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
HHS Watchdog To Probe Enforcement Of Nursing Home Staffing Standards
The study follows a Kaiser Health News and New York Times investigation that found nearly 1,400 nursing homes have reported fewer registered nurses on duty than Medicare requires or failed to provide reliable staffing information to the government.
Californians Living Longer With Cancer 鈥 Some Longer Than Others
A new study from the University of California-Davis shows a significant increase in five-year survival rates for more than 20 types of cancer, but with significant disparities by race, ethnicity and economic status. That is in line with the national trend.
For Nursing Home Patients, Breast Cancer Surgery May Do More Harm Than Good
A new study of 6,000 older patients shows little gain from surgeries for breast cancer.
The Pluses And Minuses Of Allowing Medical Marijuana At School
As more parents turn to medical marijuana to treat their sick children, a handful of states have changed the rules to allow them to administer the drug on campus. California is considering it 鈥 at the possible risk of losing federal funding.
Watch: What Happened To That $109,000 Heart Attack
The story of a Texas teacher who faced a surprise 鈥渂alance bill鈥 of almost twice his annual salary gets a surprise happy ending.
Summaries Of The News:
Health Law
Kavanaugh Hints He's Skeptical Of Republicans' Legal Claims Against Health Law In Private Meetings With Dems
If Republicans are hoping Supreme Court nominee Brett Kavanaugh will help them knock down Obamacare in the courts, they might be in for a disappointment. Kavanaugh has signaled in private meetings with Senate Democrats that he is skeptical of some of the legal claims being asserted in the latest GOP-led effort to overturn the Affordable Care Act. (Haberkorn, 8/29)
In other health law news听鈥
The uninsured rate in the first three months of 2018 held steady compared to the same time frame last year, according to new numbers released Wednesday by the Centers for Disease Control and Prevention (CDC).听In the first three months of 2018,听8.8 percent of people of all ages were uninsured, or 28.3 million people, according to the report.听(Hellmann, 8/29)
Minnesota won a partial victory in a dispute over health care funding with the Trump administration, which agreed to restore $85 million in funds withheld from the state鈥檚 MinnesotaCare program. Federal officials last year abruptly pulled millions of dollars in federal support for the program as part of a series of executive branch actions designed to dismantle parts of the Affordable Care Act (ACA). (Howatt, 8/30)
The Kaiser Family Foundation analysis, released this week, found that 23 percent of non-elderly adults in the Atlanta/Sandy Springs/Roswell area have a pre-existing medical condition, but in the Augusta/Richmond County area, the rate is 31 percent. The study, based on CDC data, found wide variability when mapping rates of pre-existing conditions across 130 areas in the United States. (Miller, 8/29)
Democrats Offer Bill To Roll Back Short-Term-Plans Rule With Aim Of Forcing GOP To Vote On Health Care Before Midterms
Sen. Tammy Baldwin (D-Wis.) on Wednesday introduced a measure to overturn a Trump administration rule expanding access to non-ObamaCare insurance plans. The move is a step in Senate Democrats鈥 plan to force a vote on the measure as they seek to argue Republicans are attacking protections for people with pre-existing conditions, a key argument Democrats want to make in the midterm election campaign. (Sullivan, 8/29)
Baldwin has spoken with Republican Sens. Susan Collins of Maine and Shelley Moore Capito of West Virginia about potential support for the petition and plans to talk to Sen. Lisa Murkowski (R-Alaska) as well, according to her staff. Senate Democrats said earlier this month they would try to force an upper chamber vote on the short-term plan rule that allows people to renew limited coverage for up to three years. "The Trump administration is rewriting the rules on guaranteed healthcare protections that millions of Americans depend on," Baldwin said. "They are moving forward on an expansion of junk insurance plans that can deny coverage to people with pre-existing conditions and don't have to cover essential services like prescription drugs, emergency room visits and maternity care." (Luthi, 8/29)
