- KFF Health News Original Stories 4
- Utah’s Novel Plan For Medicaid Expansion Opens Door To Spending Caps Sought By GOP
- Beyond Beltway's 'Medicare-For-All' Talk, Democrats In States Push New Health Laws
- Seniors Aging In Place Turn To Devices And Helpers, But Unmet Needs Are Common
- Can California Beat The Federal Government In Lowering Drug Prices?
- Political Cartoon: 'Sweet Tooth?'
- Capitol Watch 2
- On Eve Of Parkland Anniversary, House Judiciary Committee Passes Measure Requiring Background Checks For All Gun Sales
- 'My Life Is Not Normal. It Will Never Be Like Before': A Year After Parkland, A Community Still Mourns
- Coverage And Access 1
- Democrats Push More Moderate, Politically Palatable Plan That Would Allow Medicare Buy-In At Age 50
- Health Law 1
- Democrats Want To Slap Consumer Warnings On Short-Term Health Plans--And Republicans May Actually Agree
- Women’s Health 1
- Tense Exchange Between Trump And Democratic Senator Over Abortion Underscores President's Renewed Focus On Issue
- Administration News 2
- IHS Transferred Doctor From One Agency-Run Hospital To Another After Officials Concluded He Was Molesting Children
- With New Records Regulation, CMS Wants To Empower Patients To Control Their Health Care
- Quality 1
- Senators Scold Pentagon Leaders Over Reports Of Widespread Safety Hazards Plaguing Homes On Military Bases
- Government Policy 1
- Officials At Controversial Migrant Detention Facility Paint Picture Of Discipline And Care. Critics Still See Traumatized Kids.
- Opioid Crisis 1
- Opioid Lawsuit That's Flying Under The Radar May Actually Upstage Sweeping Case In Ohio
- Health IT 1
- 'Stop Disease Before It Happens': Government Plans To Roll Out Challenge For Private Investment In AI To Provide Better Health Care
- Public Health 2
- Why Do Parents Hesitate To Vaccinate Kids? A Look At Anti-Vaccination Community Upends Some Common Myths
- The Science Of Science: Smaller Is Better When It Comes To Building Innovative Teams
- State Watch 1
- State Highlights: Transgender Prison Nurse Wins Discrimination Suit In Iowa; New York City Introducing Bill To Change Ambulance Sirens To 'Hi Lo' System
From KFF Health News - Latest Stories:
KFF Health News Original Stories
Utah’s Novel Plan For Medicaid Expansion Opens Door To Spending Caps Sought By GOP
Utah’s proposal to limit federal and state funding on Medicaid is a radical change. Anti-poverty advocates are concerned that caps could limit how many people are enrolled and restrict services. They also worry other states would adopt a similar plan. (Phil Galewitz, 2/14)
Beyond Beltway's 'Medicare-For-All' Talk, Democrats In States Push New Health Laws
As calls for "Medicare-for-all" grow louder among Democrats in Congress, Democratic governors and mayors have been pushing ahead with urgency to corral medical costs and bring health care to those who remain uninsured. (Sarah Varney, 2/14)
Seniors Aging In Place Turn To Devices And Helpers, But Unmet Needs Are Common
A new study examines how seniors with deteriorating strength and other physical functions deal with such challenges as taking a shower or getting dressed in the morning. (Judith Graham, 2/14)
Can California Beat The Federal Government In Lowering Drug Prices?
Unwilling to wait for federal action, California Gov. Gavin Newsom says he has a plan that could extract discounts from drugmakers and save the state money — one he hopes other states can join. (Samantha Young, 2/14)
Political Cartoon: 'Sweet Tooth?'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'Sweet Tooth?'" by Mike Lester.
Here's today's health policy haiku:
DETAILS MATTER IN HEALTH REFORMS AND VALENTINES
Are you "Medicare
For All"? Because I like you.
But don’t know you well.
- Anonymous
If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.
Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of KFF Health News or KFF.
Summaries Of The News:
The measure is one of the most significant gun control bills to advance this far in recent years. The panel also voted to advance a bill that would close a loophole in the current background-check law that allows a gun purchase if a check is not completed in three days. The vote came the day before the one-year anniversary of the mass shooting at Marjory Stoneman Douglas High School in Parkland, Fla., which left 17 people dead and kicked off a vocal gun control movement led by students who survived.
The Washington Post:
At Parkland Anniversary, Congress Moves To Act On Gun Control Amid Partisan Debate
The House Judiciary Committee passed a measure Wednesday that would require background checks for all gun sales and most gun transfers within the United States, the most significant gun-control legislation to advance this far in Congress in years. The committee spent more than nine hours debating the bill before voting 21 to 14 to advance it Wednesday night. Next, it will face a vote on the House floor. The measure was among the first actions taken by the newly elected Democratic majority, which pledged to make gun control a top issue. The bill also has the support of at least five Republicans, a rare feat given the issue often has cleaved along party lines. (Zezima, 2/13)
Politico:
House Democrats Make First Major Move To Tighten Gun Laws
The Judiciary Committee approved two bills that would expand federal background checks for firearm purchases. The legislation, which now heads to the House floor but stands virtually no chance in the Senate, makes good on Democrats’ promises to move swiftly to combat gun violence since taking control of the chamber this year. “There is a clear consensus among academics, public health experts and law enforcement personnel that universal background checks would greatly enhance public safety,” said Judiciary Chairman Jerry Nadler (D-N.Y.). “Despite the obvious need to take action, however, Congress, for too long has done virtually nothing.” (Stratford, 2/13)
Tampa Bay Times and Associated Press:
Here Is Every New Gun Law In The U.S. Since The Parkland Shooting
Legislatures around the country have passed dozens of bills to address gun violence in the year since the 17 people died in a mass shooting at Marjory Stoneman Douglas High School in Parkland, Fla. Many of the new laws already in effect added restrictions on owning a firearm. (Cotorno, 2/13)
The New York Times:
Parkland Shooting: Where Gun Control And School Safety Stand Today
On Feb. 14, 2018, a former student slaughtered 17 people at Marjory Stoneman Douglas High School in Parkland, Fla. The next day, David Hogg, a student who survived the attack, expressed his frustration at the pattern of political inaction that seems to follow mass shootings in the United States. He was not surprised that there had been another school shooting, he said, and that fact alone “says so much about the current state that our country is in, and how much has to be done.” “We need to do something,” he said. In the course of the next year, students would change the way the nation handles mass shootings, spurring new gun legislation and school safety measures, and holding to account the adults they felt had failed them. (Kramer and Harlan, 2/13)
NPR:
How Schools Are Working To Stop Gun Violence And Save Kids
Psychologist John Van Dreal has spent almost 30 years working with troubled kids. Still, it's always unsettling to get the kind of phone call he received one morning eight years ago as he was on his way to a meeting. "I got a call from the assistant principal at North [Salem] High, reporting that a student had made some threats on the Internet," remembers Van Dreal, the director of safety and risk management for Salem-Keizer Public Schools in Salem, Ore. (Chatterjee and Davis, 2/13)
Students, teachers, law enforcement, activists and parents talk about the year following the Parkland mass shooting -- how they've grieved, how they haven't, how they've learned to live with fear and panic attacks, how they remember those they've lost and how they search for closure. "We don't need (the anniversary) to remind us what happened. We live with it every day," said businessman Andrew Pollack, whose 18-year-old daughter Meadow died in the attack.
