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
Everything You Need To Know About The New Medicare Cards (But Beware Of Scams)
Starting in April, new Medicare cards will be issued to the program鈥檚 59 million enrollees. The new cards address serious security concerns, yet there are growing 鈥渟cams鈥 linked to the rollout.
Use Of HIV-Prevention Drug Grows, But Lags Among Non-Whites
The pill, known as PrEP, can reduce the risk of contracting the virus that causes AIDS by 90 percent. Its use has expanded sharply in recent years 鈥 but primarily among a white demographic.
For Aspiring Doctors With Disabilities, Many Medical Schools Come Up Short
A national survey finds that medical schools should do more to help doctors with disabilities thrive. Although some schools do make needed accommodations, others need to take basic steps to help.
Summaries Of The News:
Marketplace
Theranos CEO To Be Barred From Company, Pay $500K To Settle SEC's 'Massive Fraud' Charges
Holding up a few drops of blood, Elizabeth Holmes became a darling of Silicon Valley by promising that her company鈥檚 new device would give everyday Americans unlimited control over their health with a single finger prick. Ms. Holmes, a Stanford University dropout who founded her company, Theranos, at age 19, captivated investors and the public with her invention: a technology cheaply done at a local drugstore that could detect a range of illnesses, from diabetes to cancer. (Thomas and Abelson, 3/14)
The lawsuit and settlement announced Wednesday by the U.S. Securities and Exchange Commission detailed how [Elizabeth] Holmes and her chief deputy lied for years about their technology, snookered the media, and used the publicity to get investors to hand more than $700 million to keep the closely held company afloat. As part of the accord, Holmes will pay a $500,000 fine, surrender 19 million shares and is barred from being an officer or director of a public company for 10 years. (Robinson and Spalding, 3/14)
Elizabeth Holmes, a Stanford University dropout once billed as the "next Steve Jobs," has forfeited control of Theranos, the blood-testing startup she founded, and will pay $500,000 to settle charges that she oversaw a "massive fraud. "Under an agreement with the Securities and Exchange Commission, Holmes is barred from serving as an officer or director of a public company for 10 years. The SEC said Wednesday that it will pursue its case against the president of the company, Ramesh "Sunny" Balwani, in federal court. (Sweet, 3/14)
The SEC began investigating Theranos after The Wall Street Journal reported in October 2015 that the lab instrument developed as the linchpin of the company鈥檚 strategy handled just a small fraction of the tests sold to consumers. Some employees also were leery about the machine鈥檚 accuracy, the Journal reported. Theranos was valued at more than $9 billion at the time and Ms. Holmes鈥檚 majority stake at more than half that. (Carreyrou, 3/14)
Over the years, Holmes, now 34, persuaded some of the most powerful men in Washington to serve on her company鈥檚 board 鈥 drafting former secretaries of state George Shultz and Henry Kissinger and Marine Gen. Jim Mattis as advisers. Their reputations lent credibility, connections and heft to a young company that promised to upend medicine by making blood tests cheap, fast and accessible. (Johnson, 3/14)
"They deceived investors by, among other things, making false and misleading statements to the media, hosting misleading technology demonstrations, and overstating the extent of Theranos鈥 relationships with commercial partners and government entities, to whom they had also made misrepresentations," the SEC charged. (Weixel, 3/14)
The SEC鈥檚 complaint highlights in remarkable detail the lengths to which Theranos went to sell investors on a pitch that was too good to be true. For example, the company distributed binders to investors containing printouts of sunny articles from The Wall Street Journal, Wired, and Fortune quoting Holmes making statements about the company鈥檚 progress that would later prove false. Also in the binder: two reports about Theranos鈥檚 pharma collaborations emblazoned with the logos of top pharma companies 鈥 which were written not by those drug makers, but by Theranos staffers. (Robbins, 3/14)
Tavenner To Step Down As Head Of AHIP As Diminished Organization Struggles To Maintain Influence On Hill
Marilyn Tavenner is stepping down after three tumultuous years at the helm of America鈥檚 Health Insurance Plans, a K Street powerhouse that's seen its influence decline as Washington grew more hostile to Obamacare. Tavenner oversaw AHIP as Republicans took full control of the federal government, hellbent on dismantling the 2010 health care law. The industry group was forced to take on that fight with diminished resources, with three of the country鈥檚 largest insurers 鈥 UnitedHealth Group, Aetna and Humana 鈥 dropping out of the organization in recent years. AHIP spent $6.5 million on lobbying last year 鈥 a nearly 40 percent decline from four years earlier. (Demko, 3/14)