Marketplace
It's Not Just Those Eye-Popping Medical Bills That Have Collectors Knocking -- Small Ones Often Cause Trouble Too
It doesn't take a huge unpaid medical bill to make a collection agency come calling ... and calling. Researchers found in a study of credit reports that more than 2 percent of adults had medical bills under $200 sent to a collection agency. Over half of the annual medical collections were for less than $600, according to the study, which examined 2016 credit reports for more than 4 million unidentified people. (Murphy, 8/29)
Meanwhile, a look at what happened to the patient who got a bill for more than $100,000 after a heart attack听鈥
Kaiser Health News: Watch: What Happened To That $109,000 Heart Attack
Kaiser Health News editor-in-chief Elisabeth Rosenthal discusses the latest Bill of the Month installment on 鈥淐BS This Morning鈥 on Wednesday.听 The story of a high school teacher who听faced an outrageous hospital bill听is part of an ongoing crowdsourced investigation by KHN and NPR. (8/29)
Read The Original KHN Story:听A Jolt To The Jugular! You鈥檙e Insured But Still Owe $109K For Your Heart Attack
Administration News
Trump Praises Administration's Response To Hurricane Maria As 'Fantastic' Despite Report On Devastating Death Toll
President Trump on Wednesday defended his administration's response to a devastating hurricane in Puerto Rico last year, despite a study released this week that said there was a spike in deaths on the island in the six months that followed. 鈥淚 think we did a fantastic job,鈥 Trump said, responding to a question from a reporter at the White House. He called the emergency on the island 鈥渂y far the most difficult鈥 of the areas of the United States and its territories ravaged by hurricanes. (Nakamura, 8/29)
It was an optimistic accounting of his administration's handling of the natural disaster, which left much of the US territory without power for weeks and resulted in thousands of deaths. The island's governor formally raised the death toll from 64 to 2,975 on Tuesday following a study conducted by researchers at George Washington University. (Liptak and Diamond, 8/29)
Administration Shortens Title X Funding Period In A Move That Suggests Abortion-Related Regulation Is Coming
The Trump administration听on Wednesday shortened the funding period for grants awarded to organizations providing family planning services. The Title X grants will fund听groups that offer birth control, STD testing and other family planning services through March 2019. Previous funding lasted for three-year periods. (Hellmann, 8/29)
The Title X program has been the focus of an intensifying political and legal battle, with the Trump administration seeking to steer money away from Planned Parenthood and other abortion providers and toward faith-based programs. Earlier this month, HHS announced it would award Title X grants to 96 organizations, including to the 13 Planned Parenthood affiliates that applied. But it gave no indication at the time that the funding cycle would be different; nor did it give an overall dollar amount. (Roubein and Ehley, 8/29)
In other news听鈥
A federal appeals court on Tuesday dismissed a lawsuit brought by The Satanic Temple against Missouri abortion laws, but there still are two pending lawsuits that could revive the complaints. Judges on the U.S. Court of Appeals for the 8th Circuit upheld a lower court's dismissal of the lawsuit, which dealt with Missouri's "informed consent" counseling that is required 72 hours before abortions are performed. (Ballentine, 8/29)
A measure that would make California the first state to require all public universities to offer abortion medication at their campus health centers cleared a hurdle Wednesday. None of the 34 University of California or California State University campuses currently offer abortion services. The California Assembly approved the measure, which returns to the Senate for a final sign-off. (8/29)
Quality
Hospitals Have A Long-Standing Gripe That Ranking Sites Don't Give Full Picture Of Quality. Would Patients' Input Help?