The New York Times:
Parkland: A Year After The School Shooting That Was Supposed To Change Everything
The name “Parkland” has become a shorthand for the tragedy that many hoped would mark the beginning of the end of school massacres. But ask the survivors of the shooting at Marjory Stoneman Douglas High School in more quiet moments about the awful year since last Feb. 14, and they tell you a different, more personal story. About innocence lost. Dreams undone. Grief delayed. (Mazzei, 2/13)
The Associated Press:
School Massacre 1 Year Later: A Time To Remember The Victims
The Marjory Stoneman Douglas High School massacre a year ago renewed the national debate on guns and school safety, turned some victims' parents and surviving students into political activists and at least temporarily ended the local sheriff's career. But Thursday's anniversary will primarily be about remembering the 14 students and three staff members who died in the third high-profile mass shooting in Florida since 2016. (Spencer, 2/14)
Politico:
A Year After Parkland, A Family Searches For Closure
For a few weeks after their daughter Carmen was murdered at Marjory Stoneman Douglas High School on February 14, 2018, a week shy of her 17th birthday, April and Phil Schentrup could barely leave the house. They didn’t go to the vigils; they didn’t watch the CNN town hall on U.S. gun policy; they couldn’t even go to work. “We were just trying to get through a normal day, trying to get out of bed,” April told me when I spoke to her over the phone in January. (Deutch, 2/13)
USA Today:
Parkland Year After Shooting: Grieving Mother Fights For School Safety
In the despair after the Parkland school shooting, a single devastating moment shook so many Americans – when grieving mom Lori Alhadeff took a reporter’s microphone, looked at the camera and shared her pain with the world. “The gunman, a crazy person, just walks into the school, knocks down the window of my child’s door and starts shooting, shooting her and killing her,” Alhadeff said, her outrage growing with each word. (Adely, 2/13)
The Wall Street Journal:
A Year After Parkland Shooting, Communities Reflect
Events on Thursday, including art displays, tree plantings and candlelight vigils, will honor those who died. In Broward County, schools plan to observe a moment of silence at 10:17 a.m., the 17 representing the victims who were killed and the additional 17 people wounded. Some cities in the area plan the moment of silence at 2:21 p.m., the time the gunman first fired bullets in the rampage. Members of March For Our Lives, the student-led group that organized demonstrations after the shooting, said they planned to go dark—online and offline—for four days starting Thursday. “Like many in the Parkland community, March For Our Lives will be spending time with friends and family, remembering those we lost,” the group said in a statement. (Campo-Flores, 2/14)
The Washington Post:
The Parkland School Shooting Is Bringing New Surveillance Tech To Marjory Stoneman Douglas High School. But Will It Work?
Kimberly Krawczyk says she would do anything to keep her students safe. A year ago Thursday, the Parkland, Fla., high school math teacher barricaded students behind her classroom door during one of the deadliest mass shootings in U.S. history. But one of the unconventional responses that Broward County Public Schools said could stop another tragedy has left her deeply unnerved: an experimental artificial-intelligence system that would surveil her students closer than ever before. (Harwell, 2/13)
The Associated Press:
Parkland Massacre Reshapes K-12 In Florida
Some students have difficulty trusting classmates outside their circle. Parents say interactions with school staff are more impersonal. Teachers worry that added security detracts from learning. The Parkland massacre a year ago upended school life in Florida. In the year since a gunman fatally shot 14 students and three school staffers, the state's districts have reshaped the K-12 experience, adopting new rules for entering campus, hiring more police and holding frequent safety drills. Some schools trained teams of armed employees to confront attackers. (Gomez Licon, 2/14)
Democrats Push More Moderate, Politically Palatable Plan That Would Allow Medicare Buy-In At Age 50
The Democratic lawmakers say their plan moves in the direction of universal coverage in a more realistic way than progressive-favored "Medicare for All" proposals would. "This is a piece of legislation where you could turn the switch on overnight,” said Rep. Joe Courtney (D-Conn.). The sponsors said the plan will pay for itself with premiums from the new enrollees.
Politico:
Push For Medicare Buy-In Picks Up With '50 And Over' Bill
House and Senate Democrats unveiled a plan Wednesday that would allow anyone over age 50 to buy into Medicare — an incremental step to expand health coverage beyond Obamacare's gains that offers an alternative to the ambitious restructuring progressives envision in their push for Medicare for All. "I have always supported universal health care but we are not there yet," said Tammy Baldwin (D-Wis.), one of the co-sponsors. "Medicare at 50 is a very bold step in the right direction." (Ollstein, 2/13)
The Hill:
Dems Offer Smaller Step Toward ‘Medicare For All'
“This is something that is not pie in the sky or aspirational,” said Rep. Joe Courtney (D-Conn.), a co-sponsor of the buy-in bill. “This is a piece of legislation where you could turn the switch on overnight.” The measure was introduced by Sens. Sherrod Brown (D-Ohio), Debbie Stabenow (D-Mich.) and Tammy Baldwin (Wis.) and Reps. Courtney, Brian Higgins (D-N.Y.) and John Larson (D-Conn.). Meanwhile, progressive House Democrats are preparing their Medicare for all bill, which would largely eliminate the private insurance industry and move everyone into a single-payer, government-run system. (Hellmann, 2/13)
Detroit Free Press:
Stabenow Wants Medicare Coverage For People 50 And Over
[Sen. Debbie] Stabenow, called it "an effort that could both be implemented right away … and has a lot of support and enthusiasm in the country." Stabenow has pushed similar legislation in the past but it hasn't gone anywhere. It still faces long odds in the Senate, which is controlled by a Republican majority, but a companion bill in the House has better odds this time around." (Spangler, 2/13)
CQ:
Democrats Seek Medicare Expansion As Liberals Push Big Overhaul
Democrats behind the Medicare buy-in proposal don’t believe there is a tension between their approach and the push for a single-payer system. But they say their proposal is an alternative that is both workable and necessary, and wouldn’t require the same kind of drastic changes required for a broader overhaul. (Siddons and McINire, 2/13)
Detroit Free Press:
What Medicare For All Might Look Like If It Happened
The concept of expanding Medicare coverage to not only seniors and disabled people but just about everyone, has recently shot up in popularity among Democrats and party activists at the national level. Among proponents of so-called Medicare for All, there are varying ideas for how such a government-paid and government-administered health insurance system would work and how exactly it would affect patients, doctors, hospitals and insurance companies. (Reindl, 2/14)
The short-term plans offer far less coverage than ones regulated under the Affordable Care Act. Although they have been subject to political bickering in the past, some Energy and Commerce Committee Republicans hinted that they might support consumer advisories for the coverage. The GOP lawmakers were less receptive to the other legislation aimed at shoring up the health law that was offered at the meeting--including a rule requiring the plans to disclose that they may not cover pre-existing conditions.
Modern Healthcare:
Short-Term Health Insurance Plans May Get Consumer Warnings
Democrats and Republicans on the House Energy and Commerce Committee on Wednesday signaled they could band together to slap clear consumer warnings on short-term limited-duration health plans. The bill by Health Subcommittee Chair Anna Eshoo (D-Calif.) aims to temper the Trump administration's move to let people keep short-term plans for up to three years. These plans offer limited benefits and the insurers can deny claims they deem as a symptom of a pre-existing condition. (Luthi, 2/13)
CQ:
House Democrats Consider Bills To Reverse Trump Health Efforts
The Energy and Commerce Health Subcommittee on Wednesday offered a first glance at the type of legislation House Democrats will prioritize in their effort to shore up the 2010 health care law. The legislation would target a trio of Trump administration actions that Democrats say weaken the health law and may run counter to the statute. Those include Trump's expansion of short-term insurance plans; a guidance for states seeking to change their insurance markets; and budget cuts for outreach and enrollment programs. (McIntire, 2/13)
The Baltimore Sun:
State Lawmakers Consider Using A Penalty To Coax More Marylanders Into Buying Health Insurance
A coalition of state lawmakers and health organizations gathered in Annapolis Wednesday to rally support for a bill that would require Maryland residents to have health insurance or face a fine — money that could then be used to help them and others afford coverage on the state’s exchange. The proposed legislation, which is supported by groups representing the state’s doctors and hospitals, is being considered by the General Assembly as the federal government has stopped enforcing the Affordable Care Act’s requirement to have insurance, known as the individual mandate. (Wood, 2/13)
During a dinner at the White House before the National Prayer Breakfast, President Donald Trump reportedly laced into devout-Christian Sen. Chris Coons (D-Del.). People who witnessed the confrontation said it was "awkward" and aggressive. The intensity of the exchange underscores how much the president sees abortion as a winning issue with his much-needed evangelical base. News on abortion comes out of Arkansas, Mississippi and Kansas, as well.