She will be replaced by Matt Eyles, the group鈥檚 chief operating officer. Her resignation will be effective June 1. Eyles said in an interview Wednesday that Tavenner was "certainly the right leader at the right time and has helped improve the association." He said she made a "personal decision to step down at this time," but that it was an "orderly transition" that was "not based on any surprises." (Weixel, 3/14)
The shake-up comes as AHIP struggles to hold on to some of its largest members. Insurer Humana ditched AHIP just before the start of 2018, following in the footsteps of Aetna, which exited in 2016, and UnitedHealth Group in 2015. In the wake of those big-name losses, some have questioned the strength of AHIP's political influence. Tavenner took over in 2015 from Karen Ignagni, who stepped down as AHIP's CEO after 22 years with the organization to lead New York-based plan EmblemHealth. Tavenner came to the lobbying group just six months after ending her tenure as CMS administrator. (Livingston, 3/14)
Veterans' Health Care
Veterans Circle The Wagons Around Shulkin Even As Trump's Frustration Bubbles Over Into Public Sphere
President Donald Trump may be itching to fire him, but Veterans Affairs Secretary David Shulkin has the support of GOP lawmakers and veterans, and the lack of a preferred successor may keep him at the agency鈥檚 helm at least for now. Trump鈥檚 consternation with Shulkin bubbled over Monday, as he was meeting with Energy Secretary Rick Perry and planning Rex Tillerson鈥檚 ouster from the State Department. Trump didn鈥檛 offer Perry the job, nor did he ask if Perry wanted it, but the events prompted speculation that a major Cabinet shakeup was in the works. (Woellert and Allen, 3/14)
Energy Secretary Rick Perry said he had no interest in becoming the next head of the Department of Veterans Affairs, flatly rejecting speculation that he would soon take over the position amid rapidly eroding White House support for embattled VA Secretary David Shulkin. Two administration officials told The Associated Press on Wednesday that Shulkin's position is growing more precarious and that he could be out of a job within the week, but they cautioned that nothing was finalized. The officials spoke on condition of anonymity to discuss a sensitive personnel matter. (Yen and Miller, 3/15)
In other veterans' health news聽鈥
The Pathway Home program in Yountville, Calif., is shutting down 鈥渋ndefinitely鈥 less than a week after three employees were taken hostage by a gunman and killed. The program, part of the Veterans Home of California, provided post-Sept. 11 veterans with academic and vocational support as they prepared to re-enter the civilian world after deployment. (Salam and Stevens, 3/14)
The nonprofit Pathway Home, which has treated hundreds of veterans of post-9/11 wars for debilitating emotional trauma, was serving a half-dozen men at the time of last week鈥檚 shootings. They have been directed to mental and health services from federal and Napa County providers, and Pathway鈥檚 seven surviving employees have been given severance packages, said Larry Kamer, a spokesman for the center. (Alexander, 3/14)
Health Law
After Pa. Special Election Results, Democrats May See Health Care As Winning Issue In Midterms
The majority of voters in Tuesday鈥檚 special election in Pennsylvania considered health care to be one of the most important issues in deciding who to vote for, according to an exit poll released Wednesday. For 52 percent of voters, health care was ranked as a top issue when deciding who to vote for, while 19 percent said it wasn鈥檛 at all important to them, according to Public Policy Polling, a Democratic polling firm. (Hellmann, 3/14)
An updated bill to shore up ObamaCare's markets would reduce premiums by 10 percent next year and by 20 percent in 2020 and 2021, according to preliminary estimates from the Congressional Budget Office (CBO).聽The bill聽could be added to a long-term spending聽package Congress hopes to pass next week. (Hellmann, 3/14)
Congressional Republicans are growing more receptive to funding an Obamacare stabilization effort in the omnibus spending bill but remain divided over abortion restrictions. Some House Republicans who once opposed the idea of propping up Obamacare markets are coming around to the idea that they should act ahead of 2019, to avoid the risk of millions of Americans getting shocking premium increases in the fall, just before the midterm elections. (Haberkorn and Cancryn, 3/14)
And a former HHS secretary offers advice for Alex Azar聽鈥
What鈥檚 the best advice that one HHS secretary can give to another? Tommy Thompson 鈥 who ran the department for four years under President George W. Bush 鈥 says his guidance to new leader Alex Azar has been clear: Never hesitate. 鈥淚 told him to be bold,鈥 Thompson said on POLITICO鈥檚 鈥淧ulse Check鈥 podcast. 鈥淔ollow your gut, your heart, your mind.鈥 (Diamond, 3/14)
Quality
CMS' New Star Ratings Formula Aimed To Improve Accuracy, Fairness. But An Analysis Finds An Imbalance.