A long-standing argument against hospital rating sites like Hospital Compare and U.S. News & World Report is that healthcare is too complex to assign a single rating that accurately represents the overall quality of care at a hospital. One way to get at that issue could be allowing consumers to modify the information used by the sites to determine ratings, according to researchers at RAND Corp. in a New England Journal of Medicine perspective piece published Wednesday. But healthcare consumer experts have questioned whether that change would solve the fundamental issues with ratings sites, such as flawed quality measures and consumer health literacy. (Castellucci, 8/29)
In other news听鈥
Not-for-profit hospitals have begun to rein in expenses, but it's not happening as fast as revenue growth is dropping, setting the sector on a tenuous precipice, according to a new report. The median annual expense growth rate fell from 7.1% in 2016 to 5.7% in 2017 but annual revenue growth declined faster, from 6.1% to 4.6%, despite increased merger and acquisition activity, according to Moody's Investors Service. (Kacik, 8/29)
Opioid Crisis
Even As Senate Is Poised To Pass Opioid Package, Many Controversial Issues Involving The Crisis Left Untouched
The Senate is likely to pass a comprehensive bill to address the opioid crisis in the coming weeks. The House did so in June. But the finish line on that long-discussed priority remains a long way off. Lawmakers have left untouched many of the bill鈥檚 most contentious issues, like debates over patient privacy and expensive changes to Medicaid payments for addiction treatment. There鈥檚 no sign yet they鈥檒l iron out those issues before the Senate votes. (Facher, 8/30)
The Food and Drug Administration is planning new steps to encourage the development of nonaddictive alternatives to opioid pain medications, Commissioner Scott Gottlieb said in an interview. As part of the effort, the agency听plans to withdraw its existing 2014 guidance to the drug industry on pain medicines. That document is overly broad, Gottlieb said, and is sometimes a barrier to new products and innovations. The current guidelines call for a large听number of studies to get FDA approval for general use for chronic pain, he added. (McGinley, 8/29)
Emergent BioSolutions Inc. Chief Executive Officer Daniel J. Abdun-Nabi said he sees an untapped market in U.S. high schools and colleges for Narcan, the opioid-overdose nasal spray his company will market after its acquisition of Adapt Pharma Inc. Narcan is available in 1,144 high schools across 31 states and 309 colleges and universities in 35 states, Abdun-Nabi said Wednesday in an interview. That鈥檚 a small percentage of the nation鈥檚 more than 24,000 public high schools and over 4,000 colleges and universities, according to the National Center for Education Statistics. (Hopkins, 8/29)
And in the states听鈥
A legislatively mandated work group of medical industry stakeholders agreed Wednesday on a set of recommended changes to the 2017 state law requiring the transition to e-prescribing of all opioids by July 2020. The law 鈥 part of an effort to lessen the abuse of the drugs 鈥 is intended to reduce errors, theft and forgery of prescriptions, and to help prescribers track what medications a patient has received as the state grapples with a public health crisis. (Balch, 8/29)
[Leanne] Barbee and other advocates of Ohio鈥檚 coming medical-marijuana program say they hope to enlist the drug not just to help individuals avoid opioids for pain treatment but to break the addiction epidemic鈥檚 hold on the Buckeye State. (Saker and Schultz, 8/29)
Women鈥檚 Health
Outcry Sparked By Alcohol Industry-Funded Campaign Suggesting Ambiguity About Safety Of Drinking While Pregnant
On posters distributed to medical facilities across Australia, large type over an image of a pregnant woman read: 鈥淚t鈥檚 safest not to drink while pregnant.鈥 Good so far. It was the next line, in smaller type, that alarmed medical professionals: 鈥淚t鈥檚 not known if alcohol is safe to drink when you are pregnant.鈥 Public health groups responded with resounding protests 鈥 drinking alcohol while pregnant is very definitively known to be unsafe, they said. (Victor, 8/29)