The Hill:
Trump Got In Dem’s Face Over Abortion At Private Meeting: Report
President Trump reportedly fumed at Sen. Chris Coons (D-Del.) last week at a private event before the National Prayer Breakfast, tearing into him over bills in New York and Virginia to extend abortion rights. Politico, citing three sources, reported that Trump "leaned in close" to Coons during the exchange. ... A White House official told Politico that the exchange shows how Trump “genuinely views abortion … and isn’t afraid to make the Democrats defend their extreme positions.” The official did not witness the interaction, and the White House declined to comment further, according to Politico. (Burke, 2/13)
Politico:
'He Was In His Face': Trump Fumes Over Abortion, Courts Evangelicals
The private episode underscored Trump’s recent public focus on abortion, which has delighted his evangelical Christian supporters. During his State of the Union address last Tuesday, Trump used vivid imagery to claim that New York’s new abortion law would “allow a baby to be ripped from the mother’s womb moments before birth.” And he accused Virginia Gov. Ralph Northam, who’s backed similar legislation in his state, of wanting to allow medical providers to “execute” babies after birth. Abortion is a somewhat unlikely new cause for a president who years ago called himself “very pro-choice” and did not make the issue a central theme of his 2016 campaign. But people close to Trump say that he has developed an increasingly sincere passion for the cause. (Orr, 2/13)
The Associated Press:
Arkansas Lawmaker's Plan Tightens Abortion Ban To 18 Weeks
A Republican lawmaker in Arkansas, which has some of the strictest abortion prohibitions in the country, wants the state to go even further with a measure that would prohibit the procedure 18 weeks into a pregnancy. The proposed 18-week ban filed this week would further prohibit abortions in a state where the procedure is already banned at 20 weeks. The latest measure includes an exception for medical emergencies, but not for rape or incest. (DeMillo, 2/13)
The Associated Press:
Mississippi Advances Ban On Abortion After Fetal Heartbeat
Mississippi is working toward enacting one of the strictest abortion laws in the nation, in a race with other states to push a legal challenge to the more conservative U.S. Supreme Court. The Republican-controlled Mississippi House and Senate passed separate bills Wednesday to ban most abortions once a fetal heartbeat is detected, about six weeks into pregnancy. Efforts to pass similar bills are underway in Florida, Kentucky, Ohio, South Carolina and Tennessee. (Wagster Pettus, 2/13)
Kansas City Star:
Kansas Lawmakers Introduce ‘Abortion Reversal’ Bill
A bill introduced in the Kansas House this week would require abortion providers to inform patients that the effects of the abortion pill can be reversed, but pro-choice advocates and medical organizations say it’s not proven science. Medical, or non-surgical, abortions actually involve a sequence of two pills, the first being Mifepristone, better-known as RU-486. (Korte, 2/13)
Following a Frontline and Wall Street Journal investigation, HHS is now investigating why the Indian Health Services allowed a pediatrician to continue working for the federal agency for 21 years after officials concluded he was molesting Native American boys. People familiar with the doctor's situation say information about the allegations against him at one IHS hospital were never recorded in his credentialing file at the second facility where he worked.
The Wall Street Journal:
HHS To Review Indian Health Service After Revelations On Pedophile Doctor
Health and Human Services Secretary Alex Azar called for a review of the Indian Health Service following an investigation that revealed the agency’s mishandling of a pedophile doctor. The investigation, by The Wall Street Journal and the PBS series Frontline, detailed the career of Stanley Patrick Weber, a pediatrician who in 2018 was convicted of sexually assaulting Native American boys. The IHS transferred him from one agency-run hospital to another after officials concluded he was molesting children in 1995, and he continued working for the federal agency for 21 years. (Weaver and Frosch, 2/13)
Frontline:
Watch: Predator On The Reservation
Frontline and The Wall Street Journal investigate the decades-long failure to stop a government doctor accused of sexually abusing Native American boys for years, and examine how he moved from reservation to reservation despite warnings. (2/12)
In other news from the administration, EPA plans to announce limits on toxic chemicals —
Reuters:
EPA To Limit Manmade Chemicals In Drinking Water
The U.S. Environmental Protection Agency will announce on Thursdays limits on how much toxic chemicals from cookware and carpeting are allowed in drinking water. The agency will announce a plan to control a group of chemicals known as PFAS that are linked to cancer, liver and thyroid damage, and other health and fetal effects. The substances, which include PFOA and PFOS, are found in non-stick cookware, stain-resistant carpeting and other manmade materials. (2/13)
The Associated Press:
EPA Sets Toxins Response Plan Amid Criticism From Lawmakers
So-called forever chemicals, perfluoroalkyl and polyfluoroalkyl compounds, or PFAS, pose “a very important threat,” acting EPA Administrator Andrew Wheeler said in an interview with ABC News Live ahead of a scheduled briefing Thursday in Philadelphia. Wheeler said the agency was moving forward with the process under the Safe Drinking Water Act that could lead to new safety thresholds for the presence of the chemicals in water, but he did not commit in the interview to setting standards. (Knickmeyer and Flesher, 2/14)
With New Records Regulation, CMS Wants To Empower Patients To Control Their Health Care
At the HIMSS19 conference in Florida, CMS officials talked up two newly proposed rules intended to push the industry to make use of application programming interfaces to speed up how patients can access information on their mobile devices.
Modern Healthcare:
CMS, ONC Officials Hit HIMSS To Tout Interoperability Rules
A day after releasing two significant proposed regulations, leaders from the CMS and the Office of the National Coordinator for Health Information Technology spread out across HIMSS19 in Orlando to talk up what they say will finally put patients in the driver's seat. ...Through the two proposed rules—724 pages from ONC and 250 from the CMS—regulators intend to push the industry to make use of application programming interfaces to speed up how patients can access information on their mobile devices. (Weinstock, 2/12)
Modern Healthcare:
CMS Innovation Center May Ramp Up Data Exchange Plans
The CMS may use its innovation center to push early adoption of newly proposed transparency and data-blocking rules. While there are many ways to encourage transparency, HHS Deputy Administrator Adam Boehler said the center's models could "drive that sooner" with their advanced models. ...In his dual roles—heading CMMI and deputy administrator—Boehler has a comprehensive view of how the department can take on the cost problem. He noted that HHS has been studying kidney care, which could be addressed in CMMI or by looking at how the Health Resources and Services Administration impacts organ transplant. (Weinstock, 2/13)
And in Maryland —
Politico Pro:
CMS Set To Roll Back Nursing Home Arbitration Ban
A looming CMS final rule is expected to make clear that long-term care facilities can require residents or their families to agree — before a dispute arises — to settle complaints through arbitration rather than litigation. The rule, which late last month arrived at the White House budget office for review, could mark the end of a lengthy fight over legal protections for some of the most vulnerable patients in the health care system. (Roubein, 2/13)
Sen. Jim Inhofe (R-Okla.) pledged to make military housing reform the subject of further Senate hearings and said Congress must halt the problems. The problem came to light when Reuters reported that the living conditions for families on military bases were often slum-like and unsafe.