The CMS updated its star ratings in December with a new formula intended to improve accuracy and fairness. But a study of the most recent CMS data by consulting firm Sullivan, Cotter and Associates and Modern Healthcare show that the majority of specialty hospitals received five-star ratings鈥攖he highest rating a facility can receive鈥攚hile a small number of major teaching hospitals received the same recognition. Of the 74 specialty hospitals that received a star rating in December, 45鈥攐r 61%鈥攔eceived a five-star rating and 16鈥攐r 22%鈥攔eceived a four-star rating, according to the Sullivan Cotter analysis. By comparison, of the 172 major teaching hospitals that received a star rating from the CMS, just 15鈥攐r 9%鈥攇ot a five-star rating and 25鈥攐r 15%鈥攔eceived four stars. (Castellucci, 3/14)
In other news聽鈥
Republican members of the House Energy and Commerce Committee have launched an investigation into the hospital accreditation process following a Wall Street Journal report last year that found the Joint Commission accredited hospitals with major safety issues. The committee sent letters to the CMS and four accreditation organizations including the Joint Commission requesting they provide detailed information about how they accredit hospitals and other facilities. The committee wrote in the letters that it is "concerned about the adequacy of CMS' oversight" of accreditation organizations and the rigor of their survey processes. (Castellucci, 3/13)
Women鈥檚 Health
Fertility Center Where Eggs Were Damaged Faces Accusations Of Gross Negligence In Class-Action Suit
A woman whose frozen eggs were stored at the Pacific Fertility Center has filed a class-action lawsuit in federal court in San Francisco, accusing聽the company of gross negligence聽in its maintenance, inspection and monitoring of a storage freezer that malfunctioned in early March. Pacific Fertility is one of two聽centers that separately reported problems in liquid-nitrogen tanks where thousands of eggs and embryos were kept. Officials at both facilities have acknowledged that some 鈥 or potentially all 鈥 of the tissue may have been damaged. (Cha, 3/14)
A San Francisco woman has filed a lawsuit against Pacific Fertility Center, alleging the San Francisco clinic鈥檚 mishandling of a storage tank containing frozen embryos and eggs resulted in the loss of her eggs. The suit seeks $5 million in damages and was filed Tuesday in U.S. District Court for the Northern District of California. (Ho, 3/14)
A fertility clinic where thousands of frozen embryos and eggs may have been destroyed in a storage tank failure is being investigated by two accreditation organizations and Ohio's health department. It's not clear yet what caused the malfunction on March 4 at the clinic run by University Hospitals in suburban Cleveland. It's also a mystery why liquid nitrogen levels for a storage tank at a San Francisco fertility clinic fell dramatically on the same day. There is no known connection between the two episodes. (3/14)
In what many reproductive health experts have called a stunning coincidence, two聽fertility centers in different parts of the country experienced malfunctions in their freezing tanks on the same weekend in early March. Thousands of eggs and embryos were probably lost. Would-be parents are suing. Here's what we know about what happened at the University Hospitals Ahuja Medical Center's Fertility Center in Cleveland and the Pacific Fertility Center in San Francisco,聽how the country's regulatory process works with reproductive health services and how聽investigations could unfold. (Cha, 3/14)
Public Health
'We're Tired Of Adults Not Making It Happen': Students Across Country Walk Out To Protest Gun Violence
Tens of thousands of students across the country walked out of their classrooms Wednesday and onto athletic fields and city streets as part of a massive 颅national protest on gun violence spurred by a Florida high school shooting a month ago that left 17聽dead. The walkouts, which came 10聽days before a march on Washington that could draw hundreds of thousands of students to the nation鈥檚 capital, are unprecedented in recent American history, not seen in size or scope since student protests of the Vietnam War in the late 1960s. (Heim, Lang and Svrluga, 3/14)
Far from big cities, in rural states with high levels of gun-ownership, students protested. Anna Strong Garcia, a 17-year-old senior at Billings Senior High School, said, 鈥淲e don鈥檛 expect Montana to be the leader in gun-control laws, but we don鈥檛 want to be left behind.鈥 More than 3,000 registered demonstrations took place in all 50 states, according to organizers with Women鈥檚 March Youth Empower, which helped coordinate the 鈥#Enough鈥 school walkouts. It put the initial tally at nearly 1 million and said it was still counting. About 56 million students attend pre-K through 12th grade in public and private schools, according to federal data. (Campo-Flores, 3/14)