Simon Strahan, DrinkWise鈥檚 chief executive, said the organization fixed the language after receiving a complaint from the Australian Medical Association. 鈥淒rinkWise is committed to communicating the importance of women abstaining from alcohol while pregnant, planning a pregnancy or breast-feeding,鈥 he told the Sidney Morning Herald. Public health organizations around the world, including the Centers for Disease Control and Prevention, the National Health and Medical Research Council in Australia, and the National Health Service in the United Kingdom, have all said that no amount of alcohol, whether it be wine, liquor or beer, is safe for pregnant women. Drinking can cause miscarriage, stillbirth and lifelong disabilities, according to the CDC. (Phillips, 8/29)
Meanwhile听鈥
Learning disabilities and other special education needs are common in children born with opioid-related symptoms from their mother's drug use while pregnant, according to the first big U.S. study to examine potential long-term problems in these infants. About 1 in 7 affected children required special classroom services for problems including developmental delays and speech or language difficulties, compared with about 1 in 10 children not exposed to opioids before birth, the study found. (Tanner, 8/30)
Egg Freezing Clinics Aggressively Courting Younger Women -- Who Are Eagerly Jumping On Board
Jennifer Lannon lay, her feet propped in stirrups, on an examining table at Extend Fertility, an egg-freezing clinic in Midtown Manhattan. A screen at her right displayed the results of her ultrasound, the image closely monitored by Ms. Lannon and her doctor, Joshua Klein. How many eggs could she expect to see? she asked. She would likely end up with some 20, Dr. Klein told her. He was making no promises. 鈥淏ut to the extent you can ensure fertility later,鈥 he said, 鈥測ou are in very good shape.鈥 She ought to be. (La Ferla, 8/29)
Gwyneth Paltrow, Chrissy Teigen, Adele: The charge to destigmatize postpartum depression has never before had so many high-profile sufferers willing to share their stories. Add Serena Williams to the list. The 23-time Grand Slam champion playing in the U.S. Open took to Instagram to share her story after a loss in San Jose, California, last month. She said she has been struggling with feelings of inadequacy as a mother since the birth last September of her daughter, Alexis Olympia Ohanian Jr. (Italie, 8/30)
In 2014, when Crystal Duffy found out she was pregnant with twins, she felt shocked and overjoyed. "Twins run in our family," says the Houston resident, who was 33 at the time, and already the mom of a 2-year-old. "But we still weren't prepared for the news." Duffy had hoped for a joyful twin pregnancy. But during her second trimester, she began having complications. (Fraga, 8/29)
Public Health
As Consumers Become More Health Conscious, Starbucks' Frappuccino Is Going On A Diet
Starbucks Corp. is putting its decadent Frappuccino on a diet, looking to reduce the drink鈥檚 high sugar levels, which have scared away increasingly health-conscious consumers and hurt sales. ... it has been tough for Starbucks to lower the calories and keep the sweet taste that consumers expect. 鈥淚t was incredibly challenging to mimic what was taken out,鈥 said Jason Davis, senior manager of beverage innovation at Starbucks. To achieve a similar texture and taste, the company tested more than 20 types of cream, 70 different vanilla flavorings and created a new bottle to make sure the proper amounts of flavor are dispensed. (Jargon, 8/30)
It鈥檚 4 p.m., and for no discernible reason, any little thing can make your blood boil. Are you hangry? The portmanteau of hungry and angry has become so common in colloquial speech, it made news when U.S. Olympic snowboarder Chloe Kim tweeted about the condition when she skipped part of her breakfast. The Oxford English Dictionary gave it an official definition this year. (Mitchell, 8/29)
And听鈥
Nestle SA, the world鈥檚 largest food company, has joined the trend for personalized nutrition with a blend of artificial intelligence, DNA testing and the modern obsession with Instagramming food. The program, begun in aging Japan, could provide the Swiss company with a wealth of data about customers鈥 wellness and diet as it pivots toward consumers who are seeking to improve their health and longevity. (Du, Gretler and Takahashi, 8/29)
State Watch
Superintendent Of Detroit Schools Cuts Off All Drinking Fountains As Some Show Unsafe Levels of Lead, Copper