Reuters:
Senators Vow Urgent Reform To Correct 'Unacceptable' Military Housing Conditions
U.S. Senators scolded real estate executives and Pentagon leadership over "unacceptable" conditions in privatized military housing on Wednesday, vowing urgent reform to protect service families from widespread health and safety hazards in base homes. At Senate Armed Services Committee hearings in response to Reuters reports describing U.S. military families facing squalid living conditions, lawmakers proposed fixes to hold private landlords and military branches accountable for hazards including peeling lead paint, mold and vermin infestations. (2/13)
Reuters:
Military Survey Finds Deep Dissatisfaction With Family Housing On U.S. Bases
A new survey of military families living on U.S. bases found most are dissatisfied with their housing, often citing serious health and safety hazards – results that counter years of Pentagon reports claiming soaring satisfaction rates among military housing tenants. The survey results, collected from nearly 15,000 families currently or recently living in privatized military housing, were released hours before Senate hearings called to probe living conditions on U.S. bases. (Pell and Schneyer, 2/13)
A tour for journalists inside the facility that serves as a emergency intake shelter for migrant children includes stops by a soccer field, the phone-home room, the medical clinic and the school classrooms, as well as descriptions of holiday parties and talent shows. Child welfare advocates, though, say that's not reality. "We see a very different picture than the reporters see," Leecia Welch, senior director of legal advocacy and child welfare at the National Center for Youth Law, told NPR.
NPR:
Migrant Children: Inside The Homestead, Fla. Shelter Facility
Thousands of migrant children continue to arrive at the Southern border every month, without their parents, to ask for asylum. The government sends many of them to an emergency intake shelter in South Florida. That facility has come under intense scrutiny because it's the only child shelter for immigrants that's run by a for-profit corporation and the only one that isn't overseen by state regulators. The Homestead "temporary influx facility" is the biggest and most controversial shelter for migrant children in the country. Critics say the government is warehousing kids in a makeshift prison camp. But on a recent tour, the shelter director took pains to show a different perspective. (Burnett, 2/13)
The Associated Press:
Teen Migrant Detention Facility Allows A Glimpse Inside Gate
Journalists were given a glimpse Wednesday of a newly expanded south-Florida detention facility where nearly 150 teenage migrants sleep in rows of bunk beds in a large windowless room and use portable toilets housed in adjacent tents. The sleeping area in a converted Job Corps building in Homestead, Florida, is just part of the growing detention center operated by a private company for the U.S. Department of Health and Human Services. (Gomez Licon, 2/13)
With Purchase Of Technology Firm, J&J Continues Push Into Surgical Robotics Field
Johnson & Johnson is buying a company that created a medical device that can help physicians access nodules in patients’ lungs to diagnose and target treatments. Large medical-device makers have recently been pushing into the robotics market, partly because the equipment can command high price tags. In other health industry news: hospital sales, bankruptcy, and lawsuits.
The Wall Street Journal:
Johnson & Johnson To Buy Surgical Robotics Maker
Johnson & Johnson ’s Ethicon unit has reached a deal to buy medical technology firm Auris Health Inc. for about $3.4 billion in cash, expanding J&J’s push into the use of robotic technology for medical procedures and surgery. J&J said Wednesday that Auris’s technology will help it develop a digital solution addressing different parts of patients’ lung-cancer treatment. If certain milestones are reached, Auris could also receive as much as $2.35 billion more in the deal. (Prang and Loftus, 2/13)
Bloomberg:
Case Of Mistaken Identity Sends Auris Medical Shares Soaring 30%
Auris Medical Holding AG got a surprise boost to its stock price Wednesday as investors mistakenly bought shares of the drug developer after Johnson & Johnson agreed to buy a similarly named robotics company for $3.4 billion. Auris Medical rose 9.4 percent at 10:40 a.m. in New York after earlier rising as much as 30 percent. The last time the stock rose more than that was Jan. 23, when Bloomberg News first said that J&J was pursuing an acquisition of closely held Auris Health Inc. (Flanagan, 2/13)
The Wall Street Journal:
U.S. Hospital Owner Columbia Pacific Starts Sale Of Asia Business
Columbia Pacific Management Inc. is trying to sell a collection of hospitals in Asia for close to $2 billion, according to people familiar with the matter. The Seattle-based owner of hospitals and health-care facilities in the U.S. and around the world recently started a formal sale process for its Columbia Asia business, the people said. The first round of bids is due by the end of March, they added. Morgan Stanley is advising Columbia Pacific. (Venkat, 2/14)
Bloomberg:
Imerys Talc Units File Bankruptcy As Cancer-Suit Risk Soars
Imerys Talc America Inc., which supplies talc for products including Johnson & Johnson’s baby powder, filed for bankruptcy protection in an effort to end nearly a decade’s worth of lawsuits claiming its product causes cancer. The unit of Paris-based Imerys SA and two other subsidiaries filed for Chapter 11 protection in Delaware Wednesday, citing the more than 14,000 claims the company faces in U.S. courts. Most have been brought by women alleging Imerys’s talc caused their ovarian cancer. Others say they have mesothelioma, brought on by asbestos in the talc. (Feeley, Fisk and Church, 2/13)
Bloomberg:
Roundup Attacks Gut Bacteria In People, Pets: Lawsuit
Monsanto Co. has been sued by thousands of farmers and others who blame their cancers on its massively popular Roundup weedkiller. Now Germany’s Bayer AG, which bought the agriculture giant last year, faces a claim that it deceived home gardeners about Roundup’s impact on their gut bacteria and their health. The lawsuit, filed Wednesday in federal court in Kansas City, Missouri, claims that labels on products such as Roundup’s Weed & Grass Killer falsely assured consumers that they target an enzyme not found “in people or pets.” (Mulvany and Shanker, 2/13)
Opioid Lawsuit That's Flying Under The Radar May Actually Upstage Sweeping Case In Ohio
Oklahoma decided against joining the massive consolidated opioid lawsuit against drugmakers that's caught most of the country's attention. But Oklahoma’s case is slated to be the first to go to trial, and could set the stage for many of the arguments that will be made in the larger case. In other news on the epidemic: 'Mexican Oxy' pills, the dangers of synthetic opioids, and the Insys court case.
Stateline:
Pay Attention To This Little-Noticed Opioid Lawsuit In Oklahoma
At a minimum, the Oklahoma trial would for the first time give the press and the American public full access to evidence and arguments aimed at showing that drug companies flooded local markets with opioid painkillers for more than a decade while knowing that the pills were highly addictive. In the case, which was filed in 2017, attorneys representing Oklahoma will present evidence and expert testimony to support the state’s claim that OxyContin, Vicodin, Percocet and other prescription pain medicines that drugmakers falsely claimed were safe led to the deaths of thousands of Oklahomans. (Vestal, 2/14)
The Washington Post:
Fentanyl Deaths From ‘Mexican Oxy’ Pills Hit Arizona Hard
Aaron Francisco Chavez swallowed at least one of the sky blue pills at a Halloween party before falling asleep forever. He became yet another victim killed by a flood of illicit fentanyl smuggled from Mexico into the Southwest — a profitable new business for drug gangs that has pushed the synthetic opioid to the top spot for fatal U.S. overdoses. Three others at the party in Tucson also took the pills nicknamed “Mexican oxy” and police flagged down by partygoers saved them by administering naloxone overdose reversal medication. But the treatment came too late for Chavez, who died at age 19. (Snow, 2/14)
MPR:
Study: Rising Concern That Synthetic Opioids Contaminate Other Drugs, Too
While the state and nation are seeing fewer deaths tied to heroin overdoses, synthetic opioids like fentanyl are contributing to more deaths, and there are concerns they're appearing in other non-opioid drug supplies. An analysis released Tuesday by the University of Minnesota has found that overdose deaths that involve heroin may be leveling out in the country, although states are seeing an increase in overdose deaths involving drugs like cocaine and methamphetamine. (Collins, 2/13)
CBS News:
Insys Executives Used Rap Video To Push Sales Of Potentially Lethal Opioid
Federal prosecutors alleged in court on Wednesday that a company at the center of a criminal investigation stemming from the nation's opioid epidemic used a music video to motivate employees to push sales of a highly addictive fentanyl spray. Former executives and managers of Insys Therapeutics are accused of bribing doctors to prescribe the drug. Those former Insys executives and managers are charged with conspiring with one another to use bribes and kickbacks for doctors who wrote large numbers of prescriptions. The video shown in court Wednesday is just one piece of mounting evidence in the case. (2/13)
Boston Globe:
In Rap Video, Insys Opioid Salesmen Boasted Of Their Prowess
Two young Insys Therapeutics salesmen wearing sunglasses and hoodies danced next to a giant spray bottle depicting the drug firm’s opioid product, in a thumping rap video made to prod sales representatives to get more doctors to prescribe the addictive painkiller. “Insys Therapeutics, that is our name,” the associates sang. “We’re raising the bar and we’re changing the game. To be great it takes a decision, to be better than the competition.” (Saltzman, 2/13)
Bloomberg:
How The Worst Launch In Pharma History Spurred Opioid Surge
Insys Therapeutics Inc. founder John Kapoor was so determined to get back the millions he spent launching the company that he led Insys on a disastrous path of pushing its addictive opioid drug on patients who didn’t need them, his former chief executive officer testified. The way Kapoor ignored his subordinates, “you really don’t want to push back because once he makes up his mind, the decision is done,” Michael Babich told a Boston jury at Kapoor’s racketeering trial on Tuesday. His demands contributed to a shift in marketing strategy after the company’s fumbled launch of its Subsys painkiller in March 2012, Babich said. (Lawrence and Feeley, 2/13)
Adam Boehler, head of Medicare and Medicaid’s innovation institute, said significant financial awards will be given to the top submissions, but he declined to say how much money is being devoted to the program. In other news, Dr. Eric Topol says he's not impressed with what AI has done to progress health care.