At Hamilton High School, the protest began with a young man and a bullhorn. Ari Elkins, a senior, stood on the front lawn of his Palms school and in a voice both firm and loud, cried out: "No more silence! End gun violence!" Seconds later, hundreds of his fellow students came pouring out the building's double doors. (Jennings, Kohli, Blume and Bermudez, 3/14)
Student walkouts across the nation were billed as a mass protest against the National Rifle Association and a call for stricter gun control measures in response to the February shooting at Florida鈥檚 Marjory Stoneman Douglas High School that left 17 people dead. (Lillis, Lambert, Chabria and Kobin, 3/14)
Students around the nation walked out of their classrooms at 10 a.m. for 17 minutes, symbolically honoring the 17 lives that were lost in last month's shooting at Marjory Stoneman Douglas High School in Parkland, Florida. While organizers expected Texas students to join in, most schools were on spring break, so there were no classes to walk out of. (Greene, 3/14)
About 45 students in white T-shirts marched into the lobby of Gov. Doug Ducey's office Wednesday, demanded to speak to him about gun violence in schools and chanted when the governor did not make an appearance. They stayed for nearly two hours and past the time the building closed. (Randazzo and Nicla, 3/14)
[Catherine] Qian was one of hundreds of students across the Richmond region who walked out of their classes at 10 a.m. Wednesday, a month after the mass shooting at the Florida high school, to call on lawmakers to take action against the gun violence that continues to claim so many lives in the U.S. (Mattingly, 3/14)
Students across the country are marking one month since the Parkland, Florida, school shooting left 17 dead. Today, more than a thousand Concord High students stood outside at 10 a.m., the morning after a snowstorm hit the northeast. It was still snowing lightly as students held 17 minutes of silence to commemorate the 17 killed in Parkland and read the names of those lost. (Garrova, 3/14)
Debate is fierce over whether other measures 鈥 such as stricter gun laws, school building security systems, or armed teachers and guards 鈥 can make a difference when it comes to preventing school shootings. But a broad consensus of researchers, government agencies, and advocacy groups agree that well-run threat assessment teams have proven to be an effective step. (Rocheleau, 3/14)
Uinta County School District #1 voted late Tuesday evening to put guns in the hands of teachers and staff. The district is the first in Wyoming to act on legislation passed last year to let local school districts decide whether to permit concealed carry in schools. (Watson, 3/14)
Several gun control bills advanced through the Delaware legislature on Wednesday as lawmakers take aim at restricting weapon sales and ensuring those deemed potentially dangerous for mental health reasons do not have access to firearms. With little discussion, a Senate committee released a bill defining bump stocks, trigger cranks and similar devices as 鈥渄estructive weapons鈥 whose sale or possession is a felony punishable by up to five years in prison. (Chase, 3/14)
As Painkiller Pendulum Swings Toward Tighter Controls, Hospitals Cope With Lack Of Access To Opioids
The incident command system kicked in at Brigham and Women鈥檚 Hospital about a week ago. A large team of doctors, pharmacists, and nurses began assembling every morning to confront an emerging crisis with the potential to severely undermine care for patients. The challenge was different than it was during the Boston Marathon bombing, another event that triggered the command response. This one wasn鈥檛 rushing toward caregivers as fast. But it was similarly daunting and logistically demanding: Amid a nationwide crisis caused by too-easy access to medical painkillers, hospitals are now struggling to find enough of that same class of drugs to keep their patients鈥 pain controlled. (Ross, 3/15)
The House Energy and Commerce Committee plans to consider 25 bills aimed at combating the opioid crisis during a two-day legislative hearing next week. The panel is working to hammer out a series of bipartisan bills with the goal of getting legislation to the House floor by Memorial Day. (Roubein, 3/14)