When public school students in Detroit return to their classrooms next week for the first day of the school year, the water fountains will be dry. Since 2016, water testing in the district has found elevated levels of lead or copper in dozens of schools. And while it is unclear how many of the district鈥檚 106 schools currently have water quality issues, the drinking water will be turned off in all of them, Superintendent Nikolai P. Vitti said on Wednesday. (Fortin, 8/30)
"Although we have no evidence that there are elevated levels of copper or lead in our other schools where we are awaiting test results, out of an abundance of caution and concern for the safety of our students and employees, I am turning off all drinking water in our schools until a deeper and broader analysis can be conducted to determine the long-term solutions for all schools," Nikolai Vitti, superintendent of the Detroit Public Schools Community District, said in a statement Wednesday. The move came even as officials from the city and the Great Lakes Water Authority sought to assure residents that water provided by the authority is safe to drink 鈥 pointing to the district's infrastructure as the problem. (Higgins, 8/29)
1 Dead, 17 People Sickened In Four States By Salmonella Outbreak Linked To Empire Kosher Chicken
A person in New York has died and 17 people from four states were sickened from a salmonella outbreak linked to chicken from the largest kosher poultry producer in the United States, the Centers for Disease Control and Prevention said Wednesday. The C.D.C., which investigated the outbreak, said eight people were hospitalized, and cases of the illness were reported in New York, Pennsylvania, Maryland and Virginia. The outbreak started in September 2017 and the last case was reported in June 2018. (Pager, 8/29)
Authorities are not warning people at this time to stay away from any particular chicken, CDC spokeswoman Brittany Behm said, and Empire Kosher said in a statement that none of its products are being recalled. But health officials also are not sure whether they have accounted for everyone who was sickened in that period. (Horton, 8/29)
State Highlights: FDA Urges Against Cancer Labels On Coffee In Calif.; Assault On Nurse At Troubled Wash. Psychiatric Facility Highlights Staff Fears
There are still parts of the Trump administration that value science, and coffee drinkers in California can be thankful that the Food and Drug Administration is one of them. On Wednesday, the FDA sent a letter to Sacramento urging the state to put science ahead of the requirements of a controversial ballot initiative and end its war on coffee. (Kaplan, 8/29)
A patient with a history of violence has been charged with the weekend assault of a nurse at a Washington state psychiatric hospital that recently lost accreditation and federal funding due to safety violations. He is accused of punching the nurse, knocking her to the floor and repeatedly stomping on her head. (Bellisle, 8/29)
Two medics wearing head-to-toe protective gear carefully wheeled the man on a gurney out of an elevator at Johns Hopkins Hospital. The public health researcher recently returned from the Democratic Republic of Congo and had symptoms of Ebola 鈥 a cough, muscle pain and high fever. Dressed in a dark t-shirt and shorts, the man lay encased in a plastic, bubble-like pod. Doctors isolated him to prevent the spread of the highly infectious disease, transporting him from the emergency room to the hospital鈥檚 biocontainment unit for quarantine until tests could be completed. (McDaniels, 8/29)
An eleventh-hour deal between Tennessee鈥檚 largest health insurance company and the biggest anesthesiologist group in the state will end a corporate tug of war that nearly led to patients facing surprise bills that could cost thousands. BlueCross BlueShield of Tennessee and Anesthesia Medical Group confirmed Wednesday they inked an agreement that will prevent BlueCross from booting AMG from its insurance network. The physicians group was set to leave the network if a compromise wasn鈥檛 reached by the start of September. (Kelman, 8/29)