Stat:
U.S. Launching Program To Spur Investment In AI For Health Care
A top U.S. health official said Wednesday that the government will launch an “artificial intelligence health outcomes challenge” to spur private investment in the technology and help rethink the delivery of medical care. Adam Boehler, head of Medicare and Medicaid’s innovation institute, said the goal of the initiative is to drive broader uptake of AI to help root out wasteful care, improve quality, and cut costs. (Ross, 2/13)
Stat:
He Hunted For Gold-Standard Research On AI In Medicine — And Didn't Find Much
By now everyone’s heard about the potential of artificial intelligence in medicine to revolutionize things like interpreting medical data and predicting patient outcomes. And everyone’s probably heard plenty, too, about how much hype is out there about what these algorithms can actually do. But what does the evidence say? Dr. Eric Topol, a cardiologist and geneticist at the Scripps Research Institute in San Diego, recently published a review article in the journal Nature Medicine in which he sifted through the research available on AI in medicine. He wasn’t impressed. (Robbins, Feuerstein and Garde, 2/14)
"One common idea would be that they're all absolutely looney-tunes, crazy people wearing tinfoil hats and reading all these conspiracy theories on crazy blogs on the Internet," said medical anthropologist Elisa Sobo. "And that is absolutely not the case." Sobo talks about what she learned from interviewing families at a school with low vaccination rates in California. In related news, what Facebook is doing to cut down on vaccine conspiracies and a look at vaccinations abroad.
NPR:
Vaccine Hesitancy Tied To Community Norms
Distrust of vaccines may be almost as contagious as measles, according to medical anthropologist Elisa Sobo. More than 100 people have been infected with measles this year, according to the Centers for Disease Control. Over 50 of those cases have occurred in southwest Washington state and northwest Oregon in an outbreak that led Washington Gov. Jay Inslee to declare a state of emergency on Jan. 25. Some public health officials blame the surge of cases on low vaccination rates for this highly infectious disease. (Gordon, 2/13)
The Washington Post:
Anti-Vaxxers Are Spreading Conspiracy Theories On Facebook, And The Company Is Struggling To Stop Them
As a disturbing number of measles outbreaks crop up across the United States, Facebook is facing challenges combating widespread misinformation about vaccinations on its platform, which has become a haven for the anti-vaccination movement. The World Health Organization recently named “vaccine hesitancy” as one of the biggest global health threats of 2019. But on Facebook, in public pages and private groups with tens of thousands of members, false information about vaccines — largely stemming from a debunked 1998 study that tied immunizations to autism — is rampant and tough to pin down. In the bubble of closed groups, users warn about alleged dangers of vaccinations, citing pseudoscience and conspiracy theories. (Telford, 2/13)
The Washington Post:
Measles Outbreak: As Americans Reject Vaccines, Health Workers Abroad Risk Death To Deliver Them
In early October, three cases of measles were confirmed in Antanarivo, the capital of Madagascar. The highly contagious virus quickly spread across the island nation; by the next month, thousands of cases had been confirmed. The crisis only grew from there. Madagascar has poor health-care infrastructure and a low vaccination rate. But public health experts say its dangerous measles outbreak still offers a warning for anti-vaccination campaigners in the United States, where a smaller-scale flare-up has led to more than 100 confirmed cases since the beginning of the year. (O'Grady, 2/13)
The Science Of Science: Smaller Is Better When It Comes To Building Innovative Teams
A study published in Nature mines large databases and reports that while big teams help drive progress, they are best suited for confirming novel findings, rather than generating them. Public health news also looks at beneficial insects; a failed uterus transplant; chronic inflammation's toll on memory; income predictors at age 6; and aging-in-place pitfalls.
The New York Times:
Can Big Science Be Too Big?
Modern science is largely a team sport, and over the past few decades the makeup of those teams has shifted, from small groups of collaborators to ever larger consortiums, with rosters far longer than that of the New England Patriots. Answering big questions often requires scientists and institutions to pool resources and data, whether the research involves detecting gravitational waves in deep space, or sorting out the genetics of brain development. But that shift has prompted scientists to examine the relative merits of small groups versus large ones. Is supersizing research projects the most efficient way to advance knowledge? What is gained and what, if anything, is lost? (Carey, 2/13)
NPR:
To Fight Antibiotic Resistance, Scientists Look To Microbes In Insects
Nobody likes a cockroach in their house. But before you smash the unwelcome intruder, consider this: that six-legged critter might one day save your life. That's right. Insects—long known to spread diseases—could potentially help cure them. Or rather, the microbes living inside them could. Scientists have discovered dozens of microorganisms living in or on insects that produce antimicrobial compounds, some of which may hold the key to developing new antibiotic drugs. (Chisholm, 2/13)
The Washington Post:
Why Did The First U.S. Uterine Transplant Fail?
On March 7, 2016, doctors at the Cleveland Clinic introduced the nation to Lindsey McFarland, the first person to undergo a successful uterus transplant in the United States. Within hours, however, McFarland was back in surgery: A life-threatening infection forced the organ’s removal, crushing hope she might one day give birth. McFarland later learned the culprit was Candida albicans, a fungus common in women’s reproductive tracts. In her, it flared into a raging infection that damaged at least two of her arteries, including one that supplied blood to the newly implanted uterus. (Bernstein, 2/13)
The New York Times:
Inflammation In Midlife May Lead To Memory Problems
Chronic inflammation in middle age may lead to memory and thinking problems later in life. Unlike acute inflammation, which arises in response to injury, chronic inflammation persists over months or years. Autoimmune disease, lingering infection, exposure to polluted air, psychological stress and other conditions can all promote chronic inflammation. (Bakalar, 2/13)
The New York Times:
Behavior At Age 6 May Predict Adult Income
A kindergarten boy’s behavior could predict his income as an adult, a new study has found. Kindergarten teachers in the poorest neighborhoods of Montreal rated 920 6-year-old boys using scales measuring inattention, hyperactivity, defiant behavior, aggression and prosociality (the tendency to help someone being hurt, stop quarrels or invite a bystander into a game). Researchers then gathered information on earnings from tax returns at ages 35 to 36. The study is in JAMA Pediatrics. (Bakalar, 2/13)
Kaiser Health News:
Seniors Aging In Place Turn To Devices And Helpers, But Unmet Needs Are Common
About 25 million Americans who are aging in place rely on help from other people and devices such as canes, raised toilets or shower seats to perform essential daily activities, according to a new study documenting how older adults adapt to their changing physical abilities. But a substantial number don’t get adequate assistance. Nearly 60 percent of seniors with seriously compromised mobility reported staying inside their homes or apartments instead of getting out of the house. (Graham, 2/14)
Media outlets report on news from Iowa, New Mexico, Ohio, California, Maryland, Massachusetts, Rhode Island, Texas, Georgia, Florida, Colorado, Connecticut, Washington, Minnesota, Wisconsin and Missouri.