Medical providers say new聽Centers for Disease Control and Prevention recommendations urging emergency departments to connect opioid overdose patients with medication-assisted treatment ignores the possibility that this may not be the best place to begin the treatment. The CDC, in a report that showed a 30 percent increase in opioid overdoses that resulted in emergency room visits between July 2016 and September 2017, proposed linking patients with treatment and services in the community, and perhaps starting medication-assisted treatment in the emergency department. But providers say that starting such treatment in emergency departments is not ideal if they can鈥檛 connect patients with a longer-term provider in their community. (McIntire, 3/14)
Mady Ohlman was 22 on the evening some years ago when she stood in a friend's bathroom looking down at the sink. "I had set up a bunch of needles filled with heroin because I wanted to just do them back-to-back-to-back," Ohlman recalls. She doesn't remember how many she injected before collapsing, or how long she lay drugged-out on the floor. "But I remember being pissed because I could still get up, you know?" (Bebinger, 3/15)
And in news out of the states聽鈥
Overdose deaths in Native American communities have skyrocketed in the time the opioid epidemic has swept the U.S. and federal officials are looking for solutions. Native Americans and Alaska Natives saw a fivefold increase in overdose deaths between 1999 and 2015, Dr. Michael Toedt told the U.S. Senate Committee on Indian Affairs on Wednesday. (3/14)
A new study from Cincinnati Children's Hospital Medical Center shows that newborns聽who require treatment for opioid withdrawal are at higher risk than others for delayed language, cognitive and motor skills. Cincinnati Children's聽this week released the study of 87 children who have been treated at its long-term Neonatal Abstinence Syndrome聽Clinic. (DeMio, 3/13)
South Dakota on Wednesday sued three major drugmakers, accusing them of deceptively marketing prescription opioids and contributing to a nationwide epidemic. Marty Jackley, the state's attorney general, announced civil claims against Purdue Pharma LP, a unit of Endo International Plc and Johnson & Johnson's Janssen unit. (Stempel, 3/14)
The office of New York Attorney General Eric Schneiderman has served subpoenas on two opioid distributors as part of a multi-state investigation into their marketing and sales practices. The subpoenas seek company records and internal communications relating to suspicious drug orders or cases in which opioids may have been improperly diverted by customers. (3/15)
Milwaukee County sued several pharmaceutical drug-makers and distributors Wednesday in federal district court in Milwaukee for creating a public nuisance and violating federal racketeering laws while contributing to a local opioid epidemic of addiction and overdose deaths. (Behm, 3/14)
Patients on painkillers, often recovering from surgery, quietly suffer respiratory failure while asleep. Frank Overdyk, an anesthesiologist from South Carolina and national patient safety expert, said an estimated 3,000 to 5,000 Americans die that way every year. (Marso, 3/15)
The Ohio Chamber of Commerce on Wednesday rolled out what it calls an 鈥渙pioid toolkit鈥 that consists of online courses, videos and other material that employers can use to learn more about the crisis and what steps they can take to address them. ...Half of Ohio businesses say they have been hurt by substance misuse, whether it is employees missing work, a drop in productivity or not being able to find workers to fill openings. (Williams, 3/14)
'There鈥檚 No Question We Are In A Maternal Health Crisis': Lawmakers, D.C. Officials Struggle To Figure Out Why
D.C. mothers are twice as likely to die because of pregnancy than the average American woman. The city鈥檚 maternal mortality rate 鈥 among the nation鈥檚 highest 鈥 has captured the attention of local leaders and those in Congress, who say avoidable deaths of mothers are unacceptable in the nation鈥檚 capital. Mayor Muriel E. Bowser (D) plans to sign legislation passed last week by the D.C. Council to form a commission to investigate deaths related to childbirth and recommend ways to address the root causes. (Nirappil, 3/14)
D.C. Mayor Muriel E. Bowser stood in the heart of Union Station on Feb. 20, 2015, and promised to lead the nation鈥檚 capital into an era free of traffic fatalities. 鈥淲e are taking our first step toward realizing a 鈥榁ision Zero鈥 where no lives are lost on our streets or at our intersections,鈥 said a newly elected Bowser, setting a goal of zero road deaths by 2024. Instead, the number of traffic fatalities has steadily increased since then, frustrating city officials and advocates, and seemingly putting the goal further from reach. (Lazo, 3/14)
A new federal report shows that more Americans are obese despite an overall increase in the rate of regular exercise. The National Center for Health Statistics found that 31.4 percent of Americans over the age of 20 were obese in 2017. That's up from just 19.4 percent who were obese in the 1997 version of the study. (Wilson, 3/15)