Dialysis clinics and unions have reported collecting more than $40 million for a fight over Proposition 8, a statewide ballot measure that would limit profits for dialysis companies. The proposition cap dialysis clinic profits at 15 percent and would require the clinics who have higher profit margins to pay rebates to insurance companies or face fines. The clinics would also need to annually report financial information such as costs, revenue and patient charges to the state. (Chen, 8/30)
A former University of Southern California (USC) gynecologist, accused of sexually assaulting hundreds of students, has agreed to a suspension of his medical license, officials said on Wednesday. Dr. George Tyndall reached an agreement this week with the Medical Board of California temporarily prohibiting him from practicing medicine until it makes a final decision on the status of his license, board spokeswoman Susan Wolbarst said. (8/29)
Michaud is among a small number of paramedics in Massachusetts working in pilot programs that allow them to treat patients with urgent medical needs at home, a practice that soon will be more common through money included in the recently approved state budget. ...The goal is to avoid unnecessary and costly hospital visits while treating patients where they are most comfortable. (Dayal McCluskey, 8/29)
Kaiser Health News: Californians Living Longer With Cancer 鈥 Some Longer Than Others听
As he grew older, Dale Kunitomi paid closer attention to his health 鈥 and to his doctor鈥檚 advice. When he noticed rectal bleeding in 2010, he went to see his physician, who ordered a colonoscopy.The diagnosis: colon cancer. (Gorman, 8/30)
Alarmed by a string of mass shootings by young people, California lawmakers on Wednesday sent the governor a bill that would raise the minimum age for buying long guns in the state from 18 to 21. Sen. Anthony Portantino (D-La Ca帽ada Flintridge) said his bill would address concerns raised by incidents including the February shooting at Marjory Stoneman Douglas High School in Parkland, Fla., in which听a 19-year-old is accused of听using an AR-15-style听semiautomatic rifle to kill 17 students and school employees. (McGreevy, 8/30)
People tend to think of firefighters as calm under pressure, stoic about the risks they take and private about the devastation they witness. Many firefighters prefer to maintain that image. But as fire seasons intensify, more firefighters are realizing it鈥檚 better to open up -- at least to each other. (Hutson, 8/29)
A 6-year-old beef cow in Florida tested positive for bovine spongiform encephalopathy (BSE), commonly known as mad cow disease, the U.S. Department of Agriculture said on Wednesday. The animal tested positive for atypical H-type BSE on Aug. 26 at the Colorado State University's veterinary diagnostic laboratory, as part of routine surveillance of cattle that are found to be unfit for slaughter, the agency said. (Huffstutter, 8/29)
A highly regarded former Georgia medical examiner has been sentenced to serve eight years in prison for trading opioid prescriptions for sex in what former colleagues say is a sad and shocking turn for a man they knew as an ethical and dedicated public servant. A forensic pathologist and former medical examiner, Joseph Burton, 73, handled cases from seven metro Atlanta counties, including some of the region's most high-profile murders. (8/29)
A surgery performed to correct for spina bifida before a baby is even born is being offered for the first time in Florida. Surgeons at Winnie Palmer Hospital say by repositioning a child鈥檚 spine and closing an opening in their back, they鈥檙e able to avoid mobility and digestive problems. (Prieur, 8/30)
Connecticut experienced record-high cases last year of sexually transmitted diseases, including gonorrhea, which health officials fear may be becoming more resistant to antibiotic treatment. The state鈥檚 spike in gonorrhea, syphilis, and chlamydia cases coincides with 鈥渟teep and sustained鈥 increases seen nationwide from 2013 through 2017, in an analysis released this week by the Centers for Disease Control and Prevention. (Kara and Rigg, 8/30)
A Ringgold doctor falsely diagnosed patients as suffering from heavy metal poisoning and then billed Medicare for their treatment, federal prosecutors allege in a Medicare fraud lawsuit filed Tuesday in U.S. district court in Atlanta. Dr. Charles C. Adams perpetrated the scheme in Georgia for seven years, the government alleges, submitting some 4,500 claims and collecting about $1.5 million for what the lawsuit calls medically unnecessary chelation therapy. (Norder, 8/29)