The Associated Press:
Jury Sides With Transgender Employee In ‘Historic’ Iowa Case
A jury ruled Wednesday that an Iowa prison warden discriminated against a transgender employee by denying him the use of men’s restrooms and locker rooms in a verdict that advocates call “historic.” Jurors also found that the state executive branch discriminated against Jesse Vroegh by offering medical benefits that would not cover his gender reassignment surgery. After making those findings, the eight-member jury awarded $120,000 in damages for emotional distress to Vroegh, 37, a former nurse at the Iowa Correctional Institution for Women in Mitchellville. (Foley, 2/13)
Des Moines Register:
Transgender Prison Nurse Wins Suit Against State Of Iowa
Gender identity — or the gender a person identifies as, no matter what sex organs he or she was born with — has been included in the Iowa Civil Rights Act since 2007, meaning transgender Iowans have legal protections against discrimination in education, employment, housing and public accommodations. (Crowder, 2/13)
The Wall Street Journal:
New York City Council Members Want To Dial Down Sirens
The piercing wail of an ambulance, the one that disturbs sleep and triggers dogs to howl, should be replaced with the more European, two-tone sound, according to New York City council members who are expected this week to introduce legislation that would mandate a citywide siren change. (West, 2/13)
The Associated Press:
New Mexico Reverses Course On Medicaid Charges For Patients
New Mexico reversed course Wednesday on its plans to charge some patients covered by Medicaid a monthly insurance premium of $10 and co-payments of $8 on certain brand-name drugs and visits to the emergency room for routine medical care. Democratic Gov. Michelle Lujan Grisham announced in a new release that the state will seek federal approval to reverse cost-sharing and enrollment provisions instituted by her Republican predecessor that were designed to conserve state spending on Medicaid. (Lee, 2/13)
Cleveland Plain Dealer:
Summa Health Among Top Five Percent Of U.S. Hospitals, According To Healthgrades Health Care Rating Service
Akron’s Summa Health System announced this week it achieved the Healthgrades 2019 America’s 250 Best Hospitals Award. The distinction places Summa Health’s clinical performance in the top five percent of more than 4,500 hospitals assessed nationwide as measured by Healthgrades, a Denver-based online resource for information about physicians and hospitals. (Goist, 2/13)
California Healthline:
Can California Beat The Federal Government In Lowering Drug Prices?
California Gov. Gavin Newsom says he’s done waiting for the federal government to curtail the rising cost of prescription drugs. Newsom has his own plan to ease that financial burden — one he hopes other states can join or replicate. The Democratic governor said he intends to use California’s might as the world’s fifth-largest economy to demand lower prices directly from drug companies for millions of Medicaid enrollees, state government workers and, eventually, Californians in the private sector. (Young, 2/14)
The Baltimore Sun:
Hospital Accreditation Agency Seeks Review Of Shooting Outside University Of Maryland Medical Center
The agency that accredits the nation’s hospitals has asked the University of Maryland Medical Center for a review of the Feb. 4 shooting of an employee in the affiliated School of Medicine just outside the hospital. The 24-year-old victim was near an ambulance bay off Redwood Street when he was shot in the face and buttocks by a man police say he knew. He was taken into the medical center’s Shock Trauma Center in critical condition, roiling both the university and hospital staffs as well as the larger Baltimore medical community. (Cohn, 2/14)
Boston Globe:
Mass. Won’t Conduct Rigorous Review Of Partners’ R.I. Proposal
Officials at Massachusetts’ health care watchdog agency Wednesday indicated that they will not conduct a rigorous review of Partners HealthCare’s latest proposed acquisition, saying the deal would have little effect on residents in the state.Partners, Massachusetts’s largest network of doctors and hospitals, is seeking a takeover of Care New England Health System of Providence. The Massachusetts Health Policy Commission has studied — and has criticized — Partners’ past expansion plans. But this transaction is different because its greatest effects would be felt in Rhode Island. (Dayal McCluskey, 2/13)
Texas Tribune:
Texas Legislature Eyes State Jail Reform In 2019
In the run-up to the 2019 legislative session, the leaders of both the House and the Senate asked committees to study the state jail system, which holds around 21,500 inmates in 17 jails, according to the House Committee on Corrections. That led to a report from the House Committee on Criminal Jurisprudence that referred to the system as a “complete failure,” and lawmakers in both chambers listed bolstering local pretrial and probation initiatives as a top priority. (Marfin, 2/14)
Georgia Health News:
House Panel Backs Curbs On ‘Step Therapy’ Rules For Medications
The insurer drug protocols that the Atlanta family faced are known as “step therapy.’’ They require that a patient “try and fail” on one or more meds before insurers provide coverage for a drug that was originally prescribed. The House Insurance Committee on Wednesday passed legislation that would help patients obtain exceptions to these drug requirements. (Miller, 2/13)
Health News Florida:
Lawmakers Weigh ‘Advanced’ Birth Centers
Despite concerns about safety and potential effects of competition on hospitals, the Senate Health Policy Committee this week unanimously passed a measure (SB 448) by Chairwoman Gayle Harrell, R-Stuart, that would authorize “advanced birth centers” and allow them to offer certain women access to Caesarean deliveries and epidurals. The bill would allow the facilities to keep women for up to three days. (Rodriguez, 2/13)
Denver Post:
Colorado Childbirth Deaths Bill Seeks To Reduce Maternal Mortality Rates
House Bill 19-1122 would make several significant changes to Colorado’s Maternal Mortality Review Committee. The most important change, according to the bill’s sponsors, is giving committee members protection from being subpoenaed in malpractice lawsuits, which means they could get better, more honest answers and review deaths as they happen rather than waiting at least three years to investigate. (Staver, 2/13)
The CT Mirror:
Like Its Neighbor, CT Purdue Suit Targets Sacklers
Connecticut is taking a slightly different approach in its litigation against Purdue Pharma than Massachusetts, whose amended lawsuit against the Stamford-based company detailed scandalous allegations against its owners, saying they personally contributed to the nation’s opioid epidemic. But both states say they are after the same thing– they want to hold Purdue Pharma and the enormously wealthy Sackler family accountable for their role in a national epidemic. (Radelat, 2/13)
Seattle Times:
People With Disabilities Can Save For College, Life Expenses With New Washington State Savings Plan
Called the ABLE Savings Plan, it allows parents and adults to set aside money in a special account for a broad range of living and educational expenses without jeopardizing disability funding, such as Medicaid, Supplemental Security and other federal benefits. The account’s growth is tax-free, and the money is invested in the account-holder’s choice of a blend of stocks and bonds. Starting in June, the plan will charge a $35 annual maintenance fee. State legislation required that ABLE had to be self-supporting, and the money goes to the state and the company that runs the program, Sumday, for administrative costs. (Long, 2/13)
The Star Tribune:
UnitedHealth Group Names Former Mayo CEO Noseworthy To Board Of Directors
Dr. John Noseworthy, the Mayo Clinic chief executive who retired in December, has been named to the board of directors at UnitedHealth Group, the Minnetonka-based company that stands alongside Mayo as one of Minnesota’s most prominent health care organizations. UnitedHealth Group made the announcement Wednesday morning. In a statement, the board’s Executive Chairman Stephen Hemsley called Noseworthy “an exceptionally talented and compassionate physician.” (Snowbeck, 2/13)
Milwaukee Journal Sentinel:
Unreimbursed Special Ed Expenses Cost Schools $1 Billion Annually
Wisconsin school districts spend about $1 billion a year on special education costs not reimbursed by the state, forcing them to dip into general funds intended for all students, according to a new report by the Wisconsin Policy Forum. The low reimbursement rates, it said, place "a considerable burden on local districts," particularly those with high numbers of poor and minority students, where they exacerbate already existing inequities. (Johnson, 2/13)
Miami Herald:
Florida Psychotherapist Gets 3 Years For $3.1 Million Fraud
A Dania Beach licensed mental health counselor with memberships in multiple national professional organizations became a multilevel healthcare fraudster. And for keeping the fraud rolling at Margate’s Reflections Treatment Center, Tina Marie Barbuto was sentenced in federal court in West Palm Beach to three years in federal prison for attempt and conspiracy to commit mail fraud. (Neal, 2/13)
Sacramento Bee:
Camp Fire, Woolsey Fire Cleanups In California Underway
Thrown together as disaster-response teammates in the new era of wildfires, California and federal officials have not exactly gotten along. The state’s emergency services chief last summer accused the feds of “re-victimizing” wildfire survivors in Sonoma and Napa counties by allowing cleanup crews to damage property and over-scrape the remnants of homes destroyed in the blazes. (Bizjak, 2/13)
KCUR:
Months Before Medical Marijuana Is Available In Missouri, Clinic Opens Its Doors In Kansas City
Medical marijuana is not yet available for purchase in Missouri, but patients may be able to jump start the process and get it with the help of a newly opened clinic. The Green Clinic opened for business in a loft in the River Market in Kansas City on Wednesday afternoon, with two full-time doctors on staff to determine whether patients qualify to obtain medical marijuana. (Smith, 2/13)
Research Roundup: Spending On Elderly Patients; Suicide; And Race And Health Coverage
Each week, KHN compiles a selection of recently released health policy studies and briefs.