Electronic cigarettes have long been touted聽not only as a safer alternative to cigarettes聽but as a potential avenue by which existing smokers might quit. The industry,聽now worth $11.4 billion,聽hasn鈥檛 been hurt by this one-two pitch of safety and good public policy.聽New research shows, however, that e-cigarettes are hurting a lot more than they help. Researchers at Dartmouth College鈥檚 Norris Cotton Cancer Center said vaping has聽led more people to start a real smoking habit, rather than avoid tobacco or quit聽in favor of e-cigarettes, according to a study published Wednesday. (Wolf, 3/14)
State Watch
Ohio Law Banning Down Syndrome Abortions Blocked From Taking Effect
A state law that prohibits doctors from performing abortions based on a diagnosis of Down syndrome was placed on hold by a federal judge on Wednesday. Judge Timothy Black said the law's opponents are "highly likely" to succeed in arguing the law is unconstitutional because "federal law is crystal clear" that a state can't limit a woman's right to terminate a pregnancy before viability. His ruling means the law won't take effect next week, as scheduled, while the litigation proceeds. (3/14)
鈥淔ederal law is crystal clear,鈥 Judge Timothy S. Black of the U.S. District Court for Southern Ohio wrote in a 22-page order granting a preliminary injunction against the state. 鈥淎 state may not prohibit any woman from making the ultimate decision to terminate her pregnancy before viability ... here, Ohio鈥檚 new law wrongfully does just that: it violates the right to privacy of every woman in Ohio and is unconstitutional on its face.鈥 (Candisky, 3/14)
Iowa House Republicans are reviving a proposed ban on abortions after a fetal heartbeat is detected, by adding it as an amendment to another bill that would ban the sale and use of fetal tissue in Iowa. At a subcommittee meeting convened Wednesday to consider the fetal tissue bill, conversation turned mostly to the amendment. (Sostaric, 3/14)
State Highlights: Hospice Nurses Endure Long Drives, Hours In Rural Texas; N.C. Children Unlawfully Taken From Homes
Hospice providers in the more remote western and southern parts of the state shared stories with STAT of nursing shortages, scheduling gymnastics, run-ins with wildlife, and the wear and tear of long days in cars for the men and women who treat people at home.聽Distance sometimes forces hard conversations: At the moment they and their caregivers need help most, a nurse may not quickly be at their side. (Satyanarayana, 3/15)
When Brian Hogan got a call that his wife had suffered a massive heart attack, he knew he had to get to the hospital fast. So Hogan asked his neighbor to take care of his 10-year-old daughter, then headed 60 miles east to the intensive care unit in Asheville, North Carolina. What happened next would eventually expose a practice by a child welfare agency that illegally removed potentially hundreds of children from their homes in this poverty-stricken mountain community (Weiss and Holbrook, 3/14)
Senate Bill 31 started out as a relatively simple proposal related to a Georgia health agency board. ... But late Wednesday afternoon, a substitute version of that Senate legislation called for something entirely different: an easing of state restrictions on Cancer Treatment Centers of America. (Miller, 3/14)
Allison O鈥橳oole is stepping down as chief executive at the state鈥檚 MNsure health insurance exchange to work at a nonprofit created by Andy Slavitt, the former UnitedHealth Group executive who held a key health care job in the Obama administration. O鈥橳oole announced her decision at the start of a Wednesday meeting in St. Paul where the MNsure board named Nate Clark, the current chief operating officer, as acting CEO. (Snowbeck, 3/14)
A bill that would have created a perpetual license for foster homes has failed after winning unanimous approval from the state Senate. Sen. Warren Petersen, R-Gilbert, dropped his efforts to create forever license in the face of opposition from the private agencies that license Arizona foster homes. (Pitzi, 3/14)
Three Republican lawmakers Wednesday called for a public hearing and 鈥渇ull transparency鈥 to assess allegations of poor health care in state prisons. ... [Len] Fasano, of North Haven, called for the release of a report that could offer insight into specific problems in the prison system. (Kara, 3/14)
With the specter of recent child fatalities hanging over them, state senators on Wednesday unanimously approved three bills allocating more than $5.5 million toward strengthening New Hampshire鈥檚 struggling child protective system. In a show of unanimity rarely seen at the State House, the Senate endorsed all three measures in a series of 24-0 votes, to better enable the Division of Children, Youth and Families to prevent child abuse. (Solomon, 3/14)