Doctors in Illinois can now prescribe marijuana as a painkiller thanks to a new law intended to counter a growing opioid abuse epidemic. Republican Gov. Bruce Rauner signed the bill into law Tuesday allowing physicians to temporarily prescribe cannabis for pain relief, effective immediately. (8/29)
Kaiser Health News: The Pluses And Minuses Of Allowing Medical Marijuana At School听
Every school day at noon, Karina Garcia drives to her son鈥檚 South San Francisco high school to give him a dose of cannabis oil to prevent potentially life-threatening seizures. But she can鈥檛 do it on campus. She has to take Jojo, a 19-year-old with severe epilepsy, off school grounds to squirt the drug into his mouth, then bring him back for his special education classes. (Young, 8/30)
Editorials And Opinions
Different Takes: Weigh True And False Claims About Medicaid, Medicare-For-All As Both Will Dominate Midterm Races
Part of the fun of running for office appears to be taking creative liberties with your opponent鈥檚 record, so get ready for a fiction-filled autumn. An early ObamaCare misdirection out of Wisconsin is one that Republicans nationwide will have to anticipate. Democratic gubernatorial hopeful Tony Evers is running an ad blaming Governor Scott Walker for high health-care premiums in the Badger State. Mr. Walker鈥檚 supposed sin: Not taking the Affordable Care Act鈥檚 bribe to expand Medicaid to able-bodied adults up to 138% of the poverty line. 鈥淢innesota鈥檚 governor took the funds,鈥 the ad says, and 鈥淲isconsin families now pay nearly 50% more than Minnesotans for the same health care.鈥 (8/29)
In January 2018, the Centers for Medicare and Medicaid Services (CMS) issued a letter to state Medicaid directors 鈥渢o assist states in their efforts to improve Medicaid enrollee health and well-being through incentivizing work and community engagement.鈥 As of June 2018, four states 鈥 Arkansas, Indiana, Kentucky, and New Hampshire 鈥 had received CMS approval for Section 1115 waivers to implement and evaluate work requirements for nonelderly adults enrolled in Medicaid. Work requirements are moving forward in Arkansas, Indiana, and New Hampshire. However, a federal district court blocked Kentucky鈥檚 implementation of such requirements, determining that the secretary of Health and Human Services had not adequately considered how the waiver would affect the state鈥檚 ability to provide coverage to Medicaid enrollees. Six other states have proposed new Medicaid work requirements in pending waiver applications to CMS, and Virginia recently approved Medicaid expansion with plans to implement work requirements through a Section 1115 waiver. (John Z. Ayanian, Renuka Tipirneni and Susan D. Goold, 8/29)
The recent report on Ohio鈥檚 Medicaid expansion shows that the program is working as intended and is cost-effective, pointing the way for the General Assembly and next governor to support its continuation. The expansion鈥檚 positive health and economic outcomes resulting from increased access to care 鈥 all of which are documented in the report 鈥 are welcome news to Ohio鈥檚 philanthropic community, which focuses on the same goals of improved health status and economic security for all residents of Ohio. (Claudia Herrold, 8/30)
With health care on the top of many voters鈥 minds this election season, it鈥檚 important that people are fully informed on where both parties stand on this important issue. Apparently, to my surprise, the Star Tribune Editorial Board wants us to pay no mind to the radical single-payer government takeover that many Democrats on the state and federal level are actively campaigning on, and the billions in tax increases it would take to pay for it. (Greg Davids, 8/28)
Viewpoints: Demand Answers From Politicians On Common Sense Gun Laws; States Need Recovery Studies During Opioid Crisis
Not even mass shootings stay in the headlines very long with all the topsy-turvy news coming out of the White House every day. Unfortunately, the public seems to lose interest even faster when it鈥檚 reported that a shooter may have been mentally ill. Maybe that鈥檚 in part due to gun control advocates鈥 tendency to lower their volume when a mass gunman鈥檚 history of mental illness becomes known. That doesn鈥檛 invalidate their argument, but the gun lobby uses it as ammunition to steer the conversation from the need to further restrict the availability of guns that can kill or maim dozens of people in minutes. Instead of lowering their voices, gun control proponents should add them to the chorus of those similarly calling on politicians to close gaps in the mental health system that can lead to tragedies like Sunday鈥檚 mass shooting of 12 people at a video games tournament in Jacksonville, Fla. (8/29)