Health Affairs:
Explaining The Slowdown In Medical Spending Growth Among The Elderly, 1999–2012
We examined trends in per capita spending for Medicare beneficiaries ages sixty-five and older in the United States in the period 1999–2012 to determine why spending growth has been declining since around 2005. Decomposing spending by condition, we found that half of the spending slowdown was attributable to slower growth in spending for cardiovascular diseases. Spending growth also slowed for dementia, renal and genitourinary diseases, and aftercare for people with acute illnesses. Using estimates from the medical literature of the impact of pharmaceuticals on acute disease, we found that roughly half of the reduction in major cardiovascular events was attributable to medications controlling cardiovascular risk factors. Despite this substantial cost-saving improvement in cardiovascular health, additional opportunities remain to lower spending through disease prevention and control. (Cutler et al, 2/4)
Pediatrics:
Parent-Adolescent Agreement About Adolescents’ Suicidal Thoughts
Early identification and intervention hinge on reliable and valid assessment of suicide risk. The high prevalence of parental unawareness and adolescent denial of suicidal thoughts found in this study suggests that many adolescents at risk for suicide may go undetected. These findings have important clinical implications for pediatric settings, including the need for a multi-informant approach to suicide screening and a personalized approach to assessment based on empirically derived risk factors for unawareness and denial. (Jones et al, 2/1)
JAMA Psychiatry:
Effect Of Augmenting Standard Care For Military Personnel With Brief Caring Text Messages For Suicide Prevention: A Randomized Clinical Trial
Does a text message-based intervention (Caring Contacts) reduce suicidal thoughts and behaviors among active-duty military personnel? Findings: In this randomized clinical trial of 658 Soldiers and Marines, augmenting standard care with Caring Contacts did not reduce current suicidal ideation or suicide risk events at 12-month follow-up. However, Caring Contacts reduced the odds of having any suicidal ideation (80% vs 88%) and making a suicide attempt (9% vs 15%). (Comtois et al, 2/13)
The Henry J. Kaiser Family Foundation:
Changes In Health Coverage By Race And Ethnicity Since Implementation Of The ACA, 2013-2017
The Affordable Care Act (ACA) coverage expansions provided an opportunity to increase coverage and address longstanding racial and ethnic disparities in health coverage.1 This brief examines changes in health coverage by race and ethnicity between 2013 and 2017, providing insight into how coverage has changed since implementation of the ACA. It is based on Kaiser Family Foundation analysis of the nonelderly population using American Community Survey data. (Artiga, Orgera and Damico, 2/13)
JAMA Internal Medicine:
Assessment Of Racial/Ethnic And Income Disparities In The Prescription Of Opioids And Other Controlled Medications In California.
In prescription drug monitoring program data from 2011 through 2015, 44.2% of all adults in California in the regions with the lowest-income/highest proportion–white population received at least 1 opioid prescription annually compared with 16.1% in the regions with the highest-income/lowest proportion–white population and 23.6% across California. Opioid overdose deaths were concentrated in lower-income, mostly white regions, with a 10-fold difference in overdose rates across the race/ethnicity–income gradient. (Friedman et al, 2/11)
Health Affairs:
Qualifying Conditions Of Medical Cannabis License Holders In The United States
The evidence for cannabis’s treatment efficacy across different conditions varies widely, and comprehensive data on the conditions for which people use cannabis are lacking. We analyzed state registry data to provide nationwide estimates characterizing the qualifying conditions for which patients are licensed to use cannabis medically. We also compared the prevalence of medical cannabis qualifying conditions to recent evidence from the National Academies of Sciences, Engineering, and Medicine report on cannabis’s efficacy in treating each condition. Twenty states and the District of Columbia had available registry data on patient numbers, and fifteen states had data on patient-reported qualifying conditions. (Boehnke, 2/4)
JAMA Psychiatry:
Association Of Cannabis Use In Adolescence And Risk Of Depression, Anxiety, And Suicidality In Young Adulthood: A Systematic Review And Meta-Analysis
In this systematic review and meta-analysis of 11 studies and 23 317 individuals, adolescent cannabis consumption was associated with increased risk of developing depression and suicidal behavior later in life, even in the absence of a premorbid condition. There was no association with anxiety. (Gobbi et al, 2/13)
Opinion writers weigh in on gun violence on the anniversary of the Parkland Mass Shooting.