Community Health Systems' stock price dropped about 11% over two days, ending at $4.43 at the close Wednesday, a fall that may have been prompted by a report that the hospital chain hired a prominent firm to help it restructure its debt. The website Reorg Research reported midday Tuesday that CHS hired the financial advisory firm Lazard to help it format a plan to address its nearly $4.8 billion in long-term debt maturing in 2019 and 2020. The report also said a law firm was in talks with some CHS lenders on the same subject. The Franklin, Tenn.-based system's total long-term debt stands at nearly $14 billion, and if restructured under bankruptcy law, could hurt owners of the company's equity. (Bannow, 3/14)
The CEO of a safety net clinic in Lawrence, Kansas, has been suspended pending completion of a review of the organization's finances. In a release Wednesday evening, the board of Heartland Community Health Center said it had suspended Jon Stewart and appointed the clinic鈥檚 chief operating officer as interim CEO.聽Melanie Coen, a spokeswoman for Heartland, said the board discovered what she described as commingling of personal and corporate funds and discrepancies in the way that money had been allocated. (Margolies, 3/14)
Philips Healthcare, which moved its nuclear medicine headquarters to Northeast Ohio from Silicon Valley and qualified for millions in state money seven years ago, has told the state it is permanently laying off at least 65 employees. The company told the Ohio Department of Job and Family Services the layoffs are due to a business reorganization. (Hancock, 3/14)
As part of his final budget proposal, Gov. Jerry Brown wants new fees on water to provide clean and affordable drinking water to the approximately 1 million Californians who are exposed to contaminated water in their homes and communities each year. The fund would pay for short- and long-term improvements to water infrastructure and help clean up contaminated drinking water systems that affect primarily rural, low-income regions. (Kobin, 3/14)
A San Jose police officer was deemed legally justified when he shot and killed a violently mentally ill man who charged at him with a knife during a frantic encounter in front of the man鈥檚 home last year, according to the Santa Clara County District Attorney鈥檚 Office. (Salonga, 3/14)
A person who was collecting mussels over the weekend at Dillon Beach has been hospitalized for shellfish poisoning, according to the Marin County Public Health Department. The health department confirmed Tuesday a case of paralytic shellfish poison, a naturally occurring toxin found in bivalves such as mussels, clams and oysters. (Prado, 3/14)
Editorials And Opinions
Viewpoints: Time To Remove Misleading Cancer Warnings From Labels?; Bad Doctors Still Slip By Despite Reporting System
Cancer is a scary disease, but Californians have been determined to scare themselves more than most with warnings about the supposedly cancer-causing material in everything from shoes to cat litter. Now a federal judge says these mandatory fright signs may violate the First Amendment when not backed by accurate science. (3/14)
While practicing medicine in Illinois, Jay Riseman was called an 鈥渋mminent danger to the public鈥 by a state medical board attorney and was placed on indefinite probation in 2002. The doctor also racked up a dozen malpractice suits, including one involving the death of a 2-month-old infant a day after he prescribed a heavy dose of a laxative, twice the allowance for adults. (3/14)
The mission of the nation鈥檚 70 state medical boards is to protect the public from the unprofessional or incompetent practice of medicine. To fulfill that mission, they rely on hospitals, insurers, peers and the public 鈥 and tools such as the National Practitioner Data Bank (NPDB) and the Federation of State Medical Boards鈥 Physician Data Center 鈥 to provide them with relevant information to investigate professional misconduct. The national data bank is a valuable tool, but it is far from the only resource the boards utilize and not without its limitations. (Humayun Chaudhry, 3/14)
It seems like Theranos founder Elizabeth Holmes really wanted to build devices that would actually do these things, and thought she could, and tried to. But it didn't work, and Theranos ran out of time: It talked Walgreens into offering Theranos tests at its stores, but "it became clear to Holmes that the miniLab would not be ready" in time for the Walgreens rollout. So she went with Plan B. (Matt Levin, 3/14)