Lost among the headlines of opioid addiction and overdose deaths are the many quiet stories of recovery. An estimated 22 million Americans 鈥 that includes the three of us 鈥 are in recovery from opioid and other addictions. We say 鈥渆stimated鈥 because states and the federal government don鈥檛 track recovery like they track addiction rates or overdoses. (Robert D. Ashford, Olivia Pennelle and Brent Canode, 8/30)
Crops are growing slower because of hazy skies, the Seattle Seahawks moved practice to an indoor facility, and people are showing up at hospitals and medical clinics with complaints of wheezing, shortness of breath and other ailments. Long-planned surgeries have been canceled because patients are too ill from the smoke. (Jim Carlton and Nour Malas, 8/28)
States frequently compel health professionals and commercial entities to disclose information relevant to patient or consumer decision making. For many years, such laws were presumed to be constitutional, despite the First Amendment鈥檚 protection of free speech. But after the Supreme Court鈥檚 decision in National Institute of Family and Life Advocates v. Becerra (NIFLA) in late June 2018, the status of such laws is an open question. (Wendy E. Parmet, Micah L. Berman and Jason A. Smith, 8/29)
Small data is not in style these days, and I'm a big data practitioner myself, working at the intersection of data, computing and medicine as chair of Harvard Medical School's Department of Biomedical Informatics. So much the more reason, I think, to remember how much can be done with careful, meticulous consideration of data coming from a single patient. (Isaac Kohane, 8/29)
If you want to control people鈥檚 thoughts, begin by commandeering their words. Taking this Orwellian lesson to heart, Virginia鈥檚 Fairfax County public school system recently stripped the phrase 鈥渂iological gender鈥 from its family life curriculum, replacing it with 鈥渟ex assigned at birth.鈥 Without permitting parents to opt out, public schools across the country are teaching children that 鈥済ender鈥 is neither binary nor biological. It鈥檚 closer to a mental state: a question of how girllike or boylike you feel. Students will fall anywhere along a gender spectrum, according to these educators. (Abigail Shrier, 8/29)
As currently constructed, the weighting systems that underlie overall hospital performance ratings are expressions of the values, preferences, and tastes of their creators. Why not ask patients what鈥檚 important to them instead? (Juliet Rumball-Smith, Jill Gurvey, and Mark W. Friedberg, 8/30)
My brother Paul, a rabbi, died recently, just shy of 3 years after the diagnosis of widely metastatic colon cancer. The story of his diagnosis and treatment is all too familiar. An apparently healthy 64-year-old man has a sudden onset of lower abdominal pain. Imaging reveals an obstructing lesion. Surgery leads to the diagnosis of colon cancer, stage IV at diagnosis, with hepatic, peritoneal, and pulmonary spread. ...A rabbi is a teacher, and Paul taught us, his family and associates, three lessons during the time granted to him by medical science. (Jeffrey M. Drazen, 8/29)
Some San Antonio residents are finding it more difficult to maintain a roof over their heads as the affordable housing market shrinks, rents go up and safety nets disappear. ...San Antonio has a low cost of living, but many of its apartment dwellers are nonetheless what the federal government calls 鈥渃ost burdened,鈥 which means they spend more than 30 percent of their income on housing. (8/28)
Our leaders should do what鈥檚 right and support Senate Bills 844 and 845 to finance the proposed Safe and Affordable Drinking Water Fund. The bills are modest in scope and cost, but will save lives. They will raise a small, dedicated amount of funding through new fees on agriculture and voluntary charges on water bills to help low-income communities afford ongoing operations and maintenance costs for water treatment. (Dolores Huerta and Tom Steyer, 8/28)