Sacramento Bee:
On Parkland Shooting Anniversary, Let’s Continue Push For Change
Mass shootings in affluent white communities dominate news cycles, but it’s the everyday gun violence that dominates the gun death rate — especially in marginalized communities. These include suicides by firearm, women shot by intimate partners and people killed in accidental discharges. Our #EnoughIsEnough and #NeverForget hashtags rarely apply to these forms of gun violence, but they should. (Austin Michael, 2/14)
Miami Herald:
Post-Parkland Shooting, Grief And Outrage Get Solid Results
Well, it’s been a year. ...But the ripple effect coming out of Parkland didn’t stop at Florida’s northern border. Rather it turned into a wave of action nationwide. According to the Giffords Law Center to Prevent Gun Violence, legislators, both Republican and Democrat, passed 67 new gun-control laws in 26 states and Washington, D.C. Several states, Florida included, passed red-flag, letting judges and other authorities temporarily remove guns from people deemed to be a danger. In fact, these measures made so much sense that even the NRA said it supported them. That is influence, powerful and enduring — we hope. (2/13)
Boston Globe:
A Year After Parkland Shooting, A Sign Of Hope
A year ago 17 students and staff members lost their lives, gunned down in what should have been the sanctity of their own high school. But gun violence knows no sanctuary. The students at Marjory Stoneman Douglas High School, in Parkland, Fla., now know that better than most. It changed their lives. It turned many of them into activists, preaching the gospel of stricter gun control laws. And they in turn have kept up the pressure on their elders. Today that activism is beginning to show results. (2/14)
The New York Times:
A New Model To Stop The Next School Shooting
The police picked the teenager up from his high school after a terrified classmate told her principal he had threatened to slit her throat. The classmate showed them his Instagram account, where he had posted pictures of the Charleston church gunman with the word “hero” underneath it, and a picture of their school captioned “Columbine 2.0.” The officers didn’t find any guns or explosives in his house, and couldn’t arrest him for the threat, because the girl was too scared to be interviewed. So they brought him in to our mental health crisis unit for an evaluation. (Amy Barnhorst, 2/13)
Boston Globe:
Manuel And Patricia Oliver: Our Son, Killed In The Parkland Massacre, Is An Eternal Activist
On Feb. 13, 2018, our son Joaquin Oliver watched his idol, Shaun White, win another gold medal at the Winter Olympics. He tweeted: “I love you Shaun White.” That was his last tweet. Then he asked his Dad to help him put together some flowers that he was bringing to Tori, his girlfriend, for Valentine’s Day. Joaquin was shot four times by a 19-year-old boy who used his credit card to purchase a Smith and Wesson AR-15, plus enough ammunition to kill our son and 16 others as well as injure 17 more during a rampage of less than 7 minutes inside his high school in Parkland, Fla. Joaquin (“Guac”) was 17, a senior at Marjory Stoneman Douglas High School. A fun, happy kid, always surrounded by friends and by us. (Manuel and Patricia Oliver , 2/13)
The New York Times:
Would Congress Care More If Parkland Had Been A Plane Crash?
When I arrived at school on Feb. 14, 2018, like any junior, I was mostly caught up in Valentine’s Day chatter and events. But that all changed in the space of a few minutes that afternoon when a gunman opened fire on my classmates and my teachers, killing 17 of them and injuring just as many.Despite the countless tragedies you see on TV, nothing prepares you for the day it happens to your community. (Jaclyn Corin, 2/13)
Editorial pages focus on these health topics and others.
The Washington Post:
How Bold Should Democrats Be On Health Care? Here’s One Answer.
The most intense policy debate going on in the Democratic Party right now concerns health care, but it’s about more than just what sort of specific reform should be pursued. It’s also about how to approach both policy and politics, about what it means to be a Democrat, and about competing theories of change. Though at times it can get heated, there’s nothing wrong with that — Democrats argue passionately about this issue because they care about people who don’t have coverage and people who are ill-served by the system we have now. (Paul Waldman, 2/13)
The Wall Street Journal:
Vaping Is Harm Reduction
‘'A lot of people still think e-cigarettes are not harmful,” U.S. Surgeon General Jerome Adams said last week. “But studies show that nicotine is, pound for pound, as addictive as heroin.” Dr. Adams, speaking to the Community Anti-Drug Coalitions of America, was making an appeal to fear, not science. Drug consumption is measured by the dosage, not the pound. More fundamentally, the concept of “addictiveness” is so vague that it can easily be manipulated. (Sally Satel, 2/13)
USA Today:
Federal Communications Commission: E-Cigarette Ads Are Back, Addicting
Gone are the days of the rebellious, rugged Marlboro Man hawking cigarettes with little more than a smile and a tip of his wide-brimmed, 10-gallon hat. The iconic cowboy, who was created to reposition Marlboro from a mild cigarette marketed to women to a brand with wider appeal, rode off our television screens and disappeared from our radio broadcasts for the last time more than five decades ago, never to return.His leaving wasn’t a choice. It was required by federal law: the Public Health Cigarette Smoking Act. (Jessica Rosenworcel, 2/13)
USA Today:
Measles Outbreak: New York Smart To Consider Narrow Vaccine Exemptions
Polio, measles, epiglottitis, pertussis — all preventable by immunizations. As a pediatrician, I have experienced the supreme joy of seeing childhood diseases that had caused such suffering and loss in earlier generations become absolutely preventable, consigned to history. But this amazing public health success story is being undercut by the modern anti-vaccination movement, which was built on discredited research published in 1998 that associated the measles, mumps and rubella (MMR) vaccine with autism. (Howard A. Zucker, Opinion 2/13)
New England Journal of Medicine:
Reducing Unfair Out-Of-Network Billing — Integrated Approaches To Protecting Patients
High charges for out-of-network care are demonstrably unfair when health plans have inadequate networks and when patients are treated by providers they don’t choose. An integrated approach for addressing both circumstances could involve streamlined dispute resolution. (Mark A. Hall, Loren Adler, Paul B. Ginsburg and Erin Trish, 2/14)
Los Angeles Times:
Helping Addicts Stay Alive Shouldn't Be A Crime
Few places in the United States have been as hard hit by the opioid crisis as Philadelphia, where about 1,150 people died from overdoses last year. So it is fitting that this is where the nation’s first “safe injection facility,” where addicts can use drugs under medical supervision without fear of arrest, is likely to open its doors. At least, it was going to open. Now its future, and that of the addicts it would serve, is less certain. (2/14)
The Hill:
Pre-Existing Conditions: Political Versus Financial Reality
The truth is there are better ways to ensure coverage for Americans with pre-existing conditions than the wholesale hijacking of the U.S. health care system embodied by the ACA, or even worse, a "Medicare for All" scheme. Market-based principles and more freedom of choice can help keep Americans covered and protect the long-term health of our nation’s health care system. (David Balat, 2/13)
The Washington Post:
I’m A Cancer Patient. The FDA’s ‘Wait And See’ Approach Is Not Helping.
“Now we sit and wait to see if the cancer comes back,” my doctor said as she unhooked the hanging bag of chemotherapy. That moment marked the end of my nine months of treatment for osteosarcoma, a rare bone cancer disproportionately afflicting children and young adults like me. There have been no therapeutic advances in treating osteosarcoma in the United States since the advent of chemotherapy nearly 40 years ago. The cancer affects fewer than 1,000 Americans annually, and it has a five-year survival rate of 60 to 80 percent if the cancer remains localized, according to the American Cancer Society; if the cancer has spread, the survival rate drops to 15 to 30 percent. (Olivia Egge, 2/13)
Louisville Courier-Journal:
Kim Moser Wants Support For Bill Targeting 'Bad Drug' TV Ads
February is quite a month for advertisers with major events like the Super Bowl and the Academy Awards ushering in a new crop of big-budget TV spots. However, another kind of advertisement flooding the airwaves should be raising our concerns — the nearly omnipresent “bad drug” advertisements. We’ve all seen them. These ads with their sirens and faux public service announcement posturing are effective — bad news for fearful Kentuckians who may be compelled to stop a prescribed treatment. (Kim Moser, 2/12)
The Philadelphia Inquirer/Philly.com:
We Should Do A Better Job Supporting Families, Not Separating Them
Out of all the kids that are in foster care in Pennsylvania, 14 percent entered for inadequate housing, These removals raise important flags about the stress points in the city’s families, especially those in poverty – which can often be confused for neglect. In fact, it’s a disturbing coincidence that the city with the highest poverty rate also has the highest child removal rate. (2/14)
Los Angeles Times:
Stupid Medicaid Tricks: Utah Figures Out How To Spend More To Cover Fewer People
It has become obvious over the past few years that the Affordable Care Act has the power to cloud Republicans’ minds. But few are as befuddled as the legislature and governor of Utah, who just enacted a partial expansion of Medicaid under the ACA that will cover 60,000 fewer residents while costing the state more than full expansion. (Michael Hiltzik, 2/13)
Boston Globe:
Charlie Baker Is Not Punishing Drug Company Success By Challenging Costs
Big Pharma is getting very annoyed with Governor Charlie Baker. Good for Baker. His plan to rein in the cost of prescription drugs in the state Medicaid program will “punish success,” complained Robert K. Coughlin, president and CEO of the Massachusetts Biotechnology Council, which represents 1,200 biopharma companies. (Joan Vennochi, 2/13)