Are the students who walked out of class Wednesday morning serious about doing something about mass shootings, particularly advocating for restrictions on gun ownership where they face a formidable foe in the聽National Rifle Association? If so, it will take a lot more than an extended recess, it will take commitment, it will require a great deal of homework, and it will mean sacrifice and doggedness. As we鈥檝e noted before, the outspoken student leaders from Parkland seem to have that fire and urgency. ...The grownups have surely failed to do much about the problem. (3/14)
And in Newtown, Conn., where 26 people 鈥 most of them children just 6 and 7聽years old 鈥 were slaughtered at Sandy Hook Elementary School in 2012, students, parents and teachers gathered in a parking lot to recite the names of gun violence victims. These were but a few of the poignant scenes Wednesday as tens of thousands of students, many joined by parents and teaching staff, participated in an extraordinary nationwide demonstration for safer schools and stronger gun control. 鈥淯nprecedented in recent American history鈥 was how Post reporters Joe Heim, Marissa J. Lang and Susan Svrluga described Wednesday鈥檚 protests. (3/14)
To address mental health concerns early and often can help them become matter-of-fact rather than a matter of shame. The more we can accept and not hide, the more likely we are 鈥 as individuals and as a country 鈥 to live healthier and happier lives, not depression-free for those of us touched by it, but more compassionately and graciously. (Sarah Werthan Buttenwieser, 3/15)
I am a home hospice nurse, and when I get new patients after they have been discharged from the hospital, the list of drugs included in their paperwork is always wrong. Some mistakes are minor: The list includes a relatively harmless drug the patient no longer needs or it leaves off a minor dose adjustment. But other mistakes are more serious 鈥 the list may include an important prescription the patient never knew to fill or may have the patient on two medications that can be dangerous when taken together. (Theresa Brown, 3/14)
This nation includes over 40 million people 鈥 most of them family members 鈥 who provide care to loved ones that is valued at half a trillion dollars each year, nearly on par with what the federal government spends on Medicare or Medicaid. The informal, non-professional care we give accounts for as much as 80 percent of the total value of "long-term services and supports" for older adults, a category that includes assistance with routine daily activities. (Tom Riley, 3/14)
Republicans in Congress have worked hard to sabotage the Affordable Care Act. In so doing, they are creating an opening for the kind of health care system they will detest. (Tom Epstein, 3/14)
Most of us spend most of our lives without any sense of the imminence of our mortality. This wasn't true for Stephen Hawking. He was diagnosed with amyotrophic lateral sclerosis at age 21 and given months to live. ...Once, when we were alone, Stephen spoke to me about his condition. He said that, actually, it was an advantage! (Nathan Myhrvold, 3/14)
The scientific community rightly makes much of one of his miracles, a discovery he made in 1974 of something now known as Hawking radiation: the phenomenon in which black holes 鈥 so named because nothing can escape them 鈥 actually allow radiation to get out. In popular culture Stephen (Hawking) was another kind of miracle: a floating brain, a disembodied intellect that fit snugly into the stereotype of the genius scientist. ...But to me Stephen was also the everyday miracle of an ordinary embodied human 鈥 albeit one who had to battle in heroic ways within the confines of his particular shell. (Leonard Mlodinow, 3/14)
In Iceland upward of 85 percent of pregnant women opt for the聽prenatal testing, which has produced a Down syndrome elimination rate approaching 100 percent. ...An Iceland geneticist says 鈥渨e have basically eradicated鈥 Down syndrome people, but regrets what he considers 鈥渉eavy-handed genetic counseling鈥 that is influencing 鈥渄ecisions that are not medical, in a way.鈥 One Icelandic counselor 鈥渃ounsels鈥 mothers as follows: 鈥淭his is your life. You have the right to choose how your life will look like.鈥 She says, 鈥淲e don鈥檛 look at abortion as a murder. We look at it as a thing that we ended.鈥 (George F. Will, 3/14)
Among the needless mandates are two provisions that are not even in Oregon鈥檚 20-year old Death with Dignity Act, the model for California鈥檚 new law. SB 1336 would require patients to justify why they want to use the law verbally and in writing, and would also mandate doctors identify their specialty. SB 1336 is a thinly veiled attempt by opponents of medical aid in dying to make it impossible for patients to use the law and to gather data that they believe will help them to overturn the law entirely. (Kim Callinan, 3/14)