical Marijuana Control Program. (Rachel Friedman, 9/8)
Viewpoints: Lessons On Religious Beliefs And Patient Care In The Trump Era; Protect Mental Health Of Detained Immigrant Children
Not that long ago, there was little difference between a physician and a preacher, a clinic and a chapel, a patient and a proselyte. Instead of prescribing medications, healers chanted hymns; instead of prescribing painkillers, they offered prayers. Faith remains an integral part of human society and the modern hospital is a place where patients and physicians of all faiths work together. I am a Muslim physician who trained at a Boston hospital formed because none of the other local hospitals would offer Jewish doctors a job. On any given day, I see patients from myriad faiths, not to mention cultural backgrounds and sexual orientations. I worry that the Trump administration is turning back the clock to a time when religious beliefs were used to deny patients medical care. (Haider Warraich, 9/10),
For all the human brain鈥檚 mysteries, its development is quite well understood. Early childhood and adolescence are crucial times of unparalleled neural growth. Just as trust and stability can enhance that growth, fear and trauma can impede it. Institutionalization, in particular, can have profound and deleterious effects, triggering a range of developmental delays and psychiatric disorders from which recovery can be difficult, if not impossible. (9/9)
If your teenage daughter suddenly declares herself transgender, should you assume she鈥檚 mature enough to make decisions that will permanently affect her health, fertility and future? Or could she be influenced by societal and peer pressure? Physician and researcher Lisa Littman doesn鈥檛 have the answer, but transgender ideologues are trying to silence her for even asking the question. (Jillian Kay Melchior, 9/9)
Colleges that have banned hard alcohol say the step has helped combat some of the most pernicious effects of campus drinking. They report less consumption, fewer alcohol-induced medical transports, hospitalizations and arrests, as well as a decrease in binge drinking and other high-risk behaviors. So the recent decision by a major association representing fraternities to no longer allow hard liquor at chapter houses or events is a welcome step, even if it is long overdue. (9/9)
When President Barack Obama signed the landmark 21st Century Cures Act into law in December 2016, he was surrounded by elated Republican and Democratic lawmakers. At the time, Obama said the measure would bring 鈥渢o reality the possibility of new breakthroughs to some of the greatest health challenges of our time.鈥 Republican Sen. Lamar Alexander, who chairs the Senate鈥檚 Committee on Health, Education Labor, and Pensions, hailed the act as 鈥渁 Christmas miracle 鈥 that will help virtually every American family.鈥 ...But laws passed by Congress must be implemented through regulations. The Cures Act gave broad authority to the executive branch to execute and enforce both the spirit and the letter of the law. Nineteen months after the act became law, that task mainly remains undone. (Joel C. White, 9/8)
I鈥檒l refrain from saying there鈥檚 an epidemic of health scares, because overuse of the word 鈥渆pidemic鈥 is a common scare tactic. But let鈥檚 just agree there are a lot of them. Is it too many? Well, when it comes to health scares, there鈥檚 probably no safe level. That phrase is another common tactic. Last month a study made the rounds of news sites warning readers that there鈥檚 no safe level of alcohol consumption. That could reasonably be said of heavy metals such as arsenic, and sometimes there are real epidemics, such as Ebola. But overuse of scary phrases can make it confusing for people to figure out how to live a healthy lifestyle. (Faye Flam, 9/7)
Before I specialized in palliative care, I thought the sheer vitality of nature might be an affront to patients so close to the end of life 鈥 a kind of impudent abundance. And yet, in the hospice where I work, I am often struck by the intense solace some patients find in the natural world. (Rachel Clarke, 9/8)
Remember the 鈥済ood old days鈥 when all cigarettes looked alike? We have seen an astonishing explosion of electronic smoking devices in many shapes and sizes. In fact, the proportion of U.S. high-school students using e-cigarettes went up 800 percent from 2011 to 2014. While there was a slight reduction in smoking, or vaping, e-cigarettes in 2016, today more youth in Kentucky and the U.S. smoke e-cigarettes than smoke traditional cigarettes. (Ellen J. Hahn and Melinda J. Ickes, 9/9)
Should children be allowed to play tackle football? With scientific studies showing a link between the sport and traumatic brain injuries that lead to lasting health problems, that question is being asked with more frequency and urgency across the country. Not surprisingly, the answer from many parents is that their children鈥檚 well-being is too important to risk for the sake of a game 鈥 no matter how bright the Friday night lights. (9/8)
鈥淗ow long have you got?鈥 This is what my boss asked me when I informed him, in July 2014, that I had early-onset Alzheimer鈥檚. I had a file an inch thick with suggestions for how I would be able to keep my job as an administrator with the British National Health Service, one I had loved for more than 20 years. Whether out of panic or ignorance, my manager didn鈥檛 see it that way. A date for my early retirement was inked into his calendar; I would leave eight months later due to 鈥渋ll health.鈥 (Mitchell, 9/7)
We know it can be hard to persuade physicians to do some things that have proven benefits, such as monitor blood pressure or keep patients on anticoagulants. But it might be even harder to get them to stop doing things. In May, a systematic review in JAMA Pediatrics looked at the medical literature related to overuse in pediatric care published in 2016. The articles were ranked by the quality of methods; the magnitude of potential harm to patients from overuse; and the potential number of children that might be harmed. (Aaron E. Carroll, 9/10)
Last week, a California man was arrested for threatening to assassinate journalists at the Boston Globe newspaper.In a series of phone calls, the suspect lashed the Globe for its editorials critical of Donald Trump and parroted a phrase often bellowed by the President: 鈥淵ou鈥檙e the enemy of the people.鈥滻n one call, the suspect vowed 鈥渢o kill every f------ one of you.鈥 He owned several firearms and, according to authorities, had recently purchased a rifle. There was a time when I might have read about such a case and assumed the person was just another fuming, rambling misfit, all bluff. (Carl Hiaasen, 9/7)
As the nation grapples with the gun violence crisis, AB 2103 will ensure that California remains a leader in gun safety. It might seem like a small step, but evidence has shown that comprehensive gun safety 鈥 including live-fire training 鈥 can help keep our communities safer. (David Brame, 9/7)
A first-in-the-nation law signed by Governor Charlie Baker this past July will require elder service providers that receive either state funding or licensure to complete training in how to provide inclusive care to LGBT older adults. Only California has a similar law, but that training is limited to those working in the field of long-term care. (Lisa Krinsky, 9/7)
So this is how far we鈥檝e come in the enlightened state of North Carolina in 2018: The Values Police raise hell if a city dares to even listen to complaints around discrimination for sexual orientation. Crippling North Carolina鈥檚 reputation with the discriminatory HB2 wasn鈥檛 enough. With that embarrassment erased from the books, the obsession with looking down upon gay and transgender people has to take other forms. (9/7)